401k Plan data: JACKSON HOSPITAL & CLINIC, INC. EMPLOYEES' RETIREMENT PLAN plan

JACKSON HOSPITAL & CLINIC, INC. EMPLOYEES' RETIREMENT PLAN 401k Plan overview

Plan Name	JACKSON HOSPITAL & CLINIC, INC. EMPLOYEES' RETIREMENT PLAN
Plan identification number	001

JACKSON HOSPITAL & CLINIC, INC. EMPLOYEES' RETIREMENT PLAN Benefits

401k Plan Type

Defined Benefit Pension

Plan Features/Benefits

Benefits are primarily pay related
Covered by PBGC - Plan is covered under the PBGC insurance program (see ERISA section 4021).
Plan covered by PBGC that was terminated and closed out for PBGC purposes - Before the end of the plan year (or a prior plan year), (1) the plan terminated in a standard (or distress) termination and completed the distribution of plan assets in satisfaction of all benefit liabilities (or all ERISA Title IV benefits for distress termination); or (2) a trustee was appointed for a terminated plan pursuant to ERISA section 4042.
Frozen Plan - As of the last day of the plan year, the plan provides that no participant will get any new benefit accrual (whether because of service or compensation).
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 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.

401k Sponsoring company profile

JACKSON HOSPITAL AND CLINIC, INC. has sponsored the creation of one or more 401k plans.

Company Name: JACKSON HOSPITAL AND CLINIC, INC.

Employer identification number (EIN): 636001820

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JACKSON HOSPITAL & CLINIC, INC. EMPLOYEES' RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2018-01-01
001 2017-01-01
001 2016-01-01
001 2016-01-01
001 2015-01-01 LARRY SHERBETT
001 2015-01-01
001 2014-01-01 LARRY SHERBETT
001 2014-01-01 LARRY SHERBETT
001 2014-01-01 LARRY SHERBETT
001 2013-01-01 LARRY SHERBETT
001 2012-01-01 FILED WITH AUTHORIZED SIGNATURE
001 2011-01-01 LARRY SHERBETT
001 2010-01-01 LARRY SHERBETT
001 2009-03-01 LARRY SHERBETT
001 2009-03-01 LARRY SHERBETT
001 2009-03-01 LARRY SHERBETT
001 2009-03-01 LARRY SHERBETT

Plan Statistics for JACKSON HOSPITAL & CLINIC, INC. EMPLOYEES' RETIREMENT PLAN

401k plan membership statisitcs for JACKSON HOSPITAL & CLINIC, INC. EMPLOYEES' RETIREMENT PLAN

Measure Date Value
2018: JACKSON HOSPITAL & CLINIC, INC. EMPLOYEES' RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 0
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 0
Total of all active and inactive participants 2018-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: JACKSON HOSPITAL & CLINIC, INC. EMPLOYEES' RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 0
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: JACKSON HOSPITAL & CLINIC, INC. EMPLOYEES' RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 1,027
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 0
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
Number of participants with account balances 2016-01-01 1,441
2015: JACKSON HOSPITAL & CLINIC, INC. EMPLOYEES' RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 1,069
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 419
Number of retired or separated participants receiving benefits 2015-01-01 131
Number of other retired or separated participants entitled to future benefits 2015-01-01 463
Total of all active and inactive participants 2015-01-01 1,013
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 14
Total participants 2015-01-01 1,027
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
Number of participants with account balances 2015-01-01 1,238
2014: JACKSON HOSPITAL & CLINIC, INC. EMPLOYEES' RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 1,132
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 454
Number of retired or separated participants receiving benefits 2014-01-01 131
Number of other retired or separated participants entitled to future benefits 2014-01-01 468
Total of all active and inactive participants 2014-01-01 1,053
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 16
Total participants 2014-01-01 1,069
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 10
Number of participants with account balances 2014-01-01 1,272
2013: JACKSON HOSPITAL & CLINIC, INC. EMPLOYEES' RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1,155
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 491
Number of retired or separated participants receiving benefits 2013-01-01 117
Number of other retired or separated participants entitled to future benefits 2013-01-01 504
Total of all active and inactive participants 2013-01-01 1,112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 20
Total participants 2013-01-01 1,132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: JACKSON HOSPITAL & CLINIC, INC. EMPLOYEES' RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1,184
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 524
Number of retired or separated participants receiving benefits 2012-01-01 107
Number of other retired or separated participants entitled to future benefits 2012-01-01 507
Total of all active and inactive participants 2012-01-01 1,138
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 17
Total participants 2012-01-01 1,155
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: JACKSON HOSPITAL & CLINIC, INC. EMPLOYEES' RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1,229
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 562
Number of retired or separated participants receiving benefits 2011-01-01 103
Number of other retired or separated participants entitled to future benefits 2011-01-01 502
Total of all active and inactive participants 2011-01-01 1,167
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 17
Total participants 2011-01-01 1,184
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 3
2010: JACKSON HOSPITAL & CLINIC, INC. EMPLOYEES' RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 1,263
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 622
Number of retired or separated participants receiving benefits 2010-01-01 96
Number of other retired or separated participants entitled to future benefits 2010-01-01 500
Total of all active and inactive participants 2010-01-01 1,218
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 13
Total participants 2010-01-01 1,231
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: JACKSON HOSPITAL & CLINIC, INC. EMPLOYEES' RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-03-01 1,319
Total number of active participants reported on line 7a of the Form 5500 2009-03-01 670
Number of retired or separated participants receiving benefits 2009-03-01 87
Number of other retired or separated participants entitled to future benefits 2009-03-01 500
Total of all active and inactive participants 2009-03-01 1,257
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-03-01 6
Total participants 2009-03-01 1,263
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-03-01 20
Number of participants with account balances 2009-03-01 1,121

