401k Plan data: TY COBB HEALTHCARE SYSTEM, INC. TAX SHELTERED ANNUITY PLAN AND TRUST plan

TY COBB HEALTHCARE SYSTEM, INC. TAX SHELTERED ANNUITY PLAN AND TRUST 401k Plan overview

Plan Name	TY COBB HEALTHCARE SYSTEM, INC. TAX SHELTERED ANNUITY PLAN AND TRUST
Plan identification number	001

TY COBB HEALTHCARE SYSTEM, INC. TAX SHELTERED ANNUITY PLAN AND TRUST 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.
Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

TY COBB HEALTHCARE SYSTEM, INC. has sponsored the creation of one or more 401k plans.

Company Name: TY COBB HEALTHCARE SYSTEM, INC.

Employer identification number (EIN): 580633978

NAIC Classification: 541990
NAIC Description: All Other Professional, Scientific, and Technical Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TY COBB HEALTHCARE SYSTEM, INC. TAX SHELTERED ANNUITY PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 MATT MCREE 2023-10-02
001 2021-01-01 MATT MCREE 2022-06-03
001 2020-01-01
001 2019-01-01
001 2018-01-01
001 2017-01-01
001 2017-01-01
001 2016-01-01
001 2016-01-01 MATT MCREE 2017-07-27
001 2015-01-01 MATT MCREE
001 2014-01-01 LAUREN PAPKA
001 2013-01-01 LAUREN PAPKA
001 2012-01-01 J. STEVEN BARBER
001 2011-01-01 J. STEVEN BARBER
001 2009-01-01 J. STEVEN BARBER

Plan Statistics for TY COBB HEALTHCARE SYSTEM, INC. TAX SHELTERED ANNUITY PLAN AND TRUST

401k plan membership statisitcs for TY COBB HEALTHCARE SYSTEM, INC. TAX SHELTERED ANNUITY PLAN AND TRUST

Measure Date Value
2017: TY COBB HEALTHCARE SYSTEM, INC. TAX SHELTERED ANNUITY PLAN AND TRUST 2017 401k membership
Total participants, beginning-of-year 2017-01-01 182
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 0
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 0
Number of participants with account balances 2017-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: TY COBB HEALTHCARE SYSTEM, INC. TAX SHELTERED ANNUITY PLAN AND TRUST 2016 401k membership
Total participants, beginning-of-year 2016-01-01 707
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 437
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 260
Total of all active and inactive participants 2016-01-01 697
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 697
Number of participants with account balances 2016-01-01 182
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: TY COBB HEALTHCARE SYSTEM, INC. TAX SHELTERED ANNUITY PLAN AND TRUST 2015 401k membership
Total participants, beginning-of-year 2015-01-01 668
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 432
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 236
Total of all active and inactive participants 2015-01-01 668
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 668
Number of participants with account balances 2015-01-01 355
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: TY COBB HEALTHCARE SYSTEM, INC. TAX SHELTERED ANNUITY PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year 2014-01-01 982
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 432
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 236
Total of all active and inactive participants 2014-01-01 668
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 668
Number of participants with account balances 2014-01-01 355
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 17
2013: TY COBB HEALTHCARE SYSTEM, INC. TAX SHELTERED ANNUITY PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year 2013-01-01 921
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 841
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 119
Total of all active and inactive participants 2013-01-01 960
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 960
Number of participants with account balances 2013-01-01 355
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 6
2012: TY COBB HEALTHCARE SYSTEM, INC. TAX SHELTERED ANNUITY PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year 2012-01-01 943
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 820
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 81
Total of all active and inactive participants 2012-01-01 901
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 901
Number of participants with account balances 2012-01-01 330
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 4
2011: TY COBB HEALTHCARE SYSTEM, INC. TAX SHELTERED ANNUITY PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year 2011-01-01 803
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 772
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 42
Total of all active and inactive participants 2011-01-01 814
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 814
Number of participants with account balances 2011-01-01 309
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 2
2009: TY COBB HEALTHCARE SYSTEM, INC. TAX SHELTERED ANNUITY PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year 2009-01-01 834
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 816
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 18
Total of all active and inactive participants 2009-01-01 834
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 834
Number of participants with account balances 2009-01-01 281
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 2

