401k Plan data: SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST plan

SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST 401k Plan overview

Plan Name	SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST
Plan identification number	002

SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

CHEYENNE COUNTY HOSPITAL ASSOCIATION, INC has sponsored the creation of one or more 401k plans.

Company Name: CHEYENNE COUNTY HOSPITAL ASSOCIATION, INC

Employer identification number (EIN): 470408242

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2021-01-01 PAM TYSON 2022-10-17
002 2020-01-01 CATHY ARTERBURN 2021-10-12
002 2019-01-01 CATHY ARTERBURN 2020-10-01
002 2018-01-01 CATHY ARTERBURN 2019-10-10
002 2017-01-01
002 2016-01-01
002 2015-01-01
002 2014-01-01
002 2013-01-01
002 2012-01-01 KELLY UTLEY
002 2011-01-01 KELLY UTLEY
002 2010-01-01 KELLY UTLEY
002 2009-01-01 KELLY UTLEY

Plan Statistics for SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST

401k plan membership statisitcs for SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST

Measure Date Value
2021: SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST 2021 401k membership
Total participants, beginning-of-year 2021-01-01 427
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 372
Number of other retired or separated participants entitled to future benefits 2021-01-01 48
Total of all active and inactive participants 2021-01-01 420
Total participants 2021-01-01 420
Number of participants with account balances 2021-01-01 299
2020: SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST 2020 401k membership
Total participants, beginning-of-year 2020-01-01 421
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 372
Number of other retired or separated participants entitled to future benefits 2020-01-01 48
Total of all active and inactive participants 2020-01-01 420
Total participants 2020-01-01 420
Number of participants with account balances 2020-01-01 298
2019: SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST 2019 401k membership
Total participants, beginning-of-year 2019-01-01 419
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 385
Number of other retired or separated participants entitled to future benefits 2019-01-01 36
Total of all active and inactive participants 2019-01-01 421
Total participants 2019-01-01 421
Number of participants with account balances 2019-01-01 290
2018: SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST 2018 401k membership
Total participants, beginning-of-year 2018-01-01 409
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 383
Number of other retired or separated participants entitled to future benefits 2018-01-01 36
Total of all active and inactive participants 2018-01-01 419
Total participants 2018-01-01 419
Number of participants with account balances 2018-01-01 277
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST 2017 401k membership
Total participants, beginning-of-year 2017-01-01 432
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 377
Number of other retired or separated participants entitled to future benefits 2017-01-01 32
Total of all active and inactive participants 2017-01-01 409
Total participants 2017-01-01 409
Number of participants with account balances 2017-01-01 266
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 6
2016: SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST 2016 401k membership
Total participants, beginning-of-year 2016-01-01 438
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 400
Number of other retired or separated participants entitled to future benefits 2016-01-01 32
Total of all active and inactive participants 2016-01-01 432
Total participants 2016-01-01 432
Number of participants with account balances 2016-01-01 266
2015: SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST 2015 401k membership
Total participants, beginning-of-year 2015-01-01 416
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 410
Number of other retired or separated participants entitled to future benefits 2015-01-01 28
Total of all active and inactive participants 2015-01-01 438
Total participants 2015-01-01 438
Number of participants with account balances 2015-01-01 259
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 1
2014: SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST 2014 401k membership
Total participants, beginning-of-year 2014-01-01 379
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 385
Number of other retired or separated participants entitled to future benefits 2014-01-01 31
Total of all active and inactive participants 2014-01-01 416
Total participants 2014-01-01 416
Number of participants with account balances 2014-01-01 239
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 7
2013: SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST 2013 401k membership
Total participants, beginning-of-year 2013-01-01 373
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 349
Number of other retired or separated participants entitled to future benefits 2013-01-01 30
Total of all active and inactive participants 2013-01-01 379
Total participants 2013-01-01 379
Number of participants with account balances 2013-01-01 231
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 4
2012: SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST 2012 401k membership
Total participants, beginning-of-year 2012-01-01 362
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 343
Number of other retired or separated participants entitled to future benefits 2012-01-01 30
Total of all active and inactive participants 2012-01-01 373
Total participants 2012-01-01 373
Number of participants with account balances 2012-01-01 197
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 6
2011: SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST 2011 401k membership
Total participants, beginning-of-year 2011-01-01 263
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 302
Number of other retired or separated participants entitled to future benefits 2011-01-01 33
Total of all active and inactive participants 2011-01-01 335
Total participants 2011-01-01 335
Number of participants with account balances 2011-01-01 179
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 7
2010: SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST 2010 401k membership
Total participants, beginning-of-year 2010-01-01 312
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 235
Number of other retired or separated participants entitled to future benefits 2010-01-01 28
Total of all active and inactive participants 2010-01-01 263
Total participants 2010-01-01 263
Number of participants with account balances 2010-01-01 166
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 4
2009: SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST 2009 401k membership
Total participants, beginning-of-year 2009-01-01 292
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 269
Number of retired or separated participants receiving benefits 2009-01-01 1
Number of other retired or separated participants entitled to future benefits 2009-01-01 42
Total of all active and inactive participants 2009-01-01 312
Total participants 2009-01-01 312
Number of participants with account balances 2009-01-01 176
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 9

