401k Plan data: MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN plan

MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN 401k Plan overview

Plan Name	MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN
Plan identification number	005

MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Money purchase (other than target benefit)
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.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.

401k Sponsoring company profile

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

Company Name: MADISON COMMUNITY HOSPITAL

Employer identification number (EIN): 460228038

NAIC Classification: 622000
NAIC Description: Hospitals

Additional information about MADISON COMMUNITY HOSPITAL

Jurisdiction of Incorporation: South Dakota Secretary of State

Incorporation Date:

Company Identification Number: NS000316

More information about MADISON COMMUNITY HOSPITAL

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
005 2022-01-01 TAMARA MILLER 2023-09-27 TERESA MALLETT 2023-09-27
005 2021-01-01 TERESA MALLET 2022-10-12 TAMARA MILLER 2022-10-12
005 2020-01-01 TAMARA MILLER 2021-10-14 TAMARA MILLER 2021-10-14
005 2019-01-01 TAMARA MILLER 2020-10-15 TAMARA MILLER 2020-10-15
005 2018-01-01 TERESA MALLETT 2019-10-14 TERESA MALLETT 2019-10-14
005 2017-01-01
005 2016-01-01
005 2015-01-01
005 2014-01-01
005 2013-01-01
005 2012-01-01 TAMARA MILLER
005 2011-01-01 TAMARA MILLER
005 2010-01-01 TAMARA MILLER
005 2009-01-01 TAMARA MILLER

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
005	2022-01-01	TAMARA MILLER	2023-09-27	TERESA MALLETT	2023-09-27
005	2021-01-01	TERESA MALLET	2022-10-12	TAMARA MILLER	2022-10-12
005	2020-01-01	TAMARA MILLER	2021-10-14	TAMARA MILLER	2021-10-14
005	2019-01-01	TAMARA MILLER	2020-10-15	TAMARA MILLER	2020-10-15
005	2018-01-01	TERESA MALLETT	2019-10-14	TERESA MALLETT	2019-10-14
005	2017-01-01
005	2016-01-01
005	2015-01-01
005	2014-01-01
005	2013-01-01
005	2012-01-01	TAMARA MILLER
005	2011-01-01	TAMARA MILLER
005	2010-01-01	TAMARA MILLER
005	2009-01-01	TAMARA MILLER

Plan Statistics for MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN

401k plan membership statisitcs for MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN

Measure Date Value
2022: MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 372
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 273
Number of retired or separated participants receiving benefits 2022-01-01 58
Number of other retired or separated participants entitled to future benefits 2022-01-01 42
Total of all active and inactive participants 2022-01-01 373
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 373
Number of participants with account balances 2022-01-01 312
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 65
2021: MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 347
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 269
Number of retired or separated participants receiving benefits 2021-01-01 61
Number of other retired or separated participants entitled to future benefits 2021-01-01 42
Total of all active and inactive participants 2021-01-01 372
Total participants 2021-01-01 372
Number of participants with account balances 2021-01-01 308
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 67
2020: MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 358
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 262
Number of retired or separated participants receiving benefits 2020-01-01 47
Number of other retired or separated participants entitled to future benefits 2020-01-01 38
Total of all active and inactive participants 2020-01-01 347
Total participants 2020-01-01 347
Number of participants with account balances 2020-01-01 280
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 45
2019: MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 366
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 274
Number of retired or separated participants receiving benefits 2019-01-01 56
Number of other retired or separated participants entitled to future benefits 2019-01-01 28
Total of all active and inactive participants 2019-01-01 358
Total participants 2019-01-01 358
Number of participants with account balances 2019-01-01 293
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 53
2018: MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 317
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 287
Number of retired or separated participants receiving benefits 2018-01-01 56
Number of other retired or separated participants entitled to future benefits 2018-01-01 23
Total of all active and inactive participants 2018-01-01 366
Total participants 2018-01-01 366
Number of participants with account balances 2018-01-01 275
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 45
2017: MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 198
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 239
Number of retired or separated participants receiving benefits 2017-01-01 49
Number of other retired or separated participants entitled to future benefits 2017-01-01 29
Total of all active and inactive participants 2017-01-01 317
Total participants 2017-01-01 317
Number of participants with account balances 2017-01-01 260
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 32
2016: MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 241
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 149
Number of retired or separated participants receiving benefits 2016-01-01 14
Number of other retired or separated participants entitled to future benefits 2016-01-01 35
Total of all active and inactive participants 2016-01-01 198
Total participants 2016-01-01 198
Number of participants with account balances 2016-01-01 189
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 16
2015: MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 147
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 220
Number of retired or separated participants receiving benefits 2015-01-01 17
Number of other retired or separated participants entitled to future benefits 2015-01-01 21
Total of all active and inactive participants 2015-01-01 258
Total participants 2015-01-01 258
Number of participants with account balances 2015-01-01 156
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 9
2014: MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 146
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 113
Number of retired or separated participants receiving benefits 2014-01-01 10
Number of other retired or separated participants entitled to future benefits 2014-01-01 24
Total of all active and inactive participants 2014-01-01 147
Total participants 2014-01-01 147
Number of participants with account balances 2014-01-01 140
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 9
2013: MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 121
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 120
Number of other retired or separated participants entitled to future benefits 2013-01-01 10
Total of all active and inactive participants 2013-01-01 130
Total participants 2013-01-01 130
Number of participants with account balances 2013-01-01 148
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 3
2012: MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 130
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 107
Number of other retired or separated participants entitled to future benefits 2012-01-01 14
Total of all active and inactive participants 2012-01-01 121
Total participants 2012-01-01 121
Number of participants with account balances 2012-01-01 128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 7
2011: MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 133
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 113
Number of other retired or separated participants entitled to future benefits 2011-01-01 17
Total of all active and inactive participants 2011-01-01 130
Total participants 2011-01-01 130
Number of participants with account balances 2011-01-01 135
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 2
2010: MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 145
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 114
Number of retired or separated participants receiving benefits 2010-01-01 8
Number of other retired or separated participants entitled to future benefits 2010-01-01 19
Total of all active and inactive participants 2010-01-01 141
Total participants 2010-01-01 141
Number of participants with account balances 2010-01-01 133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 1
2009: MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 139
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 132
Number of other retired or separated participants entitled to future benefits 2009-01-01 13
Total of all active and inactive participants 2009-01-01 145
Total participants 2009-01-01 145
Number of participants with account balances 2009-01-01 135
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 3

Measure	Date	Value
2022: MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	372
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	273
Number of retired or separated participants receiving benefits	2022-01-01	58
Number of other retired or separated participants entitled to future benefits	2022-01-01	42
Total of all active and inactive participants	2022-01-01	373
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	373
Number of participants with account balances	2022-01-01	312
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	65
2021: MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	347
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	269
Number of retired or separated participants receiving benefits	2021-01-01	61
Number of other retired or separated participants entitled to future benefits	2021-01-01	42
Total of all active and inactive participants	2021-01-01	372
Total participants	2021-01-01	372
Number of participants with account balances	2021-01-01	308
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	67
2020: MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	358
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	262
Number of retired or separated participants receiving benefits	2020-01-01	47
Number of other retired or separated participants entitled to future benefits	2020-01-01	38
Total of all active and inactive participants	2020-01-01	347
Total participants	2020-01-01	347
Number of participants with account balances	2020-01-01	280
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	45
2019: MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	366
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	274
Number of retired or separated participants receiving benefits	2019-01-01	56
Number of other retired or separated participants entitled to future benefits	2019-01-01	28
Total of all active and inactive participants	2019-01-01	358
Total participants	2019-01-01	358
Number of participants with account balances	2019-01-01	293
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	53
2018: MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	317
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	287
Number of retired or separated participants receiving benefits	2018-01-01	56
Number of other retired or separated participants entitled to future benefits	2018-01-01	23
Total of all active and inactive participants	2018-01-01	366
Total participants	2018-01-01	366
Number of participants with account balances	2018-01-01	275
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	45
2017: MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	198
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	239
Number of retired or separated participants receiving benefits	2017-01-01	49
Number of other retired or separated participants entitled to future benefits	2017-01-01	29
Total of all active and inactive participants	2017-01-01	317
Total participants	2017-01-01	317
Number of participants with account balances	2017-01-01	260
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	32
2016: MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	241
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	149
Number of retired or separated participants receiving benefits	2016-01-01	14
Number of other retired or separated participants entitled to future benefits	2016-01-01	35
Total of all active and inactive participants	2016-01-01	198
Total participants	2016-01-01	198
Number of participants with account balances	2016-01-01	189
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	16
2015: MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	147
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	220
Number of retired or separated participants receiving benefits	2015-01-01	17
Number of other retired or separated participants entitled to future benefits	2015-01-01	21
Total of all active and inactive participants	2015-01-01	258
Total participants	2015-01-01	258
Number of participants with account balances	2015-01-01	156
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	9
2014: MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	146
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	113
Number of retired or separated participants receiving benefits	2014-01-01	10
Number of other retired or separated participants entitled to future benefits	2014-01-01	24
Total of all active and inactive participants	2014-01-01	147
Total participants	2014-01-01	147
Number of participants with account balances	2014-01-01	140
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	9
2013: MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	121
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	120
Number of other retired or separated participants entitled to future benefits	2013-01-01	10
Total of all active and inactive participants	2013-01-01	130
Total participants	2013-01-01	130
Number of participants with account balances	2013-01-01	148
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	3
2012: MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	130
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	107
Number of other retired or separated participants entitled to future benefits	2012-01-01	14
Total of all active and inactive participants	2012-01-01	121
Total participants	2012-01-01	121
Number of participants with account balances	2012-01-01	128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	7
2011: MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	133
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	113
Number of other retired or separated participants entitled to future benefits	2011-01-01	17
Total of all active and inactive participants	2011-01-01	130
Total participants	2011-01-01	130
Number of participants with account balances	2011-01-01	135
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	2
2010: MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	145
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	114
Number of retired or separated participants receiving benefits	2010-01-01	8
Number of other retired or separated participants entitled to future benefits	2010-01-01	19
Total of all active and inactive participants	2010-01-01	141
Total participants	2010-01-01	141
Number of participants with account balances	2010-01-01	133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	1
2009: MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	139
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	132
Number of other retired or separated participants entitled to future benefits	2009-01-01	13
Total of all active and inactive participants	2009-01-01	145
Total participants	2009-01-01	145
Number of participants with account balances	2009-01-01	135
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	3

