401k Plan data: PIEDMONT HEALTHCARE, INC. SUPPLEMENTAL RETIREMENT SAVINGS PLAN plan

PIEDMONT HEALTHCARE, INC. SUPPLEMENTAL RETIREMENT SAVINGS PLAN 401k Plan overview

Plan Name	PIEDMONT HEALTHCARE, INC. SUPPLEMENTAL RETIREMENT SAVINGS PLAN
Plan identification number	002

PIEDMONT HEALTHCARE, INC. SUPPLEMENTAL RETIREMENT SAVINGS PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
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.
Participant-directed brokerage accounts provided as an investment option under the plan.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

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

Company Name: PIEDMONT HOSPITAL, INC.

Employer identification number (EIN): 580566213

NAIC Classification: 622000
NAIC Description: Hospitals

Additional information about PIEDMONT HOSPITAL, INC.

Jurisdiction of Incorporation: Virginia Secretary of State

Incorporation Date: 2015-08-12

Company Identification Number: 0794793

Legal Registered Office Address: 121 MALL DRIVE

DANVILLE
United States of America (USA)
24540

More information about PIEDMONT HOSPITAL, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PIEDMONT HEALTHCARE, INC. SUPPLEMENTAL RETIREMENT SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2017-01-01 VICKI CANSLER
002 2016-01-01 VICKI CANSLER
002 2015-01-01 VICKI CANSLER
002 2014-01-01 VICKI CANSLER
002 2013-01-01 VICKI CANSLER VICKI CANSLER 2014-10-01
002 2012-01-01 VICKI CANSLER VICKI CANSLER 2013-10-14
002 2011-01-01 STEVE KARASICK
002 2009-01-01 STEVE KARASICK 2011-10-17
002 2009-01-01 ED LOVERN

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
002	2017-01-01	VICKI CANSLER
002	2016-01-01	VICKI CANSLER
002	2015-01-01	VICKI CANSLER
002	2014-01-01	VICKI CANSLER
002	2013-01-01	VICKI CANSLER	VICKI CANSLER	2014-10-01
002	2012-01-01	VICKI CANSLER	VICKI CANSLER	2013-10-14
002	2011-01-01	STEVE KARASICK
002	2009-01-01		STEVE KARASICK	2011-10-17
002	2009-01-01	ED LOVERN

Plan Statistics for PIEDMONT HEALTHCARE, INC. SUPPLEMENTAL RETIREMENT SAVINGS PLAN

401k plan membership statisitcs for PIEDMONT HEALTHCARE, INC. SUPPLEMENTAL RETIREMENT SAVINGS PLAN

Measure Date Value
2017: PIEDMONT HEALTHCARE, INC. SUPPLEMENTAL RETIREMENT SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 1,862
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 0
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 0
Number of participants with account balances 2017-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: PIEDMONT HEALTHCARE, INC. SUPPLEMENTAL RETIREMENT SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 5,555
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 1,808
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 41
Total of all active and inactive participants 2016-01-01 1,849
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 13
Total participants 2016-01-01 1,862
Number of participants with account balances 2016-01-01 55
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: PIEDMONT HEALTHCARE, INC. SUPPLEMENTAL RETIREMENT SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 6,671
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 4,373
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 1,168
Total of all active and inactive participants 2015-01-01 5,541
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 14
Total participants 2015-01-01 5,555
Number of participants with account balances 2015-01-01 3,675
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 6
2014: PIEDMONT HEALTHCARE, INC. SUPPLEMENTAL RETIREMENT SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 7,215
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 5,414
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 1,242
Total of all active and inactive participants 2014-01-01 6,656
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 15
Total participants 2014-01-01 6,671
Number of participants with account balances 2014-01-01 3,975
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 21
2013: PIEDMONT HEALTHCARE, INC. SUPPLEMENTAL RETIREMENT SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 3,191
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 5,993
Number of retired or separated participants receiving benefits 2013-01-01 11
Number of other retired or separated participants entitled to future benefits 2013-01-01 1,197
Total of all active and inactive participants 2013-01-01 7,201
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 14
Total participants 2013-01-01 7,215
Number of participants with account balances 2013-01-01 4,325
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 1
2012: PIEDMONT HEALTHCARE, INC. SUPPLEMENTAL RETIREMENT SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 3,442
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 2,006
Number of retired or separated participants receiving benefits 2012-01-01 22
Number of other retired or separated participants entitled to future benefits 2012-01-01 1,149
Total of all active and inactive participants 2012-01-01 3,177
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 14
Total participants 2012-01-01 3,191
Number of participants with account balances 2012-01-01 2,943
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: PIEDMONT HEALTHCARE, INC. SUPPLEMENTAL RETIREMENT SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 3,678
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 2,235
Number of retired or separated participants receiving benefits 2011-01-01 10
Number of other retired or separated participants entitled to future benefits 2011-01-01 1,184
Total of all active and inactive participants 2011-01-01 3,429
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 13
Total participants 2011-01-01 3,442
Number of participants with account balances 2011-01-01 3,142
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 4
2009: PIEDMONT HEALTHCARE, INC. SUPPLEMENTAL RETIREMENT SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 7,074
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 5,432
Number of retired or separated participants receiving benefits 2009-01-01 7
Number of other retired or separated participants entitled to future benefits 2009-01-01 977
Total of all active and inactive participants 2009-01-01 6,416
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 8
Total participants 2009-01-01 6,424
Number of participants with account balances 2009-01-01 4,257
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 48