Measure	Date	Value
2021: SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST 2021 401k membership
Total participants, beginning-of-year	2021-01-01	427
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	372
Number of other retired or separated participants entitled to future benefits	2021-01-01	48
Total of all active and inactive participants	2021-01-01	420
Total participants	2021-01-01	420
Number of participants with account balances	2021-01-01	299
2020: SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST 2020 401k membership
Total participants, beginning-of-year	2020-01-01	421
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	372
Number of other retired or separated participants entitled to future benefits	2020-01-01	48
Total of all active and inactive participants	2020-01-01	420
Total participants	2020-01-01	420
Number of participants with account balances	2020-01-01	298
2019: SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST 2019 401k membership
Total participants, beginning-of-year	2019-01-01	419
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	385
Number of other retired or separated participants entitled to future benefits	2019-01-01	36
Total of all active and inactive participants	2019-01-01	421
Total participants	2019-01-01	421
Number of participants with account balances	2019-01-01	290
2018: SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST 2018 401k membership
Total participants, beginning-of-year	2018-01-01	409
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	383
Number of other retired or separated participants entitled to future benefits	2018-01-01	36
Total of all active and inactive participants	2018-01-01	419
Total participants	2018-01-01	419
Number of participants with account balances	2018-01-01	277
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST 2017 401k membership
Total participants, beginning-of-year	2017-01-01	432
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	377
Number of other retired or separated participants entitled to future benefits	2017-01-01	32
Total of all active and inactive participants	2017-01-01	409
Total participants	2017-01-01	409
Number of participants with account balances	2017-01-01	266
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	6
2016: SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST 2016 401k membership
Total participants, beginning-of-year	2016-01-01	438
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	400
Number of other retired or separated participants entitled to future benefits	2016-01-01	32
Total of all active and inactive participants	2016-01-01	432
Total participants	2016-01-01	432
Number of participants with account balances	2016-01-01	266
2015: SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST 2015 401k membership
Total participants, beginning-of-year	2015-01-01	416
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	410
Number of other retired or separated participants entitled to future benefits	2015-01-01	28
Total of all active and inactive participants	2015-01-01	438
Total participants	2015-01-01	438
Number of participants with account balances	2015-01-01	259
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	1
2014: SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST 2014 401k membership
Total participants, beginning-of-year	2014-01-01	379
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	385
Number of other retired or separated participants entitled to future benefits	2014-01-01	31
Total of all active and inactive participants	2014-01-01	416
Total participants	2014-01-01	416
Number of participants with account balances	2014-01-01	239
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	7
2013: SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST 2013 401k membership
Total participants, beginning-of-year	2013-01-01	373
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	349
Number of other retired or separated participants entitled to future benefits	2013-01-01	30
Total of all active and inactive participants	2013-01-01	379
Total participants	2013-01-01	379
Number of participants with account balances	2013-01-01	231
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	4
2012: SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST 2012 401k membership
Total participants, beginning-of-year	2012-01-01	362
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	343
Number of other retired or separated participants entitled to future benefits	2012-01-01	30
Total of all active and inactive participants	2012-01-01	373
Total participants	2012-01-01	373
Number of participants with account balances	2012-01-01	197
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	6
2011: SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST 2011 401k membership
Total participants, beginning-of-year	2011-01-01	263
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	302
Number of other retired or separated participants entitled to future benefits	2011-01-01	33
Total of all active and inactive participants	2011-01-01	335
Total participants	2011-01-01	335
Number of participants with account balances	2011-01-01	179
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	7
2010: SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST 2010 401k membership
Total participants, beginning-of-year	2010-01-01	312
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	235
Number of other retired or separated participants entitled to future benefits	2010-01-01	28
Total of all active and inactive participants	2010-01-01	263
Total participants	2010-01-01	263
Number of participants with account balances	2010-01-01	166
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	4
2009: SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST 2009 401k membership
Total participants, beginning-of-year	2009-01-01	292
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	269
Number of retired or separated participants receiving benefits	2009-01-01	1
Number of other retired or separated participants entitled to future benefits	2009-01-01	42
Total of all active and inactive participants	2009-01-01	312
Total participants	2009-01-01	312
Number of participants with account balances	2009-01-01	176
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	9

