401k Plan data: JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN plan

JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN 401k Plan overview

Plan Name	JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN
Plan identification number	001

JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
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 covering Self-Employed individuals.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

JOHN FITZGIBBON MEMORIAL HOSPITAL, INC has sponsored the creation of one or more 401k plans.

Company Name: JOHN FITZGIBBON MEMORIAL HOSPITAL, INC

Employer identification number (EIN): 440655986

NAIC Classification: 622000
NAIC Description: Hospitals

Additional information about JOHN FITZGIBBON MEMORIAL HOSPITAL, INC

Jurisdiction of Incorporation: Missouri Secretary of State

Incorporation Date:

Company Identification Number: N00003109

More information about JOHN FITZGIBBON MEMORIAL HOSPITAL, INC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-05-01
001 2021-05-01
001 2020-05-01
001 2019-05-01
001 2018-05-01
001 2017-05-01 ANGELA LITTRELL
001 2016-05-01 ANGELA LITTRELL
001 2015-05-01 R. BRUCE BLALOCK
001 2014-05-01 R. BRUCE BLALOCK R. BRUCE BLALOCK 2016-02-15
001 2013-05-01 R. BRUCE BLALOCK R. BRUCE BLALOCK 2015-02-13
001 2012-05-01 PLAN SPONSOR
001 2011-05-01 BRUCE BLALOCK
001 2010-05-01 BRUCE BLALOCK
001 2009-05-01 BRUCE BLALOCK

Plan Statistics for JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN

401k plan membership statisitcs for JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN

Measure Date Value
2022: JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year 2022-05-01 566
Total number of active participants reported on line 7a of the Form 5500 2022-05-01 437
Number of retired or separated participants receiving benefits 2022-05-01 0
Number of other retired or separated participants entitled to future benefits 2022-05-01 137
Total of all active and inactive participants 2022-05-01 574
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-05-01 1
Total participants 2022-05-01 575
Number of participants with account balances 2022-05-01 490
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-05-01 12
2021: JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-05-01 639
Total number of active participants reported on line 7a of the Form 5500 2021-05-01 405
Number of retired or separated participants receiving benefits 2021-05-01 0
Number of other retired or separated participants entitled to future benefits 2021-05-01 159
Total of all active and inactive participants 2021-05-01 564
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-05-01 1
Total participants 2021-05-01 565
Number of participants with account balances 2021-05-01 515
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-05-01 40
2020: JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-05-01 628
Total number of active participants reported on line 7a of the Form 5500 2020-05-01 542
Number of retired or separated participants receiving benefits 2020-05-01 0
Number of other retired or separated participants entitled to future benefits 2020-05-01 96
Total of all active and inactive participants 2020-05-01 638
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-05-01 1
Total participants 2020-05-01 639
Number of participants with account balances 2020-05-01 458
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-05-01 0
2019: JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-05-01 635
Total number of active participants reported on line 7a of the Form 5500 2019-05-01 529
Number of retired or separated participants receiving benefits 2019-05-01 0
Number of other retired or separated participants entitled to future benefits 2019-05-01 93
Total of all active and inactive participants 2019-05-01 622
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-05-01 1
Total participants 2019-05-01 623
Number of participants with account balances 2019-05-01 459
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-05-01 0
2018: JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-05-01 664
Total number of active participants reported on line 7a of the Form 5500 2018-05-01 543
Number of retired or separated participants receiving benefits 2018-05-01 0
Number of other retired or separated participants entitled to future benefits 2018-05-01 91
Total of all active and inactive participants 2018-05-01 634
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-05-01 1
Total participants 2018-05-01 635
Number of participants with account balances 2018-05-01 472
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-05-01 9
2017: JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-05-01 733
Total number of active participants reported on line 7a of the Form 5500 2017-05-01 594
Number of retired or separated participants receiving benefits 2017-05-01 0
Number of other retired or separated participants entitled to future benefits 2017-05-01 117
Total of all active and inactive participants 2017-05-01 711
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-05-01 2
Total participants 2017-05-01 713
Number of participants with account balances 2017-05-01 513
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-05-01 22
2016: JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-05-01 707
Total number of active participants reported on line 7a of the Form 5500 2016-05-01 631
Number of retired or separated participants receiving benefits 2016-05-01 1
Number of other retired or separated participants entitled to future benefits 2016-05-01 105
Total of all active and inactive participants 2016-05-01 737
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-05-01 1
Total participants 2016-05-01 738
Number of participants with account balances 2016-05-01 561
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-05-01 15
2015: JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-05-01 678
Total number of active participants reported on line 7a of the Form 5500 2015-05-01 594
Number of retired or separated participants receiving benefits 2015-05-01 0
Number of other retired or separated participants entitled to future benefits 2015-05-01 71
Total of all active and inactive participants 2015-05-01 665
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-05-01 1
Total participants 2015-05-01 666
Number of participants with account balances 2015-05-01 465
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-05-01 19
2014: JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-05-01 705
Total number of active participants reported on line 7a of the Form 5500 2014-05-01 594
Number of retired or separated participants receiving benefits 2014-05-01 0
Number of other retired or separated participants entitled to future benefits 2014-05-01 73
Total of all active and inactive participants 2014-05-01 667
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-05-01 2
Total participants 2014-05-01 669
Number of participants with account balances 2014-05-01 526
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-05-01 11
2013: JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-05-01 529
Total number of active participants reported on line 7a of the Form 5500 2013-05-01 585
Number of retired or separated participants receiving benefits 2013-05-01 0
Number of other retired or separated participants entitled to future benefits 2013-05-01 117
Total of all active and inactive participants 2013-05-01 702
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-05-01 3
Total participants 2013-05-01 705
Number of participants with account balances 2013-05-01 566
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-05-01 7
2012: JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-05-01 877
Total number of active participants reported on line 7a of the Form 5500 2012-05-01 525
Number of retired or separated participants receiving benefits 2012-05-01 3
Number of other retired or separated participants entitled to future benefits 2012-05-01 1
Total of all active and inactive participants 2012-05-01 529
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-05-01 0
Total participants 2012-05-01 529
Number of participants with account balances 2012-05-01 28
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-05-01 133
2011: JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-05-01 837
Total number of active participants reported on line 7a of the Form 5500 2011-05-01 514
Number of retired or separated participants receiving benefits 2011-05-01 7
Number of other retired or separated participants entitled to future benefits 2011-05-01 349
Total of all active and inactive participants 2011-05-01 870
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-05-01 0
Total participants 2011-05-01 870
Number of participants with account balances 2011-05-01 706
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-05-01 105
2010: JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-05-01 757
Total number of active participants reported on line 7a of the Form 5500 2010-05-01 388
Number of retired or separated participants receiving benefits 2010-05-01 14
Number of other retired or separated participants entitled to future benefits 2010-05-01 332
Total of all active and inactive participants 2010-05-01 734
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-05-01 0
Total participants 2010-05-01 734
Number of participants with account balances 2010-05-01 679
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-05-01 20
2009: JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-05-01 715
Total number of active participants reported on line 7a of the Form 5500 2009-05-01 373
Number of retired or separated participants receiving benefits 2009-05-01 10
Number of other retired or separated participants entitled to future benefits 2009-05-01 306
Total of all active and inactive participants 2009-05-01 689
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-05-01 0
Total participants 2009-05-01 689
Number of participants with account balances 2009-05-01 601
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-05-01 7

Measure	Date	Value
2022: JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year	2022-05-01	566
Total number of active participants reported on line 7a of the Form 5500	2022-05-01	437
Number of retired or separated participants receiving benefits	2022-05-01	0
Number of other retired or separated participants entitled to future benefits	2022-05-01	137
Total of all active and inactive participants	2022-05-01	574
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-05-01	1
Total participants	2022-05-01	575
Number of participants with account balances	2022-05-01	490
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-05-01	12
2021: JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-05-01	639
Total number of active participants reported on line 7a of the Form 5500	2021-05-01	405
Number of retired or separated participants receiving benefits	2021-05-01	0
Number of other retired or separated participants entitled to future benefits	2021-05-01	159
Total of all active and inactive participants	2021-05-01	564
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-05-01	1
Total participants	2021-05-01	565
Number of participants with account balances	2021-05-01	515
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-05-01	40
2020: JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-05-01	628
Total number of active participants reported on line 7a of the Form 5500	2020-05-01	542
Number of retired or separated participants receiving benefits	2020-05-01	0
Number of other retired or separated participants entitled to future benefits	2020-05-01	96
Total of all active and inactive participants	2020-05-01	638
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-05-01	1
Total participants	2020-05-01	639
Number of participants with account balances	2020-05-01	458
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-05-01	0
2019: JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-05-01	635
Total number of active participants reported on line 7a of the Form 5500	2019-05-01	529
Number of retired or separated participants receiving benefits	2019-05-01	0
Number of other retired or separated participants entitled to future benefits	2019-05-01	93
Total of all active and inactive participants	2019-05-01	622
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-05-01	1
Total participants	2019-05-01	623
Number of participants with account balances	2019-05-01	459
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-05-01	0
2018: JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-05-01	664
Total number of active participants reported on line 7a of the Form 5500	2018-05-01	543
Number of retired or separated participants receiving benefits	2018-05-01	0
Number of other retired or separated participants entitled to future benefits	2018-05-01	91
Total of all active and inactive participants	2018-05-01	634
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-05-01	1
Total participants	2018-05-01	635
Number of participants with account balances	2018-05-01	472
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-05-01	9
2017: JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-05-01	733
Total number of active participants reported on line 7a of the Form 5500	2017-05-01	594
Number of retired or separated participants receiving benefits	2017-05-01	0
Number of other retired or separated participants entitled to future benefits	2017-05-01	117
Total of all active and inactive participants	2017-05-01	711
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-05-01	2
Total participants	2017-05-01	713
Number of participants with account balances	2017-05-01	513
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-05-01	22
2016: JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-05-01	707
Total number of active participants reported on line 7a of the Form 5500	2016-05-01	631
Number of retired or separated participants receiving benefits	2016-05-01	1
Number of other retired or separated participants entitled to future benefits	2016-05-01	105
Total of all active and inactive participants	2016-05-01	737
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-05-01	1
Total participants	2016-05-01	738
Number of participants with account balances	2016-05-01	561
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-05-01	15
2015: JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-05-01	678
Total number of active participants reported on line 7a of the Form 5500	2015-05-01	594
Number of retired or separated participants receiving benefits	2015-05-01	0
Number of other retired or separated participants entitled to future benefits	2015-05-01	71
Total of all active and inactive participants	2015-05-01	665
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-05-01	1
Total participants	2015-05-01	666
Number of participants with account balances	2015-05-01	465
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-05-01	19
2014: JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-05-01	705
Total number of active participants reported on line 7a of the Form 5500	2014-05-01	594
Number of retired or separated participants receiving benefits	2014-05-01	0
Number of other retired or separated participants entitled to future benefits	2014-05-01	73
Total of all active and inactive participants	2014-05-01	667
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-05-01	2
Total participants	2014-05-01	669
Number of participants with account balances	2014-05-01	526
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-05-01	11
2013: JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-05-01	529
Total number of active participants reported on line 7a of the Form 5500	2013-05-01	585
Number of retired or separated participants receiving benefits	2013-05-01	0
Number of other retired or separated participants entitled to future benefits	2013-05-01	117
Total of all active and inactive participants	2013-05-01	702
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-05-01	3
Total participants	2013-05-01	705
Number of participants with account balances	2013-05-01	566
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-05-01	7
2012: JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-05-01	877
Total number of active participants reported on line 7a of the Form 5500	2012-05-01	525
Number of retired or separated participants receiving benefits	2012-05-01	3
Number of other retired or separated participants entitled to future benefits	2012-05-01	1
Total of all active and inactive participants	2012-05-01	529
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-05-01	0
Total participants	2012-05-01	529
Number of participants with account balances	2012-05-01	28
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-05-01	133
2011: JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-05-01	837
Total number of active participants reported on line 7a of the Form 5500	2011-05-01	514
Number of retired or separated participants receiving benefits	2011-05-01	7
Number of other retired or separated participants entitled to future benefits	2011-05-01	349
Total of all active and inactive participants	2011-05-01	870
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-05-01	0
Total participants	2011-05-01	870
Number of participants with account balances	2011-05-01	706
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-05-01	105
2010: JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-05-01	757
Total number of active participants reported on line 7a of the Form 5500	2010-05-01	388
Number of retired or separated participants receiving benefits	2010-05-01	14
Number of other retired or separated participants entitled to future benefits	2010-05-01	332
Total of all active and inactive participants	2010-05-01	734
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-05-01	0
Total participants	2010-05-01	734
Number of participants with account balances	2010-05-01	679
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-05-01	20
2009: JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-05-01	715
Total number of active participants reported on line 7a of the Form 5500	2009-05-01	373
Number of retired or separated participants receiving benefits	2009-05-01	10
Number of other retired or separated participants entitled to future benefits	2009-05-01	306
Total of all active and inactive participants	2009-05-01	689
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-05-01	0
Total participants	2009-05-01	689
Number of participants with account balances	2009-05-01	601
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-05-01	7

