401k Plan data: CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN plan

CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN 401k Plan overview

Plan Name	CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN
Plan identification number	002

CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
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.
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

CARLINVILLE AREA HOSPITAL ASSOCIATION has sponsored the creation of one or more 401k plans.

Company Name: CARLINVILLE AREA HOSPITAL ASSOCIATION

Employer identification number (EIN): 370645239

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2021-08-01 TOM BICK 2023-05-18
002 2020-08-01 TOM BICK 2022-05-13 TOM BICK 2022-05-13
002 2019-08-01 TOM BICK 2021-05-14 TOM BICK 2021-05-14
002 2018-08-01 JENNY BUHL 2020-07-14 JENNY BUHL 2020-07-14
002 2017-08-01 JENNY BUHL 2019-05-10 JENNY BUHL 2019-05-10
002 2016-08-01
002 2015-08-01
002 2014-08-01
002 2013-08-01
002 2012-08-01 LOIS WHITE LOIS WHITE 2014-05-06
002 2011-08-01 LOIS WHITE
002 2010-08-01 LOIS WHITE
002 2009-08-01 LOIS WHITE

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2021-08-01	TOM BICK	2023-05-18
002	2020-08-01	TOM BICK	2022-05-13	TOM BICK	2022-05-13
002	2019-08-01	TOM BICK	2021-05-14	TOM BICK	2021-05-14
002	2018-08-01	JENNY BUHL	2020-07-14	JENNY BUHL	2020-07-14
002	2017-08-01	JENNY BUHL	2019-05-10	JENNY BUHL	2019-05-10
002	2016-08-01
002	2015-08-01
002	2014-08-01
002	2013-08-01
002	2012-08-01	LOIS WHITE		LOIS WHITE	2014-05-06
002	2011-08-01	LOIS WHITE
002	2010-08-01	LOIS WHITE
002	2009-08-01	LOIS WHITE

Plan Statistics for CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN

401k plan membership statisitcs for CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN

Measure Date Value
2021: CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN 2021 401k membership
Total participants, beginning-of-year 2021-08-01 223
Total number of active participants reported on line 7a of the Form 5500 2021-08-01 191
Number of retired or separated participants receiving benefits 2021-08-01 0
Number of other retired or separated participants entitled to future benefits 2021-08-01 35
Total of all active and inactive participants 2021-08-01 226
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-08-01 0
Total participants 2021-08-01 226
Number of participants with account balances 2021-08-01 176
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-08-01 0
2020: CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN 2020 401k membership
Total participants, beginning-of-year 2020-08-01 212
Total number of active participants reported on line 7a of the Form 5500 2020-08-01 190
Number of retired or separated participants receiving benefits 2020-08-01 0
Number of other retired or separated participants entitled to future benefits 2020-08-01 19
Total of all active and inactive participants 2020-08-01 209
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-08-01 0
Total participants 2020-08-01 209
Number of participants with account balances 2020-08-01 176
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-08-01 0
2019: CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN 2019 401k membership
Total participants, beginning-of-year 2019-08-01 198
Total number of active participants reported on line 7a of the Form 5500 2019-08-01 186
Number of retired or separated participants receiving benefits 2019-08-01 0
Number of other retired or separated participants entitled to future benefits 2019-08-01 16
Total of all active and inactive participants 2019-08-01 202
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-08-01 0
Total participants 2019-08-01 202
Number of participants with account balances 2019-08-01 165
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-08-01 0
2018: CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN 2018 401k membership
Total participants, beginning-of-year 2018-08-01 195
Total number of active participants reported on line 7a of the Form 5500 2018-08-01 171
Number of retired or separated participants receiving benefits 2018-08-01 0
Number of other retired or separated participants entitled to future benefits 2018-08-01 16
Total of all active and inactive participants 2018-08-01 187
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-08-01 0
Total participants 2018-08-01 187
Number of participants with account balances 2018-08-01 160
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-08-01 0
2017: CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN 2017 401k membership
Total participants, beginning-of-year 2017-08-01 193
Total number of active participants reported on line 7a of the Form 5500 2017-08-01 178
Number of retired or separated participants receiving benefits 2017-08-01 0
Number of other retired or separated participants entitled to future benefits 2017-08-01 14
Total of all active and inactive participants 2017-08-01 192
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-08-01 0
Total participants 2017-08-01 192
Number of participants with account balances 2017-08-01 161
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-08-01 0
2016: CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN 2016 401k membership
Total participants, beginning-of-year 2016-08-01 184
Total number of active participants reported on line 7a of the Form 5500 2016-08-01 165
Number of retired or separated participants receiving benefits 2016-08-01 0
Number of other retired or separated participants entitled to future benefits 2016-08-01 17
Total of all active and inactive participants 2016-08-01 182
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-08-01 0
Total participants 2016-08-01 182
Number of participants with account balances 2016-08-01 157
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-08-01 0
2015: CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN 2015 401k membership
Total participants, beginning-of-year 2015-08-01 171
Total number of active participants reported on line 7a of the Form 5500 2015-08-01 149
Number of retired or separated participants receiving benefits 2015-08-01 0
Number of other retired or separated participants entitled to future benefits 2015-08-01 19
Total of all active and inactive participants 2015-08-01 168
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-08-01 0
Total participants 2015-08-01 168
Number of participants with account balances 2015-08-01 150
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-08-01 0
2014: CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN 2014 401k membership
Total participants, beginning-of-year 2014-08-01 174
Total number of active participants reported on line 7a of the Form 5500 2014-08-01 147
Number of retired or separated participants receiving benefits 2014-08-01 0
Number of other retired or separated participants entitled to future benefits 2014-08-01 21
Total of all active and inactive participants 2014-08-01 168
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-08-01 0
Total participants 2014-08-01 168
Number of participants with account balances 2014-08-01 153
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-08-01 0
2013: CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN 2013 401k membership
Total participants, beginning-of-year 2013-08-01 181
Total number of active participants reported on line 7a of the Form 5500 2013-08-01 148
Number of retired or separated participants receiving benefits 2013-08-01 0
Number of other retired or separated participants entitled to future benefits 2013-08-01 22
Total of all active and inactive participants 2013-08-01 170
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-08-01 0
Total participants 2013-08-01 170
Number of participants with account balances 2013-08-01 158
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-08-01 0
2012: CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN 2012 401k membership
Total participants, beginning-of-year 2012-08-01 189
Total number of active participants reported on line 7a of the Form 5500 2012-08-01 152
Number of retired or separated participants receiving benefits 2012-08-01 0
Number of other retired or separated participants entitled to future benefits 2012-08-01 23
Total of all active and inactive participants 2012-08-01 175
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-08-01 0
Total participants 2012-08-01 175
Number of participants with account balances 2012-08-01 162
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-08-01 7
2011: CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN 2011 401k membership
Total participants, beginning-of-year 2011-08-01 172
Total number of active participants reported on line 7a of the Form 5500 2011-08-01 134
Number of retired or separated participants receiving benefits 2011-08-01 0
Number of other retired or separated participants entitled to future benefits 2011-08-01 33
Total of all active and inactive participants 2011-08-01 167
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-08-01 0
Total participants 2011-08-01 167
Number of participants with account balances 2011-08-01 167
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-08-01 5
2010: CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN 2010 401k membership
Total participants, beginning-of-year 2010-08-01 167
Total number of active participants reported on line 7a of the Form 5500 2010-08-01 121
Number of retired or separated participants receiving benefits 2010-08-01 0
Number of other retired or separated participants entitled to future benefits 2010-08-01 34
Total of all active and inactive participants 2010-08-01 155
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-08-01 0
Total participants 2010-08-01 155
Number of participants with account balances 2010-08-01 155
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-08-01 8
2009: CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN 2009 401k membership
Total participants, beginning-of-year 2009-08-01 164
Total number of active participants reported on line 7a of the Form 5500 2009-08-01 142
Number of retired or separated participants receiving benefits 2009-08-01 0
Number of other retired or separated participants entitled to future benefits 2009-08-01 25
Total of all active and inactive participants 2009-08-01 167
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-08-01 0
Total participants 2009-08-01 167
Number of participants with account balances 2009-08-01 167
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-08-01 6

Measure	Date	Value
2021: CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN 2021 401k membership
Total participants, beginning-of-year	2021-08-01	223
Total number of active participants reported on line 7a of the Form 5500	2021-08-01	191
Number of retired or separated participants receiving benefits	2021-08-01	0
Number of other retired or separated participants entitled to future benefits	2021-08-01	35
Total of all active and inactive participants	2021-08-01	226
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-08-01	0
Total participants	2021-08-01	226
Number of participants with account balances	2021-08-01	176
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-08-01	0
2020: CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN 2020 401k membership
Total participants, beginning-of-year	2020-08-01	212
Total number of active participants reported on line 7a of the Form 5500	2020-08-01	190
Number of retired or separated participants receiving benefits	2020-08-01	0
Number of other retired or separated participants entitled to future benefits	2020-08-01	19
Total of all active and inactive participants	2020-08-01	209
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-08-01	0
Total participants	2020-08-01	209
Number of participants with account balances	2020-08-01	176
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-08-01	0
2019: CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN 2019 401k membership
Total participants, beginning-of-year	2019-08-01	198
Total number of active participants reported on line 7a of the Form 5500	2019-08-01	186
Number of retired or separated participants receiving benefits	2019-08-01	0
Number of other retired or separated participants entitled to future benefits	2019-08-01	16
Total of all active and inactive participants	2019-08-01	202
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-08-01	0
Total participants	2019-08-01	202
Number of participants with account balances	2019-08-01	165
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-08-01	0
2018: CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN 2018 401k membership
Total participants, beginning-of-year	2018-08-01	195
Total number of active participants reported on line 7a of the Form 5500	2018-08-01	171
Number of retired or separated participants receiving benefits	2018-08-01	0
Number of other retired or separated participants entitled to future benefits	2018-08-01	16
Total of all active and inactive participants	2018-08-01	187
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-08-01	0
Total participants	2018-08-01	187
Number of participants with account balances	2018-08-01	160
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-08-01	0
2017: CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN 2017 401k membership
Total participants, beginning-of-year	2017-08-01	193
Total number of active participants reported on line 7a of the Form 5500	2017-08-01	178
Number of retired or separated participants receiving benefits	2017-08-01	0
Number of other retired or separated participants entitled to future benefits	2017-08-01	14
Total of all active and inactive participants	2017-08-01	192
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-08-01	0
Total participants	2017-08-01	192
Number of participants with account balances	2017-08-01	161
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-08-01	0
2016: CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN 2016 401k membership
Total participants, beginning-of-year	2016-08-01	184
Total number of active participants reported on line 7a of the Form 5500	2016-08-01	165
Number of retired or separated participants receiving benefits	2016-08-01	0
Number of other retired or separated participants entitled to future benefits	2016-08-01	17
Total of all active and inactive participants	2016-08-01	182
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-08-01	0
Total participants	2016-08-01	182
Number of participants with account balances	2016-08-01	157
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-08-01	0
2015: CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN 2015 401k membership
Total participants, beginning-of-year	2015-08-01	171
Total number of active participants reported on line 7a of the Form 5500	2015-08-01	149
Number of retired or separated participants receiving benefits	2015-08-01	0
Number of other retired or separated participants entitled to future benefits	2015-08-01	19
Total of all active and inactive participants	2015-08-01	168
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-08-01	0
Total participants	2015-08-01	168
Number of participants with account balances	2015-08-01	150
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-08-01	0
2014: CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN 2014 401k membership
Total participants, beginning-of-year	2014-08-01	174
Total number of active participants reported on line 7a of the Form 5500	2014-08-01	147
Number of retired or separated participants receiving benefits	2014-08-01	0
Number of other retired or separated participants entitled to future benefits	2014-08-01	21
Total of all active and inactive participants	2014-08-01	168
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-08-01	0
Total participants	2014-08-01	168
Number of participants with account balances	2014-08-01	153
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-08-01	0
2013: CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN 2013 401k membership
Total participants, beginning-of-year	2013-08-01	181
Total number of active participants reported on line 7a of the Form 5500	2013-08-01	148
Number of retired or separated participants receiving benefits	2013-08-01	0
Number of other retired or separated participants entitled to future benefits	2013-08-01	22
Total of all active and inactive participants	2013-08-01	170
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-08-01	0
Total participants	2013-08-01	170
Number of participants with account balances	2013-08-01	158
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-08-01	0
2012: CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN 2012 401k membership
Total participants, beginning-of-year	2012-08-01	189
Total number of active participants reported on line 7a of the Form 5500	2012-08-01	152
Number of retired or separated participants receiving benefits	2012-08-01	0
Number of other retired or separated participants entitled to future benefits	2012-08-01	23
Total of all active and inactive participants	2012-08-01	175
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-08-01	0
Total participants	2012-08-01	175
Number of participants with account balances	2012-08-01	162
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-08-01	7
2011: CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN 2011 401k membership
Total participants, beginning-of-year	2011-08-01	172
Total number of active participants reported on line 7a of the Form 5500	2011-08-01	134
Number of retired or separated participants receiving benefits	2011-08-01	0
Number of other retired or separated participants entitled to future benefits	2011-08-01	33
Total of all active and inactive participants	2011-08-01	167
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-08-01	0
Total participants	2011-08-01	167
Number of participants with account balances	2011-08-01	167
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-08-01	5
2010: CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN 2010 401k membership
Total participants, beginning-of-year	2010-08-01	167
Total number of active participants reported on line 7a of the Form 5500	2010-08-01	121
Number of retired or separated participants receiving benefits	2010-08-01	0
Number of other retired or separated participants entitled to future benefits	2010-08-01	34
Total of all active and inactive participants	2010-08-01	155
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-08-01	0
Total participants	2010-08-01	155
Number of participants with account balances	2010-08-01	155
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-08-01	8
2009: CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN 2009 401k membership
Total participants, beginning-of-year	2009-08-01	164
Total number of active participants reported on line 7a of the Form 5500	2009-08-01	142
Number of retired or separated participants receiving benefits	2009-08-01	0
Number of other retired or separated participants entitled to future benefits	2009-08-01	25
Total of all active and inactive participants	2009-08-01	167
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-08-01	0
Total participants	2009-08-01	167
Number of participants with account balances	2009-08-01	167
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-08-01	6

