401k Plan data: RANDOLPH HOSPITAL 403(B) PLAN plan

RANDOLPH HOSPITAL 403(B) PLAN 401k Plan overview

Plan Name	RANDOLPH HOSPITAL 403(B) PLAN
Plan identification number	003

RANDOLPH HOSPITAL 403(B) 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.

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 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2021-01-01
003 2020-01-01
003 2019-01-01
003 2018-01-01
003 2017-01-01 LORETTA LONG LORETTA LONG 2018-10-11
003 2016-01-01 LORETTA LONG LORETTA LONG 2017-10-13
003 2015-01-01 MURRAY S MARSH MURRAY S MARSH 2016-10-17
003 2014-01-01 DEVIN L. GRIFFITH DEVIN L. GRIFFITH 2015-10-09
003 2013-01-01 DEVIN L. GRIFFITH DEVIN L. GRIFFITH 2014-10-15
003 2012-01-01 DEVIN L. GRIFFITH DEVIN L. GRIFFITH 2013-10-10

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
003	2021-01-01
003	2020-01-01
003	2019-01-01
003	2018-01-01
003	2017-01-01	LORETTA LONG	LORETTA LONG	2018-10-11
003	2016-01-01	LORETTA LONG	LORETTA LONG	2017-10-13
003	2015-01-01	MURRAY S MARSH	MURRAY S MARSH	2016-10-17
003	2014-01-01	DEVIN L. GRIFFITH	DEVIN L. GRIFFITH	2015-10-09
003	2013-01-01	DEVIN L. GRIFFITH	DEVIN L. GRIFFITH	2014-10-15
003	2012-01-01	DEVIN L. GRIFFITH	DEVIN L. GRIFFITH	2013-10-10

Plan Statistics for RANDOLPH HOSPITAL 403(B) PLAN

401k plan membership statisitcs for RANDOLPH HOSPITAL 403(B) PLAN

Measure Date Value
2021: RANDOLPH HOSPITAL 403(B) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 1,540
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 366
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 471
Total of all active and inactive participants 2021-01-01 837
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 837
Number of participants with account balances 2021-01-01 472
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: RANDOLPH HOSPITAL 403(B) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 1,460
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 1,342
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 198
Total of all active and inactive participants 2020-01-01 1,540
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 1,540
Number of participants with account balances 2020-01-01 1,223
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: RANDOLPH HOSPITAL 403(B) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 1,577
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 1,239
Number of retired or separated participants receiving benefits 2019-01-01 4
Number of other retired or separated participants entitled to future benefits 2019-01-01 217
Total of all active and inactive participants 2019-01-01 1,460
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 1,460
Number of participants with account balances 2019-01-01 1,282
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: RANDOLPH HOSPITAL 403(B) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 1,509
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 1,225
Number of retired or separated participants receiving benefits 2018-01-01 4
Number of other retired or separated participants entitled to future benefits 2018-01-01 348
Total of all active and inactive participants 2018-01-01 1,577
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 1,577
Number of participants with account balances 2018-01-01 1,452
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: RANDOLPH HOSPITAL 403(B) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 1,651
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 1,224
Number of retired or separated participants receiving benefits 2017-01-01 5
Number of other retired or separated participants entitled to future benefits 2017-01-01 280
Total of all active and inactive participants 2017-01-01 1,509
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 1,509
Number of participants with account balances 2017-01-01 1,423
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: RANDOLPH HOSPITAL 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 1,606
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 1,394
Number of retired or separated participants receiving benefits 2016-01-01 4
Number of other retired or separated participants entitled to future benefits 2016-01-01 252
Total of all active and inactive participants 2016-01-01 1,650
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 1
Total participants 2016-01-01 1,651
Number of participants with account balances 2016-01-01 1,395
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: RANDOLPH HOSPITAL 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 1,552
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 1,399
Number of retired or separated participants receiving benefits 2015-01-01 3
Number of other retired or separated participants entitled to future benefits 2015-01-01 204
Total of all active and inactive participants 2015-01-01 1,606
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 1,606
Number of participants with account balances 2015-01-01 1,333
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: RANDOLPH HOSPITAL 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 1,412
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 1,369
Number of retired or separated participants receiving benefits 2014-01-01 3
Number of other retired or separated participants entitled to future benefits 2014-01-01 179
Total of all active and inactive participants 2014-01-01 1,551
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 1,551
Number of participants with account balances 2014-01-01 1,305
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: RANDOLPH HOSPITAL 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1,454
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 1,265
Number of retired or separated participants receiving benefits 2013-01-01 2
Number of other retired or separated participants entitled to future benefits 2013-01-01 145
Total of all active and inactive participants 2013-01-01 1,412
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 1,412
Number of participants with account balances 2013-01-01 1,276
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: RANDOLPH HOSPITAL 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1,438
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1,324
Number of retired or separated participants receiving benefits 2012-01-01 2
Number of other retired or separated participants entitled to future benefits 2012-01-01 127
Total of all active and inactive participants 2012-01-01 1,453
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 1
Total participants 2012-01-01 1,454
Number of participants with account balances 2012-01-01 1,253
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0

