401k Plan data: ALICE PECK DAY MEMORIAL HOSPITAL 403(B) RETIREMENT PLAN plan

ALICE PECK DAY MEMORIAL HOSPITAL 403(B) RETIREMENT PLAN 401k Plan overview

Plan Name	ALICE PECK DAY MEMORIAL HOSPITAL 403(B) RETIREMENT PLAN
Plan identification number	002

ALICE PECK DAY MEMORIAL HOSPITAL 403(B) RETIREMENT PLAN 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.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

ALICE PECK DAY MEMORIAL HOSPITAL has sponsored the creation of one or more 401k plans.

Company Name: ALICE PECK DAY MEMORIAL HOSPITAL

Employer identification number (EIN): 020222791

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ALICE PECK DAY MEMORIAL HOSPITAL 403(B) RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2022-01-01
002 2021-01-01
002 2020-01-01
002 2019-01-01
002 2018-01-01
002 2017-01-01 BRENDA BLAIR
002 2016-01-01 BRENDA BLAIR
002 2015-01-01 SUSAN MOONEY
002 2014-01-01 EVALIE CROSBY

Plan Statistics for ALICE PECK DAY MEMORIAL HOSPITAL 403(B) RETIREMENT PLAN

401k plan membership statisitcs for ALICE PECK DAY MEMORIAL HOSPITAL 403(B) RETIREMENT PLAN

Measure Date Value
2022: ALICE PECK DAY MEMORIAL HOSPITAL 403(B) RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 834
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 570
Number of retired or separated participants receiving benefits 2022-01-01 27
Number of other retired or separated participants entitled to future benefits 2022-01-01 277
Total of all active and inactive participants 2022-01-01 874
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 874
Number of participants with account balances 2022-01-01 838
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 46
2021: ALICE PECK DAY MEMORIAL HOSPITAL 403(B) RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 809
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 557
Number of retired or separated participants receiving benefits 2021-01-01 24
Number of other retired or separated participants entitled to future benefits 2021-01-01 253
Total of all active and inactive participants 2021-01-01 834
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 834
Number of participants with account balances 2021-01-01 788
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 37
2020: ALICE PECK DAY MEMORIAL HOSPITAL 403(B) RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 753
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 543
Number of retired or separated participants receiving benefits 2020-01-01 20
Number of other retired or separated participants entitled to future benefits 2020-01-01 241
Total of all active and inactive participants 2020-01-01 804
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 804
Number of participants with account balances 2020-01-01 786
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 41
2019: ALICE PECK DAY MEMORIAL HOSPITAL 403(B) RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 745
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 512
Number of retired or separated participants receiving benefits 2019-01-01 26
Number of other retired or separated participants entitled to future benefits 2019-01-01 214
Total of all active and inactive participants 2019-01-01 752
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 752
Number of participants with account balances 2019-01-01 728
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 55
2018: ALICE PECK DAY MEMORIAL HOSPITAL 403(B) RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 746
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 546
Number of retired or separated participants receiving benefits 2018-01-01 21
Number of other retired or separated participants entitled to future benefits 2018-01-01 178
Total of all active and inactive participants 2018-01-01 745
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 745
Number of participants with account balances 2018-01-01 715
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 49
2017: ALICE PECK DAY MEMORIAL HOSPITAL 403(B) RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 787
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 564
Number of retired or separated participants receiving benefits 2017-01-01 7
Number of other retired or separated participants entitled to future benefits 2017-01-01 171
Total of all active and inactive participants 2017-01-01 742
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 1
Total participants 2017-01-01 743
Number of participants with account balances 2017-01-01 724
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 31
2016: ALICE PECK DAY MEMORIAL HOSPITAL 403(B) RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 754
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 606
Number of retired or separated participants receiving benefits 2016-01-01 7
Number of other retired or separated participants entitled to future benefits 2016-01-01 173
Total of all active and inactive participants 2016-01-01 786
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 1
Total participants 2016-01-01 787
Number of participants with account balances 2016-01-01 744
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 49
2015: ALICE PECK DAY MEMORIAL HOSPITAL 403(B) RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 760
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 614
Number of retired or separated participants receiving benefits 2015-01-01 5
Number of other retired or separated participants entitled to future benefits 2015-01-01 134
Total of all active and inactive participants 2015-01-01 753
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 1
Total participants 2015-01-01 754
Number of participants with account balances 2015-01-01 710
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 26
2014: ALICE PECK DAY MEMORIAL HOSPITAL 403(B) RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 693
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 595
Number of retired or separated participants receiving benefits 2014-01-01 5
Number of other retired or separated participants entitled to future benefits 2014-01-01 160
Total of all active and inactive participants 2014-01-01 760
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 760
Number of participants with account balances 2014-01-01 706
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 17

