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THREE CROSSES REGIONAL HOSPITAL, LLC 401(K) PLAN 401k Plan overview

Plan NameTHREE CROSSES REGIONAL HOSPITAL, LLC 401(K) PLAN
Plan identification number 001

THREE CROSSES REGIONAL HOSPITAL, LLC 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
  • 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.
  • Plan covering Self-Employed individuals.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

THREE CROSSES REGIONAL HOSPITAL, LLC has sponsored the creation of one or more 401k plans.

Company Name:THREE CROSSES REGIONAL HOSPITAL, LLC
Employer identification number (EIN):852388743
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THREE CROSSES REGIONAL HOSPITAL, LLC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012024-01-01LEANN SIMMONS
0012023-01-01
0012023-01-01SANDRA MILLER
0012022-01-01
0012022-01-01SANDRA MILLER
0012021-01-01OMAR BERNAL2022-07-08 OMAR BERNAL2022-07-08
0012020-01-01OMAR BERNAL2021-10-13

Plan Statistics for THREE CROSSES REGIONAL HOSPITAL, LLC 401(K) PLAN

401k plan membership statisitcs for THREE CROSSES REGIONAL HOSPITAL, LLC 401(K) PLAN

Measure Date Value
2023: THREE CROSSES REGIONAL HOSPITAL, LLC 401(K) PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-01418
Total number of active participants reported on line 7a of the Form 55002023-01-01407
Number of retired or separated participants receiving benefits2023-01-013
Number of other retired or separated participants entitled to future benefits2023-01-01153
Total of all active and inactive participants2023-01-01563
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2023-01-010
Total participants2023-01-01563
Number of participants with account balances2023-01-01527
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2023-01-010
2022: THREE CROSSES REGIONAL HOSPITAL, LLC 401(K) PLAN 2022 401k membership
Total number of particpants at beginning of year2022-07-08113
Total number of particpants at end of year2022-07-08269
Number of Participants With Account Balances2022-07-08247
Total participants, beginning-of-year2022-01-01276
Total number of active participants reported on line 7a of the Form 55002022-01-01325
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-01100
Total of all active and inactive participants2022-01-01425
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01425
Number of participants with account balances2022-01-01390
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010

