401k Plan data: BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICES, INC. PROFIT SHARING PLAN plan

BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICES, INC. PROFIT SHARING PLAN 401k Plan overview

Plan Name	BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICES, INC. PROFIT SHARING PLAN
Plan identification number	002

BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICES, INC. PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
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.
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

BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICES, INC. has sponsored the creation of one or more 401k plans.

Company Name: BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICES, INC.

Employer identification number (EIN): 570523586

NAIC Classification: 621111
NAIC Description: Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICES, INC. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2021-01-01
002 2020-01-01 LONNIE MCINTEE 2021-08-02
002 2017-06-01
002 2016-06-01
002 2015-06-01
002 2014-06-01
002 2013-06-01
002 2012-06-01 ROLAND J. GARDNER ROLAND J. GARDNER 2014-03-14
002 2011-06-01 ROLAND J. GARDNER ROLAND J. GARDNER 2013-03-15
002 2009-06-01 ROLAND J. GARDNER ROLAND J. GARDNER 2011-03-15

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2021-01-01
002	2020-01-01	LONNIE MCINTEE	2021-08-02
002	2017-06-01
002	2016-06-01
002	2015-06-01
002	2014-06-01
002	2013-06-01
002	2012-06-01	ROLAND J. GARDNER		ROLAND J. GARDNER	2014-03-14
002	2011-06-01	ROLAND J. GARDNER		ROLAND J. GARDNER	2013-03-15
002	2009-06-01	ROLAND J. GARDNER		ROLAND J. GARDNER	2011-03-15

Plan Statistics for BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICES, INC. PROFIT SHARING PLAN

401k plan membership statisitcs for BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICES, INC. PROFIT SHARING PLAN

Measure Date Value
2021: BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICES, INC. PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 245
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 223
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 19
Total of all active and inactive participants 2021-01-01 242
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 242
Number of participants with account balances 2021-01-01 227
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 37
2016: BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICES, INC. PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-06-01 178
Total number of active participants reported on line 7a of the Form 5500 2016-06-01 196
Number of retired or separated participants receiving benefits 2016-06-01 3
Number of other retired or separated participants entitled to future benefits 2016-06-01 0
Total of all active and inactive participants 2016-06-01 199
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-06-01 0
Total participants 2016-06-01 199
Number of participants with account balances 2016-06-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-06-01 0
2015: BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICES, INC. PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-06-01 174
Total number of active participants reported on line 7a of the Form 5500 2015-06-01 176
Number of retired or separated participants receiving benefits 2015-06-01 0
Number of other retired or separated participants entitled to future benefits 2015-06-01 6
Total of all active and inactive participants 2015-06-01 182
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-06-01 0
Total participants 2015-06-01 182
Number of participants with account balances 2015-06-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-06-01 0
2014: BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICES, INC. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-06-01 185
Total number of active participants reported on line 7a of the Form 5500 2014-06-01 177
Number of retired or separated participants receiving benefits 2014-06-01 0
Number of other retired or separated participants entitled to future benefits 2014-06-01 5
Total of all active and inactive participants 2014-06-01 182
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-06-01 1
Total participants 2014-06-01 183
Number of participants with account balances 2014-06-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-06-01 0
2013: BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICES, INC. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-06-01 201
Total number of active participants reported on line 7a of the Form 5500 2013-06-01 186
Number of retired or separated participants receiving benefits 2013-06-01 0
Number of other retired or separated participants entitled to future benefits 2013-06-01 4
Total of all active and inactive participants 2013-06-01 190
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-06-01 1
Total participants 2013-06-01 191
Number of participants with account balances 2013-06-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-06-01 0
2012: BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICES, INC. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-06-01 185
Total number of active participants reported on line 7a of the Form 5500 2012-06-01 188
Number of retired or separated participants receiving benefits 2012-06-01 6
Total of all active and inactive participants 2012-06-01 194
Total participants 2012-06-01 194
Number of participants with account balances 2012-06-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-06-01 0
2011: BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICES, INC. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-06-01 186
Total number of active participants reported on line 7a of the Form 5500 2011-06-01 174
Number of retired or separated participants receiving benefits 2011-06-01 0
Number of other retired or separated participants entitled to future benefits 2011-06-01 5
Total of all active and inactive participants 2011-06-01 179
Total participants 2011-06-01 179
Number of participants with account balances 2011-06-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-06-01 0
2009: BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICES, INC. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-06-01 175
Total number of active participants reported on line 7a of the Form 5500 2009-06-01 161
Total of all active and inactive participants 2009-06-01 161
Total participants 2009-06-01 161
Number of participants with account balances 2009-06-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-06-01 0