Financial Data on MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN

Measure	Date	Value
2022 : MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN 2022 401k financial data
Total income from all sources (including contributions)	2022-12-31	$-797,270
Total of all expenses incurred	2022-12-31	$198,837
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$190,927
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$644,920
Value of total assets at end of year	2022-12-31	$10,357,438
Value of total assets at beginning of year	2022-12-31	$11,353,545
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$7,910
Total interest from all sources	2022-12-31	$156,610
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
Assets. Other investments not covered elsewhere at beginning of year	2022-12-31	$54
Administrative expenses (other) incurred	2022-12-31	$7,910
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	$-996,107
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$10,357,438
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$11,353,545
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	$6,167,592
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$7,372,327
Interest earned on other investments	2022-12-31	$156,610
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$4,189,846
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$3,981,164
Net investment gain/loss from pooled separate accounts	2022-12-31	$-1,598,800
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	$644,920
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$190,927
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	No
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	EIDE BAILLY LLP
Accountancy firm EIN	2022-12-31	450250958
2021 : MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN 2021 401k financial data
Total income from all sources (including contributions)	2021-12-31	$1,726,691
Total of all expenses incurred	2021-12-31	$776,686
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$764,883
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$590,258
Value of total assets at end of year	2021-12-31	$11,353,545
Value of total assets at beginning of year	2021-12-31	$10,403,540
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$11,803
Total interest from all sources	2021-12-31	$154,683
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
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	$350,145,825
Funding deficiency by the employer to the plan for this plan year	2021-12-31	$0
Minimum employer required contribution for this plan year	2021-12-31	$590,258
Amount contributed by the employer to the plan for this plan year	2021-12-31	$590,258
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Assets. Other investments not covered elsewhere at end of year	2021-12-31	$54
Administrative expenses (other) incurred	2021-12-31	$11,803
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	$950,005
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$11,353,545
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$10,403,540
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	$7,372,327
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$6,750,458
Interest earned on other investments	2021-12-31	$154,683
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$3,981,164
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$3,653,082
Net investment gain/loss from pooled separate accounts	2021-12-31	$981,750
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	$590,258
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$764,883
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	2021-12-31	No
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	EIDE BAILLY LLP
Accountancy firm EIN	2021-12-31	450250958
2020 : MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN 2020 401k financial data
Total income from all sources (including contributions)	2020-12-31	$1,804,861
Total of all expenses incurred	2020-12-31	$252,492
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$240,357
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$567,204
Value of total assets at end of year	2020-12-31	$10,403,540
Value of total assets at beginning of year	2020-12-31	$8,851,171
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$12,135
Total interest from all sources	2020-12-31	$133,716
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$500,000
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
Funding deficiency by the employer to the plan for this plan year	2020-12-31	$0
Minimum employer required contribution for this plan year	2020-12-31	$567,204
Amount contributed by the employer to the plan for this plan year	2020-12-31	$567,204
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Other income not declared elsewhere	2020-12-31	$10,487
Administrative expenses (other) incurred	2020-12-31	$12,135
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	$1,552,369
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$10,403,540
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$8,851,171
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	$6,750,458
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$5,806,050
Interest earned on other investments	2020-12-31	$133,716
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$3,653,082
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$3,045,121
Net investment gain/loss from pooled separate accounts	2020-12-31	$1,093,454
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	$567,204
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$240,357
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2020-12-31	No
Did the plan have assets held for investment	2020-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Unqualified
Accountancy firm name	2020-12-31	EIDE BAILLY LLP
Accountancy firm EIN	2020-12-31	450250958
2019 : MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN 2019 401k financial data
Total income from all sources (including contributions)	2019-12-31	$1,812,863
Total income from all sources (including contributions)	2019-12-31	$1,812,863
Total of all expenses incurred	2019-12-31	$138,323
Total of all expenses incurred	2019-12-31	$138,323
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$125,884
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$125,884
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$613,299
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$613,299
Value of total assets at end of year	2019-12-31	$8,851,171
Value of total assets at end of year	2019-12-31	$8,851,171
Value of total assets at beginning of year	2019-12-31	$7,176,631
Value of total assets at beginning of year	2019-12-31	$7,176,631
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$12,439
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$12,439
Total interest from all sources	2019-12-31	$116,669
Total interest from all sources	2019-12-31	$116,669
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
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
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
