401k Plan data: RETIREMENT PLAN OF THE EMPLOYEES OF LAFAYETTE GENERAL MEDICAL CENTER plan

RETIREMENT PLAN OF THE EMPLOYEES OF LAFAYETTE GENERAL MEDICAL CENTER 401k Plan overview

Plan Name	RETIREMENT PLAN OF THE EMPLOYEES OF LAFAYETTE GENERAL MEDICAL CENTER
Plan identification number	003

RETIREMENT PLAN OF THE EMPLOYEES OF LAFAYETTE GENERAL MEDICAL CENTER Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
U.S.-based plan that covers residents of Puerto Rico and is qualified under both Code section 401 and section 1165 of the Puerto Rico Code.

401k Sponsoring company profile

LAFAYETTE GENERAL MEDICAL CENTER has sponsored the creation of one or more 401k plans.

Company Name: LAFAYETTE GENERAL MEDICAL CENTER

Employer identification number (EIN): 720535375

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RETIREMENT PLAN OF THE EMPLOYEES OF LAFAYETTE GENERAL MEDICAL CENTER

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2014-01-01 SHEENA BOUQUET PATRICK GANDY 2015-09-15
003 2013-01-01 SHEENA CUMBEST PATRICK GANDY 2014-07-21
003 2012-01-01 SHEENA MITCHELL CUMBEST PATRICK GANDY 2013-08-19
003 2011-01-01 SHEENA MITCHELL PATRICK GANDY 2012-10-09
003 2010-01-01 PATRICK GANDY SHEENA MITCHELL 2011-10-12
003 2009-01-01 WENDY F. ALEXANDER PATRICK GANDY 2010-10-15
003 2009-01-01 WENDY ALEXANDER
003 2009-01-01 WENDY ALEXANDER
003 2009-01-01 WENDY F. ALEXANDER

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
003	2014-01-01	SHEENA BOUQUET	PATRICK GANDY	2015-09-15
003	2013-01-01	SHEENA CUMBEST	PATRICK GANDY	2014-07-21
003	2012-01-01	SHEENA MITCHELL CUMBEST	PATRICK GANDY	2013-08-19
003	2011-01-01	SHEENA MITCHELL	PATRICK GANDY	2012-10-09
003	2010-01-01	PATRICK GANDY	SHEENA MITCHELL	2011-10-12
003	2009-01-01	WENDY F. ALEXANDER	PATRICK GANDY	2010-10-15
003	2009-01-01	WENDY ALEXANDER
003	2009-01-01	WENDY ALEXANDER
003	2009-01-01	WENDY F. ALEXANDER

Plan Statistics for RETIREMENT PLAN OF THE EMPLOYEES OF LAFAYETTE GENERAL MEDICAL CENTER

401k plan membership statisitcs for RETIREMENT PLAN OF THE EMPLOYEES OF LAFAYETTE GENERAL MEDICAL CENTER

Measure Date Value
2014: RETIREMENT PLAN OF THE EMPLOYEES OF LAFAYETTE GENERAL MEDICAL CENTER 2014 401k membership
Total participants, beginning-of-year 2014-01-01 2,036
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 3,294
Number of retired or separated participants receiving benefits 2014-01-01 1
Number of other retired or separated participants entitled to future benefits 2014-01-01 662
Total of all active and inactive participants 2014-01-01 3,957
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 3,957
Number of participants with account balances 2014-01-01 2,531
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 60
2013: RETIREMENT PLAN OF THE EMPLOYEES OF LAFAYETTE GENERAL MEDICAL CENTER 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1,826
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 1,397
Number of retired or separated participants receiving benefits 2013-01-01 1
Number of other retired or separated participants entitled to future benefits 2013-01-01 635
Total of all active and inactive participants 2013-01-01 2,033
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 2,033
Number of participants with account balances 2013-01-01 2,033
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 19
2012: RETIREMENT PLAN OF THE EMPLOYEES OF LAFAYETTE GENERAL MEDICAL CENTER 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1,857
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1,142
Number of retired or separated participants receiving benefits 2012-01-01 1
Number of other retired or separated participants entitled to future benefits 2012-01-01 683
Total of all active and inactive participants 2012-01-01 1,826
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 1,826
Number of participants with account balances 2012-01-01 1,826
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 16
2011: RETIREMENT PLAN OF THE EMPLOYEES OF LAFAYETTE GENERAL MEDICAL CENTER 2011 401k membership
Total participants, beginning-of-year 2011-01-01 2,033
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 1,133
Number of retired or separated participants receiving benefits 2011-01-01 2
Number of other retired or separated participants entitled to future benefits 2011-01-01 722
Total of all active and inactive participants 2011-01-01 1,857
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 1,857
Number of participants with account balances 2011-01-01 1,857
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 10
2010: RETIREMENT PLAN OF THE EMPLOYEES OF LAFAYETTE GENERAL MEDICAL CENTER 2010 401k membership
Total participants, beginning-of-year 2010-01-01 779
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 1,255
Number of retired or separated participants receiving benefits 2010-01-01 2
Number of other retired or separated participants entitled to future benefits 2010-01-01 776
Total of all active and inactive participants 2010-01-01 2,033
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 2,033
Number of participants with account balances 2010-01-01 2,033
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 4
2009: RETIREMENT PLAN OF THE EMPLOYEES OF LAFAYETTE GENERAL MEDICAL CENTER 2009 401k membership
Total participants, beginning-of-year 2009-01-01 779
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 715
Number of retired or separated participants receiving benefits 2009-01-01 2
Number of other retired or separated participants entitled to future benefits 2009-01-01 368
Total of all active and inactive participants 2009-01-01 1,085
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 1,085
Number of participants with account balances 2009-01-01 1,085
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 17