Measure	Date	Value
2018: JACKSON HOSPITAL & CLINIC, INC. EMPLOYEES' RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	0
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	0
Total of all active and inactive participants	2018-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: JACKSON HOSPITAL & CLINIC, INC. EMPLOYEES' RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	0
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: JACKSON HOSPITAL & CLINIC, INC. EMPLOYEES' RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	1,027
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	0
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
Number of participants with account balances	2016-01-01	1,441
2015: JACKSON HOSPITAL & CLINIC, INC. EMPLOYEES' RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	1,069
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	419
Number of retired or separated participants receiving benefits	2015-01-01	131
Number of other retired or separated participants entitled to future benefits	2015-01-01	463
Total of all active and inactive participants	2015-01-01	1,013
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	14
Total participants	2015-01-01	1,027
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
Number of participants with account balances	2015-01-01	1,238
2014: JACKSON HOSPITAL & CLINIC, INC. EMPLOYEES' RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	1,132
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	454
Number of retired or separated participants receiving benefits	2014-01-01	131
Number of other retired or separated participants entitled to future benefits	2014-01-01	468
Total of all active and inactive participants	2014-01-01	1,053
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	16
Total participants	2014-01-01	1,069
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	10
Number of participants with account balances	2014-01-01	1,272
2013: JACKSON HOSPITAL & CLINIC, INC. EMPLOYEES' RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1,155
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	491
Number of retired or separated participants receiving benefits	2013-01-01	117
Number of other retired or separated participants entitled to future benefits	2013-01-01	504
Total of all active and inactive participants	2013-01-01	1,112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	20
Total participants	2013-01-01	1,132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: JACKSON HOSPITAL & CLINIC, INC. EMPLOYEES' RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1,184
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	524
Number of retired or separated participants receiving benefits	2012-01-01	107
Number of other retired or separated participants entitled to future benefits	2012-01-01	507
Total of all active and inactive participants	2012-01-01	1,138
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	17
Total participants	2012-01-01	1,155
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: JACKSON HOSPITAL & CLINIC, INC. EMPLOYEES' RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1,229
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	562
Number of retired or separated participants receiving benefits	2011-01-01	103
Number of other retired or separated participants entitled to future benefits	2011-01-01	502
Total of all active and inactive participants	2011-01-01	1,167
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	17
Total participants	2011-01-01	1,184
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	3
2010: JACKSON HOSPITAL & CLINIC, INC. EMPLOYEES' RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	1,263
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	622
Number of retired or separated participants receiving benefits	2010-01-01	96
Number of other retired or separated participants entitled to future benefits	2010-01-01	500
Total of all active and inactive participants	2010-01-01	1,218
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	13
Total participants	2010-01-01	1,231
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: JACKSON HOSPITAL & CLINIC, INC. EMPLOYEES' RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-03-01	1,319
Total number of active participants reported on line 7a of the Form 5500	2009-03-01	670
Number of retired or separated participants receiving benefits	2009-03-01	87
Number of other retired or separated participants entitled to future benefits	2009-03-01	500
Total of all active and inactive participants	2009-03-01	1,257
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-03-01	6
Total participants	2009-03-01	1,263
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-03-01	20
Number of participants with account balances	2009-03-01	1,121

