401k Plan data: WEST GEORGIA MEDICAL CENTER, INC. 403(B) PLAN plan

WEST GEORGIA MEDICAL CENTER, INC. 403(B) PLAN 401k Plan overview

Plan Name	WEST GEORGIA MEDICAL CENTER, INC. 403(B) PLAN
Plan identification number	002

WEST GEORGIA MEDICAL CENTER, INC. 403(B) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.

401k Sponsoring company profile

WEST GEORGIA MEDICAL CENTER, INC. has sponsored the creation of one or more 401k plans.

Company Name: WEST GEORGIA MEDICAL CENTER, INC.

Employer identification number (EIN): 205497506

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WEST GEORGIA MEDICAL CENTER, INC. 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2016-01-01
002 2015-01-01 DAVID ANDERSON
002 2014-01-01 PAUL PERROTTI
002 2013-01-01 PAUL PERROTTI
002 2012-01-01 PAUL PERROTTI
002 2011-01-01 PAUL PERROTTI
002 2010-01-01 PAUL PERROTTI
002 2009-01-01 PAUL PERROTTI

Plan Statistics for WEST GEORGIA MEDICAL CENTER, INC. 403(B) PLAN

401k plan membership statisitcs for WEST GEORGIA MEDICAL CENTER, INC. 403(B) PLAN

Measure Date Value
2016: WEST GEORGIA MEDICAL CENTER, INC. 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 1,727
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
Number of participants with account balances 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: WEST GEORGIA MEDICAL CENTER, INC. 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 1,572
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 1,553
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 172
Total of all active and inactive participants 2015-01-01 1,725
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 2
Total participants 2015-01-01 1,727
Number of participants with account balances 2015-01-01 1,121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: WEST GEORGIA MEDICAL CENTER, INC. 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 1,607
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 1,407
Number of other retired or separated participants entitled to future benefits 2014-01-01 163
Total of all active and inactive participants 2014-01-01 1,570
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 2
Total participants 2014-01-01 1,572
Number of participants with account balances 2014-01-01 1,025
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: WEST GEORGIA MEDICAL CENTER, INC. 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1,534
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 1,473
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 131
Total of all active and inactive participants 2013-01-01 1,604
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 3
Total participants 2013-01-01 1,607
Number of participants with account balances 2013-01-01 1,004
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: WEST GEORGIA MEDICAL CENTER, INC. 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1,612
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1,416
Number of other retired or separated participants entitled to future benefits 2012-01-01 116
Total of all active and inactive participants 2012-01-01 1,532
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 2
Total participants 2012-01-01 1,534
Number of participants with account balances 2012-01-01 987
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: WEST GEORGIA MEDICAL CENTER, INC. 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1,412
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 1,440
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 170
Total of all active and inactive participants 2011-01-01 1,610
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 2
Total participants 2011-01-01 1,612
Number of participants with account balances 2011-01-01 1,015
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: WEST GEORGIA MEDICAL CENTER, INC. 403(B) PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 1,422
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 1,271
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 139
Total of all active and inactive participants 2010-01-01 1,410
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 2
Total participants 2010-01-01 1,412
Number of participants with account balances 2010-01-01 822
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 52
2009: WEST GEORGIA MEDICAL CENTER, INC. 403(B) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 1,424
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 1,315
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 106
Total of all active and inactive participants 2009-01-01 1,421
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 1
Total participants 2009-01-01 1,422
Number of participants with account balances 2009-01-01 710
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2016: WEST GEORGIA MEDICAL CENTER, INC. 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	1,727
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
Number of participants with account balances	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: WEST GEORGIA MEDICAL CENTER, INC. 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	1,572
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	1,553
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	172
Total of all active and inactive participants	2015-01-01	1,725
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	2
Total participants	2015-01-01	1,727
Number of participants with account balances	2015-01-01	1,121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: WEST GEORGIA MEDICAL CENTER, INC. 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	1,607
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	1,407
Number of other retired or separated participants entitled to future benefits	2014-01-01	163
Total of all active and inactive participants	2014-01-01	1,570
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	2
Total participants	2014-01-01	1,572
Number of participants with account balances	2014-01-01	1,025
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: WEST GEORGIA MEDICAL CENTER, INC. 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1,534
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	1,473
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	131
Total of all active and inactive participants	2013-01-01	1,604
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	3
Total participants	2013-01-01	1,607
Number of participants with account balances	2013-01-01	1,004
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: WEST GEORGIA MEDICAL CENTER, INC. 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1,612
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1,416
Number of other retired or separated participants entitled to future benefits	2012-01-01	116
Total of all active and inactive participants	2012-01-01	1,532
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	2
Total participants	2012-01-01	1,534
Number of participants with account balances	2012-01-01	987
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: WEST GEORGIA MEDICAL CENTER, INC. 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1,412
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1,440
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	170
Total of all active and inactive participants	2011-01-01	1,610
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	2
Total participants	2011-01-01	1,612
Number of participants with account balances	2011-01-01	1,015
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: WEST GEORGIA MEDICAL CENTER, INC. 403(B) PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	1,422
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	1,271
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	139
Total of all active and inactive participants	2010-01-01	1,410
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	2
Total participants	2010-01-01	1,412
Number of participants with account balances	2010-01-01	822
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	52
2009: WEST GEORGIA MEDICAL CENTER, INC. 403(B) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	1,424
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	1,315
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	106
Total of all active and inactive participants	2009-01-01	1,421
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	1
Total participants	2009-01-01	1,422
Number of participants with account balances	2009-01-01	710
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on WEST GEORGIA MEDICAL CENTER, INC. 403(B) PLAN

