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MADISON COUNTY COMMUNITY HOSPITAL DBA MADISON COUNTY HOSPITAL, INC. EMPLOYEES' 401(K) PENSION PLAN 401k Plan overview

Plan NameMADISON COUNTY COMMUNITY HOSPITAL DBA MADISON COUNTY HOSPITAL, INC. EMPLOYEES' 401(K) PENSION PLAN
Plan identification number 002

MADISON COUNTY COMMUNITY HOSPITAL DBA MADISON COUNTY HOSPITAL, INC. EMPLOYEES' 401(K) PENSION PLAN 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

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

Company Name:MADISON COUNTY COMMUNITY HOSPITAL
Employer identification number (EIN):311657206
NAIC Classification:622000
NAIC Description: Hospitals

Additional information about MADISON COUNTY COMMUNITY HOSPITAL

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division
Incorporation Date: 1999-07-01
Company Identification Number: 1085719
Legal Registered Office Address: 210 NORTH MAIN STREET
-
LONDON
United States of America (USA)
43140

More information about MADISON COUNTY COMMUNITY HOSPITAL

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MADISON COUNTY COMMUNITY HOSPITAL DBA MADISON COUNTY HOSPITAL, INC. EMPLOYEES' 401(K) PENSION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022022-01-01
0022021-01-01
0022020-01-01
0022019-01-01
0022018-01-01
0022017-01-01BECKY ROZELL MICHAEL S. BROWNING2018-10-15
0022016-01-01BECKY ROZELL MICHAEL S. BROWNING2017-10-16
0022015-01-01BECKY ROZELL MICHAEL S. BROWNING2016-10-17
0022014-01-01BECKY ROZELL MICHAEL S. BROWNING2015-10-14
0022013-01-01BECKY ROZELL MICHAEL S. BROWNING2014-10-15
0022012-01-01BECKY ROZELL MICHAEL S BROWNING2013-10-15
0022011-01-01BECKY ROZELL MICHAEL S BROWNING2012-10-11
0022009-01-01BECKY ROZELL

Plan Statistics for MADISON COUNTY COMMUNITY HOSPITAL DBA MADISON COUNTY HOSPITAL, INC. EMPLOYEES' 401(K) PENSION PLAN

401k plan membership statisitcs for MADISON COUNTY COMMUNITY HOSPITAL DBA MADISON COUNTY HOSPITAL, INC. EMPLOYEES' 401(K) PENSION PLAN

