401k Plan data: IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN plan

IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN 401k Plan overview

Plan Name	IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN
Plan identification number	003

IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K 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.
Plan sponsor(s) received services of leased employees, as defined in Code section 414(n), during the plan year.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

IROQUOIS MEMORIAL HOSPITAL has sponsored the creation of one or more 401k plans.

Company Name: IROQUOIS MEMORIAL HOSPITAL

Employer identification number (EIN): 370673512

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2022-01-01
003 2021-01-01
003 2020-01-01
003 2019-01-01
003 2018-01-01
003 2017-01-01 LORI YELENICK
003 2016-01-01 LORI YELENICK
003 2015-01-01 LORI YELENICK
003 2014-01-01 LORI YELENICK
003 2013-01-01 THOMAS W MCCANN
003 2012-01-01 THOMAS W MCCANN
003 2011-01-01 THOMAS W MCCANN
003 2009-01-01 THOMAS W MCCANN THOMAS W MCCANN 2010-07-30

Plan Statistics for IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN

401k plan membership statisitcs for IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN

Measure Date Value
2022: IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 376
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 281
Number of retired or separated participants receiving benefits 2022-01-01 16
Number of other retired or separated participants entitled to future benefits 2022-01-01 65
Total of all active and inactive participants 2022-01-01 362
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 362
Number of participants with account balances 2022-01-01 277
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 12
2021: IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 349
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 311
Number of retired or separated participants receiving benefits 2021-01-01 9
Number of other retired or separated participants entitled to future benefits 2021-01-01 59
Total of all active and inactive participants 2021-01-01 379
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 379
Number of participants with account balances 2021-01-01 282
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 3
2020: IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 359
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 308
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 48
Total of all active and inactive participants 2020-01-01 356
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 356
Number of participants with account balances 2020-01-01 253
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 5
2019: IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 396
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 317
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 47
Total of all active and inactive participants 2019-01-01 364
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 1
Total participants 2019-01-01 365
Number of participants with account balances 2019-01-01 236
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 418
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 354
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 51
Total of all active and inactive participants 2018-01-01 405
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 405
Number of participants with account balances 2018-01-01 263
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 2
2017: IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 432
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 395
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 47
Total of all active and inactive participants 2017-01-01 442
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 1
Total participants 2017-01-01 443
Number of participants with account balances 2017-01-01 282
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 3
2016: IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 478
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 394
Number of retired or separated participants receiving benefits 2016-01-01 2
Number of other retired or separated participants entitled to future benefits 2016-01-01 40
Total of all active and inactive participants 2016-01-01 436
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 436
Number of participants with account balances 2016-01-01 304
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 5
2015: IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 484
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 414
Number of retired or separated participants receiving benefits 2015-01-01 2
Number of other retired or separated participants entitled to future benefits 2015-01-01 61
Total of all active and inactive participants 2015-01-01 477
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 477
Number of participants with account balances 2015-01-01 370
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 17
2014: IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 466
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 456
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 30
Total of all active and inactive participants 2014-01-01 486
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 486
Number of participants with account balances 2014-01-01 414
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 10
2013: IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 457
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 434
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 20
Total of all active and inactive participants 2013-01-01 454
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 454
Number of participants with account balances 2013-01-01 337
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 11
2012: IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 459
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 445
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 18
Total of all active and inactive participants 2012-01-01 463
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 463
Number of participants with account balances 2012-01-01 363
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 8
2011: IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 469
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 420
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 39
Total of all active and inactive participants 2011-01-01 459
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 1
Total participants 2011-01-01 460
Number of participants with account balances 2011-01-01 397
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 11
2009: IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 488
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 475
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 34
Total of all active and inactive participants 2009-01-01 509
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 509
Number of participants with account balances 2009-01-01 447
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 13