Value of fidelity bond cover	2019-12-31	$500,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
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
Funding deficiency by the employer to the plan for this plan year	2019-12-31	$0
Minimum employer required contribution for this plan year	2019-12-31	$540,779
Amount contributed by the employer to the plan for this plan year	2019-12-31	$540,779
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$72,520
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$72,520
Other income not declared elsewhere	2019-12-31	$1,800
Other income not declared elsewhere	2019-12-31	$1,800
Administrative expenses (other) incurred	2019-12-31	$12,439
Administrative expenses (other) incurred	2019-12-31	$12,439
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
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	$1,674,540
Value of net income/loss	2019-12-31	$1,674,540
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$8,851,171
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$8,851,171
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$7,176,631
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$7,176,631
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
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 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
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	$5,806,050
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$5,806,050
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$4,233,621
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$4,233,621
Interest earned on other investments	2019-12-31	$116,669
Interest earned on other investments	2019-12-31	$116,669
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$3,045,121
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$3,045,121
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$2,943,010
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$2,943,010
Net investment gain/loss from pooled separate accounts	2019-12-31	$1,081,095
Net investment gain/loss from pooled separate accounts	2019-12-31	$1,081,095
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
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
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
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	$540,779
Contributions received in cash from employer	2019-12-31	$540,779
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$125,884
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$125,884
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2019-12-31	No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2019-12-31	No
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan 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
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
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
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
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	EIDE BAILLY LLP
Accountancy firm name	2019-12-31	EIDE BAILLY LLP
Accountancy firm EIN	2019-12-31	450250958
Accountancy firm EIN	2019-12-31	450250958
2018 : MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN 2018 401k financial data
Total income from all sources (including contributions)	2018-12-31	$598,680
Total of all expenses incurred	2018-12-31	$620,836
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$607,492
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$793,987
Value of total assets at end of year	2018-12-31	$7,176,631
Value of total assets at beginning of year	2018-12-31	$7,198,787
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$13,344
Total interest from all sources	2018-12-31	$92,582
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	Yes
Value of fidelity bond cover	2018-12-31	$5,000,000
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
Funding deficiency by the employer to the plan for this plan year	2018-12-31	$0
Minimum employer required contribution for this plan year	2018-12-31	$538,117
Amount contributed by the employer to the plan for this plan year	2018-12-31	$538,117
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$255,870
Administrative expenses (other) incurred	2018-12-31	$13,344
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	$-22,156
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$7,176,631
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$7,198,787
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	$4,233,621
Value of interest in pooled separate accounts at beginning of year	2018-12-31	$4,777,006
Interest earned on other investments	2018-12-31	$92,582
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$2,943,010
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$2,421,781
Net investment gain/loss from pooled separate accounts	2018-12-31	$-287,889
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	$538,117
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$607,492
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2018-12-31	No
Did the plan have assets held for investment	2018-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	EIDE BAILLY LLP
Accountancy firm EIN	2018-12-31	450250958
2017 : MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN 2017 401k financial data
Total income from all sources (including contributions)	2017-12-31	$1,540,137
Total of all expenses incurred	2017-12-31	$483,574
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$473,692
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$663,171
Value of total assets at end of year	2017-12-31	$7,198,787
Value of total assets at beginning of year	2017-12-31	$6,142,224
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$9,882
Total interest from all sources	2017-12-31	$85,283
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$500,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Funding deficiency by the employer to the plan for this plan year	2017-12-31	$0
Minimum employer required contribution for this plan year	2017-12-31	$544,253
Amount contributed by the employer to the plan for this plan year	2017-12-31	$544,253
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$118,918
Administrative expenses (other) incurred	2017-12-31	$9,882
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	$1,056,563
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$7,198,787
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$6,142,224
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	$4,777,006
Value of interest in pooled separate accounts at beginning of year	2017-12-31	$4,063,844
Interest earned on other investments	2017-12-31	$85,283
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$2,421,781
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$2,078,380
Net investment gain/loss from pooled separate accounts	2017-12-31	$791,683
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	$544,253
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$473,692
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2017-12-31	No
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	No
