401k Plan data: COX MEDICAL CENTER BRANSON FIXED TAX DEFERRED ANNUITY PLAN

COX MEDICAL CENTER BRANSON FIXED TAX DEFERRED ANNUITY PLAN - VOLUNTARY 401k Plan overview

Plan Name	COX MEDICAL CENTER BRANSON FIXED TAX DEFERRED ANNUITY PLAN - VOLUNTARY
Plan identification number	002

COX MEDICAL CENTER BRANSON FIXED TAX DEFERRED ANNUITY PLAN - VOLUNTARY 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.
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) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

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

Company Name: SKAGGS REGIONAL MEDICAL CENTER

Employer identification number (EIN): 440584290

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COX MEDICAL CENTER BRANSON FIXED TAX DEFERRED ANNUITY PLAN - VOLUNTARY

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2013-01-01 KRISTINE JONES
002 2012-01-01 KRISTINE JONES
002 2011-01-01 KRISTINE JONES
002 2010-01-01 KRISTINE JONES
002 2009-01-01 GARY LAMBERT

Plan id#	Filing Submission Date	Name of Administrator
002	2013-01-01	KRISTINE JONES
002	2012-01-01	KRISTINE JONES
002	2011-01-01	KRISTINE JONES
002	2010-01-01	KRISTINE JONES
002	2009-01-01	GARY LAMBERT

Plan Statistics for COX MEDICAL CENTER BRANSON FIXED TAX DEFERRED ANNUITY PLAN - VOLUNTARY

401k plan membership statisitcs for COX MEDICAL CENTER BRANSON FIXED TAX DEFERRED ANNUITY PLAN - VOLUNTARY

Measure Date Value
2013: COX MEDICAL CENTER BRANSON FIXED TAX DEFERRED ANNUITY PLAN - VOLUNTARY 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1,264
Total number of active participants reported on line 7a of the Form 5500 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 0
2012: COX MEDICAL CENTER BRANSON FIXED TAX DEFERRED ANNUITY PLAN - VOLUNTARY 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1,238
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1,195
Number of other retired or separated participants entitled to future benefits 2012-01-01 68
Total of all active and inactive participants 2012-01-01 1,263
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 1
Total participants 2012-01-01 1,264
Number of participants with account balances 2012-01-01 694
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 53
2011: COX MEDICAL CENTER BRANSON FIXED TAX DEFERRED ANNUITY PLAN - VOLUNTARY 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1,243
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 1,193
Number of other retired or separated participants entitled to future benefits 2011-01-01 45
Total of all active and inactive participants 2011-01-01 1,238
Total participants 2011-01-01 1,238
Number of participants with account balances 2011-01-01 592
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 50
2010: COX MEDICAL CENTER BRANSON FIXED TAX DEFERRED ANNUITY PLAN - VOLUNTARY 2010 401k membership
Total participants, beginning-of-year 2010-01-01 1,262
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 1,174
Number of other retired or separated participants entitled to future benefits 2010-01-01 69
Total of all active and inactive participants 2010-01-01 1,243
Total participants 2010-01-01 1,243
Number of participants with account balances 2010-01-01 586
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 82
2009: COX MEDICAL CENTER BRANSON FIXED TAX DEFERRED ANNUITY PLAN - VOLUNTARY 2009 401k membership
Total participants, beginning-of-year 2009-01-01 1,156
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 1,076
Number of other retired or separated participants entitled to future benefits 2009-01-01 186
Total of all active and inactive participants 2009-01-01 1,262
Total participants 2009-01-01 1,262
Number of participants with account balances 2009-01-01 628
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 23

