401k Plan data: EMPLOYEES' RETIREMENT PLAN OF MARTHA JEFFERSON HOSPITAL plan

EMPLOYEES' RETIREMENT PLAN OF MARTHA JEFFERSON HOSPITAL 401k Plan overview

Plan Name	EMPLOYEES' RETIREMENT PLAN OF MARTHA JEFFERSON HOSPITAL
Plan identification number	001

EMPLOYEES' RETIREMENT PLAN OF MARTHA JEFFERSON HOSPITAL Benefits

401k Plan Type	Defined Benefit Pension
Plan Features/Benefits	Benefits are primarily pay related Covered by PBGC - Plan is covered under the PBGC insurance program (see ERISA section 4021).

401k Sponsoring company profile

MARTHA JEFFERSON HOSPITAL has sponsored the creation of one or more 401k plans.

Company Name: MARTHA JEFFERSON HOSPITAL

Employer identification number (EIN): 540261840

NAIC Classification: 622000
NAIC Description: Hospitals

Additional information about MARTHA JEFFERSON HOSPITAL

Jurisdiction of Incorporation: Virginia Secretary of State

Incorporation Date: 1929-12-16

Company Identification Number: 0035022

Legal Registered Office Address: MARTHA JEFFERSON HOSPITAL

CHARLOTTESVILLE
United States of America (USA)
22911

More information about MARTHA JEFFERSON HOSPITAL

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEES' RETIREMENT PLAN OF MARTHA JEFFERSON HOSPITAL

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2013-01-01 TAMARA MEARS
001 2012-01-01 FILED WITH AUTHORIZED SIGNATURE
001 2011-01-01 SUSAN CABELL MAINS
001 2009-01-01 SUSAN CABELL MAINS

Plan id#	Filing Submission Date	Name of Administrator
001	2013-01-01	TAMARA MEARS
001	2012-01-01	FILED WITH AUTHORIZED SIGNATURE
001	2011-01-01	SUSAN CABELL MAINS
001	2009-01-01	SUSAN CABELL MAINS

Plan Statistics for EMPLOYEES' RETIREMENT PLAN OF MARTHA JEFFERSON HOSPITAL

401k plan membership statisitcs for EMPLOYEES' RETIREMENT PLAN OF MARTHA JEFFERSON HOSPITAL

Measure Date Value
2013: EMPLOYEES' RETIREMENT PLAN OF MARTHA JEFFERSON HOSPITAL 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1,339
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 0
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 0
Total of all active and inactive participants 2013-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: EMPLOYEES' RETIREMENT PLAN OF MARTHA JEFFERSON HOSPITAL 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1,349
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 596
Number of retired or separated participants receiving benefits 2012-01-01 283
Number of other retired or separated participants entitled to future benefits 2012-01-01 423
Total of all active and inactive participants 2012-01-01 1,302
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 37
Total participants 2012-01-01 1,339
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 1
2011: EMPLOYEES' RETIREMENT PLAN OF MARTHA JEFFERSON HOSPITAL 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1,366
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 599
Number of retired or separated participants receiving benefits 2011-01-01 274
Number of other retired or separated participants entitled to future benefits 2011-01-01 441
Total of all active and inactive participants 2011-01-01 1,314
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 35
Total participants 2011-01-01 1,349
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: EMPLOYEES' RETIREMENT PLAN OF MARTHA JEFFERSON HOSPITAL 2009 401k membership
Total participants, beginning-of-year 2009-01-01 1,402
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 688
Number of retired or separated participants receiving benefits 2009-01-01 245
Number of other retired or separated participants entitled to future benefits 2009-01-01 420
Total of all active and inactive participants 2009-01-01 1,353
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 23
Total participants 2009-01-01 1,376
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 1

Measure	Date	Value
2013: EMPLOYEES' RETIREMENT PLAN OF MARTHA JEFFERSON HOSPITAL 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1,339
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	0
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	0
Total of all active and inactive participants	2013-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: EMPLOYEES' RETIREMENT PLAN OF MARTHA JEFFERSON HOSPITAL 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1,349
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	596
Number of retired or separated participants receiving benefits	2012-01-01	283
Number of other retired or separated participants entitled to future benefits	2012-01-01	423
Total of all active and inactive participants	2012-01-01	1,302
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	37
Total participants	2012-01-01	1,339
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	1
2011: EMPLOYEES' RETIREMENT PLAN OF MARTHA JEFFERSON HOSPITAL 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1,366
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	599
Number of retired or separated participants receiving benefits	2011-01-01	274
Number of other retired or separated participants entitled to future benefits	2011-01-01	441
Total of all active and inactive participants	2011-01-01	1,314
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	35
Total participants	2011-01-01	1,349
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: EMPLOYEES' RETIREMENT PLAN OF MARTHA JEFFERSON HOSPITAL 2009 401k membership
Total participants, beginning-of-year	2009-01-01	1,402
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	688
Number of retired or separated participants receiving benefits	2009-01-01	245
Number of other retired or separated participants entitled to future benefits	2009-01-01	420
Total of all active and inactive participants	2009-01-01	1,353
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	23
Total participants	2009-01-01	1,376
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	1

