401k Plan data: SHELBY MEMORIAL HOSPITAL EMPLOYEE HEALTH PLAN plan

SHELBY MEMORIAL HOSPITAL EMPLOYEE HEALTH PLAN 401k Plan overview

Plan Name	SHELBY MEMORIAL HOSPITAL EMPLOYEE HEALTH PLAN
Plan identification number	502

SHELBY MEMORIAL HOSPITAL EMPLOYEE HEALTH PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Dental Vision

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 EMPLOYEE HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2021-01-01 ADAM FERIOZZI 2023-12-29
502 2020-01-01
502 2019-01-01
502 2019-01-01
502 2018-01-01 AARON PUCHBAUER AARON PUCHBAUER 2019-07-23
502 2017-01-01 AARON PUCHBAUER AARON PUCHBAUER 2018-08-28
502 2016-01-01 MARILYN SEARS
502 2016-01-01
502 2015-01-01 MARILYN SEARS MARILYN SEARS 2016-10-04
502 2014-01-01 MARILYN SEARS MARILYN SEARS 2015-07-29
502 2013-01-01 PHILIP MILLER
502 2012-01-01 PHILIP MILLER
502 2011-01-01 PHILIP MILLER
502 2009-01-01 PHILIP MILLER

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
502	2021-01-01	ADAM FERIOZZI	2023-12-29
502	2020-01-01
502	2019-01-01
502	2019-01-01
502	2018-01-01	AARON PUCHBAUER		AARON PUCHBAUER	2019-07-23
502	2017-01-01	AARON PUCHBAUER		AARON PUCHBAUER	2018-08-28
502	2016-01-01	MARILYN SEARS
502	2016-01-01
502	2015-01-01	MARILYN SEARS		MARILYN SEARS	2016-10-04
502	2014-01-01	MARILYN SEARS		MARILYN SEARS	2015-07-29
502	2013-01-01	PHILIP MILLER
502	2012-01-01	PHILIP MILLER
502	2011-01-01	PHILIP MILLER
502	2009-01-01	PHILIP MILLER

Plan Statistics for SHELBY MEMORIAL HOSPITAL EMPLOYEE HEALTH PLAN

401k plan membership statisitcs for SHELBY MEMORIAL HOSPITAL EMPLOYEE HEALTH PLAN

Measure Date Value
2020: SHELBY MEMORIAL HOSPITAL EMPLOYEE HEALTH PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 81
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 89
Total of all active and inactive participants 2020-01-01 89
Total participants 2020-01-01 89
2019: SHELBY MEMORIAL HOSPITAL EMPLOYEE HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 88
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 99
Total of all active and inactive participants 2019-01-01 99
Total participants 2019-01-01 99
2018: SHELBY MEMORIAL HOSPITAL EMPLOYEE HEALTH PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 106
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 88
Total of all active and inactive participants 2018-01-01 88
Total participants 2018-01-01 88
2017: SHELBY MEMORIAL HOSPITAL EMPLOYEE HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 119
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 106
Total of all active and inactive participants 2017-01-01 106
Total participants 2017-01-01 106
2016: SHELBY MEMORIAL HOSPITAL EMPLOYEE HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 117
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 119
Total of all active and inactive participants 2016-01-01 119
Total participants 2016-01-01 119
2015: SHELBY MEMORIAL HOSPITAL EMPLOYEE HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 110
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 117
Total of all active and inactive participants 2015-01-01 117
Total participants 2015-01-01 117
2014: SHELBY MEMORIAL HOSPITAL EMPLOYEE HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 109
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 110
Total of all active and inactive participants 2014-01-01 110
Total participants 2014-01-01 110
2013: SHELBY MEMORIAL HOSPITAL EMPLOYEE HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 118
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 109
Total of all active and inactive participants 2013-01-01 109
Total participants 2013-01-01 109
2012: SHELBY MEMORIAL HOSPITAL EMPLOYEE HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 118
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 118
Total of all active and inactive participants 2012-01-01 118
Total participants 2012-01-01 118
2011: SHELBY MEMORIAL HOSPITAL EMPLOYEE HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 114
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 118
Total of all active and inactive participants 2011-01-01 118
Total participants 2011-01-01 118
2009: SHELBY MEMORIAL HOSPITAL EMPLOYEE HEALTH PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 116
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 105
Total of all active and inactive participants 2009-01-01 105
Total participants 2009-01-01 105