Measure	Date	Value
2022: IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	376
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	281
Number of retired or separated participants receiving benefits	2022-01-01	16
Number of other retired or separated participants entitled to future benefits	2022-01-01	65
Total of all active and inactive participants	2022-01-01	362
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	362
Number of participants with account balances	2022-01-01	277
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	12
2021: IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	349
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	311
Number of retired or separated participants receiving benefits	2021-01-01	9
Number of other retired or separated participants entitled to future benefits	2021-01-01	59
Total of all active and inactive participants	2021-01-01	379
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	379
Number of participants with account balances	2021-01-01	282
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	3
2020: IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	359
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	308
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	48
Total of all active and inactive participants	2020-01-01	356
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	356
Number of participants with account balances	2020-01-01	253
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	5
2019: IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	396
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	317
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	47
Total of all active and inactive participants	2019-01-01	364
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	1
Total participants	2019-01-01	365
Number of participants with account balances	2019-01-01	236
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	418
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	354
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	51
Total of all active and inactive participants	2018-01-01	405
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	405
Number of participants with account balances	2018-01-01	263
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	2
2017: IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	432
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	395
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	47
Total of all active and inactive participants	2017-01-01	442
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	1
Total participants	2017-01-01	443
Number of participants with account balances	2017-01-01	282
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	3
2016: IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	478
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	394
Number of retired or separated participants receiving benefits	2016-01-01	2
Number of other retired or separated participants entitled to future benefits	2016-01-01	40
Total of all active and inactive participants	2016-01-01	436
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	436
Number of participants with account balances	2016-01-01	304
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	5
2015: IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	484
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	414
Number of retired or separated participants receiving benefits	2015-01-01	2
Number of other retired or separated participants entitled to future benefits	2015-01-01	61
Total of all active and inactive participants	2015-01-01	477
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	477
Number of participants with account balances	2015-01-01	370
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	17
2014: IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	466
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	456
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	30
Total of all active and inactive participants	2014-01-01	486
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	486
Number of participants with account balances	2014-01-01	414
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	10
2013: IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	457
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	434
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	20
Total of all active and inactive participants	2013-01-01	454
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	454
Number of participants with account balances	2013-01-01	337
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	11
2012: IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	459
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	445
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	18
Total of all active and inactive participants	2012-01-01	463
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	463
Number of participants with account balances	2012-01-01	363
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	8
2011: IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	469
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	420
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	39
Total of all active and inactive participants	2011-01-01	459
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	1
Total participants	2011-01-01	460
Number of participants with account balances	2011-01-01	397
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	11
2009: IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	488
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	475
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	34
Total of all active and inactive participants	2009-01-01	509
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	509
Number of participants with account balances	2009-01-01	447
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	13

