401k Plan data: RETIREMENT PLAN OF FRISBIE MEMORIAL HOSPITAL plan

RETIREMENT PLAN OF FRISBIE MEMORIAL HOSPITAL 401k Plan overview

Plan Name	RETIREMENT PLAN OF FRISBIE MEMORIAL HOSPITAL
Plan identification number	003

RETIREMENT PLAN OF FRISBIE MEMORIAL HOSPITAL Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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 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.

401k Sponsoring company profile

FRISBIE MEMORIAL HOSPITAL has sponsored the creation of one or more 401k plans.

Company Name: FRISBIE MEMORIAL HOSPITAL

Employer identification number (EIN): 020222131

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RETIREMENT PLAN OF FRISBIE MEMORIAL HOSPITAL

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2020-01-01
003 2020-01-01
003 2020-01-01
003 2019-01-01
003 2018-01-01
003 2017-01-01 CHRISTI GREEN
003 2016-01-01 CHRISTI GREEN
003 2016-01-01
003 2015-01-01 CHRISTI GREEN
003 2014-01-01 CAROL THEMELIS
003 2013-01-01 CAROL THEMELIS
003 2012-01-01 CAROL THEMELIS
003 2011-01-01 CAROL THEMELIS
003 2009-01-01 CAROL THEMELIS CAROL THEMELIS 2010-10-15

Plan Statistics for RETIREMENT PLAN OF FRISBIE MEMORIAL HOSPITAL

401k plan membership statisitcs for RETIREMENT PLAN OF FRISBIE MEMORIAL HOSPITAL

Measure Date Value
2020: RETIREMENT PLAN OF FRISBIE MEMORIAL HOSPITAL 2020 401k membership
Total participants, beginning-of-year 2020-01-01 1,242
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 0
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 0
Total of all active and inactive participants 2020-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 0
Number of participants with account balances 2020-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: RETIREMENT PLAN OF FRISBIE MEMORIAL HOSPITAL 2019 401k membership
Total participants, beginning-of-year 2019-01-01 1,255
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 983
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 259
Total of all active and inactive participants 2019-01-01 1,242
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 1,242
Number of participants with account balances 2019-01-01 777
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: RETIREMENT PLAN OF FRISBIE MEMORIAL HOSPITAL 2018 401k membership
Total participants, beginning-of-year 2018-01-01 1,233
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 1,018
Number of other retired or separated participants entitled to future benefits 2018-01-01 243
Total of all active and inactive participants 2018-01-01 1,261
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 1,261
Number of participants with account balances 2018-01-01 824
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: RETIREMENT PLAN OF FRISBIE MEMORIAL HOSPITAL 2017 401k membership
Total participants, beginning-of-year 2017-01-01 1,190
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 1,027
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 211
Total of all active and inactive participants 2017-01-01 1,238
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 1,238
Number of participants with account balances 2017-01-01 821
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: RETIREMENT PLAN OF FRISBIE MEMORIAL HOSPITAL 2016 401k membership
Total participants, beginning-of-year 2016-01-01 1,132
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 1,037
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 159
Total of all active and inactive participants 2016-01-01 1,196
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 1,196
Number of participants with account balances 2016-01-01 803
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: RETIREMENT PLAN OF FRISBIE MEMORIAL HOSPITAL 2015 401k membership
Total participants, beginning-of-year 2015-01-01 1,057
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 990
Number of retired or separated participants receiving benefits 2015-01-01 24
Number of other retired or separated participants entitled to future benefits 2015-01-01 116
Total of all active and inactive participants 2015-01-01 1,130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 1,130
Number of participants with account balances 2015-01-01 771
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: RETIREMENT PLAN OF FRISBIE MEMORIAL HOSPITAL 2014 401k membership
Total participants, beginning-of-year 2014-01-01 1,059
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 923
Number of retired or separated participants receiving benefits 2014-01-01 24
Number of other retired or separated participants entitled to future benefits 2014-01-01 110
Total of all active and inactive participants 2014-01-01 1,057
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 1,057
Number of participants with account balances 2014-01-01 766
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: RETIREMENT PLAN OF FRISBIE MEMORIAL HOSPITAL 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1,058
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 926
Number of retired or separated participants receiving benefits 2013-01-01 21
Number of other retired or separated participants entitled to future benefits 2013-01-01 110
Total of all active and inactive participants 2013-01-01 1,057
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 1
Total participants 2013-01-01 1,058
Number of participants with account balances 2013-01-01 754
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: RETIREMENT PLAN OF FRISBIE MEMORIAL HOSPITAL 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1,198
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 922
Number of retired or separated participants receiving benefits 2012-01-01 22
Number of other retired or separated participants entitled to future benefits 2012-01-01 114
Total of all active and inactive participants 2012-01-01 1,058
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 1,058
Number of participants with account balances 2012-01-01 716
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: RETIREMENT PLAN OF FRISBIE MEMORIAL HOSPITAL 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1,170
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 996
Number of retired or separated participants receiving benefits 2011-01-01 16
Number of other retired or separated participants entitled to future benefits 2011-01-01 186
Total of all active and inactive participants 2011-01-01 1,198
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 1,198
Number of participants with account balances 2011-01-01 798
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: RETIREMENT PLAN OF FRISBIE MEMORIAL HOSPITAL 2009 401k membership
Total participants, beginning-of-year 2009-01-01 1,022
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 970
Number of retired or separated participants receiving benefits 2009-01-01 8
Number of other retired or separated participants entitled to future benefits 2009-01-01 195
Total of all active and inactive participants 2009-01-01 1,173
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 1,173
Number of participants with account balances 2009-01-01 783
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2020: RETIREMENT PLAN OF FRISBIE MEMORIAL HOSPITAL 2020 401k membership
Total participants, beginning-of-year	2020-01-01	1,242
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	0
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	0
Total of all active and inactive participants	2020-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	0
Number of participants with account balances	2020-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: RETIREMENT PLAN OF FRISBIE MEMORIAL HOSPITAL 2019 401k membership
Total participants, beginning-of-year	2019-01-01	1,255
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	983
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	259
Total of all active and inactive participants	2019-01-01	1,242
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	1,242
Number of participants with account balances	2019-01-01	777
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: RETIREMENT PLAN OF FRISBIE MEMORIAL HOSPITAL 2018 401k membership
Total participants, beginning-of-year	2018-01-01	1,233
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	1,018
Number of other retired or separated participants entitled to future benefits	2018-01-01	243
Total of all active and inactive participants	2018-01-01	1,261
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	1,261
Number of participants with account balances	2018-01-01	824
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: RETIREMENT PLAN OF FRISBIE MEMORIAL HOSPITAL 2017 401k membership
Total participants, beginning-of-year	2017-01-01	1,190
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	1,027
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	211
Total of all active and inactive participants	2017-01-01	1,238
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	1,238
Number of participants with account balances	2017-01-01	821
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: RETIREMENT PLAN OF FRISBIE MEMORIAL HOSPITAL 2016 401k membership
Total participants, beginning-of-year	2016-01-01	1,132
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	1,037
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	159
Total of all active and inactive participants	2016-01-01	1,196
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	1,196
Number of participants with account balances	2016-01-01	803
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: RETIREMENT PLAN OF FRISBIE MEMORIAL HOSPITAL 2015 401k membership
Total participants, beginning-of-year	2015-01-01	1,057
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	990
Number of retired or separated participants receiving benefits	2015-01-01	24
Number of other retired or separated participants entitled to future benefits	2015-01-01	116
Total of all active and inactive participants	2015-01-01	1,130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	1,130
Number of participants with account balances	2015-01-01	771
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: RETIREMENT PLAN OF FRISBIE MEMORIAL HOSPITAL 2014 401k membership
Total participants, beginning-of-year	2014-01-01	1,059
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	923
Number of retired or separated participants receiving benefits	2014-01-01	24
Number of other retired or separated participants entitled to future benefits	2014-01-01	110
Total of all active and inactive participants	2014-01-01	1,057
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	1,057
Number of participants with account balances	2014-01-01	766
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: RETIREMENT PLAN OF FRISBIE MEMORIAL HOSPITAL 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1,058
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	926
Number of retired or separated participants receiving benefits	2013-01-01	21
Number of other retired or separated participants entitled to future benefits	2013-01-01	110
Total of all active and inactive participants	2013-01-01	1,057
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	1
Total participants	2013-01-01	1,058
Number of participants with account balances	2013-01-01	754
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: RETIREMENT PLAN OF FRISBIE MEMORIAL HOSPITAL 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1,198
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	922
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	114
Total of all active and inactive participants	2012-01-01	1,058
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	1,058
Number of participants with account balances	2012-01-01	716
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: RETIREMENT PLAN OF FRISBIE MEMORIAL HOSPITAL 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1,170
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	996
Number of retired or separated participants receiving benefits	2011-01-01	16
Number of other retired or separated participants entitled to future benefits	2011-01-01	186
Total of all active and inactive participants	2011-01-01	1,198
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	1,198
Number of participants with account balances	2011-01-01	798
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: RETIREMENT PLAN OF FRISBIE MEMORIAL HOSPITAL 2009 401k membership
Total participants, beginning-of-year	2009-01-01	1,022
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	970
Number of retired or separated participants receiving benefits	2009-01-01	8
Number of other retired or separated participants entitled to future benefits	2009-01-01	195
Total of all active and inactive participants	2009-01-01	1,173
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	1,173
Number of participants with account balances	2009-01-01	783
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on RETIREMENT PLAN OF FRISBIE MEMORIAL HOSPITAL

