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CITIZENS MEDICAL CENTER, INC. 401(K) & PENSION TRUST 401k Plan overview

Plan NameCITIZENS MEDICAL CENTER, INC. 401(K) & PENSION TRUST
Plan identification number 001

CITIZENS MEDICAL CENTER, INC. 401(K) & PENSION TRUST Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

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

Company Name:CITIZENS MEDICAL CENTER, INC.
Employer identification number (EIN):480892178
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CITIZENS MEDICAL CENTER, INC. 401(K) & PENSION TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012024-01-01LAURA COULTER
0012023-01-01
0012023-01-01AMANDA CADLE
0012023-01-01AMANDA CADLE
0012022-01-01
0012022-01-01RYAN STOVER
0012021-01-01
0012021-01-01RYAN STOVER
0012020-01-01
0012019-01-01
0012018-01-01
0012017-01-01DARCY HOWARD DARCY HOWARD2018-10-10
0012016-01-01DARCY HOWARD DARCY HOWARD2017-10-10
0012015-01-01CARLA SHARP CARLA SHARP2016-10-05
0012014-01-01GREG UNRUH GREG UNRUH2015-10-05
0012013-01-01GREG UNRUH GREG UNRUH2015-10-07
0012012-01-01KEVAN TRENKLE KEVAN TRENKLE2013-07-23
0012011-01-01KEVAN TRENKLE KEVAN TRENKLE2012-10-01
0012010-01-01KEVAN TRENKLE KEVAN TRENKLE2011-10-04
0012009-01-01KEVAN TRENKLE KEVAN TRENKLE2010-09-15

Financial Data on CITIZENS MEDICAL CENTER, INC. 401(K) & PENSION TRUST

Measure Date Value
2023 : CITIZENS MEDICAL CENTER, INC. 401(K) & PENSION TRUST 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$0
Total income from all sources (including contributions)2023-12-31$6,939,583
Total loss/gain on sale of assets2023-12-31$0
Total of all expenses incurred2023-12-31$1,852,585
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$1,780,323
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$2,864,370
Value of total assets at end of year2023-12-31$27,866,871
Value of total assets at beginning of year2023-12-31$22,779,873
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$72,262
Total interest from all sources2023-12-31$30,097
Total dividends received (eg from common stock, registered investment company shares)2023-12-31$10,060
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2023-12-31$10,060
Was this plan covered by a fidelity bond2023-12-31Yes
Value of fidelity bond cover2023-12-31$500,000
If this is an individual account plan, was there a blackout period2023-12-31No
Were there any nonexempt tranactions with any party-in-interest2023-12-31No
Contributions received from participants2023-12-31$1,682,125
Participant contributions at end of year2023-12-31$413,214
Participant contributions at beginning of year2023-12-31$347,766
Participant contributions at end of year2023-12-31$64,296
Income. Received or receivable in cash from other sources (including rollovers)2023-12-31$180,393
Other income not declared elsewhere2023-12-31$2,684
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Value of net income/loss2023-12-31$5,086,998
Value of net assets at end of year (total assets less liabilities)2023-12-31$27,866,871
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$22,779,873
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-12-31No
Were any leases to which the plan was party in default or uncollectible2023-12-31No
Investment advisory and management fees2023-12-31$24,693
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-12-31$538,864
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-12-31$102,059
Value of interest in pooled separate accounts at end of year2023-12-31$7,950,095
Value of interest in pooled separate accounts at beginning of year2023-12-31$7,451,985
Interest on participant loans2023-12-31$22,859
Interest earned on other investments2023-12-31$7,238
Value of interest in common/collective trusts at end of year2023-12-31$18,555,129
Value of interest in common/collective trusts at beginning of year2023-12-31$14,738,028
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2023-12-31$332,340
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2023-12-31$140,035
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-12-31$40,341
Net investment gain/loss from pooled separate accounts2023-12-31$1,203,256
Net investment gain or loss from common/collective trusts2023-12-31$2,788,775
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-12-31No
Was there a failure to transmit to the plan any participant contributions2023-12-31Yes
Has the plan failed to provide any benefit when due under the plan2023-12-31No
Contributions received in cash from employer2023-12-31$1,001,852
Employer contributions (assets) at end of year2023-12-31$12,933
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-12-31$1,780,323
Contract administrator fees2023-12-31$47,569
Did the plan have assets held for investment2023-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-12-31No
Opinion of an independent qualified public accountant for this plan2023-12-31Unqualified
Accountancy firm name2023-12-31FORVIS MAZARZ, LLP
Accountancy firm EIN2023-12-31440160260
Total unrealized appreciation/depreciation of assets2023-01-01$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-01-01$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-01-01$0
Total income from all sources (including contributions)2023-01-01$6,939,583
Total loss/gain on sale of assets2023-01-01$0
Total of all expenses incurred2023-01-01$1,852,585
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-01-01$1,780,323
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-01-01$2,864,370
Value of total assets at end of year2023-01-01$27,866,871
Value of total assets at beginning of year2023-01-01$22,779,873
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-01-01$72,262
Total interest from all sources2023-01-01$30,097
Total dividends received (eg from common stock, registered investment company shares)2023-01-01$10,060
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-01-01No
Total dividends received from registered investment company shares (eg mutual funds)2023-01-01$10,060
Was this plan covered by a fidelity bond2023-01-01Yes
Value of fidelity bond cover2023-01-01$500,000
If this is an individual account plan, was there a blackout period2023-01-01No
Were there any nonexempt tranactions with any party-in-interest2023-01-01No
Contributions received from participants2023-01-01$1,682,125
Participant contributions at end of year2023-01-01$413,214
Participant contributions at beginning of year2023-01-01$347,766
Participant contributions at end of year2023-01-01$64,296
Income. Received or receivable in cash from other sources (including rollovers)2023-01-01$180,393
Other income not declared elsewhere2023-01-01$2,684
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-01No
Value of net income/loss2023-01-01$5,086,998
Value of net assets at end of year (total assets less liabilities)2023-01-01$27,866,871
Value of net assets at beginning of year (total assets less liabilities)2023-01-01$22,779,873
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2023-01-01No
Were any leases to which the plan was party in default or uncollectible2023-01-01No
Investment advisory and management fees2023-01-01$24,693
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-01-01$538,864
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-01-01$102,059
Value of interest in pooled separate accounts at end of year2023-01-01$7,950,095
Value of interest in pooled separate accounts at beginning of year2023-01-01$7,451,985
Interest on participant loans2023-01-01$22,859
Interest earned on other investments2023-01-01$7,238