Measure	Date	Value
2013: COX MEDICAL CENTER BRANSON FIXED TAX DEFERRED ANNUITY PLAN - VOLUNTARY 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1,264
Total number of active participants reported on line 7a of the Form 5500	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	0
2012: COX MEDICAL CENTER BRANSON FIXED TAX DEFERRED ANNUITY PLAN - VOLUNTARY 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1,238
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1,195
Number of other retired or separated participants entitled to future benefits	2012-01-01	68
Total of all active and inactive participants	2012-01-01	1,263
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	1
Total participants	2012-01-01	1,264
Number of participants with account balances	2012-01-01	694
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	53
2011: COX MEDICAL CENTER BRANSON FIXED TAX DEFERRED ANNUITY PLAN - VOLUNTARY 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1,243
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1,193
Number of other retired or separated participants entitled to future benefits	2011-01-01	45
Total of all active and inactive participants	2011-01-01	1,238
Total participants	2011-01-01	1,238
Number of participants with account balances	2011-01-01	592
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	50
2010: COX MEDICAL CENTER BRANSON FIXED TAX DEFERRED ANNUITY PLAN - VOLUNTARY 2010 401k membership
Total participants, beginning-of-year	2010-01-01	1,262
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	1,174
Number of other retired or separated participants entitled to future benefits	2010-01-01	69
Total of all active and inactive participants	2010-01-01	1,243
Total participants	2010-01-01	1,243
Number of participants with account balances	2010-01-01	586
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	82
2009: COX MEDICAL CENTER BRANSON FIXED TAX DEFERRED ANNUITY PLAN - VOLUNTARY 2009 401k membership
Total participants, beginning-of-year	2009-01-01	1,156
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	1,076
Number of other retired or separated participants entitled to future benefits	2009-01-01	186
Total of all active and inactive participants	2009-01-01	1,262
Total participants	2009-01-01	1,262
Number of participants with account balances	2009-01-01	628
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	23