Financial Data on CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN

Measure	Date	Value
2022 : CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN 2022 401k financial data
Unrealized appreciation/depreciation of real estate assets	2022-07-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2022-07-31	$0
Total unrealized appreciation/depreciation of assets	2022-07-31	$0
Total transfer of assets to this plan	2022-07-31	$0
Total transfer of assets from this plan	2022-07-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-07-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-07-31	$0
Expenses. Interest paid	2022-07-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2022-07-31	$0
Total income from all sources (including contributions)	2022-07-31	$-12,188
Total loss/gain on sale of assets	2022-07-31	$0
Total of all expenses incurred	2022-07-31	$1,420,279
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-07-31	$1,355,794
Expenses. Certain deemed distributions of participant loans	2022-07-31	$0
Value of total corrective distributions	2022-07-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-07-31	$1,132,556
Value of total assets at end of year	2022-07-31	$10,842,306
Value of total assets at beginning of year	2022-07-31	$12,274,773
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-07-31	$64,485
Total income from rents	2022-07-31	$0
Total interest from all sources	2022-07-31	$6,706
Total dividends received (eg from common stock, registered investment company shares)	2022-07-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-07-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-07-31	$0
Assets. Real estate other than employer real property at end of year	2022-07-31	$0
Assets. Real estate other than employer real property at beginning of year	2022-07-31	$0
Administrative expenses professional fees incurred	2022-07-31	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2022-07-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2022-07-31	$0
Was this plan covered by a fidelity bond	2022-07-31	Yes
Value of fidelity bond cover	2022-07-31	$2,000,000
If this is an individual account plan, was there a blackout period	2022-07-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-07-31	No
Contributions received from participants	2022-07-31	$676,641
Participant contributions at end of year	2022-07-31	$105,285
Participant contributions at beginning of year	2022-07-31	$154,999
Participant contributions at end of year	2022-07-31	$2,780
Participant contributions at beginning of year	2022-07-31	$189
Assets. Other investments not covered elsewhere at end of year	2022-07-31	$120,336
Assets. Other investments not covered elsewhere at beginning of year	2022-07-31	$138,937
Income. Received or receivable in cash from other sources (including rollovers)	2022-07-31	$67,920
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2022-07-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2022-07-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2022-07-31	$0
Assets. Loans (other than to participants) at end of year	2022-07-31	$0
Assets. Loans (other than to participants) at beginning of year	2022-07-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2022-07-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2022-07-31	$0
Other income not declared elsewhere	2022-07-31	$0
Administrative expenses (other) incurred	2022-07-31	$0
Liabilities. Value of operating payables at end of year	2022-07-31	$0
Liabilities. Value of operating payables at beginning of year	2022-07-31	$0
Total non interest bearing cash at end of year	2022-07-31	$0
Total non interest bearing cash at beginning of year	2022-07-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-07-31	No
Income. Non cash contributions	2022-07-31	$0
Value of net income/loss	2022-07-31	$-1,432,467
Value of net assets at end of year (total assets less liabilities)	2022-07-31	$10,842,306
Value of net assets at beginning of year (total assets less liabilities)	2022-07-31	$12,274,773
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-07-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-07-31	No
Were any leases to which the plan was party in default or uncollectible	2022-07-31	No
Assets. partnership/joint venture interests at end of year	2022-07-31	$0
Assets. partnership/joint venture interests at beginning of year	2022-07-31	$0
Investment advisory and management fees	2022-07-31	$64,485
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-07-31	$10,613,905
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-07-31	$11,980,648
Value of interest in pooled separate accounts at end of year	2022-07-31	$0
Value of interest in pooled separate accounts at beginning of year	2022-07-31	$0
Interest on participant loans	2022-07-31	$6,706
Income. Interest from loans (other than to participants)	2022-07-31	$0
Interest earned on other investments	2022-07-31	$0
Income. Interest from US Government securities	2022-07-31	$0
Income. Interest from corporate debt instruments	2022-07-31	$0
Value of interest in master investment trust accounts at end of year	2022-07-31	$0
Value of interest in master investment trust accounts at beginning of year	2022-07-31	$0
Value of interest in common/collective trusts at end of year	2022-07-31	$0
Value of interest in common/collective trusts at beginning of year	2022-07-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2022-07-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2022-07-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2022-07-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2022-07-31	$0
Assets. Value of investments in 103.12 investment entities at end of year	2022-07-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2022-07-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-07-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-07-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2022-07-31	$0
Asset value of US Government securities at end of year	2022-07-31	$0
Asset value of US Government securities at beginning of year	2022-07-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-07-31	$-1,151,450
Net investment gain/loss from pooled separate accounts	2022-07-31	$0
Net investment gain or loss from common/collective trusts	2022-07-31	$0
Net gain/loss from 103.12 investment entities	2022-07-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-07-31	No
Was there a failure to transmit to the plan any participant contributions	2022-07-31	Yes
Has the plan failed to provide any benefit when due under the plan	2022-07-31	No
Assets. Invements in employer securities at end of year	2022-07-31	$0
Assets. Invements in employer securities at beginning of year	2022-07-31	$0
Assets. Value of employer real property at end of year	2022-07-31	$0
Assets. Value of employer real property at beginning of year	2022-07-31	$0
Contributions received in cash from employer	2022-07-31	$387,995
Employer contributions (assets) at end of year	2022-07-31	$0
Employer contributions (assets) at beginning of year	2022-07-31	$0
Income. Dividends from preferred stock	2022-07-31	$0
Income. Dividends from common stock	2022-07-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-07-31	$1,355,794
Asset. Corporate debt instrument preferred debt at end of year	2022-07-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2022-07-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2022-07-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2022-07-31	$0
Contract administrator fees	2022-07-31	$0
Assets. Corporate common stocks other than exployer securities at end of year	2022-07-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2022-07-31	$0
Liabilities. Value of benefit claims payable at end of year	2022-07-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2022-07-31	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2022-07-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2022-07-31	$0
Did the plan have assets held for investment	2022-07-31	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	2022-07-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-07-31	No
Aggregate proceeds on sale of assets	2022-07-31	$0
Aggregate carrying amount (costs) on sale of assets	2022-07-31	$0
Liabilities. Value of acquisition indebtedness at end of year	2022-07-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2022-07-31	$0
Opinion of an independent qualified public accountant for this plan	2022-07-31	Unqualified
Accountancy firm name	2022-07-31	EIDE BAILLY, LLP
Accountancy firm EIN	2022-07-31	450250958
2021 : CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN 2021 401k financial data
Unrealized appreciation/depreciation of real estate assets	2021-07-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2021-07-31	$0
Total unrealized appreciation/depreciation of assets	2021-07-31	$0
Total transfer of assets to this plan	2021-07-31	$0
Total transfer of assets from this plan	2021-07-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-07-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-07-31	$0
Expenses. Interest paid	2021-07-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2021-07-31	$0
Total income from all sources (including contributions)	2021-07-31	$3,705,569
Total loss/gain on sale of assets	2021-07-31	$0
Total of all expenses incurred	2021-07-31	$958,549
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-07-31	$899,756
Expenses. Certain deemed distributions of participant loans	2021-07-31	$0
Value of total corrective distributions	2021-07-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-07-31	$1,113,754
Value of total assets at end of year	2021-07-31	$12,274,773
Value of total assets at beginning of year	2021-07-31	$9,527,753
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-07-31	$58,793
Total income from rents	2021-07-31	$0
Total interest from all sources	2021-07-31	$9,657
Total dividends received (eg from common stock, registered investment company shares)	2021-07-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-07-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-07-31	$0
Assets. Real estate other than employer real property at end of year	2021-07-31	$0
Assets. Real estate other than employer real property at beginning of year	2021-07-31	$0
Administrative expenses professional fees incurred	2021-07-31	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2021-07-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2021-07-31	$0
Was this plan covered by a fidelity bond	2021-07-31	Yes
Value of fidelity bond cover	2021-07-31	$500,000
If this is an individual account plan, was there a blackout period	2021-07-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-07-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-07-31	No
Contributions received from participants	2021-07-31	$704,561
Participant contributions at end of year	2021-07-31	$154,999
Participant contributions at beginning of year	2021-07-31	$186,845
Participant contributions at end of year	2021-07-31	$189
Participant contributions at beginning of year	2021-07-31	$189
Assets. Other investments not covered elsewhere at end of year	2021-07-31	$138,937
Assets. Other investments not covered elsewhere at beginning of year	2021-07-31	$118,671
Income. Received or receivable in cash from other sources (including rollovers)	2021-07-31	$42,626
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2021-07-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2021-07-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2021-07-31	$0
Assets. Loans (other than to participants) at end of year	2021-07-31	$0
Assets. Loans (other than to participants) at beginning of year	2021-07-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2021-07-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2021-07-31	$0
Other income not declared elsewhere	2021-07-31	$-43
Administrative expenses (other) incurred	2021-07-31	$0
Liabilities. Value of operating payables at end of year	2021-07-31	$0
Liabilities. Value of operating payables at beginning of year	2021-07-31	$0
Total non interest bearing cash at end of year	2021-07-31	$0
Total non interest bearing cash at beginning of year	2021-07-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-07-31	No
Income. Non cash contributions	2021-07-31	$0
Value of net income/loss	2021-07-31	$2,747,020
Value of net assets at end of year (total assets less liabilities)	2021-07-31	$12,274,773
Value of net assets at beginning of year (total assets less liabilities)	2021-07-31	$9,527,753
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-07-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-07-31	No
Were any leases to which the plan was party in default or uncollectible	2021-07-31	No
Assets. partnership/joint venture interests at end of year	2021-07-31	$0
Assets. partnership/joint venture interests at beginning of year	2021-07-31	$0
Investment advisory and management fees	2021-07-31	$58,793
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-07-31	$11,980,648
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-07-31	$9,222,048
Value of interest in pooled separate accounts at end of year	2021-07-31	$0
Value of interest in pooled separate accounts at beginning of year	2021-07-31	$0
Interest on participant loans	2021-07-31	$0
Income. Interest from loans (other than to participants)	2021-07-31	$9,657
Interest earned on other investments	2021-07-31	$0
Income. Interest from US Government securities	2021-07-31	$0
Income. Interest from corporate debt instruments	2021-07-31	$0
Value of interest in master investment trust accounts at end of year	2021-07-31	$0
Value of interest in master investment trust accounts at beginning of year	2021-07-31	$0
Value of interest in common/collective trusts at end of year	2021-07-31	$0
Value of interest in common/collective trusts at beginning of year	2021-07-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2021-07-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2021-07-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2021-07-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2021-07-31	$0
Assets. Value of investments in 103.12 investment entities at end of year	2021-07-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2021-07-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-07-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-07-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2021-07-31	$0
Asset value of US Government securities at end of year	2021-07-31	$0
Asset value of US Government securities at beginning of year	2021-07-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-07-31	$2,582,201
Net investment gain/loss from pooled separate accounts	2021-07-31	$0
Net investment gain or loss from common/collective trusts	2021-07-31	$0
Net gain/loss from 103.12 investment entities	2021-07-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-07-31	No
Was there a failure to transmit to the plan any participant contributions	2021-07-31	Yes
Has the plan failed to provide any benefit when due under the plan	2021-07-31	No
Assets. Invements in employer securities at end of year	2021-07-31	$0
Assets. Invements in employer securities at beginning of year	2021-07-31	$0