Value of interest in common/collective trusts at end of year2023-01-01$18,555,129
Value of interest in common/collective trusts at beginning of year2023-01-01$14,738,028
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2023-01-01$332,340
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2023-01-01$140,035
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-01-01$40,341
Net investment gain/loss from pooled separate accounts2023-01-01$1,203,256
Net investment gain or loss from common/collective trusts2023-01-01$2,788,775
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-01-01No
Was there a failure to transmit to the plan any participant contributions2023-01-01Yes
Has the plan failed to provide any benefit when due under the plan2023-01-01No
Contributions received in cash from employer2023-01-01$1,001,852
Employer contributions (assets) at end of year2023-01-01$12,933
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-01-01$1,780,323
Contract administrator fees2023-01-01$47,569
Did the plan have assets held for investment2023-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-01-01No
Opinion of an independent qualified public accountant for this plan2023-01-011
Accountancy firm name2023-01-01FORVIS MAZARS LLP
Accountancy firm EIN2023-01-01440160260
2022 : CITIZENS MEDICAL CENTER, INC. 401(K) & PENSION TRUST 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$-1,685,706
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$1,181,663
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$1,105,192
Expenses. Certain deemed distributions of participant loans2022-12-31$5,079
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$2,719,228
Value of total assets at end of year2022-12-31$22,779,873
Value of total assets at beginning of year2022-12-31$25,647,242
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$71,392
Total interest from all sources2022-12-31$19,003
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$680
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$680
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$1,000,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$1,653,242
Participant contributions at end of year2022-12-31$347,766
Participant contributions at beginning of year2022-12-31$344,964
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$59,804
Other income not declared elsewhere2022-12-31$-4,684
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-2,867,369
Value of net assets at end of year (total assets less liabilities)2022-12-31$22,779,873
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$25,647,242
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$24,860
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$102,059
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$99,866
Value of interest in pooled separate accounts at end of year2022-12-31$7,451,985
Value of interest in pooled separate accounts at beginning of year2022-12-31$8,760,352
Interest on participant loans2022-12-31$17,163
Interest earned on other investments2022-12-31$1,840
Value of interest in common/collective trusts at end of year2022-12-31$14,738,028
Value of interest in common/collective trusts at beginning of year2022-12-31$16,301,688
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$140,035
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$140,372
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-25,905
Net investment gain/loss from pooled separate accounts2022-12-31$-1,455,775
Net investment gain or loss from common/collective trusts2022-12-31$-2,938,253
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31Yes
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$1,006,182
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$1,105,192
Contract administrator fees2022-12-31$46,532
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31FORVIS, LLP
Accountancy firm EIN2022-12-31440160260
Total unrealized appreciation/depreciation of assets2022-01-01$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-01$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-01$0
Total income from all sources (including contributions)2022-01-01$-1,685,706
Total loss/gain on sale of assets2022-01-01$0
Total of all expenses incurred2022-01-01$1,181,663
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-01-01$1,105,192
Expenses. Certain deemed distributions of participant loans2022-01-01$5,079
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-01-01$2,719,228
Value of total assets at end of year2022-01-01$22,779,873
Value of total assets at beginning of year2022-01-01$25,647,242
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-01-01$71,392
Total interest from all sources2022-01-01$19,003
Total dividends received (eg from common stock, registered investment company shares)2022-01-01$680
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-01-01No
Total dividends received from registered investment company shares (eg mutual funds)2022-01-01$680
Was this plan covered by a fidelity bond2022-01-01Yes
Value of fidelity bond cover2022-01-01$1,000,000
If this is an individual account plan, was there a blackout period2022-01-01No
Were there any nonexempt tranactions with any party-in-interest2022-01-01No
Contributions received from participants2022-01-01$1,653,242
Participant contributions at end of year2022-01-01$347,766
Participant contributions at beginning of year2022-01-01$344,964
Income. Received or receivable in cash from other sources (including rollovers)2022-01-01$59,804
Other income not declared elsewhere2022-01-01$-4,684
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Value of net income/loss2022-01-01$-2,867,369
Value of net assets at end of year (total assets less liabilities)2022-01-01$22,779,873
Value of net assets at beginning of year (total assets less liabilities)2022-01-01$25,647,242
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2022-01-01No
Were any leases to which the plan was party in default or uncollectible2022-01-01No
Investment advisory and management fees2022-01-01$24,860
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-01-01$102,059
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-01-01$99,866
Value of interest in pooled separate accounts at end of year2022-01-01$7,451,985
Value of interest in pooled separate accounts at beginning of year2022-01-01$8,760,352
Interest on participant loans2022-01-01$17,163
Interest earned on other investments2022-01-01$1,840
Value of interest in common/collective trusts at end of year2022-01-01$14,738,028
Value of interest in common/collective trusts at beginning of year2022-01-01$16,301,688
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-01-01$140,035
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-01-01$140,372
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-01-01$-25,905
Net investment gain/loss from pooled separate accounts2022-01-01$-1,455,775
Net investment gain or loss from common/collective trusts2022-01-01$-2,938,253
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-01-01No
Was there a failure to transmit to the plan any participant contributions2022-01-01Yes
Has the plan failed to provide any benefit when due under the plan2022-01-01No
Contributions received in cash from employer2022-01-01$1,006,182
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-01-01$1,105,192
Contract administrator fees2022-01-01$46,532
Did the plan have assets held for investment2022-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-01-01No
Opinion of an independent qualified public accountant for this plan2022-01-011
