401k Plan data: RETIREMENT PLAN FOR EMPLOYEES OF WINDHAM COMMUNITY MEMORIAL HOSPITAL plan

RETIREMENT PLAN FOR EMPLOYEES OF WINDHAM COMMUNITY MEMORIAL HOSPITAL 401k Plan overview

Plan Name	RETIREMENT PLAN FOR EMPLOYEES OF WINDHAM COMMUNITY MEMORIAL HOSPITAL
Plan identification number	001

RETIREMENT PLAN FOR EMPLOYEES OF WINDHAM COMMUNITY MEMORIAL HOSPITAL 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). 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). Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

WINDHAM COMMUNITY MEMORIAL HOSPITAL INC has sponsored the creation of one or more 401k plans.

Company Name: WINDHAM COMMUNITY MEMORIAL HOSPITAL INC

Employer identification number (EIN): 060646966

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RETIREMENT PLAN FOR EMPLOYEES OF WINDHAM COMMUNITY MEMORIAL HOSPITAL

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2016-01-01
001 2015-01-01
001 2014-01-01 LAPIERRE, MARK
001 2013-01-01 WILLIAM LOCKHART
001 2012-01-01 WILLIAM LOCKHART
001 2011-01-01 MARTIN LEVINE
001 2010-01-01 MARTIN LEVINE
001 2009-01-01 MARTIN LEVINE MARTINE LEVINE 2010-10-21
001 2009-01-01 MARTIN LEVINE MARTINE LEVINE 2010-10-15

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2016-01-01
001	2015-01-01
001	2014-01-01	LAPIERRE, MARK
001	2013-01-01	WILLIAM LOCKHART
001	2012-01-01	WILLIAM LOCKHART
001	2011-01-01	MARTIN LEVINE
001	2010-01-01	MARTIN LEVINE
001	2009-01-01	MARTIN LEVINE	MARTINE LEVINE	2010-10-21
001	2009-01-01	MARTIN LEVINE	MARTINE LEVINE	2010-10-15

Plan Statistics for RETIREMENT PLAN FOR EMPLOYEES OF WINDHAM COMMUNITY MEMORIAL HOSPITAL

401k plan membership statisitcs for RETIREMENT PLAN FOR EMPLOYEES OF WINDHAM COMMUNITY MEMORIAL HOSPITAL

