401k Plan data: THE CHARLOTTE HUNGERFORD HOSPITAL 403(B) PLAN plan

THE CHARLOTTE HUNGERFORD HOSPITAL 403(B) PLAN 401k Plan overview

Plan Name	THE CHARLOTTE HUNGERFORD HOSPITAL 403(B) PLAN
Plan identification number	002

THE CHARLOTTE HUNGERFORD HOSPITAL 403(B) 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.

401k Sponsoring company profile

THE CHARLOTTE HUNGERFORD HOSPITAL has sponsored the creation of one or more 401k plans.

Company Name: THE CHARLOTTE HUNGERFORD HOSPITAL

Employer identification number (EIN): 060646678

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE CHARLOTTE HUNGERFORD HOSPITAL 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2017-01-01
002 2016-01-01 BRIAN MATTIELLO
002 2015-01-01 BRIAN MATTIELLO
002 2014-01-01 BRIAN MATTIELLO
002 2013-01-01 BRIAN MATTIELLO
002 2012-01-01 NANCY MARTONE
002 2011-01-01 NANCY MARTONE

Plan Statistics for THE CHARLOTTE HUNGERFORD HOSPITAL 403(B) PLAN

401k plan membership statisitcs for THE CHARLOTTE HUNGERFORD HOSPITAL 403(B) PLAN

Measure Date Value
2017: THE CHARLOTTE HUNGERFORD HOSPITAL 403(B) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 1,244
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 1,081
Number of retired or separated participants receiving benefits 2017-01-01 4
Number of other retired or separated participants entitled to future benefits 2017-01-01 217
Total of all active and inactive participants 2017-01-01 1,302
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 2
Total participants 2017-01-01 1,304
Number of participants with account balances 2017-01-01 1,209
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 46
2016: THE CHARLOTTE HUNGERFORD HOSPITAL 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 1,264
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 1,040
Number of retired or separated participants receiving benefits 2016-01-01 3
Number of other retired or separated participants entitled to future benefits 2016-01-01 199
Total of all active and inactive participants 2016-01-01 1,242
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 2
Total participants 2016-01-01 1,244
Number of participants with account balances 2016-01-01 1,114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 57
2015: THE CHARLOTTE HUNGERFORD HOSPITAL 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 1,130
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 1,052
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 210
Total of all active and inactive participants 2015-01-01 1,262
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 2
Total participants 2015-01-01 1,264
Number of participants with account balances 2015-01-01 1,154
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 9
2014: THE CHARLOTTE HUNGERFORD HOSPITAL 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 1,139
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 1,064
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 66
Total of all active and inactive participants 2014-01-01 1,130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 1,130
Number of participants with account balances 2014-01-01 917
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 36
2013: THE CHARLOTTE HUNGERFORD HOSPITAL 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1,551
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 1,101
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 38
Total of all active and inactive participants 2013-01-01 1,139
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 1,139
Number of participants with account balances 2013-01-01 646
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 5
2012: THE CHARLOTTE HUNGERFORD HOSPITAL 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1,408
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1,541
Number of other retired or separated participants entitled to future benefits 2012-01-01 10
Total of all active and inactive participants 2012-01-01 1,551
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 1,551
Number of participants with account balances 2012-01-01 345
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 1
2011: THE CHARLOTTE HUNGERFORD HOSPITAL 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1,259
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 1,402
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 6
Total of all active and inactive participants 2011-01-01 1,408
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 1,408
Number of participants with account balances 2011-01-01 262
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0