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	EIDE BAILLY LLP
Accountancy firm EIN	2017-12-31	450250958
2016 : MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN 2016 401k financial data
Total income from all sources (including contributions)	2016-12-31	$1,020,758
Total of all expenses incurred	2016-12-31	$62,416
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$54,116
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$697,916
Value of total assets at end of year	2016-12-31	$6,142,224
Value of total assets at beginning of year	2016-12-31	$5,183,882
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$8,300
Total interest from all sources	2016-12-31	$70,335
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
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
Funding deficiency by the employer to the plan for this plan year	2016-12-31	$0
Minimum employer required contribution for this plan year	2016-12-31	$405,591
Amount contributed by the employer to the plan for this plan year	2016-12-31	$405,591
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$284,855
Administrative expenses (other) incurred	2016-12-31	$8,300
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	$958,342
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$6,142,224
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$5,183,882
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	$4,063,844
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$3,508,597
Interest earned on other investments	2016-12-31	$70,335
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$2,078,380
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$1,675,285
Expenses. Payments to insurance carriers foe the provision of benefits	2016-12-31	$7,470
Net investment gain/loss from pooled separate accounts	2016-12-31	$252,507
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
Contributions received in cash from employer	2016-12-31	$413,061
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$46,646
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2016-12-31	No
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	No
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	EIDE BAILLY LLP
Accountancy firm EIN	2016-12-31	450250958
2015 : MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN 2015 401k financial data
Total income from all sources (including contributions)	2015-12-31	$416,736
Total of all expenses incurred	2015-12-31	$210,643
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$210,643
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$401,367
Value of total assets at end of year	2015-12-31	$5,183,882
Value of total assets at beginning of year	2015-12-31	$4,977,789
Total interest from all sources	2015-12-31	$62,737
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$500,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Funding deficiency by the employer to the plan for this plan year	2015-12-31	$0
Minimum employer required contribution for this plan year	2015-12-31	$324,464
Amount contributed by the employer to the plan for this plan year	2015-12-31	$324,464
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$70,904
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	$206,093
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$5,183,882
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$4,977,789
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	$3,508,597
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$3,423,880
Interest earned on other investments	2015-12-31	$62,737
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$1,675,285
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$1,553,909
Expenses. Payments to insurance carriers foe the provision of benefits	2015-12-31	$5,999
Net investment gain/loss from pooled separate accounts	2015-12-31	$-47,368
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	$330,463
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$204,644
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	2015-12-31	No
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	EIDE BAILLY LLP
Accountancy firm EIN	2015-12-31	450250958
2014 : MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN 2014 401k financial data
Total income from all sources (including contributions)	2014-12-31	$531,295
Total of all expenses incurred	2014-12-31	$237,074
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$237,074
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$296,279
Value of total assets at end of year	2014-12-31	$4,977,789
Value of total assets at beginning of year	2014-12-31	$4,683,568
Total interest from all sources	2014-12-31	$58,101
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Funding deficiency by the employer to the plan for this plan year	2014-12-31	$0
Minimum employer required contribution for this plan year	2014-12-31	$281,279
Amount contributed by the employer to the plan for this plan year	2014-12-31	$281,279
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$9,889
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	$294,221
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$4,977,789
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$4,683,568
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	$3,423,880
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$3,107,124
Interest earned on other investments	2014-12-31	$58,101
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$1,553,909
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$1,576,444
Expenses. Payments to insurance carriers foe the provision of benefits	2014-12-31	$5,111
Net investment gain/loss from pooled separate accounts	2014-12-31	$176,915
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	$286,390
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$231,963
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	2014-12-31	No
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	EIDE BAILLY LLP
Accountancy firm EIN	2014-12-31	450250958
2013 : MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN 2013 401k financial data
Total income from all sources (including contributions)	2013-12-31	$903,966
Total of all expenses incurred	2013-12-31	$67,000
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$67,000
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$261,967
Value of total assets at end of year	2013-12-31	$4,683,568
Value of total assets at beginning of year	2013-12-31	$3,846,602
Total interest from all sources	2013-12-31	$57,200
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Funding deficiency by the employer to the plan for this plan year	2013-12-31	$0
Minimum employer required contribution for this plan year	2013-12-31	$252,461
Amount contributed by the employer to the plan for this plan year	2013-12-31	$252,461
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Participant contributions at beginning of year	2013-12-31	$10,026
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$4,351
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	$836,966
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$4,683,568