Financial Data on SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST

Measure	Date	Value
2021 : SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST 2021 401k financial data
Total income from all sources (including contributions)	2021-12-31	$6,614,425
Total of all expenses incurred	2021-12-31	$2,851,240
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$2,790,260
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$2,937,145
Value of total assets at end of year	2021-12-31	$30,461,833
Value of total assets at beginning of year	2021-12-31	$26,698,648
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$60,980
Total interest from all sources	2021-12-31	$40,157
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$40,189
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$40,189
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
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$1,528,542
Participant contributions at end of year	2021-12-31	$473,517
Participant contributions at beginning of year	2021-12-31	$339,658
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$563,755
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	$3,763,185
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$30,461,833
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$26,698,648
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	$7,795,844
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$7,250,063
Interest on participant loans	2021-12-31	$16,986
Interest earned on other investments	2021-12-31	$23,171
Value of interest in common/collective trusts at end of year	2021-12-31	$20,026,889
Value of interest in common/collective trusts at beginning of year	2021-12-31	$17,639,684
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$2,165,583
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$1,469,243
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$1,169,503
Net investment gain or loss from common/collective trusts	2021-12-31	$2,427,431
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	$844,848
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$2,790,260
Contract administrator fees	2021-12-31	$60,980
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 : SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST 2020 401k financial data
Total income from all sources (including contributions)	2020-12-31	$6,615,471
Total of all expenses incurred	2020-12-31	$1,237,740
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$1,190,680
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$2,496,695
Value of total assets at end of year	2020-12-31	$26,698,648
Value of total assets at beginning of year	2020-12-31	$21,320,917
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$47,060
Total interest from all sources	2020-12-31	$37,270
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$39,405
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$39,405
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
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$1,503,616
Participant contributions at end of year	2020-12-31	$339,658
Participant contributions at beginning of year	2020-12-31	$309,293
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$168,497
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	$5,377,731
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$26,698,648
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$21,320,917
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	$7,250,063
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$6,269,626
Interest on participant loans	2020-12-31	$17,794
Interest earned on other investments	2020-12-31	$19,476
Value of interest in common/collective trusts at end of year	2020-12-31	$17,639,684
Value of interest in common/collective trusts at beginning of year	2020-12-31	$13,894,865
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$1,469,243
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$847,133
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$2,058,964
Net investment gain or loss from common/collective trusts	2020-12-31	$1,983,137
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	$824,582
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$1,190,680
Contract administrator fees	2020-12-31	$47,060
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	Disclaimer
Accountancy firm name	2020-12-31	SEIM JOHNSON, LLP
Accountancy firm EIN	2020-12-31	476097913
2019 : SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST 2019 401k financial data
Total income from all sources (including contributions)	2019-12-31	$6,434,055
Total of all expenses incurred	2019-12-31	$1,321,035
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$1,277,264
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$2,602,346
Value of total assets at end of year	2019-12-31	$21,320,917
Value of total assets at beginning of year	2019-12-31	$16,207,897
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$43,771
Total interest from all sources	2019-12-31	$31,597
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$51,720
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$51,720
Was this plan covered by a fidelity bond	2019-12-31	Yes
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	Yes
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$1,351,565
Participant contributions at end of year	2019-12-31	$309,293
Participant contributions at beginning of year	2019-12-31	$267,960
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$492,081
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	$5,113,020
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$21,320,917
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$16,207,897
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$6,269,626
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$4,709,785
Interest on participant loans	2019-12-31	$17,967
Interest earned on other investments	2019-12-31	$13,630
Value of interest in common/collective trusts at end of year	2019-12-31	$13,894,865
Value of interest in common/collective trusts at beginning of year	2019-12-31	$11,129,157
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$847,133
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$100,995
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$1,490,942
Net investment gain or loss from common/collective trusts	2019-12-31	$2,257,450
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$758,700
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$1,277,264
Contract administrator fees	2019-12-31	$43,771
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	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
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	SEIM JOHNSON, LLP
Accountancy firm EIN	2019-12-31	476097913
2018 : SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST 2018 401k financial data