Measure	Date	Value
2021: BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICES, INC. PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	245
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	223
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	19
Total of all active and inactive participants	2021-01-01	242
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	242
Number of participants with account balances	2021-01-01	227
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	37
2016: BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICES, INC. PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-06-01	178
Total number of active participants reported on line 7a of the Form 5500	2016-06-01	196
Number of retired or separated participants receiving benefits	2016-06-01	3
Number of other retired or separated participants entitled to future benefits	2016-06-01	0
Total of all active and inactive participants	2016-06-01	199
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-06-01	0
Total participants	2016-06-01	199
Number of participants with account balances	2016-06-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-06-01	0
2015: BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICES, INC. PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-06-01	174
Total number of active participants reported on line 7a of the Form 5500	2015-06-01	176
Number of retired or separated participants receiving benefits	2015-06-01	0
Number of other retired or separated participants entitled to future benefits	2015-06-01	6
Total of all active and inactive participants	2015-06-01	182
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-06-01	0
Total participants	2015-06-01	182
Number of participants with account balances	2015-06-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-06-01	0
2014: BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICES, INC. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-06-01	185
Total number of active participants reported on line 7a of the Form 5500	2014-06-01	177
Number of retired or separated participants receiving benefits	2014-06-01	0
Number of other retired or separated participants entitled to future benefits	2014-06-01	5
Total of all active and inactive participants	2014-06-01	182
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-06-01	1
Total participants	2014-06-01	183
Number of participants with account balances	2014-06-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-06-01	0
2013: BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICES, INC. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-06-01	201
Total number of active participants reported on line 7a of the Form 5500	2013-06-01	186
Number of retired or separated participants receiving benefits	2013-06-01	0
Number of other retired or separated participants entitled to future benefits	2013-06-01	4
Total of all active and inactive participants	2013-06-01	190
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-06-01	1
Total participants	2013-06-01	191
Number of participants with account balances	2013-06-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-06-01	0
2012: BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICES, INC. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-06-01	185
Total number of active participants reported on line 7a of the Form 5500	2012-06-01	188
Number of retired or separated participants receiving benefits	2012-06-01	6
Total of all active and inactive participants	2012-06-01	194
Total participants	2012-06-01	194
Number of participants with account balances	2012-06-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-06-01	0
2011: BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICES, INC. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-06-01	186
Total number of active participants reported on line 7a of the Form 5500	2011-06-01	174
Number of retired or separated participants receiving benefits	2011-06-01	0
Number of other retired or separated participants entitled to future benefits	2011-06-01	5
Total of all active and inactive participants	2011-06-01	179
Total participants	2011-06-01	179
Number of participants with account balances	2011-06-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-06-01	0
2009: BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICES, INC. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-06-01	175
Total number of active participants reported on line 7a of the Form 5500	2009-06-01	161
Total of all active and inactive participants	2009-06-01	161
Total participants	2009-06-01	161
Number of participants with account balances	2009-06-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-06-01	0

Financial Data on BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICES, INC. PROFIT SHARING PLAN