Financial Data on EMPLOYEES' RETIREMENT PLAN OF MARTHA JEFFERSON HOSPITAL

Measure	Date	Value
2013 : EMPLOYEES' RETIREMENT PLAN OF MARTHA JEFFERSON HOSPITAL 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2013-12-31	$3,617,233
Total unrealized appreciation/depreciation of assets	2013-12-31	$3,617,233
Total transfer of assets from this plan	2013-12-31	$92,964,299
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	$11,596,619
Total loss/gain on sale of assets	2013-12-31	$1,579,697
Total of all expenses incurred	2013-12-31	$2,310,024
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$2,225,192
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$0
Value of total assets at end of year	2013-12-31	$0
Value of total assets at beginning of year	2013-12-31	$83,677,704
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$84,832
Total interest from all sources	2013-12-31	$3,988
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$2,042,353
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	$1,708,883
Administrative expenses professional fees incurred	2013-12-31	$69,799
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$4,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2013-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2013-12-31	$1,406
Other income not declared elsewhere	2013-12-31	$6,476
Administrative expenses (other) incurred	2013-12-31	$2,235
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	$9,286,595
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$83,677,704
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
Assets. partnership/joint venture interests at end of year	2013-12-31	$0
Assets. partnership/joint venture interests at beginning of year	2013-12-31	$1,195,382
Investment advisory and management fees	2013-12-31	$12,798
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$14,052,891
Interest earned on other investments	2013-12-31	$1,841
Value of interest in common/collective trusts at end of year	2013-12-31	$0
Value of interest in common/collective trusts at beginning of year	2013-12-31	$30,771,950
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$37,656,075
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$37,656,075
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-31	$2,147
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$3,155,375
Net investment gain or loss from common/collective trusts	2013-12-31	$1,191,497
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Income. Dividends from common stock	2013-12-31	$333,470
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$2,225,192
Did the plan have assets held for investment	2013-12-31	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	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	Yes
Aggregate proceeds on sale of assets	2013-12-31	$17,784,678
Aggregate carrying amount (costs) on sale of assets	2013-12-31	$16,204,981
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	HANTZMON WIEBEL, LLP
Accountancy firm EIN	2013-12-31	540618213
2012 : EMPLOYEES' RETIREMENT PLAN OF MARTHA JEFFERSON HOSPITAL 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2012-12-31	$146,863
Total unrealized appreciation/depreciation of assets	2012-12-31	$146,863
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$20,399,348
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$2,202,666
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$1,941,321
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$16,000,000
Value of total assets at end of year	2012-12-31	$83,677,704
Value of total assets at beginning of year	2012-12-31	$65,481,022
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$261,345
Total interest from all sources	2012-12-31	$11
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$374,728
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	$374,728
Assets. Real estate other than employer real property at beginning of year	2012-12-31	$0
Administrative expenses professional fees incurred	2012-12-31	$198,416
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$4,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-12-31	$1,406
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-12-31	$384
Other income not declared elsewhere	2012-12-31	$15,228
Administrative expenses (other) incurred	2012-12-31	$62,929
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	$18,196,682
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$83,677,704
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$65,481,022
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
Assets. partnership/joint venture interests at end of year	2012-12-31	$1,195,382
Assets. partnership/joint venture interests at beginning of year	2012-12-31	$1,154,787
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$14,052,891
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$24,856,744
Value of interest in common/collective trusts at end of year	2012-12-31	$30,771,950
Value of interest in common/collective trusts at beginning of year	2012-12-31	$15,746,530
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$37,656,075
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$23,722,577
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$23,722,577
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$11
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$1,164,507
Net investment gain or loss from common/collective trusts	2012-12-31	$2,698,011
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	Yes
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	$16,000,000
Employer contributions (assets) at beginning of year	2012-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$1,941,321
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	HANTZMON WIEBEL, LLP
Accountancy firm EIN	2012-12-31	540618213
2011 : EMPLOYEES' RETIREMENT PLAN OF MARTHA JEFFERSON HOSPITAL 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2011-12-31	$-35,649
Total unrealized appreciation/depreciation of assets	2011-12-31	$-35,649
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$20,305,947
Total loss/gain on sale of assets	2011-12-31	$115,496
Total of all expenses incurred	2011-12-31	$2,203,922
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$1,868,567
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$18,369,455
Value of total assets at end of year	2011-12-31	$65,481,022
Value of total assets at beginning of year	2011-12-31	$47,378,997
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$335,355
