401k Plan data: RANDOLPH HOSPITAL INC. TAX DEFERRED ANNUITY SAVINGS PLAN plan

RANDOLPH HOSPITAL INC. TAX DEFERRED ANNUITY SAVINGS PLAN 401k Plan overview

Plan Name	RANDOLPH HOSPITAL INC. TAX DEFERRED ANNUITY SAVINGS PLAN
Plan identification number	002

RANDOLPH HOSPITAL INC. TAX DEFERRED ANNUITY SAVINGS PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

RANDOLPH HOSPITAL, INC. has sponsored the creation of one or more 401k plans.

Company Name: RANDOLPH HOSPITAL, INC.

Employer identification number (EIN): 560530234

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RANDOLPH HOSPITAL INC. TAX DEFERRED ANNUITY SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2022-01-01 LOUIS ROBICHAUX 2023-10-16
002 2020-01-01 LORETTA LONG 2021-10-15
002 2019-01-01 LORETTA LONG 2020-10-16
002 2018-01-01 LORETTA LONG 2019-10-14
002 2017-01-01 LORETTA LONG 2018-10-11 LORETTA LONG 2018-10-11
002 2016-01-01 LORETTA LONG 2017-10-16
002 2016-01-01 LORETTA LONG 2017-11-09
002 2015-01-01 LORETTA LONG 2017-11-09
002 2014-01-01 DEVIN L. GRIFFITH 2015-09-04
002 2013-01-01 DEVIN L. GRIFFITH 2014-10-02
002 2012-01-01 PLAN SPONSOR 2013-07-29
002 2011-01-01 DEVIN L. GRIFFITH DEVIN L. GRIFFITH 2012-10-11
002 2010-01-01 DEVIN GRIFFITH 2011-10-03 LYNWOOD R. WHITE 2011-10-03

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2022-01-01	LOUIS ROBICHAUX	2023-10-16
002	2020-01-01	LORETTA LONG	2021-10-15
002	2019-01-01	LORETTA LONG	2020-10-16
002	2018-01-01	LORETTA LONG	2019-10-14
002	2017-01-01	LORETTA LONG	2018-10-11	LORETTA LONG	2018-10-11
002	2016-01-01	LORETTA LONG	2017-10-16
002	2016-01-01	LORETTA LONG	2017-11-09
002	2015-01-01	LORETTA LONG	2017-11-09
002	2014-01-01	DEVIN L. GRIFFITH	2015-09-04
002	2013-01-01	DEVIN L. GRIFFITH	2014-10-02
002	2012-01-01	PLAN SPONSOR	2013-07-29
002	2011-01-01	DEVIN L. GRIFFITH		DEVIN L. GRIFFITH	2012-10-11
002	2010-01-01	DEVIN GRIFFITH	2011-10-03	LYNWOOD R. WHITE	2011-10-03

Plan Statistics for RANDOLPH HOSPITAL INC. TAX DEFERRED ANNUITY SAVINGS PLAN

401k plan membership statisitcs for RANDOLPH HOSPITAL INC. TAX DEFERRED ANNUITY SAVINGS PLAN

Measure Date Value
2011: RANDOLPH HOSPITAL INC. TAX DEFERRED ANNUITY SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1,356
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 1,305
Number of retired or separated participants receiving benefits 2011-01-01 2
Number of other retired or separated participants entitled to future benefits 2011-01-01 128
Total of all active and inactive participants 2011-01-01 1,435
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 1,435
Number of participants with account balances 2011-01-01 1,171
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0

Measure	Date	Value
2011: RANDOLPH HOSPITAL INC. TAX DEFERRED ANNUITY SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1,356
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1,305
Number of retired or separated participants receiving benefits	2011-01-01	2
Number of other retired or separated participants entitled to future benefits	2011-01-01	128
Total of all active and inactive participants	2011-01-01	1,435
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	1,435
Number of participants with account balances	2011-01-01	1,171
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0

Financial Data on RANDOLPH HOSPITAL INC. TAX DEFERRED ANNUITY SAVINGS PLAN

Measure	Date	Value
2011 : RANDOLPH HOSPITAL INC. TAX DEFERRED ANNUITY SAVINGS 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	$2,948,640
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$1,911,267
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$1,819,009
Expenses. Certain deemed distributions of participant loans	2011-12-31	$5,036
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$2,610,202
Value of total assets at end of year	2011-12-31	$23,277,084
Value of total assets at beginning of year	2011-12-31	$22,239,711
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$87,222
Total interest from all sources	2011-12-31	$19,886
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$616,218
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	$616,218
Administrative expenses professional fees incurred	2011-12-31	$87,222
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$1,930,445
Participant contributions at end of year	2011-12-31	$518,747
Participant contributions at beginning of year	2011-12-31	$427,002
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$138,483
Other income not declared elsewhere	2011-12-31	$54,967
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	$1,037,373
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$23,277,084
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$22,239,711
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	$19,105,132
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$18,446,061
Interest on participant loans	2011-12-31	$19,587
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$1,805,795
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$1,421,837
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$1,421,837
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$299
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$1,847,410
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$1,944,811
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-352,633
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	$541,274
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$1,819,009
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	DIXON HUGHES GOODMAN, LLP
Accountancy firm EIN	2011-12-31	560747981

Form 5500 Responses for RANDOLPH HOSPITAL INC. TAX DEFERRED ANNUITY SAVINGS PLAN

2011: RANDOLPH HOSPITAL INC. TAX DEFERRED ANNUITY SAVINGS PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )

Policy contract number

930400

Policy instance

Insurance contract or identification number	930400
Number of Individuals Covered	157
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $1,851
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
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

Potentially related plans

RANDOLPH HOSPITAL, INC. HEALTH CARE PLAN [EIN = 854354835]

Was this data useful?

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

Information Disclaimer

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

See full terms and conditions

Company Name:	RANDOLPH HOSPITAL, INC.
Employer identification number (EIN):	560530234
NAIC Classification:	622000
NAIC Description:	Hospitals