Measure	Date	Value
2017: THE CHARLOTTE HUNGERFORD HOSPITAL 403(B) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	1,244
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	1,081
Number of retired or separated participants receiving benefits	2017-01-01	4
Number of other retired or separated participants entitled to future benefits	2017-01-01	217
Total of all active and inactive participants	2017-01-01	1,302
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	2
Total participants	2017-01-01	1,304
Number of participants with account balances	2017-01-01	1,209
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	46
2016: THE CHARLOTTE HUNGERFORD HOSPITAL 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	1,264
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	1,040
Number of retired or separated participants receiving benefits	2016-01-01	3
Number of other retired or separated participants entitled to future benefits	2016-01-01	199
Total of all active and inactive participants	2016-01-01	1,242
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	2
Total participants	2016-01-01	1,244
Number of participants with account balances	2016-01-01	1,114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	57
2015: THE CHARLOTTE HUNGERFORD HOSPITAL 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	1,130
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	1,052
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	210
Total of all active and inactive participants	2015-01-01	1,262
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	2
Total participants	2015-01-01	1,264
Number of participants with account balances	2015-01-01	1,154
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	9
2014: THE CHARLOTTE HUNGERFORD HOSPITAL 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	1,139
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	1,064
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	66
Total of all active and inactive participants	2014-01-01	1,130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	1,130
Number of participants with account balances	2014-01-01	917
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	36
2013: THE CHARLOTTE HUNGERFORD HOSPITAL 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1,551
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	1,101
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	38
Total of all active and inactive participants	2013-01-01	1,139
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	1,139
Number of participants with account balances	2013-01-01	646
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	5
2012: THE CHARLOTTE HUNGERFORD HOSPITAL 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1,408
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1,541
Number of other retired or separated participants entitled to future benefits	2012-01-01	10
Total of all active and inactive participants	2012-01-01	1,551
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	1,551
Number of participants with account balances	2012-01-01	345
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	1
2011: THE CHARLOTTE HUNGERFORD HOSPITAL 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1,259
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1,402
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	6
Total of all active and inactive participants	2011-01-01	1,408
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	1,408
Number of participants with account balances	2011-01-01	262
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0