Total interest from all sources	2011-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$472,031
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	$472,031
Assets. Real estate other than employer real property at end of year	2011-12-31	$0
Assets. Real estate other than employer real property at beginning of year	2011-12-31	$701,343
Administrative expenses professional fees incurred	2011-12-31	$151,088
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$4,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-12-31	$384
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-12-31	$164
Other income not declared elsewhere	2011-12-31	$10,913
Administrative expenses (other) incurred	2011-12-31	$155,580
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	$18,102,025
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$65,481,022
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$47,378,997
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
Assets. partnership/joint venture interests at end of year	2011-12-31	$1,154,787
Assets. partnership/joint venture interests at beginning of year	2011-12-31	$651,903
Investment advisory and management fees	2011-12-31	$28,687
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$24,856,744
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$38,760,126
Value of interest in common/collective trusts at end of year	2011-12-31	$15,746,530
Value of interest in common/collective trusts at beginning of year	2011-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$23,722,577
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$1,617,845
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$1,617,845
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$1,104,425
Net investment gain or loss from common/collective trusts	2011-12-31	$269,276
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	Yes
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	$18,369,455
Employer contributions (assets) at end of year	2011-12-31	$0
Employer contributions (assets) at beginning of year	2011-12-31	$5,647,616
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$1,868,567
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
Aggregate proceeds on sale of assets	2011-12-31	$115,496
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	HANTZMON WIEBEL, LLP
Accountancy firm EIN	2011-12-31	540618213
2010 : EMPLOYEES' RETIREMENT PLAN OF MARTHA JEFFERSON HOSPITAL 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2010-12-31	$-592,275
Total unrealized appreciation/depreciation of assets	2010-12-31	$-592,275
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	$8,534,144
Total loss/gain on sale of assets	2010-12-31	$20,463
Total of all expenses incurred	2010-12-31	$1,980,332
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$1,628,150
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$6,344,756
Value of total assets at end of year	2010-12-31	$47,378,997
Value of total assets at beginning of year	2010-12-31	$40,825,185
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$352,182
Total interest from all sources	2010-12-31	$50,744
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$417,431
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	$417,431
Assets. Real estate other than employer real property at end of year	2010-12-31	$701,343
Assets. Real estate other than employer real property at beginning of year	2010-12-31	$924,329
Administrative expenses professional fees incurred	2010-12-31	$170,198
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$2,500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2010-12-31	$164
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2010-12-31	$428
Administrative expenses (other) incurred	2010-12-31	$140,454
Total non interest bearing cash at beginning of year	2010-12-31	$17,500
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	$6,553,812
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$47,378,997
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$40,825,185
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
Assets. partnership/joint venture interests at end of year	2010-12-31	$651,903
Assets. partnership/joint venture interests at beginning of year	2010-12-31	$1,162,224
Investment advisory and management fees	2010-12-31	$41,530
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$38,760,126
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$36,053,660
Interest earned on other investments	2010-12-31	$47,303
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$1,617,845
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$2,667,044
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$2,667,044
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$3,441
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$2,293,025
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	Yes
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	$6,344,756
Employer contributions (assets) at end of year	2010-12-31	$5,647,616
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$1,628,150
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
Aggregate proceeds on sale of assets	2010-12-31	$6,243,774
Aggregate carrying amount (costs) on sale of assets	2010-12-31	$6,223,311
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	HANTZMON WIEBEL, LLP
Accountancy firm EIN	2010-12-31	540618213
2009 : EMPLOYEES' RETIREMENT PLAN OF MARTHA JEFFERSON HOSPITAL 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for EMPLOYEES' RETIREMENT PLAN OF MARTHA JEFFERSON HOSPITAL

2013: EMPLOYEES' RETIREMENT PLAN OF MARTHA JEFFERSON HOSPITAL 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	Yes
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: EMPLOYEES' RETIREMENT PLAN OF MARTHA JEFFERSON HOSPITAL 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	Yes
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: EMPLOYEES' RETIREMENT PLAN OF MARTHA JEFFERSON HOSPITAL 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
2009: EMPLOYEES' RETIREMENT PLAN OF MARTHA JEFFERSON HOSPITAL 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
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:	MARTHA JEFFERSON HOSPITAL
Employer identification number (EIN):	540261840
NAIC Classification:	622000
NAIC Description:	Hospitals

Jurisdiction of Incorporation:	Virginia Secretary of State
Incorporation Date:	1929-12-16
Company Identification Number:	0035022
Legal Registered Office Address:	MARTHA JEFFERSON HOSPITAL CHARLOTTESVILLE United States of America (USA) 22911