Financial Data on JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN

Measure	Date	Value
2023 : JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN 2023 401k financial data
Unrealized appreciation/depreciation of real estate assets	2023-04-30	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2023-04-30	$0
Total unrealized appreciation/depreciation of assets	2023-04-30	$0
Total transfer of assets to this plan	2023-04-30	$0
Total transfer of assets from this plan	2023-04-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2023-04-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2023-04-30	$0
Expenses. Interest paid	2023-04-30	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2023-04-30	$0
Total income from all sources (including contributions)	2023-04-30	$1,049,808
Total loss/gain on sale of assets	2023-04-30	$0
Total of all expenses incurred	2023-04-30	$899,956
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2023-04-30	$856,034
Expenses. Certain deemed distributions of participant loans	2023-04-30	$0
Value of total corrective distributions	2023-04-30	$487
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2023-04-30	$945,938
Value of total assets at end of year	2023-04-30	$13,653,360
Value of total assets at beginning of year	2023-04-30	$13,503,508
Total of administrative expenses incurred including professional, contract, advisory and management fees	2023-04-30	$43,435
Total income from rents	2023-04-30	$0
Total interest from all sources	2023-04-30	$24,591
Total dividends received (eg from common stock, registered investment company shares)	2023-04-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2023-04-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2023-04-30	$0
Assets. Real estate other than employer real property at end of year	2023-04-30	$0
Assets. Real estate other than employer real property at beginning of year	2023-04-30	$0
Administrative expenses professional fees incurred	2023-04-30	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2023-04-30	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2023-04-30	$0
Was this plan covered by a fidelity bond	2023-04-30	Yes
Value of fidelity bond cover	2023-04-30	$500,000
If this is an individual account plan, was there a blackout period	2023-04-30	No
Were there any nonexempt tranactions with any party-in-interest	2023-04-30	No
Contributions received from participants	2023-04-30	$904,250
Participant contributions at end of year	2023-04-30	$156,457
Participant contributions at beginning of year	2023-04-30	$145,518
Participant contributions at end of year	2023-04-30	$37,149
Participant contributions at beginning of year	2023-04-30	$32,804
Assets. Other investments not covered elsewhere at end of year	2023-04-30	$0
Assets. Other investments not covered elsewhere at beginning of year	2023-04-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2023-04-30	$41,688
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2023-04-30	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2023-04-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2023-04-30	$0
Assets. Loans (other than to participants) at end of year	2023-04-30	$0
Assets. Loans (other than to participants) at beginning of year	2023-04-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2023-04-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2023-04-30	$0
Other income not declared elsewhere	2023-04-30	$0
Administrative expenses (other) incurred	2023-04-30	$0
Liabilities. Value of operating payables at end of year	2023-04-30	$0
Liabilities. Value of operating payables at beginning of year	2023-04-30	$0
Total non interest bearing cash at end of year	2023-04-30	$0
Total non interest bearing cash at beginning of year	2023-04-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2023-04-30	No
Income. Non cash contributions	2023-04-30	$0
Value of net income/loss	2023-04-30	$149,852
Value of net assets at end of year (total assets less liabilities)	2023-04-30	$13,653,360
Value of net assets at beginning of year (total assets less liabilities)	2023-04-30	$13,503,508
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2023-04-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2023-04-30	No
Were any leases to which the plan was party in default or uncollectible	2023-04-30	No
Assets. partnership/joint venture interests at end of year	2023-04-30	$0
Assets. partnership/joint venture interests at beginning of year	2023-04-30	$0
Investment advisory and management fees	2023-04-30	$39,609
Value of interest in registered invesment companies (eg mutual funds) at end of year	2023-04-30	$12,621,209
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2023-04-30	$11,978,823
Value of interest in pooled separate accounts at end of year	2023-04-30	$0
Value of interest in pooled separate accounts at beginning of year	2023-04-30	$0
Interest on participant loans	2023-04-30	$7,238
Income. Interest from loans (other than to participants)	2023-04-30	$0
Interest earned on other investments	2023-04-30	$17,353
Income. Interest from US Government securities	2023-04-30	$0
Income. Interest from corporate debt instruments	2023-04-30	$0
Value of interest in master investment trust accounts at end of year	2023-04-30	$0
Value of interest in master investment trust accounts at beginning of year	2023-04-30	$0
Value of interest in common/collective trusts at end of year	2023-04-30	$0
Value of interest in common/collective trusts at beginning of year	2023-04-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2023-04-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2023-04-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2023-04-30	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2023-04-30	$0
Assets. Value of investments in 103.12 investment entities at end of year	2023-04-30	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2023-04-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2023-04-30	$838,545
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2023-04-30	$1,092,774
Expenses. Payments to insurance carriers foe the provision of benefits	2023-04-30	$0
Asset value of US Government securities at end of year	2023-04-30	$0
Asset value of US Government securities at beginning of year	2023-04-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2023-04-30	$79,279
Net investment gain/loss from pooled separate accounts	2023-04-30	$0
Net investment gain or loss from common/collective trusts	2023-04-30	$0
Net gain/loss from 103.12 investment entities	2023-04-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2023-04-30	No
Was there a failure to transmit to the plan any participant contributions	2023-04-30	No
Has the plan failed to provide any benefit when due under the plan	2023-04-30	No
Assets. Invements in employer securities at end of year	2023-04-30	$0
Assets. Invements in employer securities at beginning of year	2023-04-30	$0
Assets. Value of employer real property at end of year	2023-04-30	$0
Assets. Value of employer real property at beginning of year	2023-04-30	$0
Contributions received in cash from employer	2023-04-30	$0
Employer contributions (assets) at end of year	2023-04-30	$0
Employer contributions (assets) at beginning of year	2023-04-30	$253,589
Income. Dividends from preferred stock	2023-04-30	$0
Income. Dividends from common stock	2023-04-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2023-04-30	$856,034
Asset. Corporate debt instrument preferred debt at end of year	2023-04-30	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2023-04-30	$0
Asset. Corporate debt instrument debt (other) at end of year	2023-04-30	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2023-04-30	$0
Contract administrator fees	2023-04-30	$3,826
Assets. Corporate common stocks other than exployer securities at end of year	2023-04-30	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2023-04-30	$0
Liabilities. Value of benefit claims payable at end of year	2023-04-30	$0
Liabilities. Value of benefit claims payable at beginning of year	2023-04-30	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2023-04-30	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2023-04-30	$0
Did the plan have assets held for investment	2023-04-30	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	2023-04-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2023-04-30	No
Aggregate proceeds on sale of assets	2023-04-30	$0
Aggregate carrying amount (costs) on sale of assets	2023-04-30	$0
Liabilities. Value of acquisition indebtedness at end of year	2023-04-30	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2023-04-30	$0
Opinion of an independent qualified public accountant for this plan	2023-04-30	Unqualified
Accountancy firm name	2023-04-30	FORVIS LLP
Accountancy firm EIN	2023-04-30	440160260
2022 : JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN 2022 401k financial data
Unrealized appreciation/depreciation of real estate assets	2022-04-30	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2022-04-30	$0
Total unrealized appreciation/depreciation of assets	2022-04-30	$0
Total transfer of assets to this plan	2022-04-30	$0
Total transfer of assets from this plan	2022-04-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-04-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-04-30	$0
Expenses. Interest paid	2022-04-30	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2022-04-30	$0
Total income from all sources (including contributions)	2022-04-30	$132,566
Total loss/gain on sale of assets	2022-04-30	$0
Total of all expenses incurred	2022-04-30	$1,431,287
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-04-30	$1,380,709
Expenses. Certain deemed distributions of participant loans	2022-04-30	$0
Value of total corrective distributions	2022-04-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-04-30	$1,101,468
Value of total assets at end of year	2022-04-30	$13,503,508
Value of total assets at beginning of year	2022-04-30	$14,802,229
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-04-30	$50,578
Total income from rents	2022-04-30	$0
Total interest from all sources	2022-04-30	$21,570
Total dividends received (eg from common stock, registered investment company shares)	2022-04-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-04-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-04-30	$0
Assets. Real estate other than employer real property at end of year	2022-04-30	$0
Assets. Real estate other than employer real property at beginning of year	2022-04-30	$0
Administrative expenses professional fees incurred	2022-04-30	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2022-04-30	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2022-04-30	$0
Was this plan covered by a fidelity bond	2022-04-30	Yes
Value of fidelity bond cover	2022-04-30	$500,000
If this is an individual account plan, was there a blackout period	2022-04-30	No
Were there any nonexempt tranactions with any party-in-interest	2022-04-30	No
Contributions received from participants	2022-04-30	$774,561
Participant contributions at end of year	2022-04-30	$145,518
Participant contributions at beginning of year	2022-04-30	$232,583
Participant contributions at end of year	2022-04-30	$32,804
Participant contributions at beginning of year	2022-04-30	$0
Assets. Other investments not covered elsewhere at end of year	2022-04-30	$0
Assets. Other investments not covered elsewhere at beginning of year	2022-04-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2022-04-30	$73,318
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2022-04-30	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2022-04-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2022-04-30	$0
Assets. Loans (other than to participants) at end of year	2022-04-30	$0
Assets. Loans (other than to participants) at beginning of year	2022-04-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2022-04-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2022-04-30	$0
Other income not declared elsewhere	2022-04-30	$0
Administrative expenses (other) incurred	2022-04-30	$0
Liabilities. Value of operating payables at end of year	2022-04-30	$0
Liabilities. Value of operating payables at beginning of year	2022-04-30	$0
Total non interest bearing cash at end of year	2022-04-30	$0
Total non interest bearing cash at beginning of year	2022-04-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-04-30	No
Income. Non cash contributions	2022-04-30	$0
Value of net income/loss	2022-04-30	$-1,298,721
Value of net assets at end of year (total assets less liabilities)	2022-04-30	$13,503,508
Value of net assets at beginning of year (total assets less liabilities)	2022-04-30	$14,802,229
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-04-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-04-30	No
Were any leases to which the plan was party in default or uncollectible	2022-04-30	No
Assets. partnership/joint venture interests at end of year	2022-04-30	$0
Assets. partnership/joint venture interests at beginning of year	2022-04-30	$0
Investment advisory and management fees	2022-04-30	$46,434
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-04-30	$11,978,823
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-04-30	$13,119,446
Value of interest in pooled separate accounts at end of year	2022-04-30	$0
Value of interest in pooled separate accounts at beginning of year	2022-04-30	$0
Interest on participant loans	2022-04-30	$7,976
Income. Interest from loans (other than to participants)	2022-04-30	$0
Interest earned on other investments	2022-04-30	$13,594
Income. Interest from US Government securities	2022-04-30	$0
Income. Interest from corporate debt instruments	2022-04-30	$0
Value of interest in master investment trust accounts at end of year	2022-04-30	$0
