401k Plan data: GIFFORD MEDICAL CENTER 403(B) RETIREMENT PLAN plan

GIFFORD MEDICAL CENTER 403(B) RETIREMENT PLAN 401k Plan overview

Plan Name	GIFFORD MEDICAL CENTER 403(B) RETIREMENT PLAN
Plan identification number	002

GIFFORD MEDICAL CENTER 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.

401k Sponsoring company profile

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

Company Name: GIFFORD MEDICAL CENTER

Employer identification number (EIN): 030179418

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GIFFORD MEDICAL CENTER 403(B) RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2014-01-01 JANICE DAVIS JANICE DAVIS 2015-07-20
002 2013-01-01 JANICE DAVIS JANICE DAVIS 2014-10-15
002 2012-01-01 JANICE DAVIS JANICE DAVIS 2013-10-15
002 2011-01-01 MARJORIE JUDD MARJORIE JUDD 2012-07-27
002 2010-01-01 MARJORIE JUDD MARJORIE JUDD 2011-10-17
002 2009-01-01 CHRISTOPHER LACKNEY CHRISTOPHER LACKNEY 2010-10-14
002 2009-01-01 CHRISTOPHER LACKNEY CHRISTOPHER LACKNEY 2010-10-14

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
002	2014-01-01	JANICE DAVIS	JANICE DAVIS	2015-07-20
002	2013-01-01	JANICE DAVIS	JANICE DAVIS	2014-10-15
002	2012-01-01	JANICE DAVIS	JANICE DAVIS	2013-10-15
002	2011-01-01	MARJORIE JUDD	MARJORIE JUDD	2012-07-27
002	2010-01-01	MARJORIE JUDD	MARJORIE JUDD	2011-10-17
002	2009-01-01	CHRISTOPHER LACKNEY	CHRISTOPHER LACKNEY	2010-10-14
002	2009-01-01	CHRISTOPHER LACKNEY	CHRISTOPHER LACKNEY	2010-10-14

Plan Statistics for GIFFORD MEDICAL CENTER 403(B) RETIREMENT PLAN

401k plan membership statisitcs for GIFFORD MEDICAL CENTER 403(B) RETIREMENT PLAN

Measure Date Value
2014: GIFFORD MEDICAL CENTER 403(B) RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 779
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 633
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 201
Total of all active and inactive participants 2014-01-01 834
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 834
Number of participants with account balances 2014-01-01 718
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: GIFFORD MEDICAL CENTER 403(B) RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 787
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 572
Number of other retired or separated participants entitled to future benefits 2013-01-01 207
Total of all active and inactive participants 2013-01-01 779
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 779
Number of participants with account balances 2013-01-01 689
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 90
2012: GIFFORD MEDICAL CENTER 403(B) RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 799
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 551
Number of other retired or separated participants entitled to future benefits 2012-01-01 236
Total of all active and inactive participants 2012-01-01 787
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 787
Number of participants with account balances 2012-01-01 711
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 32
2011: GIFFORD MEDICAL CENTER 403(B) RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 722
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 508
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 239
Total of all active and inactive participants 2011-01-01 747
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 747
Number of participants with account balances 2011-01-01 687
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 29
2010: GIFFORD MEDICAL CENTER 403(B) RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 703
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 471
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 212
Total of all active and inactive participants 2010-01-01 683
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 683
Number of participants with account balances 2010-01-01 683
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 9
2009: GIFFORD MEDICAL CENTER 403(B) RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 622
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 548
Number of retired or separated participants receiving benefits 2009-01-01 97
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 645
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 645
Number of participants with account balances 2009-01-01 645
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2014: GIFFORD MEDICAL CENTER 403(B) RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	779
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	633
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	201
Total of all active and inactive participants	2014-01-01	834
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	834
Number of participants with account balances	2014-01-01	718
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: GIFFORD MEDICAL CENTER 403(B) RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	787
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	572
Number of other retired or separated participants entitled to future benefits	2013-01-01	207
Total of all active and inactive participants	2013-01-01	779
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	779
Number of participants with account balances	2013-01-01	689
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	90
2012: GIFFORD MEDICAL CENTER 403(B) RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	799
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	551
Number of other retired or separated participants entitled to future benefits	2012-01-01	236
Total of all active and inactive participants	2012-01-01	787
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	787
Number of participants with account balances	2012-01-01	711
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	32
2011: GIFFORD MEDICAL CENTER 403(B) RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	722
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	508
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	239
Total of all active and inactive participants	2011-01-01	747
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	747
Number of participants with account balances	2011-01-01	687
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	29
2010: GIFFORD MEDICAL CENTER 403(B) RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	703
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	471
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	212
Total of all active and inactive participants	2010-01-01	683
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	683
Number of participants with account balances	2010-01-01	683
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	9
2009: GIFFORD MEDICAL CENTER 403(B) RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	622
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	548
Number of retired or separated participants receiving benefits	2009-01-01	97
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	645
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	645
Number of participants with account balances	2009-01-01	645
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on GIFFORD MEDICAL CENTER 403(B) RETIREMENT PLAN