Measure	Date	Value
2021: RANDOLPH HOSPITAL 403(B) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	1,540
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	366
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	471
Total of all active and inactive participants	2021-01-01	837
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	837
Number of participants with account balances	2021-01-01	472
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: RANDOLPH HOSPITAL 403(B) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	1,460
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	1,342
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	198
Total of all active and inactive participants	2020-01-01	1,540
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	1,540
Number of participants with account balances	2020-01-01	1,223
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: RANDOLPH HOSPITAL 403(B) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	1,577
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	1,239
Number of retired or separated participants receiving benefits	2019-01-01	4
Number of other retired or separated participants entitled to future benefits	2019-01-01	217
Total of all active and inactive participants	2019-01-01	1,460
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	1,460
Number of participants with account balances	2019-01-01	1,282
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: RANDOLPH HOSPITAL 403(B) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	1,509
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	1,225
Number of retired or separated participants receiving benefits	2018-01-01	4
Number of other retired or separated participants entitled to future benefits	2018-01-01	348
Total of all active and inactive participants	2018-01-01	1,577
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	1,577
Number of participants with account balances	2018-01-01	1,452
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: RANDOLPH HOSPITAL 403(B) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	1,651
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	1,224
Number of retired or separated participants receiving benefits	2017-01-01	5
Number of other retired or separated participants entitled to future benefits	2017-01-01	280
Total of all active and inactive participants	2017-01-01	1,509
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	1,509
Number of participants with account balances	2017-01-01	1,423
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: RANDOLPH HOSPITAL 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	1,606
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	1,394
Number of retired or separated participants receiving benefits	2016-01-01	4
Number of other retired or separated participants entitled to future benefits	2016-01-01	252
Total of all active and inactive participants	2016-01-01	1,650
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	1
Total participants	2016-01-01	1,651
Number of participants with account balances	2016-01-01	1,395
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: RANDOLPH HOSPITAL 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	1,552
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	1,399
Number of retired or separated participants receiving benefits	2015-01-01	3
Number of other retired or separated participants entitled to future benefits	2015-01-01	204
Total of all active and inactive participants	2015-01-01	1,606
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	1,606
Number of participants with account balances	2015-01-01	1,333
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: RANDOLPH HOSPITAL 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	1,412
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	1,369
Number of retired or separated participants receiving benefits	2014-01-01	3
Number of other retired or separated participants entitled to future benefits	2014-01-01	179
Total of all active and inactive participants	2014-01-01	1,551
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	1,551
Number of participants with account balances	2014-01-01	1,305
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: RANDOLPH HOSPITAL 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1,454
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	1,265
Number of retired or separated participants receiving benefits	2013-01-01	2
Number of other retired or separated participants entitled to future benefits	2013-01-01	145
Total of all active and inactive participants	2013-01-01	1,412
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	1,412
Number of participants with account balances	2013-01-01	1,276
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: RANDOLPH HOSPITAL 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1,438
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1,324
Number of retired or separated participants receiving benefits	2012-01-01	2
Number of other retired or separated participants entitled to future benefits	2012-01-01	127
Total of all active and inactive participants	2012-01-01	1,453
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	1
Total participants	2012-01-01	1,454
Number of participants with account balances	2012-01-01	1,253
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0