Measure	Date	Value
2021 : BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICES, INC. PROFIT SHARING PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	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	$562,289
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$49,618
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$48,152
Expenses. Certain deemed distributions of participant loans	2021-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$500,963
Value of total assets at end of year	2021-12-31	$751,504
Value of total assets at beginning of year	2021-12-31	$238,833
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$1,466
Total interest from all sources	2021-12-31	$321
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$100,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$424,670
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$21,416
Other income not declared elsewhere	2021-12-31	$0
Administrative expenses (other) incurred	2021-12-31	$1,466
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	$512,671
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$751,504
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$238,833
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$693,071
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$223,127
Interest on participant loans	2021-12-31	$0
Interest earned on other investments	2021-12-31	$321
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$58,433
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$15,706
Expenses. Payments to insurance carriers foe the provision of benefits	2021-12-31	$0
Net investment gain/loss from pooled separate accounts	2021-12-31	$61,005
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$54,877
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$48,152
Did the plan have assets held for investment	2021-12-31	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	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	PETWAY, MILLS, & PEARSON PA
Accountancy firm EIN	2021-12-31	202102404
2017 : BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICES, INC. PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources (including contributions)	2017-05-31	$2,520
Total of all expenses incurred	2017-05-31	$58,305
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-05-31	$58,305
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-05-31	$0
Value of total assets at end of year	2017-05-31	$23,705
Value of total assets at beginning of year	2017-05-31	$79,490
Total dividends received (eg from common stock, registered investment company shares)	2017-05-31	$820
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-05-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2017-05-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2017-05-31	$820
Was this plan covered by a fidelity bond	2017-05-31	Yes
Value of fidelity bond cover	2017-05-31	$250,000
If this is an individual account plan, was there a blackout period	2017-05-31	No
Were there any nonexempt tranactions with any party-in-interest	2017-05-31	No
Contributions received from participants	2017-05-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2017-05-31	$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	2017-05-31	No
Income. Non cash contributions	2017-05-31	$0
Value of net income/loss	2017-05-31	$-55,785
Value of net assets at end of year (total assets less liabilities)	2017-05-31	$23,705
Value of net assets at beginning of year (total assets less liabilities)	2017-05-31	$79,490
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-05-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-05-31	No
Were any leases to which the plan was party in default or uncollectible	2017-05-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-05-31	$23,705
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-05-31	$79,490
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-05-31	$1,700
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-05-31	Yes
Was there a failure to transmit to the plan any participant contributions	2017-05-31	No
Has the plan failed to provide any benefit when due under the plan	2017-05-31	No
Contributions received in cash from employer	2017-05-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-05-31	$58,305
Did the plan have assets held for investment	2017-05-31	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	2017-05-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-05-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-05-31	No
Opinion of an independent qualified public accountant for this plan	2017-05-31	Unqualified
Accountancy firm name	2017-05-31	PETWAY, MILLS AND PEARSON, PA
Accountancy firm EIN	2017-05-31	202102404
2016 : BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICES, INC. PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources (including contributions)	2016-05-31	$-904
Value of total assets at end of year	2016-05-31	$79,490
Value of total assets at beginning of year	2016-05-31	$80,394
Total dividends received (eg from common stock, registered investment company shares)	2016-05-31	$3,728
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-05-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-05-31	$3,728
Was this plan covered by a fidelity bond	2016-05-31	Yes
Value of fidelity bond cover	2016-05-31	$250,000
If this is an individual account plan, was there a blackout period	2016-05-31	No
Were there any nonexempt tranactions with any party-in-interest	2016-05-31	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	2016-05-31	No
Value of net income/loss	2016-05-31	$-904
Value of net assets at end of year (total assets less liabilities)	2016-05-31	$79,490
Value of net assets at beginning of year (total assets less liabilities)	2016-05-31	$80,394
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-05-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-05-31	No
Were any leases to which the plan was party in default or uncollectible	2016-05-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-05-31	$79,490
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-05-31	$80,394