Accountancy firm name2022-01-01FORVIS, LLP
Accountancy firm EIN2022-01-01440160260
2021 : CITIZENS MEDICAL CENTER, INC. 401(K) & PENSION TRUST 2021 401k financial data
Total income from all sources (including contributions)2021-12-31$6,082,024
Total of all expenses incurred2021-12-31$1,560,433
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$1,494,682
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$2,481,783
Value of total assets at end of year2021-12-31$25,647,242
Value of total assets at beginning of year2021-12-31$21,125,651
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$65,751
Total interest from all sources2021-12-31$19,361
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$678
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$678
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$1,000,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$1,507,880
Participant contributions at end of year2021-12-31$344,964
Participant contributions at beginning of year2021-12-31$368,648
Participant contributions at beginning of year2021-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$29,119
Other income not declared elsewhere2021-12-31$-318
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$4,521,591
Value of net assets at end of year (total assets less liabilities)2021-12-31$25,647,242
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$21,125,651
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$18,356
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$99,866
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$69,583
Value of interest in pooled separate accounts at end of year2021-12-31$8,760,352
Value of interest in pooled separate accounts at beginning of year2021-12-31$7,403,641
Interest on participant loans2021-12-31$17,320
Interest earned on other investments2021-12-31$2,041
Value of interest in common/collective trusts at end of year2021-12-31$16,301,688
Value of interest in common/collective trusts at beginning of year2021-12-31$13,111,272
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$140,372
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$172,507
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$-22,151
Net investment gain/loss from pooled separate accounts2021-12-31$1,440,696
Net investment gain or loss from common/collective trusts2021-12-31$2,161,975
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$944,784
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$1,494,682
Contract administrator fees2021-12-31$47,395
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31FORVIS, LLP
Accountancy firm EIN2021-12-31440160260
2020 : CITIZENS MEDICAL CENTER, INC. 401(K) & PENSION TRUST 2020 401k financial data
Total income from all sources (including contributions)2020-12-31$5,051,663
Total of all expenses incurred2020-12-31$2,464,331
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$2,387,317
Value of total corrective distributions2020-12-31$33
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$2,285,105
Value of total assets at end of year2020-12-31$21,125,651
Value of total assets at beginning of year2020-12-31$18,538,319
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$76,981
Total interest from all sources2020-12-31$24,977
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$128
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$128
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$1,000,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$1,364,592
Participant contributions at end of year2020-12-31$368,648
Participant contributions at beginning of year2020-12-31$351,914
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$37,175
Other income not declared elsewhere2020-12-31$-9,657
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$2,587,332
Value of net assets at end of year (total assets less liabilities)2020-12-31$21,125,651
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$18,538,319
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$31,250
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$69,583
Value of interest in pooled separate accounts at end of year2020-12-31$7,403,641
Value of interest in pooled separate accounts at beginning of year2020-12-31$8,091,420
Interest on participant loans2020-12-31$22,056
Interest earned on other investments2020-12-31$2,921
Value of interest in common/collective trusts at end of year2020-12-31$13,111,272
Value of interest in common/collective trusts at beginning of year2020-12-31$9,879,813
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$172,507
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$195,464
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$7,658
Net investment gain/loss from pooled separate accounts2020-12-31$999,868
Net investment gain or loss from common/collective trusts2020-12-31$1,743,584
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31Yes
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$883,338
Employer contributions (assets) at beginning of year2020-12-31$19,708
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$2,387,317
Contract administrator fees2020-12-31$45,731
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31BKD, LLP
Accountancy firm EIN2020-12-31440160260
2019 : CITIZENS MEDICAL CENTER, INC. 401(K) & PENSION TRUST 2019 401k financial data
Total income from all sources (including contributions)2019-12-31$5,425,142
Total of all expenses incurred2019-12-31$1,135,375
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$1,071,608
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$2,053,689
Value of total assets at end of year2019-12-31$18,538,319
Value of total assets at beginning of year2019-12-31$14,248,552
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$63,767
Total interest from all sources2019-12-31$22,657
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$1,000,000
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$1,168,939
Participant contributions at end of year2019-12-31$351,914
Participant contributions at beginning of year2019-12-31$396,871
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$147,298
Administrative expenses (other) incurred2019-12-31$683
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$4,289,767
Value of net assets at end of year (total assets less liabilities)2019-12-31$18,538,319
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$14,248,552
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$18,750
Value of interest in pooled separate accounts at end of year2019-12-31$8,091,420
Value of interest in pooled separate accounts at beginning of year2019-12-31$6,353,410
Interest on participant loans2019-12-31$19,446
Interest earned on other investments2019-12-31$3,211
Value of interest in common/collective trusts at end of year2019-12-31$9,879,813
Value of interest in common/collective trusts at beginning of year2019-12-31$7,299,308
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$195,464
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$188,750
Net investment gain/loss from pooled separate accounts2019-12-31$1,640,431
Net investment gain or loss from common/collective trusts2019-12-31$1,708,365
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31Yes
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$737,452
Employer contributions (assets) at end of year2019-12-31$19,708
Employer contributions (assets) at beginning of year2019-12-31$10,213
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$1,071,608
