401k Plan data: LAUREL HEALTH SYSTEM TAX DEFERRED ANNUITY 403(B) P plan

LAUREL HEALTH SYSTEM TAX DEFERRED ANNUITY 403(B) P 401k Plan overview

Plan Name	LAUREL HEALTH SYSTEM TAX DEFERRED ANNUITY 403(B) P
Plan identification number	002

LAUREL HEALTH SYSTEM TAX DEFERRED ANNUITY 403(B) P Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 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.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Plan sponsor(s) received services of leased employees, as defined in Code section 414(n), during the plan year.

401k Sponsoring company profile

LAUREL HEALTH SYSTEM has sponsored the creation of one or more 401k plans.

Company Name: LAUREL HEALTH SYSTEM

Employer identification number (EIN): 240795488

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LAUREL HEALTH SYSTEM TAX DEFERRED ANNUITY 403(B) P

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2013-01-01 ELIZABETH BRUBAKER ELIZABETH BRUBAKER 2014-10-14
002 2012-01-01 ELIZABETH BRUBAKER ELIZABETH BRUBAKER 2013-10-14
002 2011-01-01 EUGENE YAJKO
002 2009-01-01 EUGENE YAJKO

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
002	2013-01-01	ELIZABETH BRUBAKER	ELIZABETH BRUBAKER	2014-10-14
002	2012-01-01	ELIZABETH BRUBAKER	ELIZABETH BRUBAKER	2013-10-14
002	2011-01-01	EUGENE YAJKO
002	2009-01-01	EUGENE YAJKO

Plan Statistics for LAUREL HEALTH SYSTEM TAX DEFERRED ANNUITY 403(B) P

401k plan membership statisitcs for LAUREL HEALTH SYSTEM TAX DEFERRED ANNUITY 403(B) P

Measure Date Value
2013: LAUREL HEALTH SYSTEM TAX DEFERRED ANNUITY 403(B) P 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1,313
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 0
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 0
Total of all active and inactive participants 2013-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 0
Number of participants with account balances 2013-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 2
2012: LAUREL HEALTH SYSTEM TAX DEFERRED ANNUITY 403(B) P 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1,461
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1,097
Number of retired or separated participants receiving benefits 2012-01-01 13
Number of other retired or separated participants entitled to future benefits 2012-01-01 203
Total of all active and inactive participants 2012-01-01 1,313
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 1,313
Number of participants with account balances 2012-01-01 1,107
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 76
2011: LAUREL HEALTH SYSTEM TAX DEFERRED ANNUITY 403(B) P 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1,427
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 1,058
Number of retired or separated participants receiving benefits 2011-01-01 81
Number of other retired or separated participants entitled to future benefits 2011-01-01 320
Total of all active and inactive participants 2011-01-01 1,459
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 2
Total participants 2011-01-01 1,461
Number of participants with account balances 2011-01-01 1,259
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 35
2009: LAUREL HEALTH SYSTEM TAX DEFERRED ANNUITY 403(B) P 2009 401k membership
Total participants, beginning-of-year 2009-01-01 1,526
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 1,321
Number of retired or separated participants receiving benefits 2009-01-01 29
Number of other retired or separated participants entitled to future benefits 2009-01-01 228
Total of all active and inactive participants 2009-01-01 1,578
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 3
Total participants 2009-01-01 1,581
Number of participants with account balances 2009-01-01 1,298
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 35

Measure	Date	Value
2013: LAUREL HEALTH SYSTEM TAX DEFERRED ANNUITY 403(B) P 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1,313
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	0
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	0
Total of all active and inactive participants	2013-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	0
Number of participants with account balances	2013-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	2
2012: LAUREL HEALTH SYSTEM TAX DEFERRED ANNUITY 403(B) P 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1,461
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1,097
Number of retired or separated participants receiving benefits	2012-01-01	13
Number of other retired or separated participants entitled to future benefits	2012-01-01	203
Total of all active and inactive participants	2012-01-01	1,313
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	1,313
Number of participants with account balances	2012-01-01	1,107
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	76
2011: LAUREL HEALTH SYSTEM TAX DEFERRED ANNUITY 403(B) P 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1,427
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1,058
Number of retired or separated participants receiving benefits	2011-01-01	81
Number of other retired or separated participants entitled to future benefits	2011-01-01	320
Total of all active and inactive participants	2011-01-01	1,459
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	2
Total participants	2011-01-01	1,461
Number of participants with account balances	2011-01-01	1,259
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	35
2009: LAUREL HEALTH SYSTEM TAX DEFERRED ANNUITY 403(B) P 2009 401k membership
Total participants, beginning-of-year	2009-01-01	1,526
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	1,321
Number of retired or separated participants receiving benefits	2009-01-01	29
Number of other retired or separated participants entitled to future benefits	2009-01-01	228
Total of all active and inactive participants	2009-01-01	1,578
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	3
Total participants	2009-01-01	1,581
Number of participants with account balances	2009-01-01	1,298
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	35