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$3,846,602
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	$3,107,124
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$2,427,442
Interest earned on other investments	2013-12-31	$57,200
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$1,576,444
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$1,409,134
Expenses. Payments to insurance carriers foe the provision of benefits	2013-12-31	$5,155
Net investment gain/loss from pooled separate accounts	2013-12-31	$584,799
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$257,616
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$61,845
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	2013-12-31	No
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	EIDE BAILLY LLP
Accountancy firm EIN	2013-12-31	450250958
2012 : MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN 2012 401k financial data
Total income from all sources (including contributions)	2012-12-31	$634,400
Total of all expenses incurred	2012-12-31	$273,286
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$273,286
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$266,253
Value of total assets at end of year	2012-12-31	$3,846,602
Value of total assets at beginning of year	2012-12-31	$3,485,488
Total interest from all sources	2012-12-31	$54,971
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Funding deficiency by the employer to the plan for this plan year	2012-12-31	$0
Minimum employer required contribution for this plan year	2012-12-31	$256,976
Amount contributed by the employer to the plan for this plan year	2012-12-31	$256,976
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Participant contributions at end of year	2012-12-31	$10,026
Participant contributions at beginning of year	2012-12-31	$9,013
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$3,182
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	$361,114
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$3,846,602
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$3,485,488
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 pooled separate accounts at end of year	2012-12-31	$2,427,442
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$2,118,682
Interest earned on other investments	2012-12-31	$54,971
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$1,409,134
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$1,357,793
Expenses. Payments to insurance carriers foe the provision of benefits	2012-12-31	$6,095
Net investment gain/loss from pooled separate accounts	2012-12-31	$313,176
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	$263,071
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$267,191
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	2012-12-31	No
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	EIDE BAILLY LLP
Accountancy firm EIN	2012-12-31	450250958
2011 : MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN 2011 401k financial data
Total income from all sources (including contributions)	2011-12-31	$246,441
Total of all expenses incurred	2011-12-31	$49,114
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$49,114
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$229,761
Value of total assets at end of year	2011-12-31	$3,485,488
Value of total assets at beginning of year	2011-12-31	$3,288,161
Total interest from all sources	2011-12-31	$52,390
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$500,000
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	$350,145,825
Funding deficiency by the employer to the plan for this plan year	2011-12-31	$0
Minimum employer required contribution for this plan year	2011-12-31	$229,761
Amount contributed by the employer to the plan for this plan year	2011-12-31	$229,761
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Participant contributions at end of year	2011-12-31	$9,013
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	$197,327
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$3,485,488
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$3,288,161
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	$2,118,682
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$1,999,290
Interest earned on other investments	2011-12-31	$52,390
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$1,357,793
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$1,288,871
Net investment gain/loss from pooled separate accounts	2011-12-31	$-35,710
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$229,761
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$49,114
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	2011-12-31	No
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	EIDE BAILLY, LLP
Accountancy firm EIN	2011-12-31	450250958
2010 : MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN 2010 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$69,972
Total income from all sources (including contributions)	2010-12-31	$607,673
Total of all expenses incurred	2010-12-31	$158,981
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$158,981
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$312,727
Value of total assets at end of year	2010-12-31	$3,288,161
Value of total assets at beginning of year	2010-12-31	$2,909,441
Total interest from all sources	2010-12-31	$51,441
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$500,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Funding deficiency by the employer to the plan for this plan year	2010-12-31	$0
Minimum employer required contribution for this plan year	2010-12-31	$251,025
Amount contributed by the employer to the plan for this plan year	2010-12-31	$251,025
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$61,702
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	$448,692
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$3,288,161
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$2,839,469
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	$1,999,290
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$1,650,027
Interest earned on other investments	2010-12-31	$51,441
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$1,288,871
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$1,259,414
Net investment gain/loss from pooled separate accounts	2010-12-31	$243,505
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$251,025
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$158,981
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	2010-12-31	No
Liabilities. Value of benefit claims payable at beginning of year	2010-12-31	$69,972
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	EIDE BAILLY, LLP
Accountancy firm EIN	2010-12-31	450250958
2009 : MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN 2009 401k financial data
Funding deficiency by the employer to the plan for this plan year	2009-12-31	$0
Minimum employer required contribution for this plan year	2009-12-31	$211,007
Amount contributed by the employer to the plan for this plan year	2009-12-31	$211,007

