401k Plan data: SHELBY MEMORIAL HOSPITAL PENSION PLAN plan

SHELBY MEMORIAL HOSPITAL PENSION PLAN 401k Plan overview

Plan Name	SHELBY MEMORIAL HOSPITAL PENSION PLAN
Plan identification number	001

SHELBY MEMORIAL HOSPITAL PENSION PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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

401k Sponsoring company profile

HSHS GOOD SHEPHERD HOSPITAL has sponsored the creation of one or more 401k plans.

Company Name: HSHS GOOD SHEPHERD HOSPITAL

Employer identification number (EIN): 370512290

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SHELBY MEMORIAL HOSPITAL PENSION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 CASSIE FRYE 2023-06-14 CASSIE FRYE 2023-06-14
001 2021-01-01
001 2020-01-01
001 2019-01-01
001 2018-01-01 JESSICA TIPTON
001 2017-01-01 JESSICA TIPTON
001 2016-01-01 JESSICA TIPTON
001 2015-01-01 MARILYN SEARS
001 2014-01-01 MARILYN SEARS
001 2013-01-01 PHILIP MILLER
001 2012-01-01 PHILIP MILLER
001 2011-01-01 PHILIP MILLER
001 2009-01-01 PHILIP MILLER

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01	CASSIE FRYE	2023-06-14	CASSIE FRYE	2023-06-14
001	2021-01-01
001	2020-01-01
001	2019-01-01
001	2018-01-01	JESSICA TIPTON
001	2017-01-01	JESSICA TIPTON
001	2016-01-01	JESSICA TIPTON
001	2015-01-01	MARILYN SEARS
001	2014-01-01	MARILYN SEARS
001	2013-01-01	PHILIP MILLER
001	2012-01-01	PHILIP MILLER
001	2011-01-01	PHILIP MILLER
001	2009-01-01	PHILIP MILLER

Plan Statistics for SHELBY MEMORIAL HOSPITAL PENSION PLAN

401k plan membership statisitcs for SHELBY MEMORIAL HOSPITAL PENSION PLAN

Measure Date Value
2021: SHELBY MEMORIAL HOSPITAL PENSION PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 109
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 0
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 88
Total of all active and inactive participants 2021-01-01 88
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 88
Number of participants with account balances 2021-01-01 88
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: SHELBY MEMORIAL HOSPITAL PENSION PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 173
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 50
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 59
Total of all active and inactive participants 2020-01-01 109
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 109
Number of participants with account balances 2020-01-01 107
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 8
2019: SHELBY MEMORIAL HOSPITAL PENSION PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 178
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 132
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 41
Total of all active and inactive participants 2019-01-01 173
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 173
Number of participants with account balances 2019-01-01 120
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 5
2018: SHELBY MEMORIAL HOSPITAL PENSION PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 179
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 146
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 32
Total of all active and inactive participants 2018-01-01 178
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 178
Number of participants with account balances 2018-01-01 117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 7
2017: SHELBY MEMORIAL HOSPITAL PENSION PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 198
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 153
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 26
Total of all active and inactive participants 2017-01-01 179
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 179
Number of participants with account balances 2017-01-01 128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 10
2016: SHELBY MEMORIAL HOSPITAL PENSION PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 200
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 177
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 21
Total of all active and inactive participants 2016-01-01 198
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 198
Number of participants with account balances 2016-01-01 147
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 5
2015: SHELBY MEMORIAL HOSPITAL PENSION PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 194
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 178
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 22
Total of all active and inactive participants 2015-01-01 200
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 200
Number of participants with account balances 2015-01-01 149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 7
2014: SHELBY MEMORIAL HOSPITAL PENSION PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 197
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 174
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 20
Total of all active and inactive participants 2014-01-01 194
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 194
Number of participants with account balances 2014-01-01 139
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 1
2013: SHELBY MEMORIAL HOSPITAL PENSION PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 204
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 178
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 19
Total of all active and inactive participants 2013-01-01 197
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 197
Number of participants with account balances 2013-01-01 134
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 9
2012: SHELBY MEMORIAL HOSPITAL PENSION PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 203
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 192
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 11
Total of all active and inactive participants 2012-01-01 203
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 1
Total participants 2012-01-01 204
Number of participants with account balances 2012-01-01 140
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 6
2011: SHELBY MEMORIAL HOSPITAL PENSION PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 201
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 187
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 16
Total of all active and inactive participants 2011-01-01 203
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 203
Number of participants with account balances 2011-01-01 134
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 5
2009: SHELBY MEMORIAL HOSPITAL PENSION PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 201
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 174
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 16
Total of all active and inactive participants 2009-01-01 190
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 190
Number of participants with account balances 2009-01-01 123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 4