Financial Data on RANDOLPH HOSPITAL 403(B) PLAN

Measure	Date	Value
2021 : RANDOLPH HOSPITAL 403(B) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total transfer of assets from this plan	2021-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total income from all sources (including contributions)	2021-12-31	$10,180,651
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$63,251,847
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$63,143,407
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$1,925,688
Value of total assets at end of year	2021-12-31	$8,123,429
Value of total assets at beginning of year	2021-12-31	$61,194,625
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$108,440
Total interest from all sources	2021-12-31	$30,486
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$278,079
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2021-12-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$278,079
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2021-12-31	Yes
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$1,361,868
Participant contributions at end of year	2021-12-31	$21,679
Participant contributions at beginning of year	2021-12-31	$622,669
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$218,562
Other income not declared elsewhere	2021-12-31	$-180,855
Administrative expenses (other) incurred	2021-12-31	$12,442
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	$-53,071,196
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$8,123,429
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$61,194,625
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
Investment advisory and management fees	2021-12-31	$1,484
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$6,290,184
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$55,229,875
Value of interest in pooled separate accounts at end of year	2021-12-31	$44,195
Interest on participant loans	2021-12-31	$23,236
Income. Interest from loans (other than to participants)	2021-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2021-12-31	$639,894
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2021-12-31	$4,033,749
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2021-12-31	$4,033,749
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2021-12-31	$7,250
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$1,127,477
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$1,308,332
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$8,089,295
Net investment gain/loss from pooled separate accounts	2021-12-31	$37,958
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	Yes
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	$345,258
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$63,143,407
Contract administrator fees	2021-12-31	$94,514
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2021-12-31	Yes
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	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2021-12-31	410746749
2020 : RANDOLPH HOSPITAL 403(B) 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	$11,524,191
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$4,527,362
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$4,410,479
Expenses. Certain deemed distributions of participant loans	2020-12-31	$25,121
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$3,009,503
Value of total assets at end of year	2020-12-31	$61,194,625
Value of total assets at beginning of year	2020-12-31	$54,197,796
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$91,762
Total interest from all sources	2020-12-31	$55,045
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$1,989,650
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$1,989,650
Administrative expenses professional fees incurred	2020-12-31	$81,394
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$1,000,000
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	$2,381,818
Participant contributions at end of year	2020-12-31	$622,669
Participant contributions at beginning of year	2020-12-31	$876,396
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$20,077
Other income not declared elsewhere	2020-12-31	$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	2020-12-31	No
Value of net income/loss	2020-12-31	$6,996,829
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$61,194,625
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$54,197,796
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	$10,368
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$55,229,875
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$48,423,812
Interest on participant loans	2020-12-31	$45,604
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2020-12-31	$4,033,749
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2020-12-31	$3,533,937
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2020-12-31	$3,533,937
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2020-12-31	$9,441
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$1,308,332
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$1,363,651
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$6,469,993
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	$607,608
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$4,410,479
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	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2020-12-31	410746749
2019 : RANDOLPH HOSPITAL 403(B) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
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 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 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	$12,920,229
Total income from all sources (including contributions)	2019-12-31	$12,920,229
Total loss/gain on sale of assets	2019-12-31	$0
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$5,862,540
Total of all expenses incurred	2019-12-31	$5,862,540
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$5,730,061
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$5,730,061
Expenses. Certain deemed distributions of participant loans	2019-12-31	$18,496
Expenses. Certain deemed distributions of participant loans	2019-12-31	$18,496
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$3,129,586
Value of total assets at end of year	2019-12-31	$54,197,796
Value of total assets at end of year	2019-12-31	$54,197,796
Value of total assets at beginning of year	2019-12-31	$47,140,107
Value of total assets at beginning of year	2019-12-31	$47,140,107
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$113,983
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$113,983
Total interest from all sources	2019-12-31	$105,460
Total interest from all sources	2019-12-31	$105,460