Financial Data on JACKSON HOSPITAL & CLINIC, INC. EMPLOYEES' RETIREMENT PLAN

Measure	Date	Value
2018 : JACKSON HOSPITAL & CLINIC, INC. EMPLOYEES' RETIREMENT PLAN 2018 401k financial data
Total income from all sources	2018-02-26	$141
Expenses. Total of all expenses incurred	2018-02-26	$192
Total plan assets at end of year	2018-02-26	$0
Total plan assets at beginning of year	2018-02-26	$51
Value of fidelity bond covering the plan	2018-02-26	$1,000,000
Expenses. Other expenses not covered elsewhere	2018-02-26	$192
Other income received	2018-02-26	$141
Net income (gross income less expenses)	2018-02-26	$-51
Net plan assets at end of year (total assets less liabilities)	2018-02-26	$0
Net plan assets at beginning of year (total assets less liabilities)	2018-02-26	$51
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-02-26	$0
2017 : JACKSON HOSPITAL & CLINIC, INC. EMPLOYEES' RETIREMENT PLAN 2017 401k financial data
Total income from all sources	2017-12-31	$136,916
Expenses. Total of all expenses incurred	2017-12-31	$185,692
Benefits paid (including direct rollovers)	2017-12-31	$185,692
Total plan assets at end of year	2017-12-31	$51
Total plan assets at beginning of year	2017-12-31	$48,827
Value of fidelity bond covering the plan	2017-12-31	$1,000,000
Other income received	2017-12-31	$136,916
Net income (gross income less expenses)	2017-12-31	$-48,776
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$51
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$48,827
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
2016 : JACKSON HOSPITAL & CLINIC, INC. EMPLOYEES' RETIREMENT PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$9,178,273
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$2,927,185
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$2,809,571
Expenses. Certain deemed distributions of participant loans	2016-12-31	$-3,777
Value of total corrective distributions	2016-12-31	$4,134
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$7,563,702
Value of total assets at end of year	2016-12-31	$27,300,704
Value of total assets at beginning of year	2016-12-31	$21,049,616
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$117,257
Total interest from all sources	2016-12-31	$190,071
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$748,991
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2016-12-31	$0
Administrative expenses professional fees incurred	2016-12-31	$93,131
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$2,099,512
Participant contributions at end of year	2016-12-31	$443,086
Participant contributions at beginning of year	2016-12-31	$325,385
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$4,954,133
Value of other receiveables (less allowance for doubtful accounts) at end of year	2016-12-31	$6
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2016-12-31	$528
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$6,251,088
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$27,300,704
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$21,049,616
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Investment advisory and management fees	2016-12-31	$78,124
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$18,144,753
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$14,153,498
Interest on participant loans	2016-12-31	$13,724
Interest earned on other investments	2016-12-31	$176,347
Value of interest in common/collective trusts at end of year	2016-12-31	$0
Value of interest in common/collective trusts at beginning of year	2016-12-31	$20,070,058
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-12-31	$48,821
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-12-31	$31,763,668
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-12-31	$31,763,668
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$8,712,865
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$6,570,733
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$675,509
Net investment gain or loss from common/collective trusts	2016-12-31	$2,727,642
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$510,057
Income. Dividends from common stock	2016-12-31	$748,991
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$2,809,571
Contract administrator fees	2016-12-31	$117,257
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	DIXON HUGHES GOODMAN, LLP
Accountancy firm EIN	2016-12-31	560747981
2015 : JACKSON HOSPITAL & CLINIC, INC. EMPLOYEES' RETIREMENT PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$2,341,858
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$1,921,087
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$1,827,492
Expenses. Certain deemed distributions of participant loans	2015-12-31	$-2,169
Value of total corrective distributions	2015-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$2,316,350
Value of total assets at end of year	2015-12-31	$21,049,616
Value of total assets at beginning of year	2015-12-31	$20,628,845
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$95,764
Total interest from all sources	2015-12-31	$149,342
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$778,492
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2015-12-31	$0
Administrative expenses professional fees incurred	2015-12-31	$461,938
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$1,901,073
Participant contributions at end of year	2015-12-31	$325,385
Participant contributions at beginning of year	2015-12-31	$210,795
Assets. Other investments not covered elsewhere at beginning of year	2015-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$471,342
Value of other receiveables (less allowance for doubtful accounts) at end of year	2015-12-31	$528
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2015-12-31	$6
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$420,771
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$21,049,616
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$20,628,845
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Investment advisory and management fees	2015-12-31	$262,006
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$14,153,498
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$14,010,601
Interest on participant loans	2015-12-31	$11,099
Interest earned on other investments	2015-12-31	$138,243
Value of interest in common/collective trusts at end of year	2015-12-31	$20,070,058
Value of interest in common/collective trusts at beginning of year	2015-12-31	$56,643,346
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$31,763,668
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$870,080
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$870,080
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$6,570,733
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$6,407,449
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-902,326
Net investment gain or loss from common/collective trusts	2015-12-31	$-2,211,369
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$-56,065
Income. Dividends from common stock	2015-12-31	$778,492
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$1,827,492
Contract administrator fees	2015-12-31	$95,764
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	DHG, LLP
Accountancy firm EIN	2015-12-31	560747981
2014 : JACKSON HOSPITAL & CLINIC, INC. EMPLOYEES' RETIREMENT PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$10,127,258
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$4,260,007
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$3,776,042
Expenses. Certain deemed distributions of participant loans	2014-12-31	$12,178