Measure Date Value
2016: RETIREMENT PLAN FOR EMPLOYEES OF WINDHAM COMMUNITY MEMORIAL HOSPITAL 2016 401k membership
Market value of plan assets 2016-12-31 94,293,826
Acturial value of plan assets 2016-12-31 99,805,794
Funding target for retired participants and beneficiaries receiving payment 2016-12-31 44,276,411
Number of terminated vested participants 2016-12-31 359
Fundng target for terminated vested participants 2016-12-31 21,600,428
Active participant vested funding target 2016-12-31 28,166,354
Number of active participants 2016-12-31 237
Total funding liabilities for active participants 2016-12-31 28,166,354
Total participant count 2016-12-31 912
Total funding target for all participants 2016-12-31 94,043,193
Balance at beginning of prior year after applicable adjustments 2016-12-31 0
Prefunding balance at beginning of prior year after applicable adjustments 2016-12-31 0
Amount remaining of carryover balance 2016-12-31 0
Amount remaining of prefunding balance 2016-12-31 0
Present value of excess contributions 2016-12-31 377,570
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance 2016-12-31 401,432
Reductions in prefunding balances due to elections or deemed elections 2016-12-31 0
Balance of carryovers at beginning of current year 2016-12-31 0
Balance of prefunding at beginning of current year 2016-12-31 0
Total employer contributions 2016-12-31 1,000,000
Contributions allocated toward minimum required contributions for current year adjusted to valuation date 2016-12-31 921,598
Unpaid minimum required contributions for all prior years 2016-12-31 0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years 2016-12-31 0
Remaining amount of unpaid minimum required contributions 2016-12-31 0
Minimum required contributions for current year target normal cost 2016-12-31 758,000
Contributions allocatedtoward minimum required contributions for current year 2016-12-31 921,598
Unpaid minimum required contributions for current year 2016-12-31 0
Unpaid minimum required contributions for all years 2016-12-31 0
Total participants, beginning-of-year 2016-01-01 905
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
2015: RETIREMENT PLAN FOR EMPLOYEES OF WINDHAM COMMUNITY MEMORIAL HOSPITAL 2015 401k membership
Total participants, beginning-of-year 2015-01-01 919
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 237
Number of retired or separated participants receiving benefits 2015-01-01 289
Number of other retired or separated participants entitled to future benefits 2015-01-01 355
Total of all active and inactive participants 2015-01-01 881
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 24
Total participants 2015-01-01 905
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: RETIREMENT PLAN FOR EMPLOYEES OF WINDHAM COMMUNITY MEMORIAL HOSPITAL 2014 401k membership
Total participants, beginning-of-year 2014-01-01 925
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 276
Number of retired or separated participants receiving benefits 2014-01-01 283
Number of other retired or separated participants entitled to future benefits 2014-01-01 337
Total of all active and inactive participants 2014-01-01 896
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 23
Total participants 2014-01-01 919
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: RETIREMENT PLAN FOR EMPLOYEES OF WINDHAM COMMUNITY MEMORIAL HOSPITAL 2013 401k membership
Total participants, beginning-of-year 2013-01-01 939
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 295
Number of retired or separated participants receiving benefits 2013-01-01 271
Number of other retired or separated participants entitled to future benefits 2013-01-01 342
Total of all active and inactive participants 2013-01-01 908
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 17
Total participants 2013-01-01 925
2012: RETIREMENT PLAN FOR EMPLOYEES OF WINDHAM COMMUNITY MEMORIAL HOSPITAL 2012 401k membership
Total participants, beginning-of-year 2012-01-01 941
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 332
Number of retired or separated participants receiving benefits 2012-01-01 263
Number of other retired or separated participants entitled to future benefits 2012-01-01 327
Total of all active and inactive participants 2012-01-01 922
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 17
Total participants 2012-01-01 939
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: RETIREMENT PLAN FOR EMPLOYEES OF WINDHAM COMMUNITY MEMORIAL HOSPITAL 2011 401k membership
Total participants, beginning-of-year 2011-01-01 950
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 359
Number of retired or separated participants receiving benefits 2011-01-01 240
Number of other retired or separated participants entitled to future benefits 2011-01-01 326
Total of all active and inactive participants 2011-01-01 925
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 16
Total participants 2011-01-01 941
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: RETIREMENT PLAN FOR EMPLOYEES OF WINDHAM COMMUNITY MEMORIAL HOSPITAL 2010 401k membership
Total participants, beginning-of-year 2010-01-01 958
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 392
Number of retired or separated participants receiving benefits 2010-01-01 238
Number of other retired or separated participants entitled to future benefits 2010-01-01 312
Total of all active and inactive participants 2010-01-01 942
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 8
Total participants 2010-01-01 950
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: RETIREMENT PLAN FOR EMPLOYEES OF WINDHAM COMMUNITY MEMORIAL HOSPITAL 2009 401k membership
Total participants, beginning-of-year 2009-01-01 962
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 411
Number of retired or separated participants receiving benefits 2009-01-01 233
Number of other retired or separated participants entitled to future benefits 2009-01-01 306
Total of all active and inactive participants 2009-01-01 950
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 8
Total participants 2009-01-01 958
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 1