Measure	Date	Value
2017: PIEDMONT HEALTHCARE, INC. SUPPLEMENTAL RETIREMENT SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	1,862
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	0
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	0
Number of participants with account balances	2017-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: PIEDMONT HEALTHCARE, INC. SUPPLEMENTAL RETIREMENT SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	5,555
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	1,808
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	41
Total of all active and inactive participants	2016-01-01	1,849
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	13
Total participants	2016-01-01	1,862
Number of participants with account balances	2016-01-01	55
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: PIEDMONT HEALTHCARE, INC. SUPPLEMENTAL RETIREMENT SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	6,671
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	4,373
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	1,168
Total of all active and inactive participants	2015-01-01	5,541
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	14
Total participants	2015-01-01	5,555
Number of participants with account balances	2015-01-01	3,675
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	6
2014: PIEDMONT HEALTHCARE, INC. SUPPLEMENTAL RETIREMENT SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	7,215
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	5,414
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	1,242
Total of all active and inactive participants	2014-01-01	6,656
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	15
Total participants	2014-01-01	6,671
Number of participants with account balances	2014-01-01	3,975
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	21
2013: PIEDMONT HEALTHCARE, INC. SUPPLEMENTAL RETIREMENT SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	3,191
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	5,993
Number of retired or separated participants receiving benefits	2013-01-01	11
Number of other retired or separated participants entitled to future benefits	2013-01-01	1,197
Total of all active and inactive participants	2013-01-01	7,201
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	14
Total participants	2013-01-01	7,215
Number of participants with account balances	2013-01-01	4,325
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	1
2012: PIEDMONT HEALTHCARE, INC. SUPPLEMENTAL RETIREMENT SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	3,442
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	2,006
Number of retired or separated participants receiving benefits	2012-01-01	22
Number of other retired or separated participants entitled to future benefits	2012-01-01	1,149
Total of all active and inactive participants	2012-01-01	3,177
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	14
Total participants	2012-01-01	3,191
Number of participants with account balances	2012-01-01	2,943
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: PIEDMONT HEALTHCARE, INC. SUPPLEMENTAL RETIREMENT SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	3,678
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	2,235
Number of retired or separated participants receiving benefits	2011-01-01	10
Number of other retired or separated participants entitled to future benefits	2011-01-01	1,184
Total of all active and inactive participants	2011-01-01	3,429
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	13
Total participants	2011-01-01	3,442
Number of participants with account balances	2011-01-01	3,142
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	4
2009: PIEDMONT HEALTHCARE, INC. SUPPLEMENTAL RETIREMENT SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	7,074
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	5,432
Number of retired or separated participants receiving benefits	2009-01-01	7
Number of other retired or separated participants entitled to future benefits	2009-01-01	977
Total of all active and inactive participants	2009-01-01	6,416
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	8
Total participants	2009-01-01	6,424
Number of participants with account balances	2009-01-01	4,257
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	48