Financial Data on THE CHARLOTTE HUNGERFORD HOSPITAL 403(B) PLAN

Measure	Date	Value
2017 : THE CHARLOTTE HUNGERFORD HOSPITAL 403(B) PLAN 2017 401k financial data
Total income from all sources (including contributions)	2017-12-31	$9,308,904
Total of all expenses incurred	2017-12-31	$2,644,446
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$2,444,992
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$4,435,971
Value of total assets at end of year	2017-12-31	$34,380,360
Value of total assets at beginning of year	2017-12-31	$27,715,902
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$199,454
Total interest from all sources	2017-12-31	$15,150
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$1,061,865
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	$1,061,865
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
Aggregate amount of withdrawal liability assessed or estimated to be assessed against such withdrawn employers	2017-12-31	0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Minimum employer required contribution for this plan year	2017-12-31	$0
Amount contributed by the employer to the plan for this plan year	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	$2,996,328
Participant contributions at end of year	2017-12-31	$489,826
Participant contributions at beginning of year	2017-12-31	$275,086
Participant contributions at end of year	2017-12-31	$113,191
Participant contributions at beginning of year	2017-12-31	$105,600
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$973,585
Other income not declared elsewhere	2017-12-31	$75,638
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	$6,664,458
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$34,380,360
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$27,715,902
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	$75,638
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$29,847,432
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$24,194,895
Interest on participant loans	2017-12-31	$15,150
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$3,463,853
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$3,130,823
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$3,720,280
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	$466,058
Employer contributions (assets) at end of year	2017-12-31	$466,058
Employer contributions (assets) at beginning of year	2017-12-31	$9,498
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$2,444,992
Contract administrator fees	2017-12-31	$123,816
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	FIONDELLA, MILONE & LASARACINA LLP
Accountancy firm EIN	2017-12-31	061648707
2016 : THE CHARLOTTE HUNGERFORD HOSPITAL 403(B) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$5,766,164
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$2,865,958
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$2,689,771
Expenses. Certain deemed distributions of participant loans	2016-12-31	$1,197
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$3,799,201
Value of total assets at end of year	2016-12-31	$27,715,902
Value of total assets at beginning of year	2016-12-31	$24,815,696
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$174,990
Total interest from all sources	2016-12-31	$60,340
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$776,871
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	$776,871
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	$2,946,987
Participant contributions at end of year	2016-12-31	$275,086
Participant contributions at beginning of year	2016-12-31	$208,077
Participant contributions at end of year	2016-12-31	$105,600
Participant contributions at beginning of year	2016-12-31	$104,707
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$478,738
Other income not declared elsewhere	2016-12-31	$68,951
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	$2,900,206
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$27,715,902
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$24,815,696
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	$72,926
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$24,194,895
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$20,461,163
Interest on participant loans	2016-12-31	$8,928
Interest earned on other investments	2016-12-31	$51,412
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$3,130,823
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$2,608,540
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$1,060,801
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	$373,476
Employer contributions (assets) at end of year	2016-12-31	$9,498
Employer contributions (assets) at beginning of year	2016-12-31	$1,433,209
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$2,689,771
Contract administrator fees	2016-12-31	$102,064
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	CROWE HORWATH LLP
Accountancy firm EIN	2016-12-31	350921680
2015 : THE CHARLOTTE HUNGERFORD HOSPITAL 403(B) 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	$6,002,007
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$1,734,100
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$1,493,967
Expenses. Certain deemed distributions of participant loans	2015-12-31	$11,591
Value of total corrective distributions	2015-12-31	$93
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$5,913,366
Value of total assets at end of year	2015-12-31	$24,815,696
Value of total assets at beginning of year	2015-12-31	$20,547,789
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$228,449
Total interest from all sources	2015-12-31	$61,164
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$986,364
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	$986,364
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	$2,939,332
Participant contributions at end of year	2015-12-31	$208,077
Participant contributions at beginning of year	2015-12-31	$193,794
Participant contributions at end of year	2015-12-31	$104,707
Participant contributions at beginning of year	2015-12-31	$81,700
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$585,016
Other income not declared elsewhere	2015-12-31	$52,047
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	$4,267,907
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$24,815,696
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$20,547,789
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	$52,047
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$20,461,163
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$16,389,000
Interest on participant loans	2015-12-31	$7,977
Interest earned on other investments	2015-12-31	$53,187
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$2,608,540
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$2,398,967
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-1,010,934
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	$2,389,018
Employer contributions (assets) at end of year	2015-12-31	$1,433,209
Employer contributions (assets) at beginning of year	2015-12-31	$1,484,328
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$1,493,967
Contract administrator fees	2015-12-31	$176,402
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	CROWE HORWATH LLP
Accountancy firm EIN	2015-12-31	350921680
2014 : THE CHARLOTTE HUNGERFORD HOSPITAL 403(B) 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	$6,380,014
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$1,200,954
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$1,001,579
Expenses. Certain deemed distributions of participant loans	2014-12-31	$569
Value of total corrective distributions	2014-12-31	$33,593
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$5,407,723
Value of total assets at end of year	2014-12-31	$20,547,789
Value of total assets at beginning of year	2014-12-31	$15,368,729
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$165,213
Total interest from all sources	2014-12-31	$39,198
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$661,146
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	$661,146
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	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$2,730,575
Participant contributions at end of year	2014-12-31	$193,794
Participant contributions at beginning of year	2014-12-31	$115,342
Participant contributions at end of year	2014-12-31	$81,700
Participant contributions at beginning of year	2014-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$283,528
Other income not declared elsewhere	2014-12-31	$7,459
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	$5,179,060
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$20,547,789
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$15,368,729
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	$7,564
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$16,389,000
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$11,663,978
Interest on participant loans	2014-12-31	$7,189
Interest earned on other investments	2014-12-31	$32,009
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$2,398,967
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$2,090,064
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$264,488
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$2,393,620
Employer contributions (assets) at end of year	2014-12-31	$1,484,328
Employer contributions (assets) at beginning of year	2014-12-31	$1,499,345
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$1,001,579
Contract administrator fees	2014-12-31	$157,649
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	CROWE HORWATH LLP
Accountancy firm EIN	2014-12-31	350921680
2013 : THE CHARLOTTE HUNGERFORD HOSPITAL 403(B) 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	$8,038,574
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$974,813
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$856,829
Expenses. Certain deemed distributions of participant loans	2013-12-31	$10,060
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$6,200,640
Value of total assets at end of year	2013-12-31	$15,368,729
Value of total assets at beginning of year	2013-12-31	$8,304,968
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$107,924
Total interest from all sources	2013-12-31	$40,166
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$363,193
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	$363,193
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$2,410,150
Participant contributions at end of year	2013-12-31	$115,342
Participant contributions at beginning of year	2013-12-31	$64,106
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$757,731
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	$7,063,761
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$15,368,729
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$8,304,968
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
Investment advisory and management fees	2013-12-31	$66
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$11,663,978
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$6,281,619
Interest on participant loans	2013-12-31	$3,847
Interest earned on other investments	2013-12-31	$36,319
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$2,090,064
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$1,959,243
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$1,434,575
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	$3,032,759
Employer contributions (assets) at end of year	2013-12-31	$1,499,345
Employer contributions (assets) at beginning of year	2013-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$856,829
Contract administrator fees	2013-12-31	$107,858
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	SASLOW, LUFKIN & BUGGY LLP
Accountancy firm EIN	2013-12-31	061533253
2012 : THE CHARLOTTE HUNGERFORD HOSPITAL 403(B) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$3,911
Total income from all sources (including contributions)	2012-12-31	$3,012,479
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$716,855
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$612,604
Expenses. Certain deemed distributions of participant loans	2012-12-31	$21,853
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$2,252,338
Value of total assets at end of year	2012-12-31	$8,304,968
Value of total assets at beginning of year	2012-12-31	$6,013,255
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$82,398
Total interest from all sources	2012-12-31	$43,421
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$143,874
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	$143,874
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$1,471,192
Participant contributions at end of year	2012-12-31	$64,106
Participant contributions at beginning of year	2012-12-31	$78,640
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$664,569
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-12-31	$3,911
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2012-12-31	$3,911
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	$2,295,624
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$8,304,968
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$6,009,344
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
Investment advisory and management fees	2012-12-31	$12
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$6,281,619
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$4,228,055
Interest on participant loans	2012-12-31	$2,308
Interest earned on other investments	2012-12-31	$41,113
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$15,025
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$15,025
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$1,959,243
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$1,687,624
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$572,846
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	$116,577
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$612,604
Contract administrator fees	2012-12-31	$82,386
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	SASLOW, LUFKIN & BUGGY LLP
Accountancy firm EIN	2012-12-31	061533253
2011 : THE CHARLOTTE HUNGERFORD HOSPITAL 403(B) 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	$3,911
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$3,945
Total income from all sources (including contributions)	2011-12-31	$1,728,026
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$311,939
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$263,348
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$1,763,296
Value of total assets at end of year	2011-12-31	$6,013,255
Value of total assets at beginning of year	2011-12-31	$4,597,202
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$48,591
Total interest from all sources	2011-12-31	$46,070
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$81,729
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$81,729
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$1,383,908
Participant contributions at end of year	2011-12-31	$78,640
Participant contributions at beginning of year	2011-12-31	$40,077
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$360,044
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-12-31	$3,911
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-12-31	$3,674
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2011-12-31	$3,911
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2011-12-31	$3,945
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$1,416,087
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$6,009,344
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$4,593,257
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	$4,228,055
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$3,278,478
Interest on participant loans	2011-12-31	$2,085
Interest earned on other investments	2011-12-31	$43,982
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$15,025
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$10,973
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$10,973
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$3
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$1,687,624
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$1,264,000
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-163,069
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$19,344
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$263,348
Contract administrator fees	2011-12-31	$48,591
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	SASLOW, LUFKIN & BUGGY LLP
Accountancy firm EIN	2011-12-31	061533253

