401k Plan data: BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN plan

BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN
Plan identification number	001

BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

BUCHANAN GENERAL HOSPITAL has sponsored the creation of one or more 401k plans.

Company Name: BUCHANAN GENERAL HOSPITAL

Employer identification number (EIN): 540895648

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01
001 2021-01-01
001 2021-01-01
001 2020-01-01 TERESA V. COLEMAN 2021-10-07 TERESA V. COLEMAN 2021-10-07
001 2020-01-01 TERESA V. COLEMAN 2021-10-07 TERESA V. COLEMAN 2021-10-07
001 2019-01-01 TERESA V. COLEMAN 2020-10-14 TERESA V. COLEMAN 2020-10-14
001 2018-01-01
001 2017-01-01 TERESA COLEMAN
001 2016-01-01 WANDA STILTNER
001 2015-01-01 WANDA STILTNER
001 2014-01-01 WANDA STILTNER
001 2013-01-01 WANDA STILTNER WANDA STILTNER 2014-08-22
001 2012-01-01 WANDA STILTNER WANDA STILTNER 2013-10-11
001 2011-01-01 WANDA STILTNER WANDA STILTNER 2012-10-08
001 2010-01-01 WANDA STILTNER WANDA STILTNER 2011-10-13
001 2009-01-01 WANDA STILTNER

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01
001	2021-01-01
001	2021-01-01
001	2020-01-01	TERESA V. COLEMAN	2021-10-07	TERESA V. COLEMAN	2021-10-07
001	2020-01-01	TERESA V. COLEMAN	2021-10-07	TERESA V. COLEMAN	2021-10-07
001	2019-01-01	TERESA V. COLEMAN	2020-10-14	TERESA V. COLEMAN	2020-10-14
001	2018-01-01
001	2017-01-01	TERESA COLEMAN
001	2016-01-01	WANDA STILTNER
001	2015-01-01	WANDA STILTNER
001	2014-01-01	WANDA STILTNER
001	2013-01-01	WANDA STILTNER		WANDA STILTNER	2014-08-22
001	2012-01-01	WANDA STILTNER		WANDA STILTNER	2013-10-11
001	2011-01-01	WANDA STILTNER		WANDA STILTNER	2012-10-08
001	2010-01-01	WANDA STILTNER		WANDA STILTNER	2011-10-13
001	2009-01-01	WANDA STILTNER

Plan Statistics for BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN

Measure Date Value
2022: BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 297
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 217
Number of retired or separated participants receiving benefits 2022-01-01 11
Number of other retired or separated participants entitled to future benefits 2022-01-01 61
Total of all active and inactive participants 2022-01-01 289
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 289
Number of participants with account balances 2022-01-01 196
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 2
2021: BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 281
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 199
Number of retired or separated participants receiving benefits 2021-01-01 9
Number of other retired or separated participants entitled to future benefits 2021-01-01 61
Total of all active and inactive participants 2021-01-01 269
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 269
Number of participants with account balances 2021-01-01 198
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 4
2020: BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 322
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 208
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 91
Total of all active and inactive participants 2020-01-01 299
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 299
Number of participants with account balances 2020-01-01 233
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 2
2019: BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 324
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 227
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 93
Total of all active and inactive participants 2019-01-01 320
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 320
Number of participants with account balances 2019-01-01 244
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 5
2018: BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 319
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 231
Number of other retired or separated participants entitled to future benefits 2018-01-01 95
Total of all active and inactive participants 2018-01-01 326
Total participants 2018-01-01 326
Number of participants with account balances 2018-01-01 261
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 9
2017: BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 334
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 244
Number of other retired or separated participants entitled to future benefits 2017-01-01 74
Total of all active and inactive participants 2017-01-01 318
Total participants 2017-01-01 318
Number of participants with account balances 2017-01-01 269
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 7
2016: BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 322
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 249
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 84
Total of all active and inactive participants 2016-01-01 333
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 333
Number of participants with account balances 2016-01-01 278
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 4
2015: BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 311
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 233
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 84
Total of all active and inactive participants 2015-01-01 317
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 317
Number of participants with account balances 2015-01-01 269
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 9
2014: BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 343
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 242
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 103
Total of all active and inactive participants 2014-01-01 345
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 345
Number of participants with account balances 2014-01-01 318
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 13
2013: BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 342
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 237
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 84
Total of all active and inactive participants 2013-01-01 321
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 321
Number of participants with account balances 2013-01-01 316
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 341
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 242
Number of retired or separated participants receiving benefits 2012-01-01 7
Number of other retired or separated participants entitled to future benefits 2012-01-01 81
Total of all active and inactive participants 2012-01-01 330
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 330
Number of participants with account balances 2012-01-01 308
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 3
2011: BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 381
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 254
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 126
Total of all active and inactive participants 2011-01-01 380
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 380
Number of participants with account balances 2011-01-01 354
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 392
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 274
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 142
Total of all active and inactive participants 2010-01-01 416
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 416
Number of participants with account balances 2010-01-01 336
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 15
2009: BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 395
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 286
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 87
Total of all active and inactive participants 2009-01-01 373
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 373
Number of participants with account balances 2009-01-01 337
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 23

