401k Plan data: PENSION PLAN FOR THE EMPLOYEES OF HIGHLAND HOSPITAL ASSOCIATION plan

PENSION PLAN FOR THE EMPLOYEES OF HIGHLAND HOSPITAL ASSOCIATION 401k Plan overview

Plan Name	PENSION PLAN FOR THE EMPLOYEES OF HIGHLAND HOSPITAL ASSOCIATION
Plan identification number	001

PENSION PLAN FOR THE EMPLOYEES OF HIGHLAND HOSPITAL ASSOCIATION 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

HIGHLAND HOSPITAL ASSOCIATION has sponsored the creation of one or more 401k plans.

Company Name: HIGHLAND HOSPITAL ASSOCIATION

Employer identification number (EIN): 550392395

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PENSION PLAN FOR THE EMPLOYEES OF HIGHLAND HOSPITAL ASSOCIATION

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2016-01-01
001 2015-01-01 CHRIS MILLER
001 2014-01-01 CHRIS MILLER
001 2013-01-01 LISA LAYDEN
001 2012-01-01 DAVID MCWATTERS
001 2011-01-01 DAVID MCWATTERS
001 2010-01-01 DAVID MCWATTERS
001 2009-01-01 DAVID MCWATTERS
001 2009-01-01 DAVID MCWATTERS

Plan Statistics for PENSION PLAN FOR THE EMPLOYEES OF HIGHLAND HOSPITAL ASSOCIATION

401k plan membership statisitcs for PENSION PLAN FOR THE EMPLOYEES OF HIGHLAND HOSPITAL ASSOCIATION