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$2,399,300
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$2,399,300
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$2,399,300
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$2,399,300
Administrative expenses professional fees incurred	2019-12-31	$108,556
Administrative expenses professional fees incurred	2019-12-31	$108,556
Was this plan covered by a fidelity bond	2019-12-31	Yes
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$1,000,000
Value of fidelity bond cover	2019-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$2,416,369
Contributions received from participants	2019-12-31	$2,416,369
Participant contributions at end of year	2019-12-31	$876,396
Participant contributions at end of year	2019-12-31	$876,396
Participant contributions at beginning of year	2019-12-31	$788,499
Participant contributions at beginning of year	2019-12-31	$788,499
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$94,078
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$94,078
Other income not declared elsewhere	2019-12-31	$338
Other income not declared elsewhere	2019-12-31	$338
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$7,057,689
Value of net income/loss	2019-12-31	$7,057,689
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$54,197,796
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$54,197,796
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$47,140,107
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$47,140,107
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Investment advisory and management fees	2019-12-31	$5,427
Investment advisory and management fees	2019-12-31	$5,427
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$48,423,812
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$48,423,812
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$42,366,078
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$42,366,078
Interest on participant loans	2019-12-31	$45,847
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-12-31	$3,533,937
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-12-31	$3,533,937
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-12-31	$2,610,816
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-12-31	$2,610,816
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-12-31	$2,610,816
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-12-31	$2,610,816
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-12-31	$59,613
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-12-31	$59,613
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$1,363,651
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$1,363,651
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$1,374,714
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$1,374,714
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$7,285,545
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$7,285,545
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$619,139
Contributions received in cash from employer	2019-12-31	$619,139
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$5,730,061
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$5,730,061
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	CLIFTONLARSONALLEN LLP
Accountancy firm name	2019-12-31	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2019-12-31	410746749
Accountancy firm EIN	2019-12-31	410746749
2018 : RANDOLPH HOSPITAL 403(B) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$1,494
Total income from all sources (including contributions)	2018-12-31	$1,135,281
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$2,751,404
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$2,638,281
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$2,958,189
Value of total assets at end of year	2018-12-31	$47,140,107
Value of total assets at beginning of year	2018-12-31	$48,757,724
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$113,123
Total interest from all sources	2018-12-31	$72,311
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$2,653,164
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$2,653,164
Administrative expenses professional fees incurred	2018-12-31	$11,816
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$2,483,202
Participant contributions at end of year	2018-12-31	$788,499
Participant contributions at beginning of year	2018-12-31	$718,330
Participant contributions at end of year	2018-12-31	$0
Participant contributions at beginning of year	2018-12-31	$82,137
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$61,785
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2018-12-31	$1,494
Administrative expenses (other) incurred	2018-12-31	$101,307
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	$-1,616,123
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$47,140,107
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$48,756,230
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	$42,366,078
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$43,707,241
Interest on participant loans	2018-12-31	$36,933
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2018-12-31	$2,610,816
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2018-12-31	$2,868,802
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2018-12-31	$2,868,802
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2018-12-31	$35,378
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$1,374,714
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$1,352,322
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-4,548,383
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	$413,202
Employer contributions (assets) at end of year	2018-12-31	$0
Employer contributions (assets) at beginning of year	2018-12-31	$28,892
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$2,638,281
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	CLIFTON LARSON ALLEN, LLP
Accountancy firm EIN	2018-12-31	410746749
2017 : RANDOLPH HOSPITAL 403(B) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$1,494
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$10,773,238
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$2,958,180
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$2,867,669
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$3,550,351
Value of total assets at end of year	2017-12-31	$48,757,724
Value of total assets at beginning of year	2017-12-31	$40,941,172
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$90,511
Total interest from all sources	2017-12-31	$42,961
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$2,295,375
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$2,295,375
