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Form 5500 · Retirement plan · CARTHAGE, IL

MEMORIAL HOSPITAL ASSOCIATION

The filing calls this plan MEMORIAL HOSPITAL EMPLOYEE'S TAX DEFERRED ANNUITY PLAN.

MEMORIAL HOSPITAL ASSOCIATION of CARTHAGE, IL's retirement plan holds 3 insurance-company contracts (annuities or guaranteed-interest accounts), disclosed on Schedule A of its Form 5500. These are investment and funding contracts, not group health or welfare coverage. No medical, dental or life benefit is reported on this filing.

Agent of record (Schedule A)
Contract year ends
Decemberas filed for plan year 2024

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 37-0684691 · plan 005 · plan year 2024, filed Oct 15, 2025

Participants at the start of the year
458
Contracts on file
3
Contract value
$2,883,949
Plan year end
December

Plan brief

Schedule A lists 3 insurance contracts held by the plan — annuities, guaranteed-interest accounts or similar funding vehicles. The largest number are with THE LINCOLN NATIONAL LIFE INSURANCE COMPANY.

The contracts held $2,883,949 at the end of the plan year, as reported on Schedule A.

$24,123 in agent commissions is disclosed across the contracts; RAYMOND JAMES INSURANCE GROUP, INC. is the agent of record.

A Schedule A is filed for a retirement plan when plan assets sit in an insurance company contract. It reports the contract's balances and any agent commission. It does not report a health, dental or life premium, and it does not give a group renewal date.

The contract year ended in December.

Schedule A insurance contracts

CarrierContract typeCoveredYear endsContract valueCommission
THE LINCOLN NATIONAL LIFE INSURANCE COMPANYAnnuity / GIC269December$2,841,403$24,123
AMERICAN UNITED LIFE INSURANCE COMPANYAnnuity / GIC8December$3,324$0
AMERICAN UNITED LIFE INSURANCE COMPANYAnnuity / GIC7December$39,222$0

Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
MEMORIAL HOSPITAL ASSOCIATION
EIN 37-0684691
AMERICAN UNITED LIFE INSURANCE CO
Recordkeeping and information management · EIN 35-0145825
$0
paid directly by the plan
LINCOLN NATIONAL CORPORATION
Contract administrator · EIN 35-1140070
$894
paid directly by the plan

The plan administrator is from line 3a of the main form. The service providers are named on Schedule C of this filing. We publish company names only.

Reported to OSHA

Reported to OSHA for 2025: 450 employees, 10 recordable cases, 5 days away from work.

EmployeesThe company's own average for the year
450
Hours worked
612,500
Recordable cases
10
Days away from work
5

Source: OSHA Injury Tracking Application establishment data, 2025.

What the plan holds

Plan assets at year end
$12,343,996
Paid out in benefits
$489,764
Participants at the start of the year
458
Participants with account balances
280

Sourced from U.S. DOL EFAST2 Form 5500 · Schedule H

Who runs the plan

RecordkeeperEIN 35-0145825
AMERICAN UNITED LIFE INSURANCE CO
Independent accountantEIN 45-0250958
EIDE BAILLY, LLP
Accountant's opinion (Schedule H, line 3a)
Unmodified

The recordkeeper and the accountant are named on Schedule C of this filing. The opinion and the fee are from Schedule H.

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