Measure Date Value
2022: MADISON COUNTY COMMUNITY HOSPITAL DBA MADISON COUNTY HOSPITAL, INC. EMPLOYEES' 401(K) PENSION PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01439
Total number of active participants reported on line 7a of the Form 55002022-01-01318
Number of retired or separated participants receiving benefits2022-01-011
Number of other retired or separated participants entitled to future benefits2022-01-01129
Total of all active and inactive participants2022-01-01448
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01448
Number of participants with account balances2022-01-01434
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-0125
2021: MADISON COUNTY COMMUNITY HOSPITAL DBA MADISON COUNTY HOSPITAL, INC. EMPLOYEES' 401(K) PENSION PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01419
Total number of active participants reported on line 7a of the Form 55002021-01-01309
Number of retired or separated participants receiving benefits2021-01-011
Number of other retired or separated participants entitled to future benefits2021-01-01122
Total of all active and inactive participants2021-01-01432
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01432
Number of participants with account balances2021-01-01415
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-0119
2020: MADISON COUNTY COMMUNITY HOSPITAL DBA MADISON COUNTY HOSPITAL, INC. EMPLOYEES' 401(K) PENSION PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01396
Total number of active participants reported on line 7a of the Form 55002020-01-01305
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-01112
Total of all active and inactive participants2020-01-01417
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01417
Number of participants with account balances2020-01-01397
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-0122
2019: MADISON COUNTY COMMUNITY HOSPITAL DBA MADISON COUNTY HOSPITAL, INC. EMPLOYEES' 401(K) PENSION PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01405
Total number of active participants reported on line 7a of the Form 55002019-01-01336
Number of retired or separated participants receiving benefits2019-01-011
Number of other retired or separated participants entitled to future benefits2019-01-0159
Total of all active and inactive participants2019-01-01396
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01396
Number of participants with account balances2019-01-01355
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-016
2018: MADISON COUNTY COMMUNITY HOSPITAL DBA MADISON COUNTY HOSPITAL, INC. EMPLOYEES' 401(K) PENSION PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01439
Total number of active participants reported on line 7a of the Form 55002018-01-01345
Number of retired or separated participants receiving benefits2018-01-012
Number of other retired or separated participants entitled to future benefits2018-01-0153
Total of all active and inactive participants2018-01-01400
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01400
Number of participants with account balances2018-01-01347
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-011
2017: MADISON COUNTY COMMUNITY HOSPITAL DBA MADISON COUNTY HOSPITAL, INC. EMPLOYEES' 401(K) PENSION PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01440
Total number of active participants reported on line 7a of the Form 55002017-01-01338
Number of retired or separated participants receiving benefits2017-01-012
Number of other retired or separated participants entitled to future benefits2017-01-0198
Total of all active and inactive participants2017-01-01438
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01438
Number of participants with account balances2017-01-01400
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-014
2016: MADISON COUNTY COMMUNITY HOSPITAL DBA MADISON COUNTY HOSPITAL, INC. EMPLOYEES' 401(K) PENSION PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01379
Total number of active participants reported on line 7a of the Form 55002016-01-01337
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0193
Total of all active and inactive participants2016-01-01430
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01430
Number of participants with account balances2016-01-01398
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-0112
2015: MADISON COUNTY COMMUNITY HOSPITAL DBA MADISON COUNTY HOSPITAL, INC. EMPLOYEES' 401(K) PENSION PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01311
Total number of active participants reported on line 7a of the Form 55002015-01-01235
Number of retired or separated participants receiving benefits2015-01-011
Number of other retired or separated participants entitled to future benefits2015-01-0159
Total of all active and inactive participants2015-01-01295
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01295
Number of participants with account balances2015-01-01293
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: MADISON COUNTY COMMUNITY HOSPITAL DBA MADISON COUNTY HOSPITAL, INC. EMPLOYEES' 401(K) PENSION PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01318
Total number of active participants reported on line 7a of the Form 55002014-01-01223
Number of retired or separated participants receiving benefits2014-01-011
Number of other retired or separated participants entitled to future benefits2014-01-0166
Total of all active and inactive participants2014-01-01290
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01290
Number of participants with account balances2014-01-01277
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-011
2013: MADISON COUNTY COMMUNITY HOSPITAL DBA MADISON COUNTY HOSPITAL, INC. EMPLOYEES' 401(K) PENSION PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01325
Total number of active participants reported on line 7a of the Form 55002013-01-01223
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-0195
Total of all active and inactive participants2013-01-01318
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01318
Number of participants with account balances2013-01-01309
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-011
2012: MADISON COUNTY COMMUNITY HOSPITAL DBA MADISON COUNTY HOSPITAL, INC. EMPLOYEES' 401(K) PENSION PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01302
Total number of active participants reported on line 7a of the Form 55002012-01-01239
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-0186
Total of all active and inactive participants2012-01-01325
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01325
Number of participants with account balances2012-01-01307
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-013
2011: MADISON COUNTY COMMUNITY HOSPITAL DBA MADISON COUNTY HOSPITAL, INC. EMPLOYEES' 401(K) PENSION PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01323
Total number of active participants reported on line 7a of the Form 55002011-01-01215
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0196
Total of all active and inactive participants2011-01-01311
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01311
Number of participants with account balances2011-01-01307
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-011
2009: MADISON COUNTY COMMUNITY HOSPITAL DBA MADISON COUNTY HOSPITAL, INC. EMPLOYEES' 401(K) PENSION PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01479
Total number of active participants reported on line 7a of the Form 55002009-01-01295
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-01181
Total of all active and inactive participants2009-01-01476
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01476
Number of participants with account balances2009-01-01460
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-0158