Measure	Date	Value
2014: RETIREMENT PLAN OF THE EMPLOYEES OF LAFAYETTE GENERAL MEDICAL CENTER 2014 401k membership
Total participants, beginning-of-year	2014-01-01	2,036
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	3,294
Number of retired or separated participants receiving benefits	2014-01-01	1
Number of other retired or separated participants entitled to future benefits	2014-01-01	662
Total of all active and inactive participants	2014-01-01	3,957
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	3,957
Number of participants with account balances	2014-01-01	2,531
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	60
2013: RETIREMENT PLAN OF THE EMPLOYEES OF LAFAYETTE GENERAL MEDICAL CENTER 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1,826
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	1,397
Number of retired or separated participants receiving benefits	2013-01-01	1
Number of other retired or separated participants entitled to future benefits	2013-01-01	635
Total of all active and inactive participants	2013-01-01	2,033
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	2,033
Number of participants with account balances	2013-01-01	2,033
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	19
2012: RETIREMENT PLAN OF THE EMPLOYEES OF LAFAYETTE GENERAL MEDICAL CENTER 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1,857
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1,142
Number of retired or separated participants receiving benefits	2012-01-01	1
Number of other retired or separated participants entitled to future benefits	2012-01-01	683
Total of all active and inactive participants	2012-01-01	1,826
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	1,826
Number of participants with account balances	2012-01-01	1,826
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	16
2011: RETIREMENT PLAN OF THE EMPLOYEES OF LAFAYETTE GENERAL MEDICAL CENTER 2011 401k membership
Total participants, beginning-of-year	2011-01-01	2,033
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1,133
Number of retired or separated participants receiving benefits	2011-01-01	2
Number of other retired or separated participants entitled to future benefits	2011-01-01	722
Total of all active and inactive participants	2011-01-01	1,857
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	1,857
Number of participants with account balances	2011-01-01	1,857
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	10
2010: RETIREMENT PLAN OF THE EMPLOYEES OF LAFAYETTE GENERAL MEDICAL CENTER 2010 401k membership
Total participants, beginning-of-year	2010-01-01	779
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	1,255
Number of retired or separated participants receiving benefits	2010-01-01	2
Number of other retired or separated participants entitled to future benefits	2010-01-01	776
Total of all active and inactive participants	2010-01-01	2,033
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	2,033
Number of participants with account balances	2010-01-01	2,033
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	4
2009: RETIREMENT PLAN OF THE EMPLOYEES OF LAFAYETTE GENERAL MEDICAL CENTER 2009 401k membership
Total participants, beginning-of-year	2009-01-01	779
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	715
Number of retired or separated participants receiving benefits	2009-01-01	2
Number of other retired or separated participants entitled to future benefits	2009-01-01	368
Total of all active and inactive participants	2009-01-01	1,085
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	1,085
Number of participants with account balances	2009-01-01	1,085
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	17