Assets. Value of employer real property at end of year	2021-07-31	$0
Assets. Value of employer real property at beginning of year	2021-07-31	$0
Contributions received in cash from employer	2021-07-31	$366,567
Employer contributions (assets) at end of year	2021-07-31	$0
Employer contributions (assets) at beginning of year	2021-07-31	$0
Income. Dividends from preferred stock	2021-07-31	$0
Income. Dividends from common stock	2021-07-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-07-31	$899,756
Asset. Corporate debt instrument preferred debt at end of year	2021-07-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2021-07-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2021-07-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2021-07-31	$0
Contract administrator fees	2021-07-31	$0
Assets. Corporate common stocks other than exployer securities at end of year	2021-07-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2021-07-31	$0
Liabilities. Value of benefit claims payable at end of year	2021-07-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2021-07-31	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2021-07-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2021-07-31	$0
Did the plan have assets held for investment	2021-07-31	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	2021-07-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-07-31	No
Aggregate proceeds on sale of assets	2021-07-31	$0
Aggregate carrying amount (costs) on sale of assets	2021-07-31	$0
Liabilities. Value of acquisition indebtedness at end of year	2021-07-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2021-07-31	$0
Opinion of an independent qualified public accountant for this plan	2021-07-31	Unqualified
Accountancy firm name	2021-07-31	EIDE BAILLY, LLP
Accountancy firm EIN	2021-07-31	420250958
2020 : CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN 2020 401k financial data
Unrealized appreciation/depreciation of real estate assets	2020-07-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2020-07-31	$0
Total unrealized appreciation/depreciation of assets	2020-07-31	$0
Total transfer of assets to this plan	2020-07-31	$0
Total transfer of assets from this plan	2020-07-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-07-31	$0
Expenses. Interest paid	2020-07-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2020-07-31	$0
Total income from all sources (including contributions)	2020-07-31	$1,705,112
Total loss/gain on sale of assets	2020-07-31	$0
Total of all expenses incurred	2020-07-31	$1,580,363
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-07-31	$1,498,251
Expenses. Certain deemed distributions of participant loans	2020-07-31	$0
Value of total corrective distributions	2020-07-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-07-31	$1,005,001
Value of total assets at end of year	2020-07-31	$9,527,753
Value of total assets at beginning of year	2020-07-31	$9,403,004
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-07-31	$82,112
Total income from rents	2020-07-31	$0
Total interest from all sources	2020-07-31	$10,830
Total dividends received (eg from common stock, registered investment company shares)	2020-07-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-07-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-07-31	$0
Assets. Real estate other than employer real property at end of year	2020-07-31	$0
Assets. Real estate other than employer real property at beginning of year	2020-07-31	$0
Administrative expenses professional fees incurred	2020-07-31	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2020-07-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2020-07-31	$0
Was this plan covered by a fidelity bond	2020-07-31	Yes
Value of fidelity bond cover	2020-07-31	$500,000
If this is an individual account plan, was there a blackout period	2020-07-31	No
Were there any nonexempt tranactions with any party-in-interest	2020-07-31	No
Contributions received from participants	2020-07-31	$616,682
Participant contributions at end of year	2020-07-31	$186,845
Participant contributions at beginning of year	2020-07-31	$175,138
Participant contributions at end of year	2020-07-31	$189
Participant contributions at beginning of year	2020-07-31	$189
Assets. Other investments not covered elsewhere at end of year	2020-07-31	$118,671
Assets. Other investments not covered elsewhere at beginning of year	2020-07-31	$117,326
Income. Received or receivable in cash from other sources (including rollovers)	2020-07-31	$59,911
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2020-07-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2020-07-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2020-07-31	$0
Assets. Loans (other than to participants) at end of year	2020-07-31	$0
Assets. Loans (other than to participants) at beginning of year	2020-07-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2020-07-31	$0
Other income not declared elsewhere	2020-07-31	$1,347
Administrative expenses (other) incurred	2020-07-31	$0
Liabilities. Value of operating payables at beginning of year	2020-07-31	$0
Total non interest bearing cash at end of year	2020-07-31	$0
Total non interest bearing cash at beginning of year	2020-07-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-07-31	No
Income. Non cash contributions	2020-07-31	$0
Value of net income/loss	2020-07-31	$124,749
Value of net assets at end of year (total assets less liabilities)	2020-07-31	$9,527,753
Value of net assets at beginning of year (total assets less liabilities)	2020-07-31	$9,403,004
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-07-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-07-31	No
Were any leases to which the plan was party in default or uncollectible	2020-07-31	No
Assets. partnership/joint venture interests at end of year	2020-07-31	$0
Assets. partnership/joint venture interests at beginning of year	2020-07-31	$0
Investment advisory and management fees	2020-07-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-07-31	$9,222,048
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-07-31	$9,110,351
Value of interest in pooled separate accounts at end of year	2020-07-31	$0
Value of interest in pooled separate accounts at beginning of year	2020-07-31	$0
Interest on participant loans	2020-07-31	$10,830
Income. Interest from loans (other than to participants)	2020-07-31	$0
Interest earned on other investments	2020-07-31	$0
Income. Interest from US Government securities	2020-07-31	$0
Income. Interest from corporate debt instruments	2020-07-31	$0
Value of interest in master investment trust accounts at end of year	2020-07-31	$0
Value of interest in master investment trust accounts at beginning of year	2020-07-31	$0
Value of interest in common/collective trusts at end of year	2020-07-31	$0
Value of interest in common/collective trusts at beginning of year	2020-07-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2020-07-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2020-07-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2020-07-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2020-07-31	$0
Assets. Value of investments in 103.12 investment entities at end of year	2020-07-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2020-07-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-07-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-07-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2020-07-31	$0
Asset value of US Government securities at end of year	2020-07-31	$0
Asset value of US Government securities at beginning of year	2020-07-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-07-31	$687,934
Net investment gain/loss from pooled separate accounts	2020-07-31	$0
Net investment gain or loss from common/collective trusts	2020-07-31	$0
Net gain/loss from 103.12 investment entities	2020-07-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-07-31	No
Was there a failure to transmit to the plan any participant contributions	2020-07-31	No
Has the plan failed to provide any benefit when due under the plan	2020-07-31	No
Assets. Invements in employer securities at end of year	2020-07-31	$0
Assets. Invements in employer securities at beginning of year	2020-07-31	$0
Assets. Value of employer real property at end of year	2020-07-31	$0
Assets. Value of employer real property at beginning of year	2020-07-31	$0
Contributions received in cash from employer	2020-07-31	$328,408
Employer contributions (assets) at end of year	2020-07-31	$0
Employer contributions (assets) at beginning of year	2020-07-31	$0
Income. Dividends from preferred stock	2020-07-31	$0
Income. Dividends from common stock	2020-07-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-07-31	$1,498,251
Asset. Corporate debt instrument preferred debt at end of year	2020-07-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2020-07-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2020-07-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2020-07-31	$0
Contract administrator fees	2020-07-31	$82,112
Assets. Corporate common stocks other than exployer securities at end of year	2020-07-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2020-07-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2020-07-31	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2020-07-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2020-07-31	$0
Did the plan have assets held for investment	2020-07-31	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	2020-07-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-07-31	No
Aggregate proceeds on sale of assets	2020-07-31	$0
Aggregate carrying amount (costs) on sale of assets	2020-07-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2020-07-31	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2020-07-31	Yes
Opinion of an independent qualified public accountant for this plan	2020-07-31	Disclaimer
Accountancy firm name	2020-07-31	EIDE BAILLY, LLP
Accountancy firm EIN	2020-07-31	420250958
2019 : CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN 2019 401k financial data
Unrealized appreciation/depreciation of real estate assets	2019-07-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2019-07-31	$0
Total unrealized appreciation/depreciation of assets	2019-07-31	$0
Total transfer of assets to this plan	2019-07-31	$0
Total transfer of assets from this plan	2019-07-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-07-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-07-31	$0
Expenses. Interest paid	2019-07-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2019-07-31	$0
Total income from all sources (including contributions)	2019-07-31	$1,332,642
Total loss/gain on sale of assets	2019-07-31	$0
Total of all expenses incurred	2019-07-31	$935,030
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-07-31	$820,624
Expenses. Certain deemed distributions of participant loans	2019-07-31	$0
Value of total corrective distributions	2019-07-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-07-31	$927,392
Value of total assets at end of year	2019-07-31	$9,403,004
Value of total assets at beginning of year	2019-07-31	$9,005,392
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-07-31	$114,406
Total income from rents	2019-07-31	$0
Total interest from all sources	2019-07-31	$8,762
Total dividends received (eg from common stock, registered investment company shares)	2019-07-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-07-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-07-31	$0
Assets. Real estate other than employer real property at end of year	2019-07-31	$0
Assets. Real estate other than employer real property at beginning of year	2019-07-31	$0
Administrative expenses professional fees incurred	2019-07-31	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2019-07-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2019-07-31	$0
Was this plan covered by a fidelity bond	2019-07-31	Yes
Value of fidelity bond cover	2019-07-31	$500,000
If this is an individual account plan, was there a blackout period	2019-07-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-07-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-07-31	No
Contributions received from participants	2019-07-31	$556,744
Participant contributions at end of year	2019-07-31	$175,138
Participant contributions at beginning of year	2019-07-31	$111,509
Participant contributions at end of year	2019-07-31	$189
Participant contributions at beginning of year	2019-07-31	$189
Assets. Other investments not covered elsewhere at end of year	2019-07-31	$117,326
Assets. Other investments not covered elsewhere at beginning of year	2019-07-31	$118,406
Income. Received or receivable in cash from other sources (including rollovers)	2019-07-31	$70,933
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2019-07-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2019-07-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2019-07-31	$0
Assets. Loans (other than to participants) at end of year	2019-07-31	$0
Assets. Loans (other than to participants) at beginning of year	2019-07-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2019-07-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2019-07-31	$0
Other income not declared elsewhere	2019-07-31	$0
Administrative expenses (other) incurred	2019-07-31	$0
Liabilities. Value of operating payables at end of year	2019-07-31	$0
Liabilities. Value of operating payables at beginning of year	2019-07-31	$0
Total non interest bearing cash at end of year	2019-07-31	$0
Total non interest bearing cash at beginning of year	2019-07-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-07-31	No
Income. Non cash contributions	2019-07-31	$0
Value of net income/loss	2019-07-31	$397,612
Value of net assets at end of year (total assets less liabilities)	2019-07-31	$9,403,004
Value of net assets at beginning of year (total assets less liabilities)	2019-07-31	$9,005,392
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-07-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-07-31	No
Were any leases to which the plan was party in default or uncollectible	2019-07-31	No
Assets. partnership/joint venture interests at end of year	2019-07-31	$0
Assets. partnership/joint venture interests at beginning of year	2019-07-31	$0
Investment advisory and management fees	2019-07-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-07-31	$9,110,351
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-07-31	$8,775,288
Value of interest in pooled separate accounts at end of year	2019-07-31	$0
Value of interest in pooled separate accounts at beginning of year	2019-07-31	$0
Interest on participant loans	2019-07-31	$8,762
Income. Interest from loans (other than to participants)	2019-07-31	$0
Interest earned on other investments	2019-07-31	$0
Income. Interest from US Government securities	2019-07-31	$0
Income. Interest from corporate debt instruments	2019-07-31	$0
Value of interest in master investment trust accounts at end of year	2019-07-31	$0
Value of interest in master investment trust accounts at beginning of year	2019-07-31	$0
Value of interest in common/collective trusts at end of year	2019-07-31	$0