Measure	Date	Value
2022: ALICE PECK DAY MEMORIAL HOSPITAL 403(B) RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	834
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	570
Number of retired or separated participants receiving benefits	2022-01-01	27
Number of other retired or separated participants entitled to future benefits	2022-01-01	277
Total of all active and inactive participants	2022-01-01	874
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	874
Number of participants with account balances	2022-01-01	838
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	46
2021: ALICE PECK DAY MEMORIAL HOSPITAL 403(B) RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	809
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	557
Number of retired or separated participants receiving benefits	2021-01-01	24
Number of other retired or separated participants entitled to future benefits	2021-01-01	253
Total of all active and inactive participants	2021-01-01	834
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	834
Number of participants with account balances	2021-01-01	788
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	37
2020: ALICE PECK DAY MEMORIAL HOSPITAL 403(B) RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	753
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	543
Number of retired or separated participants receiving benefits	2020-01-01	20
Number of other retired or separated participants entitled to future benefits	2020-01-01	241
Total of all active and inactive participants	2020-01-01	804
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	804
Number of participants with account balances	2020-01-01	786
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	41
2019: ALICE PECK DAY MEMORIAL HOSPITAL 403(B) RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	745
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	512
Number of retired or separated participants receiving benefits	2019-01-01	26
Number of other retired or separated participants entitled to future benefits	2019-01-01	214
Total of all active and inactive participants	2019-01-01	752
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	752
Number of participants with account balances	2019-01-01	728
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	55
2018: ALICE PECK DAY MEMORIAL HOSPITAL 403(B) RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	746
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	546
Number of retired or separated participants receiving benefits	2018-01-01	21
Number of other retired or separated participants entitled to future benefits	2018-01-01	178
Total of all active and inactive participants	2018-01-01	745
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	745
Number of participants with account balances	2018-01-01	715
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	49
2017: ALICE PECK DAY MEMORIAL HOSPITAL 403(B) RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	787
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	564
Number of retired or separated participants receiving benefits	2017-01-01	7
Number of other retired or separated participants entitled to future benefits	2017-01-01	171
Total of all active and inactive participants	2017-01-01	742
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	1
Total participants	2017-01-01	743
Number of participants with account balances	2017-01-01	724
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	31
2016: ALICE PECK DAY MEMORIAL HOSPITAL 403(B) RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	754
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	606
Number of retired or separated participants receiving benefits	2016-01-01	7
Number of other retired or separated participants entitled to future benefits	2016-01-01	173
Total of all active and inactive participants	2016-01-01	786
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	1
Total participants	2016-01-01	787
Number of participants with account balances	2016-01-01	744
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	49
2015: ALICE PECK DAY MEMORIAL HOSPITAL 403(B) RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	760
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	614
Number of retired or separated participants receiving benefits	2015-01-01	5
Number of other retired or separated participants entitled to future benefits	2015-01-01	134
Total of all active and inactive participants	2015-01-01	753
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	1
Total participants	2015-01-01	754
Number of participants with account balances	2015-01-01	710
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	26
2014: ALICE PECK DAY MEMORIAL HOSPITAL 403(B) RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	693
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	595
Number of retired or separated participants receiving benefits	2014-01-01	5
Number of other retired or separated participants entitled to future benefits	2014-01-01	160
Total of all active and inactive participants	2014-01-01	760
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	760
Number of participants with account balances	2014-01-01	706
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	17