Value of total corrective distributions	2014-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$0
Value of total assets at end of year	2014-12-31	$57,513,432
Value of total assets at beginning of year	2014-12-31	$51,646,181
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$483,965
Total interest from all sources	2014-12-31	$75
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2014-12-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$664,743
Administrative expenses professional fees incurred	2014-12-31	$347,659
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$1,717,634
Participant contributions at end of year	2014-12-31	$210,795
Participant contributions at beginning of year	2014-12-31	$169,949
Assets. Other investments not covered elsewhere at end of year	2014-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2014-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$828,813
Value of other receiveables (less allowance for doubtful accounts) at end of year	2014-12-31	$6
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2014-12-31	$10
Administrative expenses (other) incurred	2014-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$5,867,251
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$57,513,432
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$51,646,181
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Investment advisory and management fees	2014-12-31	$136,306
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$14,010,601
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$13,518,177
Interest on participant loans	2014-12-31	$8,225
Interest earned on other investments	2014-12-31	$131,822
Value of interest in common/collective trusts at end of year	2014-12-31	$56,643,346
Value of interest in common/collective trusts at beginning of year	2014-12-31	$42,541,313
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$870,080
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$1,104,858
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$1,104,858
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-12-31	$75
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$6,407,449
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$5,848,891
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$132,236
Net investment gain or loss from common/collective trusts	2014-12-31	$10,127,183
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Employer contributions (assets) at beginning of year	2014-12-31	$8,000,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$3,776,042
Contract administrator fees	2014-12-31	$91,176
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	DIXON HUGHES GOODMAN, LLP
Accountancy firm EIN	2014-12-31	560747981
2013 : JACKSON HOSPITAL & CLINIC, INC. EMPLOYEES' RETIREMENT PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$5,264,167
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$2,425,350
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$2,326,704
Expenses. Certain deemed distributions of participant loans	2013-12-31	$18,015
Value of total corrective distributions	2013-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$2,462,429
Value of total assets at end of year	2013-12-31	$19,537,017
Value of total assets at beginning of year	2013-12-31	$16,698,200
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$80,631
Total interest from all sources	2013-12-31	$130,515
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$455,023
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$455,023
Administrative expenses professional fees incurred	2013-12-31	$83,019
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$1,568,025
Participant contributions at end of year	2013-12-31	$169,949
Participant contributions at beginning of year	2013-12-31	$164,573
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$345,344
Value of other receiveables (less allowance for doubtful accounts) at end of year	2013-12-31	$10
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2013-12-31	$670
Administrative expenses (other) incurred	2013-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$2,838,817
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$19,537,017
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$16,698,200
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Investment advisory and management fees	2013-12-31	$58,658
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$13,518,177
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$11,276,115
Interest on participant loans	2013-12-31	$6,319
Interest earned on other investments	2013-12-31	$124,196
Value of interest in common/collective trusts at end of year	2013-12-31	$42,541,313
Value of interest in common/collective trusts at beginning of year	2013-12-31	$38,315,946
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$1,104,858
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$783,368
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$783,368
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$5,848,891
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$5,257,512
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$2,216,200
Net investment gain or loss from common/collective trusts	2013-12-31	$2,913,185
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$549,060
Employer contributions (assets) at end of year	2013-12-31	$8,000,000
Employer contributions (assets) at beginning of year	2013-12-31	$3,033,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$2,326,704
Contract administrator fees	2013-12-31	$80,631
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2013-12-31	No
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	DIXON HUGHES GOODMAN, LLP
Accountancy firm EIN	2013-12-31	560747981
2012 : JACKSON HOSPITAL & CLINIC, INC. EMPLOYEES' RETIREMENT PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$5,211,922
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$2,076,680
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$2,015,278
Expenses. Certain deemed distributions of participant loans	2012-12-31	$-9,987
Value of total corrective distributions	2012-12-31	$83
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$3,747,041
Value of total assets at end of year	2012-12-31	$16,698,200
Value of total assets at beginning of year	2012-12-31	$13,562,958
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$71,306
Total interest from all sources	2012-12-31	$129,304
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$253,521
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$253,521
Administrative expenses professional fees incurred	2012-12-31	$187,277
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$1,468,095
Participant contributions at end of year	2012-12-31	$164,573
Participant contributions at beginning of year	2012-12-31	$78,743
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$624,770
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2012-12-31	$177
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-12-31	$670
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-12-31	$17
Administrative expenses (other) incurred	2012-12-31	$24,805
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$3,135,242
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$16,698,200
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$13,562,958
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$11,276,115
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$9,504,850
Interest on participant loans	2012-12-31	$5,686
Interest earned on other investments	2012-12-31	$123,618
Value of interest in common/collective trusts at end of year	2012-12-31	$38,315,946