Contract administrator fees2019-12-31$44,334
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31BKD, LLP
Accountancy firm EIN2019-12-31440160260
2018 : CITIZENS MEDICAL CENTER, INC. 401(K) & PENSION TRUST 2018 401k financial data
Total income from all sources (including contributions)2018-12-31$817,403
Total of all expenses incurred2018-12-31$1,300,194
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$1,230,471
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$1,894,993
Value of total assets at end of year2018-12-31$14,248,552
Value of total assets at beginning of year2018-12-31$14,731,343
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$69,723
Total interest from all sources2018-12-31$24,279
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$1,050,048
Participant contributions at end of year2018-12-31$396,871
Participant contributions at beginning of year2018-12-31$501,555
Participant contributions at beginning of year2018-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$160,708
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-482,791
Value of net assets at end of year (total assets less liabilities)2018-12-31$14,248,552
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$14,731,343
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$31,240
Value of interest in pooled separate accounts at end of year2018-12-31$6,353,410
Value of interest in pooled separate accounts at beginning of year2018-12-31$6,979,494
Interest on participant loans2018-12-31$21,868
Value of interest in common/collective trusts at end of year2018-12-31$7,299,308
Value of interest in common/collective trusts at beginning of year2018-12-31$7,182,904
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$2,411
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$188,750
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$67,390
Net investment gain/loss from pooled separate accounts2018-12-31$-480,665
Net investment gain or loss from common/collective trusts2018-12-31$-621,204
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31Yes
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$684,237
Employer contributions (assets) at end of year2018-12-31$10,213
Employer contributions (assets) at beginning of year2018-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$1,230,471
Contract administrator fees2018-12-31$38,483
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31BKD, LLP
Accountancy firm EIN2018-12-31440160260
2017 : CITIZENS MEDICAL CENTER, INC. 401(K) & PENSION TRUST 2017 401k financial data
Unrealized appreciation/depreciation of real estate assets2017-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$0
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total transfer of assets to this plan2017-12-31$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$3,794,307
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$1,257,647
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$1,179,143
Expenses. Certain deemed distributions of participant loans2017-12-31$0
Value of total corrective distributions2017-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$1,615,293
Value of total assets at end of year2017-12-31$14,731,343
Value of total assets at beginning of year2017-12-31$12,194,683
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$78,504
Total income from rents2017-12-31$0
Total interest from all sources2017-12-31$21,063
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 year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$0
Administrative expenses professional fees incurred2017-12-31$0
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Amount of non-exempt transactions with any party-in-interest2017-12-31$0
Contributions received from participants2017-12-31$980,163
Participant contributions at end of year2017-12-31$501,555
Participant contributions at beginning of year2017-12-31$464,370
Participant contributions at end of year2017-12-31$0
Participant contributions at beginning of year2017-12-31$3,251
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$22,061
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2017-12-31$21,307
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$0
Other income not declared elsewhere2017-12-31$1,099
Administrative expenses (other) incurred2017-12-31$0
Liabilities. Value of operating payables at beginning of year2017-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$2,536,660
Value of net assets at end of year (total assets less liabilities)2017-12-31$14,731,343
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$12,194,683
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year2017-12-31$0
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2017-12-31$0
Investment advisory and management fees2017-12-31$24,993
Value of interest in pooled separate accounts at end of year2017-12-31$6,979,494
Value of interest in pooled separate accounts at beginning of year2017-12-31$11,648,972
Interest on participant loans2017-12-31$20,641
Income. Interest from loans (other than to participants)2017-12-31$0
Interest earned on other investments2017-12-31$422
Income. Interest from US Government securities2017-12-31$0
Income. Interest from corporate debt instruments2017-12-31$0
Value of interest in common/collective trusts at end of year2017-12-31$7,182,904
Value of interest in common/collective trusts at beginning of year2017-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$67,390
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$75,660
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$0
Net investment gain/loss from pooled separate accounts2017-12-31$1,152,076
Net investment gain or loss from common/collective trusts2017-12-31$1,004,776
Net gain/loss from 103.12 investment entities2017-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31Yes
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$613,069
Employer contributions (assets) at end of year2017-12-31$0
Employer contributions (assets) at beginning of year2017-12-31$2,430
Income. Dividends from preferred stock2017-12-31$0
Income. Dividends from common stock2017-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$1,157,836
Contract administrator fees2017-12-31$53,511
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$0
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Aggregate proceeds on sale of assets2017-12-31$0
Aggregate carrying amount (costs) on sale of assets2017-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2017-12-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31WENDLING NOE NELSON & JOHNSON LLC
Accountancy firm EIN2017-12-31481026809
2016 : CITIZENS MEDICAL CENTER, INC. 401(K) & PENSION TRUST 2016 401k financial data
Unrealized appreciation/depreciation of real estate assets2016-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$0
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total transfer of assets to this plan2016-12-31$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$2,349,369
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$1,884,687
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$1,846,886
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$1,523,924
Value of total assets at end of year2016-12-31$12,194,683
Value of total assets at beginning of year2016-12-31$11,730,001
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$37,801
Total income from rents2016-12-31$0
Total interest from all sources2016-12-31$16,932
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
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$0