Measure	Date	Value
2016 : WEST GEORGIA MEDICAL CENTER, INC. 403(B) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total transfer of assets to this plan	2016-12-31	$40,438
Total transfer of assets from this plan	2016-12-31	$31,302,722
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$6,715,410
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$2,777,710
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$2,551,571
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$4,563,869
Value of total assets at end of year	2016-12-31	$0
Value of total assets at beginning of year	2016-12-31	$27,324,584
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$226,139
Total interest from all sources	2016-12-31	$62,682
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$862,066
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
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$862,066
Administrative expenses professional fees incurred	2016-12-31	$226,139
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$500,000
If this is an individual account plan, was there a blackout period	2016-12-31	Yes
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$2,857,798
Participant contributions at end of year	2016-12-31	$0
Participant contributions at beginning of year	2016-12-31	$1,139,589
Participant contributions at end of year	2016-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$111,838
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2016-12-31	$0
Other income not declared elsewhere	2016-12-31	$6,160
Total non interest bearing cash at end of year	2016-12-31	$0
Total non interest bearing cash at beginning of year	2016-12-31	$2,707
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	$3,937,700
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	$27,324,584
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 registered invesment companies (eg mutual funds) at end of year	2016-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$25,506,133
Interest on participant loans	2016-12-31	$61,057
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-12-31	$676,155
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-12-31	$676,155
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-12-31	$1,625
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$1,220,633
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	Yes
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	$1,594,233
Employer contributions (assets) at end of year	2016-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$2,551,571
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2016-12-31	Yes
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	DIXON HUGHES GOODMAN LLP
Accountancy firm EIN	2016-12-31	560747981
2015 : WEST GEORGIA MEDICAL CENTER, INC. 403(B) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$3,806,194
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$2,033,531
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$1,870,280
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$4,148,691
Value of total assets at end of year	2015-12-31	$27,324,584
Value of total assets at beginning of year	2015-12-31	$25,551,921
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$163,251
Total interest from all sources	2015-12-31	$56,088
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$1,205,919
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$1,205,919
Administrative expenses professional fees incurred	2015-12-31	$163,251
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$500,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$2,474,644
Participant contributions at end of year	2015-12-31	$1,139,589
Participant contributions at beginning of year	2015-12-31	$1,042,159
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$290,787
Other income not declared elsewhere	2015-12-31	$5,300
Total non interest bearing cash at end of year	2015-12-31	$2,707
Total non interest bearing cash at beginning of year	2015-12-31	$1,931
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	$1,772,663
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$27,324,584
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$25,551,921
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 registered invesment companies (eg mutual funds) at end of year	2015-12-31	$25,506,133
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$23,766,441
Interest on participant loans	2015-12-31	$56,009
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$676,155
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$741,390
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$741,390
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-12-31	$79
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-1,609,804
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$1,383,260
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$1,870,280
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	DIXON HUGHES GOODMAN LLP
Accountancy firm EIN	2015-12-31	560747981
2014 : WEST GEORGIA MEDICAL CENTER, INC. 403(B) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$5,100,592
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$1,882,818
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$1,809,599
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$3,593,424
Value of total assets at end of year	2014-12-31	$25,551,921
Value of total assets at beginning of year	2014-12-31	$22,334,147
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$73,219
Total interest from all sources	2014-12-31	$52,322
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$2,216,924
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$2,216,924
Administrative expenses professional fees incurred	2014-12-31	$73,219
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$2,248,195
Participant contributions at end of year	2014-12-31	$1,042,159
Participant contributions at beginning of year	2014-12-31	$891,121
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$41,950
Other income not declared elsewhere	2014-12-31	$5,818
Total non interest bearing cash at end of year	2014-12-31	$1,931
Total non interest bearing cash at beginning of year	2014-12-31	$4,041
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	$3,217,774
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$25,551,921
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$22,334,147
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 registered invesment companies (eg mutual funds) at end of year	2014-12-31	$23,766,441
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$20,719,062
Interest on participant loans	2014-12-31	$52,322
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$741,390
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$719,923
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$719,923
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$-767,896
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$1,303,279
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$1,809,599
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	DIXON HUGHES GOODMAN LLP
Accountancy firm EIN	2014-12-31	560747981
2013 : WEST GEORGIA MEDICAL CENTER, INC. 403(B) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$6,664,835
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$1,377,431
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$1,329,109
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$3,532,982
Value of total assets at end of year	2013-12-31	$22,334,147
Value of total assets at beginning of year	2013-12-31	$17,046,743
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$48,322
Total interest from all sources	2013-12-31	$42,017
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$1,314,967
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$1,314,967
Administrative expenses professional fees incurred	2013-12-31	$48,322
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$2,142,211
Participant contributions at end of year	2013-12-31	$891,121
Participant contributions at beginning of year	2013-12-31	$656,356
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$143,606
Other income not declared elsewhere	2013-12-31	$7,033
Total non interest bearing cash at end of year	2013-12-31	$4,041
Total non interest bearing cash at beginning of year	2013-12-31	$6,011