Value of interest in common/collective trusts at beginning of year	2012-12-31	$30,751,472
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$783,368
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$689,865
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$689,865
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$823
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$5,257,512
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$3,979,365
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$1,082,056
Net investment gain or loss from common/collective trusts	2012-12-31	$5,112,647
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$1,654,176
Employer contributions (assets) at end of year	2012-12-31	$3,033,000
Employer contributions (assets) at beginning of year	2012-12-31	$4,109,051
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$2,015,278
Contract administrator fees	2012-12-31	$46,501
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2012-12-31	No
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	DIXON HUGHES GOODMAN LLP
Accountancy firm EIN	2012-12-31	560747981
2011 : JACKSON HOSPITAL & CLINIC, INC. EMPLOYEES' RETIREMENT PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$3,846,671
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$2,006,407
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$1,928,734
Expenses. Certain deemed distributions of participant loans	2011-12-31	$16,166
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$4,034,675
Value of total assets at end of year	2011-12-31	$13,562,958
Value of total assets at beginning of year	2011-12-31	$11,722,694
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$61,507
Total interest from all sources	2011-12-31	$128,949
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$188,536
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$188,536
Administrative expenses professional fees incurred	2011-12-31	$199,698
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$1,525,254
Participant contributions at end of year	2011-12-31	$78,743
Participant contributions at beginning of year	2011-12-31	$49,901
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$956,917
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-12-31	$17
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-12-31	$25
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2011-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2011-12-31	$488,258
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$1,840,264
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$13,562,958
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$11,722,694
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$9,504,850
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$8,683,703
Interest on participant loans	2011-12-31	$2,196
Interest earned on other investments	2011-12-31	$126,753
Value of interest in common/collective trusts at end of year	2011-12-31	$30,751,472
Value of interest in common/collective trusts at beginning of year	2011-12-31	$30,860,804
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$689,865
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$1,012,131
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$1,012,131
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$211
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$3,979,365
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$2,989,090
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-505,489
Net investment gain or loss from common/collective trusts	2011-12-31	$-379,162
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$1,552,504
Employer contributions (assets) at end of year	2011-12-31	$4,109,051
Employer contributions (assets) at beginning of year	2011-12-31	$1,893,808
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$1,928,734
Contract administrator fees	2011-12-31	$61,507
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2011-12-31	No
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	DIXON HUGHES GOODMAN LLP
Accountancy firm EIN	2011-12-31	560747981
2010 : JACKSON HOSPITAL & CLINIC, INC. EMPLOYEES' RETIREMENT PLAN 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2010-12-31	$2,961,043
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$4,783,431
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$1,070,758
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$1,020,209
Expenses. Certain deemed distributions of participant loans	2010-12-31	$2,355
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$3,690,483
Value of total assets at end of year	2010-12-31	$11,722,694
Value of total assets at beginning of year	2010-12-31	$8,010,021
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$48,194
Total interest from all sources	2010-12-31	$100,624
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$130,491
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$130,491
Administrative expenses professional fees incurred	2010-12-31	$133,544
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$1,481,343
Participant contributions at end of year	2010-12-31	$49,901
Participant contributions at beginning of year	2010-12-31	$42,611
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$887,536
Value of other receiveables (less allowance for doubtful accounts) at end of year	2010-12-31	$25
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2010-12-31	$9
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2010-12-31	$488,258
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2010-12-31	$346,463
Other income not declared elsewhere	2010-12-31	$529
Administrative expenses (other) incurred	2010-12-31	$3,263
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$3,712,673
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$11,722,694
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$8,010,021
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Investment advisory and management fees	2010-12-31	$25,131
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$8,683,703
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$5,833,778
Interest on participant loans	2010-12-31	$2,051
Interest earned on other investments	2010-12-31	$98,573
Value of interest in common/collective trusts at end of year	2010-12-31	$30,860,804
Value of interest in common/collective trusts at beginning of year	2010-12-31	$19,091,734
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$1,012,131
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$332,275
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$332,275
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$200
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$2,989,090
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$2,133,632
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$861,833
Net investment gain or loss from common/collective trusts	2010-12-31	$1,083,387
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$1,321,604
Employer contributions (assets) at end of year	2010-12-31	$1,893,808
Employer contributions (assets) at beginning of year	2010-12-31	$1,170,388
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$1,020,209
Contract administrator fees	2010-12-31	$48,194
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2010-12-31	No
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	DIXON HUGHES GOODMAN
Accountancy firm EIN	2010-12-31	560747981
2009 : JACKSON HOSPITAL & CLINIC, INC. EMPLOYEES' RETIREMENT PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for JACKSON HOSPITAL & CLINIC, INC. EMPLOYEES' RETIREMENT PLAN