Measure Date Value
2016: PENSION PLAN FOR THE EMPLOYEES OF HIGHLAND HOSPITAL ASSOCIATION 2016 401k membership
Market value of plan assets 2016-12-31 4,660,560
Acturial value of plan assets 2016-12-31 4,900,577
Funding target for retired participants and beneficiaries receiving payment 2016-12-31 2,330,857
Number of terminated vested participants 2016-12-31 88
Fundng target for terminated vested participants 2016-12-31 1,443,313
Active participant vested funding target 2016-12-31 1,621,913
Number of active participants 2016-12-31 36
Total funding liabilities for active participants 2016-12-31 1,628,759
Total participant count 2016-12-31 191
Total funding target for all participants 2016-12-31 5,402,929
Balance at beginning of prior year after applicable adjustments 2016-12-31 0
Prefunding balance at beginning of prior year after applicable adjustments 2016-12-31 141
Carryover balanced portion elected for use to offset prior years funding requirement 2016-12-31 0
Prefunding balanced used to offset prior years funding requirement 2016-12-31 0
Amount remaining of carryover balance 2016-12-31 0
Amount remaining of prefunding balance 2016-12-31 141
Present value of excess contributions 2016-12-31 3
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance 2016-12-31 3
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance 2016-12-31 3
Reductions in caryover balances due to elections or deemed elections 2016-12-31 0
Reductions in prefunding balances due to elections or deemed elections 2016-12-31 0
Balance of carryovers at beginning of current year 2016-12-31 0
Balance of prefunding at beginning of current year 2016-12-31 143
Total employer contributions 2016-12-31 304,024
Total employee contributions 2016-12-31 0
Contributions allocated toward unpaid minimum require contributions from prior years 2016-12-31 0
Contributions made to avoid restrictions adjusted to valuation date 2016-12-31 0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date 2016-12-31 288,056
Liquidity shortfalls end of Q1 2016-12-31 0
Liquidity shortfalls end of Q2 2016-12-31 0
Liquidity shortfalls end of Q3 2016-12-31 0
Liquidity shortfalls end of Q4 2016-12-31 0
Unpaid minimum required contributions for all prior years 2016-12-31 0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years 2016-12-31 0
Remaining amount of unpaid minimum required contributions 2016-12-31 0
Minimum required contributions for current year target normal cost 2016-12-31 118,488
Net shortfall amortization installment of oustanding balance 2016-12-31 502,495
Waiver amortization installment 2016-12-31 0
Waived amount of outstanding balance 2016-12-31 0
Total funding amount beforereflecting carryover/prefunding balances 2016-12-31 287,942
Carryover balance elected to use to offset funding requirement 2016-12-31 0
Prefunding balance elected to use to offset funding requirement 2016-12-31 0
Additional cash requirement 2016-12-31 287,942
Contributions allocatedtoward minimum required contributions for current year 2016-12-31 288,056
Unpaid minimum required contributions for current year 2016-12-31 0
Unpaid minimum required contributions for all years 2016-12-31 0
Total participants, beginning-of-year 2016-01-01 192
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 30
Number of retired or separated participants receiving benefits 2016-01-01 68
Number of other retired or separated participants entitled to future benefits 2016-01-01 89
Total of all active and inactive participants 2016-01-01 187
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 5
Total participants 2016-01-01 192
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: PENSION PLAN FOR THE EMPLOYEES OF HIGHLAND HOSPITAL ASSOCIATION 2015 401k membership
Total participants, beginning-of-year 2015-01-01 192
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 36
Number of retired or separated participants receiving benefits 2015-01-01 63
Number of other retired or separated participants entitled to future benefits 2015-01-01 84
Total of all active and inactive participants 2015-01-01 183
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 8
Total participants 2015-01-01 191
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: PENSION PLAN FOR THE EMPLOYEES OF HIGHLAND HOSPITAL ASSOCIATION 2014 401k membership
Total participants, beginning-of-year 2014-01-01 193
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 34
Number of retired or separated participants receiving benefits 2014-01-01 60
Number of other retired or separated participants entitled to future benefits 2014-01-01 92
Total of all active and inactive participants 2014-01-01 186
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 6
Total participants 2014-01-01 192
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: PENSION PLAN FOR THE EMPLOYEES OF HIGHLAND HOSPITAL ASSOCIATION 2013 401k membership
Total participants, beginning-of-year 2013-01-01 196
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 37
Number of retired or separated participants receiving benefits 2013-01-01 58
Number of other retired or separated participants entitled to future benefits 2013-01-01 92
Total of all active and inactive participants 2013-01-01 187
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 6
Total participants 2013-01-01 193
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: PENSION PLAN FOR THE EMPLOYEES OF HIGHLAND HOSPITAL ASSOCIATION 2012 401k membership
Total participants, beginning-of-year 2012-01-01 201
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 41
Number of retired or separated participants receiving benefits 2012-01-01 97
Number of other retired or separated participants entitled to future benefits 2012-01-01 58
Total of all active and inactive participants 2012-01-01 196
Total participants 2012-01-01 196
2011: PENSION PLAN FOR THE EMPLOYEES OF HIGHLAND HOSPITAL ASSOCIATION 2011 401k membership
Total participants, beginning-of-year 2011-01-01 202
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 48
Number of retired or separated participants receiving benefits 2011-01-01 55
Number of other retired or separated participants entitled to future benefits 2011-01-01 54
Total of all active and inactive participants 2011-01-01 157
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 2
Total participants 2011-01-01 159
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: PENSION PLAN FOR THE EMPLOYEES OF HIGHLAND HOSPITAL ASSOCIATION 2010 401k membership
Total participants, beginning-of-year 2010-01-01 203
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 48
Number of retired or separated participants receiving benefits 2010-01-01 54
Number of other retired or separated participants entitled to future benefits 2010-01-01 95
Total of all active and inactive participants 2010-01-01 197
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 5
Total participants 2010-01-01 202
2009: PENSION PLAN FOR THE EMPLOYEES OF HIGHLAND HOSPITAL ASSOCIATION 2009 401k membership
Total participants, beginning-of-year 2009-01-01 204
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 54
Number of retired or separated participants receiving benefits 2009-01-01 51
Number of other retired or separated participants entitled to future benefits 2009-01-01 93
Total of all active and inactive participants 2009-01-01 198
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 5
Total participants 2009-01-01 203