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-05-31	$-4,632
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-05-31	No
Was there a failure to transmit to the plan any participant contributions	2016-05-31	No
Has the plan failed to provide any benefit when due under the plan	2016-05-31	No
Did the plan have assets held for investment	2016-05-31	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	2016-05-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-05-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-05-31	No
Opinion of an independent qualified public accountant for this plan	2016-05-31	Unqualified
Accountancy firm name	2016-05-31	PETWAY, MILLS AND PEARSON, PA
Accountancy firm EIN	2016-05-31	202102404
2015 : BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICES, INC. PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources (including contributions)	2015-05-31	$3,884
Value of total assets at end of year	2015-05-31	$80,394
Value of total assets at beginning of year	2015-05-31	$76,510
Total dividends received (eg from common stock, registered investment company shares)	2015-05-31	$4,276
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-05-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-05-31	$4,276
Was this plan covered by a fidelity bond	2015-05-31	Yes
Value of fidelity bond cover	2015-05-31	$250,000
If this is an individual account plan, was there a blackout period	2015-05-31	No
Were there any nonexempt tranactions with any party-in-interest	2015-05-31	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	2015-05-31	No
Value of net income/loss	2015-05-31	$3,884
Value of net assets at end of year (total assets less liabilities)	2015-05-31	$80,394
Value of net assets at beginning of year (total assets less liabilities)	2015-05-31	$76,510
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-05-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-05-31	No
Were any leases to which the plan was party in default or uncollectible	2015-05-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-05-31	$80,394
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-05-31	$76,510
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-05-31	$-392
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-05-31	No
Was there a failure to transmit to the plan any participant contributions	2015-05-31	No
Has the plan failed to provide any benefit when due under the plan	2015-05-31	No
Did the plan have assets held for investment	2015-05-31	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	2015-05-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-05-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-05-31	No
Opinion of an independent qualified public accountant for this plan	2015-05-31	Unqualified
Accountancy firm name	2015-05-31	MCGREGOR & COMPANY, LLP
Accountancy firm EIN	2015-05-31	570292726
2014 : BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICES, INC. PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources (including contributions)	2014-05-31	$8,885
Value of total assets at end of year	2014-05-31	$76,510
Value of total assets at beginning of year	2014-05-31	$67,625
Total dividends received (eg from common stock, registered investment company shares)	2014-05-31	$1,941
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-05-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-05-31	$1,941
Was this plan covered by a fidelity bond	2014-05-31	Yes
Value of fidelity bond cover	2014-05-31	$250,000
If this is an individual account plan, was there a blackout period	2014-05-31	No
Were there any nonexempt tranactions with any party-in-interest	2014-05-31	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	2014-05-31	No
Value of net income/loss	2014-05-31	$8,885
Value of net assets at end of year (total assets less liabilities)	2014-05-31	$76,510
Value of net assets at beginning of year (total assets less liabilities)	2014-05-31	$67,625
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-05-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-05-31	No
Were any leases to which the plan was party in default or uncollectible	2014-05-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-05-31	$76,510
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-05-31	$67,625
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-05-31	$6,944
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-05-31	No
Was there a failure to transmit to the plan any participant contributions	2014-05-31	No
Has the plan failed to provide any benefit when due under the plan	2014-05-31	No
Did the plan have assets held for investment	2014-05-31	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	2014-05-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-05-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-05-31	No
Opinion of an independent qualified public accountant for this plan	2014-05-31	Unqualified
Accountancy firm name	2014-05-31	MCGREGOR & COMPANY, LLP
Accountancy firm EIN	2014-05-31	570292726
2013 : BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICES, INC. PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources (including contributions)	2013-05-31	$10,016
Value of total assets at end of year	2013-05-31	$67,625
Value of total assets at beginning of year	2013-05-31	$57,609
Total dividends received (eg from common stock, registered investment company shares)	2013-05-31	$1,214
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-05-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-05-31	$1,214
Was this plan covered by a fidelity bond	2013-05-31	Yes
Value of fidelity bond cover	2013-05-31	$250,000
If this is an individual account plan, was there a blackout period	2013-05-31	Yes
Were there any nonexempt tranactions with any party-in-interest	2013-05-31	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	2013-05-31	No
Value of net income/loss	2013-05-31	$10,016
Value of net assets at end of year (total assets less liabilities)	2013-05-31	$67,625
Value of net assets at beginning of year (total assets less liabilities)	2013-05-31	$57,609
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-05-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-05-31	No