Measure	Date	Value
2022: BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	297
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	217
Number of retired or separated participants receiving benefits	2022-01-01	11
Number of other retired or separated participants entitled to future benefits	2022-01-01	61
Total of all active and inactive participants	2022-01-01	289
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	289
Number of participants with account balances	2022-01-01	196
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	2
2021: BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	281
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	199
Number of retired or separated participants receiving benefits	2021-01-01	9
Number of other retired or separated participants entitled to future benefits	2021-01-01	61
Total of all active and inactive participants	2021-01-01	269
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	269
Number of participants with account balances	2021-01-01	198
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	4
2020: BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	322
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	208
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	91
Total of all active and inactive participants	2020-01-01	299
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	299
Number of participants with account balances	2020-01-01	233
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	2
2019: BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	324
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	227
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	93
Total of all active and inactive participants	2019-01-01	320
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	320
Number of participants with account balances	2019-01-01	244
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	5
2018: BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	319
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	231
Number of other retired or separated participants entitled to future benefits	2018-01-01	95
Total of all active and inactive participants	2018-01-01	326
Total participants	2018-01-01	326
Number of participants with account balances	2018-01-01	261
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	9
2017: BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	334
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	244
Number of other retired or separated participants entitled to future benefits	2017-01-01	74
Total of all active and inactive participants	2017-01-01	318
Total participants	2017-01-01	318
Number of participants with account balances	2017-01-01	269
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	7
2016: BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	322
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	249
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	84
Total of all active and inactive participants	2016-01-01	333
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	333
Number of participants with account balances	2016-01-01	278
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	4
2015: BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	311
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	233
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	84
Total of all active and inactive participants	2015-01-01	317
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	317
Number of participants with account balances	2015-01-01	269
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	9
2014: BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	343
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	242
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	103
Total of all active and inactive participants	2014-01-01	345
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	345
Number of participants with account balances	2014-01-01	318
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	13
2013: BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	342
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	237
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	84
Total of all active and inactive participants	2013-01-01	321
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	321
Number of participants with account balances	2013-01-01	316
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	341
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	242
Number of retired or separated participants receiving benefits	2012-01-01	7
Number of other retired or separated participants entitled to future benefits	2012-01-01	81
Total of all active and inactive participants	2012-01-01	330
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	330
Number of participants with account balances	2012-01-01	308
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	3
2011: BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	381
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	254
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	126
Total of all active and inactive participants	2011-01-01	380
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	380
Number of participants with account balances	2011-01-01	354
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	392
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	274
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	142
Total of all active and inactive participants	2010-01-01	416
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	416
Number of participants with account balances	2010-01-01	336
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	15
2009: BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	395
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	286
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	87
Total of all active and inactive participants	2009-01-01	373
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	373
Number of participants with account balances	2009-01-01	337
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	23

