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PAUL B. HALL REGIONAL MEDICAL CENTER 401(K) PLAN 401k Plan overview

Plan NamePAUL B. HALL REGIONAL MEDICAL CENTER 401(K) PLAN
Plan identification number 011

PAUL B. HALL REGIONAL MEDICAL CENTER 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • 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.
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).
  • Plan requiring that all or part of employer contributions be invested and held, at least for a limited period, in employer securities.

401k Sponsoring company profile

QHCCS, LLC has sponsored the creation of one or more 401k plans.

Company Name:QHCCS, LLC
Employer identification number (EIN):383980467
NAIC Classification:622000
NAIC Description: Hospitals

Additional information about QHCCS, LLC

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 2016-05-05
Company Identification Number: 0802452113
Legal Registered Office Address: 1573 MALLORY LN STE 100

BRENTWOOD
United States of America (USA)
37027

More information about QHCCS, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PAUL B. HALL REGIONAL MEDICAL CENTER 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0112016-01-01WILLIAM SCHWEINHART WILLIAM SCHWEINHART2017-10-16
0112016-01-01 RANDAL SWINEHART2019-10-31

Plan Statistics for PAUL B. HALL REGIONAL MEDICAL CENTER 401(K) PLAN

401k plan membership statisitcs for PAUL B. HALL REGIONAL MEDICAL CENTER 401(K) PLAN

Measure Date Value
2016: PAUL B. HALL REGIONAL MEDICAL CENTER 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01251
Total number of active participants reported on line 7a of the Form 55002016-01-010
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-010
Number of participants with account balances2016-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010

Financial Data on PAUL B. HALL REGIONAL MEDICAL CENTER 401(K) PLAN

Measure Date Value
2016 : PAUL B. HALL REGIONAL MEDICAL CENTER 401(K) PLAN 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-15$24,450
Total unrealized appreciation/depreciation of assets2016-12-15$24,450
Total transfer of assets from this plan2016-12-15$8,068,211
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-15$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-15$0
Total income from all sources (including contributions)2016-12-15$1,015,300
Total loss/gain on sale of assets2016-12-15$-44,420
Total of all expenses incurred2016-12-15$1,410,382
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-15$1,408,832
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-15$692,548
Value of total assets at end of year2016-12-15$0
Value of total assets at beginning of year2016-12-15$8,463,293
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-15$1,550
Total interest from all sources2016-12-15$71,035
Total dividends received (eg from common stock, registered investment company shares)2016-12-15$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-15No
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2016-12-15$0
Was this plan covered by a fidelity bond2016-12-15Yes
Value of fidelity bond cover2016-12-15$50,000,000
If this is an individual account plan, was there a blackout period2016-12-15No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-15$0
Were there any nonexempt tranactions with any party-in-interest2016-12-15No
Contributions received from participants2016-12-15$543,029
Participant contributions at end of year2016-12-15$0
Participant contributions at beginning of year2016-12-15$458,734
Administrative expenses (other) incurred2016-12-15$1,550
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-15No
Value of net income/loss2016-12-15$-395,082
Value of net assets at end of year (total assets less liabilities)2016-12-15$0
Value of net assets at beginning of year (total assets less liabilities)2016-12-15$8,463,293
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-15No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-15No
Were any leases to which the plan was party in default or uncollectible2016-12-15No
Value of interest in pooled separate accounts at end of year2016-12-15$0
Value of interest in pooled separate accounts at beginning of year2016-12-15$4,633,746
Interest on participant loans2016-12-15$17,697
Interest earned on other investments2016-12-15$53,338
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-15$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-15$3,326,441
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-15$271,687
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-15No
Was there a failure to transmit to the plan any participant contributions2016-12-15Yes
Has the plan failed to provide any benefit when due under the plan2016-12-15No
Assets. Invements in employer securities at end of year2016-12-15$0
Assets. Invements in employer securities at beginning of year2016-12-15$44,372
Contributions received in cash from employer2016-12-15$149,519
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-15$1,408,832
Did the plan have assets held for investment2016-12-15Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-15No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-15No
Aggregate proceeds on sale of assets2016-12-15$24,402
Aggregate carrying amount (costs) on sale of assets2016-12-15$68,822
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-15Yes
Opinion of an independent qualified public accountant for this plan2016-12-15Disclaimer
Accountancy firm name2016-12-15LBMC, PC
Accountancy firm EIN2016-12-15621199757

Form 5500 Responses for PAUL B. HALL REGIONAL MEDICAL CENTER 401(K) PLAN

2016: PAUL B. HALL REGIONAL MEDICAL CENTER 401(K) PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes

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