401k Plan data: RUSTON REGIONAL SPECIALTY HOSPITAL 401(K) PLAN AND TRUST plan

RUSTON REGIONAL SPECIALTY HOSPITAL 401(K) PLAN AND TRUST 401k Plan overview

Plan Name	RUSTON REGIONAL SPECIALTY HOSPITAL 401(K) PLAN AND TRUST
Plan identification number	001

RUSTON REGIONAL SPECIALTY HOSPITAL 401(K) PLAN AND TRUST Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
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.
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

RUSTON REGIONAL SPECIALTY HOSPITAL, LLC has sponsored the creation of one or more 401k plans.

Company Name: RUSTON REGIONAL SPECIALTY HOSPITAL, LLC

Employer identification number (EIN): 821494962

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RUSTON REGIONAL SPECIALTY HOSPITAL 401(K) 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 WES MCLELLAND 2023-10-10 WES MCLELLAND 2023-10-10
001 2021-01-01 WES MCLELLAND 2022-09-27
001 2020-01-01 WES MCLELLAND 2021-10-13 WES MCLELLAND 2021-10-13
001 2019-01-01 WES MCLELLAND 2020-07-02 WES MCLELLAND 2020-07-02
001 2018-01-01 KEMP WRIGHT 2019-10-07
001 2017-08-01

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01	WES MCLELLAND	2023-10-10	WES MCLELLAND	2023-10-10
001	2021-01-01	WES MCLELLAND	2022-09-27
001	2020-01-01	WES MCLELLAND	2021-10-13	WES MCLELLAND	2021-10-13
001	2019-01-01	WES MCLELLAND	2020-07-02	WES MCLELLAND	2020-07-02
001	2018-01-01	KEMP WRIGHT	2019-10-07
001	2017-08-01

Plan Statistics for RUSTON REGIONAL SPECIALTY HOSPITAL 401(K) PLAN AND TRUST

401k plan membership statisitcs for RUSTON REGIONAL SPECIALTY HOSPITAL 401(K) PLAN AND TRUST

Measure Date Value
2022: RUSTON REGIONAL SPECIALTY HOSPITAL 401(K) PLAN AND TRUST 2022 401k membership
Total participants, beginning-of-year 2022-01-01 208
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 182
Number of retired or separated participants receiving benefits 2022-01-01 3
Number of other retired or separated participants entitled to future benefits 2022-01-01 1
Total of all active and inactive participants 2022-01-01 186
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 186
Number of participants with account balances 2022-01-01 67
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 10
2021: RUSTON REGIONAL SPECIALTY HOSPITAL 401(K) PLAN AND TRUST 2021 401k membership
Total participants, beginning-of-year 2021-01-01 191
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 171
Number of retired or separated participants receiving benefits 2021-01-01 11
Number of other retired or separated participants entitled to future benefits 2021-01-01 3
Total of all active and inactive participants 2021-01-01 185
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 185
Number of participants with account balances 2021-01-01 80
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 2
2020: RUSTON REGIONAL SPECIALTY HOSPITAL 401(K) PLAN AND TRUST 2020 401k membership
Total participants, beginning-of-year 2020-01-01 177
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 154
Number of retired or separated participants receiving benefits 2020-01-01 2
Number of other retired or separated participants entitled to future benefits 2020-01-01 13
Total of all active and inactive participants 2020-01-01 169
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 169
Number of participants with account balances 2020-01-01 76
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 10
2019: RUSTON REGIONAL SPECIALTY HOSPITAL 401(K) PLAN AND TRUST 2019 401k membership
Total participants, beginning-of-year 2019-01-01 183
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 163
Number of retired or separated participants receiving benefits 2019-01-01 3
Number of other retired or separated participants entitled to future benefits 2019-01-01 11
Total of all active and inactive participants 2019-01-01 177
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 177
Number of participants with account balances 2019-01-01 80
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 10
2018: RUSTON REGIONAL SPECIALTY HOSPITAL 401(K) PLAN AND TRUST 2018 401k membership
Total participants, beginning-of-year 2018-01-01 164
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 144
Number of retired or separated participants receiving benefits 2018-01-01 3
Number of other retired or separated participants entitled to future benefits 2018-01-01 3
Total of all active and inactive participants 2018-01-01 150
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 150
Number of participants with account balances 2018-01-01 62
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 4
2017: RUSTON REGIONAL SPECIALTY HOSPITAL 401(K) PLAN AND TRUST 2017 401k membership
Total participants, beginning-of-year 2017-08-01 124
Total number of active participants reported on line 7a of the Form 5500 2017-08-01 168
Number of retired or separated participants receiving benefits 2017-08-01 0
Number of other retired or separated participants entitled to future benefits 2017-08-01 0
Total of all active and inactive participants 2017-08-01 168
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-08-01 0
Total participants 2017-08-01 168
Number of participants with account balances 2017-08-01 54
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-08-01 0