Measure	Date	Value
2016: RETIREMENT PLAN FOR EMPLOYEES OF WINDHAM COMMUNITY MEMORIAL HOSPITAL 2016 401k membership
Market value of plan assets	2016-12-31	94,293,826
Acturial value of plan assets	2016-12-31	99,805,794
Funding target for retired participants and beneficiaries receiving payment	2016-12-31	44,276,411
Number of terminated vested participants	2016-12-31	359
Fundng target for terminated vested participants	2016-12-31	21,600,428
Active participant vested funding target	2016-12-31	28,166,354
Number of active participants	2016-12-31	237
Total funding liabilities for active participants	2016-12-31	28,166,354
Total participant count	2016-12-31	912
Total funding target for all participants	2016-12-31	94,043,193
Balance at beginning of prior year after applicable adjustments	2016-12-31	0
Prefunding balance at beginning of prior year after applicable adjustments	2016-12-31	0
Amount remaining of carryover balance	2016-12-31	0
Amount remaining of prefunding balance	2016-12-31	0
Present value of excess contributions	2016-12-31	377,570
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2016-12-31	401,432
Reductions in prefunding balances due to elections or deemed elections	2016-12-31	0
Balance of carryovers at beginning of current year	2016-12-31	0
Balance of prefunding at beginning of current year	2016-12-31	0
Total employer contributions	2016-12-31	1,000,000
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2016-12-31	921,598
Unpaid minimum required contributions for all prior years	2016-12-31	0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years	2016-12-31	0
Remaining amount of unpaid minimum required contributions	2016-12-31	0
Minimum required contributions for current year target normal cost	2016-12-31	758,000
Contributions allocatedtoward minimum required contributions for current year	2016-12-31	921,598
Unpaid minimum required contributions for current year	2016-12-31	0
Unpaid minimum required contributions for all years	2016-12-31	0
Total participants, beginning-of-year	2016-01-01	905
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
2015: RETIREMENT PLAN FOR EMPLOYEES OF WINDHAM COMMUNITY MEMORIAL HOSPITAL 2015 401k membership
Total participants, beginning-of-year	2015-01-01	919
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	237
Number of retired or separated participants receiving benefits	2015-01-01	289
Number of other retired or separated participants entitled to future benefits	2015-01-01	355
Total of all active and inactive participants	2015-01-01	881
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	24
Total participants	2015-01-01	905
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: RETIREMENT PLAN FOR EMPLOYEES OF WINDHAM COMMUNITY MEMORIAL HOSPITAL 2014 401k membership
Total participants, beginning-of-year	2014-01-01	925
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	276
Number of retired or separated participants receiving benefits	2014-01-01	283
Number of other retired or separated participants entitled to future benefits	2014-01-01	337
Total of all active and inactive participants	2014-01-01	896
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	23
Total participants	2014-01-01	919
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: RETIREMENT PLAN FOR EMPLOYEES OF WINDHAM COMMUNITY MEMORIAL HOSPITAL 2013 401k membership
Total participants, beginning-of-year	2013-01-01	939
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	295
Number of retired or separated participants receiving benefits	2013-01-01	271
Number of other retired or separated participants entitled to future benefits	2013-01-01	342
Total of all active and inactive participants	2013-01-01	908
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	17
Total participants	2013-01-01	925
2012: RETIREMENT PLAN FOR EMPLOYEES OF WINDHAM COMMUNITY MEMORIAL HOSPITAL 2012 401k membership
Total participants, beginning-of-year	2012-01-01	941
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	332
Number of retired or separated participants receiving benefits	2012-01-01	263
Number of other retired or separated participants entitled to future benefits	2012-01-01	327
Total of all active and inactive participants	2012-01-01	922
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	17
Total participants	2012-01-01	939
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: RETIREMENT PLAN FOR EMPLOYEES OF WINDHAM COMMUNITY MEMORIAL HOSPITAL 2011 401k membership
Total participants, beginning-of-year	2011-01-01	950
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	359
Number of retired or separated participants receiving benefits	2011-01-01	240
Number of other retired or separated participants entitled to future benefits	2011-01-01	326
Total of all active and inactive participants	2011-01-01	925
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	16
Total participants	2011-01-01	941
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: RETIREMENT PLAN FOR EMPLOYEES OF WINDHAM COMMUNITY MEMORIAL HOSPITAL 2010 401k membership
Total participants, beginning-of-year	2010-01-01	958
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	392
Number of retired or separated participants receiving benefits	2010-01-01	238
Number of other retired or separated participants entitled to future benefits	2010-01-01	312
Total of all active and inactive participants	2010-01-01	942
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	8
Total participants	2010-01-01	950
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: RETIREMENT PLAN FOR EMPLOYEES OF WINDHAM COMMUNITY MEMORIAL HOSPITAL 2009 401k membership
Total participants, beginning-of-year	2009-01-01	962
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	411
Number of retired or separated participants receiving benefits	2009-01-01	233
Number of other retired or separated participants entitled to future benefits	2009-01-01	306
Total of all active and inactive participants	2009-01-01	950
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	8
Total participants	2009-01-01	958
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	1