Financial Data on COX MEDICAL CENTER BRANSON FIXED TAX DEFERRED ANNUITY PLAN - VOLUNTARY

Measure	Date	Value
2013 : COX MEDICAL CENTER BRANSON FIXED TAX DEFERRED ANNUITY PLAN - VOLUNTARY 2013 401k financial data
Total transfer of assets from this plan	2013-04-30	$21,912,722
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-04-30	$0
Total income from all sources (including contributions)	2013-04-30	$2,368,811
Total of all expenses incurred	2013-04-30	$905,976
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-04-30	$869,184
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-04-30	$1,002,493
Value of total assets at end of year	2013-04-30	$0
Value of total assets at beginning of year	2013-04-30	$20,449,887
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-04-30	$36,792
Total interest from all sources	2013-04-30	$46,531
Total dividends received (eg from common stock, registered investment company shares)	2013-04-30	$16,550
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-04-30	No
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2013-04-30	$0
Total dividends received from registered investment company shares (eg mutual funds)	2013-04-30	$16,550
Was this plan covered by a fidelity bond	2013-04-30	Yes
Value of fidelity bond cover	2013-04-30	$1,000,000
If this is an individual account plan, was there a blackout period	2013-04-30	No
Were there any nonexempt tranactions with any party-in-interest	2013-04-30	No
Contributions received from participants	2013-04-30	$677,622
Participant contributions at beginning of year	2013-04-30	$433,253
Participant contributions at beginning of year	2013-04-30	$5,438
Income. Received or receivable in cash from other sources (including rollovers)	2013-04-30	$104,293
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2013-04-30	$556
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-04-30	No
Value of net income/loss	2013-04-30	$1,462,835
Value of net assets at end of year (total assets less liabilities)	2013-04-30	$0
Value of net assets at beginning of year (total assets less liabilities)	2013-04-30	$20,449,887
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-04-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-04-30	No
Were any leases to which the plan was party in default or uncollectible	2013-04-30	No
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-04-30	$16,105,746
Interest on participant loans	2013-04-30	$7,277
Interest earned on other investments	2013-04-30	$39,254
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-04-30	$3,904,894
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-04-30	$1,303,237
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-04-30	No
Was there a failure to transmit to the plan any participant contributions	2013-04-30	No
Has the plan failed to provide any benefit when due under the plan	2013-04-30	No
Contributions received in cash from employer	2013-04-30	$220,578
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-04-30	$869,184
Contract administrator fees	2013-04-30	$36,792
Did the plan have assets held for investment	2013-04-30	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	2013-04-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-04-30	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-04-30	Yes
Opinion of an independent qualified public accountant for this plan	2013-04-30	Disclaimer
Accountancy firm name	2013-04-30	COFFMAN AND COMPANY PC
Accountancy firm EIN	2013-04-30	431462481
2012 : COX MEDICAL CENTER BRANSON FIXED TAX DEFERRED ANNUITY PLAN - VOLUNTARY 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2012-12-31	$-352
Total unrealized appreciation/depreciation of assets	2012-12-31	$-352
Total income from all sources (including contributions)	2012-12-31	$5,145,881
Total of all expenses incurred	2012-12-31	$2,818,784
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$2,738,043
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$2,898,645
Value of total assets at end of year	2012-12-31	$20,449,887
Value of total assets at beginning of year	2012-12-31	$18,122,790
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$80,741
Total interest from all sources	2012-12-31	$144,787
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$369,500
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	$369,500
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
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$1,987,127
Participant contributions at end of year	2012-12-31	$433,253
Participant contributions at beginning of year	2012-12-31	$429,324
Participant contributions at end of year	2012-12-31	$5,438
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$311,020
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-12-31	$556
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-12-31	$402
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	$2,327,097
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$20,449,887
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$18,122,790
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$16,105,746
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$13,795,391
Interest on participant loans	2012-12-31	$20,372
Interest earned on other investments	2012-12-31	$124,415
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$3,904,894
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$3,897,673
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$1,733,301
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	$600,498
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$2,738,043
Contract administrator fees	2012-12-31	$80,741
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	COFFMAN AND COMPANY PC
Accountancy firm EIN	2012-12-31	431462481
2011 : COX MEDICAL CENTER BRANSON FIXED TAX DEFERRED ANNUITY PLAN - VOLUNTARY 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2011-12-31	$-34,929
Total unrealized appreciation/depreciation of assets	2011-12-31	$-34,929
Total income from all sources (including contributions)	2011-12-31	$2,966,049
Total of all expenses incurred	2011-12-31	$2,440,173
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$2,387,000
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$2,987,008
Value of total assets at end of year	2011-12-31	$18,122,790
Value of total assets at beginning of year	2011-12-31	$17,596,914
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$53,173
Total interest from all sources	2011-12-31	$133,118
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$316,248
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	$316,248
Was this plan covered by a fidelity bond	2011-12-31	No
If this is an individual account plan, was there a blackout period	2011-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$1,852,252
Participant contributions at end of year	2011-12-31	$429,324
Participant contributions at beginning of year	2011-12-31	$312,266
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$558,018
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-12-31	$402
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	$525,876
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$18,122,790
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$17,596,914
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	$13,795,391
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$14,040,598
Interest on participant loans	2011-12-31	$20,276
Interest earned on other investments	2011-12-31	$112,842
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$3,897,673
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$3,234,025
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-435,396
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	$576,738
Employer contributions (assets) at beginning of year	2011-12-31	$10,025
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$2,387,000
Contract administrator fees	2011-12-31	$53,173
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	COFFMAN AND COMPANY PC
Accountancy firm EIN	2011-12-31	431462481
2010 : COX MEDICAL CENTER BRANSON FIXED TAX DEFERRED ANNUITY PLAN - VOLUNTARY 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2010-12-31	$-10,663
Total unrealized appreciation/depreciation of assets	2010-12-31	$-10,663
Total income from all sources (including contributions)	2010-12-31	$4,706,754
Total of all expenses incurred	2010-12-31	$1,581,125
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$1,536,841
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$2,882,189
Value of total assets at end of year	2010-12-31	$17,596,914
Value of total assets at beginning of year	2010-12-31	$14,471,285
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$44,284
Total interest from all sources	2010-12-31	$113,874
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$257,297
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	$257,297
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$1,865,269
Participant contributions at end of year	2010-12-31	$312,266
Participant contributions at beginning of year	2010-12-31	$147,852
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$460,493
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$3,125,629
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$17,596,914
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$14,471,285
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$14,040,598
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$11,273,541
Interest on participant loans	2010-12-31	$11,953
Interest earned on other investments	2010-12-31	$101,921
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$3,234,025
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$3,031,399
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$1,464,057
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	$556,427
Employer contributions (assets) at end of year	2010-12-31	$10,025
Employer contributions (assets) at beginning of year	2010-12-31	$18,493
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$1,536,841
Contract administrator fees	2010-12-31	$44,284
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	COFFMAN AND COMPANY, P.C.
Accountancy firm EIN	2010-12-31	431462481

Form 5500 Responses for COX MEDICAL CENTER BRANSON FIXED TAX DEFERRED ANNUITY PLAN - VOLUNTARY

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

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Company Name:	SKAGGS REGIONAL MEDICAL CENTER
Employer identification number (EIN):	440584290
NAIC Classification:	622000
NAIC Description:	Hospitals