Total income from all sources (including contributions)	2018-12-31	$1,168,873
Total of all expenses incurred	2018-12-31	$1,315,806
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$1,266,267
Expenses. Certain deemed distributions of participant loans	2018-12-31	$5,017
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$2,037,943
Value of total assets at end of year	2018-12-31	$16,207,897
Value of total assets at beginning of year	2018-12-31	$16,354,830
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$44,522
Total interest from all sources	2018-12-31	$14,561
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$29,360
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$29,360
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$500,000
If this is an individual account plan, was there a blackout period	2018-12-31	Yes
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$1,168,083
Participant contributions at end of year	2018-12-31	$267,960
Participant contributions at beginning of year	2018-12-31	$282,990
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$203,650
Other income not declared elsewhere	2018-12-31	$2,018
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	$-146,933
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$16,207,897
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$16,354,830
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	$4,709,785
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$7,883,364
Interest on participant loans	2018-12-31	$14,071
Interest earned on other investments	2018-12-31	$490
Value of interest in common/collective trusts at end of year	2018-12-31	$11,129,157
Value of interest in common/collective trusts at beginning of year	2018-12-31	$8,188,476
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$100,995
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-243,513
Net investment gain or loss from common/collective trusts	2018-12-31	$-671,496
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	$666,210
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$1,266,267
Contract administrator fees	2018-12-31	$44,522
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	Yes
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	SEIM JOHNSON, LLP
Accountancy firm EIN	2018-12-31	476097913
2017 : SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST 2017 401k financial data
Total income from all sources (including contributions)	2017-12-31	$4,186,651
Total of all expenses incurred	2017-12-31	$594,751
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$572,784
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$1,923,561
Value of total assets at end of year	2017-12-31	$16,354,830
Value of total assets at beginning of year	2017-12-31	$12,762,930
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$21,967
Total interest from all sources	2017-12-31	$12,068
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$72,382
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$72,382
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
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$1,142,454
Participant contributions at end of year	2017-12-31	$282,990
Participant contributions at beginning of year	2017-12-31	$237,806
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$66,699
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	$3,591,900
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$16,354,830
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$12,762,930
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$7,883,364
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$6,149,216
Interest on participant loans	2017-12-31	$12,068
Value of interest in common/collective trusts at end of year	2017-12-31	$8,188,476
Value of interest in common/collective trusts at beginning of year	2017-12-31	$6,375,908
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$1,202,882
Net investment gain or loss from common/collective trusts	2017-12-31	$975,758
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	$714,408
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$572,784
Contract administrator fees	2017-12-31	$21,967
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	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	SEIM JOHNSON, LLP
Accountancy firm EIN	2017-12-31	476097913
2016 : SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST 2016 401k financial data
Total income from all sources (including contributions)	2016-12-31	$3,064,920
Total of all expenses incurred	2016-12-31	$684,227
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$650,639
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$2,158,647
Value of total assets at end of year	2016-12-31	$12,762,930
Value of total assets at beginning of year	2016-12-31	$10,382,237
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$33,588
Total interest from all sources	2016-12-31	$8,945
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$71,650
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$71,650
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$500,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$1,093,715
Participant contributions at end of year	2016-12-31	$237,806
Participant contributions at beginning of year	2016-12-31	$232,257
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$399,047
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	$2,380,693
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$12,762,930
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$10,382,237
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 registered invesment companies (eg mutual funds) at end of year	2016-12-31	$6,149,216
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$9,517,109
Interest on participant loans	2016-12-31	$8,945
Value of interest in common/collective trusts at end of year	2016-12-31	$6,375,908
Value of interest in common/collective trusts at beginning of year	2016-12-31	$632,871
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$560,729
Net investment gain or loss from common/collective trusts	2016-12-31	$264,949
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	$665,885
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$650,639
Contract administrator fees	2016-12-31	$33,588
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	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	SEIM JOHNSON, LLP
Accountancy firm EIN	2016-12-31	476097913
2015 : SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST 2015 401k financial data
Total income from all sources (including contributions)	2015-12-31	$1,546,019
Total of all expenses incurred	2015-12-31	$1,690,477
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$1,650,737
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$1,598,561