Administrative expenses professional fees incurred	2017-12-31	$90,511
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$2,402,964
Participant contributions at end of year	2017-12-31	$718,330
Participant contributions at beginning of year	2017-12-31	$595,436
Participant contributions at end of year	2017-12-31	$82,137
Participant contributions at beginning of year	2017-12-31	$80,107
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$100,867
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2017-12-31	$1,494
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	$7,815,058
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$48,756,230
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$40,941,172
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	$43,707,241
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$36,002,134
Interest on participant loans	2017-12-31	$27,325
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2017-12-31	$2,868,802
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2017-12-31	$2,881,064
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2017-12-31	$2,881,064
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-12-31	$15,636
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$1,352,322
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$1,356,274
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$4,884,551
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	$1,046,520
Employer contributions (assets) at end of year	2017-12-31	$28,892
Employer contributions (assets) at beginning of year	2017-12-31	$26,157
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$2,867,669
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	CLIFTON LARSON ALLEN
Accountancy firm EIN	2017-12-31	410746749
2016 : RANDOLPH HOSPITAL 403(B) 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	$5,690,427
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$2,785,339
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$2,686,059
Expenses. Certain deemed distributions of participant loans	2016-12-31	$10,435
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$3,149,551
Value of total assets at end of year	2016-12-31	$40,941,172
Value of total assets at beginning of year	2016-12-31	$38,036,084
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$88,845
Total interest from all sources	2016-12-31	$30,638
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$1,207,580
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$1,207,580
Administrative expenses professional fees incurred	2016-12-31	$88,269
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$2,274,179
Participant contributions at end of year	2016-12-31	$595,436
Participant contributions at beginning of year	2016-12-31	$720,238
Participant contributions at end of year	2016-12-31	$80,107
Participant contributions at beginning of year	2016-12-31	$76,493
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$152,041
Other income not declared elsewhere	2016-12-31	$40,249
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$2,905,088
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$40,941,172
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$38,036,084
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
Investment advisory and management fees	2016-12-31	$576
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$36,002,134
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$33,374,368
Interest on participant loans	2016-12-31	$28,038
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-12-31	$2,881,064
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-12-31	$2,405,886
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-12-31	$2,405,886
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-12-31	$2,600
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$1,356,274
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$1,435,252
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$1,262,409
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	$723,331
Employer contributions (assets) at end of year	2016-12-31	$26,157
Employer contributions (assets) at beginning of year	2016-12-31	$23,847
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$2,686,059
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	CLIFTON LARSON ALLEN
Accountancy firm EIN	2016-12-31	410746749
2015 : RANDOLPH HOSPITAL 403(B) 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	$3,509,735
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$3,373,098
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$3,237,478
Expenses. Certain deemed distributions of participant loans	2015-12-31	$45,899
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$3,189,109
Value of total assets at end of year	2015-12-31	$38,036,084
Value of total assets at beginning of year	2015-12-31	$37,899,447
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$89,721
Total interest from all sources	2015-12-31	$32,544
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$1,794,302
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$1,794,302
Administrative expenses professional fees incurred	2015-12-31	$89,721
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$2,406,302
Participant contributions at end of year	2015-12-31	$720,238
Participant contributions at beginning of year	2015-12-31	$789,802
Participant contributions at end of year	2015-12-31	$76,493
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$50,633
Other income not declared elsewhere	2015-12-31	$42,515
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	$136,637
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$38,036,084
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$37,899,447
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	$33,374,368
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$33,273,370
Interest on participant loans	2015-12-31	$32,289
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$2,405,886
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$2,373,538
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$2,373,538
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-12-31	$255
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$1,435,252
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$1,462,737
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-1,548,735
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	$732,174
Employer contributions (assets) at end of year	2015-12-31	$23,847
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$3,237,478
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	CLIFTON LARSON ALLEN
Accountancy firm EIN	2015-12-31	410746749
2014 : RANDOLPH HOSPITAL 403(B) 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	$5,107,154