2018: JACKSON HOSPITAL & CLINIC, INC. EMPLOYEES' RETIREMENT PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	Yes
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: JACKSON HOSPITAL & CLINIC, INC. EMPLOYEES' RETIREMENT PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: JACKSON HOSPITAL & CLINIC, INC. EMPLOYEES' RETIREMENT PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: JACKSON HOSPITAL & CLINIC, INC. EMPLOYEES' RETIREMENT PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: JACKSON HOSPITAL & CLINIC, INC. EMPLOYEES' RETIREMENT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	Yes
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: JACKSON HOSPITAL & CLINIC, INC. EMPLOYEES' RETIREMENT PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: JACKSON HOSPITAL & CLINIC, INC. EMPLOYEES' RETIREMENT PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: JACKSON HOSPITAL & CLINIC, INC. EMPLOYEES' RETIREMENT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: JACKSON HOSPITAL & CLINIC, INC. EMPLOYEES' RETIREMENT PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: JACKSON HOSPITAL & CLINIC, INC. EMPLOYEES' RETIREMENT PLAN 2009 form 5500 responses
2009-03-01	Type of plan entity	Single employer plan
2009-03-01	Submission has been amended	Yes
2009-03-01	This submission is the final filing	No
2009-03-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2009-03-01	Plan is a collectively bargained plan	No
2009-03-01	Plan funding arrangement – Trust	Yes
2009-03-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

42080

Policy instance

Insurance contract or identification number	42080
Number of Individuals Covered	1271
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

42080

Policy instance

Insurance contract or identification number	42080
Number of Individuals Covered	1361
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

42080

Policy instance

Insurance contract or identification number	42080
Number of Individuals Covered	1287
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No

Potentially related plans

JACKSON HOSPITALITY, LLC 401(K) PLAN [EIN = 820915501]

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Company Name:	JACKSON HOSPITAL AND CLINIC, INC.
Employer identification number (EIN):	636001820
NAIC Classification:	622000
NAIC Description:	Hospitals