401k Plan data: MISSOURI HIGHLANDS HEALTH CARE 401(K) PLAN plan

MISSOURI HIGHLANDS HEALTH CARE 401(K) PLAN 401k Plan overview

Plan Name	MISSOURI HIGHLANDS HEALTH CARE 401(K) PLAN
Plan identification number	001

MISSOURI HIGHLANDS HEALTH CARE 401(K) 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.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

BIG SPRINGS MEDICAL ASSOCIATION ASSOCIATION, INC. has sponsored the creation of one or more 401k plans.

Company Name: BIG SPRINGS MEDICAL ASSOCIATION ASSOCIATION, INC.

Employer identification number (EIN): 431068291

NAIC Classification: 621112
NAIC Description: Offices of Physicians, Mental Health Specialists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MISSOURI HIGHLANDS HEALTH CARE 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01
001 2019-01-01
001 2018-01-01
001 2017-01-01 SAMANTHA GAMBLIN 2018-05-16 SAMANTHA GAMBLIN 2018-05-16
001 2017-01-01
001 2016-01-01 SAMANTHA GAMBLIN 2017-06-14 SAMANTHA GAMBLIN 2017-06-14
001 2016-01-01 SAMANTHA GAMBLIN 2019-09-17 SAMANTHA GAMBLIN 2019-09-17
001 2015-01-01 SAMANTHA GAMBLIN 2016-04-19 SAMANTHA GAMBLIN 2016-04-19
001 2014-01-01 KAREN WHITE 2015-05-26 KAREN WHITE 2015-05-26
001 2013-01-01 DEBBIE TARVID 2014-05-14 DEBBIE TARVID 2014-05-14
001 2012-01-01 SHERILYN CLARK 2013-05-28 DEBBIE TARVID 2013-05-28
001 2011-01-01 DEBBIE TARVID 2012-05-23 SHERILYN CLARK 2012-05-23
001 2010-01-01 DEBBIE TARVID 2011-05-12

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01
001	2019-01-01
001	2018-01-01
001	2017-01-01	SAMANTHA GAMBLIN	2018-05-16	SAMANTHA GAMBLIN	2018-05-16
001	2017-01-01
001	2016-01-01	SAMANTHA GAMBLIN	2017-06-14	SAMANTHA GAMBLIN	2017-06-14
001	2016-01-01	SAMANTHA GAMBLIN	2019-09-17	SAMANTHA GAMBLIN	2019-09-17
001	2015-01-01	SAMANTHA GAMBLIN	2016-04-19	SAMANTHA GAMBLIN	2016-04-19
001	2014-01-01	KAREN WHITE	2015-05-26	KAREN WHITE	2015-05-26
001	2013-01-01	DEBBIE TARVID	2014-05-14	DEBBIE TARVID	2014-05-14
001	2012-01-01	SHERILYN CLARK	2013-05-28	DEBBIE TARVID	2013-05-28
001	2011-01-01	DEBBIE TARVID	2012-05-23	SHERILYN CLARK	2012-05-23
001	2010-01-01	DEBBIE TARVID	2011-05-12

Plan Statistics for MISSOURI HIGHLANDS HEALTH CARE 401(K) PLAN

401k plan membership statisitcs for MISSOURI HIGHLANDS HEALTH CARE 401(K) PLAN

Measure Date Value
2022: MISSOURI HIGHLANDS HEALTH CARE 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 204
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 217
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 30
Total of all active and inactive participants 2022-01-01 247
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 247
Number of participants with account balances 2022-01-01 188
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 0
2019: MISSOURI HIGHLANDS HEALTH CARE 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 171
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 154
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 25
Total of all active and inactive participants 2019-01-01 179
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 179
Number of participants with account balances 2019-01-01 117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: MISSOURI HIGHLANDS HEALTH CARE 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 147
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 134
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 33
Total of all active and inactive participants 2018-01-01 167
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 1
Total participants 2018-01-01 168
Number of participants with account balances 2018-01-01 105
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: MISSOURI HIGHLANDS HEALTH CARE 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 130
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 115
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 31
Total of all active and inactive participants 2017-01-01 146
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 146
Number of participants with account balances 2017-01-01 95
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0