Financial Data on PIEDMONT HEALTHCARE, INC. SUPPLEMENTAL RETIREMENT SAVINGS PLAN

Measure	Date	Value
2017 : PIEDMONT HEALTHCARE, INC. SUPPLEMENTAL RETIREMENT SAVINGS PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-11-09	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-11-09	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-11-09	$0
Total income from all sources (including contributions)	2017-11-09	$27,035
Total loss/gain on sale of assets	2017-11-09	$0
Total of all expenses incurred	2017-11-09	$416,807
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-11-09	$365,043
Expenses. Certain deemed distributions of participant loans	2017-11-09	$33,092
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-11-09	$13,648
Value of total assets at end of year	2017-11-09	$0
Value of total assets at beginning of year	2017-11-09	$389,772
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-11-09	$18,672
Total interest from all sources	2017-11-09	$181
Total dividends received (eg from common stock, registered investment company shares)	2017-11-09	$337
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-11-09	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2017-11-09	$0
Total dividends received from registered investment company shares (eg mutual funds)	2017-11-09	$337
Administrative expenses professional fees incurred	2017-11-09	$1,272
Was this plan covered by a fidelity bond	2017-11-09	Yes
Value of fidelity bond cover	2017-11-09	$10,000,000
If this is an individual account plan, was there a blackout period	2017-11-09	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-11-09	$0
Were there any nonexempt tranactions with any party-in-interest	2017-11-09	No
Participant contributions at end of year	2017-11-09	$0
Participant contributions at beginning of year	2017-11-09	$38,192
Income. Received or receivable in cash from other sources (including rollovers)	2017-11-09	$13,648
Other income not declared elsewhere	2017-11-09	$0
Administrative expenses (other) incurred	2017-11-09	$17,400
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-11-09	No
Value of net income/loss	2017-11-09	$-389,772
Value of net assets at end of year (total assets less liabilities)	2017-11-09	$0
Value of net assets at beginning of year (total assets less liabilities)	2017-11-09	$389,772
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-11-09	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-11-09	No
Were any leases to which the plan was party in default or uncollectible	2017-11-09	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-11-09	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-11-09	$239,558
Interest on participant loans	2017-11-09	$107
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2017-11-09	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2017-11-09	$112,022
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2017-11-09	$112,022
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-11-09	$74
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-11-09	$12,869
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-11-09	No
Was there a failure to transmit to the plan any participant contributions	2017-11-09	No
Has the plan failed to provide any benefit when due under the plan	2017-11-09	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-11-09	$365,043
Did the plan have assets held for investment	2017-11-09	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	2017-11-09	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-11-09	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-11-09	Yes
Opinion of an independent qualified public accountant for this plan	2017-11-09	Disclaimer
Accountancy firm name	2017-11-09	FRAZIER AND DEETER
Accountancy firm EIN	2017-11-09	581433845
2016 : PIEDMONT HEALTHCARE, INC. SUPPLEMENTAL RETIREMENT SAVINGS PLAN 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 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	$5,560,227
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$208,086,153
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$208,017,093
Expenses. Certain deemed distributions of participant loans	2016-12-31	$27,100
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$0
Value of total assets at end of year	2016-12-31	$389,772
Value of total assets at beginning of year	2016-12-31	$202,915,698
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$41,960
Total interest from all sources	2016-12-31	$214,919
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$410,981
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$410,981
Administrative expenses professional fees incurred	2016-12-31	$31,958
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
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
Participant contributions at end of year	2016-12-31	$38,192
Participant contributions at beginning of year	2016-12-31	$3,304,528
Other income not declared elsewhere	2016-12-31	$82,794
Administrative expenses (other) incurred	2016-12-31	$10,002
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	$-202,525,926
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$389,772
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$202,915,698
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	$239,558
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$170,715,902
Interest on participant loans	2016-12-31	$60,914
Interest earned on other investments	2016-12-31	$150,330
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-12-31	$112,022
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-12-31	$27,634,944
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-12-31	$27,634,944
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-12-31	$3,675
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$1,260,324
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$4,851,533
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$208,017,093
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	FRAZIER AND DEETER
Accountancy firm EIN	2016-12-31	581433845
2015 : PIEDMONT HEALTHCARE, INC. SUPPLEMENTAL RETIREMENT SAVINGS 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	$443,512
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$35,262,661
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$34,995,732
Expenses. Certain deemed distributions of participant loans	2015-12-31	$2,506
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$30,715
Value of total assets at end of year	2015-12-31	$202,915,698
Value of total assets at beginning of year	2015-12-31	$237,734,847
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$264,423
Total interest from all sources	2015-12-31	$248,401
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$10,000,277
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	$10,000,277
Administrative expenses professional fees incurred	2015-12-31	$63,237
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Participant contributions at end of year	2015-12-31	$3,304,528
Participant contributions at beginning of year	2015-12-31	$5,442,718
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$8,053
Other income not declared elsewhere	2015-12-31	$-8,005
Administrative expenses (other) incurred	2015-12-31	$201,186
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	$-34,819,149
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$202,915,698
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$237,734,847
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	$170,715,902