Were any leases to which the plan was party in default or uncollectible	2013-05-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-05-31	$67,625
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-05-31	$57,609
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-05-31	$8,802
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-05-31	No
Was there a failure to transmit to the plan any participant contributions	2013-05-31	No
Has the plan failed to provide any benefit when due under the plan	2013-05-31	No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2013-05-31	Yes
Did the plan have assets held for investment	2013-05-31	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	2013-05-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-05-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-05-31	No
Opinion of an independent qualified public accountant for this plan	2013-05-31	Unqualified
Accountancy firm name	2013-05-31	MCGREGOR & COMPANY, LLP
Accountancy firm EIN	2013-05-31	570292726
2012 : BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICES, INC. PROFIT SHARING PLAN 2012 401k financial data
Total transfer of assets to this plan	2012-05-31	$10,316
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-05-31	$0
Total income from all sources (including contributions)	2012-05-31	$-2,224
Value of total assets at end of year	2012-05-31	$57,609
Value of total assets at beginning of year	2012-05-31	$49,517
Total dividends received (eg from common stock, registered investment company shares)	2012-05-31	$791
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-05-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-05-31	$791
Was this plan covered by a fidelity bond	2012-05-31	Yes
Value of fidelity bond cover	2012-05-31	$250,000
If this is an individual account plan, was there a blackout period	2012-05-31	No
Were there any nonexempt tranactions with any party-in-interest	2012-05-31	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	2012-05-31	No
Value of net income/loss	2012-05-31	$-2,224
Value of net assets at end of year (total assets less liabilities)	2012-05-31	$57,609
Value of net assets at beginning of year (total assets less liabilities)	2012-05-31	$49,517
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-05-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-05-31	No
Were any leases to which the plan was party in default or uncollectible	2012-05-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-05-31	$57,609
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-05-31	$49,517
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-05-31	$-3,015
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-05-31	No
Was there a failure to transmit to the plan any participant contributions	2012-05-31	No
Has the plan failed to provide any benefit when due under the plan	2012-05-31	No
Did the plan have assets held for investment	2012-05-31	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	2012-05-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-05-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-05-31	No
Opinion of an independent qualified public accountant for this plan	2012-05-31	Unqualified
Accountancy firm name	2012-05-31	MCGREGOR & COMPANY, LLP
Accountancy firm EIN	2012-05-31	570292726
2011 : BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICES, INC. PROFIT SHARING PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-05-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-05-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-05-31	$0
Total income from all sources (including contributions)	2011-05-31	$49,517
Total loss/gain on sale of assets	2011-05-31	$0
Total of all expenses incurred	2011-05-31	$0
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-05-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-05-31	$47,385
Value of total assets at end of year	2011-05-31	$49,517
Value of total assets at beginning of year	2011-05-31	$0
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-05-31	$0
Total interest from all sources	2011-05-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2011-05-31	$197
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-05-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-05-31	$197
Was this plan covered by a fidelity bond	2011-05-31	Yes
Value of fidelity bond cover	2011-05-31	$250,000
If this is an individual account plan, was there a blackout period	2011-05-31	No
Were there any nonexempt tranactions with any party-in-interest	2011-05-31	No
Income. Received or receivable in cash from other sources (including rollovers)	2011-05-31	$47,385
Total non interest bearing cash at beginning of year	2011-05-31	$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	2011-05-31	No
Value of net income/loss	2011-05-31	$49,517
Value of net assets at end of year (total assets less liabilities)	2011-05-31	$49,517
Value of net assets at beginning of year (total assets less liabilities)	2011-05-31	$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-05-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-05-31	No
Were any leases to which the plan was party in default or uncollectible	2011-05-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-05-31	$49,517
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-05-31	$1,935
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-05-31	No
Was there a failure to transmit to the plan any participant contributions	2011-05-31	No
Has the plan failed to provide any benefit when due under the plan	2011-05-31	No
Assets. Invements in employer securities at beginning of year	2011-05-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2011-05-31	$0
Did the plan have assets held for investment	2011-05-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-05-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-05-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-05-31	No
Opinion of an independent qualified public accountant for this plan	2011-05-31	Unqualified
Accountancy firm name	2011-05-31	MCGREGOR & COMPANY, LLP
Accountancy firm EIN	2011-05-31	570292726