Financial Data on ALICE PECK DAY MEMORIAL HOSPITAL 403(B) RETIREMENT PLAN

Measure	Date	Value
2022 : ALICE PECK DAY MEMORIAL HOSPITAL 403(B) RETIREMENT PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total income from all sources (including contributions)	2022-12-31	$-3,103,513
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$1,732,361
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$1,554,867
Expenses. Certain deemed distributions of participant loans	2022-12-31	$20,886
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$4,223,252
Value of total assets at end of year	2022-12-31	$43,187,469
Value of total assets at beginning of year	2022-12-31	$48,023,343
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$156,608
Total interest from all sources	2022-12-31	$109,216
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$1,974,178
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$1,974,178
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$2,729,981
Participant contributions at end of year	2022-12-31	$349,889
Participant contributions at beginning of year	2022-12-31	$327,249
Assets. Other investments not covered elsewhere at end of year	2022-12-31	$104,233
Assets. Other investments not covered elsewhere at beginning of year	2022-12-31	$101,160
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$112,592
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-4,835,874
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$43,187,469
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$48,023,343
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Investment advisory and management fees	2022-12-31	$31,940
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$37,117,237
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$41,804,360
Interest on participant loans	2022-12-31	$17,054
Interest earned on other investments	2022-12-31	$92,162
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$4,665,284
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$4,691,465
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-9,410,159
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$1,380,679
Employer contributions (assets) at end of year	2022-12-31	$950,826
Employer contributions (assets) at beginning of year	2022-12-31	$1,099,109
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$1,554,867
Contract administrator fees	2022-12-31	$124,668
Did the plan have assets held for investment	2022-12-31	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	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	CARON & BLETZER, PLLC
Accountancy firm EIN	2022-12-31	043499945
2021 : ALICE PECK DAY MEMORIAL HOSPITAL 403(B) RETIREMENT PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total income from all sources (including contributions)	2021-12-31	$10,794,313
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$4,230,349
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$4,048,821
Expenses. Certain deemed distributions of participant loans	2021-12-31	$493
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$4,811,598
Value of total assets at end of year	2021-12-31	$48,023,343
Value of total assets at beginning of year	2021-12-31	$41,459,379
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$181,035
Total interest from all sources	2021-12-31	$106,950
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$1,602,598
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$1,602,598
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$2,421,410
Participant contributions at end of year	2021-12-31	$327,249
Participant contributions at beginning of year	2021-12-31	$328,046
Assets. Other investments not covered elsewhere at end of year	2021-12-31	$101,160
Assets. Other investments not covered elsewhere at beginning of year	2021-12-31	$98,177
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$822,427
Other income not declared elsewhere	2021-12-31	$27,172
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$6,563,964
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$48,023,343
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$41,459,379
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Investment advisory and management fees	2021-12-31	$31,010
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$41,804,360
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$35,833,146
Interest on participant loans	2021-12-31	$16,097
Interest earned on other investments	2021-12-31	$90,853
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$4,691,465
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$4,971,292
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$4,245,995
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$1,567,761
Employer contributions (assets) at end of year	2021-12-31	$1,099,109
Employer contributions (assets) at beginning of year	2021-12-31	$228,718
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$4,048,821
Contract administrator fees	2021-12-31	$150,025
Did the plan have assets held for investment	2021-12-31	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	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	CARON & BLETZER, PLLC
Accountancy firm EIN	2021-12-31	043499945
2020 : ALICE PECK DAY MEMORIAL HOSPITAL 403(B) RETIREMENT PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total income from all sources (including contributions)	2020-12-31	$8,254,765
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$3,894,989
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$3,731,215
Expenses. Certain deemed distributions of participant loans	2020-12-31	$57,679
Value of total corrective distributions	2020-12-31	$2,251
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$3,302,256
Value of total assets at end of year	2020-12-31	$41,459,379
Value of total assets at beginning of year	2020-12-31	$37,099,603
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$103,844
Total interest from all sources	2020-12-31	$127,129
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$1,401,233
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$1,401,233
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$2,149,049
Participant contributions at end of year	2020-12-31	$328,046
Participant contributions at beginning of year	2020-12-31	$398,428
Assets. Other investments not covered elsewhere at end of year	2020-12-31	$98,177
Assets. Other investments not covered elsewhere at beginning of year	2020-12-31	$101,262
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$235,194
Other income not declared elsewhere	2020-12-31	$35,225
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$4,359,776
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$41,459,379
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$37,099,603
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Investment advisory and management fees	2020-12-31	$29,820
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$35,833,146
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$32,485,271
Interest on participant loans	2020-12-31	$20,221
Interest earned on other investments	2020-12-31	$106,908
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$4,971,292
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$4,114,642
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$3,388,922
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$918,013
Employer contributions (assets) at end of year	2020-12-31	$228,718
Employer contributions (assets) at beginning of year	2020-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$3,731,215
Contract administrator fees	2020-12-31	$74,024
Did the plan have assets held for investment	2020-12-31	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	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Unqualified
Accountancy firm name	2020-12-31	CARON & BLETZER, PLLC
Accountancy firm EIN	2020-12-31	043499945
2019 : ALICE PECK DAY MEMORIAL HOSPITAL 403(B) RETIREMENT PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$8,900,700
Total income from all sources (including contributions)	2019-12-31	$8,900,700
Total loss/gain on sale of assets	2019-12-31	$0
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$2,250,218
Total of all expenses incurred	2019-12-31	$2,250,218
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$2,093,821
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$2,093,821