Measure	Date	Value
2021: SHELBY MEMORIAL HOSPITAL PENSION PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	109
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	0
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	88
Total of all active and inactive participants	2021-01-01	88
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	88
Number of participants with account balances	2021-01-01	88
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: SHELBY MEMORIAL HOSPITAL PENSION PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	173
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	50
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	59
Total of all active and inactive participants	2020-01-01	109
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	109
Number of participants with account balances	2020-01-01	107
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	8
2019: SHELBY MEMORIAL HOSPITAL PENSION PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	178
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	132
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	41
Total of all active and inactive participants	2019-01-01	173
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	173
Number of participants with account balances	2019-01-01	120
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	5
2018: SHELBY MEMORIAL HOSPITAL PENSION PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	179
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	146
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	32
Total of all active and inactive participants	2018-01-01	178
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	178
Number of participants with account balances	2018-01-01	117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	7
2017: SHELBY MEMORIAL HOSPITAL PENSION PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	198
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	153
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	26
Total of all active and inactive participants	2017-01-01	179
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	179
Number of participants with account balances	2017-01-01	128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	10
2016: SHELBY MEMORIAL HOSPITAL PENSION PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	200
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	177
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	21
Total of all active and inactive participants	2016-01-01	198
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	198
Number of participants with account balances	2016-01-01	147
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	5
2015: SHELBY MEMORIAL HOSPITAL PENSION PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	194
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	178
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	22
Total of all active and inactive participants	2015-01-01	200
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	200
Number of participants with account balances	2015-01-01	149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	7
2014: SHELBY MEMORIAL HOSPITAL PENSION PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	197
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	174
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	20
Total of all active and inactive participants	2014-01-01	194
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	194
Number of participants with account balances	2014-01-01	139
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	1
2013: SHELBY MEMORIAL HOSPITAL PENSION PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	204
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	178
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	19
Total of all active and inactive participants	2013-01-01	197
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	197
Number of participants with account balances	2013-01-01	134
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	9
2012: SHELBY MEMORIAL HOSPITAL PENSION PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	203
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	192
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	11
Total of all active and inactive participants	2012-01-01	203
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	1
Total participants	2012-01-01	204
Number of participants with account balances	2012-01-01	140
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	6
2011: SHELBY MEMORIAL HOSPITAL PENSION PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	201
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	187
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	16
Total of all active and inactive participants	2011-01-01	203
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	203
Number of participants with account balances	2011-01-01	134
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	5
2009: SHELBY MEMORIAL HOSPITAL PENSION PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	201
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	174
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	16
Total of all active and inactive participants	2009-01-01	190
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	190
Number of participants with account balances	2009-01-01	123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	4