Financial Data on MADISON COUNTY COMMUNITY HOSPITAL DBA MADISON COUNTY HOSPITAL, INC. EMPLOYEES' 401(K) PENSION PLAN

Measure Date Value
2022 : MADISON COUNTY COMMUNITY HOSPITAL DBA MADISON COUNTY HOSPITAL, INC. EMPLOYEES' 401(K) PENSION PLAN 2022 401k financial data
Total income from all sources (including contributions)2022-12-31$-1,436,712
Total of all expenses incurred2022-12-31$1,980,654
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$1,834,598
Expenses. Certain deemed distributions of participant loans2022-12-31$35,244
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$1,576,132
Value of total assets at end of year2022-12-31$16,329,756
Value of total assets at beginning of year2022-12-31$19,747,122
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$110,812
Total interest from all sources2022-12-31$13,200
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$402,627
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$402,627
Administrative expenses professional fees incurred2022-12-31$43,915
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$951,933
Participant contributions at end of year2022-12-31$276,054
Participant contributions at beginning of year2022-12-31$217,528
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$106,679
Total non interest bearing cash at end of year2022-12-31$12
Total non interest bearing cash at beginning of year2022-12-31$104
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-3,417,366
Value of net assets at end of year (total assets less liabilities)2022-12-31$16,329,756
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$19,747,122
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$66,897
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$8,836,437
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$10,088,584
Interest on participant loans2022-12-31$13,200
Value of interest in common/collective trusts at end of year2022-12-31$7,217,253
Value of interest in common/collective trusts at beginning of year2022-12-31$9,440,906
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-2,066,499
Net investment gain or loss from common/collective trusts2022-12-31$-1,362,172
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$517,520
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$1,834,598
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 name2022-12-31WHALEN & COMPANY
Accountancy firm EIN2022-12-31310984945
2021 : MADISON COUNTY COMMUNITY HOSPITAL DBA MADISON COUNTY HOSPITAL, INC. EMPLOYEES' 401(K) PENSION PLAN 2021 401k financial data
Total income from all sources (including contributions)2021-12-31$3,909,021
Total of all expenses incurred2021-12-31$1,236,950
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$1,111,683
Expenses. Certain deemed distributions of participant loans2021-12-31$14,525
Value of total corrective distributions2021-12-31$110
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$1,526,378
Value of total assets at end of year2021-12-31$19,747,122
Value of total assets at beginning of year2021-12-31$17,075,051
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$110,632
Total interest from all sources2021-12-31$14,525
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$792,127
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$792,127
Administrative expenses professional fees incurred2021-12-31$39,227
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
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$925,562
Participant contributions at end of year2021-12-31$217,528
Participant contributions at beginning of year2021-12-31$225,179
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$48,492
Total non interest bearing cash at end of year2021-12-31$104
Total non interest bearing cash at beginning of year2021-12-31$749
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$2,672,071
Value of net assets at end of year (total assets less liabilities)2021-12-31$19,747,122
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$17,075,051
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
Investment advisory and management fees2021-12-31$71,405
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$10,088,584
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$8,704,769
Interest on participant loans2021-12-31$14,525
Value of interest in common/collective trusts at end of year2021-12-31$9,440,906
Value of interest in common/collective trusts at beginning of year2021-12-31$8,144,354
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$321,446
Net investment gain or loss from common/collective trusts2021-12-31$1,254,545
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$552,324
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$1,111,683
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 name2021-12-31WHALEN & COMPANY
Accountancy firm EIN2021-12-31310984945
2020 : MADISON COUNTY COMMUNITY HOSPITAL DBA MADISON COUNTY HOSPITAL, INC. EMPLOYEES' 401(K) PENSION PLAN 2020 401k financial data
Total income from all sources (including contributions)2020-12-31$3,281,583
Total of all expenses incurred2020-12-31$2,137,609
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$1,978,716
Expenses. Certain deemed distributions of participant loans2020-12-31$63,585
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$1,436,087
Value of total assets at end of year2020-12-31$17,075,051
Value of total assets at beginning of year2020-12-31$15,931,077
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$95,308
Total interest from all sources2020-12-31$10,265
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$360,128
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$360,128
Administrative expenses professional fees incurred2020-12-31$36,738
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
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$869,938
Participant contributions at end of year2020-12-31$225,179