Value of interest in common/collective trusts at beginning of year	2019-07-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-07-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-07-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-07-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-07-31	$0
Assets. Value of investments in 103.12 investment entities at end of year	2019-07-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2019-07-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-07-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-07-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2019-07-31	$0
Asset value of US Government securities at end of year	2019-07-31	$0
Asset value of US Government securities at beginning of year	2019-07-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-07-31	$396,488
Net investment gain/loss from pooled separate accounts	2019-07-31	$0
Net investment gain or loss from common/collective trusts	2019-07-31	$0
Net gain/loss from 103.12 investment entities	2019-07-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-07-31	No
Was there a failure to transmit to the plan any participant contributions	2019-07-31	No
Has the plan failed to provide any benefit when due under the plan	2019-07-31	No
Assets. Invements in employer securities at end of year	2019-07-31	$0
Assets. Invements in employer securities at beginning of year	2019-07-31	$0
Assets. Value of employer real property at end of year	2019-07-31	$0
Assets. Value of employer real property at beginning of year	2019-07-31	$0
Contributions received in cash from employer	2019-07-31	$299,715
Employer contributions (assets) at end of year	2019-07-31	$0
Employer contributions (assets) at beginning of year	2019-07-31	$0
Income. Dividends from preferred stock	2019-07-31	$0
Income. Dividends from common stock	2019-07-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-07-31	$820,624
Asset. Corporate debt instrument preferred debt at end of year	2019-07-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2019-07-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2019-07-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2019-07-31	$0
Contract administrator fees	2019-07-31	$114,406
Assets. Corporate common stocks other than exployer securities at end of year	2019-07-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2019-07-31	$0
Liabilities. Value of benefit claims payable at end of year	2019-07-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2019-07-31	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2019-07-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2019-07-31	$0
Did the plan have assets held for investment	2019-07-31	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	2019-07-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-07-31	No
Aggregate proceeds on sale of assets	2019-07-31	$0
Aggregate carrying amount (costs) on sale of assets	2019-07-31	$0
Liabilities. Value of acquisition indebtedness at end of year	2019-07-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2019-07-31	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-07-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-07-31	Disclaimer
Accountancy firm name	2019-07-31	EIDE BAILLY, LLP
Accountancy firm EIN	2019-07-31	420250958
2018 : CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN 2018 401k financial data
Unrealized appreciation/depreciation of real estate assets	2018-07-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2018-07-31	$0
Total unrealized appreciation/depreciation of assets	2018-07-31	$0
Total transfer of assets to this plan	2018-07-31	$0
Total transfer of assets from this plan	2018-07-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-07-31	$0
Expenses. Interest paid	2018-07-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2018-07-31	$0
Total income from all sources (including contributions)	2018-07-31	$1,831,624
Total loss/gain on sale of assets	2018-07-31	$0
Total of all expenses incurred	2018-07-31	$793,134
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-07-31	$792,063
Expenses. Certain deemed distributions of participant loans	2018-07-31	$0
Value of total corrective distributions	2018-07-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-07-31	$1,172,841
Value of total assets at end of year	2018-07-31	$9,005,392
Value of total assets at beginning of year	2018-07-31	$7,966,902
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-07-31	$1,071
Total income from rents	2018-07-31	$0
Total interest from all sources	2018-07-31	$5,694
Total dividends received (eg from common stock, registered investment company shares)	2018-07-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-07-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-07-31	$0
Assets. Real estate other than employer real property at end of year	2018-07-31	$0
Assets. Real estate other than employer real property at beginning of year	2018-07-31	$0
Administrative expenses professional fees incurred	2018-07-31	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2018-07-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2018-07-31	$0
Was this plan covered by a fidelity bond	2018-07-31	Yes
Value of fidelity bond cover	2018-07-31	$500,000
If this is an individual account plan, was there a blackout period	2018-07-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-07-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-07-31	No
Contributions received from participants	2018-07-31	$549,164
Participant contributions at end of year	2018-07-31	$111,509
Participant contributions at beginning of year	2018-07-31	$111,926
Participant contributions at end of year	2018-07-31	$189
Participant contributions at beginning of year	2018-07-31	$189
Assets. Other investments not covered elsewhere at end of year	2018-07-31	$118,406
Assets. Other investments not covered elsewhere at beginning of year	2018-07-31	$114,799
Income. Received or receivable in cash from other sources (including rollovers)	2018-07-31	$343,562
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2018-07-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2018-07-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2018-07-31	$0
Assets. Loans (other than to participants) at end of year	2018-07-31	$0
Assets. Loans (other than to participants) at beginning of year	2018-07-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2018-07-31	$0
Other income not declared elsewhere	2018-07-31	$0
Administrative expenses (other) incurred	2018-07-31	$0
Liabilities. Value of operating payables at beginning of year	2018-07-31	$0
Total non interest bearing cash at end of year	2018-07-31	$0
Total non interest bearing cash at beginning of year	2018-07-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-07-31	No
Income. Non cash contributions	2018-07-31	$0
Value of net income/loss	2018-07-31	$1,038,490
Value of net assets at end of year (total assets less liabilities)	2018-07-31	$9,005,392
Value of net assets at beginning of year (total assets less liabilities)	2018-07-31	$7,966,902
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-07-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-07-31	No
Were any leases to which the plan was party in default or uncollectible	2018-07-31	No
Assets. partnership/joint venture interests at end of year	2018-07-31	$0
Assets. partnership/joint venture interests at beginning of year	2018-07-31	$0
Investment advisory and management fees	2018-07-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-07-31	$8,775,288
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-07-31	$7,739,905
Value of interest in pooled separate accounts at end of year	2018-07-31	$0
Value of interest in pooled separate accounts at beginning of year	2018-07-31	$0
Interest on participant loans	2018-07-31	$5,694
Income. Interest from loans (other than to participants)	2018-07-31	$0
Interest earned on other investments	2018-07-31	$0
Income. Interest from US Government securities	2018-07-31	$0
Income. Interest from corporate debt instruments	2018-07-31	$0
Value of interest in master investment trust accounts at end of year	2018-07-31	$0
Value of interest in master investment trust accounts at beginning of year	2018-07-31	$0
Value of interest in common/collective trusts at end of year	2018-07-31	$0
Value of interest in common/collective trusts at beginning of year	2018-07-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2018-07-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2018-07-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2018-07-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2018-07-31	$0
Assets. Value of investments in 103.12 investment entities at end of year	2018-07-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2018-07-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-07-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-07-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2018-07-31	$0
Asset value of US Government securities at end of year	2018-07-31	$0
Asset value of US Government securities at beginning of year	2018-07-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-07-31	$653,089
Net investment gain/loss from pooled separate accounts	2018-07-31	$0
Net investment gain or loss from common/collective trusts	2018-07-31	$0
Net gain/loss from 103.12 investment entities	2018-07-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-07-31	No
Was there a failure to transmit to the plan any participant contributions	2018-07-31	No
Has the plan failed to provide any benefit when due under the plan	2018-07-31	No
Assets. Invements in employer securities at end of year	2018-07-31	$0
Assets. Invements in employer securities at beginning of year	2018-07-31	$0
Assets. Value of employer real property at end of year	2018-07-31	$0
Assets. Value of employer real property at beginning of year	2018-07-31	$0
Contributions received in cash from employer	2018-07-31	$280,115
Employer contributions (assets) at end of year	2018-07-31	$0
Employer contributions (assets) at beginning of year	2018-07-31	$83
Income. Dividends from preferred stock	2018-07-31	$0
Income. Dividends from common stock	2018-07-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-07-31	$792,063
Asset. Corporate debt instrument preferred debt at end of year	2018-07-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2018-07-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2018-07-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2018-07-31	$0
Contract administrator fees	2018-07-31	$1,071
Assets. Corporate common stocks other than exployer securities at end of year	2018-07-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2018-07-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2018-07-31	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2018-07-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2018-07-31	$0
Did the plan have assets held for investment	2018-07-31	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	2018-07-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-07-31	No
Aggregate proceeds on sale of assets	2018-07-31	$0
Aggregate carrying amount (costs) on sale of assets	2018-07-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2018-07-31	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-07-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-07-31	Disclaimer
Accountancy firm name	2018-07-31	EIDE BAILLY, LLP
Accountancy firm EIN	2018-07-31	420250958
2017 : CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN 2017 401k financial data
Unrealized appreciation/depreciation of real estate assets	2017-07-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2017-07-31	$0
Total unrealized appreciation/depreciation of assets	2017-07-31	$0
Total transfer of assets to this plan	2017-07-31	$0
Total transfer of assets from this plan	2017-07-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-07-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-07-31	$0
Expenses. Interest paid	2017-07-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2017-07-31	$0
Total income from all sources (including contributions)	2017-07-31	$1,486,894
Total loss/gain on sale of assets	2017-07-31	$0
Total of all expenses incurred	2017-07-31	$289,845
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-07-31	$289,050
Expenses. Certain deemed distributions of participant loans	2017-07-31	$0
Value of total corrective distributions	2017-07-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-07-31	$686,830
Value of total assets at end of year	2017-07-31	$7,966,902
Value of total assets at beginning of year	2017-07-31	$6,769,853
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-07-31	$795
Total income from rents	2017-07-31	$0
Total interest from all sources	2017-07-31	$4,605
Total dividends received (eg from common stock, registered investment company shares)	2017-07-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-07-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-07-31	$0
Assets. Real estate other than employer real property at beginning of year	2017-07-31	$0
Administrative expenses professional fees incurred	2017-07-31	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2017-07-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2017-07-31	$0
Was this plan covered by a fidelity bond	2017-07-31	Yes
Value of fidelity bond cover	2017-07-31	$500,000
If this is an individual account plan, was there a blackout period	2017-07-31	No
Were there any nonexempt tranactions with any party-in-interest	2017-07-31	No
Contributions received from participants	2017-07-31	$448,584
Participant contributions at end of year	2017-07-31	$111,926
Participant contributions at beginning of year	2017-07-31	$113,158
Participant contributions at end of year	2017-07-31	$189
Participant contributions at beginning of year	2017-07-31	$189
Assets. Other investments not covered elsewhere at end of year	2017-07-31	$114,799
Assets. Other investments not covered elsewhere at beginning of year	2017-07-31	$108,078
Income. Received or receivable in cash from other sources (including rollovers)	2017-07-31	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2017-07-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2017-07-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2017-07-31	$0
Assets. Loans (other than to participants) at end of year	2017-07-31	$0
Assets. Loans (other than to participants) at beginning of year	2017-07-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2017-07-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2017-07-31	$0
Other income not declared elsewhere	2017-07-31	$-97
Administrative expenses (other) incurred	2017-07-31	$0
Liabilities. Value of operating payables at end of year	2017-07-31	$0
Liabilities. Value of operating payables at beginning of year	2017-07-31	$0
Total non interest bearing cash at end of year	2017-07-31	$0
Total non interest bearing cash at beginning of year	2017-07-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-07-31	No
Income. Non cash contributions	2017-07-31	$0
Value of net income/loss	2017-07-31	$1,197,049
Value of net assets at end of year (total assets less liabilities)	2017-07-31	$7,966,902