Measure	Date	Value
2020: SHELBY MEMORIAL HOSPITAL EMPLOYEE HEALTH PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	81
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	89
Total of all active and inactive participants	2020-01-01	89
Total participants	2020-01-01	89
2019: SHELBY MEMORIAL HOSPITAL EMPLOYEE HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	88
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	99
Total of all active and inactive participants	2019-01-01	99
Total participants	2019-01-01	99
2018: SHELBY MEMORIAL HOSPITAL EMPLOYEE HEALTH PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	106
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	88
Total of all active and inactive participants	2018-01-01	88
Total participants	2018-01-01	88
2017: SHELBY MEMORIAL HOSPITAL EMPLOYEE HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	119
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	106
Total of all active and inactive participants	2017-01-01	106
Total participants	2017-01-01	106
2016: SHELBY MEMORIAL HOSPITAL EMPLOYEE HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	117
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	119
Total of all active and inactive participants	2016-01-01	119
Total participants	2016-01-01	119
2015: SHELBY MEMORIAL HOSPITAL EMPLOYEE HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	110
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	117
Total of all active and inactive participants	2015-01-01	117
Total participants	2015-01-01	117
2014: SHELBY MEMORIAL HOSPITAL EMPLOYEE HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	109
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	110
Total of all active and inactive participants	2014-01-01	110
Total participants	2014-01-01	110
2013: SHELBY MEMORIAL HOSPITAL EMPLOYEE HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	118
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	109
Total of all active and inactive participants	2013-01-01	109
Total participants	2013-01-01	109
2012: SHELBY MEMORIAL HOSPITAL EMPLOYEE HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	118
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	118
Total of all active and inactive participants	2012-01-01	118
Total participants	2012-01-01	118
2011: SHELBY MEMORIAL HOSPITAL EMPLOYEE HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	114
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	118
Total of all active and inactive participants	2011-01-01	118
Total participants	2011-01-01	118
2009: SHELBY MEMORIAL HOSPITAL EMPLOYEE HEALTH PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	116
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	105
Total of all active and inactive participants	2009-01-01	105
Total participants	2009-01-01	105