Measure	Date	Value
2017: TY COBB HEALTHCARE SYSTEM, INC. TAX SHELTERED ANNUITY PLAN AND TRUST 2017 401k membership
Total participants, beginning-of-year	2017-01-01	182
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	0
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	0
Number of participants with account balances	2017-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: TY COBB HEALTHCARE SYSTEM, INC. TAX SHELTERED ANNUITY PLAN AND TRUST 2016 401k membership
Total participants, beginning-of-year	2016-01-01	707
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	437
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	260
Total of all active and inactive participants	2016-01-01	697
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	697
Number of participants with account balances	2016-01-01	182
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: TY COBB HEALTHCARE SYSTEM, INC. TAX SHELTERED ANNUITY PLAN AND TRUST 2015 401k membership
Total participants, beginning-of-year	2015-01-01	668
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	432
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	236
Total of all active and inactive participants	2015-01-01	668
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	668
Number of participants with account balances	2015-01-01	355
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: TY COBB HEALTHCARE SYSTEM, INC. TAX SHELTERED ANNUITY PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year	2014-01-01	982
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	432
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	236
Total of all active and inactive participants	2014-01-01	668
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	668
Number of participants with account balances	2014-01-01	355
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	17
2013: TY COBB HEALTHCARE SYSTEM, INC. TAX SHELTERED ANNUITY PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year	2013-01-01	921
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	841
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	119
Total of all active and inactive participants	2013-01-01	960
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	960
Number of participants with account balances	2013-01-01	355
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	6
2012: TY COBB HEALTHCARE SYSTEM, INC. TAX SHELTERED ANNUITY PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year	2012-01-01	943
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	820
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	81
Total of all active and inactive participants	2012-01-01	901
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	901
Number of participants with account balances	2012-01-01	330
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	4
2011: TY COBB HEALTHCARE SYSTEM, INC. TAX SHELTERED ANNUITY PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year	2011-01-01	803
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	772
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	42
Total of all active and inactive participants	2011-01-01	814
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	814
Number of participants with account balances	2011-01-01	309
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	2
2009: TY COBB HEALTHCARE SYSTEM, INC. TAX SHELTERED ANNUITY PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year	2009-01-01	834
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	816
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	18
Total of all active and inactive participants	2009-01-01	834
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	834
Number of participants with account balances	2009-01-01	281
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	2