Value of total assets at end of year	2015-12-31	$10,382,237
Value of total assets at beginning of year	2015-12-31	$10,526,695
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$39,740
Total interest from all sources	2015-12-31	$7,434
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$95,548
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$95,548
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
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$1,014,610
Participant contributions at end of year	2015-12-31	$232,257
Participant contributions at beginning of year	2015-12-31	$105,757
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$21,282
Total non interest bearing cash at beginning of year	2015-12-31	$174
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	$-144,458
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$10,382,237
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$10,526,695
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 registered invesment companies (eg mutual funds) at end of year	2015-12-31	$9,517,109
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$9,733,859
Interest on participant loans	2015-12-31	$7,434
Value of interest in common/collective trusts at end of year	2015-12-31	$632,871
Value of interest in common/collective trusts at beginning of year	2015-12-31	$686,905
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-165,835
Net investment gain or loss from common/collective trusts	2015-12-31	$10,311
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	$562,669
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$1,650,737
Contract administrator fees	2015-12-31	$39,740
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	SEIM JOHNSON, LLP
Accountancy firm EIN	2015-12-31	476097913
2014 : SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST 2014 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$1,510
Total income from all sources (including contributions)	2014-12-31	$2,025,959
Total of all expenses incurred	2014-12-31	$812,139
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$772,801
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$1,414,639
Value of total assets at end of year	2014-12-31	$10,526,695
Value of total assets at beginning of year	2014-12-31	$9,314,385
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$39,338
Total interest from all sources	2014-12-31	$4,092
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$109,801
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$109,801
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
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$907,886
Participant contributions at end of year	2014-12-31	$105,757
Participant contributions at beginning of year	2014-12-31	$110,469
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$6,545
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2014-12-31	$1,510
Total non interest bearing cash at end of year	2014-12-31	$174
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	$1,213,820
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$10,526,695
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$9,312,875
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 registered invesment companies (eg mutual funds) at end of year	2014-12-31	$9,733,859
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$8,431,411
Interest on participant loans	2014-12-31	$4,092
Value of interest in common/collective trusts at end of year	2014-12-31	$686,905
Value of interest in common/collective trusts at beginning of year	2014-12-31	$771,349
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$487,892
Net investment gain or loss from common/collective trusts	2014-12-31	$9,535
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	$500,208
Employer contributions (assets) at beginning of year	2014-12-31	$1,156
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$772,801
Contract administrator fees	2014-12-31	$39,338
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	SEIM JOHNSON, LLP
Accountancy firm EIN	2014-12-31	476097913
2013 : SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$1,510
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$32,423
Total income from all sources (including contributions)	2013-12-31	$2,736,370
Total of all expenses incurred	2013-12-31	$1,276,645
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$1,257,475
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$1,315,075
Value of total assets at end of year	2013-12-31	$9,314,385
Value of total assets at beginning of year	2013-12-31	$7,885,573
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$19,170
Total interest from all sources	2013-12-31	$4,630
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$84,693
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$84,693
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
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$794,013
Participant contributions at end of year	2013-12-31	$110,469
Participant contributions at beginning of year	2013-12-31	$102,677
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$27,655
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2013-12-31	$1,510
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2013-12-31	$32,423
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	$1,459,725
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$9,312,875
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$7,853,150
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 registered invesment companies (eg mutual funds) at end of year	2013-12-31	$8,431,411
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$6,350,456
Interest on participant loans	2013-12-31	$4,630
Value of interest in common/collective trusts at end of year	2013-12-31	$771,349
Value of interest in common/collective trusts at beginning of year	2013-12-31	$1,080,941
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$1,320,611
Net investment gain or loss from common/collective trusts	2013-12-31	$11,361
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	Yes
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	$493,407
Employer contributions (assets) at end of year	2013-12-31	$1,156
Employer contributions (assets) at beginning of year	2013-12-31	$351,499
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$1,257,475
Contract administrator fees	2013-12-31	$19,170
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	SEIM JOHNSON, LLP
Accountancy firm EIN	2013-12-31	476097913
2012 : SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$32,423
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$28,094
Total income from all sources (including contributions)	2012-12-31	$1,712,875
Total of all expenses incurred	2012-12-31	$707,592
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$668,836