Administrative expenses professional fees incurred2016-12-31$0
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
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Amount of non-exempt transactions with any party-in-interest2016-12-31$0
Contributions received from participants2016-12-31$783,741
Participant contributions at end of year2016-12-31$464,370
Participant contributions at beginning of year2016-12-31$424,954
Participant contributions at end of year2016-12-31$3,251
Participant contributions at beginning of year2016-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$28,639
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$0
Other income not declared elsewhere2016-12-31$1,899
Administrative expenses (other) incurred2016-12-31$0
Liabilities. Value of operating payables at beginning of year2016-12-31$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$464,682
Value of net assets at end of year (total assets less liabilities)2016-12-31$12,194,683
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$11,730,001
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
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year2016-12-31$0
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2016-12-31$0
Investment advisory and management fees2016-12-31$31,239
Value of interest in pooled separate accounts at end of year2016-12-31$11,648,972
Value of interest in pooled separate accounts at beginning of year2016-12-31$11,172,093
Interest on participant loans2016-12-31$16,385
Income. Interest from loans (other than to participants)2016-12-31$0
Interest earned on other investments2016-12-31$547
Income. Interest from US Government securities2016-12-31$0
Income. Interest from corporate debt instruments2016-12-31$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$75,660
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$132,954
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$0
Net investment gain/loss from pooled separate accounts2016-12-31$806,614
Net investment gain or loss from common/collective trusts2016-12-31$0
Net gain/loss from 103.12 investment entities2016-12-31$0
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 contributions2016-12-31Yes
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$711,544
Employer contributions (assets) at end of year2016-12-31$2,430
Employer contributions (assets) at beginning of year2016-12-31$0
Income. Dividends from preferred stock2016-12-31$0
Income. Dividends from common stock2016-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$1,846,886
Contract administrator fees2016-12-31$6,562
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$0
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
Aggregate proceeds on sale of assets2016-12-31$0
Aggregate carrying amount (costs) on sale of assets2016-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2016-12-31$0
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 name2016-12-31WENDLING NOE NELSON & JOHNSON, LLC
Accountancy firm EIN2016-12-31481026809
2015 : CITIZENS MEDICAL CENTER, INC. 401(K) & PENSION TRUST 2015 401k financial data
Unrealized appreciation/depreciation of real estate assets2015-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$0
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total transfer of assets to this plan2015-12-31$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$1,448,689
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$777,123
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$744,270
Expenses. Certain deemed distributions of participant loans2015-12-31$13,892
Value of total corrective distributions2015-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$1,413,334
Value of total assets at end of year2015-12-31$11,730,001
Value of total assets at beginning of year2015-12-31$11,058,435
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$18,961
Total income from rents2015-12-31$0
Total interest from all sources2015-12-31$21,122
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
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$0
Administrative expenses professional fees incurred2015-12-31$0
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
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Amount of non-exempt transactions with any party-in-interest2015-12-31$0
Contributions received from participants2015-12-31$680,379
Participant contributions at end of year2015-12-31$424,954
Participant contributions at beginning of year2015-12-31$535,974
Participant contributions at end of year2015-12-31$0
Participant contributions at beginning of year2015-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$56,546
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$0
Other income not declared elsewhere2015-12-31$230
Administrative expenses (other) incurred2015-12-31$0
Liabilities. Value of operating payables at beginning of year2015-12-31$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$671,566
Value of net assets at end of year (total assets less liabilities)2015-12-31$11,730,001
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$11,058,435
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
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year2015-12-31$0
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2015-12-31$0
Investment advisory and management fees2015-12-31$6,248
Value of interest in pooled separate accounts at end of year2015-12-31$11,172,093
Value of interest in pooled separate accounts at beginning of year2015-12-31$10,376,857
Interest on participant loans2015-12-31$20,449
Income. Interest from loans (other than to participants)2015-12-31$0
Interest earned on other investments2015-12-31$673
Income. Interest from US Government securities2015-12-31$0
Income. Interest from corporate debt instruments2015-12-31$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$132,954
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$145,604
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$0
Net investment gain/loss from pooled separate accounts2015-12-31$14,003
Net investment gain or loss from common/collective trusts2015-12-31$0
Net gain/loss from 103.12 investment entities2015-12-31$0
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 contributions2015-12-31Yes
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$676,409
Employer contributions (assets) at end of year2015-12-31$0
Employer contributions (assets) at beginning of year2015-12-31$0
Income. Dividends from preferred stock2015-12-31$0
Income. Dividends from common stock2015-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$744,270
Contract administrator fees2015-12-31$12,713
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$0
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
Aggregate proceeds on sale of assets2015-12-31$0
Aggregate carrying amount (costs) on sale of assets2015-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2015-12-31$0
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 name2015-12-31WENDLING NOE NELSON& JOHNSON, LLC
Accountancy firm EIN2015-12-31481026809
2014 : CITIZENS MEDICAL CENTER, INC. 401(K) & PENSION TRUST 2014 401k financial data
Unrealized appreciation/depreciation of real estate assets2014-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$0
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total transfer of assets to this plan2014-12-31$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$1,853,137
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$1,018,363