Financial Data on RETIREMENT PLAN FOR EMPLOYEES OF WINDHAM COMMUNITY MEMORIAL HOSPITAL

Measure	Date	Value
2016 : RETIREMENT PLAN FOR EMPLOYEES OF WINDHAM COMMUNITY MEMORIAL HOSPITAL 2016 401k financial data
Total transfer of assets from this plan	2016-12-31	$96,399,027
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	$76,508
Total income from all sources (including contributions)	2016-12-31	$6,337,070
Total of all expenses incurred	2016-12-31	$4,155,361
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$4,112,169
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$880,000
Value of total assets at end of year	2016-12-31	$0
Value of total assets at beginning of year	2016-12-31	$94,293,826
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$43,192
Total interest from all sources	2016-12-31	$88,979
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2016-12-31	$0
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Aggregate amount of withdrawal liability assessed or estimated to be assessed against such withdrawn employers	2016-12-31	0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Minimum employer required contribution for this plan year	2016-12-31	$0
Amount contributed by the employer to the plan for this plan year	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Liabilities. Value of operating payables at end of year	2016-12-31	$0
Liabilities. Value of operating payables at beginning of year	2016-12-31	$76,508
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	$2,181,709
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$94,217,318
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
Value of interest in pooled separate accounts at end of year	2016-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$1,077,322
Interest earned on other investments	2016-12-31	$88,979
Value of interest in master investment trust accounts at end of year	2016-12-31	$0
Value of interest in master investment trust accounts at beginning of year	2016-12-31	$91,320,815
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$1,895,689
Net investment gain/loss from pooled separate accounts	2016-12-31	$3,466
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	Yes
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	$880,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$4,112,169
Contract administrator fees	2016-12-31	$43,192
Did the plan have assets held for investment	2016-12-31	No
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	Yes
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	FIONDELLA, MILONE & LASARACINA LLP
Accountancy firm EIN	2016-12-31	061648707
2015 : RETIREMENT PLAN FOR EMPLOYEES OF WINDHAM COMMUNITY MEMORIAL HOSPITAL 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$76,508
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$80,711
Total income from all sources (including contributions)	2015-12-31	$-197,671
Total of all expenses incurred	2015-12-31	$4,041,703
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$3,993,214
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$400,000
Value of total assets at end of year	2015-12-31	$94,293,826
Value of total assets at beginning of year	2015-12-31	$98,537,403
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$48,489
Total interest from all sources	2015-12-31	$97,640
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Aggregate amount of withdrawal liability assessed or estimated to be assessed against such withdrawn employers	2015-12-31	0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Minimum employer required contribution for this plan year	2015-12-31	$0
Amount contributed by the employer to the plan for this plan year	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Liabilities. Value of operating payables at end of year	2015-12-31	$76,508
Liabilities. Value of operating payables at beginning of year	2015-12-31	$80,711
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	$-4,239,374
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$94,217,318
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$98,456,692
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
Value of interest in pooled separate accounts at end of year	2015-12-31	$1,077,322
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$642,446
Interest earned on other investments	2015-12-31	$97,640
Value of interest in master investment trust accounts at end of year	2015-12-31	$91,320,815
Value of interest in master investment trust accounts at beginning of year	2015-12-31	$95,833,437
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$1,895,689
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$2,061,520
Net investment gain/loss from pooled separate accounts	2015-12-31	$3,108
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	Yes
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	Yes
Contributions received in cash from employer	2015-12-31	$400,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$3,993,214
Contract administrator fees	2015-12-31	$48,489
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	FIONDELLA, MILONE & LASARACINA LLP
Accountancy firm EIN	2015-12-31	061648707
2014 : RETIREMENT PLAN FOR EMPLOYEES OF WINDHAM COMMUNITY MEMORIAL HOSPITAL 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	$80,711
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	$3,821,110
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$3,996,457
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$3,938,349
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	$98,537,403
Value of total assets at beginning of year	2014-12-31	$98,632,039
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$58,108
Total interest from all sources	2014-12-31	$123,513
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	No
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$5,000,000
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
Other income not declared elsewhere	2014-12-31	$27,585
Liabilities. Value of operating payables at end of year	2014-12-31	$80,711
Liabilities. Value of operating payables at beginning of year	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	$-175,347
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$98,456,692
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$98,632,039
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
Value of interest in pooled separate accounts at end of year	2014-12-31	$642,446
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$1,366,125
Interest earned on other investments	2014-12-31	$123,513
Value of interest in master investment trust accounts at end of year	2014-12-31	$95,833,437
Value of interest in master investment trust accounts at beginning of year	2014-12-31	$90,236,498
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$2,061,520
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$2,433,416
Net investment gain/loss from pooled separate accounts	2014-12-31	$1,790
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	Yes
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 end of year	2014-12-31	$0
Employer contributions (assets) at beginning of year	2014-12-31	$4,596,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$3,938,349
Contract administrator fees	2014-12-31	$58,108
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	FIONDELLA, MILONE & LASARACINA LLP
Accountancy firm EIN	2014-12-31	061648707
2013 : RETIREMENT PLAN FOR EMPLOYEES OF WINDHAM COMMUNITY MEMORIAL HOSPITAL 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	$18,341,936
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$3,922,586
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$3,796,415
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$4,885,750
Value of total assets at end of year	2013-12-31	$98,632,039
Value of total assets at beginning of year	2013-12-31	$84,212,689
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$126,171
Total interest from all sources	2013-12-31	$184,430
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Administrative expenses professional fees incurred	2013-12-31	$59,000
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$5,000,000
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
Other income not declared elsewhere	2013-12-31	$162,294
Administrative expenses (other) incurred	2013-12-31	$67,171
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	$14,419,350
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$98,632,039
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$84,212,689
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