Value of total corrective distributions	2012-12-31	$30,913
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$1,040,077
Value of total assets at end of year	2012-12-31	$7,885,573
Value of total assets at beginning of year	2012-12-31	$6,875,961
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$7,843
Total interest from all sources	2012-12-31	$3,332
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$83,355
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$83,355
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
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$659,339
Participant contributions at end of year	2012-12-31	$102,677
Participant contributions at beginning of year	2012-12-31	$74,597
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$30,887
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2012-12-31	$32,423
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2012-12-31	$28,094
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	$1,005,283
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$7,853,150
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$6,847,867
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$6,350,456
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$5,259,362
Interest on participant loans	2012-12-31	$3,332
Value of interest in common/collective trusts at end of year	2012-12-31	$1,080,941
Value of interest in common/collective trusts at beginning of year	2012-12-31	$1,214,151
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$569,434
Net investment gain or loss from common/collective trusts	2012-12-31	$16,677
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	$349,851
Employer contributions (assets) at end of year	2012-12-31	$351,499
Employer contributions (assets) at beginning of year	2012-12-31	$327,851
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$668,836
Contract administrator fees	2012-12-31	$7,843
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	SEIM JOHNSON, LLP
Accountancy firm EIN	2012-12-31	476097913
2011 : SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$28,094
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$33,219
Total income from all sources (including contributions)	2011-12-31	$892,851
Total of all expenses incurred	2011-12-31	$505,296
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$471,353
Value of total corrective distributions	2011-12-31	$26,582
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$877,998
Value of total assets at end of year	2011-12-31	$6,875,961
Value of total assets at beginning of year	2011-12-31	$6,493,531
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$7,361
Total interest from all sources	2011-12-31	$2,649
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$64,093
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$64,093
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
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$561,165
Participant contributions at end of year	2011-12-31	$74,597
Participant contributions at beginning of year	2011-12-31	$85,799
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2011-12-31	$28,094
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2011-12-31	$33,219
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	$387,555
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$6,847,867
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$6,460,312
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	$5,259,362
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$4,654,490
Interest on participant loans	2011-12-31	$2,649
Value of interest in common/collective trusts at end of year	2011-12-31	$1,214,151
Value of interest in common/collective trusts at beginning of year	2011-12-31	$1,473,005
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-109,596
Net investment gain or loss from common/collective trusts	2011-12-31	$57,707
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	Yes
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	$316,833
Employer contributions (assets) at end of year	2011-12-31	$327,851
Employer contributions (assets) at beginning of year	2011-12-31	$280,237
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$471,353
Contract administrator fees	2011-12-31	$7,361
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	SEIM JOHNSON, LLP
Accountancy firm EIN	2011-12-31	476097913
2010 : SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST 2010 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$33,219
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$1,510
Total income from all sources (including contributions)	2010-12-31	$1,353,065
Total of all expenses incurred	2010-12-31	$522,623
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$516,689
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$833,637
Value of total assets at end of year	2010-12-31	$6,493,531
Value of total assets at beginning of year	2010-12-31	$5,631,380
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$5,934
Total interest from all sources	2010-12-31	$3,947
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$6,221
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$6,221
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
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$519,992
Participant contributions at end of year	2010-12-31	$85,799
Participant contributions at beginning of year	2010-12-31	$63,502
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$33,408
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2010-12-31	$33,219
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2010-12-31	$1,510
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	$830,442
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$6,460,312
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$5,629,870
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
Investment advisory and management fees	2010-12-31	$5,934
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$4,654,490
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$4,361,199
Interest on participant loans	2010-12-31	$3,947
Value of interest in common/collective trusts at end of year	2010-12-31	$1,473,005
Value of interest in common/collective trusts at beginning of year	2010-12-31	$919,786
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$477,203
Net investment gain or loss from common/collective trusts	2010-12-31	$32,057
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	$280,237
Employer contributions (assets) at end of year	2010-12-31	$280,237
Employer contributions (assets) at beginning of year	2010-12-31	$286,893
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$516,689
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
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	SEIM JOHNSON, LLP
Accountancy firm EIN	2010-12-31	476097913