Expenses. Certain deemed distributions of participant loans	2019-12-31	$41,898
Expenses. Certain deemed distributions of participant loans	2019-12-31	$41,898
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$2,751,487
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$2,751,487
Value of total assets at end of year	2019-12-31	$37,099,603
Value of total assets at end of year	2019-12-31	$37,099,603
Value of total assets at beginning of year	2019-12-31	$30,449,121
Value of total assets at beginning of year	2019-12-31	$30,449,121
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$114,499
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$114,499
Total interest from all sources	2019-12-31	$128,169
Total interest from all sources	2019-12-31	$128,169
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$1,352,462
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$1,352,462
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
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	$1,352,462
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$1,352,462
Was this plan covered by a fidelity bond	2019-12-31	Yes
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$5,000,000
Value of fidelity bond cover	2019-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$1,942,817
Contributions received from participants	2019-12-31	$1,942,817
Participant contributions at end of year	2019-12-31	$398,428
Participant contributions at end of year	2019-12-31	$398,428
Participant contributions at beginning of year	2019-12-31	$410,503
Participant contributions at beginning of year	2019-12-31	$410,503
Assets. Other investments not covered elsewhere at end of year	2019-12-31	$101,262
Assets. Other investments not covered elsewhere at end of year	2019-12-31	$101,262
Assets. Other investments not covered elsewhere at beginning of year	2019-12-31	$114,173
Assets. Other investments not covered elsewhere at beginning of year	2019-12-31	$114,173
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$235,877
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$235,877
Other income not declared elsewhere	2019-12-31	$18,947
Other income not declared elsewhere	2019-12-31	$18,947
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	$6,650,482
Value of net income/loss	2019-12-31	$6,650,482
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$37,099,603
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$37,099,603
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$30,449,121
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$30,449,121
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
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 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
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Investment advisory and management fees	2019-12-31	$31,771
Investment advisory and management fees	2019-12-31	$31,771
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$32,485,271
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$32,485,271
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$25,494,132
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$25,494,132
Interest on participant loans	2019-12-31	$20,653
Interest on participant loans	2019-12-31	$20,653
Interest earned on other investments	2019-12-31	$107,516
Interest earned on other investments	2019-12-31	$107,516
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$4,114,642
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$4,114,642
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$4,430,313
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$4,430,313
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$4,649,635
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$4,649,635
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
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
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$572,793
Contributions received in cash from employer	2019-12-31	$572,793
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$2,093,821
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$2,093,821
Contract administrator fees	2019-12-31	$82,728
Contract administrator fees	2019-12-31	$82,728
Did the plan have assets held for investment	2019-12-31	Yes
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
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	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	No
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	BAKER NEWMAN & NOYES LLC
Accountancy firm name	2019-12-31	BAKER NEWMAN & NOYES LLC
Accountancy firm EIN	2019-12-31	010494526
Accountancy firm EIN	2019-12-31	010494526
2018 : ALICE PECK DAY MEMORIAL HOSPITAL 403(B) RETIREMENT PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$1,404,856
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$3,011,106
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$2,848,274
Expenses. Certain deemed distributions of participant loans	2018-12-31	$39,111
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$3,111,049
Value of total assets at end of year	2018-12-31	$30,449,121
Value of total assets at beginning of year	2018-12-31	$32,055,371
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$123,721
Total interest from all sources	2018-12-31	$115,537
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$1,737,106
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	$1,737,106
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$1,977,302
Participant contributions at end of year	2018-12-31	$410,503
Participant contributions at beginning of year	2018-12-31	$451,545
Assets. Other investments not covered elsewhere at end of year	2018-12-31	$114,173
Assets. Other investments not covered elsewhere at beginning of year	2018-12-31	$110,825
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$438,309
Other income not declared elsewhere	2018-12-31	$34,642
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	$-1,606,250
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$30,449,121
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$32,055,371
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
Investment advisory and management fees	2018-12-31	$31,281
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$25,494,132
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$27,280,527
Interest on participant loans	2018-12-31	$17,598
Interest earned on other investments	2018-12-31	$97,939
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$4,430,313
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$4,212,474
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-3,593,478
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
Contributions received in cash from employer	2018-12-31	$695,438
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$2,848,274
Contract administrator fees	2018-12-31	$92,440
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	No
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	010494526
2017 : ALICE PECK DAY MEMORIAL HOSPITAL 403(B) RETIREMENT PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$7,761,209
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$2,132,620
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$1,971,334
Expenses. Certain deemed distributions of participant loans	2017-12-31	$16,163
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$3,507,889
Value of total assets at end of year	2017-12-31	$32,055,371
Value of total assets at beginning of year	2017-12-31	$26,426,782
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$145,123
Total interest from all sources	2017-12-31	$108,972
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$1,153,006
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	$1,153,006
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$1,938,198
Participant contributions at end of year	2017-12-31	$451,545
Participant contributions at beginning of year	2017-12-31	$448,556
Assets. Other investments not covered elsewhere at end of year	2017-12-31	$110,825
Assets. Other investments not covered elsewhere at beginning of year	2017-12-31	$107,568
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$854,228
Other income not declared elsewhere	2017-12-31	$38,126
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	$5,628,589
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$32,055,371
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$26,426,782