Financial Data on THREE CROSSES REGIONAL HOSPITAL, LLC 401(K) PLAN

Measure Date Value
2023 : THREE CROSSES REGIONAL HOSPITAL, LLC 401(K) PLAN 2023 401k financial data
Total income from all sources (including contributions)2023-12-31$1,696,191
Total of all expenses incurred2023-12-31$201,898
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$196,626
Expenses. Certain deemed distributions of participant loans2023-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$1,352,116
Value of total assets at end of year2023-12-31$2,989,894
Value of total assets at beginning of year2023-12-31$1,495,601
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$5,272
Total interest from all sources2023-12-31$1,718
Total dividends received (eg from common stock, registered investment company shares)2023-12-31$0
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$0
Was this plan covered by a fidelity bond2023-12-31Yes
Value of fidelity bond cover2023-12-31$1,000,000
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$1,242,129
Participant contributions at end of year2023-12-31$110,117
Participant contributions at beginning of year2023-12-31$36,216
Participant contributions at end of year2023-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2023-12-31$109,987
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Value of net income/loss2023-12-31$1,494,293
Value of net assets at end of year (total assets less liabilities)2023-12-31$2,989,894
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$1,495,601
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
Value of interest in pooled separate accounts at end of year2023-12-31$2,857,210
Value of interest in pooled separate accounts at beginning of year2023-12-31$1,433,296
Interest on participant loans2023-12-31$1,718
Interest earned on other investments2023-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2023-12-31$22,567
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2023-12-31$26,089
Expenses. Payments to insurance carriers foe the provision of benefits2023-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-12-31$342,357
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$0
Employer contributions (assets) at end of year2023-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-12-31$196,626
Contract administrator fees2023-12-31$5,272
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 name2023-12-31BEASLEY, MITCHELL & CO.
Accountancy firm EIN2023-12-31850366848
Total income from all sources (including contributions)2023-01-01$1,696,191
Total of all expenses incurred2023-01-01$201,898
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-01-01$196,626
Expenses. Certain deemed distributions of participant loans2023-01-01$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-01-01$1,352,116
Value of total assets at end of year2023-01-01$2,989,894
Value of total assets at beginning of year2023-01-01$1,495,601
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-01-01$5,272
Total interest from all sources2023-01-01$1,718
Total dividends received (eg from common stock, registered investment company shares)2023-01-01$0
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$0
Was this plan covered by a fidelity bond2023-01-01Yes
Value of fidelity bond cover2023-01-01$1,000,000
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$1,242,129
Participant contributions at end of year2023-01-01$110,117
Participant contributions at beginning of year2023-01-01$36,216
Participant contributions at end of year2023-01-01$0
Income. Received or receivable in cash from other sources (including rollovers)2023-01-01$109,987
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-01-01$0
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$1,494,293
Value of net assets at end of year (total assets less liabilities)2023-01-01$2,989,894
Value of net assets at beginning of year (total assets less liabilities)2023-01-01$1,495,601
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
Value of interest in pooled separate accounts at end of year2023-01-01$2,857,210
Value of interest in pooled separate accounts at beginning of year2023-01-01$1,433,296
Interest on participant loans2023-01-01$1,718
Interest earned on other investments2023-01-01$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-01-01$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2023-01-01$22,567
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2023-01-01$26,089
Expenses. Payments to insurance carriers foe the provision of benefits2023-01-01$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-01-01$342,357
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$0
Employer contributions (assets) at end of year2023-01-01$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-01-01$196,626
Contract administrator fees2023-01-01$5,272
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 name2023-01-01BEASLEY, MITCHELL & CO.
Accountancy firm EIN2023-01-01850366848
2022 : THREE CROSSES REGIONAL HOSPITAL, LLC 401(K) PLAN 2022 401k financial data
Total income from all sources (including contributions)2022-12-31$879,008
Total of all expenses incurred2022-12-31$92,598
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$76,989
Value of total corrective distributions2022-12-31$10,296
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$1,031,069
Value of total assets at end of year2022-12-31$1,495,601
Value of total assets at beginning of year2022-12-31$709,191
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$5,313
Total interest from all sources2022-12-31$739
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
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 period2022-12-31Yes
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$909,696
Participant contributions at end of year2022-12-31$36,216
Participant contributions at beginning of year2022-12-31$13,051
Participant contributions at end of year2022-12-31$0
Participant contributions at beginning of year2022-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$11,391
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$0
Total non interest bearing cash at end of year2022-12-31$0
Total non interest bearing cash at beginning of year2022-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$786,410
Value of net assets at end of year (total assets less liabilities)2022-12-31$1,495,601
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$709,191
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
Value of interest in pooled separate accounts at end of year2022-12-31$1,433,296
Value of interest in pooled separate accounts at beginning of year2022-12-31$696,140
Interest on participant loans2022-12-31$739
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$26,089
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$0
Net investment gain/loss from pooled separate accounts2022-12-31$-152,800
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 contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$109,982
Employer contributions (assets) at end of year2022-12-31$0
Employer contributions (assets) at beginning of year2022-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$76,989
Contract administrator fees2022-12-31$5,313
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-12-31Yes
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 name2022-12-31BEASLEY, MITCHELL & CO
Accountancy firm EIN2022-12-31850366848
Total liabilities as of the beginning of the plan year2022-07-080
Total expenses incurred by plan in this plan year2022-07-0819397
Net assets as of the end of the plan year2022-07-08709191
Total assets as of the beginning of the plan year2022-07-0885426
Value of plan covered by a fidelity bond2022-07-081000000
Participant contributions to plan in this plan year2022-07-08464298
Value of participant loans at end of plan year2022-07-0813051
Other contributions to plan in this plan year2022-07-08135942
Other income to plan in this plan year2022-07-0842922
Plan net income in this plan year2022-07-08623765
Net assets as of the end of the plan year2022-07-08709191
Net assets as of the beginning of the plan year2022-07-0885426
Expensese paid to adminstrative service provicers from plan in this plan year2022-07-089118
Total income from all sources (including contributions)2022-01-01$879,008
Total of all expenses incurred2022-01-01$92,598
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-01-01$76,989
Value of total corrective distributions2022-01-01$10,296
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-01-01$1,031,069
Value of total assets at end of year2022-01-01$1,495,601
Value of total assets at beginning of year2022-01-01$709,191
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-01-01$5,313
Total interest from all sources2022-01-01$739
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-01-01No
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 period2022-01-01Yes
Were there any nonexempt tranactions with any party-in-interest2022-01-01No
Contributions received from participants2022-01-01$909,696
Participant contributions at end of year2022-01-01$36,216
Participant contributions at beginning of year2022-01-01$13,051
Participant contributions at end of year2022-01-01$0
Participant contributions at beginning of year2022-01-01$0
Income. Received or receivable in cash from other sources (including rollovers)2022-01-01$11,391
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-01-01$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-01-01$0
Total non interest bearing cash at end of year2022-01-01$0
Total non interest bearing cash at beginning of year2022-01-01$0
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$786,410
Value of net assets at end of year (total assets less liabilities)2022-01-01$1,495,601
Value of net assets at beginning of year (total assets less liabilities)2022-01-01$709,191
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
Value of interest in pooled separate accounts at end of year2022-01-01$1,433,296
Value of interest in pooled separate accounts at beginning of year2022-01-01$696,140
Interest on participant loans2022-01-01$739
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-01-01$26,089
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-01-01$0
Net investment gain/loss from pooled separate accounts2022-01-01$-152,800
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 contributions2022-01-01No
Has the plan failed to provide any benefit when due under the plan2022-01-01No
Contributions received in cash from employer2022-01-01$109,982
Employer contributions (assets) at end of year2022-01-01$0
Employer contributions (assets) at beginning of year2022-01-01$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-01-01$76,989
Contract administrator fees2022-01-01$5,313
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-01-01Yes
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 name2022-01-01BEASLEY, MITCHELL & CO
Accountancy firm EIN2022-01-01850366848

Form 5500 Responses for THREE CROSSES REGIONAL HOSPITAL, LLC 401(K) PLAN

2023: THREE CROSSES REGIONAL HOSPITAL, LLC 401(K) PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement - TrustYes
2022: THREE CROSSES REGIONAL HOSPITAL, LLC 401(K) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedYes
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG50617
Policy instance 1
Insurance contract or identification numberG50617
Number of Individuals Covered527
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $5,089
Total amount of fees paid to insurance companyUSD $0
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
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG50617
Policy instance 1

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