Financial Data on TY COBB HEALTHCARE SYSTEM, INC. TAX SHELTERED ANNUITY PLAN AND TRUST

Measure	Date	Value
2017 : TY COBB HEALTHCARE SYSTEM, INC. TAX SHELTERED ANNUITY PLAN AND TRUST 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-04-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-04-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-04-30	$0
Total income from all sources (including contributions)	2017-04-30	$147,562
Total loss/gain on sale of assets	2017-04-30	$0
Total of all expenses incurred	2017-04-30	$3,556,998
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-04-30	$3,553,648
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-04-30	$0
Value of total assets at end of year	2017-04-30	$0
Value of total assets at beginning of year	2017-04-30	$3,409,436
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-04-30	$3,350
Total interest from all sources	2017-04-30	$13,951
Total dividends received (eg from common stock, registered investment company shares)	2017-04-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-04-30	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2017-04-30	$0
Administrative expenses professional fees incurred	2017-04-30	$3,350
Was this plan covered by a fidelity bond	2017-04-30	No
If this is an individual account plan, was there a blackout period	2017-04-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-04-30	$0
Were there any nonexempt tranactions with any party-in-interest	2017-04-30	No
Participant contributions at end of year	2017-04-30	$0
Participant contributions at beginning of year	2017-04-30	$71,920
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-04-30	No
Value of net income/loss	2017-04-30	$-3,409,436
Value of net assets at end of year (total assets less liabilities)	2017-04-30	$0
Value of net assets at beginning of year (total assets less liabilities)	2017-04-30	$3,409,436
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-04-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-04-30	No
Were any leases to which the plan was party in default or uncollectible	2017-04-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-04-30	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-04-30	$2,045,636
Interest earned on other investments	2017-04-30	$13,951
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-04-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-04-30	$1,291,880
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-04-30	$133,611
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-04-30	No
Was there a failure to transmit to the plan any participant contributions	2017-04-30	No
Has the plan failed to provide any benefit when due under the plan	2017-04-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-04-30	$3,553,648
Did the plan have assets held for investment	2017-04-30	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	2017-04-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-04-30	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-04-30	Yes
Opinion of an independent qualified public accountant for this plan	2017-04-30	Disclaimer
Accountancy firm name	2017-04-30	DRAFFIN & TUCKER, LLP
Accountancy firm EIN	2017-04-30	580914992
2016 : TY COBB HEALTHCARE SYSTEM, INC. TAX SHELTERED ANNUITY PLAN AND TRUST 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	$575,201
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$9,399,849
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$9,390,129
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$261,302
Value of total assets at end of year	2016-12-31	$3,409,436
Value of total assets at beginning of year	2016-12-31	$12,234,084
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$9,720
Total interest from all sources	2016-12-31	$30,611
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2016-12-31	$0
Administrative expenses professional fees incurred	2016-12-31	$9,720
Was this plan covered by a fidelity bond	2016-12-31	No
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
Participant contributions at end of year	2016-12-31	$71,920
Participant contributions at beginning of year	2016-12-31	$162,320
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$261,302
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	$-8,824,648
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$3,409,436
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$12,234,084
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$2,045,636
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$4,040,298
Interest earned on other investments	2016-12-31	$30,611
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$1,291,880
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$8,022,648
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$283,288
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
Employer contributions (assets) at end of year	2016-12-31	$0
Employer contributions (assets) at beginning of year	2016-12-31	$8,818
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$9,390,129
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	Yes
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	DRAFFIN & TUCKER, LLP
Accountancy firm EIN	2016-12-31	580914992
2015 : TY COBB HEALTHCARE SYSTEM, INC. TAX SHELTERED ANNUITY PLAN AND TRUST 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	$463,898
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$1,329,927
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$1,314,262
Expenses. Certain deemed distributions of participant loans	2015-12-31	$6,601
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$304,766
Value of total assets at end of year	2015-12-31	$12,234,084
Value of total assets at beginning of year	2015-12-31	$13,100,113
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$9,064
Total interest from all sources	2015-12-31	$167,440
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2015-12-31	$0
Administrative expenses professional fees incurred	2015-12-31	$9,064
Was this plan covered by a fidelity bond	2015-12-31	No
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	$212,313
Participant contributions at end of year	2015-12-31	$162,320
Participant contributions at beginning of year	2015-12-31	$209,932
Participant contributions at end of year	2015-12-31	$0
Participant contributions at beginning of year	2015-12-31	$3,255
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	$-866,029
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$12,234,084
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$13,100,113
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	$4,040,298
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$4,775,711
Interest earned on other investments	2015-12-31	$167,440
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$8,022,648
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$8,109,473
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-8,308
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	$92,453
Employer contributions (assets) at end of year	2015-12-31	$8,818
Employer contributions (assets) at beginning of year	2015-12-31	$1,742
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$1,314,262
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	Yes
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	DRAFFIN & TUCKER, LLP
Accountancy firm EIN	2015-12-31	580914992
2014 : TY COBB HEALTHCARE SYSTEM, INC. TAX SHELTERED ANNUITY PLAN AND TRUST 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	$1,394,717
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$1,484,409
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$1,456,298
Expenses. Certain deemed distributions of participant loans	2014-12-31	$12,033
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$828,494
Value of total assets at end of year	2014-12-31	$13,100,113
Value of total assets at beginning of year	2014-12-31	$13,189,805
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$16,078
Total interest from all sources	2014-12-31	$229,447
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Administrative expenses professional fees incurred	2014-12-31	$16,078
Was this plan covered by a fidelity bond	2014-12-31	No
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	$498,511
Participant contributions at end of year	2014-12-31	$209,932
Participant contributions at beginning of year	2014-12-31	$190,849
Participant contributions at end of year	2014-12-31	$3,255
Participant contributions at beginning of year	2014-12-31	$18,248
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$127,918
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	$-89,692
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$13,100,113
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$13,189,805
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	$4,775,711
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$4,641,076
Interest earned on other investments	2014-12-31	$229,447
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$8,109,473
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$8,014,759