Value of interest in master investment trust accounts at beginning of year	2022-04-30	$0
Value of interest in common/collective trusts at end of year	2022-04-30	$0
Value of interest in common/collective trusts at beginning of year	2022-04-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2022-04-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2022-04-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2022-04-30	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2022-04-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-04-30	$1,092,774
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-04-30	$1,191,300
Expenses. Payments to insurance carriers foe the provision of benefits	2022-04-30	$0
Asset value of US Government securities at end of year	2022-04-30	$0
Asset value of US Government securities at beginning of year	2022-04-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-04-30	$-990,472
Net investment gain/loss from pooled separate accounts	2022-04-30	$0
Net investment gain or loss from common/collective trusts	2022-04-30	$0
Net gain/loss from 103.12 investment entities	2022-04-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-04-30	No
Was there a failure to transmit to the plan any participant contributions	2022-04-30	No
Has the plan failed to provide any benefit when due under the plan	2022-04-30	No
Assets. Invements in employer securities at end of year	2022-04-30	$0
Assets. Invements in employer securities at beginning of year	2022-04-30	$0
Assets. Value of employer real property at end of year	2022-04-30	$0
Assets. Value of employer real property at beginning of year	2022-04-30	$0
Contributions received in cash from employer	2022-04-30	$253,589
Employer contributions (assets) at end of year	2022-04-30	$253,589
Employer contributions (assets) at beginning of year	2022-04-30	$258,900
Income. Dividends from preferred stock	2022-04-30	$0
Income. Dividends from common stock	2022-04-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-04-30	$1,380,709
Asset. Corporate debt instrument preferred debt at end of year	2022-04-30	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2022-04-30	$0
Asset. Corporate debt instrument debt (other) at end of year	2022-04-30	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2022-04-30	$0
Contract administrator fees	2022-04-30	$4,144
Assets. Corporate common stocks other than exployer securities at end of year	2022-04-30	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2022-04-30	$0
Liabilities. Value of benefit claims payable at end of year	2022-04-30	$0
Liabilities. Value of benefit claims payable at beginning of year	2022-04-30	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2022-04-30	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2022-04-30	$0
Did the plan have assets held for investment	2022-04-30	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	2022-04-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-04-30	No
Aggregate proceeds on sale of assets	2022-04-30	$0
Aggregate carrying amount (costs) on sale of assets	2022-04-30	$0
Liabilities. Value of acquisition indebtedness at end of year	2022-04-30	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2022-04-30	$0
Opinion of an independent qualified public accountant for this plan	2022-04-30	Unqualified
Accountancy firm name	2022-04-30	FORVIS LLP
Accountancy firm EIN	2022-04-30	440160260
2021 : JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN 2021 401k financial data
Unrealized appreciation/depreciation of real estate assets	2021-04-30	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2021-04-30	$0
Total unrealized appreciation/depreciation of assets	2021-04-30	$0
Total transfer of assets to this plan	2021-04-30	$0
Total transfer of assets from this plan	2021-04-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-04-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-04-30	$0
Expenses. Interest paid	2021-04-30	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2021-04-30	$0
Total income from all sources (including contributions)	2021-04-30	$5,170,342
Total loss/gain on sale of assets	2021-04-30	$0
Total of all expenses incurred	2021-04-30	$2,076,815
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-04-30	$2,044,625
Expenses. Certain deemed distributions of participant loans	2021-04-30	$0
Value of total corrective distributions	2021-04-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-04-30	$1,149,599
Value of total assets at end of year	2021-04-30	$14,802,229
Value of total assets at beginning of year	2021-04-30	$11,708,702
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-04-30	$32,190
Total income from rents	2021-04-30	$0
Total interest from all sources	2021-04-30	$26,787
Total dividends received (eg from common stock, registered investment company shares)	2021-04-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-04-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-04-30	$0
Assets. Real estate other than employer real property at end of year	2021-04-30	$0
Assets. Real estate other than employer real property at beginning of year	2021-04-30	$0
Administrative expenses professional fees incurred	2021-04-30	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2021-04-30	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2021-04-30	$0
Was this plan covered by a fidelity bond	2021-04-30	Yes
Value of fidelity bond cover	2021-04-30	$500,000
If this is an individual account plan, was there a blackout period	2021-04-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-04-30	$0
Were there any nonexempt tranactions with any party-in-interest	2021-04-30	No
Contributions received from participants	2021-04-30	$862,931
Participant contributions at end of year	2021-04-30	$232,583
Participant contributions at beginning of year	2021-04-30	$211,955
Participant contributions at end of year	2021-04-30	$0
Participant contributions at beginning of year	2021-04-30	$0
Assets. Other investments not covered elsewhere at end of year	2021-04-30	$0
Assets. Other investments not covered elsewhere at beginning of year	2021-04-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2021-04-30	$27,768
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2021-04-30	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2021-04-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2021-04-30	$0
Assets. Loans (other than to participants) at end of year	2021-04-30	$0
Assets. Loans (other than to participants) at beginning of year	2021-04-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2021-04-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2021-04-30	$0
Other income not declared elsewhere	2021-04-30	$0
Administrative expenses (other) incurred	2021-04-30	$0
Liabilities. Value of operating payables at end of year	2021-04-30	$0
Liabilities. Value of operating payables at beginning of year	2021-04-30	$0
Total non interest bearing cash at end of year	2021-04-30	$0
Total non interest bearing cash at beginning of year	2021-04-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-04-30	No
Income. Non cash contributions	2021-04-30	$0
Value of net income/loss	2021-04-30	$3,093,527
Value of net assets at end of year (total assets less liabilities)	2021-04-30	$14,802,229
Value of net assets at beginning of year (total assets less liabilities)	2021-04-30	$11,708,702
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-04-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-04-30	No
Were any leases to which the plan was party in default or uncollectible	2021-04-30	No
Assets. partnership/joint venture interests at end of year	2021-04-30	$0
Assets. partnership/joint venture interests at beginning of year	2021-04-30	$0
Investment advisory and management fees	2021-04-30	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-04-30	$13,119,446
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-04-30	$10,348,081
Value of interest in pooled separate accounts at end of year	2021-04-30	$0
Value of interest in pooled separate accounts at beginning of year	2021-04-30	$0
Interest on participant loans	2021-04-30	$11,456
Income. Interest from loans (other than to participants)	2021-04-30	$0
Interest earned on other investments	2021-04-30	$15,331
Income. Interest from US Government securities	2021-04-30	$0
Income. Interest from corporate debt instruments	2021-04-30	$0
Value of interest in master investment trust accounts at end of year	2021-04-30	$0
Value of interest in master investment trust accounts at beginning of year	2021-04-30	$0
Value of interest in common/collective trusts at end of year	2021-04-30	$0
Value of interest in common/collective trusts at beginning of year	2021-04-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2021-04-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2021-04-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2021-04-30	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2021-04-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-04-30	$1,191,300
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-04-30	$1,148,666
Expenses. Payments to insurance carriers foe the provision of benefits	2021-04-30	$0
Asset value of US Government securities at end of year	2021-04-30	$0
Asset value of US Government securities at beginning of year	2021-04-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-04-30	$3,993,956
Net investment gain/loss from pooled separate accounts	2021-04-30	$0
Net investment gain or loss from common/collective trusts	2021-04-30	$0
Net gain/loss from 103.12 investment entities	2021-04-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-04-30	No
Was there a failure to transmit to the plan any participant contributions	2021-04-30	No
Has the plan failed to provide any benefit when due under the plan	2021-04-30	No
Assets. Invements in employer securities at end of year	2021-04-30	$0
Assets. Invements in employer securities at beginning of year	2021-04-30	$0
Assets. Value of employer real property at end of year	2021-04-30	$0
Assets. Value of employer real property at beginning of year	2021-04-30	$0
Contributions received in cash from employer	2021-04-30	$258,900
Employer contributions (assets) at end of year	2021-04-30	$258,900
Employer contributions (assets) at beginning of year	2021-04-30	$0
Income. Dividends from preferred stock	2021-04-30	$0
Income. Dividends from common stock	2021-04-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-04-30	$2,044,625
Asset. Corporate debt instrument preferred debt at end of year	2021-04-30	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2021-04-30	$0
Asset. Corporate debt instrument debt (other) at end of year	2021-04-30	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2021-04-30	$0
Contract administrator fees	2021-04-30	$32,190
Assets. Corporate common stocks other than exployer securities at end of year	2021-04-30	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2021-04-30	$0
Liabilities. Value of benefit claims payable at end of year	2021-04-30	$0
Liabilities. Value of benefit claims payable at beginning of year	2021-04-30	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2021-04-30	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2021-04-30	$0
Did the plan have assets held for investment	2021-04-30	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	2021-04-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-04-30	No
Aggregate proceeds on sale of assets	2021-04-30	$0
Aggregate carrying amount (costs) on sale of assets	2021-04-30	$0
Liabilities. Value of acquisition indebtedness at end of year	2021-04-30	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2021-04-30	$0
Opinion of an independent qualified public accountant for this plan	2021-04-30	Unqualified
Accountancy firm name	2021-04-30	BKD LLP
Accountancy firm EIN	2021-04-30	440160260
2020 : JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN 2020 401k financial data
Unrealized appreciation/depreciation of real estate assets	2020-04-30	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2020-04-30	$0
Total unrealized appreciation/depreciation of assets	2020-04-30	$0
Total transfer of assets to this plan	2020-04-30	$0
Total transfer of assets from this plan	2020-04-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-04-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-04-30	$0
Expenses. Interest paid	2020-04-30	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2020-04-30	$0
Total income from all sources (including contributions)	2020-04-30	$748,599
Total loss/gain on sale of assets	2020-04-30	$0
Total of all expenses incurred	2020-04-30	$706,730
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-04-30	$703,766
Expenses. Certain deemed distributions of participant loans	2020-04-30	$0
Value of total corrective distributions	2020-04-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-04-30	$923,928
Value of total assets at end of year	2020-04-30	$11,708,702
Value of total assets at beginning of year	2020-04-30	$11,666,833
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-04-30	$2,964
Total income from rents	2020-04-30	$0
Total interest from all sources	2020-04-30	$29,108
Total dividends received (eg from common stock, registered investment company shares)	2020-04-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-04-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-04-30	$0
Assets. Real estate other than employer real property at end of year	2020-04-30	$0
Assets. Real estate other than employer real property at beginning of year	2020-04-30	$0
Administrative expenses professional fees incurred	2020-04-30	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2020-04-30	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2020-04-30	$0
Was this plan covered by a fidelity bond	2020-04-30	Yes