Financial Data on LAUREL HEALTH SYSTEM TAX DEFERRED ANNUITY 403(B) P

Measure	Date	Value
2013 : LAUREL HEALTH SYSTEM TAX DEFERRED ANNUITY 403(B) P 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total transfer of assets from this plan	2013-12-31	$40,641,544
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	$10,234,548
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$3,019,233
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$3,018,193
Expenses. Certain deemed distributions of participant loans	2013-12-31	$0
Value of total corrective distributions	2013-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$3,259,471
Value of total assets at end of year	2013-12-31	$0
Value of total assets at beginning of year	2013-12-31	$33,426,229
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$1,040
Total interest from all sources	2013-12-31	$35,204
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$1,607,774
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	$1,607,774
Administrative expenses professional fees incurred	2013-12-31	$0
Was this plan covered by a fidelity bond	2013-12-31	No
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	$1,664,936
Participant contributions at end of year	2013-12-31	$0
Participant contributions at beginning of year	2013-12-31	$0
Participant contributions at beginning of year	2013-12-31	$61,326
Assets. Other investments not covered elsewhere at end of year	2013-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2013-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$306,327
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2013-12-31	$0
Other income not declared elsewhere	2013-12-31	$0
Administrative expenses (other) incurred	2013-12-31	$300
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	$7,215,315
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$33,426,229
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	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$30,622,023
Value of interest in pooled separate accounts at end of year	2013-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$0
Interest on participant loans	2013-12-31	$0
Interest earned on other investments	2013-12-31	$35,204
Value of interest in common/collective trusts at end of year	2013-12-31	$0
Value of interest in common/collective trusts at beginning of year	2013-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$2,471,426
Expenses. Payments to insurance carriers foe the provision of benefits	2013-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$5,332,099
Net investment gain/loss from pooled separate accounts	2013-12-31	$0
Net investment gain or loss from common/collective trusts	2013-12-31	$0
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	Yes
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Assets. Invements in employer securities at end of year	2013-12-31	$0
Assets. Invements in employer securities at beginning of year	2013-12-31	$0
Contributions received in cash from employer	2013-12-31	$1,288,208
Employer contributions (assets) at beginning of year	2013-12-31	$271,454
Income. Dividends from common stock	2013-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$3,018,193
Contract administrator fees	2013-12-31	$740
Did the plan have assets held for investment	2013-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	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	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	No
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	BAKER TILLY VIRCHOW KRAUSE, LLP
Accountancy firm EIN	2013-12-31	390859910
2012 : LAUREL HEALTH SYSTEM TAX DEFERRED ANNUITY 403(B) P 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total transfer of assets to this plan	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	$9,018
Total income from all sources (including contributions)	2012-12-31	$8,089,203
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$3,433,242
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$3,411,953
Expenses. Certain deemed distributions of participant loans	2012-12-31	$0
Value of total corrective distributions	2012-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$4,014,399
Value of total assets at end of year	2012-12-31	$33,426,229
Value of total assets at beginning of year	2012-12-31	$28,779,286
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$21,289
Total interest from all sources	2012-12-31	$14,938
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$817,291
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	$817,291
Administrative expenses professional fees incurred	2012-12-31	$21,089
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	Yes
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	$1,629,847
Participant contributions at end of year	2012-12-31	$0
Participant contributions at beginning of year	2012-12-31	$0
Participant contributions at end of year	2012-12-31	$61,326
Assets. Other investments not covered elsewhere at end of year	2012-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2012-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$1,089,182
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2012-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-12-31	$315
Other income not declared elsewhere	2012-12-31	$0
Administrative expenses (other) incurred	2012-12-31	$0
Liabilities. Value of operating payables at end of year	2012-12-31	$0
Liabilities. Value of operating payables at beginning of year	2012-12-31	$9,018
Total non interest bearing cash at end of year	2012-12-31	$0
Total non interest bearing cash at beginning of year	2012-12-31	$75,226
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	$4,655,961
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$33,426,229
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$28,770,268
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	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$30,622,023
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$26,731,271
Value of interest in pooled separate accounts at end of year	2012-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$0
Interest on participant loans	2012-12-31	$0
Interest earned on other investments	2012-12-31	$14,938
Value of interest in common/collective trusts at end of year	2012-12-31	$0
Value of interest in common/collective trusts at beginning of year	2012-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$1,703,934
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$1,703,934
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$2,471,426
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2012-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$3,242,575
Net investment gain/loss from pooled separate accounts	2012-12-31	$0
Net investment gain or loss from common/collective trusts	2012-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Assets. Invements in employer securities at end of year	2012-12-31	$0