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$336,776
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	$202,065
Employer contributions (assets) at end of year	2014-12-31	$1,742
Employer contributions (assets) at beginning of year	2014-12-31	$324,873
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$1,456,298
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	DRAFFIN & TUCKER, LLP
Accountancy firm EIN	2014-12-31	580914992
2013 : TY COBB HEALTHCARE SYSTEM, INC. TAX SHELTERED ANNUITY PLAN AND TRUST 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	$2,000,466
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$1,247,183
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$1,162,577
Expenses. Certain deemed distributions of participant loans	2013-12-31	$81,464
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$826,809
Value of total assets at end of year	2013-12-31	$13,189,805
Value of total assets at beginning of year	2013-12-31	$12,436,522
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$3,142
Total interest from all sources	2013-12-31	$220,223
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Administrative expenses professional fees incurred	2013-12-31	$3,142
Was this plan covered by a fidelity bond	2013-12-31	No
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	$615,639
Participant contributions at end of year	2013-12-31	$190,849
Participant contributions at beginning of year	2013-12-31	$279,489
Participant contributions at end of year	2013-12-31	$18,248
Participant contributions at beginning of year	2013-12-31	$9,978
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$12,264
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	$753,283
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$13,189,805
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$12,436,522
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	$4,641,076
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$3,756,363
Interest earned on other investments	2013-12-31	$220,223
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$8,014,759
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$8,146,477
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$953,434
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	$198,906
Employer contributions (assets) at end of year	2013-12-31	$324,873
Employer contributions (assets) at beginning of year	2013-12-31	$244,215
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$1,162,577
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	DRAFFIN & TUCKER, LLP
Accountancy firm EIN	2013-12-31	580914992
2012 : TY COBB HEALTHCARE SYSTEM, INC. TAX SHELTERED ANNUITY PLAN AND TRUST 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$1,511,901
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$607,433
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$583,364
Expenses. Certain deemed distributions of participant loans	2012-12-31	$13,225
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$806,663
Value of total assets at end of year	2012-12-31	$12,436,522
Value of total assets at beginning of year	2012-12-31	$11,532,054
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$10,844
Total interest from all sources	2012-12-31	$251,081
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Administrative expenses professional fees incurred	2012-12-31	$10,844
Was this plan covered by a fidelity bond	2012-12-31	No
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	$623,126
Participant contributions at end of year	2012-12-31	$279,489
Participant contributions at beginning of year	2012-12-31	$192,161
Participant contributions at end of year	2012-12-31	$9,978
Participant contributions at beginning of year	2012-12-31	$9,727
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	$904,468
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$12,436,522
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$11,532,054
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	$3,756,363
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$3,377,677
Interest earned on other investments	2012-12-31	$251,081
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$8,146,477
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$7,612,063
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$454,157
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	$183,537
Employer contributions (assets) at end of year	2012-12-31	$244,215
Employer contributions (assets) at beginning of year	2012-12-31	$340,426
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$583,364
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	DRAFFIN & TUCKER, LLP
Accountancy firm EIN	2012-12-31	580914992
2011 : TY COBB HEALTHCARE SYSTEM, INC. TAX SHELTERED ANNUITY PLAN AND TRUST 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$914,241
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$1,041,073
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$1,028,960
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$748,871
Value of total assets at end of year	2011-12-31	$11,532,054
Value of total assets at beginning of year	2011-12-31	$11,658,886
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$12,113
Total interest from all sources	2011-12-31	$267,756
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Was this plan covered by a fidelity bond	2011-12-31	No
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$573,100
Participant contributions at end of year	2011-12-31	$192,161
Participant contributions at beginning of year	2011-12-31	$221,136
Participant contributions at end of year	2011-12-31	$9,727
Participant contributions at beginning of year	2011-12-31	$22,365
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$-126,832
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$11,532,054
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$11,658,886
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$3,377,677
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$3,805,062
Interest earned on other investments	2011-12-31	$267,756
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$7,612,063
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$7,287,715
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-102,386
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$175,771
Employer contributions (assets) at end of year	2011-12-31	$340,426
Employer contributions (assets) at beginning of year	2011-12-31	$322,608
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$1,028,960
Contract administrator fees	2011-12-31	$12,113
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	DRAFFIN & TUCKER, LLP
Accountancy firm EIN	2011-12-31	580914992
2010 : TY COBB HEALTHCARE SYSTEM, INC. TAX SHELTERED ANNUITY PLAN AND TRUST 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$1,625,196
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$507,116
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$496,139
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$897,709
Value of total assets at end of year	2010-12-31	$11,658,886
Value of total assets at beginning of year	2010-12-31	$10,540,806
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$10,977
Total interest from all sources	2010-12-31	$240,765
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Was this plan covered by a fidelity bond	2010-12-31	No
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	Yes
Amount of non-exempt transactions with any party-in-interest	2010-12-31	$7,000
Contributions received from participants	2010-12-31	$672,543
Participant contributions at end of year	2010-12-31	$221,136
Participant contributions at beginning of year	2010-12-31	$177,711
Participant contributions at end of year	2010-12-31	$22,365
Participant contributions at beginning of year	2010-12-31	$10,238
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$1,118,080
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$11,658,886
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$10,540,806
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$3,805,062
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$3,222,000
Interest earned on other investments	2010-12-31	$240,765
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$7,287,715
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$6,876,389
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$486,722
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$225,166
Employer contributions (assets) at end of year	2010-12-31	$322,608
Employer contributions (assets) at beginning of year	2010-12-31	$254,468
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$496,139
Contract administrator fees	2010-12-31	$10,977
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	DRAFFIN & TUCKER, LLP
Accountancy firm EIN	2010-12-31	580914992
2009 : TY COBB HEALTHCARE SYSTEM, INC. TAX SHELTERED ANNUITY PLAN AND TRUST 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for TY COBB HEALTHCARE SYSTEM, INC. TAX SHELTERED ANNUITY PLAN AND TRUST