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$925,223
Expenses. Certain deemed distributions of participant loans2014-12-31$37,407
Value of total corrective distributions2014-12-31$6,122
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$1,230,985
Value of total assets at end of year2014-12-31$11,058,435
Value of total assets at beginning of year2014-12-31$10,223,661
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$49,611
Total income from rents2014-12-31$0
Total interest from all sources2014-12-31$22,218
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
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$0
Administrative expenses professional fees incurred2014-12-31$0
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
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Amount of non-exempt transactions with any party-in-interest2014-12-31$0
Contributions received from participants2014-12-31$636,981
Participant contributions at end of year2014-12-31$535,974
Participant contributions at beginning of year2014-12-31$489,914
Participant contributions at end of year2014-12-31$0
Participant contributions at beginning of year2014-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$3,355
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$0
Other income not declared elsewhere2014-12-31$-1,968
Administrative expenses (other) incurred2014-12-31$0
Liabilities. Value of operating payables at beginning of year2014-12-31$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$834,774
Value of net assets at end of year (total assets less liabilities)2014-12-31$11,058,435
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$10,223,661
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
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year2014-12-31$0
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2014-12-31$0
Investment advisory and management fees2014-12-31$0
Value of interest in pooled separate accounts at end of year2014-12-31$10,376,857
Value of interest in pooled separate accounts at beginning of year2014-12-31$9,597,595
Interest on participant loans2014-12-31$21,566
Income. Interest from loans (other than to participants)2014-12-31$0
Interest earned on other investments2014-12-31$652
Income. Interest from US Government securities2014-12-31$0
Income. Interest from corporate debt instruments2014-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$145,604
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$136,152
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$0
Net investment gain/loss from pooled separate accounts2014-12-31$601,902
Net investment gain or loss from common/collective trusts2014-12-31$0
Net gain/loss from 103.12 investment entities2014-12-31$0
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 contributions2014-12-31Yes
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$590,649
Employer contributions (assets) at end of year2014-12-31$0
Employer contributions (assets) at beginning of year2014-12-31$0
Income. Dividends from preferred stock2014-12-31$0
Income. Dividends from common stock2014-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$925,223
Contract administrator fees2014-12-31$49,611
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$0
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
Aggregate proceeds on sale of assets2014-12-31$0
Aggregate carrying amount (costs) on sale of assets2014-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2014-12-31$0
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 name2014-12-31WENDLING NOE NELSON& JOHNSON, LLC
Accountancy firm EIN2014-12-31481026809
2013 : CITIZENS MEDICAL CENTER, INC. 401(K) & PENSION TRUST 2013 401k financial data
Unrealized appreciation/depreciation of real estate assets2013-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$0
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total transfer of assets to this plan2013-12-31$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$2,874,829
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$862,885
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$807,108
Expenses. Certain deemed distributions of participant loans2013-12-31$9,260
Value of total corrective distributions2013-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$1,119,643
Value of total assets at end of year2013-12-31$10,223,661
Value of total assets at beginning of year2013-12-31$8,211,717
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$46,517
Total income from rents2013-12-31$0
Total interest from all sources2013-12-31$16,072
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 year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$0
Administrative expenses professional fees incurred2013-12-31$0
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Amount of non-exempt transactions with any party-in-interest2013-12-31$0
Contributions received from participants2013-12-31$565,584
Participant contributions at end of year2013-12-31$489,914
Participant contributions at beginning of year2013-12-31$308,123
Participant contributions at end of year2013-12-31$0
Participant contributions at beginning of year2013-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$7,927
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-12-31$580
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$0
Other income not declared elsewhere2013-12-31$-524
Administrative expenses (other) incurred2013-12-31$0
Liabilities. Value of operating payables at beginning of year2013-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$2,011,944
Value of net assets at end of year (total assets less liabilities)2013-12-31$10,223,661
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$8,211,717
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year2013-12-31$0
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2013-12-31$0
Investment advisory and management fees2013-12-31$3,118
Value of interest in pooled separate accounts at end of year2013-12-31$9,597,595
Value of interest in pooled separate accounts at beginning of year2013-12-31$7,714,594
Interest on participant loans2013-12-31$15,228
Income. Interest from loans (other than to participants)2013-12-31$0
Interest earned on other investments2013-12-31$844
Income. Interest from US Government securities2013-12-31$0
Income. Interest from corporate debt instruments2013-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$136,152
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$189,000
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$0
Net investment gain/loss from pooled separate accounts2013-12-31$1,739,638
Net investment gain or loss from common/collective trusts2013-12-31$0
Net gain/loss from 103.12 investment entities2013-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31Yes
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$546,132
Employer contributions (assets) at end of year2013-12-31$0
Employer contributions (assets) at beginning of year2013-12-31$0
Income. Dividends from preferred stock2013-12-31$0
Income. Dividends from common stock2013-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$806,528
Contract administrator fees2013-12-31$43,399
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$0
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Aggregate proceeds on sale of assets2013-12-31$0
Aggregate carrying amount (costs) on sale of assets2013-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2013-12-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31WENDLING NOE NELSON & JOHNSON, LLC.