Measure	Date	Value
2020 : RETIREMENT PLAN OF FRISBIE MEMORIAL HOSPITAL 2020 401k financial data
Total income from all sources (including contributions)	2020-10-31	$-5,526,718
Total of all expenses incurred	2020-10-31	$66,996,004
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-10-31	$66,969,060
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-10-31	$510,187
Value of total assets at end of year	2020-10-31	$0
Value of total assets at beginning of year	2020-10-31	$72,522,722
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-10-31	$26,944
Total interest from all sources	2020-10-31	$108,647
Total dividends received (eg from common stock, registered investment company shares)	2020-10-31	$73,905
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-10-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2020-10-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2020-10-31	$73,905
Was this plan covered by a fidelity bond	2020-10-31	Yes
Value of fidelity bond cover	2020-10-31	$500,000
If this is an individual account plan, was there a blackout period	2020-10-31	No
Were there any nonexempt tranactions with any party-in-interest	2020-10-31	No
Contributions received from participants	2020-10-31	$446,583
Participant contributions at end of year	2020-10-31	$0
Participant contributions at beginning of year	2020-10-31	$730,765
Assets. Other investments not covered elsewhere at end of year	2020-10-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2020-10-31	$228,839
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-10-31	No
Value of net income/loss	2020-10-31	$-72,522,722
Value of net assets at end of year (total assets less liabilities)	2020-10-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2020-10-31	$72,522,722
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-10-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-10-31	No
Were any leases to which the plan was party in default or uncollectible	2020-10-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-10-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-10-31	$60,188,299
Interest on participant loans	2020-10-31	$14,543
Interest earned on other investments	2020-10-31	$94,104
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-10-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-10-31	$11,374,819
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-10-31	$-6,219,457
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-10-31	No
Was there a failure to transmit to the plan any participant contributions	2020-10-31	No
Has the plan failed to provide any benefit when due under the plan	2020-10-31	No
Contributions received in cash from employer	2020-10-31	$63,604
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-10-31	$66,969,060
Contract administrator fees	2020-10-31	$26,944
Did the plan have assets held for investment	2020-10-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-10-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-10-31	Yes
Opinion of an independent qualified public accountant for this plan	2020-10-31	Unqualified
Accountancy firm name	2020-10-31	BAKER NEWMAN NOYES
Accountancy firm EIN	2020-10-31	010494256
2019 : RETIREMENT PLAN OF FRISBIE MEMORIAL HOSPITAL 2019 401k financial data
Total income from all sources (including contributions)	2019-12-31	$15,886,077
Total of all expenses incurred	2019-12-31	$15,528,881
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$15,438,051
Expenses. Certain deemed distributions of participant loans	2019-12-31	$32,582
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$3,400,124
Value of total assets at end of year	2019-12-31	$72,522,722
Value of total assets at beginning of year	2019-12-31	$72,165,526
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$58,248
Total interest from all sources	2019-12-31	$291,323
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$2,616,944
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$2,616,944
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$3,276,457
Participant contributions at end of year	2019-12-31	$730,765
Participant contributions at beginning of year	2019-12-31	$745,651
Assets. Other investments not covered elsewhere at end of year	2019-12-31	$228,839
Assets. Other investments not covered elsewhere at beginning of year	2019-12-31	$179,768
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$123,667
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$357,196
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$72,522,722
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$72,165,526
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$60,188,299
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$58,412,991
Interest on participant loans	2019-12-31	$38,594
Interest earned on other investments	2019-12-31	$252,729
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$11,374,819
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$12,827,116
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$9,577,686
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$15,438,051
Contract administrator fees	2019-12-31	$58,248
Did the plan have assets held for investment	2019-12-31	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	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	BAKER NEWMAN NOYES
Accountancy firm EIN	2019-12-31	010494256
2018 : RETIREMENT PLAN OF FRISBIE MEMORIAL HOSPITAL 2018 401k financial data
Total income from all sources (including contributions)	2018-12-31	$11,793
Total of all expenses incurred	2018-12-31	$7,022,863
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$6,923,990
Expenses. Certain deemed distributions of participant loans	2018-12-31	$46,953
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$3,770,388
Value of total assets at end of year	2018-12-31	$72,165,526
Value of total assets at beginning of year	2018-12-31	$79,176,596
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$51,920
Total interest from all sources	2018-12-31	$406,899
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$3,919,375
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$3,919,375
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$500,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$3,562,909
Participant contributions at end of year	2018-12-31	$745,651
Participant contributions at beginning of year	2018-12-31	$813,488
Assets. Other investments not covered elsewhere at end of year	2018-12-31	$179,768
Assets. Other investments not covered elsewhere at beginning of year	2018-12-31	$197,205
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$207,479
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-7,011,070
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$72,165,526
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$79,176,596
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$58,412,991
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$65,155,521
Interest on participant loans	2018-12-31	$37,926
Interest earned on other investments	2018-12-31	$368,973
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$12,827,116
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$13,010,382
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-8,084,869
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$6,923,990
Contract administrator fees	2018-12-31	$51,920
Did the plan have assets held for investment	2018-12-31	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	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	BAKER NEWMAN NOYES
Accountancy firm EIN	2018-12-31	010494256
2017 : RETIREMENT PLAN OF FRISBIE MEMORIAL HOSPITAL 2017 401k financial data
Total income from all sources (including contributions)	2017-12-31	$15,247,234
Total of all expenses incurred	2017-12-31	$4,616,579
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$4,590,130
Expenses. Certain deemed distributions of participant loans	2017-12-31	$3,858
Value of total corrective distributions	2017-12-31	$14,520
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$5,600,079