2017: TY COBB HEALTHCARE SYSTEM, INC. TAX SHELTERED ANNUITY PLAN AND TRUST 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	Yes
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
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: TY COBB HEALTHCARE SYSTEM, INC. TAX SHELTERED ANNUITY PLAN AND TRUST 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: TY COBB HEALTHCARE SYSTEM, INC. TAX SHELTERED ANNUITY PLAN AND TRUST 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: TY COBB HEALTHCARE SYSTEM, INC. TAX SHELTERED ANNUITY PLAN AND TRUST 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: TY COBB HEALTHCARE SYSTEM, INC. TAX SHELTERED ANNUITY PLAN AND TRUST 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: TY COBB HEALTHCARE SYSTEM, INC. TAX SHELTERED ANNUITY PLAN AND TRUST 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
2011: TY COBB HEALTHCARE SYSTEM, INC. TAX SHELTERED ANNUITY PLAN AND TRUST 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: TY COBB HEALTHCARE SYSTEM, INC. TAX SHELTERED ANNUITY PLAN AND TRUST 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	First time form 5500 has been submitted	Yes
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

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

Policy contract number

64482

Policy instance

Insurance contract or identification number	64482
Number of Individuals Covered	0
Insurance policy start date	2017-01-01
Insurance policy end date	2017-04-30
Total amount of commissions paid to insurance broker	USD $285
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 $196
Insurance broker organization code?	3
Insurance broker name	JOHN (WES) THOMPSON

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

Policy contract number

64482

Policy instance

Insurance contract or identification number	64482
Number of Individuals Covered	195
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $798
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $713
Insurance broker organization code?	3
Insurance broker name	RODNEY S. JONES

RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )

Policy contract number

0229

Policy instance

Insurance contract or identification number	0229
Number of Individuals Covered	11
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $7,693
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	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?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,394
Insurance broker organization code?	3
Insurance broker name	EVAN MACK POSS

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

CR26186

Policy instance

Insurance contract or identification number	CR26186
Number of Individuals Covered	91
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $11,480
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $11,480
Insurance broker organization code?	4
Insurance broker name	LINCOLN FINANCIAL ADVISORS

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

CR26186

Policy instance

Insurance contract or identification number	CR26186
Number of Individuals Covered	103
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $17,172
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $17,172
Insurance broker organization code?	4
Insurance broker name	LINCOLN FINANCIAL ADVISORS

RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )

Policy contract number

0229

Policy instance

Insurance contract or identification number	0229
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $26,294
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	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?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,033
Insurance broker organization code?	3
Insurance broker name	EVAN MACK POSS

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

Policy contract number

64482

Policy instance

Insurance contract or identification number	64482
Number of Individuals Covered	222
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $5,354
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,936
Insurance broker organization code?	3
Insurance broker name	RODNEY S. JONES

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

CR26186

Policy instance

Insurance contract or identification number	CR26186
Number of Individuals Covered	92
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $13,705
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $13,705
Insurance broker organization code?	4
Insurance broker name	LINCOLN FINANCIAL ADVISORS

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

Policy contract number

64482

Policy instance

Insurance contract or identification number	64482
Number of Individuals Covered	234
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $2,387
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,614
Insurance broker organization code?	3
Insurance broker name	DONALD J. COMFORT

RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )

Policy contract number

0229

Policy instance

Insurance contract or identification number	0229
Number of Individuals Covered	449
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $25,748
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	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?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $21,376
Insurance broker organization code?	3
Insurance broker name	KIMBERLY D. FULBRIGHT

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

CR26186

Policy instance

Insurance contract or identification number	CR26186
Number of Individuals Covered	90
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $11,970
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $11,970
Insurance broker organization code?	4
Insurance broker name	LINCOLN FINANCIAL ADVISORS

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

Policy contract number

64482

Policy instance

Insurance contract or identification number	64482
Number of Individuals Covered	282
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $7,009
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,302
Insurance broker organization code?	3
Insurance broker name	DONALD J. COMFORT

RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )

Policy contract number

0229

Policy instance

Insurance contract or identification number	0229
Number of Individuals Covered	455
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $23,786
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	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?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $20,722
Insurance broker organization code?	3
Insurance broker name	KIMBERLY D. FULBRIGHT

RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )

Policy contract number

0229

Policy instance

Insurance contract or identification number	0229
Number of Individuals Covered	475
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $22,804
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	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?	Yes
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

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

CR26186

Policy instance

Insurance contract or identification number	CR26186
Number of Individuals Covered	97
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $8,403
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

64482

Policy instance

Insurance contract or identification number	64482
Number of Individuals Covered	258
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )

Policy contract number

0229

Policy instance

Insurance contract or identification number	0229
Number of Individuals Covered	496
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $22,703
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	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?	Yes
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

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

CR26186

Policy instance

Insurance contract or identification number	CR26186
Number of Individuals Covered	106
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $8,862
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

64482

Policy instance

Insurance contract or identification number	64482
Number of Individuals Covered	271
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	TY COBB HEALTHCARE SYSTEM, INC.
Employer identification number (EIN):	580633978
NAIC Classification:	541990
NAIC Description:	All Other Professional, Scientific, and Technical Services

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2022-01-01	MATT MCREE	2023-10-02
001	2021-01-01	MATT MCREE	2022-06-03
001	2020-01-01
001	2019-01-01
001	2018-01-01
001	2017-01-01
001	2017-01-01
001	2016-01-01
001	2016-01-01	MATT MCREE	2017-07-27
001	2015-01-01	MATT MCREE
001	2014-01-01	LAUREN PAPKA
001	2013-01-01	LAUREN PAPKA
001	2012-01-01	J. STEVEN BARBER
001	2011-01-01	J. STEVEN BARBER
001	2009-01-01	J. STEVEN BARBER