Financial Data on SHELBY MEMORIAL HOSPITAL EMPLOYEE HEALTH PLAN

Measure	Date	Value
2020 : SHELBY MEMORIAL HOSPITAL EMPLOYEE HEALTH 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	$329,755
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$169,221
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$168,505
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$329,755
Value of total assets at end of year	2020-12-31	$258,827
Value of total assets at beginning of year	2020-12-31	$98,293
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$716
Total interest from all sources	2020-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$500,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Total non interest bearing cash at end of year	2020-12-31	$258,827
Total non interest bearing cash at beginning of year	2020-12-31	$98,293
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	$160,534
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$258,827
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$98,293
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
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
Contributions received in cash from employer	2020-12-31	$329,755
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$168,505
Contract administrator fees	2020-12-31	$716
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	2020-12-31	No
Did the plan have assets held for investment	2020-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	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 EMPLOYEE HEALTH PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
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 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	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$1,228,539
Total income from all sources (including contributions)	2019-12-31	$1,228,539
Total loss/gain on sale of assets	2019-12-31	$0
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$1,810,265
Total of all expenses incurred	2019-12-31	$1,810,265
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$1,618,030
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$1,618,030
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$1,081,442
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$1,081,442
Value of total assets at end of year	2019-12-31	$98,293
Value of total assets at end of year	2019-12-31	$98,293
Value of total assets at beginning of year	2019-12-31	$680,019
Value of total assets at beginning of year	2019-12-31	$680,019
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$192,235
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$192,235
Total interest from all sources	2019-12-31	$487
Total interest from all sources	2019-12-31	$487
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$281,576
Contributions received from participants	2019-12-31	$281,576
Other income not declared elsewhere	2019-12-31	$146,610
Other income not declared elsewhere	2019-12-31	$146,610
Administrative expenses (other) incurred	2019-12-31	$192,215
Administrative expenses (other) incurred	2019-12-31	$192,215
Total non interest bearing cash at end of year	2019-12-31	$98,293
Total non interest bearing cash at end of year	2019-12-31	$98,293
Total non interest bearing cash at beginning of year	2019-12-31	$680,019
Total non interest bearing cash at beginning of year	2019-12-31	$680,019
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	$-581,726
Value of net income/loss	2019-12-31	$-581,726
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$98,293
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$98,293
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$680,019
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$680,019
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
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-12-31	$487
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-12-31	$487
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
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	$799,866
Contributions received in cash from employer	2019-12-31	$799,866
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$1,618,030
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$1,618,030
Contract administrator fees	2019-12-31	$20
Contract administrator fees	2019-12-31	$20
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	2019-12-31	No
Did the plan have assets held for investment	2019-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	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	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	No
Opinion of an independent qualified public accountant for this plan	2019-12-31	Unqualified
Opinion of an independent qualified public accountant for this plan	2019-12-31	Unqualified
Accountancy firm name	2019-12-31	BKD, LLP
Accountancy firm name	2019-12-31	BKD, LLP
Accountancy firm EIN	2019-12-31	440160260
Accountancy firm EIN	2019-12-31	440160260
2018 : SHELBY MEMORIAL HOSPITAL EMPLOYEE HEALTH 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	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$1,196,596
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$722,846
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$531,821
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$1,196,596
Value of total assets at end of year	2018-12-31	$680,019
Value of total assets at beginning of year	2018-12-31	$206,269
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$191,025
Total interest from all sources	2018-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$500,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$327,700
Administrative expenses (other) incurred	2018-12-31	$191,658
Total non interest bearing cash at end of year	2018-12-31	$680,019
Total non interest bearing cash at beginning of year	2018-12-31	$206,269
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	$473,750
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$680,019
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$206,269
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
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$868,896
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$531,821
Contract administrator fees	2018-12-31	$-633
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	2018-12-31	No
Did the plan have assets held for investment	2018-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	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	No
Opinion of an independent qualified public accountant for this plan	2018-12-31	Unqualified
Accountancy firm name	2018-12-31	BKD, LLP
Accountancy firm EIN	2018-12-31	440160260
2017 : SHELBY MEMORIAL HOSPITAL EMPLOYEE HEALTH 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	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$1,289,106
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$1,105,524
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$906,769
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$1,289,106
Value of total assets at end of year	2017-12-31	$206,269
Value of total assets at beginning of year	2017-12-31	$22,687
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$198,755
Total interest from all sources	2017-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$500,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$319,084
Administrative expenses (other) incurred	2017-12-31	$196,012
Total non interest bearing cash at end of year	2017-12-31	$206,269
Total non interest bearing cash at beginning of year	2017-12-31	$22,687
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	$183,582
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$206,269
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$22,687
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
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$970,022
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$906,769
Contract administrator fees	2017-12-31	$2,743
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	2017-12-31	No
Did the plan have assets held for investment	2017-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	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	No
Opinion of an independent qualified public accountant for this plan	2017-12-31	Unqualified
Accountancy firm name	2017-12-31	BKD, LLP
Accountancy firm EIN	2017-12-31	440160260
2016 : SHELBY MEMORIAL HOSPITAL EMPLOYEE HEALTH 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	$1,347,528
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$1,366,643
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$1,151,505
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$1,347,528
Value of total assets at end of year	2016-12-31	$22,687
Value of total assets at beginning of year	2016-12-31	$41,802
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$215,138
Total interest from all sources	2016-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
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
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$1,016,137
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$331,391
Administrative expenses (other) incurred	2016-12-31	$214,481
Total non interest bearing cash at end of year	2016-12-31	$22,687
Total non interest bearing cash at beginning of year	2016-12-31	$41,802
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	$-19,115
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$22,687
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$41,802
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
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$1,151,505
Contract administrator fees	2016-12-31	$657
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	2016-12-31	No
Did the plan have assets held for investment	2016-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	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	No
Opinion of an independent qualified public accountant for this plan	2016-12-31	Unqualified
Accountancy firm name	2016-12-31	BKD, LLP
Accountancy firm EIN	2016-12-31	440160260
2015 : SHELBY MEMORIAL HOSPITAL EMPLOYEE HEALTH 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	$31,677
Total income from all sources (including contributions)	2015-12-31	$1,141,752
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$1,103,680
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$956,261
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$1,141,752
Value of total assets at end of year	2015-12-31	$41,802
Value of total assets at beginning of year	2015-12-31	$35,407
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$147,419