Value of total assets at end of year	2017-12-31	$79,176,596
Value of total assets at beginning of year	2017-12-31	$68,545,941
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$8,071
Total interest from all sources	2017-12-31	$403,993
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$2,602,131
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$2,602,131
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$500,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$3,760,514
Participant contributions at end of year	2017-12-31	$813,488
Participant contributions at beginning of year	2017-12-31	$812,371
Assets. Other investments not covered elsewhere at end of year	2017-12-31	$197,205
Assets. Other investments not covered elsewhere at beginning of year	2017-12-31	$166,977
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$391,401
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$10,630,655
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$79,176,596
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$68,545,941
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$65,155,521
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$54,550,002
Interest on participant loans	2017-12-31	$36,281
Interest earned on other investments	2017-12-31	$367,712
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$13,010,382
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$13,016,591
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$6,641,031
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$1,448,164
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$4,590,130
Contract administrator fees	2017-12-31	$8,071
Did the plan have assets held for investment	2017-12-31	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	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	BAKER NEWMAN NOYES
Accountancy firm EIN	2017-12-31	010494256
2016 : RETIREMENT PLAN OF FRISBIE MEMORIAL HOSPITAL 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	$10,384,838
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$6,798,264
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$6,605,857
Expenses. Certain deemed distributions of participant loans	2016-12-31	$142,145
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$5,635,194
Value of total assets at end of year	2016-12-31	$67,503,468
Value of total assets at beginning of year	2016-12-31	$63,916,894
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$50,262
Total interest from all sources	2016-12-31	$364,898
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$1,765,395
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	$1,765,395
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$500,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$3,752,623
Participant contributions at end of year	2016-12-31	$812,371
Participant contributions at beginning of year	2016-12-31	$788,471
Assets. Other investments not covered elsewhere at end of year	2016-12-31	$111,937
Assets. Other investments not covered elsewhere at beginning of year	2016-12-31	$304,962
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$456,233
Administrative expenses (other) incurred	2016-12-31	$42,708
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$3,586,574
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$67,503,468
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$63,916,894
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	$54,550,002
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$49,522,296
Interest on participant loans	2016-12-31	$39,364
Interest earned on other investments	2016-12-31	$325,534
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$12,029,158
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$13,301,165
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$2,619,351
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$1,426,338
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$6,605,857
Contract administrator fees	2016-12-31	$7,554
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	BERRY DUNN MCNEIL & PARKER
Accountancy firm EIN	2016-12-31	010523282
2015 : RETIREMENT PLAN OF FRISBIE MEMORIAL HOSPITAL 2015 401k financial data
Unrealized appreciation/depreciation of real estate assets	2015-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2015-12-31	$0
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
Expenses. Interest paid	2015-12-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$5,297,627
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$5,311,332
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$5,262,074
Expenses. Certain deemed distributions of participant loans	2015-12-31	$46,383
Value of total corrective distributions	2015-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$5,578,977
Value of total assets at end of year	2015-12-31	$63,916,894
Value of total assets at beginning of year	2015-12-31	$63,930,599
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$2,875
Total income from rents	2015-12-31	$0
Total interest from all sources	2015-12-31	$433,614
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$2,168,776
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	$2,168,776
Assets. Real estate other than employer real property at end of year	2015-12-31	$0
Assets. Real estate other than employer real property at beginning of year	2015-12-31	$0
Administrative expenses professional fees incurred	2015-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2015-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2015-12-31	$0
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$500,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
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
Contributions received from participants	2015-12-31	$3,582,823
Participant contributions at end of year	2015-12-31	$788,471
Participant contributions at beginning of year	2015-12-31	$875,618
Participant contributions at end of year	2015-12-31	$0
Participant contributions at beginning of year	2015-12-31	$0
Assets. Other investments not covered elsewhere at end of year	2015-12-31	$304,962
Assets. Other investments not covered elsewhere at beginning of year	2015-12-31	$398,563
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$732,506
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2015-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2015-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2015-12-31	$0
Assets. Loans (other than to participants) at end of year	2015-12-31	$0
Assets. Loans (other than to participants) at beginning of year	2015-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2015-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2015-12-31	$0
Other income not declared elsewhere	2015-12-31	$-246,143
Administrative expenses (other) incurred	2015-12-31	$0
Total non interest bearing cash at end of year	2015-12-31	$0
Total non interest bearing cash at beginning of year	2015-12-31	$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	2015-12-31	No
Income. Non cash contributions	2015-12-31	$0
Value of net income/loss	2015-12-31	$-13,705
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$63,916,894
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$63,930,599
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
Assets. partnership/joint venture interests at end of year	2015-12-31	$0
Assets. partnership/joint venture interests at beginning of year	2015-12-31	$0
Investment advisory and management fees	2015-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$49,522,296
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$48,745,194
Interest on participant loans	2015-12-31	$38,614
Income. Interest from loans (other than to participants)	2015-12-31	$0
Interest earned on other investments	2015-12-31	$395,000
Income. Interest from US Government securities	2015-12-31	$0
Income. Interest from corporate debt instruments	2015-12-31	$0
Value of interest in master investment trust accounts at end of year	2015-12-31	$0