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
Investment advisory and management fees	2017-12-31	$34,870
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$27,280,527
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$21,328,254
Interest on participant loans	2017-12-31	$20,245
Interest earned on other investments	2017-12-31	$88,727
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$4,212,474
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$4,542,404
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$2,953,216
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	$715,463
Employer contributions (assets) at end of year	2017-12-31	$0
Employer contributions (assets) at beginning of year	2017-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$1,971,334
Contract administrator fees	2017-12-31	$110,253
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	010494526
2016 : ALICE PECK DAY MEMORIAL HOSPITAL 403(B) RETIREMENT PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$4,763,259
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$2,209,062
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$2,054,901
Expenses. Certain deemed distributions of participant loans	2016-12-31	$42,064
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$3,133,410
Value of total assets at end of year	2016-12-31	$26,426,782
Value of total assets at beginning of year	2016-12-31	$23,872,585
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$112,097
Total interest from all sources	2016-12-31	$102,122
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$737,458
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	$737,458
Administrative expenses professional fees incurred	2016-12-31	$822
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$1,997,593
Participant contributions at end of year	2016-12-31	$448,556
Participant contributions at beginning of year	2016-12-31	$371,456
Assets. Other investments not covered elsewhere at end of year	2016-12-31	$107,568
Assets. Other investments not covered elsewhere at beginning of year	2016-12-31	$104,407
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$669,389
Other income not declared elsewhere	2016-12-31	$37,923
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	$2,554,197
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$26,426,782
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$23,872,585
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
Investment advisory and management fees	2016-12-31	$33,854
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$21,328,254
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$18,990,889
Interest on participant loans	2016-12-31	$20,740
Interest earned on other investments	2016-12-31	$81,382
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$4,542,404
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$4,405,833
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$752,346
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	$466,428
Employer contributions (assets) at end of year	2016-12-31	$0
Employer contributions (assets) at beginning of year	2016-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$2,054,901
Contract administrator fees	2016-12-31	$77,421
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	BAKER NEWMAN NOYES
Accountancy firm EIN	2016-12-31	010494526
2015 : ALICE PECK DAY MEMORIAL HOSPITAL 403(B) RETIREMENT PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$4,391,634
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$2,710,557
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$2,585,512
Expenses. Certain deemed distributions of participant loans	2015-12-31	$13,075
Value of total corrective distributions	2015-12-31	$1,323
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$4,423,437
Value of total assets at end of year	2015-12-31	$23,872,585
Value of total assets at beginning of year	2015-12-31	$22,191,508
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$110,647
Total interest from all sources	2015-12-31	$91,723
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$946,104
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	$946,104
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$1,972,808
Participant contributions at end of year	2015-12-31	$371,456
Participant contributions at beginning of year	2015-12-31	$320,301
Assets. Other investments not covered elsewhere at end of year	2015-12-31	$104,407
Assets. Other investments not covered elsewhere at beginning of year	2015-12-31	$101,341
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$1,543,471
Other income not declared elsewhere	2015-12-31	$35,775
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$1,681,077
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$23,872,585
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$22,191,508
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
Investment advisory and management fees	2015-12-31	$32,868
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$18,990,889
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$17,174,582
Interest on participant loans	2015-12-31	$14,489
Interest earned on other investments	2015-12-31	$77,234
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$4,405,833
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$4,595,284
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-1,105,405
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$907,158
Employer contributions (assets) at end of year	2015-12-31	$0
Employer contributions (assets) at beginning of year	2015-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$2,585,512
Contract administrator fees	2015-12-31	$77,779
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	BAKER NEWMAN NOYES
Accountancy firm EIN	2015-12-31	010494526
2014 : ALICE PECK DAY MEMORIAL HOSPITAL 403(B) RETIREMENT PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$3,603,951
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$3,695,812
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$3,605,653
Expenses. Certain deemed distributions of participant loans	2014-12-31	$59,100
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$2,487,504
Value of total assets at end of year	2014-12-31	$22,191,508
Value of total assets at beginning of year	2014-12-31	$22,283,369
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$31,059
Total interest from all sources	2014-12-31	$151,542
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$755,251
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	$755,251
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2014-12-31	Yes
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	$1,707,392
Participant contributions at end of year	2014-12-31	$320,301
Participant contributions at beginning of year	2014-12-31	$346,322
Assets. Other investments not covered elsewhere at end of year	2014-12-31	$101,341
Assets. Other investments not covered elsewhere at beginning of year	2014-12-31	$98,365
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$464,670
Administrative expenses (other) incurred	2014-12-31	$2,627
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$-91,861
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$22,191,508
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$22,283,369
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
Investment advisory and management fees	2014-12-31	$24,484
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$17,174,582
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$15,878,268
Interest on participant loans	2014-12-31	$14,432
Interest earned on other investments	2014-12-31	$137,110
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$4,595,284
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$5,960,414
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$209,654
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	Yes
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$315,442
Employer contributions (assets) at end of year	2014-12-31	$0
Employer contributions (assets) at beginning of year	2014-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$3,605,653
Contract administrator fees	2014-12-31	$3,948
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	2014-12-31	Yes
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	BAKER NEWMAN NOYES
Accountancy firm EIN	2014-12-31	010494526