Value of fidelity bond cover	2020-04-30	$500,000
If this is an individual account plan, was there a blackout period	2020-04-30	No
Were there any nonexempt tranactions with any party-in-interest	2020-04-30	No
Contributions received from participants	2020-04-30	$890,588
Participant contributions at end of year	2020-04-30	$211,955
Participant contributions at beginning of year	2020-04-30	$207,166
Participant contributions at end of year	2020-04-30	$0
Participant contributions at beginning of year	2020-04-30	$0
Assets. Other investments not covered elsewhere at end of year	2020-04-30	$0
Assets. Other investments not covered elsewhere at beginning of year	2020-04-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2020-04-30	$33,340
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2020-04-30	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2020-04-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2020-04-30	$0
Assets. Loans (other than to participants) at end of year	2020-04-30	$0
Assets. Loans (other than to participants) at beginning of year	2020-04-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2020-04-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2020-04-30	$0
Other income not declared elsewhere	2020-04-30	$0
Administrative expenses (other) incurred	2020-04-30	$0
Liabilities. Value of operating payables at end of year	2020-04-30	$0
Liabilities. Value of operating payables at beginning of year	2020-04-30	$0
Total non interest bearing cash at end of year	2020-04-30	$0
Total non interest bearing cash at beginning of year	2020-04-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-04-30	No
Income. Non cash contributions	2020-04-30	$0
Value of net income/loss	2020-04-30	$41,869
Value of net assets at end of year (total assets less liabilities)	2020-04-30	$11,708,702
Value of net assets at beginning of year (total assets less liabilities)	2020-04-30	$11,666,833
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-04-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-04-30	No
Were any leases to which the plan was party in default or uncollectible	2020-04-30	No
Assets. partnership/joint venture interests at end of year	2020-04-30	$0
Assets. partnership/joint venture interests at beginning of year	2020-04-30	$0
Investment advisory and management fees	2020-04-30	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-04-30	$10,348,081
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-04-30	$10,301,581
Value of interest in pooled separate accounts at end of year	2020-04-30	$0
Value of interest in pooled separate accounts at beginning of year	2020-04-30	$0
Interest on participant loans	2020-04-30	$10,951
Income. Interest from loans (other than to participants)	2020-04-30	$0
Interest earned on other investments	2020-04-30	$18,157
Income. Interest from US Government securities	2020-04-30	$0
Income. Interest from corporate debt instruments	2020-04-30	$0
Value of interest in master investment trust accounts at end of year	2020-04-30	$0
Value of interest in master investment trust accounts at beginning of year	2020-04-30	$0
Value of interest in common/collective trusts at end of year	2020-04-30	$0
Value of interest in common/collective trusts at beginning of year	2020-04-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2020-04-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2020-04-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2020-04-30	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2020-04-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-04-30	$1,148,666
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-04-30	$1,158,086
Expenses. Payments to insurance carriers foe the provision of benefits	2020-04-30	$0
Asset value of US Government securities at end of year	2020-04-30	$0
Asset value of US Government securities at beginning of year	2020-04-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-04-30	$-204,437
Net investment gain/loss from pooled separate accounts	2020-04-30	$0
Net investment gain or loss from common/collective trusts	2020-04-30	$0
Net gain/loss from 103.12 investment entities	2020-04-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-04-30	No
Was there a failure to transmit to the plan any participant contributions	2020-04-30	No
Has the plan failed to provide any benefit when due under the plan	2020-04-30	No
Assets. Invements in employer securities at end of year	2020-04-30	$0
Assets. Invements in employer securities at beginning of year	2020-04-30	$0
Assets. Value of employer real property at end of year	2020-04-30	$0
Assets. Value of employer real property at beginning of year	2020-04-30	$0
Contributions received in cash from employer	2020-04-30	$0
Employer contributions (assets) at end of year	2020-04-30	$0
Employer contributions (assets) at beginning of year	2020-04-30	$0
Income. Dividends from preferred stock	2020-04-30	$0
Income. Dividends from common stock	2020-04-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-04-30	$703,766
Asset. Corporate debt instrument preferred debt at end of year	2020-04-30	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2020-04-30	$0
Asset. Corporate debt instrument debt (other) at end of year	2020-04-30	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2020-04-30	$0
Contract administrator fees	2020-04-30	$2,964
Assets. Corporate common stocks other than exployer securities at end of year	2020-04-30	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2020-04-30	$0
Liabilities. Value of benefit claims payable at end of year	2020-04-30	$0
Liabilities. Value of benefit claims payable at beginning of year	2020-04-30	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2020-04-30	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2020-04-30	$0
Did the plan have assets held for investment	2020-04-30	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	2020-04-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-04-30	No
Aggregate proceeds on sale of assets	2020-04-30	$0
Aggregate carrying amount (costs) on sale of assets	2020-04-30	$0
Liabilities. Value of acquisition indebtedness at end of year	2020-04-30	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2020-04-30	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2020-04-30	Yes
Opinion of an independent qualified public accountant for this plan	2020-04-30	Disclaimer
Accountancy firm name	2020-04-30	BKD LLP
Accountancy firm EIN	2020-04-30	440160260
2019 : JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN 2019 401k financial data
Unrealized appreciation/depreciation of real estate assets	2019-04-30	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2019-04-30	$0
Total unrealized appreciation/depreciation of assets	2019-04-30	$0
Total transfer of assets to this plan	2019-04-30	$0
Total transfer of assets from this plan	2019-04-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-04-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-04-30	$0
Expenses. Interest paid	2019-04-30	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2019-04-30	$0
Total income from all sources (including contributions)	2019-04-30	$1,695,159
Total loss/gain on sale of assets	2019-04-30	$0
Total of all expenses incurred	2019-04-30	$1,058,973
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-04-30	$1,055,034
Expenses. Certain deemed distributions of participant loans	2019-04-30	$0
Value of total corrective distributions	2019-04-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-04-30	$922,042
Value of total assets at end of year	2019-04-30	$11,666,833
Value of total assets at beginning of year	2019-04-30	$11,030,647
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-04-30	$3,939
Total income from rents	2019-04-30	$0
Total interest from all sources	2019-04-30	$28,412
Total dividends received (eg from common stock, registered investment company shares)	2019-04-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-04-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-04-30	$0
Assets. Real estate other than employer real property at end of year	2019-04-30	$0
Assets. Real estate other than employer real property at beginning of year	2019-04-30	$0
Administrative expenses professional fees incurred	2019-04-30	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2019-04-30	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2019-04-30	$0
Was this plan covered by a fidelity bond	2019-04-30	Yes
Value of fidelity bond cover	2019-04-30	$500,000
If this is an individual account plan, was there a blackout period	2019-04-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-04-30	$0
Were there any nonexempt tranactions with any party-in-interest	2019-04-30	No
Contributions received from participants	2019-04-30	$805,149
Participant contributions at end of year	2019-04-30	$207,166
Participant contributions at beginning of year	2019-04-30	$230,126
Participant contributions at end of year	2019-04-30	$0
Participant contributions at beginning of year	2019-04-30	$0
Assets. Other investments not covered elsewhere at end of year	2019-04-30	$0
Assets. Other investments not covered elsewhere at beginning of year	2019-04-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2019-04-30	$109,565
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2019-04-30	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2019-04-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2019-04-30	$0
Assets. Loans (other than to participants) at end of year	2019-04-30	$0
Assets. Loans (other than to participants) at beginning of year	2019-04-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2019-04-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2019-04-30	$0
Other income not declared elsewhere	2019-04-30	$0
Administrative expenses (other) incurred	2019-04-30	$0
Liabilities. Value of operating payables at end of year	2019-04-30	$0
Liabilities. Value of operating payables at beginning of year	2019-04-30	$0
Total non interest bearing cash at end of year	2019-04-30	$0
Total non interest bearing cash at beginning of year	2019-04-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-04-30	No
Income. Non cash contributions	2019-04-30	$0
Value of net income/loss	2019-04-30	$636,186
Value of net assets at end of year (total assets less liabilities)	2019-04-30	$11,666,833
Value of net assets at beginning of year (total assets less liabilities)	2019-04-30	$11,030,647
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-04-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-04-30	No
Were any leases to which the plan was party in default or uncollectible	2019-04-30	No
Assets. partnership/joint venture interests at end of year	2019-04-30	$0
Assets. partnership/joint venture interests at beginning of year	2019-04-30	$0
Investment advisory and management fees	2019-04-30	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-04-30	$10,301,581
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-04-30	$9,488,682
Value of interest in pooled separate accounts at end of year	2019-04-30	$0
Value of interest in pooled separate accounts at beginning of year	2019-04-30	$0
Interest on participant loans	2019-04-30	$10,844
Income. Interest from loans (other than to participants)	2019-04-30	$0
Interest earned on other investments	2019-04-30	$17,568
Income. Interest from US Government securities	2019-04-30	$0
Income. Interest from corporate debt instruments	2019-04-30	$0
Value of interest in master investment trust accounts at end of year	2019-04-30	$0
Value of interest in master investment trust accounts at beginning of year	2019-04-30	$0
Value of interest in common/collective trusts at end of year	2019-04-30	$0
Value of interest in common/collective trusts at beginning of year	2019-04-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-04-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-04-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-04-30	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-04-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-04-30	$1,158,086
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-04-30	$1,311,839
Expenses. Payments to insurance carriers foe the provision of benefits	2019-04-30	$0
Asset value of US Government securities at end of year	2019-04-30	$0
Asset value of US Government securities at beginning of year	2019-04-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-04-30	$744,705
Net investment gain/loss from pooled separate accounts	2019-04-30	$0
Net investment gain or loss from common/collective trusts	2019-04-30	$0
Net gain/loss from 103.12 investment entities	2019-04-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-04-30	No
Was there a failure to transmit to the plan any participant contributions	2019-04-30	No
Has the plan failed to provide any benefit when due under the plan	2019-04-30	No
Assets. Invements in employer securities at end of year	2019-04-30	$0
Assets. Invements in employer securities at beginning of year	2019-04-30	$0
Assets. Value of employer real property at end of year	2019-04-30	$0
Assets. Value of employer real property at beginning of year	2019-04-30	$0
Contributions received in cash from employer	2019-04-30	$7,328
Employer contributions (assets) at end of year	2019-04-30	$0
Employer contributions (assets) at beginning of year	2019-04-30	$0
Income. Dividends from preferred stock	2019-04-30	$0
Income. Dividends from common stock	2019-04-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-04-30	$1,055,034
Asset. Corporate debt instrument preferred debt at end of year	2019-04-30	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2019-04-30	$0
Asset. Corporate debt instrument debt (other) at end of year	2019-04-30	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2019-04-30	$0
Contract administrator fees	2019-04-30	$3,939
