401k Plan data: NEW MILFORD HOSPITAL, INC. RETIREMENT PLAN plan

NEW MILFORD HOSPITAL, INC. RETIREMENT PLAN 401k Plan overview

Plan Name	NEW MILFORD HOSPITAL, INC. RETIREMENT PLAN
Plan identification number	001

NEW MILFORD HOSPITAL, INC. RETIREMENT PLAN Benefits

401k Plan Type	Defined Benefit Pension
Plan Features/Benefits	Benefits are primarily pay related Covered by PBGC - Plan is covered under the PBGC insurance program (see ERISA section 4021). Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

NEW MILFORD HOSPITAL, INC. has sponsored the creation of one or more 401k plans.

Company Name: NEW MILFORD HOSPITAL, INC.

Employer identification number (EIN): 060669121

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NEW MILFORD HOSPITAL, INC. RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2014-10-01 VALERIE JACK
001 2014-10-01 COLLEEN SCOTT 2018-10-22
001 2013-10-01 VALERIE JACK
001 2012-10-01 ROMULO SALAZAR ROMULO SALAZAR 2014-07-11
001 2011-10-01 ROMULO SALAZAR
001 2010-10-01 ROMULO SALAZAR ROMULO SALAZAR 2012-07-13
001 2009-10-01 KEVIN MEADE
001 2008-10-01

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2014-10-01	VALERIE JACK
001	2014-10-01	COLLEEN SCOTT	2018-10-22
001	2013-10-01	VALERIE JACK
001	2012-10-01	ROMULO SALAZAR		ROMULO SALAZAR	2014-07-11
001	2011-10-01	ROMULO SALAZAR
001	2010-10-01	ROMULO SALAZAR		ROMULO SALAZAR	2012-07-13
001	2009-10-01	KEVIN MEADE
001	2008-10-01

Plan Statistics for NEW MILFORD HOSPITAL, INC. RETIREMENT PLAN

401k plan membership statisitcs for NEW MILFORD HOSPITAL, INC. RETIREMENT PLAN

Measure Date Value
2014: NEW MILFORD HOSPITAL, INC. RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-10-01 775
Total of all active and inactive participants 2014-10-01 0
Total participants 2014-10-01 0
Total number of active participants reported on line 7a of the Form 5500 2014-10-01 0
2013: NEW MILFORD HOSPITAL, INC. RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-10-01 803
Total number of active participants reported on line 7a of the Form 5500 2013-10-01 220
Number of retired or separated participants receiving benefits 2013-10-01 242
Number of other retired or separated participants entitled to future benefits 2013-10-01 306
Total of all active and inactive participants 2013-10-01 768
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-10-01 7
Total participants 2013-10-01 775
2012: NEW MILFORD HOSPITAL, INC. RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-10-01 820
Total number of active participants reported on line 7a of the Form 5500 2012-10-01 236
Number of retired or separated participants receiving benefits 2012-10-01 232
Number of other retired or separated participants entitled to future benefits 2012-10-01 335
Total of all active and inactive participants 2012-10-01 803
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-10-01 0
Total participants 2012-10-01 803
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-10-01 15
2011: NEW MILFORD HOSPITAL, INC. RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-10-01 838
Total number of active participants reported on line 7a of the Form 5500 2011-10-01 367
Number of retired or separated participants receiving benefits 2011-10-01 212
Number of other retired or separated participants entitled to future benefits 2011-10-01 241
Total of all active and inactive participants 2011-10-01 820
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-10-01 0
Total participants 2011-10-01 820
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-10-01 15
2010: NEW MILFORD HOSPITAL, INC. RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-10-01 851
Total number of active participants reported on line 7a of the Form 5500 2010-10-01 428
Number of retired or separated participants receiving benefits 2010-10-01 190
Number of other retired or separated participants entitled to future benefits 2010-10-01 220
Total of all active and inactive participants 2010-10-01 838
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-10-01 0
Total participants 2010-10-01 838
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-10-01 9
2009: NEW MILFORD HOSPITAL, INC. RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-10-01 841
Total number of active participants reported on line 7a of the Form 5500 2009-10-01 458
Number of retired or separated participants receiving benefits 2009-10-01 178
Number of other retired or separated participants entitled to future benefits 2009-10-01 213
Total of all active and inactive participants 2009-10-01 849
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-10-01 2
Total participants 2009-10-01 851
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-10-01 12