Value of net assets at beginning of year (total assets less liabilities)	2017-07-31	$6,769,853
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-07-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-07-31	No
Were any leases to which the plan was party in default or uncollectible	2017-07-31	No
Assets. partnership/joint venture interests at end of year	2017-07-31	$0
Assets. partnership/joint venture interests at beginning of year	2017-07-31	$0
Investment advisory and management fees	2017-07-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-07-31	$7,739,905
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-07-31	$6,548,345
Value of interest in pooled separate accounts at end of year	2017-07-31	$0
Value of interest in pooled separate accounts at beginning of year	2017-07-31	$0
Interest on participant loans	2017-07-31	$4,605
Income. Interest from loans (other than to participants)	2017-07-31	$0
Interest earned on other investments	2017-07-31	$0
Income. Interest from US Government securities	2017-07-31	$0
Income. Interest from corporate debt instruments	2017-07-31	$0
Value of interest in master investment trust accounts at end of year	2017-07-31	$0
Value of interest in master investment trust accounts at beginning of year	2017-07-31	$0
Value of interest in common/collective trusts at end of year	2017-07-31	$0
Value of interest in common/collective trusts at beginning of year	2017-07-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2017-07-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2017-07-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2017-07-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-07-31	$0
Assets. Value of investments in 103.12 investment entities at end of year	2017-07-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2017-07-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-07-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-07-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2017-07-31	$0
Asset value of US Government securities at end of year	2017-07-31	$0
Asset value of US Government securities at beginning of year	2017-07-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-07-31	$795,556
Net investment gain/loss from pooled separate accounts	2017-07-31	$0
Net investment gain or loss from common/collective trusts	2017-07-31	$0
Net gain/loss from 103.12 investment entities	2017-07-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-07-31	No
Was there a failure to transmit to the plan any participant contributions	2017-07-31	No
Has the plan failed to provide any benefit when due under the plan	2017-07-31	No
Assets. Invements in employer securities at end of year	2017-07-31	$0
Assets. Invements in employer securities at beginning of year	2017-07-31	$0
Assets. Value of employer real property at end of year	2017-07-31	$0
Assets. Value of employer real property at beginning of year	2017-07-31	$0
Contributions received in cash from employer	2017-07-31	$238,246
Employer contributions (assets) at end of year	2017-07-31	$83
Employer contributions (assets) at beginning of year	2017-07-31	$83
Income. Dividends from preferred stock	2017-07-31	$0
Income. Dividends from common stock	2017-07-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-07-31	$289,050
Asset. Corporate debt instrument preferred debt at end of year	2017-07-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2017-07-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2017-07-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2017-07-31	$0
Contract administrator fees	2017-07-31	$795
Assets. Corporate common stocks other than exployer securities at end of year	2017-07-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2017-07-31	$0
Liabilities. Value of benefit claims payable at end of year	2017-07-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2017-07-31	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2017-07-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2017-07-31	$0
Did the plan have assets held for investment	2017-07-31	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	2017-07-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-07-31	No
Aggregate proceeds on sale of assets	2017-07-31	$0
Aggregate carrying amount (costs) on sale of assets	2017-07-31	$0
Liabilities. Value of acquisition indebtedness at end of year	2017-07-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2017-07-31	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-07-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-07-31	Disclaimer
Accountancy firm name	2017-07-31	EIDE BAILLY, LLP
Accountancy firm EIN	2017-07-31	420250958
2016 : CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN 2016 401k financial data
Unrealized appreciation/depreciation of real estate assets	2016-07-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2016-07-31	$0
Total unrealized appreciation/depreciation of assets	2016-07-31	$0
Total transfer of assets to this plan	2016-07-31	$0
Total transfer of assets from this plan	2016-07-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-07-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-07-31	$0
Expenses. Interest paid	2016-07-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2016-07-31	$0
Total income from all sources (including contributions)	2016-07-31	$805,071
Total loss/gain on sale of assets	2016-07-31	$0
Total of all expenses incurred	2016-07-31	$752,620
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-07-31	$752,094
Expenses. Certain deemed distributions of participant loans	2016-07-31	$0
Value of total corrective distributions	2016-07-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-07-31	$736,542
Value of total assets at end of year	2016-07-31	$6,769,853
Value of total assets at beginning of year	2016-07-31	$6,717,402
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-07-31	$526
Total income from rents	2016-07-31	$0
Total interest from all sources	2016-07-31	$4,817
Total dividends received (eg from common stock, registered investment company shares)	2016-07-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-07-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-07-31	$0
Assets. Real estate other than employer real property at end of year	2016-07-31	$0
Assets. Real estate other than employer real property at beginning of year	2016-07-31	$0
Administrative expenses professional fees incurred	2016-07-31	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2016-07-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2016-07-31	$0
Was this plan covered by a fidelity bond	2016-07-31	Yes
Value of fidelity bond cover	2016-07-31	$500,000
If this is an individual account plan, was there a blackout period	2016-07-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-07-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-07-31	No
Contributions received from participants	2016-07-31	$452,932
Participant contributions at end of year	2016-07-31	$113,158
Participant contributions at beginning of year	2016-07-31	$128,823
Participant contributions at end of year	2016-07-31	$189
Participant contributions at beginning of year	2016-07-31	$0
Assets. Other investments not covered elsewhere at end of year	2016-07-31	$108,078
Assets. Other investments not covered elsewhere at beginning of year	2016-07-31	$111,191
Income. Received or receivable in cash from other sources (including rollovers)	2016-07-31	$70,279
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2016-07-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2016-07-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2016-07-31	$0
Assets. Loans (other than to participants) at end of year	2016-07-31	$0
Assets. Loans (other than to participants) at beginning of year	2016-07-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2016-07-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2016-07-31	$0
Administrative expenses (other) incurred	2016-07-31	$0
Liabilities. Value of operating payables at end of year	2016-07-31	$0
Liabilities. Value of operating payables at beginning of year	2016-07-31	$0
Total non interest bearing cash at end of year	2016-07-31	$0
Total non interest bearing cash at beginning of year	2016-07-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-07-31	No
Income. Non cash contributions	2016-07-31	$0
Value of net income/loss	2016-07-31	$52,451
Value of net assets at end of year (total assets less liabilities)	2016-07-31	$6,769,853
Value of net assets at beginning of year (total assets less liabilities)	2016-07-31	$6,717,402
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-07-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-07-31	No
Were any leases to which the plan was party in default or uncollectible	2016-07-31	No
Assets. partnership/joint venture interests at end of year	2016-07-31	$0
Assets. partnership/joint venture interests at beginning of year	2016-07-31	$0
Investment advisory and management fees	2016-07-31	$526
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-07-31	$6,548,345
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-07-31	$6,291,245
Value of interest in pooled separate accounts at end of year	2016-07-31	$0
Value of interest in pooled separate accounts at beginning of year	2016-07-31	$0
Interest on participant loans	2016-07-31	$4,817
Income. Interest from loans (other than to participants)	2016-07-31	$0
Interest earned on other investments	2016-07-31	$0
Income. Interest from US Government securities	2016-07-31	$0
Income. Interest from corporate debt instruments	2016-07-31	$0
Value of interest in master investment trust accounts at end of year	2016-07-31	$0
Value of interest in master investment trust accounts at beginning of year	2016-07-31	$0
Value of interest in common/collective trusts at end of year	2016-07-31	$0
Value of interest in common/collective trusts at beginning of year	2016-07-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-07-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-07-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-07-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-07-31	$0
Assets. Value of investments in 103.12 investment entities at end of year	2016-07-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2016-07-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-07-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-07-31	$186,143
Expenses. Payments to insurance carriers foe the provision of benefits	2016-07-31	$0
Asset value of US Government securities at end of year	2016-07-31	$0
Asset value of US Government securities at beginning of year	2016-07-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-07-31	$63,712
Net investment gain/loss from pooled separate accounts	2016-07-31	$0
Net investment gain or loss from common/collective trusts	2016-07-31	$0
Net gain/loss from 103.12 investment entities	2016-07-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-07-31	No
Was there a failure to transmit to the plan any participant contributions	2016-07-31	No
Has the plan failed to provide any benefit when due under the plan	2016-07-31	No
Assets. Invements in employer securities at end of year	2016-07-31	$0
Assets. Invements in employer securities at beginning of year	2016-07-31	$0
Assets. Value of employer real property at end of year	2016-07-31	$0
Assets. Value of employer real property at beginning of year	2016-07-31	$0
Contributions received in cash from employer	2016-07-31	$213,331
Employer contributions (assets) at end of year	2016-07-31	$83
Employer contributions (assets) at beginning of year	2016-07-31	$0
Income. Dividends from preferred stock	2016-07-31	$0
Income. Dividends from common stock	2016-07-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-07-31	$752,094
Asset. Corporate debt instrument preferred debt at end of year	2016-07-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2016-07-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2016-07-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2016-07-31	$0
Contract administrator fees	2016-07-31	$0
Assets. Corporate common stocks other than exployer securities at end of year	2016-07-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2016-07-31	$0
Liabilities. Value of benefit claims payable at end of year	2016-07-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2016-07-31	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2016-07-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2016-07-31	$0
Did the plan have assets held for investment	2016-07-31	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	2016-07-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-07-31	No
Aggregate proceeds on sale of assets	2016-07-31	$0
Aggregate carrying amount (costs) on sale of assets	2016-07-31	$0
Liabilities. Value of acquisition indebtedness at end of year	2016-07-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2016-07-31	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-07-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-07-31	Disclaimer
Accountancy firm name	2016-07-31	EIDE BAILLY, LLP
Accountancy firm EIN	2016-07-31	420250958
2015 : CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN 2015 401k financial data
Unrealized appreciation/depreciation of real estate assets	2015-07-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2015-07-31	$0
Total unrealized appreciation/depreciation of assets	2015-07-31	$0
Total transfer of assets to this plan	2015-07-31	$0
Total transfer of assets from this plan	2015-07-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-07-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-07-31	$0
Expenses. Interest paid	2015-07-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2015-07-31	$0
Total income from all sources (including contributions)	2015-07-31	$944,210
Total loss/gain on sale of assets	2015-07-31	$0
Total of all expenses incurred	2015-07-31	$291,073
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-07-31	$277,970
Expenses. Certain deemed distributions of participant loans	2015-07-31	$0
Value of total corrective distributions	2015-07-31	$12,615
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-07-31	$629,623
Value of total assets at end of year	2015-07-31	$6,717,402
Value of total assets at beginning of year	2015-07-31	$6,064,265
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-07-31	$488
Total income from rents	2015-07-31	$0
Total interest from all sources	2015-07-31	$3,860
Total dividends received (eg from common stock, registered investment company shares)	2015-07-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-07-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-07-31	$0
Assets. Real estate other than employer real property at end of year	2015-07-31	$0
Assets. Real estate other than employer real property at beginning of year	2015-07-31	$0
Administrative expenses professional fees incurred	2015-07-31	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2015-07-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2015-07-31	$0
Was this plan covered by a fidelity bond	2015-07-31	Yes
Value of fidelity bond cover	2015-07-31	$500,000
If this is an individual account plan, was there a blackout period	2015-07-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-07-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-07-31	No