Measure	Date	Value
2016: PENSION PLAN FOR THE EMPLOYEES OF HIGHLAND HOSPITAL ASSOCIATION 2016 401k membership
Market value of plan assets	2016-12-31	4,660,560
Acturial value of plan assets	2016-12-31	4,900,577
Funding target for retired participants and beneficiaries receiving payment	2016-12-31	2,330,857
Number of terminated vested participants	2016-12-31	88
Fundng target for terminated vested participants	2016-12-31	1,443,313
Active participant vested funding target	2016-12-31	1,621,913
Number of active participants	2016-12-31	36
Total funding liabilities for active participants	2016-12-31	1,628,759
Total participant count	2016-12-31	191
Total funding target for all participants	2016-12-31	5,402,929
Balance at beginning of prior year after applicable adjustments	2016-12-31	0
Prefunding balance at beginning of prior year after applicable adjustments	2016-12-31	141
Carryover balanced portion elected for use to offset prior years funding requirement	2016-12-31	0
Prefunding balanced used to offset prior years funding requirement	2016-12-31	0
Amount remaining of carryover balance	2016-12-31	0
Amount remaining of prefunding balance	2016-12-31	141
Present value of excess contributions	2016-12-31	3
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2016-12-31	3
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance	2016-12-31	3
Reductions in caryover balances due to elections or deemed elections	2016-12-31	0
Reductions in prefunding balances due to elections or deemed elections	2016-12-31	0
Balance of carryovers at beginning of current year	2016-12-31	0
Balance of prefunding at beginning of current year	2016-12-31	143
Total employer contributions	2016-12-31	304,024
Total employee contributions	2016-12-31	0
Contributions allocated toward unpaid minimum require contributions from prior years	2016-12-31	0
Contributions made to avoid restrictions adjusted to valuation date	2016-12-31	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2016-12-31	288,056
Liquidity shortfalls end of Q1	2016-12-31	0
Liquidity shortfalls end of Q2	2016-12-31	0
Liquidity shortfalls end of Q3	2016-12-31	0
Liquidity shortfalls end of Q4	2016-12-31	0
Unpaid minimum required contributions for all prior years	2016-12-31	0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years	2016-12-31	0
Remaining amount of unpaid minimum required contributions	2016-12-31	0
Minimum required contributions for current year target normal cost	2016-12-31	118,488
Net shortfall amortization installment of oustanding balance	2016-12-31	502,495
Waiver amortization installment	2016-12-31	0
Waived amount of outstanding balance	2016-12-31	0
Total funding amount beforereflecting carryover/prefunding balances	2016-12-31	287,942
Carryover balance elected to use to offset funding requirement	2016-12-31	0
Prefunding balance elected to use to offset funding requirement	2016-12-31	0
Additional cash requirement	2016-12-31	287,942
Contributions allocatedtoward minimum required contributions for current year	2016-12-31	288,056
Unpaid minimum required contributions for current year	2016-12-31	0
Unpaid minimum required contributions for all years	2016-12-31	0
Total participants, beginning-of-year	2016-01-01	192
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	30
Number of retired or separated participants receiving benefits	2016-01-01	68
Number of other retired or separated participants entitled to future benefits	2016-01-01	89
Total of all active and inactive participants	2016-01-01	187
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	5
Total participants	2016-01-01	192
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: PENSION PLAN FOR THE EMPLOYEES OF HIGHLAND HOSPITAL ASSOCIATION 2015 401k membership
Total participants, beginning-of-year	2015-01-01	192
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	36
Number of retired or separated participants receiving benefits	2015-01-01	63
Number of other retired or separated participants entitled to future benefits	2015-01-01	84
Total of all active and inactive participants	2015-01-01	183
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	8
Total participants	2015-01-01	191
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: PENSION PLAN FOR THE EMPLOYEES OF HIGHLAND HOSPITAL ASSOCIATION 2014 401k membership
Total participants, beginning-of-year	2014-01-01	193
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	34
Number of retired or separated participants receiving benefits	2014-01-01	60
Number of other retired or separated participants entitled to future benefits	2014-01-01	92
Total of all active and inactive participants	2014-01-01	186
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	6
Total participants	2014-01-01	192
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: PENSION PLAN FOR THE EMPLOYEES OF HIGHLAND HOSPITAL ASSOCIATION 2013 401k membership
Total participants, beginning-of-year	2013-01-01	196
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	37
Number of retired or separated participants receiving benefits	2013-01-01	58
Number of other retired or separated participants entitled to future benefits	2013-01-01	92
Total of all active and inactive participants	2013-01-01	187
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	6
Total participants	2013-01-01	193
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: PENSION PLAN FOR THE EMPLOYEES OF HIGHLAND HOSPITAL ASSOCIATION 2012 401k membership
Total participants, beginning-of-year	2012-01-01	201
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	41
Number of retired or separated participants receiving benefits	2012-01-01	97
Number of other retired or separated participants entitled to future benefits	2012-01-01	58
Total of all active and inactive participants	2012-01-01	196
Total participants	2012-01-01	196
2011: PENSION PLAN FOR THE EMPLOYEES OF HIGHLAND HOSPITAL ASSOCIATION 2011 401k membership
Total participants, beginning-of-year	2011-01-01	202
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	48
Number of retired or separated participants receiving benefits	2011-01-01	55
Number of other retired or separated participants entitled to future benefits	2011-01-01	54
Total of all active and inactive participants	2011-01-01	157
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	2
Total participants	2011-01-01	159
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: PENSION PLAN FOR THE EMPLOYEES OF HIGHLAND HOSPITAL ASSOCIATION 2010 401k membership
Total participants, beginning-of-year	2010-01-01	203
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	48
Number of retired or separated participants receiving benefits	2010-01-01	54
Number of other retired or separated participants entitled to future benefits	2010-01-01	95
Total of all active and inactive participants	2010-01-01	197
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	5
Total participants	2010-01-01	202
2009: PENSION PLAN FOR THE EMPLOYEES OF HIGHLAND HOSPITAL ASSOCIATION 2009 401k membership
Total participants, beginning-of-year	2009-01-01	204
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	54
Number of retired or separated participants receiving benefits	2009-01-01	51
Number of other retired or separated participants entitled to future benefits	2009-01-01	93
Total of all active and inactive participants	2009-01-01	198
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	5
Total participants	2009-01-01	203