Participant contributions at beginning of year2020-12-31$274,101
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$37,240
Total non interest bearing cash at end of year2020-12-31$749
Total non interest bearing cash at beginning of year2020-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$1,143,974
Value of net assets at end of year (total assets less liabilities)2020-12-31$17,075,051
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$15,931,077
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
Investment advisory and management fees2020-12-31$58,570
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$8,704,769
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$9,708,205
Interest on participant loans2020-12-31$10,265
Value of interest in common/collective trusts at end of year2020-12-31$8,144,354
Value of interest in common/collective trusts at beginning of year2020-12-31$5,946,424
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$713,819
Net investment gain or loss from common/collective trusts2020-12-31$761,284
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$528,909
Employer contributions (assets) at end of year2020-12-31$0
Employer contributions (assets) at beginning of year2020-12-31$2,347
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$1,978,716
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 name2020-12-31WHALEN & COMPANY
Accountancy firm EIN2020-12-31310984945
2019 : MADISON COUNTY COMMUNITY HOSPITAL DBA MADISON COUNTY HOSPITAL, INC. EMPLOYEES' 401(K) PENSION PLAN 2019 401k financial data
Total income from all sources (including contributions)2019-12-31$4,622,018
Total of all expenses incurred2019-12-31$1,708,380
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$1,591,296
Expenses. Certain deemed distributions of participant loans2019-12-31$21,855
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$2,012,828
Value of total assets at end of year2019-12-31$15,931,077
Value of total assets at beginning of year2019-12-31$13,017,439
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$95,229
Total interest from all sources2019-12-31$15,088
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$407,166
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$407,166
Administrative expenses professional fees incurred2019-12-31$39,158
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
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$871,977
Participant contributions at end of year2019-12-31$274,101
Participant contributions at beginning of year2019-12-31$249,700
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$601,586
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$2,913,638
Value of net assets at end of year (total assets less liabilities)2019-12-31$15,931,077
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$13,017,439
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
Investment advisory and management fees2019-12-31$56,071
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$9,708,205
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$11,861,415
Interest on participant loans2019-12-31$15,088
Value of interest in common/collective trusts at end of year2019-12-31$5,946,424
Value of interest in common/collective trusts at beginning of year2019-12-31$906,324
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$1,166,309
Net investment gain or loss from common/collective trusts2019-12-31$1,020,627
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$539,265
Employer contributions (assets) at end of year2019-12-31$2,347
Employer contributions (assets) at beginning of year2019-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$1,591,296
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 name2019-12-31WHALEN & COMPANY
Accountancy firm EIN2019-12-31310984945
2018 : MADISON COUNTY COMMUNITY HOSPITAL DBA MADISON COUNTY HOSPITAL, INC. EMPLOYEES' 401(K) PENSION PLAN 2018 401k financial data
Total income from all sources (including contributions)2018-12-31$827,332
Total of all expenses incurred2018-12-31$1,807,084
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$1,681,811
Expenses. Certain deemed distributions of participant loans2018-12-31$20,967
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$1,428,831
Value of total assets at end of year2018-12-31$13,017,439
Value of total assets at beginning of year2018-12-31$13,997,191
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$104,306
Total interest from all sources2018-12-31$12,017
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$457,010
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$457,010
Administrative expenses professional fees incurred2018-12-31$49,227
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
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$852,255
Participant contributions at end of year2018-12-31$249,700
Participant contributions at beginning of year2018-12-31$247,316
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$38,058
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-979,752
Value of net assets at end of year (total assets less liabilities)2018-12-31$13,017,439
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$13,997,191
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
Investment advisory and management fees2018-12-31$55,079
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$11,861,415
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$12,803,801
Interest on participant loans2018-12-31$12,017
Value of interest in common/collective trusts at end of year2018-12-31$906,324
Value of interest in common/collective trusts at beginning of year2018-12-31$946,074
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-1,098,618
Net investment gain or loss from common/collective trusts2018-12-31$28,092
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$538,518
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$1,681,811
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 name2018-12-31WHALEN & COMPANY