Contributions received from participants	2015-07-31	$402,154
Participant contributions at end of year	2015-07-31	$128,823
Participant contributions at beginning of year	2015-07-31	$91,513
Participant contributions at end of year	2015-07-31	$0
Participant contributions at beginning of year	2015-07-31	$0
Assets. Other investments not covered elsewhere at end of year	2015-07-31	$111,191
Assets. Other investments not covered elsewhere at beginning of year	2015-07-31	$110,675
Income. Received or receivable in cash from other sources (including rollovers)	2015-07-31	$30,909
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2015-07-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2015-07-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2015-07-31	$0
Assets. Loans (other than to participants) at end of year	2015-07-31	$0
Assets. Loans (other than to participants) at beginning of year	2015-07-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2015-07-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2015-07-31	$0
Other income not declared elsewhere	2015-07-31	$0
Administrative expenses (other) incurred	2015-07-31	$0
Liabilities. Value of operating payables at end of year	2015-07-31	$0
Liabilities. Value of operating payables at beginning of year	2015-07-31	$0
Total non interest bearing cash at end of year	2015-07-31	$0
Total non interest bearing cash at beginning of year	2015-07-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-07-31	No
Income. Non cash contributions	2015-07-31	$0
Value of net income/loss	2015-07-31	$653,137
Value of net assets at end of year (total assets less liabilities)	2015-07-31	$6,717,402
Value of net assets at beginning of year (total assets less liabilities)	2015-07-31	$6,064,265
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-07-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-07-31	No
Were any leases to which the plan was party in default or uncollectible	2015-07-31	No
Assets. partnership/joint venture interests at end of year	2015-07-31	$0
Assets. partnership/joint venture interests at beginning of year	2015-07-31	$0
Investment advisory and management fees	2015-07-31	$488
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-07-31	$6,291,245
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-07-31	$5,660,873
Value of interest in pooled separate accounts at end of year	2015-07-31	$0
Value of interest in pooled separate accounts at beginning of year	2015-07-31	$0
Interest on participant loans	2015-07-31	$3,860
Income. Interest from loans (other than to participants)	2015-07-31	$0
Interest earned on other investments	2015-07-31	$0
Income. Interest from US Government securities	2015-07-31	$0
Income. Interest from corporate debt instruments	2015-07-31	$0
Value of interest in master investment trust accounts at end of year	2015-07-31	$0
Value of interest in master investment trust accounts at beginning of year	2015-07-31	$0
Value of interest in common/collective trusts at end of year	2015-07-31	$0
Value of interest in common/collective trusts at beginning of year	2015-07-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-07-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-07-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-07-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-07-31	$0
Assets. Value of investments in 103.12 investment entities at end of year	2015-07-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2015-07-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-07-31	$186,143
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-07-31	$201,204
Expenses. Payments to insurance carriers foe the provision of benefits	2015-07-31	$0
Asset value of US Government securities at end of year	2015-07-31	$0
Asset value of US Government securities at beginning of year	2015-07-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-07-31	$0
Net investment gain/loss from pooled separate accounts	2015-07-31	$0
Net investment gain or loss from common/collective trusts	2015-07-31	$0
Net gain/loss from 103.12 investment entities	2015-07-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-07-31	No
Was there a failure to transmit to the plan any participant contributions	2015-07-31	No
Has the plan failed to provide any benefit when due under the plan	2015-07-31	No
Assets. Invements in employer securities at end of year	2015-07-31	$0
Assets. Invements in employer securities at beginning of year	2015-07-31	$0
Assets. Value of employer real property at end of year	2015-07-31	$0
Assets. Value of employer real property at beginning of year	2015-07-31	$0
Contributions received in cash from employer	2015-07-31	$196,560
Employer contributions (assets) at end of year	2015-07-31	$0
Employer contributions (assets) at beginning of year	2015-07-31	$0
Income. Dividends from preferred stock	2015-07-31	$0
Income. Dividends from common stock	2015-07-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-07-31	$277,970
Asset. Corporate debt instrument preferred debt at end of year	2015-07-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2015-07-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2015-07-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2015-07-31	$0
Contract administrator fees	2015-07-31	$0
Assets. Corporate common stocks other than exployer securities at end of year	2015-07-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2015-07-31	$0
Liabilities. Value of benefit claims payable at end of year	2015-07-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2015-07-31	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2015-07-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2015-07-31	$0
Did the plan have assets held for investment	2015-07-31	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	2015-07-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-07-31	No
Aggregate proceeds on sale of assets	2015-07-31	$0
Aggregate carrying amount (costs) on sale of assets	2015-07-31	$0
Liabilities. Value of acquisition indebtedness at end of year	2015-07-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2015-07-31	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-07-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-07-31	Disclaimer
Accountancy firm name	2015-07-31	EIDE BAILLY, LLP
Accountancy firm EIN	2015-07-31	420250958
2014 : CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN 2014 401k financial data
Unrealized appreciation/depreciation of real estate assets	2014-07-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2014-07-31	$0
Total unrealized appreciation/depreciation of assets	2014-07-31	$0
Total transfer of assets to this plan	2014-07-31	$0
Total transfer of assets from this plan	2014-07-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-07-31	$0
Expenses. Interest paid	2014-07-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2014-07-31	$0
Total income from all sources (including contributions)	2014-07-31	$1,105,598
Total loss/gain on sale of assets	2014-07-31	$0
Total of all expenses incurred	2014-07-31	$654,007
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-07-31	$653,513
Expenses. Certain deemed distributions of participant loans	2014-07-31	$0
Value of total corrective distributions	2014-07-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-07-31	$517,641
Value of total assets at end of year	2014-07-31	$6,064,265
Value of total assets at beginning of year	2014-07-31	$5,612,674
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-07-31	$494
Total income from rents	2014-07-31	$0
Total interest from all sources	2014-07-31	$2,769
Total dividends received (eg from common stock, registered investment company shares)	2014-07-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-07-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-07-31	$0
Assets. Real estate other than employer real property at end of year	2014-07-31	$0
Assets. Real estate other than employer real property at beginning of year	2014-07-31	$0
Administrative expenses professional fees incurred	2014-07-31	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2014-07-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2014-07-31	$0
Was this plan covered by a fidelity bond	2014-07-31	Yes
Value of fidelity bond cover	2014-07-31	$500,000
If this is an individual account plan, was there a blackout period	2014-07-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-07-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-07-31	No
Contributions received from participants	2014-07-31	$310,893
Participant contributions at end of year	2014-07-31	$91,513
Participant contributions at beginning of year	2014-07-31	$65,155
Participant contributions at end of year	2014-07-31	$0
Participant contributions at beginning of year	2014-07-31	$0
Assets. Other investments not covered elsewhere at end of year	2014-07-31	$110,675
Assets. Other investments not covered elsewhere at beginning of year	2014-07-31	$185,979
Income. Received or receivable in cash from other sources (including rollovers)	2014-07-31	$32,969
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2014-07-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2014-07-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2014-07-31	$0
Assets. Loans (other than to participants) at end of year	2014-07-31	$0
Assets. Loans (other than to participants) at beginning of year	2014-07-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2014-07-31	$0
Other income not declared elsewhere	2014-07-31	$0
Administrative expenses (other) incurred	2014-07-31	$0
Liabilities. Value of operating payables at beginning of year	2014-07-31	$0
Total non interest bearing cash at end of year	2014-07-31	$0
Total non interest bearing cash at beginning of year	2014-07-31	$23,283
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-07-31	No
Income. Non cash contributions	2014-07-31	$0
Value of net income/loss	2014-07-31	$451,591
Value of net assets at end of year (total assets less liabilities)	2014-07-31	$6,064,265
Value of net assets at beginning of year (total assets less liabilities)	2014-07-31	$5,612,674
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-07-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-07-31	No
Were any leases to which the plan was party in default or uncollectible	2014-07-31	No
Assets. partnership/joint venture interests at end of year	2014-07-31	$0
Assets. partnership/joint venture interests at beginning of year	2014-07-31	$0
Investment advisory and management fees	2014-07-31	$494
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-07-31	$5,660,873
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-07-31	$4,768,924
Value of interest in pooled separate accounts at end of year	2014-07-31	$0
Value of interest in pooled separate accounts at beginning of year	2014-07-31	$0
Interest on participant loans	2014-07-31	$2,769
Income. Interest from loans (other than to participants)	2014-07-31	$0
Interest earned on other investments	2014-07-31	$0
Income. Interest from US Government securities	2014-07-31	$0
Income. Interest from corporate debt instruments	2014-07-31	$0
Value of interest in master investment trust accounts at end of year	2014-07-31	$0
Value of interest in master investment trust accounts at beginning of year	2014-07-31	$0
Value of interest in common/collective trusts at end of year	2014-07-31	$0
Value of interest in common/collective trusts at beginning of year	2014-07-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-07-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-07-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-07-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-07-31	$0
Assets. Value of investments in 103.12 investment entities at end of year	2014-07-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2014-07-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-07-31	$201,204
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-07-31	$569,333
Expenses. Payments to insurance carriers foe the provision of benefits	2014-07-31	$6,598
Asset value of US Government securities at end of year	2014-07-31	$0
Asset value of US Government securities at beginning of year	2014-07-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-07-31	$0
Net investment gain/loss from pooled separate accounts	2014-07-31	$0
Net investment gain or loss from common/collective trusts	2014-07-31	$0
Net gain/loss from 103.12 investment entities	2014-07-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-07-31	No
Was there a failure to transmit to the plan any participant contributions	2014-07-31	No
Has the plan failed to provide any benefit when due under the plan	2014-07-31	No
Assets. Invements in employer securities at beginning of year	2014-07-31	$0
Assets. Value of employer real property at beginning of year	2014-07-31	$0
Contributions received in cash from employer	2014-07-31	$173,779
Employer contributions (assets) at end of year	2014-07-31	$0
Employer contributions (assets) at beginning of year	2014-07-31	$0
Income. Dividends from preferred stock	2014-07-31	$0
Income. Dividends from common stock	2014-07-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-07-31	$646,915
Asset. Corporate debt instrument preferred debt at end of year	2014-07-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2014-07-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2014-07-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2014-07-31	$0
Contract administrator fees	2014-07-31	$0
Assets. Corporate common stocks other than exployer securities at end of year	2014-07-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2014-07-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2014-07-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2014-07-31	$0
Did the plan have assets held for investment	2014-07-31	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	2014-07-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-07-31	No
Aggregate proceeds on sale of assets	2014-07-31	$0
Aggregate carrying amount (costs) on sale of assets	2014-07-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2014-07-31	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-07-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-07-31	Disclaimer
Accountancy firm name	2014-07-31	EIDE BAILLY, LLP
Accountancy firm EIN	2014-07-31	420250958
2013 : CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN 2013 401k financial data
Unrealized appreciation/depreciation of real estate assets	2013-07-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2013-07-31	$0
Total unrealized appreciation/depreciation of assets	2013-07-31	$0
Total transfer of assets to this plan	2013-07-31	$0
Total transfer of assets from this plan	2013-07-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-07-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-07-31	$0
Expenses. Interest paid	2013-07-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2013-07-31	$0
Total income from all sources (including contributions)	2013-07-31	$1,273,909
Total loss/gain on sale of assets	2013-07-31	$0
Total of all expenses incurred	2013-07-31	$519,248
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-07-31	$506,099