Financial Data on PENSION PLAN FOR THE EMPLOYEES OF HIGHLAND HOSPITAL ASSOCIATION

Measure	Date	Value
2016 : PENSION PLAN FOR THE EMPLOYEES OF HIGHLAND HOSPITAL ASSOCIATION 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end 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	$474,895
Total of all expenses incurred	2016-12-31	$225,605
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$217,056
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$304,519
Value of total assets at end of year	2016-12-31	$4,910,070
Value of total assets at beginning of year	2016-12-31	$4,660,780
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$8,549
Total interest from all sources	2016-12-31	$19,583
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Other income not declared elsewhere	2016-12-31	$150,793
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	$249,290
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$4,910,070
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$4,660,780
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	$3,389,297
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$3,404,018
Interest earned on other investments	2016-12-31	$19,583
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$1,386,942
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$1,196,360
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	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$304,519
Employer contributions (assets) at end of year	2016-12-31	$133,831
Employer contributions (assets) at beginning of year	2016-12-31	$60,402
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$217,056
Contract administrator fees	2016-12-31	$8,549
Did the plan have assets held for investment	2016-12-31	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	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	No
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	GIBBONS & KAWASH, A.C.
Accountancy firm EIN	2016-12-31	550738985
2015 : PENSION PLAN FOR THE EMPLOYEES OF HIGHLAND HOSPITAL ASSOCIATION 2015 401k financial data
Total income from all sources (including contributions)	2015-12-31	$210,988
Total of all expenses incurred	2015-12-31	$233,729
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$224,892
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$236,781
Value of total assets at end of year	2015-12-31	$4,660,780
Value of total assets at beginning of year	2015-12-31	$4,683,521
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$8,837
Total interest from all sources	2015-12-31	$14,165
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$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
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	$-22,741
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$4,660,780
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$4,683,521
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	Yes
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in pooled separate accounts at end of year	2015-12-31	$3,404,018
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$3,506,687
Interest earned on other investments	2015-12-31	$14,165
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$1,196,360
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$1,112,692
Net investment gain/loss from pooled separate accounts	2015-12-31	$-39,958
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	$236,781
Employer contributions (assets) at end of year	2015-12-31	$60,402
Employer contributions (assets) at beginning of year	2015-12-31	$64,142
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$224,892
Contract administrator fees	2015-12-31	$8,837
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	GIBBONS & KAWASH, A.C.
Accountancy firm EIN	2015-12-31	550738985
2014 : PENSION PLAN FOR THE EMPLOYEES OF HIGHLAND HOSPITAL ASSOCIATION 2014 401k financial data
Total income from all sources (including contributions)	2014-12-31	$417,252
Total of all expenses incurred	2014-12-31	$210,595
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$201,434
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$260,833
Value of total assets at end of year	2014-12-31	$4,683,521
Value of total assets at beginning of year	2014-12-31	$4,476,864
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$9,161
Total interest from all sources	2014-12-31	$19,902
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$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
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	$206,657
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$4,683,521
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$4,476,864
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in pooled separate accounts at end of year	2014-12-31	$3,506,687
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$3,543,339
Interest earned on other investments	2014-12-31	$19,902
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$1,112,692
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$833,699
Net investment gain/loss from pooled separate accounts	2014-12-31	$136,517
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	$260,833
Employer contributions (assets) at end of year	2014-12-31	$64,142
Employer contributions (assets) at beginning of year	2014-12-31	$99,826
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$201,434
Contract administrator fees	2014-12-31	$9,161
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	GIBBONS & KAWASH, A.C.
Accountancy firm EIN	2014-12-31	550738985
2013 : PENSION PLAN FOR THE EMPLOYEES OF HIGHLAND HOSPITAL ASSOCIATION 2013 401k financial data
Total income from all sources (including contributions)	2013-12-31	$539,335
Total of all expenses incurred	2013-12-31	$195,171
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$186,126
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$298,352
Value of total assets at end of year	2013-12-31	$4,521,760
Value of total assets at beginning of year	2013-12-31	$4,177,596
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$9,045
Total interest from all sources	2013-12-31	$18,508
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
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
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	$344,164