Form 5500 Responses for MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN

2022: MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: MADISON COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	This submission is the final filing	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G62112

Policy instance

Insurance contract or identification number	G62112
Number of Individuals Covered	299
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G62112

Policy instance

Insurance contract or identification number	G62112
Number of Individuals Covered	301
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G62112

Policy instance

Insurance contract or identification number	G62112
Number of Individuals Covered	287
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G62112

Policy instance

Insurance contract or identification number	G62112
Number of Individuals Covered	291
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G62112

Policy instance

Insurance contract or identification number	G62112
Number of Individuals Covered	275
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G62112

Policy instance

Insurance contract or identification number	G62112
Number of Individuals Covered	260
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G62112

Policy instance

Insurance contract or identification number	G62112
Number of Individuals Covered	161
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $7,547
Total amount of fees paid to insurance company	USD $7,236
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $7,547
Insurance broker organization code?	3
Amount paid for insurance broker fees	7236
Insurance broker name	GARDNER & WHITE

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G62112

Policy instance

Insurance contract or identification number	G62112
Number of Individuals Covered	144
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $6,100
Total amount of fees paid to insurance company	USD $4,654
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 contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,100
Insurance broker organization code?	3
Amount paid for insurance broker fees	4654
Insurance broker name	GARDNER & WHITE

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G62112

Policy instance

Insurance contract or identification number	G62112
Number of Individuals Covered	148
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $5,820
Total amount of fees paid to insurance company	USD $4,046
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 contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	4046
Additional information about fees paid to insurance broker	COMMISSION FEES
Insurance broker organization code?	3
Commission paid to Insurance Broker	USD $3,380
Insurance broker name	G & W EQUITY SALES INC

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G62112

Policy instance

Insurance contract or identification number	G62112
Number of Individuals Covered	128
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $5,541
Total amount of fees paid to insurance company	USD $3,700
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 contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,541
Insurance broker organization code?	3
Amount paid for insurance broker fees	3700
Insurance broker name	GARDNER & WHITE

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G62112

Policy instance

Insurance contract or identification number	G62112
Number of Individuals Covered	132
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $5,303
Total amount of fees paid to insurance company	USD $3,339
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 contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G62112

Policy instance

Insurance contract or identification number	G62112
Number of Individuals Covered	138
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $6,597
Total amount of fees paid to insurance company	USD $2,971
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 contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,597
Amount paid for insurance broker fees	2971
Insurance broker organization code?	3
Insurance broker name

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Company Name:	MADISON COMMUNITY HOSPITAL
Employer identification number (EIN):	460228038
NAIC Classification:	622000
NAIC Description:	Hospitals

Jurisdiction of Incorporation:	South Dakota Secretary of State
Incorporation Date:
Company Identification Number:	NS000316