Financial Data on BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2022 : BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN 2022 401k financial data
Total income from all sources (including contributions)	2022-12-31	$-1,144,891
Total of all expenses incurred	2022-12-31	$437,788
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$368,414
Expenses. Certain deemed distributions of participant loans	2022-12-31	$14,519
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$360,903
Value of total assets at end of year	2022-12-31	$10,861,104
Value of total assets at beginning of year	2022-12-31	$12,443,783
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$54,855
Total interest from all sources	2022-12-31	$1,192
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$0
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$500,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$336,240
Participant contributions at end of year	2022-12-31	$37,636
Participant contributions at beginning of year	2022-12-31	$24,533
Participant contributions at end of year	2022-12-31	$0
Participant contributions at beginning of year	2022-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2022-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2022-12-31	$0
Administrative expenses (other) incurred	2022-12-31	$3,665
Total non interest bearing cash at end of year	2022-12-31	$4,873
Total non interest bearing cash at beginning of year	2022-12-31	$4,292
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	$-1,582,679
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$10,861,104
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$12,443,783
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	$10,703,890
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$11,263,288
Interest on participant loans	2022-12-31	$1,192
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2022-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$114,705
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$1,151,670
Expenses. Payments to insurance carriers foe the provision of benefits	2022-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$22,847
Net investment gain/loss from pooled separate accounts	2022-12-31	$-1,529,833
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	$24,663
Employer contributions (assets) at end of year	2022-12-31	$0
Employer contributions (assets) at beginning of year	2022-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$368,414
Contract administrator fees	2022-12-31	$51,190
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	OWENS CPA & ASSOCIATES
Accountancy firm EIN	2022-12-31	541781508
2021 : BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN 2021 401k financial data
Total income from all sources (including contributions)	2021-12-31	$1,526,438
Total of all expenses incurred	2021-12-31	$1,081,884
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$1,023,720
Expenses. Certain deemed distributions of participant loans	2021-12-31	$2,676
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$374,389
Value of total assets at end of year	2021-12-31	$12,443,783
Value of total assets at beginning of year	2021-12-31	$11,999,229
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$55,488
Total interest from all sources	2021-12-31	$1,109
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$0
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	$340,679
Participant contributions at end of year	2021-12-31	$24,533
Participant contributions at beginning of year	2021-12-31	$193,852
Participant contributions at end of year	2021-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$15,030
Value of other receiveables (less allowance for doubtful accounts) at end of year	2021-12-31	$0
Administrative expenses (other) incurred	2021-12-31	$2,114
Total non interest bearing cash at end of year	2021-12-31	$4,292
Total non interest bearing cash at beginning of year	2021-12-31	$8,890
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	$444,554
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$12,443,783
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$11,999,229
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	$11,263,288
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$10,113,730
Interest on participant loans	2021-12-31	$1,109
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2021-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$1,151,670
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$1,682,757
Expenses. Payments to insurance carriers foe the provision of benefits	2021-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$54,379
Net investment gain/loss from pooled separate accounts	2021-12-31	$1,096,561
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	$18,680
Employer contributions (assets) at end of year	2021-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$1,023,720
Contract administrator fees	2021-12-31	$53,374
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	Disclaimer
Accountancy firm name	2021-12-31	OWENS CPA & ASSOCIATES
Accountancy firm EIN	2021-12-31	541781508
2020 : BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total income from all sources (including contributions)	2020-12-31	$1,678,087
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$1,614,302
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$1,551,904
Value of total corrective distributions	2020-12-31	$15,478
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$371,175
Value of total assets at end of year	2020-12-31	$11,999,229
Value of total assets at beginning of year	2020-12-31	$11,935,444
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$46,920
Total interest from all sources	2020-12-31	$3,700
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$4,000,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$349,487
Participant contributions at end of year	2020-12-31	$193,852
Participant contributions at beginning of year	2020-12-31	$236,251
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$1,469
Administrative expenses (other) incurred	2020-12-31	$0
Total non interest bearing cash at end of year	2020-12-31	$8,890
Total non interest bearing cash at beginning of year	2020-12-31	$9,159
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	$63,785
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$11,999,229
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$11,935,444