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$4,521,760
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$4,177,596
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in pooled separate accounts at end of year	2013-12-31	$3,543,339
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$3,487,143
Interest earned on other investments	2013-12-31	$18,508
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$833,699
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$626,186
Net investment gain/loss from pooled separate accounts	2013-12-31	$222,475
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	$298,352
Employer contributions (assets) at end of year	2013-12-31	$144,722
Employer contributions (assets) at beginning of year	2013-12-31	$64,267
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$186,126
Contract administrator fees	2013-12-31	$9,045
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	GIBBONS & KAWASH, A.C.
Accountancy firm EIN	2013-12-31	550738985
2012 : PENSION PLAN FOR THE EMPLOYEES OF HIGHLAND HOSPITAL ASSOCIATION 2012 401k financial data
Total income from all sources (including contributions)	2012-12-31	$524,837
Total of all expenses incurred	2012-12-31	$198,030
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$189,166
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$214,815
Value of total assets at end of year	2012-12-31	$4,177,596
Value of total assets at beginning of year	2012-12-31	$3,850,789
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$8,864
Total interest from all sources	2012-12-31	$11,787
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
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
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	$326,807
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$4,177,596
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$3,850,789
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 pooled separate accounts at end of year	2012-12-31	$3,487,143
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$3,371,264
Interest earned on other investments	2012-12-31	$11,787
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$626,186
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$333,778
Net investment gain/loss from pooled separate accounts	2012-12-31	$298,235
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	$214,815
Employer contributions (assets) at end of year	2012-12-31	$64,267
Employer contributions (assets) at beginning of year	2012-12-31	$145,747
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$189,166
Contract administrator fees	2012-12-31	$8,864
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	GIBBONS & KAWASH, A.C.
Accountancy firm EIN	2012-12-31	550738985
2011 : PENSION PLAN FOR THE EMPLOYEES OF HIGHLAND HOSPITAL ASSOCIATION 2011 401k financial data
Total income from all sources (including contributions)	2011-12-31	$468,324
Total of all expenses incurred	2011-12-31	$197,920
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$196,499
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$318,787
Value of total assets at end of year	2011-12-31	$3,850,789
Value of total assets at beginning of year	2011-12-31	$3,580,385
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$1,421
Total interest from all sources	2011-12-31	$19,535
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
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
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	$270,404
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$3,850,789
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$3,580,385
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 pooled separate accounts at end of year	2011-12-31	$3,371,264
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$1,680,671
Interest earned on other investments	2011-12-31	$19,535
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$333,778
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$1,750,514
Net investment gain/loss from pooled separate accounts	2011-12-31	$130,002
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	$318,787
Employer contributions (assets) at end of year	2011-12-31	$145,747
Employer contributions (assets) at beginning of year	2011-12-31	$149,200
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$196,499
Contract administrator fees	2011-12-31	$1,421
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	GIBBONS & KAWASH, A.C.
Accountancy firm EIN	2011-12-31	550738985
2010 : PENSION PLAN FOR THE EMPLOYEES OF HIGHLAND HOSPITAL ASSOCIATION 2010 401k financial data
Total income from all sources (including contributions)	2010-12-31	$578,571
Total of all expenses incurred	2010-12-31	$186,599
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$181,393
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$248,210
Value of total assets at end of year	2010-12-31	$3,580,385
Value of total assets at beginning of year	2010-12-31	$3,188,413
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$5,206
Total interest from all sources	2010-12-31	$65,246
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
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
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
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	$391,972
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$3,580,385
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$3,188,413
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 pooled separate accounts at end of year	2010-12-31	$1,680,671
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$1,417,953
Interest earned on other investments	2010-12-31	$65,246
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$1,750,514
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$1,723,431
Net investment gain/loss from pooled separate accounts	2010-12-31	$265,115
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	$248,210
Employer contributions (assets) at end of year	2010-12-31	$149,200
Employer contributions (assets) at beginning of year	2010-12-31	$47,029
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$181,393
Contract administrator fees	2010-12-31	$5,206
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	GIBBONS & KAWASH, A.C.
Accountancy firm EIN	2010-12-31	550738985