Financial Data on IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN

Measure	Date	Value
2022 : IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$7
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total income from all sources (including contributions)	2022-12-31	$-1,986,606
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$2,308,996
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$2,254,131
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$903,266
Value of total assets at end of year	2022-12-31	$12,871,216
Value of total assets at beginning of year	2022-12-31	$17,166,811
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$54,865
Total interest from all sources	2022-12-31	$4,613
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$500,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$626,863
Participant contributions at end of year	2022-12-31	$79,891
Participant contributions at beginning of year	2022-12-31	$78,359
Participant contributions at end of year	2022-12-31	$0
Participant contributions at beginning of year	2022-12-31	$12
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$162,072
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2022-12-31	$7
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2022-12-31	$0
Administrative expenses (other) incurred	2022-12-31	$54,865
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-4,295,602
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$12,871,209
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$17,166,811
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$12,136,066
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$16,363,200
Interest on participant loans	2022-12-31	$4,613
Value of interest in common/collective trusts at end of year	2022-12-31	$493,292
Value of interest in common/collective trusts at beginning of year	2022-12-31	$575,624
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2022-12-31	$47,522
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2022-12-31	$36,269
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2022-12-31	$36,269
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-2,894,485
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$114,331
Employer contributions (assets) at end of year	2022-12-31	$114,445
Employer contributions (assets) at beginning of year	2022-12-31	$113,347
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$2,254,131
Did the plan have assets held for investment	2022-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	WIPFLI LLP
Accountancy firm EIN	2022-12-31	390758449
2021 : IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total income from all sources (including contributions)	2021-12-31	$2,795,846
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$901,177
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$819,822
Value of total corrective distributions	2021-12-31	$24,558
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$735,102
Value of total assets at end of year	2021-12-31	$17,166,811
Value of total assets at beginning of year	2021-12-31	$15,272,142
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$56,797
Total interest from all sources	2021-12-31	$4,739
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Administrative expenses professional fees incurred	2021-12-31	$56,797
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$500,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$620,911
Participant contributions at end of year	2021-12-31	$78,359
Participant contributions at beginning of year	2021-12-31	$95,538
Participant contributions at end of year	2021-12-31	$12
Participant contributions at beginning of year	2021-12-31	$12
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$11,200
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$1,894,669
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$17,166,811
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$15,272,142
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$16,363,200
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$14,075,238
Income. Interest from loans (other than to participants)	2021-12-31	$4,736
Value of interest in common/collective trusts at end of year	2021-12-31	$575,624
Value of interest in common/collective trusts at beginning of year	2021-12-31	$960,232
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2021-12-31	$36,269
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2021-12-31	$37,038
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2021-12-31	$37,038
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2021-12-31	$3
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$2,056,005
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$102,991
Employer contributions (assets) at end of year	2021-12-31	$113,347
Employer contributions (assets) at beginning of year	2021-12-31	$104,084
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$819,822
Did the plan have assets held for investment	2021-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	BLUE & COMPANY, LLC
Accountancy firm EIN	2021-12-31	351178661
2020 : IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total income from all sources (including contributions)	2020-12-31	$2,937,914
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$495,994
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$446,677
Value of total corrective distributions	2020-12-31	$2,794
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$1,059,581
Value of total assets at end of year	2020-12-31	$15,272,142
Value of total assets at beginning of year	2020-12-31	$12,830,222
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$46,523
Total interest from all sources	2020-12-31	$3,851
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Administrative expenses professional fees incurred	2020-12-31	$46,518
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$581,005
Participant contributions at end of year	2020-12-31	$95,538
Participant contributions at beginning of year	2020-12-31	$31,033
Participant contributions at end of year	2020-12-31	$12
Participant contributions at beginning of year	2020-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$374,492
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$2,441,920
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$15,272,142
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$12,830,222
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$14,075,238
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$12,139,001
Interest on participant loans	2020-12-31	$3,795
Value of interest in common/collective trusts at end of year	2020-12-31	$960,232
Value of interest in common/collective trusts at beginning of year	2020-12-31	$535,077
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2020-12-31	$37,038
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2020-12-31	$26,610
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2020-12-31	$26,610
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2020-12-31	$56
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$1,874,482
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$104,084
Employer contributions (assets) at end of year	2020-12-31	$104,084
Employer contributions (assets) at beginning of year	2020-12-31	$98,501
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$446,677
Contract administrator fees	2020-12-31	$5
Did the plan have assets held for investment	2020-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Unqualified
Accountancy firm name	2020-12-31	BLUE & COMPANY, LLC
Accountancy firm EIN	2020-12-31	351178661
2019 : IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$3,144,913
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$2,225,784
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$2,180,682
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$641,448
Value of total assets at end of year	2019-12-31	$12,830,222
Value of total assets at beginning of year	2019-12-31	$11,911,093
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$45,102
Total interest from all sources	2019-12-31	$469
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$638,745
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$638,745
Administrative expenses professional fees incurred	2019-12-31	$45,102
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$541,880
Participant contributions at end of year	2019-12-31	$31,033
Participant contributions at beginning of year	2019-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$1,067
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$919,129
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$12,830,222
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$11,911,093
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$12,139,001
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$11,893,491
Interest on participant loans	2019-12-31	$156
Value of interest in common/collective trusts at end of year	2019-12-31	$535,077