Measure	Date	Value
2022: MISSOURI HIGHLANDS HEALTH CARE 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	204
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	217
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	30
Total of all active and inactive participants	2022-01-01	247
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	247
Number of participants with account balances	2022-01-01	188
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2019: MISSOURI HIGHLANDS HEALTH CARE 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	171
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	154
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	25
Total of all active and inactive participants	2019-01-01	179
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	179
Number of participants with account balances	2019-01-01	117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: MISSOURI HIGHLANDS HEALTH CARE 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	147
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	134
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	33
Total of all active and inactive participants	2018-01-01	167
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	1
Total participants	2018-01-01	168
Number of participants with account balances	2018-01-01	105
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: MISSOURI HIGHLANDS HEALTH CARE 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	130
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	115
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	31
Total of all active and inactive participants	2017-01-01	146
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	146
Number of participants with account balances	2017-01-01	95
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0

Financial Data on MISSOURI HIGHLANDS HEALTH CARE 401(K) PLAN

Measure	Date	Value
2022 : MISSOURI HIGHLANDS HEALTH CARE 401(K) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total transfer of assets from this plan	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$222,061
Total income from all sources (including contributions)	2022-12-31	$392,226
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$221,235
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$212,799
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$1,104,326
Value of total assets at end of year	2022-12-31	$3,588,122
Value of total assets at beginning of year	2022-12-31	$3,639,192
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$8,436
Total interest from all sources	2022-12-31	$5,227
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$111,777
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$97,146
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$342,000
If this is an individual account plan, was there a blackout period	2022-12-31	Yes
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$598,633
Participant contributions at end of year	2022-12-31	$173,202
Participant contributions at beginning of year	2022-12-31	$56,067
Participant contributions at end of year	2022-12-31	$26,877
Participant contributions at beginning of year	2022-12-31	$16,569
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$159,437
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2022-12-31	$222,061
Administrative expenses (other) incurred	2022-12-31	$8,436
Total non interest bearing cash at beginning of year	2022-12-31	$193,919
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$170,991
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$3,588,122
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$3,417,131
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	$3,356,385
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$3,315,371
Interest on participant loans	2022-12-31	$5,227
Value of interest in common/collective trusts at end of year	2022-12-31	$17,394
Value of interest in common/collective trusts at beginning of year	2022-12-31	$43,883
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-9,309
Net investment gain or loss from common/collective trusts	2022-12-31	$103
Net gain/loss from 103.12 investment entities	2022-12-31	$-819,898
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	$346,256
Employer contributions (assets) at end of year	2022-12-31	$14,264
Employer contributions (assets) at beginning of year	2022-12-31	$13,383
Income. Dividends from preferred stock	2022-12-31	$14,631
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$212,799
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	2022-12-31	Yes
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	PEAK AUDIT AND ACCOUNTING LLC
Accountancy firm EIN	2022-12-31	831056549
2019 : MISSOURI HIGHLANDS HEALTH CARE 401(K) 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	$824,394
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$396,727
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$369,114
Value of total corrective distributions	2019-12-31	$24,813
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$498,251
Value of total assets at end of year	2019-12-31	$2,143,545
Value of total assets at beginning of year	2019-12-31	$1,715,878
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$2,800
Total interest from all sources	2019-12-31	$4,856
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$250,000
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	$207,070
Participant contributions at end of year	2019-12-31	$65,877
Participant contributions at beginning of year	2019-12-31	$100,474
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$168,140
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	$427,667
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$2,143,545
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$1,715,878
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 pooled separate accounts at end of year	2019-12-31	$2,004,918
Value of interest in pooled separate accounts at beginning of year	2019-12-31	$1,548,830
Interest on participant loans	2019-12-31	$4,286
Interest earned on other investments	2019-12-31	$570
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$72,750
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$66,574
Net investment gain/loss from pooled separate accounts	2019-12-31	$321,287
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	$123,041