Value of interest in master investment trust accounts at beginning of year	2015-12-31	$0
Value of interest in common/collective trusts at end of year	2015-12-31	$0
Value of interest in common/collective trusts at beginning of year	2015-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-12-31	$0
Assets. Value of investments in 103.12 investment entities at end of year	2015-12-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2015-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$13,301,165
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$13,911,224
Expenses. Payments to insurance carriers foe the provision of benefits	2015-12-31	$1,954
Asset value of US Government securities at end of year	2015-12-31	$0
Asset value of US Government securities at beginning of year	2015-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-2,637,597
Net investment gain/loss from pooled separate accounts	2015-12-31	$0
Net investment gain or loss from common/collective trusts	2015-12-31	$0
Net gain/loss from 103.12 investment entities	2015-12-31	$0
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
Assets. Invements in employer securities at end of year	2015-12-31	$0
Assets. Invements in employer securities at beginning of year	2015-12-31	$0
Assets. Value of employer real property at end of year	2015-12-31	$0
Assets. Value of employer real property at beginning of year	2015-12-31	$0
Contributions received in cash from employer	2015-12-31	$1,263,648
Employer contributions (assets) at end of year	2015-12-31	$0
Employer contributions (assets) at beginning of year	2015-12-31	$0
Income. Dividends from preferred stock	2015-12-31	$0
Income. Dividends from common stock	2015-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$5,260,120
Asset. Corporate debt instrument preferred debt at end of year	2015-12-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2015-12-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2015-12-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2015-12-31	$0
Contract administrator fees	2015-12-31	$2,875
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	2015-12-31	No
Assets. Corporate common stocks other than exployer securities at end of year	2015-12-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2015-12-31	$0
Liabilities. Value of benefit claims payable at end of year	2015-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2015-12-31	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2015-12-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2015-12-31	$0
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
Aggregate proceeds on sale of assets	2015-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2015-12-31	$0
Liabilities. Value of acquisition indebtedness at end of year	2015-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2015-12-31	$0
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	BERRY DUNN MCNEIL & PARKER
Accountancy firm EIN	2015-12-31	010523282
2014 : RETIREMENT PLAN OF FRISBIE MEMORIAL HOSPITAL 2014 401k financial data
Unrealized appreciation/depreciation of real estate assets	2014-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2014-12-31	$0
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
Expenses. Interest paid	2014-12-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$8,069,249
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$3,203,399
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$3,188,758
Expenses. Certain deemed distributions of participant loans	2014-12-31	$12,788
Value of total corrective distributions	2014-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$4,696,388
Value of total assets at end of year	2014-12-31	$63,930,599
Value of total assets at beginning of year	2014-12-31	$59,064,749
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$1,853
Total income from rents	2014-12-31	$0
Total interest from all sources	2014-12-31	$421,461
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$2,163,253
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$2,163,253
Assets. Real estate other than employer real property at end of year	2014-12-31	$0
Assets. Real estate other than employer real property at beginning of year	2014-12-31	$0
Administrative expenses professional fees incurred	2014-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2014-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2014-12-31	$0
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
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	$3,224,043
Participant contributions at end of year	2014-12-31	$875,618
Participant contributions at beginning of year	2014-12-31	$815,516
Participant contributions at end of year	2014-12-31	$0
Participant contributions at beginning of year	2014-12-31	$0
Assets. Other investments not covered elsewhere at end of year	2014-12-31	$398,563
Assets. Other investments not covered elsewhere at beginning of year	2014-12-31	$384,754
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$490,794
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2014-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2014-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2014-12-31	$0
Assets. Loans (other than to participants) at end of year	2014-12-31	$0
Assets. Loans (other than to participants) at beginning of year	2014-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2014-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2014-12-31	$0
Other income not declared elsewhere	2014-12-31	$16,075
Administrative expenses (other) incurred	2014-12-31	$0
Total non interest bearing cash at end of year	2014-12-31	$0
Total non interest bearing cash at beginning of year	2014-12-31	$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	2014-12-31	No
Income. Non cash contributions	2014-12-31	$0
Value of net income/loss	2014-12-31	$4,865,850
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$63,930,599
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$59,064,749
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
Assets. partnership/joint venture interests at end of year	2014-12-31	$0
Assets. partnership/joint venture interests at beginning of year	2014-12-31	$0
Investment advisory and management fees	2014-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$48,745,194
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$45,689,462
Interest on participant loans	2014-12-31	$37,677
Income. Interest from loans (other than to participants)	2014-12-31	$0
Interest earned on other investments	2014-12-31	$383,784
Income. Interest from US Government securities	2014-12-31	$0
Income. Interest from corporate debt instruments	2014-12-31	$0
Value of interest in master investment trust accounts at end of year	2014-12-31	$0
Value of interest in master investment trust accounts at beginning of year	2014-12-31	$0
Value of interest in common/collective trusts at end of year	2014-12-31	$0
Value of interest in common/collective trusts at beginning of year	2014-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-12-31	$0
Assets. Value of investments in 103.12 investment entities at end of year	2014-12-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2014-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$13,911,224
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$12,175,017
Expenses. Payments to insurance carriers foe the provision of benefits	2014-12-31	$1,954
Asset value of US Government securities at end of year	2014-12-31	$0
Asset value of US Government securities at beginning of year	2014-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$772,072
Net investment gain/loss from pooled separate accounts	2014-12-31	$0
Net investment gain or loss from common/collective trusts	2014-12-31	$0
Net gain/loss from 103.12 investment entities	2014-12-31	$0
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
Assets. Invements in employer securities at end of year	2014-12-31	$0
Assets. Invements in employer securities at beginning of year	2014-12-31	$0