Accountancy firm EIN2018-12-31310984945
2017 : MADISON COUNTY COMMUNITY HOSPITAL DBA MADISON COUNTY HOSPITAL, INC. EMPLOYEES' 401(K) PENSION PLAN 2017 401k financial data
Total income from all sources (including contributions)2017-12-31$3,213,465
Total of all expenses incurred2017-12-31$1,092,322
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$1,001,426
Expenses. Certain deemed distributions of participant loans2017-12-31$4,088
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$1,421,271
Value of total assets at end of year2017-12-31$13,997,191
Value of total assets at beginning of year2017-12-31$11,876,048
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$86,808
Total interest from all sources2017-12-31$10,582
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$368,495
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$368,495
Administrative expenses professional fees incurred2017-12-31$37,324
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
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$867,809
Participant contributions at end of year2017-12-31$247,316
Participant contributions at beginning of year2017-12-31$182,307
Participant contributions at end of year2017-12-31$0
Participant contributions at beginning of year2017-12-31$30,183
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$35,428
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$2,121,143
Value of net assets at end of year (total assets less liabilities)2017-12-31$13,997,191
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$11,876,048
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
Investment advisory and management fees2017-12-31$49,484
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$12,803,801
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$10,687,147
Interest on participant loans2017-12-31$10,582
Value of interest in common/collective trusts at end of year2017-12-31$946,074
Value of interest in common/collective trusts at beginning of year2017-12-31$958,499
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$1,389,355
Net investment gain or loss from common/collective trusts2017-12-31$23,762
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$518,034
Employer contributions (assets) at end of year2017-12-31$0
Employer contributions (assets) at beginning of year2017-12-31$17,912
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$1,001,426
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 name2017-12-31WHALEN & COMPANY
Accountancy firm EIN2017-12-31310984945
2016 : MADISON COUNTY COMMUNITY HOSPITAL DBA MADISON COUNTY HOSPITAL, INC. EMPLOYEES' 401(K) PENSION PLAN 2016 401k financial data
Total income from all sources (including contributions)2016-12-31$1,985,672
Total of all expenses incurred2016-12-31$658,685
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$563,237
Expenses. Certain deemed distributions of participant loans2016-12-31$24,235
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$1,295,703
Value of total assets at end of year2016-12-31$11,876,048
Value of total assets at beginning of year2016-12-31$10,549,061
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$71,213
Total interest from all sources2016-12-31$6,640
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$313,869
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$313,869
Administrative expenses professional fees incurred2016-12-31$28,930
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31Yes
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$749,548
Participant contributions at end of year2016-12-31$182,307
Participant contributions at beginning of year2016-12-31$201,178
Participant contributions at end of year2016-12-31$30,183
Participant contributions at beginning of year2016-12-31$24,114
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$52,329
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$1,326,987
Value of net assets at end of year (total assets less liabilities)2016-12-31$11,876,048
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$10,549,061
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
Investment advisory and management fees2016-12-31$42,283
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$10,687,147
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$8,762,651
Interest on participant loans2016-12-31$6,640
Value of interest in common/collective trusts at end of year2016-12-31$958,499
Value of interest in common/collective trusts at beginning of year2016-12-31$1,537,841
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$336,573
Net investment gain or loss from common/collective trusts2016-12-31$32,887
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$493,826
Employer contributions (assets) at end of year2016-12-31$17,912
Employer contributions (assets) at beginning of year2016-12-31$23,277
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$563,237
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31Yes
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 name2016-12-31WHALEN & COMPANY
Accountancy firm EIN2016-12-31310984945
2015 : MADISON COUNTY COMMUNITY HOSPITAL DBA MADISON COUNTY HOSPITAL, INC. EMPLOYEES' 401(K) PENSION PLAN 2015 401k financial data
Total income from all sources (including contributions)2015-12-31$1,089,590
Total of all expenses incurred2015-12-31$604,816
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$501,606
Expenses. Certain deemed distributions of participant loans2015-12-31$38,474
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$1,240,661
Value of total assets at end of year2015-12-31$10,549,061
Value of total assets at beginning of year2015-12-31$10,064,287
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$64,736
Total interest from all sources2015-12-31$9,255
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$149,160
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$149,160