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$369,114
Contract administrator fees	2019-12-31	$2,800
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	PEAK AUDIT AND ACCOUNTING LLC
Accountancy firm EIN	2019-12-31	831056549
2018 : MISSOURI HIGHLANDS HEALTH CARE 401(K) 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	$154,322
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$63,657
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$48,689
Value of total corrective distributions	2018-12-31	$12,168
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$267,148
Value of total assets at end of year	2018-12-31	$1,715,878
Value of total assets at beginning of year	2018-12-31	$1,625,213
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$2,800
Total interest from all sources	2018-12-31	$4,132
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
Was this plan covered by a fidelity bond	2018-12-31	No
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	$172,245
Participant contributions at end of year	2018-12-31	$100,474
Participant contributions at beginning of year	2018-12-31	$49,644
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$1,631
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	$90,665
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$1,715,878
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$1,625,213
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 pooled separate accounts at end of year	2018-12-31	$1,548,830
Value of interest in pooled separate accounts at beginning of year	2018-12-31	$1,516,172
Interest on participant loans	2018-12-31	$3,731
Interest earned on other investments	2018-12-31	$401
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$66,574
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$59,397
Net investment gain/loss from pooled separate accounts	2018-12-31	$-116,958
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$93,272
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$48,689
Contract administrator fees	2018-12-31	$2,800
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	PEAK AUDIT AND ACCOUNTING LLC
Accountancy firm EIN	2018-12-31	831056549
2017 : MISSOURI HIGHLANDS HEALTH CARE 401(K) 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	$428,018
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$209,439
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$206,739
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$221,848
Value of total assets at end of year	2017-12-31	$1,625,213
Value of total assets at beginning of year	2017-12-31	$1,406,634
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$2,700
Total interest from all sources	2017-12-31	$2,149
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$0
Was this plan covered by a fidelity bond	2017-12-31	No
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$131,918
Participant contributions at end of year	2017-12-31	$49,644
Participant contributions at beginning of year	2017-12-31	$31,327
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$9,391
Administrative expenses (other) incurred	2017-12-31	$2,700
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	$218,579
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$1,625,213
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$1,406,634
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 pooled separate accounts at end of year	2017-12-31	$1,516,172
Value of interest in pooled separate accounts at beginning of year	2017-12-31	$1,272,690
Interest on participant loans	2017-12-31	$1,872
Interest earned on other investments	2017-12-31	$277
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$59,397
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$102,617
Net investment gain/loss from pooled separate accounts	2017-12-31	$204,021
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$80,539
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$206,739
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	PEAK AUDIT & ACCOUNTING LLC
Accountancy firm EIN	2017-12-31	831056549

Form 5500 Responses for MISSOURI HIGHLANDS HEALTH CARE 401(K) PLAN

2022: MISSOURI HIGHLANDS HEALTH CARE 401(K) PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
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
2019: MISSOURI HIGHLANDS HEALTH CARE 401(K) 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 – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: MISSOURI HIGHLANDS HEALTH CARE 401(K) PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	Yes
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 – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: MISSOURI HIGHLANDS HEALTH CARE 401(K) PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	Yes
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 – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

13484

Policy instance

Insurance contract or identification number	13484
Number of Individuals Covered	116
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $4,556
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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?	Yes
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 $4,556
Insurance broker organization code?	3

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

13484

Policy instance

Insurance contract or identification number	13484
Number of Individuals Covered	105
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $4,130
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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?	Yes
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 $4,130
Insurance broker organization code?	3

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

13484

Policy instance

Insurance contract or identification number	13484
Number of Individuals Covered	95
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $3,682
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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?	Yes
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

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Company Name:	BIG SPRINGS MEDICAL ASSOCIATION ASSOCIATION, INC.
Employer identification number (EIN):	431068291
NAIC Classification:	621112
NAIC Description:	Offices of Physicians, Mental Health Specialists