Assets. Value of employer real property at end of year	2014-12-31	$0
Assets. Value of employer real property at beginning of year	2014-12-31	$0
Contributions received in cash from employer	2014-12-31	$981,551
Employer contributions (assets) at end of year	2014-12-31	$0
Employer contributions (assets) at beginning of year	2014-12-31	$0
Income. Dividends from preferred stock	2014-12-31	$0
Income. Dividends from common stock	2014-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$3,186,804
Asset. Corporate debt instrument preferred debt at end of year	2014-12-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2014-12-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2014-12-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2014-12-31	$0
Contract administrator fees	2014-12-31	$1,853
Assets. Corporate common stocks other than exployer securities at end of year	2014-12-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2014-12-31	$0
Liabilities. Value of benefit claims payable at end of year	2014-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2014-12-31	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2014-12-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2014-12-31	$0
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
Aggregate proceeds on sale of assets	2014-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2014-12-31	$0
Liabilities. Value of acquisition indebtedness at end of year	2014-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2014-12-31	$0
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	BERRY DUNN MCNEIL & PARKER
Accountancy firm EIN	2014-12-31	010523282
2013 : RETIREMENT PLAN OF FRISBIE MEMORIAL HOSPITAL 2013 401k financial data
Unrealized appreciation/depreciation of real estate assets	2013-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2013-12-31	$0
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
Expenses. Interest paid	2013-12-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$12,973,699
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$4,531,462
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$4,503,332
Expenses. Certain deemed distributions of participant loans	2013-12-31	$26,569
Value of total corrective distributions	2013-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$4,771,603
Value of total assets at end of year	2013-12-31	$59,064,749
Value of total assets at beginning of year	2013-12-31	$50,622,512
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$1,561
Total income from rents	2013-12-31	$0
Total interest from all sources	2013-12-31	$386,305
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$1,413,833
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$1,413,833
Assets. Real estate other than employer real property at end of year	2013-12-31	$0
Assets. Real estate other than employer real property at beginning of year	2013-12-31	$0
Administrative expenses professional fees incurred	2013-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2013-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2013-12-31	$0
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
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	$3,073,732
Participant contributions at end of year	2013-12-31	$815,516
Participant contributions at beginning of year	2013-12-31	$821,100
Participant contributions at end of year	2013-12-31	$0
Participant contributions at beginning of year	2013-12-31	$0
Assets. Other investments not covered elsewhere at end of year	2013-12-31	$384,754
Assets. Other investments not covered elsewhere at beginning of year	2013-12-31	$845,435
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$779,127
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2013-12-31	$0
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	$0
Assets. Loans (other than to participants) at end of year	2013-12-31	$0
Assets. Loans (other than to participants) at beginning of year	2013-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2013-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2013-12-31	$0
Other income not declared elsewhere	2013-12-31	$59,447
Administrative expenses (other) incurred	2013-12-31	$0
Total non interest bearing cash at end of year	2013-12-31	$0
Total non interest bearing cash at beginning of year	2013-12-31	$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	2013-12-31	No
Income. Non cash contributions	2013-12-31	$0
Value of net income/loss	2013-12-31	$8,442,237
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$59,064,749
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$50,622,512
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Assets. partnership/joint venture interests at end of year	2013-12-31	$0
Assets. partnership/joint venture interests at beginning of year	2013-12-31	$0
Investment advisory and management fees	2013-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$45,689,462
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$37,038,936
Interest on participant loans	2013-12-31	$38,196
Income. Interest from loans (other than to participants)	2013-12-31	$0
Interest earned on other investments	2013-12-31	$348,109
Income. Interest from US Government securities	2013-12-31	$0
Income. Interest from corporate debt instruments	2013-12-31	$0
Value of interest in master investment trust accounts at end of year	2013-12-31	$0
Value of interest in master investment trust accounts at beginning of year	2013-12-31	$0
Value of interest in common/collective trusts at end of year	2013-12-31	$0
Value of interest in common/collective trusts at beginning of year	2013-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-31	$0
Assets. Value of investments in 103.12 investment entities at end of year	2013-12-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2013-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$12,175,017
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$11,917,041
Expenses. Payments to insurance carriers foe the provision of benefits	2013-12-31	$2,023
Asset value of US Government securities at end of year	2013-12-31	$0
Asset value of US Government securities at beginning of year	2013-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$6,342,511
Net investment gain/loss from pooled separate accounts	2013-12-31	$0
Net investment gain or loss from common/collective trusts	2013-12-31	$0
Net gain/loss from 103.12 investment entities	2013-12-31	$0
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
Assets. Invements in employer securities at end of year	2013-12-31	$0
Assets. Invements in employer securities at beginning of year	2013-12-31	$0
Assets. Value of employer real property at end of year	2013-12-31	$0
Assets. Value of employer real property at beginning of year	2013-12-31	$0
Contributions received in cash from employer	2013-12-31	$918,744
Employer contributions (assets) at end of year	2013-12-31	$0
Employer contributions (assets) at beginning of year	2013-12-31	$0
Income. Dividends from preferred stock	2013-12-31	$0
Income. Dividends from common stock	2013-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$4,501,309
Asset. Corporate debt instrument preferred debt at end of year	2013-12-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2013-12-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2013-12-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2013-12-31	$0
Contract administrator fees	2013-12-31	$1,561
Assets. Corporate common stocks other than exployer securities at end of year	2013-12-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2013-12-31	$0
Liabilities. Value of benefit claims payable at end of year	2013-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2013-12-31	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2013-12-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2013-12-31	$0
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
Aggregate proceeds on sale of assets	2013-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2013-12-31	$0