Financial Data on RETIREMENT PLAN OF THE EMPLOYEES OF LAFAYETTE GENERAL MEDICAL CENTER

Measure	Date	Value
2014 : RETIREMENT PLAN OF THE EMPLOYEES OF LAFAYETTE GENERAL MEDICAL CENTER 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total transfer of assets to this plan	2014-12-31	$311,812
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	$16,105,852
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$5,826,493
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$5,748,602
Expenses. Certain deemed distributions of participant loans	2014-12-31	$514
Value of total corrective distributions	2014-12-31	$60,786
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$12,108,396
Value of total assets at end of year	2014-12-31	$90,222,570
Value of total assets at beginning of year	2014-12-31	$79,631,399
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$16,591
Total interest from all sources	2014-12-31	$282,468
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$872,460
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	$872,460
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$2,000,000
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	$6,326,091
Participant contributions at end of year	2014-12-31	$1,549,334
Participant contributions at beginning of year	2014-12-31	$1,723,896
Assets. Other investments not covered elsewhere at end of year	2014-12-31	$643,309
Assets. Other investments not covered elsewhere at beginning of year	2014-12-31	$652,393
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$3,889,972
Other income not declared elsewhere	2014-12-31	$37,479
Administrative expenses (other) incurred	2014-12-31	$16,591
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	$10,279,359
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$90,222,570
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$79,631,399
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	$67,086,586
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$59,592,511
Value of interest in pooled separate accounts at end of year	2014-12-31	$5,825,946
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$4,587,326
Interest on participant loans	2014-12-31	$82,244
Interest earned on other investments	2014-12-31	$200,224
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$15,117,395
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$13,075,273
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$2,580,014
Net investment gain/loss from pooled separate accounts	2014-12-31	$225,035
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$1,892,333
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$5,748,602
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	LAPORTE, A PROFESSIONAL ACCT CORP
Accountancy firm EIN	2014-12-31	721088864
2013 : RETIREMENT PLAN OF THE EMPLOYEES OF LAFAYETTE GENERAL MEDICAL CENTER 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	$19,267,450
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$6,242,370
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$6,161,796
Expenses. Certain deemed distributions of participant loans	2013-12-31	$2,420
Value of total corrective distributions	2013-12-31	$60,621
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$6,224,158
Value of total assets at end of year	2013-12-31	$79,631,399
Value of total assets at beginning of year	2013-12-31	$66,606,319
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$17,533
Total interest from all sources	2013-12-31	$280,715
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$607,941
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	$607,941
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$2,000,000
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	$4,344,807
Participant contributions at end of year	2013-12-31	$1,723,896
Participant contributions at beginning of year	2013-12-31	$1,677,282
Assets. Other investments not covered elsewhere at end of year	2013-12-31	$652,393
Assets. Other investments not covered elsewhere at beginning of year	2013-12-31	$606,685
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$683,602
Other income not declared elsewhere	2013-12-31	$37,500
Administrative expenses (other) incurred	2013-12-31	$17,533
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	$13,025,080
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$79,631,399
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$66,606,319
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	$59,592,511
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$48,057,275
Value of interest in pooled separate accounts at end of year	2013-12-31	$4,587,326
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$4,479,567
Interest on participant loans	2013-12-31	$86,944
Interest earned on other investments	2013-12-31	$193,771
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$13,075,273
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$11,785,510
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$11,670,751
Net investment gain/loss from pooled separate accounts	2013-12-31	$446,385
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$1,195,749
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$6,161,796
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	LAPORTE, A PROFESSIONAL ACCT CORP
Accountancy firm EIN	2013-12-31	721088864
2012 : RETIREMENT PLAN OF THE EMPLOYEES OF LAFAYETTE GENERAL MEDICAL CENTER 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$12,450,027
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$4,065,507
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$4,062,792
Expenses. Certain deemed distributions of participant loans	2012-12-31	$-8,193
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$4,932,720
Value of total assets at end of year	2012-12-31	$66,606,319
Value of total assets at beginning of year	2012-12-31	$58,221,799
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$10,908
Total interest from all sources	2012-12-31	$296,266
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$737,959
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	$737,959
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$2,000,000
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	$3,606,150
Participant contributions at end of year	2012-12-31	$1,677,282
Participant contributions at beginning of year	2012-12-31	$1,483,517
Assets. Other investments not covered elsewhere at end of year	2012-12-31	$606,685
Assets. Other investments not covered elsewhere at beginning of year	2012-12-31	$585,384
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$343,124
Other income not declared elsewhere	2012-12-31	$797
Administrative expenses (other) incurred	2012-12-31	$10,908
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	$8,384,520
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$66,606,319
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$58,221,799