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	$5,287,404
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$22,334,147
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$17,046,743
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 registered invesment companies (eg mutual funds) at end of year	2013-12-31	$20,719,062
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$15,843,497
Interest on participant loans	2013-12-31	$41,950
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$719,923
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$540,879
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$540,879
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-31	$67
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$1,767,836
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	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	$1,247,165
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$1,329,109
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2013-12-31	No
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	DIXON HUGHES GOODMAN LLP
Accountancy firm EIN	2013-12-31	560747981
2012 : WEST GEORGIA MEDICAL CENTER, INC. 403(B) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$2,369
Total income from all sources (including contributions)	2012-12-31	$4,912,157
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$1,378,886
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$1,345,935
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$3,398,719
Value of total assets at end of year	2012-12-31	$17,046,743
Value of total assets at beginning of year	2012-12-31	$13,515,841
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$32,951
Total interest from all sources	2012-12-31	$32,708
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$604,783
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	$604,783
Administrative expenses professional fees incurred	2012-12-31	$32,951
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$2,099,514
Participant contributions at end of year	2012-12-31	$656,356
Participant contributions at beginning of year	2012-12-31	$538,067
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$89,917
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2012-12-31	$2,369
Other income not declared elsewhere	2012-12-31	$4,951
Total non interest bearing cash at end of year	2012-12-31	$6,011
Total non interest bearing cash at beginning of year	2012-12-31	$2,415
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$3,533,271
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$17,046,743
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$13,513,472
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$15,843,497
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$12,494,499
Interest on participant loans	2012-12-31	$32,708
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$540,879
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$480,860
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$480,860
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$870,996
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$1,209,288
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$1,345,935
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2012-12-31	No
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	DIXON HUGHES GOODMAN LLP
Accountancy firm EIN	2012-12-31	560747981
2011 : WEST GEORGIA MEDICAL CENTER, INC. 403(B) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$2,369
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$1,494
Total income from all sources (including contributions)	2011-12-31	$3,357,568
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$465,205
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$417,677
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$3,371,391
Value of total assets at end of year	2011-12-31	$13,515,841
Value of total assets at beginning of year	2011-12-31	$10,622,603
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$47,528
Total interest from all sources	2011-12-31	$27,264
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$398,958
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	$398,958
Administrative expenses professional fees incurred	2011-12-31	$47,528
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$500,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$1,967,172
Participant contributions at end of year	2011-12-31	$538,067
Participant contributions at beginning of year	2011-12-31	$375,292
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$285,654
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2011-12-31	$2,369
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2011-12-31	$1,494
Other income not declared elsewhere	2011-12-31	$4,650
Total non interest bearing cash at end of year	2011-12-31	$2,415
Total non interest bearing cash at beginning of year	2011-12-31	$2,917
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	$2,892,363
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$13,513,472
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$10,621,109
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$12,494,499
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$9,819,965
Interest on participant loans	2011-12-31	$27,218
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$480,860
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$424,429
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$424,429
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$46
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-444,695
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$1,118,565
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$417,677
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2011-12-31	No
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	DIXON HUGHES GOODMAN LLP
Accountancy firm EIN	2011-12-31	560747981
2010 : WEST GEORGIA MEDICAL CENTER, INC. 403(B) PLAN 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	$0
Total income from all sources (including contributions)	2010-12-31	$3,580,726
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$461,418
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$414,365
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$2,602,856
Value of total assets at end of year	2010-12-31	$10,621,109
Value of total assets at beginning of year	2010-12-31	$7,501,801
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$47,053
Total interest from all sources	2010-12-31	$19,960
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$157,421
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	$157,421
Administrative expenses professional fees incurred	2010-12-31	$47,053
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$500,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$1,631,774
Participant contributions at end of year	2010-12-31	$373,798
Participant contributions at beginning of year	2010-12-31	$259,786
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$47,792
Total non interest bearing cash at end of year	2010-12-31	$2,917
Total non interest bearing cash at beginning of year	2010-12-31	$91,321
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$3,119,308
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$10,621,109
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$7,501,801
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$9,819,965
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$6,800,992
Interest on participant loans	2010-12-31	$19,960
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$424,429
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$349,702
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$349,702
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$800,489
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	$923,290
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$414,365
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2010-12-31	No
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	PERSHING YOAKLEY & ASSOCIATES
Accountancy firm EIN	2010-12-31	621517792
2009 : WEST GEORGIA MEDICAL CENTER, INC. 403(B) PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for WEST GEORGIA MEDICAL CENTER, INC. 403(B) PLAN