Liabilities. Value of acquisition indebtedness at end of year	2013-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2013-12-31	$0
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	BERRY DUNN MCNEIL & PARKER
Accountancy firm EIN	2013-12-31	010523282
2012 : RETIREMENT PLAN OF FRISBIE MEMORIAL HOSPITAL 2012 401k financial data
Unrealized appreciation/depreciation of real estate assets	2012-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2012-12-31	$0
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
Expenses. Interest paid	2012-12-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$9,836,054
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$3,271,434
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$3,213,664
Expenses. Certain deemed distributions of participant loans	2012-12-31	$40,709
Value of total corrective distributions	2012-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$4,766,857
Value of total assets at end of year	2012-12-31	$50,622,512
Value of total assets at beginning of year	2012-12-31	$44,057,892
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$17,061
Total income from rents	2012-12-31	$0
Total interest from all sources	2012-12-31	$387,528
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$948,396
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	$948,396
Assets. Real estate other than employer real property at end of year	2012-12-31	$0
Assets. Real estate other than employer real property at beginning of year	2012-12-31	$0
Administrative expenses professional fees incurred	2012-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2012-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2012-12-31	$0
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
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	$3,127,198
Participant contributions at end of year	2012-12-31	$821,100
Participant contributions at beginning of year	2012-12-31	$720,944
Participant contributions at end of year	2012-12-31	$0
Participant contributions at beginning of year	2012-12-31	$0
Assets. Other investments not covered elsewhere at end of year	2012-12-31	$845,435
Assets. Other investments not covered elsewhere at beginning of year	2012-12-31	$798,882
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$756,276
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-12-31	$0
Assets. Loans (other than to participants) at end of year	2012-12-31	$0
Assets. Loans (other than to participants) at beginning of year	2012-12-31	$0
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	$0
Other income not declared elsewhere	2012-12-31	$67,604
Administrative expenses (other) incurred	2012-12-31	$0
Total non interest bearing cash at end of year	2012-12-31	$0
Total non interest bearing cash at beginning of year	2012-12-31	$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	2012-12-31	No
Income. Non cash contributions	2012-12-31	$0
Value of net income/loss	2012-12-31	$6,564,620
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$50,622,512
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$44,057,892
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Assets. partnership/joint venture interests at end of year	2012-12-31	$0
Assets. partnership/joint venture interests at beginning of year	2012-12-31	$0
Investment advisory and management fees	2012-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$37,038,936
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$30,950,142
Interest on participant loans	2012-12-31	$37,129
Income. Interest from loans (other than to participants)	2012-12-31	$0
Interest earned on other investments	2012-12-31	$350,399
Income. Interest from US Government securities	2012-12-31	$0
Income. Interest from corporate debt instruments	2012-12-31	$0
Value of interest in master investment trust accounts at end of year	2012-12-31	$0
Value of interest in master investment trust accounts at beginning of year	2012-12-31	$0
Value of interest in common/collective trusts at end of year	2012-12-31	$0
Value of interest in common/collective trusts at beginning of year	2012-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$0
Assets. Value of investments in 103.12 investment entities at end of year	2012-12-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2012-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$11,917,041
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$11,587,924
Expenses. Payments to insurance carriers foe the provision of benefits	2012-12-31	$1,982
Asset value of US Government securities at end of year	2012-12-31	$0
Asset value of US Government securities at beginning of year	2012-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$3,665,669
Net investment gain/loss from pooled separate accounts	2012-12-31	$0
Net investment gain or loss from common/collective trusts	2012-12-31	$0
Net gain/loss from 103.12 investment entities	2012-12-31	$0
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
Assets. Invements in employer securities at end of year	2012-12-31	$0
Assets. Invements in employer securities at beginning of year	2012-12-31	$0
Assets. Value of employer real property at end of year	2012-12-31	$0
Assets. Value of employer real property at beginning of year	2012-12-31	$0
Contributions received in cash from employer	2012-12-31	$883,383
Employer contributions (assets) at end of year	2012-12-31	$0
Employer contributions (assets) at beginning of year	2012-12-31	$0
Income. Dividends from preferred stock	2012-12-31	$0
Income. Dividends from common stock	2012-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$3,211,682
Asset. Corporate debt instrument preferred debt at end of year	2012-12-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2012-12-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2012-12-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2012-12-31	$0
Contract administrator fees	2012-12-31	$17,061
Assets. Corporate common stocks other than exployer securities at end of year	2012-12-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2012-12-31	$0
Liabilities. Value of benefit claims payable at end of year	2012-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2012-12-31	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2012-12-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2012-12-31	$0
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
Aggregate proceeds on sale of assets	2012-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2012-12-31	$0
Liabilities. Value of acquisition indebtedness at end of year	2012-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2012-12-31	$0
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	BERRY DUNN MCNEIL & PARKER
Accountancy firm EIN	2012-12-31	010523282
2011 : RETIREMENT PLAN OF FRISBIE MEMORIAL HOSPITAL 2011 401k financial data
Unrealized appreciation/depreciation of real estate assets	2011-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2011-12-31	$0
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total transfer of assets to this plan	2011-12-31	$0
Total transfer of assets from this plan	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
Expenses. Interest paid	2011-12-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$3,784,155
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$1,604,652
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$1,568,087
Expenses. Certain deemed distributions of participant loans	2011-12-31	$32,452
Value of total corrective distributions	2011-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$4,387,634
Value of total assets at end of year	2011-12-31	$44,057,892
Value of total assets at beginning of year	2011-12-31	$41,878,389
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$4,113
Total income from rents	2011-12-31	$0
Total interest from all sources	2011-12-31	$354,934
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$693,672
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	$693,672
Assets. Real estate other than employer real property at end of year	2011-12-31	$0