Value of interest in pooled separate accounts at end of year	2013-12-31	$1,366,125
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$678,362
Value of interest in master investment trust accounts at end of year	2013-12-31	$90,236,498
Value of interest in master investment trust accounts at beginning of year	2013-12-31	$75,198,286
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-31	$184,430
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$2,433,416
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$4,016,041
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
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	$4,885,750
Employer contributions (assets) at end of year	2013-12-31	$4,596,000
Employer contributions (assets) at beginning of year	2013-12-31	$4,320,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$3,796,415
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	No
Opinion of an independent qualified public accountant for this plan	2013-12-31	Unqualified
Accountancy firm name	2013-12-31	MARCUM LLP
Accountancy firm EIN	2013-12-31	111986323
2012 : RETIREMENT PLAN FOR EMPLOYEES OF WINDHAM COMMUNITY MEMORIAL HOSPITAL 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	$12,623,575
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$3,800,224
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$3,683,895
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$4,674,000
Value of total assets at end of year	2012-12-31	$84,212,689
Value of total assets at beginning of year	2012-12-31	$75,389,338
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$116,329
Total interest from all sources	2012-12-31	$228,514
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$331,916
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	$331,916
Administrative expenses professional fees incurred	2012-12-31	$82,177
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$5,000,000
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
Administrative expenses (other) incurred	2012-12-31	$210
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	$8,823,351
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$84,212,689
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$75,389,338
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
Investment advisory and management fees	2012-12-31	$33,942
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$65,763,637
Value of interest in pooled separate accounts at end of year	2012-12-31	$678,362
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$501,545
Interest earned on other investments	2012-12-31	$228,514
Value of interest in master investment trust accounts at end of year	2012-12-31	$75,198,286
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$4,016,041
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$4,310,156
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$3,935,774
Net investment gain/loss from pooled separate accounts	2012-12-31	$1,821
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	$4,674,000
Employer contributions (assets) at end of year	2012-12-31	$4,320,000
Employer contributions (assets) at beginning of year	2012-12-31	$4,814,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$3,683,895
Did the plan have assets held for investment	2012-12-31	No
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	No
Opinion of an independent qualified public accountant for this plan	2012-12-31	Unqualified
Accountancy firm name	2012-12-31	MARCUM LLP
Accountancy firm EIN	2012-12-31	111986323
2011 : RETIREMENT PLAN FOR EMPLOYEES OF WINDHAM COMMUNITY MEMORIAL HOSPITAL 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	$9,005,038
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$3,491,118
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$3,049,223
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$7,404,000
Value of total assets at end of year	2011-12-31	$75,389,338
Value of total assets at beginning of year	2011-12-31	$69,875,418
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$441,895
Total interest from all sources	2011-12-31	$251,939
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$1,659,588
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	$1,659,588
Administrative expenses professional fees incurred	2011-12-31	$44,465
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$5,000,000
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
Other income not declared elsewhere	2011-12-31	$16,272
Administrative expenses (other) incurred	2011-12-31	$258,700
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	$5,513,920
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$75,389,338
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$69,875,418
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
Investment advisory and management fees	2011-12-31	$76,449
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$65,763,637
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$60,765,978
Value of interest in pooled separate accounts at end of year	2011-12-31	$501,545
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$452,886
Interest earned on other investments	2011-12-31	$251,939
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$4,310,156
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$4,638,020
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-327,983
Net investment gain/loss from pooled separate accounts	2011-12-31	$1,222
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	$7,404,000
Employer contributions (assets) at end of year	2011-12-31	$4,814,000
Employer contributions (assets) at beginning of year	2011-12-31	$4,018,534
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$3,049,223
Contract administrator fees	2011-12-31	$62,281
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	No
Opinion of an independent qualified public accountant for this plan	2011-12-31	Unqualified
Accountancy firm name	2011-12-31	MARCUM LLP
Accountancy firm EIN	2011-12-31	111986323
2010 : RETIREMENT PLAN FOR EMPLOYEES OF WINDHAM COMMUNITY MEMORIAL HOSPITAL 2010 401k financial data
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	$79,750
Total income from all sources (including contributions)	2010-12-31	$12,998,965
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$3,330,114
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$2,893,136
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$5,874,136
Value of total assets at end of year	2010-12-31	$69,875,418
Value of total assets at beginning of year	2010-12-31	$60,286,317
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$436,978
Total interest from all sources	2010-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$1,501,248
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	$1,501,248
Administrative expenses professional fees incurred	2010-12-31	$57,345
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$3,000,000
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
Participant contributions at beginning of year	2010-12-31	$1,407
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2010-12-31	$137,080
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2010-12-31	$79,750
Administrative expenses (other) incurred	2010-12-31	$261,465
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	$9,668,851
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$69,875,418
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$60,206,567
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	$55,292
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$60,765,978
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$53,888,850
Value of interest in pooled separate accounts at end of year	2010-12-31	$452,886
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$411,814
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$4,638,020
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$4,964,513
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$5,623,581
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	$5,874,136
Employer contributions (assets) at end of year	2010-12-31	$4,018,534
Employer contributions (assets) at beginning of year	2010-12-31	$882,653
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$2,893,136
Contract administrator fees	2010-12-31	$62,876
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	MARCUM LLP
Accountancy firm EIN	2010-12-31	111986323
2009 : RETIREMENT PLAN FOR EMPLOYEES OF WINDHAM COMMUNITY MEMORIAL HOSPITAL 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 RETIREMENT PLAN FOR EMPLOYEES OF WINDHAM COMMUNITY MEMORIAL HOSPITAL