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
Investment advisory and management fees	2020-12-31	$4,520
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$10,113,730
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$8,880,213
Interest on participant loans	2020-12-31	$3,381
Interest earned on other investments	2020-12-31	$319
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$1,682,757
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$2,809,821
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$51,990
Net investment gain/loss from pooled separate accounts	2020-12-31	$1,251,222
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	$20,219
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$1,551,904
Contract administrator fees	2020-12-31	$42,400
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	OWENS CPA & ASSOCIATES
Accountancy firm EIN	2020-12-31	541781508
2019 : BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$2,135,267
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$1,427,414
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$1,408,938
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$513,336
Value of total assets at end of year	2019-12-31	$11,935,444
Value of total assets at beginning of year	2019-12-31	$11,227,591
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$18,476
Total interest from all sources	2019-12-31	$82,138
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$4,000,000
If this is an individual account plan, was there a blackout period	2019-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$373,819
Participant contributions at end of year	2019-12-31	$236,251
Participant contributions at beginning of year	2019-12-31	$164,164
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$114,861
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2019-12-31	$0
Administrative expenses (other) incurred	2019-12-31	$0
Total non interest bearing cash at end of year	2019-12-31	$9,159
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	$707,853
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$11,935,444
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$11,227,591
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
Investment advisory and management fees	2019-12-31	$1,795
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$8,880,213
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$6,791,774
Interest on participant loans	2019-12-31	$9,260
Interest earned on other investments	2019-12-31	$72,878
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$2,809,821
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$4,271,653
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$817,310
Net investment gain/loss from pooled separate accounts	2019-12-31	$722,483
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	$24,656
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$1,408,938
Contract administrator fees	2019-12-31	$16,681
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	OWENS CPA & ASSOCIATES
Accountancy firm EIN	2019-12-31	541781508
2018 : BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN 2018 401k financial data
Total income from all sources (including contributions)	2018-12-31	$658
Total of all expenses incurred	2018-12-31	$976,453
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$980,065
Expenses. Certain deemed distributions of participant loans	2018-12-31	$-3,612
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$460,563
Value of total assets at end of year	2018-12-31	$11,227,591
Value of total assets at beginning of year	2018-12-31	$12,203,386
Total interest from all sources	2018-12-31	$85,970
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	$4,000,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$340,985
Participant contributions at end of year	2018-12-31	$164,164
Participant contributions at beginning of year	2018-12-31	$113,681
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$95,633
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	$-975,795
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$11,227,591
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$12,203,386
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	$6,791,774
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$7,600,505
Interest on participant loans	2018-12-31	$4,083
Interest earned on other investments	2018-12-31	$81,887
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$4,271,653
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$4,489,200
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-545,875
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	$23,945
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$980,065
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	OWENS CPA & ASSOCIATES
Accountancy firm EIN	2018-12-31	541781508
2017 : BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources (including contributions)	2017-12-31	$1,539,368
Total of all expenses incurred	2017-12-31	$596,090
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$557,041
Expenses. Certain deemed distributions of participant loans	2017-12-31	$37,113
Value of total corrective distributions	2017-12-31	$1,946
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$373,062
Value of total assets at end of year	2017-12-31	$12,203,386
Value of total assets at beginning of year	2017-12-31	$11,260,108
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$-10
Total interest from all sources	2017-12-31	$92,208
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	$4,000,000
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	$351,823
Participant contributions at end of year	2017-12-31	$113,681
Participant contributions at beginning of year	2017-12-31	$140,837
Administrative expenses (other) incurred	2017-12-31	$-10
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	$943,278
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$12,203,386
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$11,260,108
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	$7,600,505
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$6,700,097
Interest on participant loans	2017-12-31	$4,792
Interest earned on other investments	2017-12-31	$87,416
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$4,489,200
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$4,419,174
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$1,074,098
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	$21,239