Accountancy firm EIN2013-12-31481026809
2012 : CITIZENS MEDICAL CENTER, INC. 401(K) & PENSION TRUST 2012 401k financial data
Unrealized appreciation/depreciation of real estate assets2012-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$0
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total transfer of assets to this plan2012-12-31$0
Total transfer of assets from this plan2012-12-31$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$1,962,531
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$452,979
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$416,336
Expenses. Certain deemed distributions of participant loans2012-12-31$0
Value of total corrective distributions2012-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$1,045,528
Value of total assets at end of year2012-12-31$8,211,717
Value of total assets at beginning of year2012-12-31$6,702,165
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$36,643
Total income from rents2012-12-31$0
Total interest from all sources2012-12-31$16,027
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$0
Administrative expenses professional fees incurred2012-12-31$0
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Amount of non-exempt transactions with any party-in-interest2012-12-31$0
Contributions received from participants2012-12-31$495,563
Participant contributions at end of year2012-12-31$308,123
Participant contributions at beginning of year2012-12-31$331,111
Participant contributions at end of year2012-12-31$0
Participant contributions at beginning of year2012-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$25,799
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$0
Other income not declared elsewhere2012-12-31$-403
Administrative expenses (other) incurred2012-12-31$0
Liabilities. Value of operating payables at beginning of year2012-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$1,509,552
Value of net assets at end of year (total assets less liabilities)2012-12-31$8,211,717
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$6,702,165
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year2012-12-31$0
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2012-12-31$0
Investment advisory and management fees2012-12-31$2,962
Value of interest in pooled separate accounts at end of year2012-12-31$7,714,594
Value of interest in pooled separate accounts at beginning of year2012-12-31$6,224,835
Interest on participant loans2012-12-31$14,301
Income. Interest from loans (other than to participants)2012-12-31$0
Interest earned on other investments2012-12-31$1,726
Income. Interest from US Government securities2012-12-31$0
Income. Interest from corporate debt instruments2012-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$189,000
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$146,219
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$0
Net investment gain/loss from pooled separate accounts2012-12-31$901,379
Net investment gain or loss from common/collective trusts2012-12-31$0
Net gain/loss from 103.12 investment entities2012-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31Yes
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$524,166
Employer contributions (assets) at end of year2012-12-31$0
Employer contributions (assets) at beginning of year2012-12-31$0
Income. Dividends from preferred stock2012-12-31$0
Income. Dividends from common stock2012-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$416,336
Contract administrator fees2012-12-31$33,681
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$0
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Aggregate proceeds on sale of assets2012-12-31$0
Aggregate carrying amount (costs) on sale of assets2012-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2012-12-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31WENDLING NOE NELSON & JOHNSON, LLC
Accountancy firm EIN2012-12-31481026809
2011 : CITIZENS MEDICAL CENTER, INC. 401(K) & PENSION TRUST 2011 401k financial data
Unrealized appreciation/depreciation of real estate assets2011-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$0
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total transfer of assets to this plan2011-12-31$0
Total transfer of assets from this plan2011-12-31$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$862,548
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$164,813
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$132,990
Expenses. Certain deemed distributions of participant loans2011-12-31$0
Value of total corrective distributions2011-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$916,600
Value of total assets at end of year2011-12-31$6,702,165
Value of total assets at beginning of year2011-12-31$6,004,430
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$31,823
Total income from rents2011-12-31$0
Total interest from all sources2011-12-31$16,365
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$0
Administrative expenses professional fees incurred2011-12-31$0
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Amount of non-exempt transactions with any party-in-interest2011-12-31$0
Contributions received from participants2011-12-31$417,430
Participant contributions at end of year2011-12-31$331,111
Participant contributions at beginning of year2011-12-31$308,107
Participant contributions at end of year2011-12-31$0
Participant contributions at beginning of year2011-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$42,108
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$0
Other income not declared elsewhere2011-12-31$382
Administrative expenses (other) incurred2011-12-31$0
Liabilities. Value of operating payables at beginning of year2011-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$697,735
Value of net assets at end of year (total assets less liabilities)2011-12-31$6,702,165
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$6,004,430
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year2011-12-31$0
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2011-12-31$0
Investment advisory and management fees2011-12-31$0
Value of interest in pooled separate accounts at end of year2011-12-31$6,224,835
Value of interest in pooled separate accounts at beginning of year2011-12-31$5,555,986
Interest on participant loans2011-12-31$14,302
Income. Interest from loans (other than to participants)2011-12-31$0
Interest earned on other investments2011-12-31$2,063
Income. Interest from US Government securities2011-12-31$0
Income. Interest from corporate debt instruments2011-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$146,219
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$140,337
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$0
Net investment gain/loss from pooled separate accounts2011-12-31$-70,799
Net investment gain or loss from common/collective trusts2011-12-31$0
Net gain/loss from 103.12 investment entities2011-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31Yes
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$457,062
Employer contributions (assets) at end of year2011-12-31$0
Employer contributions (assets) at beginning of year2011-12-31$0
Income. Dividends from preferred stock2011-12-31$0
Income. Dividends from common stock2011-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$132,990
Contract administrator fees2011-12-31$31,823