Measure	Date	Value
2022: RUSTON REGIONAL SPECIALTY HOSPITAL 401(K) PLAN AND TRUST 2022 401k membership
Total participants, beginning-of-year	2022-01-01	208
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	182
Number of retired or separated participants receiving benefits	2022-01-01	3
Number of other retired or separated participants entitled to future benefits	2022-01-01	1
Total of all active and inactive participants	2022-01-01	186
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	186
Number of participants with account balances	2022-01-01	67
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	10
2021: RUSTON REGIONAL SPECIALTY HOSPITAL 401(K) PLAN AND TRUST 2021 401k membership
Total participants, beginning-of-year	2021-01-01	191
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	171
Number of retired or separated participants receiving benefits	2021-01-01	11
Number of other retired or separated participants entitled to future benefits	2021-01-01	3
Total of all active and inactive participants	2021-01-01	185
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	185
Number of participants with account balances	2021-01-01	80
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	2
2020: RUSTON REGIONAL SPECIALTY HOSPITAL 401(K) PLAN AND TRUST 2020 401k membership
Total participants, beginning-of-year	2020-01-01	177
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	154
Number of retired or separated participants receiving benefits	2020-01-01	2
Number of other retired or separated participants entitled to future benefits	2020-01-01	13
Total of all active and inactive participants	2020-01-01	169
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	169
Number of participants with account balances	2020-01-01	76
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	10
2019: RUSTON REGIONAL SPECIALTY HOSPITAL 401(K) PLAN AND TRUST 2019 401k membership
Total participants, beginning-of-year	2019-01-01	183
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	163
Number of retired or separated participants receiving benefits	2019-01-01	3
Number of other retired or separated participants entitled to future benefits	2019-01-01	11
Total of all active and inactive participants	2019-01-01	177
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	177
Number of participants with account balances	2019-01-01	80
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	10
2018: RUSTON REGIONAL SPECIALTY HOSPITAL 401(K) PLAN AND TRUST 2018 401k membership
Total participants, beginning-of-year	2018-01-01	164
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	144
Number of retired or separated participants receiving benefits	2018-01-01	3
Number of other retired or separated participants entitled to future benefits	2018-01-01	3
Total of all active and inactive participants	2018-01-01	150
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	150
Number of participants with account balances	2018-01-01	62
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	4
2017: RUSTON REGIONAL SPECIALTY HOSPITAL 401(K) PLAN AND TRUST 2017 401k membership
Total participants, beginning-of-year	2017-08-01	124
Total number of active participants reported on line 7a of the Form 5500	2017-08-01	168
Number of retired or separated participants receiving benefits	2017-08-01	0
Number of other retired or separated participants entitled to future benefits	2017-08-01	0
Total of all active and inactive participants	2017-08-01	168
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-08-01	0
Total participants	2017-08-01	168
Number of participants with account balances	2017-08-01	54
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-08-01	0