Measure	Date	Value
2014: NEW MILFORD HOSPITAL, INC. RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-10-01	775
Total of all active and inactive participants	2014-10-01	0
Total participants	2014-10-01	0
Total number of active participants reported on line 7a of the Form 5500	2014-10-01	0
2013: NEW MILFORD HOSPITAL, INC. RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-10-01	803
Total number of active participants reported on line 7a of the Form 5500	2013-10-01	220
Number of retired or separated participants receiving benefits	2013-10-01	242
Number of other retired or separated participants entitled to future benefits	2013-10-01	306
Total of all active and inactive participants	2013-10-01	768
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-10-01	7
Total participants	2013-10-01	775
2012: NEW MILFORD HOSPITAL, INC. RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-10-01	820
Total number of active participants reported on line 7a of the Form 5500	2012-10-01	236
Number of retired or separated participants receiving benefits	2012-10-01	232
Number of other retired or separated participants entitled to future benefits	2012-10-01	335
Total of all active and inactive participants	2012-10-01	803
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-10-01	0
Total participants	2012-10-01	803
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-10-01	15
2011: NEW MILFORD HOSPITAL, INC. RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-10-01	838
Total number of active participants reported on line 7a of the Form 5500	2011-10-01	367
Number of retired or separated participants receiving benefits	2011-10-01	212
Number of other retired or separated participants entitled to future benefits	2011-10-01	241
Total of all active and inactive participants	2011-10-01	820
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-10-01	0
Total participants	2011-10-01	820
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-10-01	15
2010: NEW MILFORD HOSPITAL, INC. RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-10-01	851
Total number of active participants reported on line 7a of the Form 5500	2010-10-01	428
Number of retired or separated participants receiving benefits	2010-10-01	190
Number of other retired or separated participants entitled to future benefits	2010-10-01	220
Total of all active and inactive participants	2010-10-01	838
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-10-01	0
Total participants	2010-10-01	838
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-10-01	9
2009: NEW MILFORD HOSPITAL, INC. RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-10-01	841
Total number of active participants reported on line 7a of the Form 5500	2009-10-01	458
Number of retired or separated participants receiving benefits	2009-10-01	178
Number of other retired or separated participants entitled to future benefits	2009-10-01	213
Total of all active and inactive participants	2009-10-01	849
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-10-01	2
Total participants	2009-10-01	851
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-10-01	12