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$0
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Aggregate proceeds on sale of assets2011-12-31$0
Aggregate carrying amount (costs) on sale of assets2011-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2011-12-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31WENDLING NOE NELSON AND JOHNSON
Accountancy firm EIN2011-12-31481026809
2010 : CITIZENS MEDICAL CENTER, INC. 401(K) & PENSION TRUST 2010 401k financial data
Unrealized appreciation/depreciation of real estate assets2010-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$0
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total transfer of assets to this plan2010-12-31$0
Total transfer of assets from this plan2010-12-31$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$1,615,136
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$103,299
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$73,621
Expenses. Certain deemed distributions of participant loans2010-12-31$0
Value of total corrective distributions2010-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$851,534
Value of total assets at end of year2010-12-31$6,004,430
Value of total assets at beginning of year2010-12-31$4,492,593
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$29,678
Total income from rents2010-12-31$0
Total interest from all sources2010-12-31$20,174
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$0
Administrative expenses professional fees incurred2010-12-31$0
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
If this is an individual account plan, was there a blackout period2010-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Amount of non-exempt transactions with any party-in-interest2010-12-31$0
Contributions received from participants2010-12-31$389,739
Participant contributions at end of year2010-12-31$308,107
Participant contributions at beginning of year2010-12-31$305,798
Participant contributions at end of year2010-12-31$0
Participant contributions at beginning of year2010-12-31$13,538
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$1,540
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2010-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$0
Other income not declared elsewhere2010-12-31$657
Administrative expenses (other) incurred2010-12-31$0
Liabilities. Value of operating payables at beginning of year2010-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$1,511,837
Value of net assets at end of year (total assets less liabilities)2010-12-31$6,004,430
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$4,492,593
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year2010-12-31$0
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2010-12-31$0
Investment advisory and management fees2010-12-31$0
Value of interest in pooled separate accounts at end of year2010-12-31$5,555,986
Value of interest in pooled separate accounts at beginning of year2010-12-31$4,001,723
Interest on participant loans2010-12-31$17,074
Income. Interest from loans (other than to participants)2010-12-31$0
Interest earned on other investments2010-12-31$3,100
Income. Interest from US Government securities2010-12-31$0
Income. Interest from corporate debt instruments2010-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$140,337
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$154,236
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$0
Net investment gain/loss from pooled separate accounts2010-12-31$742,771
Net investment gain or loss from common/collective trusts2010-12-31$0
Net gain/loss from 103.12 investment entities2010-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$460,255
Employer contributions (assets) at end of year2010-12-31$0
Employer contributions (assets) at beginning of year2010-12-31$17,298
Income. Dividends from preferred stock2010-12-31$0
Income. Dividends from common stock2010-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$73,621
Contract administrator fees2010-12-31$29,678
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$0
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Aggregate proceeds on sale of assets2010-12-31$0
Aggregate carrying amount (costs) on sale of assets2010-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2010-12-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31WENDLING NOE NELSON & JOHNSON, LLC
Accountancy firm EIN2010-12-31481026809
2009 : CITIZENS MEDICAL CENTER, INC. 401(K) & PENSION TRUST 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for CITIZENS MEDICAL CENTER, INC. 401(K) & PENSION TRUST

2023: CITIZENS MEDICAL CENTER, INC. 401(K) & PENSION TRUST 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes
2022: CITIZENS MEDICAL CENTER, INC. 401(K) & PENSION TRUST 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: CITIZENS MEDICAL CENTER, INC. 401(K) & PENSION TRUST 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: CITIZENS MEDICAL CENTER, INC. 401(K) & PENSION TRUST 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: CITIZENS MEDICAL CENTER, INC. 401(K) & PENSION TRUST 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: CITIZENS MEDICAL CENTER, INC. 401(K) & PENSION TRUST 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: CITIZENS MEDICAL CENTER, INC. 401(K) & PENSION TRUST 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: CITIZENS MEDICAL CENTER, INC. 401(K) & PENSION TRUST 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
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: CITIZENS MEDICAL CENTER, INC. 401(K) & PENSION TRUST 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
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: CITIZENS MEDICAL CENTER, INC. 401(K) & PENSION TRUST 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
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
2013: CITIZENS MEDICAL CENTER, INC. 401(K) & PENSION TRUST 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedYes
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: CITIZENS MEDICAL CENTER, INC. 401(K) & PENSION TRUST 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: CITIZENS MEDICAL CENTER, INC. 401(K) & PENSION TRUST 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: CITIZENS MEDICAL CENTER, INC. 401(K) & PENSION TRUST 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: CITIZENS MEDICAL CENTER, INC. 401(K) & PENSION TRUST 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number405060
Policy instance 1
Insurance contract or identification number405060
Number of Individuals Covered514
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number405060
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number405060
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number405060
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number405060
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number405060
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number405060
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number405060
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number405060
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number405060
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number405060
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number405060
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number405060
Policy instance 1

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