Financial Data on RUSTON REGIONAL SPECIALTY HOSPITAL 401(K) PLAN AND TRUST

Measure	Date	Value
2022 : RUSTON REGIONAL SPECIALTY HOSPITAL 401(K) PLAN AND TRUST 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$1,545
Total income from all sources (including contributions)	2022-12-31	$-90,534
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$654,923
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$639,214
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$333,003
Value of total assets at end of year	2022-12-31	$1,429,836
Value of total assets at beginning of year	2022-12-31	$2,176,838
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$15,709
Total interest from all sources	2022-12-31	$2,065
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$250,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$252,850
Participant contributions at end of year	2022-12-31	$38,784
Participant contributions at beginning of year	2022-12-31	$24,216
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2022-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2022-12-31	$1,545
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-745,457
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$1,429,836
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$2,175,293
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$1,391,052
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$2,152,622
Income. Interest from loans (other than to participants)	2022-12-31	$2,065
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-425,602
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$80,153
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$639,214
Contract administrator fees	2022-12-31	$15,709
Did the plan have assets held for investment	2022-12-31	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	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	WARREN & BELL CPAS LLC
Accountancy firm EIN	2022-12-31	464136114
2021 : RUSTON REGIONAL SPECIALTY HOSPITAL 401(K) PLAN AND TRUST 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$1,545
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total income from all sources (including contributions)	2021-12-31	$599,517
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$48,328
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$30,737
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$346,943
Value of total assets at end of year	2021-12-31	$2,176,838
Value of total assets at beginning of year	2021-12-31	$1,624,104
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$17,591
Total interest from all sources	2021-12-31	$998
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$250,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$261,676
Participant contributions at end of year	2021-12-31	$24,216
Participant contributions at beginning of year	2021-12-31	$1,367
Participant contributions at end of year	2021-12-31	$0
Participant contributions at beginning of year	2021-12-31	$2,347
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$9,302
Value of other receiveables (less allowance for doubtful accounts) at end of year	2021-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2021-12-31	$106
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2021-12-31	$1,545
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2021-12-31	$0
Other income not declared elsewhere	2021-12-31	$16
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$551,189
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$2,175,293
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$1,624,104
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$2,152,622
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$1,619,551
Interest on participant loans	2021-12-31	$998
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$251,560
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$75,965
Employer contributions (assets) at end of year	2021-12-31	$0
Employer contributions (assets) at beginning of year	2021-12-31	$733
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$30,737
Contract administrator fees	2021-12-31	$17,591
Did the plan have assets held for investment	2021-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	WARREN & BELL CPAS LLC
Accountancy firm EIN	2021-12-31	464136114
2020 : RUSTON REGIONAL SPECIALTY HOSPITAL 401(K) PLAN AND TRUST 2020 401k financial data
Total income from all sources (including contributions)	2020-12-31	$1,040,746
Total of all expenses incurred	2020-12-31	$78,267
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$54,854
Expenses. Certain deemed distributions of participant loans	2020-12-31	$5,126
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$912,284
Value of total assets at end of year	2020-12-31	$1,624,104
Value of total assets at beginning of year	2020-12-31	$661,625
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$18,287
Total interest from all sources	2020-12-31	$225
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$250,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$217,705
Participant contributions at end of year	2020-12-31	$1,367
Participant contributions at beginning of year	2020-12-31	$6,600
Participant contributions at end of year	2020-12-31	$2,347
Participant contributions at beginning of year	2020-12-31	$328
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$625,904
Value of other receiveables (less allowance for doubtful accounts) at end of year	2020-12-31	$106
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2020-12-31	$40
Administrative expenses (other) incurred	2020-12-31	$18,287
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$962,479
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$1,624,104
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$661,625
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$1,619,551
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$653,564
Income. Interest from loans (other than to participants)	2020-12-31	$119
Interest earned on other investments	2020-12-31	$106
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$128,237
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$68,675
Employer contributions (assets) at end of year	2020-12-31	$733
Employer contributions (assets) at beginning of year	2020-12-31	$1,093
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$54,854
Did the plan have assets held for investment	2020-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	WARREN & BELL CPAS LLC
Accountancy firm EIN	2020-12-31	464136114
2019 : RUSTON REGIONAL SPECIALTY HOSPITAL 401(K) PLAN AND TRUST 2019 401k financial data
Total income from all sources (including contributions)	2019-12-31	$429,948
Total of all expenses incurred	2019-12-31	$34,642
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$21,821
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$348,133
Value of total assets at end of year	2019-12-31	$661,625
Value of total assets at beginning of year	2019-12-31	$266,319
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$12,821
Total interest from all sources	2019-12-31	$417
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$250,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$213,564
Participant contributions at end of year	2019-12-31	$6,600
Participant contributions at end of year	2019-12-31	$328
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$72,013
Value of other receiveables (less allowance for doubtful accounts) at end of year	2019-12-31	$40
Administrative expenses (other) incurred	2019-12-31	$12,821
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$395,306
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$661,625
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$266,319
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$653,564
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$266,319
Interest on participant loans	2019-12-31	$417
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$81,398
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$62,556
Employer contributions (assets) at end of year	2019-12-31	$1,093
Employer contributions (assets) at beginning of year	2019-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$21,821
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	WARREN & BELL CPAS LLC
Accountancy firm EIN	2019-12-31	464136114
2018 : RUSTON REGIONAL SPECIALTY HOSPITAL 401(K) PLAN AND TRUST 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$240,521
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$19,642
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$12,979
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$259,851
Value of total assets at end of year	2018-12-31	$266,319
Value of total assets at beginning of year	2018-12-31	$45,440
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$6,663
Total interest from all sources	2018-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$250,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$186,270
Participant contributions at end of year	2018-12-31	$0
Participant contributions at beginning of year	2018-12-31	$13,789
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$21,300
Administrative expenses (other) incurred	2018-12-31	$6,663
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$220,879
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$266,319
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$45,440
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$266,319
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$21,508
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-19,330
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$52,281
Employer contributions (assets) at end of year	2018-12-31	$0
Employer contributions (assets) at beginning of year	2018-12-31	$10,143
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$12,979
Did the plan have assets held for investment	2018-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	WARREN & BELL CPAS LLC
Accountancy firm EIN	2018-12-31	464136114
2017 : RUSTON REGIONAL SPECIALTY HOSPITAL 401(K) PLAN AND TRUST 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$45,682
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$242
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$45,278
Value of total assets at end of year	2017-12-31	$45,440
Value of total assets at beginning of year	2017-12-31	$0
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$242
Total interest from all sources	2017-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$100,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$33,283
Participant contributions at end of year	2017-12-31	$13,789
Participant contributions at beginning of year	2017-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$1,937
Administrative expenses (other) incurred	2017-12-31	$242
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$45,440
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$45,440
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$21,508
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$404
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$10,058
Employer contributions (assets) at end of year	2017-12-31	$10,143
Employer contributions (assets) at beginning of year	2017-12-31	$0
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	JAMES HARDY AND HALEY, CPAS
Accountancy firm EIN	2017-12-31	721124598