Financial Data on SHELBY MEMORIAL HOSPITAL PENSION PLAN

Measure	Date	Value
2021 : SHELBY MEMORIAL HOSPITAL PENSION PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total income from all sources (including contributions)	2021-12-31	$738,762
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$1,201,592
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$1,155,014
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$0
Value of total assets at end of year	2021-12-31	$5,663,415
Value of total assets at beginning of year	2021-12-31	$6,126,245
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$46,578
Total interest from all sources	2021-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$253,392
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$253,392
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$500,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Administrative expenses (other) incurred	2021-12-31	$46,578
Total non interest bearing cash at end of year	2021-12-31	$486
Total non interest bearing cash at beginning of year	2021-12-31	$109,622
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	$-462,830
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$5,663,415
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$6,126,245
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	$5,524,070
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$5,782,321
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2021-12-31	$138,859
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2021-12-31	$234,302
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2021-12-31	$234,302
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$485,370
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
Employer contributions (assets) at beginning of year	2021-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$1,155,014
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	FORVIS, LLP
Accountancy firm EIN	2021-12-31	440160260
2020 : SHELBY MEMORIAL HOSPITAL PENSION PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total income from all sources (including contributions)	2020-12-31	$809,104
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$1,078,995
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$1,033,463
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$0
Value of total assets at end of year	2020-12-31	$6,126,245
Value of total assets at beginning of year	2020-12-31	$6,396,136
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$45,532
Total interest from all sources	2020-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$188,024
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$188,024
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$500,000
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
Administrative expenses (other) incurred	2020-12-31	$45,532
Total non interest bearing cash at end of year	2020-12-31	$109,622
Total non interest bearing cash at beginning of year	2020-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$-269,891
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$6,126,245
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$6,396,136
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	$5,782,321
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$6,261,582
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2020-12-31	$234,302
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2020-12-31	$130,195
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2020-12-31	$130,195
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$621,080
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	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Employer contributions (assets) at end of year	2020-12-31	$0
Employer contributions (assets) at beginning of year	2020-12-31	$4,359
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$1,033,463
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	Unqualified
Accountancy firm name	2020-12-31	BKD, LLP
Accountancy firm EIN	2020-12-31	440160260
2019 : SHELBY MEMORIAL HOSPITAL PENSION PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$1,450
Total income from all sources (including contributions)	2019-12-31	$1,510,174
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$1,113,136
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$1,064,898
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$339,630
Value of total assets at end of year	2019-12-31	$6,396,136
Value of total assets at beginning of year	2019-12-31	$6,000,548
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$48,238
Total interest from all sources	2019-12-31	$2,446
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$125,837
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$125,837
Administrative expenses professional fees incurred	2019-12-31	$811
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
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	$225,698
Participant contributions at end of year	2019-12-31	$0
Participant contributions at beginning of year	2019-12-31	$17
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	$397,038
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$6,396,136
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$5,999,098
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
Investment advisory and management fees	2019-12-31	$47,427
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$6,261,582
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$5,847,436
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-12-31	$130,195
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-12-31	$153,073
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-12-31	$153,073
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-12-31	$2,446
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$1,042,261
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	No
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	$113,932
Employer contributions (assets) at end of year	2019-12-31	$4,359
Employer contributions (assets) at beginning of year	2019-12-31	$22
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$1,064,898
Liabilities. Value of benefit claims payable at end of year	2019-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2019-12-31	$1,450
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	BKD, LLP
Accountancy firm EIN	2019-12-31	440160260
2018 : SHELBY MEMORIAL HOSPITAL PENSION PLAN 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	$1,450
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$1,450
Total income from all sources (including contributions)	2018-12-31	$-1,958
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$1,797,933
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$1,745,515
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$359,368
Value of total assets at end of year	2018-12-31	$6,000,548
Value of total assets at beginning of year	2018-12-31	$7,800,439
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$52,418
Total interest from all sources	2018-12-31	$2,546
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$130,269
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$130,269
Administrative expenses professional fees incurred	2018-12-31	$19,367
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$500,000
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	$244,651
Participant contributions at end of year	2018-12-31	$17
Participant contributions at beginning of year	2018-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-1,799,891
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$5,999,098
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$7,798,989
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
Investment advisory and management fees	2018-12-31	$33,051
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$5,847,436
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$7,756,879
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2018-12-31	$153,073
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2018-12-31	$43,560
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2018-12-31	$43,560
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2018-12-31	$2,546
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-494,141
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	Yes
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	$114,717
Employer contributions (assets) at end of year	2018-12-31	$22
Employer contributions (assets) at beginning of year	2018-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$1,745,515
Liabilities. Value of benefit claims payable at end of year	2018-12-31	$1,450
Liabilities. Value of benefit claims payable at beginning of year	2018-12-31	$1,450
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	BKD, LLP
Accountancy firm EIN	2018-12-31	440160260
2017 : SHELBY MEMORIAL HOSPITAL PENSION PLAN 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	$1,450
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	$1,691,468