Total interest from all sources	2015-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
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
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$246,835
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2015-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2015-12-31	$31,677
Administrative expenses (other) incurred	2015-12-31	$146,802
Total non interest bearing cash at end of year	2015-12-31	$41,802
Total non interest bearing cash at beginning of year	2015-12-31	$35,407
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	$38,072
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$41,802
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$3,730
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
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	$894,917
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$956,261
Contract administrator fees	2015-12-31	$617
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	2015-12-31	No
Did the plan have assets held for investment	2015-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	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	No
Opinion of an independent qualified public accountant for this plan	2015-12-31	Unqualified
Accountancy firm name	2015-12-31	BKD, LLP
Accountancy firm EIN	2015-12-31	440160260
2014 : SHELBY MEMORIAL HOSPITAL EMPLOYEE HEALTH 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	$31,677
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	$1,326,838
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$1,334,093
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$1,095,355
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$1,326,838
Value of total assets at end of year	2014-12-31	$35,407
Value of total assets at beginning of year	2014-12-31	$10,985
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$238,738
Total interest from all sources	2014-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
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
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$258,017
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2014-12-31	$31,677
Administrative expenses (other) incurred	2014-12-31	$238,144
Total non interest bearing cash at end of year	2014-12-31	$35,407
Total non interest bearing cash at beginning of year	2014-12-31	$10,985
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	$-7,255
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$3,730
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$10,985
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
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	$1,068,821
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$1,095,355
Contract administrator fees	2014-12-31	$594
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	2014-12-31	No
Did the plan have assets held for investment	2014-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	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	No
Opinion of an independent qualified public accountant for this plan	2014-12-31	Unqualified
Accountancy firm name	2014-12-31	BKD, LLP
Accountancy firm EIN	2014-12-31	440160260
2013 : SHELBY MEMORIAL HOSPITAL EMPLOYEE HEALTH 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	$1,600,550
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$1,482,805
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$1,225,040
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$1,600,471
Value of total assets at end of year	2013-12-31	$118,207
Value of total assets at beginning of year	2013-12-31	$462
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$257,765
Total interest from all sources	2013-12-31	$79
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
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
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$259,616
Administrative expenses (other) incurred	2013-12-31	$257,658
Total non interest bearing cash at end of year	2013-12-31	$118,207
Total non interest bearing cash at beginning of year	2013-12-31	$462
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	$117,745
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$118,207
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$462
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
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-31	$79
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	$1,340,855
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$1,225,040
Contract administrator fees	2013-12-31	$107
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2013-12-31	No
Did the plan have assets held for investment	2013-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	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	No
Opinion of an independent qualified public accountant for this plan	2013-12-31	Unqualified
Accountancy firm name	2013-12-31	BKD, LLP
Accountancy firm EIN	2013-12-31	440160260
2012 : SHELBY MEMORIAL HOSPITAL EMPLOYEE HEALTH PLAN 2012 401k financial data
Total income from all sources (including contributions)	2012-12-31	$902,445
Total of all expenses incurred	2012-12-31	$1,354,758
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$1,150,527
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$902,445
Value of total assets at end of year	2012-12-31	$462
Value of total assets at beginning of year	2012-12-31	$289,517
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$204,231
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
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
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$278,402
Administrative expenses (other) incurred	2012-12-31	$173,228
Total non interest bearing cash at end of year	2012-12-31	$462
Total non interest bearing cash at beginning of year	2012-12-31	$289,517
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	$-452,313
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$462
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$289,517
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
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	$624,043
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$1,150,527
Contract administrator fees	2012-12-31	$31,003
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	2012-12-31	No
Did the plan have assets held for investment	2012-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	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	No
Opinion of an independent qualified public accountant for this plan	2012-12-31	Unqualified
Accountancy firm name	2012-12-31	BKD, LLP
Accountancy firm EIN	2012-12-31	440160260
2011 : SHELBY MEMORIAL HOSPITAL EMPLOYEE HEALTH PLAN 2011 401k financial data
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	$10,015
Total income from all sources (including contributions)	2011-12-31	$1,229,636
Total of all expenses incurred	2011-12-31	$949,107
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$778,018
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$1,229,076
Value of total assets at end of year	2011-12-31	$297,384
Value of total assets at beginning of year	2011-12-31	$26,870
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$171,089
Total interest from all sources	2011-12-31	$560
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Was this plan covered by a fidelity bond	2011-12-31	No
If this is an individual account plan, was there a blackout period	2011-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$285,751
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2011-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2011-12-31	$10,015
Administrative expenses (other) incurred	2011-12-31	$164,686
Total non interest bearing cash at end of year	2011-12-31	$297,384
Total non interest bearing cash at beginning of year	2011-12-31	$26,870
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	$280,529
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$297,384
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$16,855
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
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$560
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	$943,325
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$778,018
Contract administrator fees	2011-12-31	$6,403
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	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	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	No
Opinion of an independent qualified public accountant for this plan	2011-12-31	Unqualified
Accountancy firm name	2011-12-31	BKD, LLP
Accountancy firm EIN	2011-12-31	440160260
2010 : SHELBY MEMORIAL HOSPITAL EMPLOYEE HEALTH PLAN 2010 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$10,015
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$23,958
Total income from all sources (including contributions)	2010-12-31	$1,086,522
Total of all expenses incurred	2010-12-31	$1,084,394
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$938,429
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$1,086,322
Value of total assets at end of year	2010-12-31	$26,870
Value of total assets at beginning of year	2010-12-31	$38,685
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$145,965
Total interest from all sources	2010-12-31	$200
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Was this plan covered by a fidelity bond	2010-12-31	No
If this is an individual account plan, was there a blackout period	2010-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$255,477
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2010-12-31	$10,015
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2010-12-31	$23,958
Administrative expenses (other) incurred	2010-12-31	$133,293
Total non interest bearing cash at end of year	2010-12-31	$26,870
Total non interest bearing cash at beginning of year	2010-12-31	$38,685
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	$2,128
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$16,855
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$14,727
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
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$200
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$830,845
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$938,429
Contract administrator fees	2010-12-31	$12,672
Did the plan have assets held for investment	2010-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	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	No
Opinion of an independent qualified public accountant for this plan	2010-12-31	Unqualified
Accountancy firm name	2010-12-31	BKD, LLP
Accountancy firm EIN	2010-12-31	440160260