Value of interest in common/collective trusts at beginning of year	2019-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-12-31	$26,610
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-12-31	$17,602
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-12-31	$17,602
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-12-31	$313
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$1,864,251
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$98,501
Employer contributions (assets) at end of year	2019-12-31	$98,501
Employer contributions (assets) at beginning of year	2019-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$2,180,682
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	BLUE & COMPANY, LLC
Accountancy firm EIN	2019-12-31	351178661
2018 : IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$-161,174
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$1,324,328
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$1,268,088
Value of total corrective distributions	2018-12-31	$8,739
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$618,991
Value of total assets at end of year	2018-12-31	$11,911,093
Value of total assets at beginning of year	2018-12-31	$13,396,595
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$47,501
Total interest from all sources	2018-12-31	$195
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Administrative expenses professional fees incurred	2018-12-31	$47,501
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$584,924
Participant contributions at end of year	2018-12-31	$0
Participant contributions at beginning of year	2018-12-31	$44
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$34,067
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-1,485,502
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$11,911,093
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$13,396,595
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$11,893,491
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$13,389,516
Value of interest in pooled separate accounts at end of year	2018-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2018-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2018-12-31	$17,602
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2018-12-31	$7,035
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2018-12-31	$7,035
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2018-12-31	$195
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-780,360
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Employer contributions (assets) at end of year	2018-12-31	$0
Employer contributions (assets) at beginning of year	2018-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$1,268,088
Did the plan have assets held for investment	2018-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	KERBER, ECK, & BRAECKEL
Accountancy firm EIN	2018-12-31	430352985
2017 : IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$2,758,446
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$858,707
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$802,860
Value of total corrective distributions	2017-12-31	$2,108
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$797,856
Value of total assets at end of year	2017-12-31	$13,396,595
Value of total assets at beginning of year	2017-12-31	$11,496,856
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$53,739
Total interest from all sources	2017-12-31	$338
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Administrative expenses professional fees incurred	2017-12-31	$53,739
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2017-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$634,779
Participant contributions at end of year	2017-12-31	$44
Participant contributions at beginning of year	2017-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$163,077
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$1,899,739
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$13,396,595
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$11,496,856
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$13,389,516
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$0
Value of interest in pooled separate accounts at end of year	2017-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2017-12-31	$11,496,856
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2017-12-31	$7,035
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2017-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2017-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-12-31	$338
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$1,960,252
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$0
Employer contributions (assets) at end of year	2017-12-31	$0
Employer contributions (assets) at beginning of year	2017-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$802,860
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2017-12-31	Yes
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	KERBER, ECK, & BRAECKEL
Accountancy firm EIN	2017-12-31	430352985
2016 : IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$1,504,883
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$1,374,368
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$1,361,124
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$684,625
Value of total assets at end of year	2016-12-31	$11,496,856
Value of total assets at beginning of year	2016-12-31	$11,366,341
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$13,244
Total interest from all sources	2016-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Administrative expenses professional fees incurred	2016-12-31	$13,244
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$683,706
Participant contributions at end of year	2016-12-31	$0
Participant contributions at beginning of year	2016-12-31	$27,302
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$919
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$130,515
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$11,496,856
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$11,366,341
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest in pooled separate accounts at end of year	2016-12-31	$11,496,856
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$11,339,022
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-12-31	$17
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-12-31	$17
Net investment gain/loss from pooled separate accounts	2016-12-31	$820,258
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Employer contributions (assets) at end of year	2016-12-31	$0
Employer contributions (assets) at beginning of year	2016-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$1,361,124
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	KERBER, ECK, & BRAECKEL
Accountancy firm EIN	2016-12-31	430352985
2015 : IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total transfer of assets to this plan	2015-12-31	$6,723,655
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$775,904
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$1,119,647
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$1,105,165
Value of total corrective distributions	2015-12-31	$1,083
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$731,373
Value of total assets at end of year	2015-12-31	$11,366,341
Value of total assets at beginning of year	2015-12-31	$4,986,429
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$13,399
Total interest from all sources	2015-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Administrative expenses professional fees incurred	2015-12-31	$13,399
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$715,730
Participant contributions at end of year	2015-12-31	$27,302
Participant contributions at beginning of year	2015-12-31	$28,366
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$15,643
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$-343,743
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$11,366,341
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$4,986,429
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in pooled separate accounts at end of year	2015-12-31	$11,339,022
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$4,942,526
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$17
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$2,102
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$2,102
Net investment gain/loss from pooled separate accounts	2015-12-31	$44,531
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$0
Employer contributions (assets) at end of year	2015-12-31	$0
Employer contributions (assets) at beginning of year	2015-12-31	$13,435
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$1,105,165
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	KERBER, ECK, & BRAECKEL
Accountancy firm EIN	2015-12-31	430352985
2014 : IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$984,504
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$482,679
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$448,897