Assets. Real estate other than employer real property at beginning of year	2011-12-31	$0
Administrative expenses professional fees incurred	2011-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2011-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2011-12-31	$0
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$500,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
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	$3,046,935
Participant contributions at end of year	2011-12-31	$720,944
Participant contributions at beginning of year	2011-12-31	$694,976
Participant contributions at end of year	2011-12-31	$0
Participant contributions at beginning of year	2011-12-31	$0
Assets. Other investments not covered elsewhere at end of year	2011-12-31	$798,882
Assets. Other investments not covered elsewhere at beginning of year	2011-12-31	$1,156,422
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$434,301
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2011-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-12-31	$0
Assets. Loans (other than to participants) at end of year	2011-12-31	$0
Assets. Loans (other than to participants) at beginning of year	2011-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2011-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2011-12-31	$0
Other income not declared elsewhere	2011-12-31	$-24,939
Administrative expenses (other) incurred	2011-12-31	$0
Total non interest bearing cash at end of year	2011-12-31	$0
Total non interest bearing cash 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
Income. Non cash contributions	2011-12-31	$0
Value of net income/loss	2011-12-31	$2,179,503
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$44,057,892
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$41,878,389
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Assets. partnership/joint venture interests at end of year	2011-12-31	$0
Assets. partnership/joint venture interests at beginning of year	2011-12-31	$0
Investment advisory and management fees	2011-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$30,950,142
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$30,105,909
Interest on participant loans	2011-12-31	$35,718
Income. Interest from loans (other than to participants)	2011-12-31	$0
Interest earned on other investments	2011-12-31	$319,216
Income. Interest from US Government securities	2011-12-31	$0
Income. Interest from corporate debt instruments	2011-12-31	$0
Value of interest in master investment trust accounts at end of year	2011-12-31	$0
Value of interest in master investment trust accounts at beginning of year	2011-12-31	$0
Value of interest in common/collective trusts at end of year	2011-12-31	$0
Value of interest in common/collective trusts at beginning of year	2011-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$0
Assets. Value of investments in 103.12 investment entities at end of year	2011-12-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2011-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$11,587,924
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$9,921,082
Expenses. Payments to insurance carriers foe the provision of benefits	2011-12-31	$2,441
Asset value of US Government securities at end of year	2011-12-31	$0
Asset value of US Government securities at beginning of year	2011-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-1,627,146
Net investment gain/loss from pooled separate accounts	2011-12-31	$0
Net investment gain or loss from common/collective trusts	2011-12-31	$0
Net gain/loss from 103.12 investment entities	2011-12-31	$0
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
Assets. Invements in employer securities at end of year	2011-12-31	$0
Assets. Invements in employer securities at beginning of year	2011-12-31	$0
Assets. Value of employer real property at end of year	2011-12-31	$0
Assets. Value of employer real property at beginning of year	2011-12-31	$0
Contributions received in cash from employer	2011-12-31	$906,398
Employer contributions (assets) at end of year	2011-12-31	$0
Employer contributions (assets) at beginning of year	2011-12-31	$0
Income. Dividends from preferred stock	2011-12-31	$0
Income. Dividends from common stock	2011-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$1,565,646
Asset. Corporate debt instrument preferred debt at end of year	2011-12-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2011-12-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2011-12-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2011-12-31	$0
Contract administrator fees	2011-12-31	$4,113
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
Assets. Corporate common stocks other than exployer securities at end of year	2011-12-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2011-12-31	$0
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	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2011-12-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2011-12-31	$0
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Aggregate proceeds on sale of assets	2011-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2011-12-31	$0
Liabilities. Value of acquisition indebtedness at end of year	2011-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2011-12-31	$0
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	BERRY DUNN MCNEIL & PARKER
Accountancy firm EIN	2011-12-31	010523282
2010 : RETIREMENT PLAN OF FRISBIE MEMORIAL HOSPITAL 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	$8,089,872
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$1,664,951
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$1,637,600
Expenses. Certain deemed distributions of participant loans	2010-12-31	$23,303
Value of total corrective distributions	2010-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$3,783,162
Value of total assets at end of year	2010-12-31	$41,878,389
Value of total assets at beginning of year	2010-12-31	$35,453,468
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$4,048
Total interest from all sources	2010-12-31	$350,656
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$602,488
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	$602,488
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
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	$2,835,405
Participant contributions at end of year	2010-12-31	$694,976
Participant contributions at beginning of year	2010-12-31	$593,260
Assets. Other investments not covered elsewhere at end of year	2010-12-31	$1,156,422
Assets. Other investments not covered elsewhere at beginning of year	2010-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$103,093
Other income not declared elsewhere	2010-12-31	$147,147
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$6,424,921
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$41,878,389
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$35,453,468
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	$30,105,909
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$25,881,009
Interest on participant loans	2010-12-31	$34,885
Interest earned on other investments	2010-12-31	$315,771
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$9,921,082
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$8,979,199
Expenses. Payments to insurance carriers foe the provision of benefits	2010-12-31	$3,047
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$3,206,419
Net investment gain/loss from pooled separate accounts	2010-12-31	$0
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	$844,664
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$1,634,553
Contract administrator fees	2010-12-31	$4,048
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2010-12-31	No
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	BERRY DUNN MCNEIL & PARKER
Accountancy firm EIN	2010-12-31	010523282
2009 : RETIREMENT PLAN OF FRISBIE MEMORIAL HOSPITAL 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for RETIREMENT PLAN OF FRISBIE MEMORIAL HOSPITAL