Assets. Corporate common stocks other than exployer securities at end of year	2019-04-30	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2019-04-30	$0
Liabilities. Value of benefit claims payable at end of year	2019-04-30	$0
Liabilities. Value of benefit claims payable at beginning of year	2019-04-30	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2019-04-30	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2019-04-30	$0
Did the plan have assets held for investment	2019-04-30	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	2019-04-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-04-30	No
Aggregate proceeds on sale of assets	2019-04-30	$0
Aggregate carrying amount (costs) on sale of assets	2019-04-30	$0
Liabilities. Value of acquisition indebtedness at end of year	2019-04-30	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2019-04-30	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-04-30	Yes
Opinion of an independent qualified public accountant for this plan	2019-04-30	Disclaimer
Accountancy firm name	2019-04-30	BKD LLP
Accountancy firm EIN	2019-04-30	440160260
2018 : JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN 2018 401k financial data
Unrealized appreciation/depreciation of real estate assets	2018-04-30	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2018-04-30	$0
Total unrealized appreciation/depreciation of assets	2018-04-30	$0
Total transfer of assets to this plan	2018-04-30	$0
Total transfer of assets from this plan	2018-04-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-04-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-04-30	$0
Expenses. Interest paid	2018-04-30	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2018-04-30	$0
Total income from all sources (including contributions)	2018-04-30	$1,637,708
Total loss/gain on sale of assets	2018-04-30	$0
Total of all expenses incurred	2018-04-30	$1,289,574
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-04-30	$1,284,508
Expenses. Certain deemed distributions of participant loans	2018-04-30	$0
Value of total corrective distributions	2018-04-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-04-30	$754,859
Value of total assets at end of year	2018-04-30	$11,030,647
Value of total assets at beginning of year	2018-04-30	$10,682,513
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-04-30	$5,066
Total income from rents	2018-04-30	$0
Total interest from all sources	2018-04-30	$30,926
Total dividends received (eg from common stock, registered investment company shares)	2018-04-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-04-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-04-30	$0
Assets. Real estate other than employer real property at end of year	2018-04-30	$0
Assets. Real estate other than employer real property at beginning of year	2018-04-30	$0
Administrative expenses professional fees incurred	2018-04-30	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2018-04-30	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2018-04-30	$0
Was this plan covered by a fidelity bond	2018-04-30	Yes
Value of fidelity bond cover	2018-04-30	$500,000
If this is an individual account plan, was there a blackout period	2018-04-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-04-30	$0
Were there any nonexempt tranactions with any party-in-interest	2018-04-30	No
Contributions received from participants	2018-04-30	$710,080
Participant contributions at end of year	2018-04-30	$230,126
Participant contributions at beginning of year	2018-04-30	$125,204
Participant contributions at end of year	2018-04-30	$0
Participant contributions at beginning of year	2018-04-30	$0
Assets. Other investments not covered elsewhere at end of year	2018-04-30	$0
Assets. Other investments not covered elsewhere at beginning of year	2018-04-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2018-04-30	$44,779
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2018-04-30	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2018-04-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2018-04-30	$0
Assets. Loans (other than to participants) at end of year	2018-04-30	$0
Assets. Loans (other than to participants) at beginning of year	2018-04-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2018-04-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2018-04-30	$0
Other income not declared elsewhere	2018-04-30	$0
Administrative expenses (other) incurred	2018-04-30	$0
Liabilities. Value of operating payables at end of year	2018-04-30	$0
Liabilities. Value of operating payables at beginning of year	2018-04-30	$0
Total non interest bearing cash at end of year	2018-04-30	$0
Total non interest bearing cash at beginning of year	2018-04-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-04-30	No
Income. Non cash contributions	2018-04-30	$0
Value of net income/loss	2018-04-30	$348,134
Value of net assets at end of year (total assets less liabilities)	2018-04-30	$11,030,647
Value of net assets at beginning of year (total assets less liabilities)	2018-04-30	$10,682,513
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-04-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-04-30	No
Were any leases to which the plan was party in default or uncollectible	2018-04-30	No
Assets. partnership/joint venture interests at end of year	2018-04-30	$0
Assets. partnership/joint venture interests at beginning of year	2018-04-30	$0
Investment advisory and management fees	2018-04-30	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-04-30	$9,488,682
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-04-30	$8,817,681
Value of interest in pooled separate accounts at end of year	2018-04-30	$0
Value of interest in pooled separate accounts at beginning of year	2018-04-30	$0
Interest on participant loans	2018-04-30	$9,337
Income. Interest from loans (other than to participants)	2018-04-30	$0
Interest earned on other investments	2018-04-30	$21,589
Income. Interest from US Government securities	2018-04-30	$0
Income. Interest from corporate debt instruments	2018-04-30	$0
Value of interest in master investment trust accounts at end of year	2018-04-30	$0
Value of interest in master investment trust accounts at beginning of year	2018-04-30	$0
Value of interest in common/collective trusts at end of year	2018-04-30	$0
Value of interest in common/collective trusts at beginning of year	2018-04-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2018-04-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2018-04-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2018-04-30	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2018-04-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-04-30	$1,311,839
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-04-30	$1,467,972
Expenses. Payments to insurance carriers foe the provision of benefits	2018-04-30	$0
Asset value of US Government securities at end of year	2018-04-30	$0
Asset value of US Government securities at beginning of year	2018-04-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-04-30	$851,923
Net investment gain/loss from pooled separate accounts	2018-04-30	$0
Net investment gain or loss from common/collective trusts	2018-04-30	$0
Net gain/loss from 103.12 investment entities	2018-04-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-04-30	No
Was there a failure to transmit to the plan any participant contributions	2018-04-30	No
Has the plan failed to provide any benefit when due under the plan	2018-04-30	No
Assets. Invements in employer securities at end of year	2018-04-30	$0
Assets. Invements in employer securities at beginning of year	2018-04-30	$0
Assets. Value of employer real property at end of year	2018-04-30	$0
Assets. Value of employer real property at beginning of year	2018-04-30	$0
Contributions received in cash from employer	2018-04-30	$0
Employer contributions (assets) at end of year	2018-04-30	$0
Employer contributions (assets) at beginning of year	2018-04-30	$271,656
Income. Dividends from preferred stock	2018-04-30	$0
Income. Dividends from common stock	2018-04-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-04-30	$1,284,508
Asset. Corporate debt instrument preferred debt at end of year	2018-04-30	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2018-04-30	$0
Asset. Corporate debt instrument debt (other) at end of year	2018-04-30	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2018-04-30	$0
Contract administrator fees	2018-04-30	$5,066
Assets. Corporate common stocks other than exployer securities at end of year	2018-04-30	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2018-04-30	$0
Liabilities. Value of benefit claims payable at end of year	2018-04-30	$0
Liabilities. Value of benefit claims payable at beginning of year	2018-04-30	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2018-04-30	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2018-04-30	$0
Did the plan have assets held for investment	2018-04-30	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	2018-04-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-04-30	No
Aggregate proceeds on sale of assets	2018-04-30	$0
Aggregate carrying amount (costs) on sale of assets	2018-04-30	$0
Liabilities. Value of acquisition indebtedness at end of year	2018-04-30	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2018-04-30	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-04-30	Yes
Opinion of an independent qualified public accountant for this plan	2018-04-30	Disclaimer
Accountancy firm name	2018-04-30	BKD LLP
Accountancy firm EIN	2018-04-30	440160260
2017 : JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN 2017 401k financial data
Unrealized appreciation/depreciation of real estate assets	2017-04-30	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2017-04-30	$0
Total unrealized appreciation/depreciation of assets	2017-04-30	$0
Total transfer of assets to this plan	2017-04-30	$0
Total transfer of assets from this plan	2017-04-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-04-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-04-30	$0
Expenses. Interest paid	2017-04-30	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2017-04-30	$0
Total income from all sources (including contributions)	2017-04-30	$2,086,408
Total loss/gain on sale of assets	2017-04-30	$0
Total of all expenses incurred	2017-04-30	$2,070,453
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-04-30	$2,061,055
Expenses. Certain deemed distributions of participant loans	2017-04-30	$0
Value of total corrective distributions	2017-04-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-04-30	$1,000,796
Value of total assets at end of year	2017-04-30	$10,682,513
Value of total assets at beginning of year	2017-04-30	$10,666,558
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-04-30	$9,398
Total income from rents	2017-04-30	$0
Total interest from all sources	2017-04-30	$24,259
Total dividends received (eg from common stock, registered investment company shares)	2017-04-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-04-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-04-30	$0
Assets. Real estate other than employer real property at end of year	2017-04-30	$0
Assets. Real estate other than employer real property at beginning of year	2017-04-30	$0
Administrative expenses professional fees incurred	2017-04-30	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2017-04-30	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2017-04-30	$0
Was this plan covered by a fidelity bond	2017-04-30	Yes
Value of fidelity bond cover	2017-04-30	$500,000
If this is an individual account plan, was there a blackout period	2017-04-30	No
Were there any nonexempt tranactions with any party-in-interest	2017-04-30	No
Contributions received from participants	2017-04-30	$720,573
Participant contributions at end of year	2017-04-30	$125,204
Participant contributions at beginning of year	2017-04-30	$138,571
Participant contributions at end of year	2017-04-30	$0
Participant contributions at beginning of year	2017-04-30	$0
Assets. Other investments not covered elsewhere at end of year	2017-04-30	$0
Assets. Other investments not covered elsewhere at beginning of year	2017-04-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2017-04-30	$8,567
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2017-04-30	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2017-04-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2017-04-30	$0
Assets. Loans (other than to participants) at end of year	2017-04-30	$0
Assets. Loans (other than to participants) at beginning of year	2017-04-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2017-04-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2017-04-30	$0
Other income not declared elsewhere	2017-04-30	$0
Administrative expenses (other) incurred	2017-04-30	$0
Liabilities. Value of operating payables at end of year	2017-04-30	$0
Liabilities. Value of operating payables at beginning of year	2017-04-30	$0
Total non interest bearing cash at end of year	2017-04-30	$0
Total non interest bearing cash at beginning of year	2017-04-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-04-30	No
Income. Non cash contributions	2017-04-30	$0
Value of net income/loss	2017-04-30	$15,955
Value of net assets at end of year (total assets less liabilities)	2017-04-30	$10,682,513
Value of net assets at beginning of year (total assets less liabilities)	2017-04-30	$10,666,558
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-04-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-04-30	No
Were any leases to which the plan was party in default or uncollectible	2017-04-30	No
Assets. partnership/joint venture interests at end of year	2017-04-30	$0