Measure	Date	Value
2014 : GIFFORD MEDICAL CENTER 403(B) RETIREMENT PLAN 2014 401k financial data
Total income from all sources (including contributions)	2014-12-31	$5,827,560
Total of all expenses incurred	2014-12-31	$2,866,519
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$2,860,406
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$3,620,754
Value of total assets at end of year	2014-12-31	$36,469,938
Value of total assets at beginning of year	2014-12-31	$33,508,897
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$6,113
Total interest from all sources	2014-12-31	$144,243
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$1,469,734
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	$1,469,734
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$1,717,978
Participant contributions at end of year	2014-12-31	$15,000
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$629,811
Value of other receiveables (less allowance for doubtful accounts) at end of year	2014-12-31	$694,763
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2014-12-31	$680,846
Administrative expenses (other) incurred	2014-12-31	$6,113
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	$2,961,041
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$36,469,938
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$33,508,897
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$30,241,294
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$27,099,260
Interest on participant loans	2014-12-31	$27,354
Interest earned on other investments	2014-12-31	$116,889
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$5,518,881
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$5,728,791
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$592,829
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$1,272,965
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$2,860,406
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	BKD, LLP
Accountancy firm EIN	2014-12-31	440160260
2013 : GIFFORD MEDICAL CENTER 403(B) RETIREMENT PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$8,415,643
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$1,696,391
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$1,689,691
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$3,370,150
Value of total assets at end of year	2013-12-31	$33,508,897
Value of total assets at beginning of year	2013-12-31	$26,789,645
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$6,700
Total interest from all sources	2013-12-31	$141,967
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$1,316,781
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	$1,316,781
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$1,605,726
Participant contributions at beginning of year	2013-12-31	$55,353
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$539,695
Value of other receiveables (less allowance for doubtful accounts) at end of year	2013-12-31	$680,846
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2013-12-31	$757,718
Administrative expenses (other) incurred	2013-12-31	$6,700
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$6,719,252
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$33,508,897
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$26,789,645
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$27,099,260
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$20,772,562
Interest on participant loans	2013-12-31	$27,856
Interest earned on other investments	2013-12-31	$114,111
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$5,728,791
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$5,163,585
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$3,586,745
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$1,224,729
Employer contributions (assets) at beginning of year	2013-12-31	$40,427
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$1,689,691
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	BKD,LLP
Accountancy firm EIN	2013-12-31	440160260
2012 : GIFFORD MEDICAL CENTER 403(B) RETIREMENT PLAN 2012 401k financial data
Total income from all sources (including contributions)	2012-12-31	$5,664,363
Total of all expenses incurred	2012-12-31	$2,284,598
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$2,281,083
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$3,068,071
Value of total assets at end of year	2012-12-31	$26,789,645
Value of total assets at beginning of year	2012-12-31	$23,409,880
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$3,515
Total interest from all sources	2012-12-31	$26,221
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$716,583
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	$716,583
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$1,526,118
Participant contributions at end of year	2012-12-31	$55,353
Participant contributions at beginning of year	2012-12-31	$57,590
Assets. Other investments not covered elsewhere at beginning of year	2012-12-31	$12,485
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$411,055
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-12-31	$757,718
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-12-31	$616,206
Administrative expenses (other) incurred	2012-12-31	$3,515
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$3,379,765
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$26,789,645
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$23,409,880
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$20,772,562
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$18,022,193
Interest on participant loans	2012-12-31	$26,221
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$5,163,585
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$4,653,615
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$1,853,488
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$1,130,898
Employer contributions (assets) at end of year	2012-12-31	$40,427
Employer contributions (assets) at beginning of year	2012-12-31	$47,791
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$2,281,083
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	BKD, LLP
Accountancy firm EIN	2012-12-31	440160260
2011 : GIFFORD MEDICAL CENTER 403(B) RETIREMENT PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$2,747,459
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$680,529
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$677,679
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$2,690,310
Value of total assets at end of year	2011-12-31	$23,409,880
Value of total assets at beginning of year	2011-12-31	$21,342,950
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$2,850
Total interest from all sources	2011-12-31	$21,615
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$611,289
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	$611,289
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$500,000
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	$1,479,334
Participant contributions at end of year	2011-12-31	$57,590
Participant contributions at beginning of year	2011-12-31	$59,384
Assets. Other investments not covered elsewhere at end of year	2011-12-31	$12,485
Assets. Other investments not covered elsewhere at beginning of year	2011-12-31	$12,425
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$124,019
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-12-31	$616,206
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-12-31	$466,274
Administrative expenses (other) incurred	2011-12-31	$2,850
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$2,066,930
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$23,409,880
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$21,342,950
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$18,022,193
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$17,255,876
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$0
Interest on participant loans	2011-12-31	$21,615
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$4,653,615
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$3,497,326
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-575,755
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	Yes
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$1,086,957
Employer contributions (assets) at end of year	2011-12-31	$47,791
Employer contributions (assets) at beginning of year	2011-12-31	$51,665
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$677,679
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	TYLER, SIMMS & ST. SAUVEUR, CPAS,
Accountancy firm EIN	2011-12-31	020476956
2010 : GIFFORD MEDICAL CENTER 403(B) RETIREMENT PLAN 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	$4,617,931
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$1,152,087
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$1,148,862
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$2,516,812
Value of total assets at end of year	2010-12-31	$21,342,950
Value of total assets at beginning of year	2010-12-31	$17,877,106
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$3,225
Total interest from all sources	2010-12-31	$108,265
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$422,217
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	$422,217
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$500,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
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	$1,379,158
Participant contributions at end of year	2010-12-31	$59,384
Participant contributions at beginning of year	2010-12-31	$15,383
Assets. Other investments not covered elsewhere at end of year	2010-12-31	$12,425
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$110,812
Value of other receiveables (less allowance for doubtful accounts) at end of year	2010-12-31	$466,274
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2010-12-31	$263,114
Administrative expenses (other) incurred	2010-12-31	$3,225
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$3,465,844
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$21,342,950
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$17,877,106
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	$17,255,876
Value of interest in pooled separate accounts at end of year	2010-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$14,415,709
Interest on participant loans	2010-12-31	$15,740
Interest earned on other investments	2010-12-31	$92,525
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$3,497,326
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$3,157,667
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$1,570,637
Net investment gain/loss from pooled separate accounts	2010-12-31	$1,570,637
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	$1,026,842
Employer contributions (assets) at end of year	2010-12-31	$51,665
Employer contributions (assets) at beginning of year	2010-12-31	$25,233
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$1,148,862
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	TYLER, SIMMS & ST. SAUVEUR, CPAS,
Accountancy firm EIN	2010-12-31	020476956
2009 : GIFFORD MEDICAL CENTER 403(B) RETIREMENT PLAN 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 GIFFORD MEDICAL CENTER 403(B) RETIREMENT PLAN