Administrative expenses professional fees incurred2015-12-31$24,896
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$1,000,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$708,019
Participant contributions at end of year2015-12-31$201,178
Participant contributions at beginning of year2015-12-31$241,504
Participant contributions at end of year2015-12-31$24,114
Participant contributions at beginning of year2015-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$33,808
Other income not declared elsewhere2015-12-31$-63,320
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$484,774
Value of net assets at end of year (total assets less liabilities)2015-12-31$10,549,061
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$10,064,287
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
Investment advisory and management fees2015-12-31$39,840
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$8,762,651
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$7,913,392
Interest on participant loans2015-12-31$9,255
Value of interest in common/collective trusts at end of year2015-12-31$1,537,841
Value of interest in common/collective trusts at beginning of year2015-12-31$1,909,391
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-291,868
Net investment gain or loss from common/collective trusts2015-12-31$45,702
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$498,834
Employer contributions (assets) at end of year2015-12-31$23,277
Employer contributions (assets) at beginning of year2015-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$501,606
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 name2015-12-31WHALEN & COMPANY
Accountancy firm EIN2015-12-31310984945
2014 : MADISON COUNTY COMMUNITY HOSPITAL DBA MADISON COUNTY HOSPITAL, INC. EMPLOYEES' 401(K) PENSION PLAN 2014 401k financial data
Total income from all sources (including contributions)2014-12-31$1,622,369
Total of all expenses incurred2014-12-31$1,504,328
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$1,408,150
Expenses. Certain deemed distributions of participant loans2014-12-31$34,512
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$1,160,251
Value of total assets at end of year2014-12-31$10,064,287
Value of total assets at beginning of year2014-12-31$9,946,246
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$61,666
Total interest from all sources2014-12-31$9,139
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$130,094
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$130,094
Administrative expenses professional fees incurred2014-12-31$22,662
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$1,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$652,045
Participant contributions at end of year2014-12-31$241,504
Participant contributions at beginning of year2014-12-31$212,091
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$78,003
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$118,041
Value of net assets at end of year (total assets less liabilities)2014-12-31$10,064,287
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$9,946,246
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
Investment advisory and management fees2014-12-31$39,004
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$7,913,392
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$7,912,805
Interest on participant loans2014-12-31$9,139
Value of interest in common/collective trusts at end of year2014-12-31$1,909,391
Value of interest in common/collective trusts at beginning of year2014-12-31$1,821,350
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$218,658
Net investment gain or loss from common/collective trusts2014-12-31$104,227
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 contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$430,203
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$1,408,150
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 name2014-12-31WHALEN & COMPANY
Accountancy firm EIN2014-12-31310984945
2013 : MADISON COUNTY COMMUNITY HOSPITAL DBA MADISON COUNTY HOSPITAL, INC. EMPLOYEES' 401(K) PENSION PLAN 2013 401k financial data
Total income from all sources (including contributions)2013-12-31$5,934,337
Total of all expenses incurred2013-12-31$504,151
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$442,630
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$4,995,583
Value of total assets at end of year2013-12-31$9,946,246
Value of total assets at beginning of year2013-12-31$4,516,060
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$61,521
Total interest from all sources2013-12-31$5,381
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$114,086
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$114,086
Administrative expenses professional fees incurred2013-12-31$28,632
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$1,000,000
If this is an individual account plan, was there a blackout period2013-12-31Yes
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$625,064
Participant contributions at end of year2013-12-31$212,091
Participant contributions at beginning of year2013-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$3,941,450
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$5,430,186
Value of net assets at end of year (total assets less liabilities)2013-12-31$9,946,246
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$4,516,060
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
Investment advisory and management fees2013-12-31$32,889
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$7,912,805
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$2,681,920
Interest on participant loans2013-12-31$4,486
Interest earned on other investments2013-12-31$895
Value of interest in common/collective trusts at end of year2013-12-31$1,821,350
Value of interest in common/collective trusts at beginning of year2013-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$1,834,140