2020: RETIREMENT PLAN OF FRISBIE MEMORIAL HOSPITAL 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	Yes
2020-01-01	This submission is the final filing	Yes
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: RETIREMENT PLAN OF FRISBIE MEMORIAL HOSPITAL 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: RETIREMENT PLAN OF FRISBIE MEMORIAL HOSPITAL 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: RETIREMENT PLAN OF FRISBIE MEMORIAL HOSPITAL 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
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: RETIREMENT PLAN OF FRISBIE MEMORIAL HOSPITAL 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	Yes
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: RETIREMENT PLAN OF FRISBIE MEMORIAL HOSPITAL 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: RETIREMENT PLAN OF FRISBIE MEMORIAL HOSPITAL 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 FRISBIE MEMORIAL HOSPITAL 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	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 FRISBIE MEMORIAL HOSPITAL 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 FRISBIE MEMORIAL HOSPITAL 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	Yes
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – 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: RETIREMENT PLAN OF FRISBIE MEMORIAL HOSPITAL 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – 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

71672

Policy instance

Insurance contract or identification number	71672
Number of Individuals Covered	0
Insurance policy start date	2020-01-01
Insurance policy end date	2020-10-31
Contracts With Unallocated Funds Deposit Administration	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

COPE0101CA38

Policy instance

Insurance contract or identification number	COPE0101CA38
Number of Individuals Covered	0
Insurance policy start date	2020-01-01
Insurance policy end date	2020-10-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0837511

Policy instance

Insurance contract or identification number	0837511
Number of Individuals Covered	0
Insurance policy start date	2020-01-01
Insurance policy end date	2020-10-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

71672

Policy instance

Insurance contract or identification number	71672
Number of Individuals Covered	781
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Contracts With Unallocated Funds Deposit Administration	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

COPE0101CA38

Policy instance

Insurance contract or identification number	COPE0101CA38
Number of Individuals Covered	13
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )

Policy contract number

924916

Policy instance

Insurance contract or identification number	924916
Number of Individuals Covered	0
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0837511

Policy instance

Insurance contract or identification number	0837511
Number of Individuals Covered	5
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0837511

Policy instance

Insurance contract or identification number	0837511
Number of Individuals Covered	6
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )

Policy contract number

924916

Policy instance

Insurance contract or identification number	924916
Number of Individuals Covered	1
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $1,501
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,501
Insurance broker organization code?	3

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

COPE0101CA38

Policy instance

Insurance contract or identification number	COPE0101CA38
Number of Individuals Covered	13
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

71672

Policy instance

Insurance contract or identification number	71672
Number of Individuals Covered	827
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Contracts With Unallocated Funds Deposit Administration	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

71672

Policy instance

Insurance contract or identification number	71672
Number of Individuals Covered	826
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Contracts With Unallocated Funds Deposit Administration	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

COPE0101CA38

Policy instance

Insurance contract or identification number	COPE0101CA38
Number of Individuals Covered	15
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )

Policy contract number

924916

Policy instance

Insurance contract or identification number	924916
Number of Individuals Covered	2
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $160
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $160
Insurance broker organization code?	3
Insurance broker name	BRIGHTHOUSE LIFE INSURANCE COMPANY

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0837511

Policy instance

Insurance contract or identification number	0837511
Number of Individuals Covered	6
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	FRISBIE MEMORIAL HOSPITAL
Employer identification number (EIN):	020222131
NAIC Classification:	622000
NAIC Description:	Hospitals