Assets. partnership/joint venture interests at beginning of year	2017-04-30	$0
Investment advisory and management fees	2017-04-30	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-04-30	$8,817,681
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-04-30	$8,335,153
Value of interest in pooled separate accounts at end of year	2017-04-30	$0
Value of interest in pooled separate accounts at beginning of year	2017-04-30	$0
Interest on participant loans	2017-04-30	$5,812
Income. Interest from loans (other than to participants)	2017-04-30	$0
Interest earned on other investments	2017-04-30	$18,447
Income. Interest from US Government securities	2017-04-30	$0
Income. Interest from corporate debt instruments	2017-04-30	$0
Value of interest in master investment trust accounts at end of year	2017-04-30	$0
Value of interest in master investment trust accounts at beginning of year	2017-04-30	$0
Value of interest in common/collective trusts at end of year	2017-04-30	$0
Value of interest in common/collective trusts at beginning of year	2017-04-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2017-04-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2017-04-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2017-04-30	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-04-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-04-30	$1,467,972
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-04-30	$1,920,126
Expenses. Payments to insurance carriers foe the provision of benefits	2017-04-30	$0
Asset value of US Government securities at end of year	2017-04-30	$0
Asset value of US Government securities at beginning of year	2017-04-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-04-30	$1,061,353
Net investment gain/loss from pooled separate accounts	2017-04-30	$0
Net investment gain or loss from common/collective trusts	2017-04-30	$0
Net gain/loss from 103.12 investment entities	2017-04-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-04-30	No
Was there a failure to transmit to the plan any participant contributions	2017-04-30	No
Has the plan failed to provide any benefit when due under the plan	2017-04-30	No
Assets. Invements in employer securities at end of year	2017-04-30	$0
Assets. Invements in employer securities at beginning of year	2017-04-30	$0
Assets. Value of employer real property at end of year	2017-04-30	$0
Assets. Value of employer real property at beginning of year	2017-04-30	$0
Contributions received in cash from employer	2017-04-30	$271,656
Employer contributions (assets) at end of year	2017-04-30	$271,656
Employer contributions (assets) at beginning of year	2017-04-30	$272,708
Income. Dividends from preferred stock	2017-04-30	$0
Income. Dividends from common stock	2017-04-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-04-30	$2,061,055
Asset. Corporate debt instrument preferred debt at end of year	2017-04-30	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2017-04-30	$0
Asset. Corporate debt instrument debt (other) at end of year	2017-04-30	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2017-04-30	$0
Contract administrator fees	2017-04-30	$9,398
Assets. Corporate common stocks other than exployer securities at end of year	2017-04-30	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2017-04-30	$0
Liabilities. Value of benefit claims payable at end of year	2017-04-30	$0
Liabilities. Value of benefit claims payable at beginning of year	2017-04-30	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2017-04-30	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2017-04-30	$0
Did the plan have assets held for investment	2017-04-30	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	2017-04-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-04-30	No
Aggregate proceeds on sale of assets	2017-04-30	$0
Aggregate carrying amount (costs) on sale of assets	2017-04-30	$0
Liabilities. Value of acquisition indebtedness at end of year	2017-04-30	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2017-04-30	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-04-30	Yes
Opinion of an independent qualified public accountant for this plan	2017-04-30	Disclaimer
Accountancy firm name	2017-04-30	BKD,LLP
Accountancy firm EIN	2017-04-30	440160260
2016 : JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN 2016 401k financial data
Unrealized appreciation/depreciation of real estate assets	2016-04-30	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2016-04-30	$0
Total unrealized appreciation/depreciation of assets	2016-04-30	$0
Total transfer of assets to this plan	2016-04-30	$0
Total transfer of assets from this plan	2016-04-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-04-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-04-30	$0
Expenses. Interest paid	2016-04-30	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2016-04-30	$0
Total income from all sources (including contributions)	2016-04-30	$834,110
Total loss/gain on sale of assets	2016-04-30	$0
Total of all expenses incurred	2016-04-30	$792,741
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-04-30	$788,384
Expenses. Certain deemed distributions of participant loans	2016-04-30	$0
Value of total corrective distributions	2016-04-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-04-30	$1,081,345
Value of total assets at end of year	2016-04-30	$10,666,558
Value of total assets at beginning of year	2016-04-30	$10,625,189
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-04-30	$4,357
Total income from rents	2016-04-30	$0
Total interest from all sources	2016-04-30	$27,903
Total dividends received (eg from common stock, registered investment company shares)	2016-04-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-04-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-04-30	$0
Assets. Real estate other than employer real property at end of year	2016-04-30	$0
Assets. Real estate other than employer real property at beginning of year	2016-04-30	$0
Administrative expenses professional fees incurred	2016-04-30	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2016-04-30	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2016-04-30	$0
Was this plan covered by a fidelity bond	2016-04-30	Yes
Value of fidelity bond cover	2016-04-30	$500,000
If this is an individual account plan, was there a blackout period	2016-04-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-04-30	$0
Were there any nonexempt tranactions with any party-in-interest	2016-04-30	No
Contributions received from participants	2016-04-30	$774,161
Participant contributions at end of year	2016-04-30	$138,571
Participant contributions at beginning of year	2016-04-30	$134,093
Participant contributions at end of year	2016-04-30	$0
Participant contributions at beginning of year	2016-04-30	$0
Assets. Other investments not covered elsewhere at end of year	2016-04-30	$0
Assets. Other investments not covered elsewhere at beginning of year	2016-04-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2016-04-30	$30,778
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2016-04-30	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2016-04-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2016-04-30	$0
Assets. Loans (other than to participants) at end of year	2016-04-30	$0
Assets. Loans (other than to participants) at beginning of year	2016-04-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2016-04-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2016-04-30	$0
Other income not declared elsewhere	2016-04-30	$0
Administrative expenses (other) incurred	2016-04-30	$0
Liabilities. Value of operating payables at end of year	2016-04-30	$0
Liabilities. Value of operating payables at beginning of year	2016-04-30	$0
Total non interest bearing cash at end of year	2016-04-30	$0
Total non interest bearing cash at beginning of year	2016-04-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-04-30	No
Income. Non cash contributions	2016-04-30	$0
Value of net income/loss	2016-04-30	$41,369
Value of net assets at end of year (total assets less liabilities)	2016-04-30	$10,666,558
Value of net assets at beginning of year (total assets less liabilities)	2016-04-30	$10,625,189
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-04-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-04-30	No
Were any leases to which the plan was party in default or uncollectible	2016-04-30	No
Assets. partnership/joint venture interests at end of year	2016-04-30	$0
Assets. partnership/joint venture interests at beginning of year	2016-04-30	$0
Investment advisory and management fees	2016-04-30	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-04-30	$8,335,153
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-04-30	$8,351,144
Value of interest in pooled separate accounts at end of year	2016-04-30	$0
Value of interest in pooled separate accounts at beginning of year	2016-04-30	$0
Interest on participant loans	2016-04-30	$6,872
Income. Interest from loans (other than to participants)	2016-04-30	$0
Interest earned on other investments	2016-04-30	$21,031
Income. Interest from US Government securities	2016-04-30	$0
Income. Interest from corporate debt instruments	2016-04-30	$0
Value of interest in master investment trust accounts at end of year	2016-04-30	$0
Value of interest in master investment trust accounts at beginning of year	2016-04-30	$0
Value of interest in common/collective trusts at end of year	2016-04-30	$0
Value of interest in common/collective trusts at beginning of year	2016-04-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-04-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-04-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-04-30	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-04-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-04-30	$1,920,126
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-04-30	$1,811,346
Expenses. Payments to insurance carriers foe the provision of benefits	2016-04-30	$0
Asset value of US Government securities at end of year	2016-04-30	$0
Asset value of US Government securities at beginning of year	2016-04-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-04-30	$-275,138
Net investment gain/loss from pooled separate accounts	2016-04-30	$0
Net investment gain or loss from common/collective trusts	2016-04-30	$0
Net gain/loss from 103.12 investment entities	2016-04-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-04-30	No
Was there a failure to transmit to the plan any participant contributions	2016-04-30	No
Has the plan failed to provide any benefit when due under the plan	2016-04-30	No
Assets. Invements in employer securities at end of year	2016-04-30	$0
Assets. Invements in employer securities at beginning of year	2016-04-30	$0
Assets. Value of employer real property at end of year	2016-04-30	$0
Assets. Value of employer real property at beginning of year	2016-04-30	$0
Contributions received in cash from employer	2016-04-30	$276,406
Employer contributions (assets) at end of year	2016-04-30	$272,708
Employer contributions (assets) at beginning of year	2016-04-30	$328,606
Income. Dividends from preferred stock	2016-04-30	$0
Income. Dividends from common stock	2016-04-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-04-30	$788,384
Asset. Corporate debt instrument preferred debt at end of year	2016-04-30	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2016-04-30	$0
Asset. Corporate debt instrument debt (other) at end of year	2016-04-30	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2016-04-30	$0
Contract administrator fees	2016-04-30	$4,357
Assets. Corporate common stocks other than exployer securities at end of year	2016-04-30	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2016-04-30	$0
Liabilities. Value of benefit claims payable at end of year	2016-04-30	$0
Liabilities. Value of benefit claims payable at beginning of year	2016-04-30	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2016-04-30	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2016-04-30	$0
Did the plan have assets held for investment	2016-04-30	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	2016-04-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-04-30	No
Aggregate proceeds on sale of assets	2016-04-30	$0
Aggregate carrying amount (costs) on sale of assets	2016-04-30	$0
Liabilities. Value of acquisition indebtedness at end of year	2016-04-30	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2016-04-30	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-04-30	Yes
Opinion of an independent qualified public accountant for this plan	2016-04-30	Disclaimer
Accountancy firm name	2016-04-30	BKD,LLP
Accountancy firm EIN	2016-04-30	440160260
2015 : JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN 2015 401k financial data
Unrealized appreciation/depreciation of real estate assets	2015-04-30	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2015-04-30	$0
Total unrealized appreciation/depreciation of assets	2015-04-30	$0
Total transfer of assets to this plan	2015-04-30	$0
Total transfer of assets from this plan	2015-04-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-04-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-04-30	$0
Expenses. Interest paid	2015-04-30	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2015-04-30	$0
Total income from all sources (including contributions)	2015-04-30	$1,784,044
Total loss/gain on sale of assets	2015-04-30	$0
Total of all expenses incurred	2015-04-30	$908,900
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-04-30	$898,296
Expenses. Certain deemed distributions of participant loans	2015-04-30	$0
Value of total corrective distributions	2015-04-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-04-30	$1,043,496
Value of total assets at end of year	2015-04-30	$10,625,189
