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MILE BLUFF MEDICAL CENTER, INC. IRS 403(B) TSA PLAN 401k Plan overview

Plan NameMILE BLUFF MEDICAL CENTER, INC. IRS 403(B) TSA PLAN
Plan identification number 002

MILE BLUFF MEDICAL CENTER, INC. IRS 403(B) TSA PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
  • 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

MILE BLUFF MEDICAL CENTER, INC. has sponsored the creation of one or more 401k plans.

Company Name:MILE BLUFF MEDICAL CENTER, INC.
Employer identification number (EIN):390992883
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MILE BLUFF MEDICAL CENTER, INC. IRS 403(B) TSA PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022023-01-01NIKKI TURNER2024-06-17
0022022-01-01NIKKI TURNER2023-05-10
0022021-01-01NIKKI TURNER2022-03-17 NIKKI TURNER2022-03-17
0022020-01-01NIKKI TUNER2021-05-18
0022019-01-01NIKKI TUNER2020-03-24
0022018-01-01NIKKI TUNER2019-04-24
0022017-01-01NIKKI TUNER2018-04-06
0022016-01-01NIKKI TURNER
0022015-01-01NIKKI TURNER
0022014-01-01NIKKI TURNER
0022013-01-01NIKKI TURNER2014-10-14
0022012-01-01NIKKI TURNER2013-07-25
0022011-01-01NIKKI TURNER2012-06-28
0022010-01-01NIKKI TURNER2011-05-23

Financial Data on MILE BLUFF MEDICAL CENTER, INC. IRS 403(B) TSA PLAN

Measure Date Value
2025 : MILE BLUFF MEDICAL CENTER, INC. IRS 403(B) TSA PLAN 2025 401k financial data
Total transfers to/from plan in this plan year2025-07-240
Total liabilities as of the end of the plan year2025-07-240
Total liabilities as of the beginning of the plan year2025-07-240
Total expenses incurred by plan in this plan year2025-07-24254368
Net assets as of the end of the plan year2025-07-242701026
Total assets as of the beginning of the plan year2025-07-242694154
Value of plan covered by a fidelity bond2025-07-24500000
Participant contributions to plan in this plan year2025-07-240
Other expenses paid from plan in this plan year2025-07-240
Other contributions to plan in this plan year2025-07-240
Other income to plan in this plan year2025-07-24261240
Plan net income in this plan year2025-07-246872
Net assets as of the end of the plan year2025-07-242701026
Net assets as of the beginning of the plan year2025-07-242694154
Value of contributions failed to transmitted timely2025-07-240
Employer contributions to plan in this plan year2025-07-240
Expensese paid to adminstrative service provicers from plan in this plan year2025-07-2450
2024 : MILE BLUFF MEDICAL CENTER, INC. IRS 403(B) TSA PLAN 2024 401k financial data
Total expenses incurred by plan in this plan year2024-06-17945536
Net assets as of the end of the plan year2024-06-172694154
Total assets as of the beginning of the plan year2024-06-173314522
Value of plan covered by a fidelity bond2024-06-17500000
Other income to plan in this plan year2024-06-17325168
Plan net income in this plan year2024-06-17-620368
Net assets as of the end of the plan year2024-06-172694154
Net assets as of the beginning of the plan year2024-06-173314522
Expensese paid to adminstrative service provicers from plan in this plan year2024-06-17500
2022 : MILE BLUFF MEDICAL CENTER, INC. IRS 403(B) TSA PLAN 2022 401k financial data
Total expenses incurred by plan in this plan year2022-03-17468200
Net assets as of the end of the plan year2022-03-174058347
Total assets as of the beginning of the plan year2022-03-174029407
Value of plan covered by a fidelity bond2022-03-17500000
Participant contributions to plan in this plan year2022-03-170
Other contributions to plan in this plan year2022-03-170
Other income to plan in this plan year2022-03-17497140
Plan net income in this plan year2022-03-1728940
Net assets as of the end of the plan year2022-03-174058347
Net assets as of the beginning of the plan year2022-03-174029407
Employer contributions to plan in this plan year2022-03-170
Fees paid to broker by Benefit Provider2022-03-17402
Expensese paid to adminstrative service provicers from plan in this plan year2022-03-17600
2016 : MILE BLUFF MEDICAL CENTER, INC. IRS 403(B) TSA PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$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$256,122
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$140,009
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$140,009
Expenses. Certain deemed distributions of participant loans2016-12-31$0
Value of total corrective distributions2016-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$0
Value of total assets at end of year2016-12-31$3,613,805
Value of total assets at beginning of year2016-12-31$3,497,692
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$0
Total interest from all sources2016-12-31$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 year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$0
Participant contributions at end of year2016-12-31$0
Participant contributions at beginning of year2016-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$116,113
Value of net assets at end of year (total assets less liabilities)2016-12-31$3,613,805
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$3,497,692
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$3,271,427
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$3,225,795
Interest on participant loans2016-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$342,378
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$271,897
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$256,122
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$140,009
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31EIDE BAILLY
Accountancy firm EIN2016-12-31450250958
2015 : MILE BLUFF MEDICAL CENTER, INC. IRS 403(B) TSA PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$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$0
Total income from all sources (including contributions)2015-12-31$-40,589
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$501,545
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$500,995
Expenses. Certain deemed distributions of participant loans2015-12-31$0
Value of total corrective distributions2015-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$0
Value of total assets at end of year2015-12-31$3,497,692
Value of total assets at beginning of year2015-12-31$4,039,826
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$550
Total interest from all sources2015-12-31$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 year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$0
Participant contributions at end of year2015-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-542,134
Value of net assets at end of year (total assets less liabilities)2015-12-31$3,497,692
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$4,039,826
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$3,225,795
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$3,661,815
Interest on participant loans2015-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$271,897
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$378,011
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-40,589
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$500,995
Contract administrator fees2015-12-31$550
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31EIDE BAILLY
Accountancy firm EIN2015-12-31450250958
2014 : MILE BLUFF MEDICAL CENTER, INC. IRS 403(B) TSA PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$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$179,544
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$646,822
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$645,972
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$0
Value of total assets at end of year2014-12-31$4,039,826
Value of total assets at beginning of year2014-12-31$4,507,104
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$850
Total interest from all sources2014-12-31$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 year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-467,278
Value of net assets at end of year (total assets less liabilities)2014-12-31$4,039,826
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$4,507,104
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$3,661,815
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$4,229,692
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$378,011
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$277,412
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$179,544
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$645,972
Contract administrator fees2014-12-31$850
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31EIDE BAILLY
Accountancy firm EIN2014-12-31450250958

Form 5500 Responses for MILE BLUFF MEDICAL CENTER, INC. IRS 403(B) TSA PLAN

2016: MILE BLUFF MEDICAL CENTER, INC. IRS 403(B) TSA PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: MILE BLUFF MEDICAL CENTER, INC. IRS 403(B) TSA PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: MILE BLUFF MEDICAL CENTER, INC. IRS 403(B) TSA PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number031-80063
Policy instance 1
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number031-80063
Policy instance 1

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