Assets. Invements in employer securities at beginning of year	2012-12-31	$0
Contributions received in cash from employer	2012-12-31	$1,295,370
Employer contributions (assets) at end of year	2012-12-31	$271,454
Employer contributions (assets) at beginning of year	2012-12-31	$268,540
Income. Dividends from common stock	2012-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$3,411,953
Contract administrator fees	2012-12-31	$200
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2012-12-31	Yes
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	No
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	PARENTEBEARD, LLC
Accountancy firm EIN	2012-12-31	232932984
2011 : LAUREL HEALTH SYSTEM TAX DEFERRED ANNUITY 403(B) P 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	$9,018
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$8,771
Total income from all sources (including contributions)	2011-12-31	$2,558,872
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$1,643,551
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$1,620,320
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$3,010,343
Value of total assets at end of year	2011-12-31	$28,779,286
Value of total assets at beginning of year	2011-12-31	$27,863,718
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$23,231
Total interest from all sources	2011-12-31	$175
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$470,405
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	$470,405
Administrative expenses professional fees incurred	2011-12-31	$23,231
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	$1,654,238
Participant contributions at beginning of year	2011-12-31	$58,619
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$88,161
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-12-31	$315
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-12-31	$17,117
Liabilities. Value of operating payables at end of year	2011-12-31	$9,018
Liabilities. Value of operating payables at beginning of year	2011-12-31	$8,771
Total non interest bearing cash at end of year	2011-12-31	$75,226
Total non interest bearing cash at beginning of year	2011-12-31	$16,260
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	$915,321
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$28,770,268
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$27,854,947
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	$26,731,271
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$25,817,273
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$1,703,934
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$1,573,243
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$1,573,243
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$175
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-922,051
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	$1,267,944
Employer contributions (assets) at end of year	2011-12-31	$268,540
Employer contributions (assets) at beginning of year	2011-12-31	$381,206
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$1,620,320
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	No
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	PARENTEBEARD LLC
Accountancy firm EIN	2011-12-31	232932984
2010 : LAUREL HEALTH SYSTEM TAX DEFERRED ANNUITY 403(B) P 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	$8,771
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$6,297
Total income from all sources (including contributions)	2010-12-31	$6,092,661
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$1,234,765
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$1,225,989
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$2,821,750
Value of total assets at end of year	2010-12-31	$27,863,718
Value of total assets at beginning of year	2010-12-31	$23,003,348
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$8,776
Total interest from all sources	2010-12-31	$752
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$381,917
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	$381,917
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	$1,645,206
Participant contributions at end of year	2010-12-31	$58,619
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$81,142
Value of other receiveables (less allowance for doubtful accounts) at end of year	2010-12-31	$17,117
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2010-12-31	$15,944
Liabilities. Value of operating payables at end of year	2010-12-31	$8,771
Liabilities. Value of operating payables at beginning of year	2010-12-31	$6,297
Total non interest bearing cash at end of year	2010-12-31	$16,260
Total non interest bearing cash at beginning of year	2010-12-31	$49,333
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	$4,857,896
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$27,854,947
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$22,997,051
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
Investment advisory and management fees	2010-12-31	$8,776
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$25,817,273
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$21,146,540
Interest earned on other investments	2010-12-31	$269
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$1,573,243
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$1,464,411
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$1,464,411
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$483
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$2,888,242
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	$1,095,402
Employer contributions (assets) at end of year	2010-12-31	$381,206
Employer contributions (assets) at beginning of year	2010-12-31	$327,120
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$1,225,989
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	No
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	PARENTEBEARD LLC
Accountancy firm EIN	2010-12-31	232932984
2009 : LAUREL HEALTH SYSTEM TAX DEFERRED ANNUITY 403(B) P 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 LAUREL HEALTH SYSTEM TAX DEFERRED ANNUITY 403(B) P

2013: LAUREL HEALTH SYSTEM TAX DEFERRED ANNUITY 403(B) P 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	Yes
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: LAUREL HEALTH SYSTEM TAX DEFERRED ANNUITY 403(B) P 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: LAUREL HEALTH SYSTEM TAX DEFERRED ANNUITY 403(B) P 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 – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: LAUREL HEALTH SYSTEM TAX DEFERRED ANNUITY 403(B) P 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	LAUREL HEALTH SYSTEM
Employer identification number (EIN):	240795488
NAIC Classification:	622000
NAIC Description:	Hospitals