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$1,831,844
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$1,766,189
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$492,309
Value of total assets at end of year	2017-12-31	$7,800,439
Value of total assets at beginning of year	2017-12-31	$7,939,365
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$65,655
Total interest from all sources	2017-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$149,022
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$149,022
Administrative expenses professional fees incurred	2017-12-31	$65,655
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$500,000
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	$311,996
Participant contributions at end of year	2017-12-31	$0
Participant contributions at beginning of year	2017-12-31	$14,603
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$4,723
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	$-140,376
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$7,798,989
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$7,939,365
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	$7,756,879
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$7,655,247
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2017-12-31	$43,560
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2017-12-31	$261,793
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2017-12-31	$261,793
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$1,050,137
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	Yes
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	$175,590
Employer contributions (assets) at end of year	2017-12-31	$0
Employer contributions (assets) at beginning of year	2017-12-31	$7,722
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$1,766,189
Liabilities. Value of benefit claims payable at end of year	2017-12-31	$1,450
Liabilities. Value of benefit claims payable 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	BKD, LLP
Accountancy firm EIN	2017-12-31	440160260
2016 : SHELBY MEMORIAL HOSPITAL PENSION PLAN 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	$1,101,186
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$563,793
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$503,340
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$580,340
Value of total assets at end of year	2016-12-31	$7,939,365
Value of total assets at beginning of year	2016-12-31	$7,401,972
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$60,453
Total interest from all sources	2016-12-31	$267
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$147,743
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$147,743
Administrative expenses professional fees incurred	2016-12-31	$60,453
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$500,000
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
Contributions received from participants	2016-12-31	$209,604
Participant contributions at end of year	2016-12-31	$14,603
Participant contributions at beginning of year	2016-12-31	$13,682
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$1,344
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	$537,393
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$7,939,365
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$7,401,972
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	$7,655,247
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$7,117,677
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-12-31	$261,793
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-12-31	$263,262
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-12-31	$263,262
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-12-31	$267
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$372,836
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
Contributions received in cash from employer	2016-12-31	$369,392
Employer contributions (assets) at end of year	2016-12-31	$7,722
Employer contributions (assets) at beginning of year	2016-12-31	$7,351
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$503,340
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	No
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	BKD, LLP
Accountancy firm EIN	2016-12-31	440160260
2015 : SHELBY MEMORIAL HOSPITAL PENSION PLAN 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	$516,173
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$472,918
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$417,465
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$562,067
Value of total assets at end of year	2015-12-31	$7,401,972
Value of total assets at beginning of year	2015-12-31	$7,358,717
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$55,453
Total interest from all sources	2015-12-31	$35
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$141,808
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$141,808
Administrative expenses professional fees incurred	2015-12-31	$55,453
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$500,000
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	$355,920
Participant contributions at end of year	2015-12-31	$13,682
Participant contributions at beginning of year	2015-12-31	$11,217
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	$43,255
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$7,401,972
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$7,358,717
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	$7,117,677
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$6,969,590
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$263,262
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$371,279
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$371,279
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-12-31	$35
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-187,737
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	$206,147
Employer contributions (assets) at end of year	2015-12-31	$7,351
Employer contributions (assets) at beginning of year	2015-12-31	$6,631
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$417,465
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	No
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	BKD, LLP
Accountancy firm EIN	2015-12-31	440160260
2014 : SHELBY MEMORIAL HOSPITAL PENSION PLAN 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	$1,001,887
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$220,089
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$168,219
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$645,717
Value of total assets at end of year	2014-12-31	$7,358,717
Value of total assets at beginning of year	2014-12-31	$6,576,919
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$51,870
Total interest from all sources	2014-12-31	$53
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$111,562
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$111,562
Administrative expenses professional fees incurred	2014-12-31	$51,870
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
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	$381,607
Participant contributions at end of year	2014-12-31	$11,217
Participant contributions at beginning of year	2014-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$61,552
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	$781,798
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$7,358,717
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$6,576,919
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	$6,969,590
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$6,054,170
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$371,279
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$522,749
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$522,749
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-12-31	$53
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$244,555
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	$202,558
Employer contributions (assets) at end of year	2014-12-31	$6,631
Employer contributions (assets) at beginning of year	2014-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$168,219
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	BKD, LLP
Accountancy firm EIN	2014-12-31	440160260
2013 : SHELBY MEMORIAL HOSPITAL PENSION PLAN 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	$1,430,061
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$686,447
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$673,505
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$572,133
Value of total assets at end of year	2013-12-31	$6,576,919
Value of total assets at beginning of year	2013-12-31	$5,833,305
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$12,942
Total interest from all sources	2013-12-31	$64
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$93,683
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$93,683
Administrative expenses professional fees incurred	2013-12-31	$12,942
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