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$777,627
Net investment gain or loss from common/collective trusts2013-12-31$41,660
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$429,069
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$442,630
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31Yes
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 name2013-12-31WHALEN & COMPANY
Accountancy firm EIN2013-12-31310984945
2012 : MADISON COUNTY COMMUNITY HOSPITAL DBA MADISON COUNTY HOSPITAL, INC. EMPLOYEES' 401(K) PENSION PLAN 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$720,619
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$418,144
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$409,291
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$349,681
Value of total assets at end of year2012-12-31$4,516,060
Value of total assets at beginning of year2012-12-31$4,213,585
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$8,853
Total interest from all sources2012-12-31$50,880
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$53,968
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$53,968
Was this plan covered by a fidelity bond2012-12-31No
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$0
Participant contributions at end of year2012-12-31$0
Participant contributions at beginning of year2012-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$302,475
Value of net assets at end of year (total assets less liabilities)2012-12-31$4,516,060
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$4,213,585
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$2,681,920
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$2,276,922
Interest on participant loans2012-12-31$0
Interest earned on other investments2012-12-31$50,880
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$1,834,140
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$1,936,663
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$266,090
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$349,681
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$409,291
Contract administrator fees2012-12-31$8,853
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
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 name2012-12-31WHALEN & COMPANY CPAS
Accountancy firm EIN2012-12-31310984945
2011 : MADISON COUNTY COMMUNITY HOSPITAL DBA MADISON COUNTY HOSPITAL, INC. EMPLOYEES' 401(K) PENSION PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total income from all sources (including contributions)2011-12-31$393,938
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$370,213
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$363,437
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$366,309
Value of total assets at end of year2011-12-31$4,213,585
Value of total assets at beginning of year2011-12-31$4,189,860
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$6,776
Total interest from all sources2011-12-31$62,645
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$35,709
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$35,709
Was this plan covered by a fidelity bond2011-12-31No
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
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$23,725
Value of net assets at end of year (total assets less liabilities)2011-12-31$4,213,585
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$4,189,860
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$2,276,922
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$2,425,284
Interest earned on other investments2011-12-31$62,645
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$1,936,663
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$1,764,576
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-70,725
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$366,309
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$363,437
Contract administrator fees2011-12-31$6,776
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
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 name2011-12-31SCHNEIDER DOWNS & CO, INC.
Accountancy firm EIN2011-12-31251408703
2010 : MADISON COUNTY COMMUNITY HOSPITAL DBA MADISON COUNTY HOSPITAL, INC. EMPLOYEES' 401(K) PENSION PLAN 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$0
Total income from all sources (including contributions)2010-12-31$725,773
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$381,004
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$375,181
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$371,806
Value of total assets at end of year2010-12-31$4,189,860
Value of total assets at beginning of year2010-12-31$3,845,091
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$5,823
Total interest from all sources2010-12-31$66,480
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$33,428
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$33,428
Was this plan covered by a fidelity bond2010-12-31No
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
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$344,769
Value of net assets at end of year (total assets less liabilities)2010-12-31$4,189,860
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$3,845,091
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$2,425,284
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$2,008,924
Interest earned on other investments2010-12-31$66,480
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$1,764,576
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$1,836,167
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$254,059
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$371,806
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$375,181
Contract administrator fees2010-12-31$5,823
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 name2010-12-31SCHNEIDER DOWNS & CO, INC.
Accountancy firm EIN2010-12-31251408703