Form 5500 Responses for PENSION PLAN FOR THE EMPLOYEES OF HIGHLAND HOSPITAL ASSOCIATION

2016: PENSION PLAN FOR THE EMPLOYEES OF HIGHLAND HOSPITAL ASSOCIATION 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	No
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 – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: PENSION PLAN FOR THE EMPLOYEES OF HIGHLAND HOSPITAL ASSOCIATION 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: PENSION PLAN FOR THE EMPLOYEES OF HIGHLAND HOSPITAL ASSOCIATION 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: PENSION PLAN FOR THE EMPLOYEES OF HIGHLAND HOSPITAL ASSOCIATION 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	Yes
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: PENSION PLAN FOR THE EMPLOYEES OF HIGHLAND HOSPITAL ASSOCIATION 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: PENSION PLAN FOR THE EMPLOYEES OF HIGHLAND HOSPITAL ASSOCIATION 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: PENSION PLAN FOR THE EMPLOYEES OF HIGHLAND HOSPITAL ASSOCIATION 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: PENSION PLAN FOR THE EMPLOYEES OF HIGHLAND HOSPITAL ASSOCIATION 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

NATIONWIDE LIFE INSURANCE CO. OF AMERICA (National Association of Insurance Commissioners NAIC id number: 25453 )

Policy contract number

GR-003882-201

Policy instance

Insurance contract or identification number	GR-003882-201
Number of Individuals Covered	192
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Are there contracts with allocated funds for individual policies?	Yes
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

NATIONWIDE LIFE INSURANCE CO. OF AMERICA (National Association of Insurance Commissioners NAIC id number: 25453 )

Policy contract number

GR-003882-201

Policy instance

Insurance contract or identification number	GR-003882-201
Number of Individuals Covered	192
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Are there contracts with allocated funds for individual policies?	Yes
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

NATIONWIDE LIFE INSURANCE CO. OF AMERICA (National Association of Insurance Commissioners NAIC id number: 25453 )

Policy contract number

GR-003882-201

Policy instance

Insurance contract or identification number	GR-003882-201
Number of Individuals Covered	193
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Are there contracts with allocated funds for individual policies?	Yes
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

NATIONWIDE LIFE INSURANCE CO. OF AMERICA (National Association of Insurance Commissioners NAIC id number: 25453 )

Policy contract number

GR-003882-201

Policy instance

Insurance contract or identification number	GR-003882-201
Number of Individuals Covered	196
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Are there contracts with allocated funds for individual policies?	Yes
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

NATIONWIDE LIFE INSURANCE CO. OF AMERICA (National Association of Insurance Commissioners NAIC id number: 25453 )

Policy contract number

GR-003882-201

Policy instance

Insurance contract or identification number	GR-003882-201
Number of Individuals Covered	159
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Are there contracts with allocated funds for individual policies?	Yes
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

NATIONWIDE LIFE INSURANCE CO. OF AMERICA (National Association of Insurance Commissioners NAIC id number: 25453 )

Policy contract number

GR-003882-201

Policy instance

Insurance contract or identification number	GR-003882-201
Number of Individuals Covered	202
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Are there contracts with allocated funds for individual policies?	Yes
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

Potentially related plans

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Company Name:	HIGHLAND HOSPITAL ASSOCIATION
Employer identification number (EIN):	550392395
NAIC Classification:	622000
NAIC Description:	Hospitals

Plan id#	Filing Submission Date	Name of Administrator
001	2016-01-01
001	2015-01-01	CHRIS MILLER
001	2014-01-01	CHRIS MILLER
001	2013-01-01	LISA LAYDEN
001	2012-01-01	DAVID MCWATTERS
001	2011-01-01	DAVID MCWATTERS
001	2010-01-01	DAVID MCWATTERS
001	2009-01-01	DAVID MCWATTERS
001	2009-01-01	DAVID MCWATTERS