2016: RETIREMENT PLAN FOR EMPLOYEES OF WINDHAM COMMUNITY MEMORIAL HOSPITAL 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	This submission is the final filing	Yes
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: RETIREMENT PLAN FOR EMPLOYEES OF WINDHAM COMMUNITY MEMORIAL HOSPITAL 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: RETIREMENT PLAN FOR EMPLOYEES OF WINDHAM COMMUNITY MEMORIAL HOSPITAL 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
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 – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: RETIREMENT PLAN FOR EMPLOYEES OF WINDHAM COMMUNITY MEMORIAL HOSPITAL 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	Yes
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 – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: RETIREMENT PLAN FOR EMPLOYEES OF WINDHAM COMMUNITY MEMORIAL HOSPITAL 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	Yes
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 – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: RETIREMENT PLAN FOR EMPLOYEES OF WINDHAM COMMUNITY MEMORIAL HOSPITAL 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 – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: RETIREMENT PLAN FOR EMPLOYEES OF WINDHAM COMMUNITY MEMORIAL HOSPITAL 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	Yes
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 – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: RETIREMENT PLAN FOR EMPLOYEES OF WINDHAM COMMUNITY MEMORIAL HOSPITAL 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )

Policy contract number

001031

Policy instance

Insurance contract or identification number	001031
Number of Individuals Covered	905
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )

Policy contract number

GA-1031

Policy instance

Insurance contract or identification number	GA-1031
Number of Individuals Covered	919
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
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?	Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )

Policy contract number

GA-1031

Policy instance

Insurance contract or identification number	GA-1031
Number of Individuals Covered	925
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?	Yes
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

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )

Policy contract number

GA-1031

Policy instance

Insurance contract or identification number	GA-1031
Number of Individuals Covered	939
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?	Yes
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

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )

Policy contract number

GA-1031

Policy instance

Insurance contract or identification number	GA-1031
Number of Individuals Covered	941
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
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?	Yes
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

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )

Policy contract number

GA-1031

Policy instance

Insurance contract or identification number	GA-1031
Number of Individuals Covered	950
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
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?	Yes
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

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Company Name:	WINDHAM COMMUNITY MEMORIAL HOSPITAL INC
Employer identification number (EIN):	060646966
NAIC Classification:	622000
NAIC Description:	Hospitals