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$2,146,774
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$2,048,398
Expenses. Certain deemed distributions of participant loans	2014-12-31	$11,300
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$3,070,746
Value of total assets at end of year	2014-12-31	$37,899,447
Value of total assets at beginning of year	2014-12-31	$34,939,067
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$87,076
Total interest from all sources	2014-12-31	$32,131
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$2,148,168
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$2,148,168
Administrative expenses professional fees incurred	2014-12-31	$87,076
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$2,231,698
Participant contributions at end of year	2014-12-31	$789,802
Participant contributions at beginning of year	2014-12-31	$779,371
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$164,628
Other income not declared elsewhere	2014-12-31	$48,808
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	$2,960,380
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$37,899,447
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$34,939,067
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	$33,273,370
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$29,501,354
Interest on participant loans	2014-12-31	$31,865
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$2,373,538
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$2,926,112
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$2,926,112
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-12-31	$266
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$1,462,737
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$1,732,230
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$-192,699
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	$674,420
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$2,048,398
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	CLIFTON LARSON ALLEN
Accountancy firm EIN	2014-12-31	410746749
2013 : RANDOLPH HOSPITAL 403(B) 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	$9,230,017
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$1,669,980
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$1,571,595
Expenses. Certain deemed distributions of participant loans	2013-12-31	$16,690
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$3,324,018
Value of total assets at end of year	2013-12-31	$34,939,067
Value of total assets at beginning of year	2013-12-31	$27,379,030
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$81,695
Total interest from all sources	2013-12-31	$27,627
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$915,639
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$915,639
Administrative expenses professional fees incurred	2013-12-31	$81,695
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$2,226,653
Participant contributions at end of year	2013-12-31	$779,371
Participant contributions at beginning of year	2013-12-31	$563,709
Participant contributions at beginning of year	2013-12-31	$182
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$627,139
Other income not declared elsewhere	2013-12-31	$53,289
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	$7,560,037
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$34,939,067
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$27,379,030
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	$29,501,354
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$22,750,385
Interest on participant loans	2013-12-31	$27,367
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$2,926,112
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$2,262,863
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$2,262,863
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-31	$260
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$1,732,230
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$1,801,804
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$4,909,444
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$470,226
Employer contributions (assets) at beginning of year	2013-12-31	$87
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$1,571,595
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	CLIFTON LARSON ALLEN
Accountancy firm EIN	2013-12-31	410746749
2012 : RANDOLPH HOSPITAL 403(B) 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	$5,633,193
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$1,531,247
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$1,434,924
Expenses. Certain deemed distributions of participant loans	2012-12-31	$8,038
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$2,752,818
Value of total assets at end of year	2012-12-31	$27,379,030
Value of total assets at beginning of year	2012-12-31	$23,277,084
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$88,285
Total interest from all sources	2012-12-31	$22,788
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$561,297
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	$561,297
Administrative expenses professional fees incurred	2012-12-31	$88,285
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$2,073,290
Participant contributions at end of year	2012-12-31	$563,709
Participant contributions at beginning of year	2012-12-31	$518,747
Participant contributions at end of year	2012-12-31	$182
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$81,662
Other income not declared elsewhere	2012-12-31	$54,274
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	$4,101,946
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$27,379,030
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$23,277,084
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	$22,750,385
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$19,105,132
Interest on participant loans	2012-12-31	$22,484
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$2,262,863
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$1,805,795
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$1,805,795
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$304
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$1,801,804
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$1,847,410
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$2,242,016
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	$597,866
Employer contributions (assets) at end of year	2012-12-31	$87
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$1,434,924
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	DIXON HUGHES GOODMAN, LLP
Accountancy firm EIN	2012-12-31	560747981