Value of total assets at beginning of year	2015-04-30	$9,750,045
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-04-30	$10,604
Total income from rents	2015-04-30	$0
Total interest from all sources	2015-04-30	$28,123
Total dividends received (eg from common stock, registered investment company shares)	2015-04-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-04-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-04-30	$0
Assets. Real estate other than employer real property at end of year	2015-04-30	$0
Assets. Real estate other than employer real property at beginning of year	2015-04-30	$0
Administrative expenses professional fees incurred	2015-04-30	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2015-04-30	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2015-04-30	$0
Was this plan covered by a fidelity bond	2015-04-30	Yes
Value of fidelity bond cover	2015-04-30	$500,000
If this is an individual account plan, was there a blackout period	2015-04-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-04-30	$0
Were there any nonexempt tranactions with any party-in-interest	2015-04-30	No
Contributions received from participants	2015-04-30	$710,375
Participant contributions at end of year	2015-04-30	$134,093
Participant contributions at beginning of year	2015-04-30	$85,204
Participant contributions at end of year	2015-04-30	$0
Participant contributions at beginning of year	2015-04-30	$0
Assets. Other investments not covered elsewhere at end of year	2015-04-30	$0
Assets. Other investments not covered elsewhere at beginning of year	2015-04-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2015-04-30	$4,515
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2015-04-30	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2015-04-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2015-04-30	$0
Assets. Loans (other than to participants) at end of year	2015-04-30	$0
Assets. Loans (other than to participants) at beginning of year	2015-04-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2015-04-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2015-04-30	$0
Other income not declared elsewhere	2015-04-30	$0
Administrative expenses (other) incurred	2015-04-30	$0
Liabilities. Value of operating payables at end of year	2015-04-30	$0
Liabilities. Value of operating payables at beginning of year	2015-04-30	$0
Total non interest bearing cash at end of year	2015-04-30	$0
Total non interest bearing cash at beginning of year	2015-04-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-04-30	No
Income. Non cash contributions	2015-04-30	$0
Value of net income/loss	2015-04-30	$875,144
Value of net assets at end of year (total assets less liabilities)	2015-04-30	$10,625,189
Value of net assets at beginning of year (total assets less liabilities)	2015-04-30	$9,750,045
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-04-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-04-30	No
Were any leases to which the plan was party in default or uncollectible	2015-04-30	No
Assets. partnership/joint venture interests at end of year	2015-04-30	$0
Assets. partnership/joint venture interests at beginning of year	2015-04-30	$0
Investment advisory and management fees	2015-04-30	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-04-30	$8,351,144
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-04-30	$7,502,327
Value of interest in pooled separate accounts at end of year	2015-04-30	$0
Value of interest in pooled separate accounts at beginning of year	2015-04-30	$0
Interest on participant loans	2015-04-30	$5,306
Income. Interest from loans (other than to participants)	2015-04-30	$0
Interest earned on other investments	2015-04-30	$22,817
Income. Interest from US Government securities	2015-04-30	$0
Income. Interest from corporate debt instruments	2015-04-30	$0
Value of interest in master investment trust accounts at end of year	2015-04-30	$0
Value of interest in master investment trust accounts at beginning of year	2015-04-30	$0
Value of interest in common/collective trusts at end of year	2015-04-30	$0
Value of interest in common/collective trusts at beginning of year	2015-04-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-04-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-04-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-04-30	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-04-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-04-30	$1,811,346
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-04-30	$2,013,454
Expenses. Payments to insurance carriers foe the provision of benefits	2015-04-30	$0
Asset value of US Government securities at end of year	2015-04-30	$0
Asset value of US Government securities at beginning of year	2015-04-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-04-30	$712,425
Net investment gain/loss from pooled separate accounts	2015-04-30	$0
Net investment gain or loss from common/collective trusts	2015-04-30	$0
Net gain/loss from 103.12 investment entities	2015-04-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-04-30	No
Was there a failure to transmit to the plan any participant contributions	2015-04-30	No
Has the plan failed to provide any benefit when due under the plan	2015-04-30	No
Assets. Invements in employer securities at end of year	2015-04-30	$0
Assets. Invements in employer securities at beginning of year	2015-04-30	$0
Assets. Value of employer real property at end of year	2015-04-30	$0
Assets. Value of employer real property at beginning of year	2015-04-30	$0
Contributions received in cash from employer	2015-04-30	$328,606
Employer contributions (assets) at end of year	2015-04-30	$328,606
Employer contributions (assets) at beginning of year	2015-04-30	$149,060
Income. Dividends from preferred stock	2015-04-30	$0
Income. Dividends from common stock	2015-04-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-04-30	$898,296
Asset. Corporate debt instrument preferred debt at end of year	2015-04-30	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2015-04-30	$0
Asset. Corporate debt instrument debt (other) at end of year	2015-04-30	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2015-04-30	$0
Contract administrator fees	2015-04-30	$10,604
Assets. Corporate common stocks other than exployer securities at end of year	2015-04-30	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2015-04-30	$0
Liabilities. Value of benefit claims payable at end of year	2015-04-30	$0
Liabilities. Value of benefit claims payable at beginning of year	2015-04-30	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2015-04-30	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2015-04-30	$0
Did the plan have assets held for investment	2015-04-30	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	2015-04-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-04-30	No
Aggregate proceeds on sale of assets	2015-04-30	$0
Aggregate carrying amount (costs) on sale of assets	2015-04-30	$0
Liabilities. Value of acquisition indebtedness at end of year	2015-04-30	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2015-04-30	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-04-30	Yes
Opinion of an independent qualified public accountant for this plan	2015-04-30	Disclaimer
Accountancy firm name	2015-04-30	BKD LLP
Accountancy firm EIN	2015-04-30	440160260
2014 : JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN 2014 401k financial data
Unrealized appreciation/depreciation of real estate assets	2014-04-30	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2014-04-30	$0
Total unrealized appreciation/depreciation of assets	2014-04-30	$0
Total transfer of assets to this plan	2014-04-30	$0
Total transfer of assets from this plan	2014-04-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-04-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-04-30	$0
Expenses. Interest paid	2014-04-30	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2014-04-30	$0
Total income from all sources (including contributions)	2014-04-30	$2,276,381
Total loss/gain on sale of assets	2014-04-30	$0
Total of all expenses incurred	2014-04-30	$767,225
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-04-30	$752,019
Expenses. Certain deemed distributions of participant loans	2014-04-30	$0
Value of total corrective distributions	2014-04-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-04-30	$1,334,321
Value of total assets at end of year	2014-04-30	$9,750,045
Value of total assets at beginning of year	2014-04-30	$8,240,889
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-04-30	$15,206
Total income from rents	2014-04-30	$0
Total interest from all sources	2014-04-30	$26,952
Total dividends received (eg from common stock, registered investment company shares)	2014-04-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-04-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-04-30	$0
Assets. Real estate other than employer real property at end of year	2014-04-30	$0
Assets. Real estate other than employer real property at beginning of year	2014-04-30	$0
Administrative expenses professional fees incurred	2014-04-30	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2014-04-30	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2014-04-30	$0
Was this plan covered by a fidelity bond	2014-04-30	Yes
Value of fidelity bond cover	2014-04-30	$500,000
If this is an individual account plan, was there a blackout period	2014-04-30	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-04-30	$0
Were there any nonexempt tranactions with any party-in-interest	2014-04-30	No
Contributions received from participants	2014-04-30	$713,484
Participant contributions at end of year	2014-04-30	$85,204
Participant contributions at beginning of year	2014-04-30	$0
Participant contributions at end of year	2014-04-30	$0
Participant contributions at beginning of year	2014-04-30	$21,880
Assets. Other investments not covered elsewhere at end of year	2014-04-30	$0
Assets. Other investments not covered elsewhere at beginning of year	2014-04-30	$5,600,096
Income. Received or receivable in cash from other sources (including rollovers)	2014-04-30	$471,777
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2014-04-30	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2014-04-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2014-04-30	$0
Assets. Loans (other than to participants) at end of year	2014-04-30	$0
Assets. Loans (other than to participants) at beginning of year	2014-04-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2014-04-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2014-04-30	$0
Other income not declared elsewhere	2014-04-30	$0
Administrative expenses (other) incurred	2014-04-30	$0
Liabilities. Value of operating payables at end of year	2014-04-30	$0
Liabilities. Value of operating payables at beginning of year	2014-04-30	$0
Total non interest bearing cash at end of year	2014-04-30	$0
Total non interest bearing cash at beginning of year	2014-04-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-04-30	No
Income. Non cash contributions	2014-04-30	$0
Value of net income/loss	2014-04-30	$1,509,156
Value of net assets at end of year (total assets less liabilities)	2014-04-30	$9,750,045
Value of net assets at beginning of year (total assets less liabilities)	2014-04-30	$8,240,889
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-04-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-04-30	No
Were any leases to which the plan was party in default or uncollectible	2014-04-30	No
Assets. partnership/joint venture interests at end of year	2014-04-30	$0
Assets. partnership/joint venture interests at beginning of year	2014-04-30	$0
Investment advisory and management fees	2014-04-30	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-04-30	$7,502,327
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-04-30	$0
Value of interest in pooled separate accounts at end of year	2014-04-30	$0
Value of interest in pooled separate accounts at beginning of year	2014-04-30	$0
Interest on participant loans	2014-04-30	$1,644
Income. Interest from loans (other than to participants)	2014-04-30	$0
Interest earned on other investments	2014-04-30	$0
Income. Interest from US Government securities	2014-04-30	$0
Income. Interest from corporate debt instruments	2014-04-30	$0
Value of interest in master investment trust accounts at end of year	2014-04-30	$0
Value of interest in master investment trust accounts at beginning of year	2014-04-30	$0
Value of interest in common/collective trusts at end of year	2014-04-30	$0
Value of interest in common/collective trusts at beginning of year	2014-04-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-04-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-04-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-04-30	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-04-30	$25,308
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-04-30	$2,013,454
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-04-30	$2,402,943
Expenses. Payments to insurance carriers foe the provision of benefits	2014-04-30	$0
Asset value of US Government securities at end of year	2014-04-30	$0
Asset value of US Government securities at beginning of year	2014-04-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-04-30	$915,108
Net investment gain/loss from pooled separate accounts	2014-04-30	$0
Net investment gain or loss from common/collective trusts	2014-04-30	$0
Net gain/loss from 103.12 investment entities	2014-04-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-04-30	No
Was there a failure to transmit to the plan any participant contributions	2014-04-30	No
Has the plan failed to provide any benefit when due under the plan	2014-04-30	No