Value of total corrective distributions	2014-12-31	$20,503
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$782,210
Value of total assets at end of year	2014-12-31	$4,986,429
Value of total assets at beginning of year	2014-12-31	$4,484,604
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$13,279
Total interest from all sources	2014-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Administrative expenses professional fees incurred	2014-12-31	$13,279
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$731,447
Participant contributions at end of year	2014-12-31	$28,366
Participant contributions at beginning of year	2014-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$28,056
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$501,825
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$4,986,429
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$4,484,604
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in pooled separate accounts at end of year	2014-12-31	$4,942,526
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$4,483,339
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$2,102
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$1,265
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$1,265
Net investment gain/loss from pooled separate accounts	2014-12-31	$202,294
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$22,707
Employer contributions (assets) at end of year	2014-12-31	$13,435
Employer contributions (assets) at beginning of year	2014-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$448,897
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	KERBER, ECK, & BRAECKEL
Accountancy firm EIN	2014-12-31	430352985
2013 : IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$1,343,884
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$470,811
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$445,219
Value of total corrective distributions	2013-12-31	$13,262
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$743,482
Value of total assets at end of year	2013-12-31	$4,484,604
Value of total assets at beginning of year	2013-12-31	$3,611,531
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$12,330
Total interest from all sources	2013-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Administrative expenses professional fees incurred	2013-12-31	$12,330
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$675,110
Participant contributions at end of year	2013-12-31	$0
Participant contributions at beginning of year	2013-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$68,372
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$873,073
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$4,484,604
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$3,611,531
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in pooled separate accounts at end of year	2013-12-31	$4,483,339
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$3,609,228
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$1,265
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$2,303
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$2,303
Net investment gain/loss from pooled separate accounts	2013-12-31	$600,402
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	Yes
Employer contributions (assets) at end of year	2013-12-31	$0
Employer contributions (assets) at beginning of year	2013-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$445,219
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	KERBER, ECK, & BRAECKEL
Accountancy firm EIN	2013-12-31	430352985
2012 : IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$1,035,877
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$262,711
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$240,705
Value of total corrective distributions	2012-12-31	$9,301
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$656,018
Value of total assets at end of year	2012-12-31	$3,611,531
Value of total assets at beginning of year	2012-12-31	$2,838,365
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$12,705
Total interest from all sources	2012-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Administrative expenses professional fees incurred	2012-12-31	$12,705
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$656,004
Participant contributions at end of year	2012-12-31	$0
Participant contributions at beginning of year	2012-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$14
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$773,166
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$3,611,531
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$2,838,365
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$0
Value of interest in pooled separate accounts at end of year	2012-12-31	$3,609,228
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$2,836,521
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$2,303
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$1,844
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$1,844
Net investment gain/loss from pooled separate accounts	2012-12-31	$379,859
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$0
Employer contributions (assets) at end of year	2012-12-31	$0
Employer contributions (assets) at beginning of year	2012-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$240,705
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	KERBER, ECK, & BRAECKEL
Accountancy firm EIN	2012-12-31	430352985
2011 : IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$640,846
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$292,193
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$280,042
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$717,794
Value of total assets at end of year	2011-12-31	$2,838,365
Value of total assets at beginning of year	2011-12-31	$2,489,712
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$12,151
Total interest from all sources	2011-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Administrative expenses professional fees incurred	2011-12-31	$12,151
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$696,227
Participant contributions at end of year	2011-12-31	$0
Participant contributions at beginning of year	2011-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$21,567
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$348,653
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$2,838,365
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$2,489,712
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$2,482,086
Value of interest in pooled separate accounts at end of year	2011-12-31	$2,836,521
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$1,844
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$7,626
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$7,626
Net investment gain/loss from pooled separate accounts	2011-12-31	$-76,948
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Employer contributions (assets) at end of year	2011-12-31	$0
Employer contributions (assets) at beginning of year	2011-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$280,042
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	KERBER, ECK, & BRAECKEL
Accountancy firm EIN	2011-12-31	430352985
2010 : IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$955,701
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$229,086
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$216,535
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$706,079
Value of total assets at end of year	2010-12-31	$2,489,712
Value of total assets at beginning of year	2010-12-31	$1,763,097
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$12,551
Total interest from all sources	2010-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Administrative expenses professional fees incurred	2010-12-31	$12,057
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$696,214
Participant contributions at end of year	2010-12-31	$0
Participant contributions at beginning of year	2010-12-31	$154
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$9,865
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$726,615
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$2,489,712
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$1,763,097
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$2,482,086
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$1,253,872
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$7,626
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$249,622
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Employer contributions (assets) at end of year	2010-12-31	$0
Employer contributions (assets) at beginning of year	2010-12-31	$509,071
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$216,535
Contract administrator fees	2010-12-31	$494
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	BKD LLP
Accountancy firm EIN	2010-12-31	440160260
2009 : IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN

2022: IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	Yes
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME 401K PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

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

Policy contract number

87244

Policy instance

Insurance contract or identification number	87244
Number of Individuals Covered	0
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

87244

Policy instance

Insurance contract or identification number	87244
Number of Individuals Covered	396
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $7,807
Total amount of fees paid to insurance company	USD $11,917
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	8487
Additional information about fees paid to insurance broker	AUDIT COMPENSATION
Insurance broker organization code?	0
Commission paid to Insurance Broker	USD $4,265
Insurance broker name	BENEFIT PLANNING CONSULTANTS, INC.

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

Policy contract number

87244

Policy instance

Insurance contract or identification number	87244
Number of Individuals Covered	426
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $9,426
Total amount of fees paid to insurance company	USD $2,406
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $9,426
Insurance broker organization code?	3
Amount paid for insurance broker fees	2406
Additional information about fees paid to insurance broker	TPA COMPENSATION
Insurance broker name	BENEFIT PLANNING CONSULTANTS, INC.

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

Policy contract number

87244

Policy instance

Insurance contract or identification number	87244
Number of Individuals Covered	347
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $7,973
Total amount of fees paid to insurance company	USD $2,026
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $7,973
Insurance broker organization code?	3
Amount paid for insurance broker fees	2026
Additional information about fees paid to insurance broker	TPA COMPENSATION
Insurance broker name	BENEFIT PLANNING CONSULTANTS, INC.

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

Policy contract number

87244

Policy instance

Insurance contract or identification number	87244
Number of Individuals Covered	384
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $8,021
Total amount of fees paid to insurance company	USD $12,613
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,606
Amount paid for insurance broker fees	12613
Additional information about fees paid to insurance broker	TPA FEES AND COMPENSATION
Insurance broker organization code?	5
Insurance broker name	PLANNING CORP OF AMERICA, INC

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

Policy contract number

87244

Policy instance

Insurance contract or identification number	87244
Number of Individuals Covered	417
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $5,527
Total amount of fees paid to insurance company	USD $11,944
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

87244

Policy instance

Insurance contract or identification number	87244
Number of Individuals Covered	451
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $3,711
Total amount of fees paid to insurance company	USD $996
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Commission paid to Insurance Broker	USD $3,711
Insurance broker organization code?	3
Amount paid for insurance broker fees	996
Additional information about fees paid to insurance broker	TPA COMPENSATION
Insurance broker name	BENEFIT PLANNING CONSULTANTS, INC.

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Company Name:	IROQUOIS MEMORIAL HOSPITAL
Employer identification number (EIN):	370673512
NAIC Classification:	622000
NAIC Description:	Hospitals