Form 5500 Responses for SHELBY MEMORIAL HOSPITAL EMPLOYEE HEALTH PLAN

2020: SHELBY MEMORIAL HOSPITAL EMPLOYEE HEALTH 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 EMPLOYEE HEALTH 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 EMPLOYEE HEALTH 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 EMPLOYEE HEALTH 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 EMPLOYEE HEALTH PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	Yes
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 EMPLOYEE HEALTH PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	First time form 5500 has been submitted	Yes
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 EMPLOYEE HEALTH 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 EMPLOYEE HEALTH 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 EMPLOYEE HEALTH 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 EMPLOYEE HEALTH 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 EMPLOYEE HEALTH 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

Was this data useful?

If you found the data here useful, PLEASE HELP US. We are a start-up and believe in making information freely available. By linking to us, posting on twitter, facebook and linkedin about us and generally spreading the word, you'll help us to grow. Our vision is to provide high quality data about the activities of all the companies in the world and where possible make it free to use and view. Finding and integrating data from thousands of data sources is time consuming and needs lots of effort. By simply spreading the word about us, you will help us. Please use the share buttons. It will only take a few seconds of your time. Thanks for helping

Information Disclaimer

The information provided on this website is not advice, endorsement or recommendation
The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
You are free to use the information for your own personal research on the understanding to do so is at your own risk.

See full terms and conditions

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