Financial Data on NEW MILFORD HOSPITAL, INC. RETIREMENT PLAN

Measure	Date	Value
2015 : NEW MILFORD HOSPITAL, INC. RETIREMENT PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-09-30	$0
Total transfer of assets from this plan	2015-09-30	$51,192,332
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-09-30	$0
Total income from all sources (including contributions)	2015-09-30	$338,380
Total loss/gain on sale of assets	2015-09-30	$0
Total of all expenses incurred	2015-09-30	$2,927,866
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-09-30	$2,927,866
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-09-30	$479,000
Value of total assets at end of year	2015-09-30	$0
Value of total assets at beginning of year	2015-09-30	$53,781,818
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-09-30	$0
Total interest from all sources	2015-09-30	$0
Total dividends received (eg from common stock, registered investment company shares)	2015-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-09-30	No
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2015-09-30	$0
Was this plan covered by a fidelity bond	2015-09-30	Yes
Value of fidelity bond cover	2015-09-30	$5,000,000
Were there any nonexempt tranactions with any party-in-interest	2015-09-30	No
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2015-09-30	$202,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-09-30	No
Value of net income/loss	2015-09-30	$-2,589,486
Value of net assets at end of year (total assets less liabilities)	2015-09-30	$0
Value of net assets at beginning of year (total assets less liabilities)	2015-09-30	$53,781,818
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-09-30	No
Were any leases to which the plan was party in default or uncollectible	2015-09-30	No
Value of interest in pooled separate accounts at end of year	2015-09-30	$0
Value of interest in pooled separate accounts at beginning of year	2015-09-30	$52,999,238
Net investment gain/loss from pooled separate accounts	2015-09-30	$-140,620
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-09-30	No
Was there a failure to transmit to the plan any participant contributions	2015-09-30	No
Has the plan failed to provide any benefit when due under the plan	2015-09-30	No
Contributions received in cash from employer	2015-09-30	$479,000
Employer contributions (assets) at beginning of year	2015-09-30	$782,580
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-09-30	$2,725,866
Did the plan have assets held for investment	2015-09-30	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	2015-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-09-30	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2015-09-30	Disclaimer
Accountancy firm name	2015-09-30	MARCUM, LLP
Accountancy firm EIN	2015-09-30	111986323
2014 : NEW MILFORD HOSPITAL, INC. RETIREMENT PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-09-30	$0
Total income from all sources (including contributions)	2014-09-30	$6,112,136
Total loss/gain on sale of assets	2014-09-30	$0
Total of all expenses incurred	2014-09-30	$2,781,334
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-09-30	$2,622,346
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-09-30	$1,961,448
Value of total assets at end of year	2014-09-30	$53,781,818
Value of total assets at beginning of year	2014-09-30	$50,451,016
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-09-30	$158,988
Total interest from all sources	2014-09-30	$0
Total dividends received (eg from common stock, registered investment company shares)	2014-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-09-30	No
Was this plan covered by a fidelity bond	2014-09-30	Yes
Value of fidelity bond cover	2014-09-30	$5,000,000
Were there any nonexempt tranactions with any party-in-interest	2014-09-30	No
Administrative expenses (other) incurred	2014-09-30	$158,988
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-09-30	No
Value of net income/loss	2014-09-30	$3,330,802
Value of net assets at end of year (total assets less liabilities)	2014-09-30	$53,781,818
Value of net assets at beginning of year (total assets less liabilities)	2014-09-30	$50,451,016
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-09-30	No
Were any leases to which the plan was party in default or uncollectible	2014-09-30	No
Value of interest in pooled separate accounts at end of year	2014-09-30	$52,999,238
Value of interest in pooled separate accounts at beginning of year	2014-09-30	$50,451,016
Net investment gain/loss from pooled separate accounts	2014-09-30	$4,150,688
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-09-30	No
Was there a failure to transmit to the plan any participant contributions	2014-09-30	No
Has the plan failed to provide any benefit when due under the plan	2014-09-30	No
Contributions received in cash from employer	2014-09-30	$1,961,448
Employer contributions (assets) at end of year	2014-09-30	$782,580
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-09-30	$2,622,346
Did the plan have assets held for investment	2014-09-30	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	2014-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2014-09-30	Disclaimer
Accountancy firm name	2014-09-30	MARCUM, LLP
Accountancy firm EIN	2014-09-30	111986323
2013 : NEW MILFORD HOSPITAL, INC. RETIREMENT PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-09-30	$0
Total income from all sources (including contributions)	2013-09-30	$6,572,113
Total loss/gain on sale of assets	2013-09-30	$0
Total of all expenses incurred	2013-09-30	$2,555,574
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-09-30	$2,554,224
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-09-30	$2,111,708
Value of total assets at end of year	2013-09-30	$50,451,016
Value of total assets at beginning of year	2013-09-30	$46,434,477
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-09-30	$1,350
Total interest from all sources	2013-09-30	$0
Total dividends received (eg from common stock, registered investment company shares)	2013-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-09-30	No
Was this plan covered by a fidelity bond	2013-09-30	Yes
Value of fidelity bond cover	2013-09-30	$5,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2013-09-30	No
Income. Received or receivable in cash from other sources (including rollovers)	2013-09-30	$3,841