Form 5500 Responses for BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICES, INC. PROFIT SHARING PLAN

2021: BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICES, INC. PROFIT SHARING PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	Yes
2021-01-01	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 benefit arrangement – Insurance	Yes
2016: BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICES, INC. PROFIT SHARING PLAN 2016 form 5500 responses
2016-06-01	Type of plan entity	Single employer plan
2016-06-01	Submission has been amended	No
2016-06-01	This submission is the final filing	No
2016-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-06-01	Plan is a collectively bargained plan	No
2016-06-01	Plan funding arrangement – Trust	Yes
2016-06-01	Plan benefit arrangement - Trust	Yes
2015: BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICES, INC. PROFIT SHARING PLAN 2015 form 5500 responses
2015-06-01	Type of plan entity	Single employer plan
2015-06-01	Submission has been amended	No
2015-06-01	This submission is the final filing	No
2015-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-06-01	Plan is a collectively bargained plan	No
2015-06-01	Plan funding arrangement – Trust	Yes
2015-06-01	Plan benefit arrangement - Trust	Yes
2014: BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICES, INC. PROFIT SHARING PLAN 2014 form 5500 responses
2014-06-01	Type of plan entity	Single employer plan
2014-06-01	Submission has been amended	No
2014-06-01	This submission is the final filing	No
2014-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-06-01	Plan is a collectively bargained plan	No
2014-06-01	Plan funding arrangement – Trust	Yes
2014-06-01	Plan benefit arrangement - Trust	Yes
2013: BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICES, INC. PROFIT SHARING PLAN 2013 form 5500 responses
2013-06-01	Type of plan entity	Single employer plan
2013-06-01	Submission has been amended	No
2013-06-01	This submission is the final filing	No
2013-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-06-01	Plan is a collectively bargained plan	No
2013-06-01	Plan funding arrangement – Trust	Yes
2013-06-01	Plan benefit arrangement - Trust	Yes
2012: BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICES, INC. PROFIT SHARING PLAN 2012 form 5500 responses
2012-06-01	Type of plan entity	Single employer plan
2012-06-01	Submission has been amended	No
2012-06-01	This submission is the final filing	No
2012-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-06-01	Plan is a collectively bargained plan	No
2012-06-01	Plan funding arrangement – Trust	Yes
2012-06-01	Plan benefit arrangement - Trust	Yes
2011: BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICES, INC. PROFIT SHARING PLAN 2011 form 5500 responses
2011-06-01	Type of plan entity	Single employer plan
2011-06-01	Submission has been amended	No
2011-06-01	This submission is the final filing	No
2011-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-06-01	Plan is a collectively bargained plan	No
2011-06-01	Plan funding arrangement – Trust	Yes
2011-06-01	Plan benefit arrangement - Trust	Yes
2009: BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICES, INC. PROFIT SHARING PLAN 2009 form 5500 responses
2009-06-01	Type of plan entity	Single employer plan
2009-06-01	Submission has been amended	No
2009-06-01	This submission is the final filing	No
2009-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-06-01	Plan is a collectively bargained plan	No
2009-06-01	Plan funding arrangement – Trust	Yes
2009-06-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

062132

Policy instance

Insurance contract or identification number	062132
Number of Individuals Covered	0
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $2,095
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	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	2095
Additional information about fees paid to insurance broker	INCENTIVE COMPENSATION
Insurance broker organization code?	3

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

062132H

Policy instance

Insurance contract or identification number	062132H
Number of Individuals Covered	242
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with 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	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICES, INC.
Employer identification number (EIN):	570523586
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)