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$557,041
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	OWENS CPA & ASSOCIATES
Accountancy firm EIN	2017-12-31	541781508
2016 : BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$1,175,560
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$1,029,713
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$1,014,218
Expenses. Certain deemed distributions of participant loans	2016-12-31	$12,972
Value of total corrective distributions	2016-12-31	$2,523
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$463,961
Value of total assets at end of year	2016-12-31	$11,260,108
Value of total assets at beginning of year	2016-12-31	$11,114,261
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$0
Total interest from all sources	2016-12-31	$93,389
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$4,000,000
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	$351,132
Participant contributions at end of year	2016-12-31	$140,837
Participant contributions at beginning of year	2016-12-31	$162,793
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$90,188
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	$145,847
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$11,260,108
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$11,114,261
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	$6,700,097
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$6,516,110
Interest on participant loans	2016-12-31	$5,229
Interest earned on other investments	2016-12-31	$88,160
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$4,419,174
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$4,435,358
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$618,210
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	$22,641
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$1,014,218
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	OWENS CPA & ASSOCIATES
Accountancy firm EIN	2016-12-31	541781508
2015 : BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$349,741
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$280,060
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$274,262
Expenses. Certain deemed distributions of participant loans	2015-12-31	$4,166
Value of total corrective distributions	2015-12-31	$1,632
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$363,603
Value of total assets at end of year	2015-12-31	$11,114,261
Value of total assets at beginning of year	2015-12-31	$11,044,580
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$0
Total interest from all sources	2015-12-31	$87,594
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$4,000,000
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	$344,701
Participant contributions at end of year	2015-12-31	$162,793
Participant contributions at beginning of year	2015-12-31	$154,825
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$18,895
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	$69,681
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$11,114,261
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$11,044,580
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	$6,516,110
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$6,884,253
Interest on participant loans	2015-12-31	$5,035
Interest earned on other investments	2015-12-31	$82,559
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$4,435,358
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$4,005,502
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-101,456
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	$7
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$274,262
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	OWENS CPA & ASSOCIATES
Accountancy firm EIN	2015-12-31	541781508
2014 : BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$962,367
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$351,303
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$284,622
Expenses. Certain deemed distributions of participant loans	2014-12-31	$63,922
Value of total corrective distributions	2014-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$348,023
Value of total assets at end of year	2014-12-31	$11,044,580
Value of total assets at beginning of year	2014-12-31	$10,433,516
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$2,759
Total interest from all sources	2014-12-31	$82,500
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$4,000,000
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	$348,023
Participant contributions at end of year	2014-12-31	$154,825
Participant contributions at beginning of year	2014-12-31	$145,944
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$0
Administrative expenses (other) incurred	2014-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$611,064
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$11,044,580
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$10,433,516
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	$6,884,253
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$6,503,204
Interest on participant loans	2014-12-31	$5,776
Interest earned on other investments	2014-12-31	$76,724
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$4,005,502
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$3,784,368
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$531,844
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	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$284,622
Contract administrator fees	2014-12-31	$2,759
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	OWENS CPA & ASSOCIATES
Accountancy firm EIN	2014-12-31	541781508
2013 : BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$1,682,618
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$747,874
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$710,560
Expenses. Certain deemed distributions of participant loans	2013-12-31	$34,506
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$335,967
Value of total assets at end of year	2013-12-31	$10,433,516
Value of total assets at beginning of year	2013-12-31	$9,498,772
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$2,808
Total interest from all sources	2013-12-31	$78,013
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$4,000,000
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	$335,967
Participant contributions at end of year	2013-12-31	$145,944