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$194,828,750
Interest on participant loans	2015-12-31	$186,996
Interest earned on other investments	2015-12-31	$56,555
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$27,634,944
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$36,053,930
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$36,053,930
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-12-31	$4,850
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$1,260,324
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$1,409,449
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-9,827,876
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	$22,662
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$34,995,732
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	FRAZIER AND DEETER
Accountancy firm EIN	2015-12-31	581433845
2014 : PIEDMONT HEALTHCARE, INC. SUPPLEMENTAL RETIREMENT SAVINGS 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	$24,140,810
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$19,474,121
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$19,161,487
Expenses. Certain deemed distributions of participant loans	2014-12-31	$193,008
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$11,856,007
Value of total assets at end of year	2014-12-31	$237,734,847
Value of total assets at beginning of year	2014-12-31	$233,068,158
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$119,626
Total interest from all sources	2014-12-31	$295,223
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$14,758,538
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	$14,758,538
Administrative expenses professional fees incurred	2014-12-31	$33,004
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$8,866,674
Participant contributions at end of year	2014-12-31	$5,442,718
Participant contributions at beginning of year	2014-12-31	$5,127,224
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$893,191
Other income not declared elsewhere	2014-12-31	$-2,971,227
Administrative expenses (other) incurred	2014-12-31	$86,622
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	$4,666,689
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$237,734,847
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$233,068,158
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	$194,828,750
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$185,214,199
Interest on participant loans	2014-12-31	$218,236
Interest earned on other investments	2014-12-31	$65,559
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$36,053,930
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$41,019,117
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$41,019,117
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-12-31	$11,428
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$1,409,449
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$1,707,618
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$202,269
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	$2,096,142
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$19,161,487
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	No
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	FRAZIER AND DEETER
Accountancy firm EIN	2014-12-31	581433845
2013 : PIEDMONT HEALTHCARE, INC. SUPPLEMENTAL RETIREMENT SAVINGS 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	$47,558,665
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$16,542,291
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$16,185,362
Expenses. Certain deemed distributions of participant loans	2013-12-31	$240,482
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$13,105,217
Value of total assets at end of year	2013-12-31	$233,068,158
Value of total assets at beginning of year	2013-12-31	$202,051,784
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$116,447
Total interest from all sources	2013-12-31	$292,484
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$6,995,129
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	$6,995,129
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
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
Contributions received from participants	2013-12-31	$9,487,726
Participant contributions at end of year	2013-12-31	$5,127,224
Participant contributions at beginning of year	2013-12-31	$4,485,887
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$1,444,635
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	$25,309,568
Administrative expenses (other) incurred	2013-12-31	$116,447
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	$31,016,374
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$233,068,158
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$202,051,784
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	$185,214,199
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$130,906,522
Interest on participant loans	2013-12-31	$210,863
Interest earned on other investments	2013-12-31	$71,582
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$41,019,117
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$41,349,807
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$41,349,807
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-31	$10,039
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$1,707,618
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$27,165,835
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	$2,172,856
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$16,185,362
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	FRAZIER AND DEETER
Accountancy firm EIN	2013-12-31	581433845
2012 : PIEDMONT HEALTHCARE, INC. SUPPLEMENTAL RETIREMENT SAVINGS PLAN 2012 401k financial data
Total transfer of assets to this plan	2012-12-31	$25,309,568
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	$55,438
Total income from all sources (including contributions)	2012-12-31	$31,071,533
Total of all expenses incurred	2012-12-31	$14,833,030
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$14,461,142
Expenses. Certain deemed distributions of participant loans	2012-12-31	$294,788
Value of total corrective distributions	2012-12-31	$3,327
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$12,452,104
Value of total assets at end of year	2012-12-31	$202,051,784
Value of total assets at beginning of year	2012-12-31	$160,559,151
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$73,773
Total interest from all sources	2012-12-31	$1,821,865
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$4,244,681
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	$4,244,681
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
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
Contributions received from participants	2012-12-31	$9,785,795
Participant contributions at end of year	2012-12-31	$4,485,887
Participant contributions at beginning of year	2012-12-31	$4,464,743
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$907,206
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-12-31	$25,309,568
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-12-31	$3,097
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2012-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2012-12-31	$48,060
Administrative expenses (other) incurred	2012-12-31	$73,773
Liabilities. Value of operating payables at end of year	2012-12-31	$0
Liabilities. Value of operating payables at beginning of year	2012-12-31	$7,378
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	$16,238,503