Form 5500 Responses for SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST

2021: SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST 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: SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST 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: SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST 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: SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST 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: SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: SIDNEY REGIONAL MEDICAL CENTER SALARY REDUCTION PLAN & TRUST 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 – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

613953

Policy instance

Insurance contract or identification number	613953
Number of Individuals Covered	420
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

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

613953

Policy instance

Insurance contract or identification number	613953
Number of Individuals Covered	420
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

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

613953

Policy instance

Insurance contract or identification number	613953
Number of Individuals Covered	421
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

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

613953

Policy instance

Insurance contract or identification number	613953
Number of Individuals Covered	419
Insurance policy start date	2018-09-01
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

Was this data useful?

If you found the data here useful, PLEASE HELP US. We are a start-up and believe in making information freely available. By linking to us, posting on twitter, facebook and linkedin about us and generally spreading the word, you'll help us to grow. Our vision is to provide high quality data about the activities of all the companies in the world and where possible make it free to use and view. Finding and integrating data from thousands of data sources is time consuming and needs lots of effort. By simply spreading the word about us, you will help us. Please use the share buttons. It will only take a few seconds of your time. Thanks for helping

Information Disclaimer

The information provided on this website is not advice, endorsement or recommendation
The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
You are free to use the information for your own personal research on the understanding to do so is at your own risk.

See full terms and conditions

Company Name:	CHEYENNE COUNTY HOSPITAL ASSOCIATION, INC
Employer identification number (EIN):	470408242
NAIC Classification:	622000
NAIC Description:	Hospitals

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
002	2021-01-01	PAM TYSON	2022-10-17
002	2020-01-01	CATHY ARTERBURN	2021-10-12
002	2019-01-01	CATHY ARTERBURN	2020-10-01
002	2018-01-01	CATHY ARTERBURN	2019-10-10
002	2017-01-01
002	2016-01-01
002	2015-01-01
002	2014-01-01
002	2013-01-01
002	2012-01-01	KELLY UTLEY
002	2011-01-01	KELLY UTLEY
002	2010-01-01	KELLY UTLEY
002	2009-01-01	KELLY UTLEY