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2013-09-30	$122,894
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-09-30	No
Value of net income/loss	2013-09-30	$4,016,539
Value of net assets at end of year (total assets less liabilities)	2013-09-30	$50,451,016
Value of net assets at beginning of year (total assets less liabilities)	2013-09-30	$46,434,477
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-09-30	No
Were any leases to which the plan was party in default or uncollectible	2013-09-30	No
Value of interest in pooled separate accounts at end of year	2013-09-30	$50,451,016
Value of interest in pooled separate accounts at beginning of year	2013-09-30	$46,434,477
Net investment gain/loss from pooled separate accounts	2013-09-30	$4,460,405
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-09-30	No
Was there a failure to transmit to the plan any participant contributions	2013-09-30	No
Has the plan failed to provide any benefit when due under the plan	2013-09-30	No
Contributions received in cash from employer	2013-09-30	$2,107,867
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-09-30	$2,431,330
Contract administrator fees	2013-09-30	$1,350
Did the plan have assets held for investment	2013-09-30	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	2013-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2013-09-30	Disclaimer
Accountancy firm name	2013-09-30	MARCUM, LLP
Accountancy firm EIN	2013-09-30	111986323
2012 : NEW MILFORD HOSPITAL, INC. RETIREMENT PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-09-30	$0
Total income from all sources (including contributions)	2012-09-30	$10,218,223
Total loss/gain on sale of assets	2012-09-30	$0
Total of all expenses incurred	2012-09-30	$2,109,106
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-09-30	$2,109,106
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-09-30	$3,370,858
Value of total assets at end of year	2012-09-30	$46,434,477
Value of total assets at beginning of year	2012-09-30	$38,325,360
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-09-30	$0
Total interest from all sources	2012-09-30	$0
Total dividends received (eg from common stock, registered investment company shares)	2012-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-09-30	No
Was this plan covered by a fidelity bond	2012-09-30	Yes
Value of fidelity bond cover	2012-09-30	$2,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2012-09-30	No
Income. Received or receivable in cash from other sources (including rollovers)	2012-09-30	$69,953
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2012-09-30	$7,862
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-09-30	No
Value of net income/loss	2012-09-30	$8,109,117
Value of net assets at end of year (total assets less liabilities)	2012-09-30	$46,434,477
Value of net assets at beginning of year (total assets less liabilities)	2012-09-30	$38,325,360
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-09-30	No
Were any leases to which the plan was party in default or uncollectible	2012-09-30	No
Value of interest in pooled separate accounts at end of year	2012-09-30	$46,434,477
Value of interest in pooled separate accounts at beginning of year	2012-09-30	$38,325,360
Net investment gain/loss from pooled separate accounts	2012-09-30	$6,847,365
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-09-30	No
Was there a failure to transmit to the plan any participant contributions	2012-09-30	No
Has the plan failed to provide any benefit when due under the plan	2012-09-30	No
Contributions received in cash from employer	2012-09-30	$3,300,905
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-09-30	$2,101,244
Did the plan have assets held for investment	2012-09-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2012-09-30	Disclaimer
Accountancy firm name	2012-09-30	MARCUM, LLP
Accountancy firm EIN	2012-09-30	111986323
2011 : NEW MILFORD HOSPITAL, INC. RETIREMENT PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-09-30	$0
Total income from all sources (including contributions)	2011-09-30	$1,924,434
Total loss/gain on sale of assets	2011-09-30	$0
Total of all expenses incurred	2011-09-30	$1,906,471
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-09-30	$1,906,471
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-09-30	$874,062
Value of total assets at end of year	2011-09-30	$38,325,360
Value of total assets at beginning of year	2011-09-30	$38,307,397
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-09-30	$0
Total interest from all sources	2011-09-30	$0
Total dividends received (eg from common stock, registered investment company shares)	2011-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-09-30	No
Was this plan covered by a fidelity bond	2011-09-30	Yes
Value of fidelity bond cover	2011-09-30	$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2011-09-30	No
Income. Received or receivable in cash from other sources (including rollovers)	2011-09-30	$180
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-09-30	No
Value of net income/loss	2011-09-30	$17,963
Value of net assets at end of year (total assets less liabilities)	2011-09-30	$38,325,360
Value of net assets at beginning of year (total assets less liabilities)	2011-09-30	$38,307,397
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-09-30	No
Were any leases to which the plan was party in default or uncollectible	2011-09-30	No
Value of interest in pooled separate accounts at end of year	2011-09-30	$38,325,360
Value of interest in pooled separate accounts at beginning of year	2011-09-30	$38,307,397
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-09-30	$0
Net investment gain/loss from pooled separate accounts	2011-09-30	$1,050,372
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-09-30	No
Was there a failure to transmit to the plan any participant contributions	2011-09-30	No
Has the plan failed to provide any benefit when due under the plan	2011-09-30	No
Contributions received in cash from employer	2011-09-30	$873,882
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-09-30	$1,906,471
Did the plan have assets held for investment	2011-09-30	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	2011-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2011-09-30	Disclaimer
Accountancy firm name	2011-09-30	SASLOW, LUFKIN & BUGGY, LLP
Accountancy firm EIN	2011-09-30	061533253

