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CONWAY HOSPITAL COMMUNITY SERVICES, INC 401 K PLAN 401k Plan overview

Plan NameCONWAY HOSPITAL COMMUNITY SERVICES, INC 401 K PLAN
Plan identification number 005

CONWAY HOSPITAL COMMUNITY SERVICES, INC 401 K PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

CONWAY HOSPITAL, INC. D/B/A CONWAY MEDICAL CENTER has sponsored the creation of one or more 401k plans.

Company Name:CONWAY HOSPITAL, INC. D/B/A CONWAY MEDICAL CENTER
Employer identification number (EIN):570314381
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CONWAY HOSPITAL COMMUNITY SERVICES, INC 401 K PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0052017-01-01

Plan Statistics for CONWAY HOSPITAL COMMUNITY SERVICES, INC 401 K PLAN

401k plan membership statisitcs for CONWAY HOSPITAL COMMUNITY SERVICES, INC 401 K PLAN

Measure Date Value
2017: CONWAY HOSPITAL COMMUNITY SERVICES, INC 401 K PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01137
Total number of active participants reported on line 7a of the Form 55002017-01-01160
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-015
Total of all active and inactive participants2017-01-01165
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01165
Number of participants with account balances2017-01-0164
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-012

Financial Data on CONWAY HOSPITAL COMMUNITY SERVICES, INC 401 K PLAN

Measure Date Value
2017 : CONWAY HOSPITAL COMMUNITY SERVICES, INC 401 K PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
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$322,437
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$38,774
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$36,648
Expenses. Certain deemed distributions of participant loans2017-12-31$1,908
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$224,015
Value of total assets at end of year2017-12-31$842,457
Value of total assets at beginning of year2017-12-31$558,794
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$218
Total interest from all sources2017-12-31$3,046
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$6,421
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$6,421
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$1,000,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$120,369
Participant contributions at end of year2017-12-31$0
Participant contributions at beginning of year2017-12-31$2,133
Participant contributions at end of year2017-12-31$4,537
Participant contributions at beginning of year2017-12-31$4,320
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$56,296
Administrative expenses (other) incurred2017-12-31$218
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$283,663
Value of net assets at end of year (total assets less liabilities)2017-12-31$842,457
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$558,794
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$572,455
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$470,342
Interest on participant loans2017-12-31$53
Interest earned on other investments2017-12-31$2,993
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$218,115
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$47,205
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$88,955
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31Yes
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$47,350
Employer contributions (assets) at end of year2017-12-31$47,350
Employer contributions (assets) at beginning of year2017-12-31$34,794
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$36,648
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31GRANT THORNTON, LLP
Accountancy firm EIN2017-12-31366055558

Form 5500 Responses for CONWAY HOSPITAL COMMUNITY SERVICES, INC 401 K PLAN

2017: CONWAY HOSPITAL COMMUNITY SERVICES, INC 401 K PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedYes
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number041262
Policy instance 1
Insurance contract or identification number041262
Number of Individuals Covered165
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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