Form 5500 Responses for THE CHARLOTTE HUNGERFORD HOSPITAL 403(B) PLAN

2017: THE CHARLOTTE HUNGERFORD HOSPITAL 403(B) PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: THE CHARLOTTE HUNGERFORD HOSPITAL 403(B) 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: THE CHARLOTTE HUNGERFORD HOSPITAL 403(B) PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: THE CHARLOTTE HUNGERFORD HOSPITAL 403(B) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: THE CHARLOTTE HUNGERFORD HOSPITAL 403(B) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: THE CHARLOTTE HUNGERFORD HOSPITAL 403(B) 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 funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: THE CHARLOTTE HUNGERFORD HOSPITAL 403(B) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	First time form 5500 has been submitted	Yes
2011-01-01	Submission has been amended	Yes
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

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

Policy contract number

892983-007

Policy instance

Insurance contract or identification number	892983-007
Number of Individuals Covered	111
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

892983-007

Policy instance

Insurance contract or identification number	892983-007
Number of Individuals Covered	124
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
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

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

Policy contract number

892983007

Policy instance

Insurance contract or identification number	892983007
Number of Individuals Covered	109
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
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

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

Policy contract number

892983007

Policy instance

Insurance contract or identification number	892983007
Number of Individuals Covered	111
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
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

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

Policy contract number

892983007

Policy instance

Insurance contract or identification number	892983007
Number of Individuals Covered	116
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 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

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

Policy contract number

892983007

Policy instance

Insurance contract or identification number	892983007
Number of Individuals Covered	111
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 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

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Company Name:	THE CHARLOTTE HUNGERFORD HOSPITAL
Employer identification number (EIN):	060646678
NAIC Classification:	622000
NAIC Description:	Hospitals

Plan id#	Filing Submission Date	Name of Administrator
002	2017-01-01
002	2016-01-01	BRIAN MATTIELLO
002	2015-01-01	BRIAN MATTIELLO
002	2014-01-01	BRIAN MATTIELLO
002	2013-01-01	BRIAN MATTIELLO
002	2012-01-01	NANCY MARTONE
002	2011-01-01	NANCY MARTONE