Form 5500 Responses for ALICE PECK DAY MEMORIAL HOSPITAL 403(B) RETIREMENT PLAN

2022: ALICE PECK DAY MEMORIAL HOSPITAL 403(B) RETIREMENT PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: ALICE PECK DAY MEMORIAL HOSPITAL 403(B) RETIREMENT PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: ALICE PECK DAY MEMORIAL HOSPITAL 403(B) RETIREMENT PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
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: ALICE PECK DAY MEMORIAL HOSPITAL 403(B) RETIREMENT PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
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: ALICE PECK DAY MEMORIAL HOSPITAL 403(B) RETIREMENT PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
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: ALICE PECK DAY MEMORIAL HOSPITAL 403(B) RETIREMENT PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: ALICE PECK DAY MEMORIAL HOSPITAL 403(B) RETIREMENT PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: ALICE PECK DAY MEMORIAL HOSPITAL 403(B) RETIREMENT PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: ALICE PECK DAY MEMORIAL HOSPITAL 403(B) RETIREMENT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

893916-007

Policy instance

Insurance contract or identification number	893916-007
Number of Individuals Covered	132
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

893916-007

Policy instance

Insurance contract or identification number	893916-007
Number of Individuals Covered	143
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

893916-007

Policy instance

Insurance contract or identification number	893916-007
Number of Individuals Covered	158
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

893916-007

Policy instance

Insurance contract or identification number	893916-007
Number of Individuals Covered	165
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

893916-007

Policy instance

Insurance contract or identification number	893916-007
Number of Individuals Covered	177
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

893916-007

Policy instance

Insurance contract or identification number	893916-007
Number of Individuals Covered	192
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	ALICE PECK DAY MEMORIAL HOSPITAL
Employer identification number (EIN):	020222791
NAIC Classification:	622000
NAIC Description:	Hospitals