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$202,051,784
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$160,503,713
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	$130,906,522
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$111,495,749
Value of interest in pooled separate accounts at end of year	2012-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$44,332,525
Interest on participant loans	2012-12-31	$202,505
Interest earned on other investments	2012-12-31	$1,611,997
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$41,349,807
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$263,037
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$263,037
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$7,363
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$12,552,883
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	$1,759,103
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$14,461,142
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	FRAZIER AND DEETER
Accountancy firm EIN	2012-12-31	581433845
2011 : PIEDMONT HEALTHCARE, INC. SUPPLEMENTAL RETIREMENT SAVINGS PLAN 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$55,438
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$25,457
Total income from all sources (including contributions)	2011-12-31	$14,613,728
Total of all expenses incurred	2011-12-31	$13,566,096
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$13,160,104
Expenses. Certain deemed distributions of participant loans	2011-12-31	$330,041
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$14,042,539
Value of total assets at end of year	2011-12-31	$160,559,151
Value of total assets at beginning of year	2011-12-31	$159,481,538
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$75,951
Total interest from all sources	2011-12-31	$2,798,689
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$3,249,712
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	$3,249,712
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
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
Contributions received from participants	2011-12-31	$10,368,359
Participant contributions at end of year	2011-12-31	$4,464,743
Participant contributions at beginning of year	2011-12-31	$4,349,538
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$1,232,688
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-12-31	$3,097
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-12-31	$2,792
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2011-12-31	$48,060
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2011-12-31	$19,143
Administrative expenses (other) incurred	2011-12-31	$75,951
Liabilities. Value of operating payables at end of year	2011-12-31	$7,378
Liabilities. Value of operating payables at beginning of year	2011-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$1,047,632
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$160,503,713
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$159,456,081
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	$111,495,749
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$112,868,478
Value of interest in pooled separate accounts at end of year	2011-12-31	$44,332,525
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$41,947,600
Interest on participant loans	2011-12-31	$209,565
Interest earned on other investments	2011-12-31	$2,589,081
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$263,037
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$313,130
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$313,130
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$43
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-5,477,212
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	$2,441,492
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$13,160,104
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
Liabilities. Value of benefit claims payable at end of year	2011-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2011-12-31	$6,314
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	ERNST & YOUNG
Accountancy firm EIN	2011-12-31	346565596
2010 : PIEDMONT HEALTHCARE, INC. SUPPLEMENTAL RETIREMENT SAVINGS PLAN 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2010-12-31	$-41
Total unrealized appreciation/depreciation of assets	2010-12-31	$-41
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$25,457
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$15,692
Total income from all sources (including contributions)	2010-12-31	$28,326,340
Total of all expenses incurred	2010-12-31	$8,749,741
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$8,473,634
Expenses. Certain deemed distributions of participant loans	2010-12-31	$243,764
Value of total corrective distributions	2010-12-31	$1,199
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$14,393,804
Value of total assets at end of year	2010-12-31	$159,481,538
Value of total assets at beginning of year	2010-12-31	$139,895,174
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$31,144
Total interest from all sources	2010-12-31	$-430,270
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$2,043,642
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	$2,043,642
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$10,000,000
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
Contributions received from participants	2010-12-31	$11,122,527
Participant contributions at end of year	2010-12-31	$4,349,538
Participant contributions at beginning of year	2010-12-31	$3,562,336
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$570,585
Value of other receiveables (less allowance for doubtful accounts) at end of year	2010-12-31	$2,792
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2010-12-31	$1,794
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2010-12-31	$19,143
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2010-12-31	$10,795
Administrative expenses (other) incurred	2010-12-31	$31,144
Liabilities. Value of operating payables at end of year	2010-12-31	$0
Liabilities. Value of operating payables at beginning of year	2010-12-31	$4,897
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	$19,576,599
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$159,456,081
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$139,879,482
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	$112,868,478
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$94,427,223
Value of interest in pooled separate accounts at end of year	2010-12-31	$41,947,600
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$41,672,490
Interest on participant loans	2010-12-31	$209,052
Interest earned on other investments	2010-12-31	$-639,474
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$313,130
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$231,331
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$231,331
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$152
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$12,319,205
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	$2,700,692
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$8,473,634
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
Liabilities. Value of benefit claims payable at end of year	2010-12-31	$6,314
Liabilities. Value of benefit claims payable at beginning of year	2010-12-31	$0
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	ERNST & YOUNG
Accountancy firm EIN	2010-12-31	346565596