Form 5500 Responses for RUSTON REGIONAL SPECIALTY HOSPITAL 401(K) PLAN AND TRUST

2022: RUSTON REGIONAL SPECIALTY HOSPITAL 401(K) PLAN AND TRUST 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: RUSTON REGIONAL SPECIALTY HOSPITAL 401(K) PLAN AND TRUST 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: RUSTON REGIONAL SPECIALTY HOSPITAL 401(K) PLAN AND TRUST 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: RUSTON REGIONAL SPECIALTY HOSPITAL 401(K) PLAN AND TRUST 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: RUSTON REGIONAL SPECIALTY HOSPITAL 401(K) PLAN AND TRUST 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: RUSTON REGIONAL SPECIALTY HOSPITAL 401(K) PLAN AND TRUST 2017 form 5500 responses
2017-08-01	Type of plan entity	Single employer plan
2017-08-01	First time form 5500 has been submitted	Yes
2017-08-01	Submission has been amended	No
2017-08-01	This submission is the final filing	No
2017-08-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2017-08-01	Plan is a collectively bargained plan	No
2017-08-01	Plan funding arrangement – Trust	Yes
2017-08-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-CP-MH0N

Policy instance

Insurance contract or identification number	GAP-CP-MH0N
Number of Individuals Covered	182
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
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?	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

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-CP-MH0N

Policy instance

Insurance contract or identification number	GAP-CP-MH0N
Number of Individuals Covered	171
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
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?	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

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Company Name:	RUSTON REGIONAL SPECIALTY HOSPITAL, LLC
Employer identification number (EIN):	821494962
NAIC Classification:	622000
NAIC Description:	Hospitals