2014: GIFFORD MEDICAL CENTER 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
2013: GIFFORD MEDICAL CENTER 403(B) RETIREMENT PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: GIFFORD MEDICAL CENTER 403(B) RETIREMENT PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: GIFFORD MEDICAL CENTER 403(B) RETIREMENT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: GIFFORD MEDICAL CENTER 403(B) RETIREMENT PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	Yes
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: GIFFORD MEDICAL CENTER 403(B) RETIREMENT PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

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

Policy contract number

1009625-01

Policy instance

Insurance contract or identification number	1009625-01
Number of Individuals Covered	214
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $2,718
Total amount of fees paid to insurance company	USD $0
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 $2,718
Insurance broker organization code?	3
Insurance broker name	METLIFE SECURITIES INC

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

Policy contract number

194452-001

Policy instance

Insurance contract or identification number	194452-001
Number of Individuals Covered	8
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
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

1009625-01

Policy instance

Insurance contract or identification number	1009625-01
Number of Individuals Covered	229
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $3,022
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	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
Commission paid to Insurance Broker	USD $3,022
Insurance broker organization code?	3
Insurance broker name	METLIFE SECURITIES INC

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

Policy contract number

1009625-01

Policy instance

Insurance contract or identification number	1009625-01
Number of Individuals Covered	257
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
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

1009625-01

Policy instance

Insurance contract or identification number	1009625-01
Number of Individuals Covered	274
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
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

1009625-01

Policy instance

Insurance contract or identification number	1009625-01
Number of Individuals Covered	287
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
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:	GIFFORD MEDICAL CENTER
Employer identification number (EIN):	030179418
NAIC Classification:	622000
NAIC Description:	Hospitals