Form 5500 Responses for RANDOLPH HOSPITAL 403(B) PLAN

2021: RANDOLPH HOSPITAL 403(B) 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	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
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: RANDOLPH HOSPITAL 403(B) PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
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: RANDOLPH HOSPITAL 403(B) 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: RANDOLPH HOSPITAL 403(B) PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: RANDOLPH HOSPITAL 403(B) PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: RANDOLPH HOSPITAL 403(B) 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 funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: RANDOLPH HOSPITAL 403(B) 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 funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: RANDOLPH HOSPITAL 403(B) 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 funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: RANDOLPH HOSPITAL 403(B) 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 funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: RANDOLPH HOSPITAL 403(B) 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 funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	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	104
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $145
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	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
Amount paid for insurance broker fees	145
Additional information about fees paid to insurance broker	TO PROVIDE ASSET ALLOCATION ADVICE AND REBALANCING SERVICES
Insurance broker organization code?	3

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	104
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $132
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	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
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	132
Additional information about fees paid to insurance broker	TO PROVIDE ASSET ALLOCATION ADVICE AND REBALANCING SERVICES FOR PLAN PARTICIPANT WHO ELECTED TO RECEIVE
Insurance broker organization code?	3

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	104
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $130
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	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
Amount paid for insurance broker fees	130
Additional information about fees paid to insurance broker	TO PROVIDE ASSET ALLOCATION ADVICE AND REBALANCING SERVICES FOR PLAN PARTICIPANT WHO ELECTED TO RECEIVE
Insurance broker organization code?	3

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

Policy contract number

930400

Policy instance

Insurance contract or identification number	930400
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $2,377
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	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
Amount paid for insurance broker fees	2377
Additional information about fees paid to insurance broker	TO PROVIDE ASSET ALLOCATION ADVICE AND REBALANCING SERVICES FOR PLAN PARTICIPANT WHO ELECTED TO RECEIVE
Insurance broker organization code?	3

METLIFE INVESTORS (National Association of Insurance Commissioners NAIC id number: 80950 )

Policy contract number

930400

Policy instance

Insurance contract or identification number	930400
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	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
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Insurance broker name	METLIFE INVESTORS DISTRIBUTION CO.

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

Policy contract number

930400

Policy instance

Insurance contract or identification number	930400
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $650
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	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
Amount paid for insurance broker fees	650
Additional information about fees paid to insurance broker	TO PROVIDE ASSET ALLOCATION ADVICE AND REBALANCING SERVICES FOR PLAN PARTICIPANT WHO ELECTED TO RECEIVE
Insurance broker organization code?	3
Insurance broker name	BRIGHTHOUSE SECURITIES, LLC

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

Policy contract number

930400

Policy instance

Insurance contract or identification number	930400
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $1,439
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
Amount paid for insurance broker fees	1439
Additional information about fees paid to insurance broker	TO PROVIDE ASSET ALLOCATION ADVICE AND REBALANCING SERVICES FOR PLAN PARTICIPANTS.
Insurance broker organization code?	3
Insurance broker name	METLIFE SECURITIES, INC.

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

Policy contract number

930400

Policy instance

Insurance contract or identification number	930400
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $1,641
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
Amount paid for insurance broker fees	1641
Additional information about fees paid to insurance broker	TO PROVIDE ASSET ALLOCATION ADVICE AND REBALANCING SERVICES FOR PLAN PARTICIPANTS.
Insurance broker organization code?	3
Insurance broker name	METLIFE SECURITIES, INC.

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

Policy contract number

930400

Policy instance

Insurance contract or identification number	930400
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $1,755
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
Amount paid for insurance broker fees	1755
Additional information about fees paid to insurance broker	TO PROVIDE ASSET ALLOCATION ADVICE AND REBALANCING SERVICES FOR PLAN PARTICIPANTS.
Insurance broker organization code?	3
Insurance broker name	METLIFE SECURITIES, INC.

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

Policy contract number

930400

Policy instance

Insurance contract or identification number	930400
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $1,811
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
Amount paid for insurance broker fees	1811
Additional information about fees paid to insurance broker	TO PROVIDE ASSET ALLOCATION ADVICE AND REBALANCING SERVICES FOR PLAN PARTICIPANTS.
Insurance broker organization code?	3
Insurance broker name	METLIFE SECURITIES, INC.

Potentially related plans

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

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