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	$48,057,275
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$42,344,235
Value of interest in pooled separate accounts at end of year	2012-12-31	$4,479,567
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$3,664,307
Interest on participant loans	2012-12-31	$88,565
Interest earned on other investments	2012-12-31	$207,701
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$11,785,510
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$10,144,356
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$6,482,285
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	$983,446
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$4,062,792
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	LAPORTE, A PROFESSIONAL ACCT CORP
Accountancy firm EIN	2012-12-31	721088864
2011 : RETIREMENT PLAN OF THE EMPLOYEES OF LAFAYETTE GENERAL MEDICAL CENTER 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$3,652,614
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$3,012,236
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$2,953,105
Expenses. Certain deemed distributions of participant loans	2011-12-31	$-8,784
Value of total corrective distributions	2011-12-31	$58,507
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$4,381,354
Value of total assets at end of year	2011-12-31	$58,221,799
Value of total assets at beginning of year	2011-12-31	$57,581,421
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$9,408
Total interest from all sources	2011-12-31	$294,746
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$647,915
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	$647,915
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$2,000,000
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	$3,363,929
Participant contributions at end of year	2011-12-31	$1,483,517
Participant contributions at beginning of year	2011-12-31	$1,509,335
Assets. Other investments not covered elsewhere at end of year	2011-12-31	$585,384
Assets. Other investments not covered elsewhere at beginning of year	2011-12-31	$468,309
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$201,342
Administrative expenses (other) incurred	2011-12-31	$9,408
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	$640,378
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$58,221,799
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$57,581,421
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	$42,344,235
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$45,773,177
Value of interest in pooled separate accounts at end of year	2011-12-31	$3,664,307
Interest on participant loans	2011-12-31	$90,402
Interest earned on other investments	2011-12-31	$204,344
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$10,144,356
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$9,830,600
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-1,669,256
Net investment gain/loss from pooled separate accounts	2011-12-31	$7,691
Net investment gain or loss from common/collective trusts	2011-12-31	$-9,836
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	$816,083
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$2,953,105
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	LAPORTE, A PROFESSIONAL ACCT CORP.
Accountancy firm EIN	2011-12-31	721088864
2010 : RETIREMENT PLAN OF THE EMPLOYEES OF LAFAYETTE GENERAL MEDICAL CENTER 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$9,719,937
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$4,234,334
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$4,220,803
Expenses. Certain deemed distributions of participant loans	2010-12-31	$4,697
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$4,038,036
Value of total assets at end of year	2010-12-31	$57,581,421
Value of total assets at beginning of year	2010-12-31	$52,095,818
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$8,834
Total interest from all sources	2010-12-31	$323,852
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$629,665
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	$629,665
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$2,000,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$3,067,731
Participant contributions at end of year	2010-12-31	$1,509,335
Participant contributions at beginning of year	2010-12-31	$1,403,446
Assets. Other investments not covered elsewhere at end of year	2010-12-31	$468,309
Assets. Other investments not covered elsewhere at beginning of year	2010-12-31	$408,666
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$115,338
Administrative expenses (other) incurred	2010-12-31	$8,834
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	$5,485,603
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$57,581,421
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$52,095,818
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	$45,773,177
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$40,383,828
Interest on participant loans	2010-12-31	$90,144
Interest earned on other investments	2010-12-31	$233,708
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$9,830,600
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$9,899,878
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$4,728,384
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	$854,967
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$4,220,803
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	LAPORTE, SHERT, ROMIG & HAND
Accountancy firm EIN	2010-12-31	721088864

Form 5500 Responses for RETIREMENT PLAN OF THE EMPLOYEES OF LAFAYETTE GENERAL MEDICAL CENTER

2014: RETIREMENT PLAN OF THE EMPLOYEES OF LAFAYETTE GENERAL MEDICAL CENTER 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: RETIREMENT PLAN OF THE EMPLOYEES OF LAFAYETTE GENERAL MEDICAL CENTER 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: RETIREMENT PLAN OF THE EMPLOYEES OF LAFAYETTE GENERAL MEDICAL CENTER 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – 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: RETIREMENT PLAN OF THE EMPLOYEES OF LAFAYETTE GENERAL MEDICAL CENTER 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 is a collectively bargained plan	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
2010: RETIREMENT PLAN OF THE EMPLOYEES OF LAFAYETTE GENERAL MEDICAL CENTER 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – 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: RETIREMENT PLAN OF THE EMPLOYEES OF LAFAYETTE GENERAL MEDICAL CENTER 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 is a collectively bargained plan	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

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Company Name:	LAFAYETTE GENERAL MEDICAL CENTER
Employer identification number (EIN):	720535375
NAIC Classification:	622000
NAIC Description:	Hospitals