Participant contributions at beginning of year	2013-12-31	$93,497
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$934,744
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$10,433,516
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$9,498,772
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	$6,503,204
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$5,736,966
Interest on participant loans	2013-12-31	$4,204
Interest earned on other investments	2013-12-31	$73,809
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$3,784,368
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$3,668,309
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$1,268,638
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$710,560
Contract administrator fees	2013-12-31	$2,808
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	OWENS CPA & ASSOCIATES
Accountancy firm EIN	2013-12-31	541781508
2012 : BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$1,122,793
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$457,748
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$445,241
Expenses. Certain deemed distributions of participant loans	2012-12-31	$9,278
Value of total corrective distributions	2012-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$375,717
Value of total assets at end of year	2012-12-31	$9,498,772
Value of total assets at beginning of year	2012-12-31	$8,833,727
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$3,229
Total interest from all sources	2012-12-31	$87,006
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$422
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	$422
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$4,000,000
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	$352,305
Participant contributions at end of year	2012-12-31	$93,497
Participant contributions at beginning of year	2012-12-31	$92,892
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$665,045
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$9,498,772
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$8,833,727
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	$5,736,966
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$5,423,007
Interest on participant loans	2012-12-31	$3,713
Interest earned on other investments	2012-12-31	$83,293
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$3,668,309
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$3,317,828
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$659,648
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	$23,412
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$445,241
Contract administrator fees	2012-12-31	$3,229
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	OWENS CPA & ASSOCIATES
Accountancy firm EIN	2012-12-31	341781508
2011 : BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$590,748
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$552,711
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$485,863
Expenses. Certain deemed distributions of participant loans	2011-12-31	$66,848
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$479,967
Value of total assets at end of year	2011-12-31	$8,833,727
Value of total assets at beginning of year	2011-12-31	$8,795,690
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$0
Total interest from all sources	2011-12-31	$110,483
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$593
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	$593
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$4,000,000
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	$411,599
Participant contributions at end of year	2011-12-31	$92,892
Participant contributions at beginning of year	2011-12-31	$162,054
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$55,704
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	$38,037
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$8,833,727
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$8,795,690
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	$5,423,007
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$5,362,264
Interest on participant loans	2011-12-31	$5,671
Interest earned on other investments	2011-12-31	$104,812
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$3,317,828
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$3,271,372
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-295
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	$12,664
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$485,863
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	OWENS CPA & ASSOCIATES, PC
Accountancy firm EIN	2011-12-31	541781508
2010 : BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$1,177,782
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$218,775
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$185,716
Expenses. Certain deemed distributions of participant loans	2010-12-31	$33,059
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$453,648
Value of total assets at end of year	2010-12-31	$8,795,690
Value of total assets at beginning of year	2010-12-31	$7,836,683
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$0
Total interest from all sources	2010-12-31	$110,991
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$795
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	$795
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$4,000,000
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	$376,706
Participant contributions at end of year	2010-12-31	$162,054
Participant contributions at beginning of year	2010-12-31	$149,049
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	$959,007
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$8,795,690
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$7,836,683
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	$5,362,264
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$4,717,265
Interest on participant loans	2010-12-31	$5,533
Interest earned on other investments	2010-12-31	$105,458
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$3,271,372
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$2,970,369
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$612,348
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	$76,942
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$185,716
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	OWENS CPA & ASSOCIATES, PC
Accountancy firm EIN	2010-12-31	541781508