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	$366,077
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$7,662
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	$743,614
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$6,576,919
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$5,833,305
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	$6,054,170
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$5,170,875
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$522,749
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$662,430
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$662,430
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-31	$64
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$764,181
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	$198,394
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$673,505
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	BKD, LLP
Accountancy firm EIN	2013-12-31	440160260
2012 : SHELBY MEMORIAL HOSPITAL PENSION PLAN 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	$1,332,938
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$138,063
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$136,898
Value of total corrective distributions	2012-12-31	$177
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$709,686
Value of total assets at end of year	2012-12-31	$5,833,305
Value of total assets at beginning of year	2012-12-31	$4,638,430
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$988
Total interest from all sources	2012-12-31	$64
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$117,385
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$117,385
Administrative expenses professional fees incurred	2012-12-31	$988
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
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	$375,630
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$125,730
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	$1,194,875
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$5,833,305
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$4,638,430
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	$5,170,875
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$4,074,383
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$662,430
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$564,047
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$564,047
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$64
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$505,803
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	$208,326
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$136,898
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	BKD, LLP
Accountancy firm EIN	2012-12-31	440160260
2011 : SHELBY MEMORIAL HOSPITAL PENSION PLAN 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	$448,626
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$412,363
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$411,501
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$524,764
Value of total assets at end of year	2011-12-31	$4,638,430
Value of total assets at beginning of year	2011-12-31	$4,602,167
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$862
Total interest from all sources	2011-12-31	$55
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$56,939
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$56,939
Administrative expenses professional fees incurred	2011-12-31	$862
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$500,000
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	$338,633
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$28,634
Total non interest bearing cash at beginning of year	2011-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$36,263
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$4,638,430
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$4,602,167
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	$4,074,383
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$4,601,788
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$564,047
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$379
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$379
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$55
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-133,132
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	$157,497
Employer contributions (assets) at beginning of year	2011-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$411,501
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2011-12-31	No
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	BKD, LLP
Accountancy firm EIN	2011-12-31	440160260
2010 : SHELBY MEMORIAL HOSPITAL PENSION PLAN 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	$925,812
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$1,259,784
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$1,250,906
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$466,884
Value of total assets at end of year	2010-12-31	$4,602,167
Value of total assets at beginning of year	2010-12-31	$4,936,139
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$8,878
Total interest from all sources	2010-12-31	$1,097
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$94,589
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$94,589
Administrative expenses professional fees incurred	2010-12-31	$6,497
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$500,000
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	No
Contributions received from participants	2010-12-31	$306,827
Participant contributions at beginning of year	2010-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$8,275
Total non interest bearing cash at end of year	2010-12-31	$0
Total non interest bearing cash at beginning of year	2010-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$-333,972
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$4,602,167
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$4,936,139
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
Investment advisory and management fees	2010-12-31	$2,381
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$4,601,788
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$4,933,613
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$379
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$2,381
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$2,381
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$1,097
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$363,242
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2010-12-31	Yes
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	$151,782
Employer contributions (assets) at end of year	2010-12-31	$0
Employer contributions (assets) at beginning of year	2010-12-31	$145
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$1,250,906
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2010-12-31	No
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	BKD, LLP
Accountancy firm EIN	2010-12-31	440160260
2009 : SHELBY MEMORIAL HOSPITAL PENSION PLAN 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 SHELBY MEMORIAL HOSPITAL PENSION PLAN

2021: SHELBY MEMORIAL HOSPITAL PENSION PLAN 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 – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: SHELBY MEMORIAL HOSPITAL PENSION PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: SHELBY MEMORIAL HOSPITAL PENSION PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: SHELBY MEMORIAL HOSPITAL PENSION PLAN 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: SHELBY MEMORIAL HOSPITAL PENSION PLAN 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	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: SHELBY MEMORIAL HOSPITAL PENSION PLAN 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 – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: SHELBY MEMORIAL HOSPITAL PENSION PLAN 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 – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: SHELBY MEMORIAL HOSPITAL PENSION PLAN 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 – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: SHELBY MEMORIAL HOSPITAL PENSION PLAN 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 – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: SHELBY MEMORIAL HOSPITAL PENSION PLAN 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 – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: SHELBY MEMORIAL HOSPITAL PENSION PLAN 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 – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: SHELBY MEMORIAL HOSPITAL PENSION PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
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 – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	HSHS GOOD SHEPHERD HOSPITAL
Employer identification number (EIN):	370512290
NAIC Classification:	622000
NAIC Description:	Hospitals