Expenses. Certain deemed distributions of participant loans	2013-07-31	$12,329
Value of total corrective distributions	2013-07-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-07-31	$487,573
Value of total assets at end of year	2013-07-31	$5,612,674
Value of total assets at beginning of year	2013-07-31	$4,858,013
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-07-31	$820
Total income from rents	2013-07-31	$0
Total interest from all sources	2013-07-31	$3,696
Total dividends received (eg from common stock, registered investment company shares)	2013-07-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-07-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-07-31	$0
Assets. Real estate other than employer real property at end of year	2013-07-31	$0
Assets. Real estate other than employer real property at beginning of year	2013-07-31	$0
Administrative expenses professional fees incurred	2013-07-31	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2013-07-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2013-07-31	$0
Was this plan covered by a fidelity bond	2013-07-31	Yes
Value of fidelity bond cover	2013-07-31	$500,000
If this is an individual account plan, was there a blackout period	2013-07-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-07-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-07-31	No
Contributions received from participants	2013-07-31	$195,248
Participant contributions at end of year	2013-07-31	$65,155
Participant contributions at beginning of year	2013-07-31	$81,703
Participant contributions at end of year	2013-07-31	$0
Participant contributions at beginning of year	2013-07-31	$0
Assets. Other investments not covered elsewhere at end of year	2013-07-31	$185,979
Assets. Other investments not covered elsewhere at beginning of year	2013-07-31	$163,082
Income. Received or receivable in cash from other sources (including rollovers)	2013-07-31	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2013-07-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2013-07-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2013-07-31	$0
Assets. Loans (other than to participants) at end of year	2013-07-31	$0
Assets. Loans (other than to participants) at beginning of year	2013-07-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2013-07-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2013-07-31	$0
Other income not declared elsewhere	2013-07-31	$88
Administrative expenses (other) incurred	2013-07-31	$0
Liabilities. Value of operating payables at end of year	2013-07-31	$0
Liabilities. Value of operating payables at beginning of year	2013-07-31	$0
Total non interest bearing cash at end of year	2013-07-31	$23,283
Total non interest bearing cash at beginning of year	2013-07-31	$4,531
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-07-31	No
Income. Non cash contributions	2013-07-31	$0
Value of net income/loss	2013-07-31	$754,661
Value of net assets at end of year (total assets less liabilities)	2013-07-31	$5,612,674
Value of net assets at beginning of year (total assets less liabilities)	2013-07-31	$4,858,013
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-07-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-07-31	No
Were any leases to which the plan was party in default or uncollectible	2013-07-31	No
Assets. partnership/joint venture interests at end of year	2013-07-31	$0
Assets. partnership/joint venture interests at beginning of year	2013-07-31	$0
Investment advisory and management fees	2013-07-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-07-31	$4,768,924
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-07-31	$4,083,860
Value of interest in pooled separate accounts at end of year	2013-07-31	$0
Value of interest in pooled separate accounts at beginning of year	2013-07-31	$0
Interest on participant loans	2013-07-31	$3,696
Income. Interest from loans (other than to participants)	2013-07-31	$0
Interest earned on other investments	2013-07-31	$0
Income. Interest from US Government securities	2013-07-31	$0
Income. Interest from corporate debt instruments	2013-07-31	$0
Value of interest in master investment trust accounts at end of year	2013-07-31	$0
Value of interest in master investment trust accounts at beginning of year	2013-07-31	$0
Value of interest in common/collective trusts at end of year	2013-07-31	$0
Value of interest in common/collective trusts at beginning of year	2013-07-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-07-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-07-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-07-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-07-31	$0
Assets. Value of investments in 103.12 investment entities at end of year	2013-07-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2013-07-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-07-31	$569,333
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-07-31	$524,837
Expenses. Payments to insurance carriers foe the provision of benefits	2013-07-31	$0
Asset value of US Government securities at end of year	2013-07-31	$0
Asset value of US Government securities at beginning of year	2013-07-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-07-31	$0
Net investment gain/loss from pooled separate accounts	2013-07-31	$0
Net investment gain or loss from common/collective trusts	2013-07-31	$0
Net gain/loss from 103.12 investment entities	2013-07-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-07-31	No
Was there a failure to transmit to the plan any participant contributions	2013-07-31	No
Has the plan failed to provide any benefit when due under the plan	2013-07-31	No
Assets. Invements in employer securities at end of year	2013-07-31	$0
Assets. Invements in employer securities at beginning of year	2013-07-31	$0
Assets. Value of employer real property at end of year	2013-07-31	$0
Assets. Value of employer real property at beginning of year	2013-07-31	$0
Contributions received in cash from employer	2013-07-31	$292,325
Employer contributions (assets) at end of year	2013-07-31	$0
Employer contributions (assets) at beginning of year	2013-07-31	$0
Income. Dividends from preferred stock	2013-07-31	$0
Income. Dividends from common stock	2013-07-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-07-31	$506,099
Asset. Corporate debt instrument preferred debt at end of year	2013-07-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2013-07-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2013-07-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2013-07-31	$0
Contract administrator fees	2013-07-31	$820
Assets. Corporate common stocks other than exployer securities at end of year	2013-07-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2013-07-31	$0
Liabilities. Value of benefit claims payable at end of year	2013-07-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2013-07-31	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2013-07-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2013-07-31	$0
Did the plan have assets held for investment	2013-07-31	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	2013-07-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-07-31	No
Aggregate proceeds on sale of assets	2013-07-31	$0
Aggregate carrying amount (costs) on sale of assets	2013-07-31	$0
Liabilities. Value of acquisition indebtedness at end of year	2013-07-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2013-07-31	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-07-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-07-31	Disclaimer
Accountancy firm name	2013-07-31	EIDE BAILLY, LLP
Accountancy firm EIN	2013-07-31	420250958
2012 : CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-07-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-07-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-07-31	$0
Total income from all sources (including contributions)	2012-07-31	$522,819
Total loss/gain on sale of assets	2012-07-31	$0
Total of all expenses incurred	2012-07-31	$549,061
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-07-31	$547,376
Value of total corrective distributions	2012-07-31	$1,315
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-07-31	$495,673
Value of total assets at end of year	2012-07-31	$4,858,013
Value of total assets at beginning of year	2012-07-31	$4,884,255
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-07-31	$370
Total interest from all sources	2012-07-31	$5,554
Total dividends received (eg from common stock, registered investment company shares)	2012-07-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-07-31	No
Was this plan covered by a fidelity bond	2012-07-31	Yes
Value of fidelity bond cover	2012-07-31	$500,000
If this is an individual account plan, was there a blackout period	2012-07-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-07-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-07-31	No
Contributions received from participants	2012-07-31	$268,178
Participant contributions at end of year	2012-07-31	$81,703
Participant contributions at beginning of year	2012-07-31	$110,832
Participant contributions at beginning of year	2012-07-31	$10,246
Assets. Other investments not covered elsewhere at end of year	2012-07-31	$163,082
Assets. Other investments not covered elsewhere at beginning of year	2012-07-31	$337,454
Income. Received or receivable in cash from other sources (including rollovers)	2012-07-31	$52,792
Administrative expenses (other) incurred	2012-07-31	$370
Total non interest bearing cash at end of year	2012-07-31	$4,531
Total non interest bearing cash at beginning of year	2012-07-31	$3,886
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-07-31	No
Value of net income/loss	2012-07-31	$-26,242
Value of net assets at end of year (total assets less liabilities)	2012-07-31	$4,858,013
Value of net assets at beginning of year (total assets less liabilities)	2012-07-31	$4,884,255
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-07-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-07-31	No
Were any leases to which the plan was party in default or uncollectible	2012-07-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-07-31	$4,083,860
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-07-31	$3,933,794
Interest on participant loans	2012-07-31	$4,083
Interest earned on other investments	2012-07-31	$1,471
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-07-31	$524,837
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-07-31	$481,713
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-07-31	No
Was there a failure to transmit to the plan any participant contributions	2012-07-31	No
Has the plan failed to provide any benefit when due under the plan	2012-07-31	No
Contributions received in cash from employer	2012-07-31	$174,703
Employer contributions (assets) at beginning of year	2012-07-31	$6,330
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-07-31	$547,376
Did the plan have assets held for investment	2012-07-31	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	2012-07-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-07-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-07-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-07-31	Disclaimer
Accountancy firm name	2012-07-31	EIDE BAILLY, LLP
Accountancy firm EIN	2012-07-31	420250958
2011 : CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-07-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-07-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-07-31	$0
Total income from all sources (including contributions)	2011-07-31	$1,179,459
Total loss/gain on sale of assets	2011-07-31	$0
Total of all expenses incurred	2011-07-31	$761,885
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-07-31	$761,411
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-07-31	$621,942
Value of total assets at end of year	2011-07-31	$4,884,255
Value of total assets at beginning of year	2011-07-31	$4,466,681
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-07-31	$474
Total interest from all sources	2011-07-31	$7,540
Total dividends received (eg from common stock, registered investment company shares)	2011-07-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-07-31	No
Was this plan covered by a fidelity bond	2011-07-31	Yes
Value of fidelity bond cover	2011-07-31	$500,000
If this is an individual account plan, was there a blackout period	2011-07-31	No
Were there any nonexempt tranactions with any party-in-interest	2011-07-31	No
Contributions received from participants	2011-07-31	$278,596
Participant contributions at end of year	2011-07-31	$110,832
Participant contributions at beginning of year	2011-07-31	$119,134
Participant contributions at end of year	2011-07-31	$10,246
Participant contributions at beginning of year	2011-07-31	$11,902
Assets. Other investments not covered elsewhere at end of year	2011-07-31	$337,454
Assets. Other investments not covered elsewhere at beginning of year	2011-07-31	$264,430
Income. Received or receivable in cash from other sources (including rollovers)	2011-07-31	$162,756
Administrative expenses (other) incurred	2011-07-31	$474
Total non interest bearing cash at end of year	2011-07-31	$3,886
Total non interest bearing cash at beginning of year	2011-07-31	$619
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-07-31	No
Value of net income/loss	2011-07-31	$417,574
Value of net assets at end of year (total assets less liabilities)	2011-07-31	$4,884,255
Value of net assets at beginning of year (total assets less liabilities)	2011-07-31	$4,466,681
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-07-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-07-31	No
Were any leases to which the plan was party in default or uncollectible	2011-07-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-07-31	$3,933,794
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-07-31	$3,911,498
Interest on participant loans	2011-07-31	$5,085
Interest earned on other investments	2011-07-31	$2,455
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-07-31	$481,713
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-07-31	$151,162
Net investment gain/loss from pooled separate accounts	2011-07-31	$549,977
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-07-31	No
Was there a failure to transmit to the plan any participant contributions	2011-07-31	No
Has the plan failed to provide any benefit when due under the plan	2011-07-31	No
Contributions received in cash from employer	2011-07-31	$180,590
Employer contributions (assets) at end of year	2011-07-31	$6,330
Employer contributions (assets) at beginning of year	2011-07-31	$7,936
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-07-31	$761,411
Did the plan have assets held for investment	2011-07-31	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	2011-07-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-07-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-07-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-07-31	Disclaimer
Accountancy firm name	2011-07-31	EIDE BAILLY, LLP
Accountancy firm EIN	2011-07-31	420250958
2010 : CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-07-31	$0