2016: WEST GEORGIA MEDICAL CENTER, INC. 403(B) PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	Yes
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: WEST GEORGIA MEDICAL CENTER, INC. 403(B) PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: WEST GEORGIA MEDICAL CENTER, INC. 403(B) PLAN 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 – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: WEST GEORGIA MEDICAL CENTER, INC. 403(B) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: WEST GEORGIA MEDICAL CENTER, INC. 403(B) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: WEST GEORGIA MEDICAL CENTER, INC. 403(B) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	Yes
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: WEST GEORGIA MEDICAL CENTER, INC. 403(B) PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: WEST GEORGIA MEDICAL CENTER, INC. 403(B) PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	First time form 5500 has been submitted	Yes
2009-01-01	Submission has been amended	No
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 – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	WEST GEORGIA MEDICAL CENTER, INC.
Employer identification number (EIN):	205497506
NAIC Classification:	622000
NAIC Description:	Hospitals

Plan id#	Filing Submission Date	Name of Administrator
002	2016-01-01
002	2015-01-01	DAVID ANDERSON
002	2014-01-01	PAUL PERROTTI
002	2013-01-01	PAUL PERROTTI
002	2012-01-01	PAUL PERROTTI
002	2011-01-01	PAUL PERROTTI
002	2010-01-01	PAUL PERROTTI
002	2009-01-01	PAUL PERROTTI