Form 5500 Responses for PIEDMONT HEALTHCARE, INC. SUPPLEMENTAL RETIREMENT SAVINGS PLAN

2017: PIEDMONT HEALTHCARE, INC. SUPPLEMENTAL RETIREMENT SAVINGS PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	Yes
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: PIEDMONT HEALTHCARE, INC. SUPPLEMENTAL RETIREMENT SAVINGS 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	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: PIEDMONT HEALTHCARE, INC. SUPPLEMENTAL RETIREMENT SAVINGS 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 – 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: PIEDMONT HEALTHCARE, INC. SUPPLEMENTAL RETIREMENT SAVINGS 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 – 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: PIEDMONT HEALTHCARE, INC. SUPPLEMENTAL RETIREMENT SAVINGS 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 – 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: PIEDMONT HEALTHCARE, INC. SUPPLEMENTAL RETIREMENT SAVINGS 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 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: PIEDMONT HEALTHCARE, INC. SUPPLEMENTAL RETIREMENT SAVINGS PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan 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
2009: PIEDMONT HEALTHCARE, INC. SUPPLEMENTAL RETIREMENT SAVINGS PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan 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

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

43387

Policy instance

Insurance contract or identification number	43387
Number of Individuals Covered	358
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $428
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $123
Insurance broker organization code?	3
Insurance broker name	KOMISAR, SUZANNE A.

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

43387

Policy instance

Insurance contract or identification number	43387
Number of Individuals Covered	395
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $1,073
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $729
Insurance broker organization code?	3
Insurance broker name	WILSON, DAMON V

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

43387

Policy instance

Insurance contract or identification number	43387
Number of Individuals Covered	426
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $938
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $463
Insurance broker organization code?	3
Insurance broker name	KOMISAR, SUZANNE A.

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

60161

Policy instance

Insurance contract or identification number	60161
Number of Individuals Covered	0
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $317,041
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	236905
Additional information about fees paid to insurance broker	ASSET FEE
Insurance broker organization code?	6
Insurance broker name	FIDELITY INVESTMENTS INST. OPS. CO.

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

60161

Policy instance

Insurance contract or identification number	60161
Number of Individuals Covered	2125
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of fees paid to insurance company	USD $109,847
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	PIEDMONT HOSPITAL, INC.
Employer identification number (EIN):	580566213
NAIC Classification:	622000
NAIC Description:	Hospitals

Jurisdiction of Incorporation:	Virginia Secretary of State
Incorporation Date:	2015-08-12
Company Identification Number:	0794793
Legal Registered Office Address:	121 MALL DRIVE DANVILLE United States of America (USA) 24540