Form 5500 Responses for BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN

2022: BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING 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: BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	Yes
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: BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	Yes
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – 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: BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING 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 benefit arrangement – Insurance	Yes
2017: BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING 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 benefit arrangement – Insurance	Yes
2016: BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: BUCHANAN GENERAL HOSPITAL 401(K) PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

66322

Policy instance

Insurance contract or identification number	66322
Number of Individuals Covered	92
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $184
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $173
Additional information about fees paid to insurance broker	BROKER COMMISSION
Insurance broker organization code?	3

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

Policy contract number

140725

Policy instance

Insurance contract or identification number	140725
Number of Individuals Covered	285
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $25,632
Total amount of fees paid to insurance company	USD $5,144
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $25,632
Additional information about fees paid to insurance broker	BROKER COMMISSION
Insurance broker organization code?	3
Amount paid for insurance broker fees	5144

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

66322

Policy instance

Insurance contract or identification number	66322
Number of Individuals Covered	98
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $285
Contracts With Unallocated Funds Deposit Administration	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $265
Insurance broker organization code?	3

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

Policy contract number

140725

Policy instance

Insurance contract or identification number	140725
Number of Individuals Covered	211
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $26,467
Total amount of fees paid to insurance company	USD $5,312
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $26,467
Additional information about fees paid to insurance broker	BROKER COMMISSION
Insurance broker organization code?	3
Amount paid for insurance broker fees	5312

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

66322

Policy instance

Insurance contract or identification number	66322
Number of Individuals Covered	106
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $31
Total amount of fees paid to insurance company	USD $0
Contracts With Unallocated Funds Deposit Administration	1
Commission paid to Insurance Broker	USD $31
Insurance broker organization code?	3

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

Policy contract number

140725

Policy instance

Insurance contract or identification number	140725
Number of Individuals Covered	324
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $30,824
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Commission paid to Insurance Broker	USD $21,679
Additional information about fees paid to insurance broker	BROKER COMMISSION
Insurance broker organization code?	3

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

66322

Policy instance

Insurance contract or identification number	66322
Number of Individuals Covered	118
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $214
Total amount of fees paid to insurance company	USD $0
Contracts With Unallocated Funds Deposit Administration	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $154
Insurance broker organization code?	3

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

Policy contract number

140725

Policy instance

Insurance contract or identification number	140725
Number of Individuals Covered	338
Insurance policy start date	2019-08-09
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $46,882
Total amount of fees paid to insurance company	USD $725
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 $27,091
Additional information about fees paid to insurance broker	BROKER COMMISSION
Insurance broker organization code?	3
Amount paid for insurance broker fees	725

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

66322

Policy instance

Insurance contract or identification number	66322
Number of Individuals Covered	262
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $7,323
Contracts With Unallocated Funds Deposit Administration	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,637
Insurance broker organization code?	3

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

66322

Policy instance

Insurance contract or identification number	66322
Number of Individuals Covered	271
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $4,336
Contracts With Unallocated Funds Deposit Administration	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,925
Insurance broker organization code?	3
Insurance broker name	OLEWINK, JUSTIN R

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

66322

Policy instance

Insurance contract or identification number	66322
Number of Individuals Covered	271
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $4,396
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,938
Insurance broker organization code?	3
Insurance broker name	BEUTTEL, MICHAEL H

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

66322

Policy instance

Insurance contract or identification number	66322
Number of Individuals Covered	260
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $4,315
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,845
Insurance broker organization code?	3
Insurance broker name	BEUTTEL, MICHAEL H

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

66322

Policy instance

Insurance contract or identification number	66322
Number of Individuals Covered	306
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $3,649
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,248
Insurance broker organization code?	3
Insurance broker name	UNASSIGNED

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

66322

Policy instance

Insurance contract or identification number	66322
Number of Individuals Covered	304
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $4,645
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,164
Insurance broker organization code?	3
Insurance broker name	TALBOT, CHRISTOPHER T

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

66322

Policy instance

Insurance contract or identification number	66322
Number of Individuals Covered	354
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $6,736
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

66322

Policy instance

Insurance contract or identification number	66322
Number of Individuals Covered	383
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $5,576
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	BUCHANAN GENERAL HOSPITAL
Employer identification number (EIN):	540895648
NAIC Classification:	622000
NAIC Description:	Hospitals