Form 5500 Responses for CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN

2021: CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN 2021 form 5500 responses
2021-08-01	Type of plan entity	Single employer plan
2021-08-01	Submission has been amended	Yes
2021-08-01	This submission is the final filing	No
2021-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-08-01	Plan is a collectively bargained plan	No
2021-08-01	Plan funding arrangement – Insurance	Yes
2021-08-01	Plan funding arrangement – Trust	Yes
2021-08-01	Plan benefit arrangement – Insurance	Yes
2021-08-01	Plan benefit arrangement - Trust	Yes
2020: CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN 2020 form 5500 responses
2020-08-01	Type of plan entity	Single employer plan
2020-08-01	Submission has been amended	No
2020-08-01	This submission is the final filing	No
2020-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-08-01	Plan is a collectively bargained plan	No
2020-08-01	Plan funding arrangement – Insurance	Yes
2020-08-01	Plan funding arrangement – Trust	Yes
2020-08-01	Plan benefit arrangement – Insurance	Yes
2020-08-01	Plan benefit arrangement - Trust	Yes
2019: CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN 2019 form 5500 responses
2019-08-01	Type of plan entity	Single employer plan
2019-08-01	Submission has been amended	No
2019-08-01	This submission is the final filing	No
2019-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-08-01	Plan is a collectively bargained plan	No
2019-08-01	Plan funding arrangement – Insurance	Yes
2019-08-01	Plan funding arrangement – Trust	Yes
2019-08-01	Plan benefit arrangement – Insurance	Yes
2019-08-01	Plan benefit arrangement - Trust	Yes
2018: CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN 2018 form 5500 responses
2018-08-01	Type of plan entity	Single employer plan
2018-08-01	Submission has been amended	No
2018-08-01	This submission is the final filing	No
2018-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-08-01	Plan is a collectively bargained plan	No
2018-08-01	Plan funding arrangement – Insurance	Yes
2018-08-01	Plan funding arrangement – Trust	Yes
2018-08-01	Plan benefit arrangement – Insurance	Yes
2018-08-01	Plan benefit arrangement - Trust	Yes
2017: CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN 2017 form 5500 responses
2017-08-01	Type of plan entity	Single employer plan
2017-08-01	Submission has been amended	No
2017-08-01	This submission is the final filing	No
2017-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-08-01	Plan is a collectively bargained plan	No
2017-08-01	Plan funding arrangement – Insurance	Yes
2017-08-01	Plan funding arrangement – Trust	Yes
2017-08-01	Plan benefit arrangement – Insurance	Yes
2017-08-01	Plan benefit arrangement - Trust	Yes
2016: CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN 2016 form 5500 responses
2016-08-01	Type of plan entity	Single employer plan
2016-08-01	Submission has been amended	No
2016-08-01	This submission is the final filing	No
2016-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-08-01	Plan is a collectively bargained plan	No
2016-08-01	Plan funding arrangement – Insurance	Yes
2016-08-01	Plan funding arrangement – Trust	Yes
2016-08-01	Plan benefit arrangement – Insurance	Yes
2016-08-01	Plan benefit arrangement - Trust	Yes
2015: CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN 2015 form 5500 responses
2015-08-01	Type of plan entity	Single employer plan
2015-08-01	Submission has been amended	No
2015-08-01	This submission is the final filing	No
2015-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-08-01	Plan is a collectively bargained plan	No
2015-08-01	Plan funding arrangement – Insurance	Yes
2015-08-01	Plan funding arrangement – Trust	Yes
2015-08-01	Plan benefit arrangement – Insurance	Yes
2015-08-01	Plan benefit arrangement - Trust	Yes
2014: CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN 2014 form 5500 responses
2014-08-01	Type of plan entity	Single employer plan
2014-08-01	Submission has been amended	No
2014-08-01	This submission is the final filing	No
2014-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-08-01	Plan is a collectively bargained plan	No
2014-08-01	Plan funding arrangement – Insurance	Yes
2014-08-01	Plan funding arrangement – Trust	Yes
2014-08-01	Plan benefit arrangement – Insurance	Yes
2014-08-01	Plan benefit arrangement - Trust	Yes
2013: CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN 2013 form 5500 responses
2013-08-01	Type of plan entity	Single employer plan
2013-08-01	Submission has been amended	No
2013-08-01	This submission is the final filing	No
2013-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-08-01	Plan is a collectively bargained plan	No
2013-08-01	Plan funding arrangement – Insurance	Yes
2013-08-01	Plan funding arrangement – Trust	Yes
2013-08-01	Plan benefit arrangement – Insurance	Yes
2013-08-01	Plan benefit arrangement - Trust	Yes
2012: CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN 2012 form 5500 responses
2012-08-01	Type of plan entity	Single employer plan
2012-08-01	Submission has been amended	No
2012-08-01	This submission is the final filing	No
2012-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-08-01	Plan is a collectively bargained plan	No
2012-08-01	Plan funding arrangement – Insurance	Yes
2012-08-01	Plan funding arrangement – Trust	Yes
2012-08-01	Plan benefit arrangement – Insurance	Yes
2012-08-01	Plan benefit arrangement - Trust	Yes
2011: CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN 2011 form 5500 responses
2011-08-01	Type of plan entity	Single employer plan
2011-08-01	Submission has been amended	No
2011-08-01	This submission is the final filing	No
2011-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-08-01	Plan is a collectively bargained plan	No
2011-08-01	Plan funding arrangement – Insurance	Yes
2011-08-01	Plan funding arrangement – Trust	Yes
2011-08-01	Plan benefit arrangement – Insurance	Yes
2011-08-01	Plan benefit arrangement - Trust	Yes
2010: CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN 2010 form 5500 responses
2010-08-01	Type of plan entity	Single employer plan
2010-08-01	Submission has been amended	No
2010-08-01	This submission is the final filing	No
2010-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-08-01	Plan is a collectively bargained plan	No
2010-08-01	Plan funding arrangement – Insurance	Yes
2010-08-01	Plan funding arrangement – Trust	Yes
2010-08-01	Plan benefit arrangement – Insurance	Yes
2010-08-01	Plan benefit arrangement - Trust	Yes
2009: CARLINVILLE AREA HOSPITAL ASSOCIATION SAVINGS AND PROTECTION PLAN 2009 form 5500 responses
2009-08-01	Type of plan entity	Single employer plan
2009-08-01	Submission has been amended	No
2009-08-01	This submission is the final filing	No
2009-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-08-01	Plan is a collectively bargained plan	No
2009-08-01	Plan funding arrangement – Insurance	Yes
2009-08-01	Plan funding arrangement – Trust	Yes
2009-08-01	Plan benefit arrangement – Insurance	Yes
2009-08-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )

Policy contract number

693273

Policy instance

Insurance contract or identification number	693273
Number of Individuals Covered	176
Insurance policy start date	2021-08-01
Insurance policy end date	2022-07-31
Total amount of commissions paid to insurance broker	USD $13,769
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
Commission paid to Insurance Broker	USD $13,769
Insurance broker organization code?	3

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

59550

Policy instance

Insurance contract or identification number	59550
Number of Individuals Covered	0
Insurance policy start date	2020-08-01
Insurance policy end date	2020-08-17
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
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )

Policy contract number

693273

Policy instance

Insurance contract or identification number	693273
Number of Individuals Covered	176
Insurance policy start date	2020-08-17
Insurance policy end date	2021-07-31
Total amount of commissions paid to insurance broker	USD $6,451
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
Commission paid to Insurance Broker	USD $6,451
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

59550

Policy instance

Insurance contract or identification number	59550
Number of Individuals Covered	169
Insurance policy start date	2019-08-01
Insurance policy end date	2020-07-31
Total amount of commissions paid to insurance broker	USD $33,461
Total amount of fees paid to insurance company	USD $5,292
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Commission paid to Insurance Broker	USD $33,461
Insurance broker organization code?	3
Amount paid for insurance broker fees	5292
Additional information about fees paid to insurance broker	ADMINISTRATIVE EXPENSES

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

59550

Policy instance

Insurance contract or identification number	59550
Number of Individuals Covered	163
Insurance policy start date	2018-08-01
Insurance policy end date	2019-07-31
Total amount of commissions paid to insurance broker	USD $30,638
Total amount of fees paid to insurance company	USD $4,493
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Amount paid for insurance broker fees	4493
Additional information about fees paid to insurance broker	ADMINISTRATIVE EXPENSES
Insurance broker organization code?	5
Commission paid to Insurance Broker	USD $30,638

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

59550

Policy instance

Insurance contract or identification number	59550
Number of Individuals Covered	161
Insurance policy start date	2017-08-01
Insurance policy end date	2018-07-31
Total amount of commissions paid to insurance broker	USD $29,752
Total amount of fees paid to insurance company	USD $6,251
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:	CARLINVILLE AREA HOSPITAL ASSOCIATION
Employer identification number (EIN):	370645239
NAIC Classification:	622000
NAIC Description:	Hospitals