Form 5500 Responses for MADISON COUNTY COMMUNITY HOSPITAL DBA MADISON COUNTY HOSPITAL, INC. EMPLOYEES' 401(K) PENSION PLAN

2022: MADISON COUNTY COMMUNITY HOSPITAL DBA MADISON COUNTY HOSPITAL, INC. EMPLOYEES' 401(K) PENSION PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: MADISON COUNTY COMMUNITY HOSPITAL DBA MADISON COUNTY HOSPITAL, INC. EMPLOYEES' 401(K) PENSION PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: MADISON COUNTY COMMUNITY HOSPITAL DBA MADISON COUNTY HOSPITAL, INC. EMPLOYEES' 401(K) PENSION PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: MADISON COUNTY COMMUNITY HOSPITAL DBA MADISON COUNTY HOSPITAL, INC. EMPLOYEES' 401(K) PENSION PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: MADISON COUNTY COMMUNITY HOSPITAL DBA MADISON COUNTY HOSPITAL, INC. EMPLOYEES' 401(K) PENSION PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: MADISON COUNTY COMMUNITY HOSPITAL DBA MADISON COUNTY HOSPITAL, INC. EMPLOYEES' 401(K) PENSION PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: MADISON COUNTY COMMUNITY HOSPITAL DBA MADISON COUNTY HOSPITAL, INC. EMPLOYEES' 401(K) PENSION PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: MADISON COUNTY COMMUNITY HOSPITAL DBA MADISON COUNTY HOSPITAL, INC. EMPLOYEES' 401(K) PENSION PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: MADISON COUNTY COMMUNITY HOSPITAL DBA MADISON COUNTY HOSPITAL, INC. EMPLOYEES' 401(K) PENSION PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: MADISON COUNTY COMMUNITY HOSPITAL DBA MADISON COUNTY HOSPITAL, INC. EMPLOYEES' 401(K) PENSION PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
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: MADISON COUNTY COMMUNITY HOSPITAL DBA MADISON COUNTY HOSPITAL, INC. EMPLOYEES' 401(K) PENSION PLAN 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: MADISON COUNTY COMMUNITY HOSPITAL DBA MADISON COUNTY HOSPITAL, INC. EMPLOYEES' 401(K) PENSION PLAN 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: MADISON COUNTY COMMUNITY HOSPITAL DBA MADISON COUNTY HOSPITAL, INC. EMPLOYEES' 401(K) PENSION PLAN 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

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number69113
Policy instance 1
Insurance contract or identification number69113
Number of Individuals Covered0
Insurance policy start date2013-01-01
Insurance policy end date2013-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number69113
Policy instance 1
Insurance contract or identification number69113
Number of Individuals Covered307
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
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number69113
Policy instance 1
Insurance contract or identification number69113
Number of Individuals Covered307
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 Administration1
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
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number69113
Policy instance 1
Insurance contract or identification number69113
Number of Individuals Covered317
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 Administration1
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

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