Form 5500 Responses for NEW MILFORD HOSPITAL, INC. RETIREMENT PLAN

2014: NEW MILFORD HOSPITAL, INC. RETIREMENT PLAN 2014 form 5500 responses
2014-10-01	Type of plan entity	Single employer plan
2014-10-01	Submission has been amended	No
2014-10-01	This submission is the final filing	No
2014-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-10-01	Plan is a collectively bargained plan	Yes
2014-10-01	Plan funding arrangement – Insurance	Yes
2014-10-01	Plan funding arrangement – Trust	Yes
2014-10-01	Plan benefit arrangement – Insurance	Yes
2014-10-01	Plan benefit arrangement - Trust	Yes
2013: NEW MILFORD HOSPITAL, INC. RETIREMENT PLAN 2013 form 5500 responses
2013-10-01	Type of plan entity	Single employer plan
2013-10-01	Submission has been amended	No
2013-10-01	This submission is the final filing	No
2013-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-10-01	Plan is a collectively bargained plan	Yes
2013-10-01	Plan funding arrangement – Insurance	Yes
2013-10-01	Plan funding arrangement – Trust	Yes
2013-10-01	Plan benefit arrangement – Insurance	Yes
2013-10-01	Plan benefit arrangement - Trust	Yes
2012: NEW MILFORD HOSPITAL, INC. RETIREMENT PLAN 2012 form 5500 responses
2012-10-01	Type of plan entity	Single employer plan
2012-10-01	Submission has been amended	No
2012-10-01	This submission is the final filing	No
2012-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-10-01	Plan is a collectively bargained plan	Yes
2012-10-01	Plan funding arrangement – Insurance	Yes
2012-10-01	Plan funding arrangement – Trust	Yes
2012-10-01	Plan benefit arrangement – Insurance	Yes
2012-10-01	Plan benefit arrangement - Trust	Yes
2011: NEW MILFORD HOSPITAL, INC. RETIREMENT PLAN 2011 form 5500 responses
2011-10-01	Type of plan entity	Single employer plan
2011-10-01	Submission has been amended	Yes
2011-10-01	This submission is the final filing	No
2011-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-10-01	Plan is a collectively bargained plan	Yes
2011-10-01	Plan funding arrangement – Insurance	Yes
2011-10-01	Plan funding arrangement – Trust	Yes
2011-10-01	Plan benefit arrangement – Insurance	Yes
2011-10-01	Plan benefit arrangement - Trust	Yes
2010: NEW MILFORD HOSPITAL, INC. RETIREMENT PLAN 2010 form 5500 responses
2010-10-01	Type of plan entity	Single employer plan
2010-10-01	Submission has been amended	No
2010-10-01	This submission is the final filing	No
2010-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-10-01	Plan is a collectively bargained plan	Yes
2010-10-01	Plan funding arrangement – Insurance	Yes
2010-10-01	Plan funding arrangement – Trust	Yes
2010-10-01	Plan benefit arrangement – Insurance	Yes
2010-10-01	Plan benefit arrangement - Trust	Yes
2009: NEW MILFORD HOSPITAL, INC. RETIREMENT PLAN 2009 form 5500 responses
2009-10-01	Type of plan entity	Single employer plan
2009-10-01	Submission has been amended	No
2009-10-01	This submission is the final filing	No
2009-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-10-01	Plan is a collectively bargained plan	No
2009-10-01	Plan funding arrangement – Insurance	Yes
2009-10-01	Plan funding arrangement – Trust	Yes
2009-10-01	Plan benefit arrangement – Insurance	Yes
2009-10-01	Plan benefit arrangement - Trust	Yes
2008: NEW MILFORD HOSPITAL, INC. RETIREMENT PLAN 2008 form 5500 responses
2008-10-01	Type of plan entity	Single employer plan
2008-10-01	Submission has been amended	No
2008-10-01	This submission is the final filing	No
2008-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-10-01	Plan is a collectively bargained plan	No

Insurance Providers Used on plan

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

SA 13030

Policy instance

Insurance contract or identification number	SA 13030
Insurance policy start date	2014-10-01
Insurance policy end date	2015-09-30
Total amount of commissions paid to insurance broker	USD $104,481
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
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
Commission paid to Insurance Broker	USD $104,481
Insurance broker organization code?	3
Insurance broker name	ANDREW D LEE AND COMPANY

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

SA 13030

Policy instance

Insurance contract or identification number	SA 13030
Number of Individuals Covered	775
Insurance policy start date	2013-10-01
Insurance policy end date	2014-09-30
Total amount of commissions paid to insurance broker	USD $112,251
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
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
Commission paid to Insurance Broker	USD $99,188
Insurance broker organization code?	3
Insurance broker name	PETER S NOVAK

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

SA 13030

Policy instance

Insurance contract or identification number	SA 13030
Number of Individuals Covered	803
Insurance policy start date	2012-10-01
Insurance policy end date	2013-09-30
Total amount of commissions paid to insurance broker	USD $88,966
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
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
Commission paid to Insurance Broker	USD $88,966
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Insurance broker name	ANDREW D LEE AND COMPANY

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

SA 13030

Policy instance

Insurance contract or identification number	SA 13030
Number of Individuals Covered	820
Insurance policy start date	2011-10-01
Insurance policy end date	2012-09-30
Total amount of commissions paid to insurance broker	USD $85,905
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
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

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

SA 13030

Policy instance

Insurance contract or identification number	SA 13030
Number of Individuals Covered	838
Insurance policy start date	2010-10-01
Insurance policy end date	2011-09-30
Total amount of commissions paid to insurance broker	USD $82,437
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
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

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Company Name:	NEW MILFORD HOSPITAL, INC.
Employer identification number (EIN):	060669121
NAIC Classification:	622000
NAIC Description:	Hospitals