Assets. Invements in employer securities at end of year	2014-04-30	$0
Assets. Invements in employer securities at beginning of year	2014-04-30	$0
Assets. Value of employer real property at end of year	2014-04-30	$0
Assets. Value of employer real property at beginning of year	2014-04-30	$0
Contributions received in cash from employer	2014-04-30	$149,060
Employer contributions (assets) at end of year	2014-04-30	$149,060
Employer contributions (assets) at beginning of year	2014-04-30	$215,970
Income. Dividends from preferred stock	2014-04-30	$0
Income. Dividends from common stock	2014-04-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-04-30	$752,019
Asset. Corporate debt instrument preferred debt at end of year	2014-04-30	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2014-04-30	$0
Asset. Corporate debt instrument debt (other) at end of year	2014-04-30	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2014-04-30	$0
Contract administrator fees	2014-04-30	$15,206
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2014-04-30	Yes
Assets. Corporate common stocks other than exployer securities at end of year	2014-04-30	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2014-04-30	$0
Liabilities. Value of benefit claims payable at end of year	2014-04-30	$0
Liabilities. Value of benefit claims payable at beginning of year	2014-04-30	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2014-04-30	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2014-04-30	$0
Did the plan have assets held for investment	2014-04-30	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	2014-04-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-04-30	No
Aggregate proceeds on sale of assets	2014-04-30	$0
Aggregate carrying amount (costs) on sale of assets	2014-04-30	$0
Liabilities. Value of acquisition indebtedness at end of year	2014-04-30	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2014-04-30	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-04-30	Yes
Opinion of an independent qualified public accountant for this plan	2014-04-30	Disclaimer
Accountancy firm name	2014-04-30	BKD,LLP
Accountancy firm EIN	2014-04-30	440160260
2013 : JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN 2013 401k financial data
Unrealized appreciation/depreciation of real estate assets	2013-04-30	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2013-04-30	$0
Total unrealized appreciation/depreciation of assets	2013-04-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-04-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-04-30	$0
Expenses. Interest paid	2013-04-30	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2013-04-30	$0
Total income from all sources (including contributions)	2013-04-30	$1,582,654
Total loss/gain on sale of assets	2013-04-30	$0
Total of all expenses incurred	2013-04-30	$739,270
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-04-30	$739,270
Expenses. Certain deemed distributions of participant loans	2013-04-30	$0
Value of total corrective distributions	2013-04-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-04-30	$828,040
Value of total assets at end of year	2013-04-30	$8,240,889
Value of total assets at beginning of year	2013-04-30	$7,397,505
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-04-30	$0
Total income from rents	2013-04-30	$0
Total interest from all sources	2013-04-30	$76,590
Total dividends received (eg from common stock, registered investment company shares)	2013-04-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-04-30	No
Assets. Real estate other than employer real property at end of year	2013-04-30	$0
Assets. Real estate other than employer real property at beginning of year	2013-04-30	$0
Administrative expenses professional fees incurred	2013-04-30	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2013-04-30	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2013-04-30	$0
Was this plan covered by a fidelity bond	2013-04-30	Yes
Value of fidelity bond cover	2013-04-30	$250,000
If this is an individual account plan, was there a blackout period	2013-04-30	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-04-30	$0
Were there any nonexempt tranactions with any party-in-interest	2013-04-30	No
Contributions received from participants	2013-04-30	$607,645
Participant contributions at end of year	2013-04-30	$0
Participant contributions at beginning of year	2013-04-30	$0
Participant contributions at end of year	2013-04-30	$21,880
Participant contributions at beginning of year	2013-04-30	$20,623
Assets. Other investments not covered elsewhere at end of year	2013-04-30	$5,600,096
Assets. Other investments not covered elsewhere at beginning of year	2013-04-30	$4,719,909
Income. Received or receivable in cash from other sources (including rollovers)	2013-04-30	$4,425
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2013-04-30	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2013-04-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2013-04-30	$0
Assets. Loans (other than to participants) at end of year	2013-04-30	$0
Assets. Loans (other than to participants) at beginning of year	2013-04-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2013-04-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2013-04-30	$0
Other income not declared elsewhere	2013-04-30	$678,024
Administrative expenses (other) incurred	2013-04-30	$0
Total non interest bearing cash at end of year	2013-04-30	$0
Total non interest bearing cash at beginning of year	2013-04-30	$0
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
Income. Non cash contributions	2013-04-30	$0
Value of net income/loss	2013-04-30	$843,384
Value of net assets at end of year (total assets less liabilities)	2013-04-30	$8,240,889
Value of net assets at beginning of year (total assets less liabilities)	2013-04-30	$7,397,505
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
Assets. partnership/joint venture interests at end of year	2013-04-30	$0
Assets. partnership/joint venture interests at beginning of year	2013-04-30	$0
Investment advisory and management fees	2013-04-30	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-04-30	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-04-30	$0
Interest on participant loans	2013-04-30	$0
Income. Interest from loans (other than to participants)	2013-04-30	$0
Interest earned on other investments	2013-04-30	$76,590
Income. Interest from US Government securities	2013-04-30	$0
Income. Interest from corporate debt instruments	2013-04-30	$0
Value of interest in master investment trust accounts at end of year	2013-04-30	$0
Value of interest in master investment trust accounts at beginning of year	2013-04-30	$0
Value of interest in common/collective trusts at end of year	2013-04-30	$0
Value of interest in common/collective trusts at beginning of year	2013-04-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-04-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-04-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-04-30	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-04-30	$0
Assets. Value of investments in 103.12 investment entities at end of year	2013-04-30	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2013-04-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-04-30	$2,402,943
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-04-30	$2,393,795
Expenses. Payments to insurance carriers foe the provision of benefits	2013-04-30	$0
Asset value of US Government securities at end of year	2013-04-30	$0
Asset value of US Government securities at beginning of year	2013-04-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-04-30	$0
Net investment gain/loss from pooled separate accounts	2013-04-30	$0
Net investment gain or loss from common/collective trusts	2013-04-30	$0
Net gain/loss from 103.12 investment entities	2013-04-30	$0
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
Assets. Invements in employer securities at end of year	2013-04-30	$0
Assets. Invements in employer securities at beginning of year	2013-04-30	$0
Assets. Value of employer real property at end of year	2013-04-30	$0
Assets. Value of employer real property at beginning of year	2013-04-30	$0
Contributions received in cash from employer	2013-04-30	$215,970
Employer contributions (assets) at end of year	2013-04-30	$215,970
Employer contributions (assets) at beginning of year	2013-04-30	$263,178
Income. Dividends from preferred stock	2013-04-30	$0
Income. Dividends from common stock	2013-04-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-04-30	$739,270
Asset. Corporate debt instrument preferred debt at end of year	2013-04-30	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2013-04-30	$0
Asset. Corporate debt instrument debt (other) at end of year	2013-04-30	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2013-04-30	$0
Contract administrator fees	2013-04-30	$0
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	2013-04-30	Yes
Assets. Corporate common stocks other than exployer securities at end of year	2013-04-30	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2013-04-30	$0
Liabilities. Value of benefit claims payable at end of year	2013-04-30	$0
Liabilities. Value of benefit claims payable at beginning of year	2013-04-30	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2013-04-30	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2013-04-30	$0
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	No
Aggregate proceeds on sale of assets	2013-04-30	$0
Aggregate carrying amount (costs) on sale of assets	2013-04-30	$0
Liabilities. Value of acquisition indebtedness at end of year	2013-04-30	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2013-04-30	$0
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	BKD
Accountancy firm EIN	2013-04-30	440160260
2012 : JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN 2012 401k financial data
Unrealized appreciation/depreciation of real estate assets	2012-04-30	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2012-04-30	$0
Total unrealized appreciation/depreciation of assets	2012-04-30	$0
Total transfer of assets to this plan	2012-04-30	$0
Total transfer of assets from this plan	2012-04-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-04-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-04-30	$0
Expenses. Interest paid	2012-04-30	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2012-04-30	$0
Total income from all sources (including contributions)	2012-04-30	$837,018
Total loss/gain on sale of assets	2012-04-30	$0
Total of all expenses incurred	2012-04-30	$360,764
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-04-30	$360,764
Expenses. Certain deemed distributions of participant loans	2012-04-30	$0
Value of total corrective distributions	2012-04-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-04-30	$796,725
Value of total assets at end of year	2012-04-30	$7,397,505
Value of total assets at beginning of year	2012-04-30	$6,921,251
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-04-30	$0
Total income from rents	2012-04-30	$0
Total interest from all sources	2012-04-30	$68,153
Total dividends received (eg from common stock, registered investment company shares)	2012-04-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-04-30	No
Assets. Real estate other than employer real property at end of year	2012-04-30	$0
Assets. Real estate other than employer real property at beginning of year	2012-04-30	$0
Administrative expenses professional fees incurred	2012-04-30	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2012-04-30	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2012-04-30	$0
Was this plan covered by a fidelity bond	2012-04-30	Yes
Value of fidelity bond cover	2012-04-30	$250,000
If this is an individual account plan, was there a blackout period	2012-04-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-04-30	$0
Were there any nonexempt tranactions with any party-in-interest	2012-04-30	No
Contributions received from participants	2012-04-30	$533,547
Participant contributions at end of year	2012-04-30	$0
Participant contributions at beginning of year	2012-04-30	$0
Participant contributions at end of year	2012-04-30	$20,623
Participant contributions at beginning of year	2012-04-30	$19,723
Assets. Other investments not covered elsewhere at end of year	2012-04-30	$4,719,909
Assets. Other investments not covered elsewhere at beginning of year	2012-04-30	$4,488,631
Income. Received or receivable in cash from other sources (including rollovers)	2012-04-30	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2012-04-30	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-04-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-04-30	$0
Assets. Loans (other than to participants) at end of year	2012-04-30	$0
Assets. Loans (other than to participants) at beginning of year	2012-04-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2012-04-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2012-04-30	$0
Other income not declared elsewhere	2012-04-30	$-27,860
Administrative expenses (other) incurred	2012-04-30	$0
Total non interest bearing cash at end of year	2012-04-30	$0
Total non interest bearing cash at beginning of year	2012-04-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-04-30	No
Income. Non cash contributions	2012-04-30	$0
Value of net income/loss	2012-04-30	$476,254
Value of net assets at end of year (total assets less liabilities)	2012-04-30	$7,397,505
Value of net assets at beginning of year (total assets less liabilities)	2012-04-30	$6,921,251
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-04-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-04-30	No
Were any leases to which the plan was party in default or uncollectible	2012-04-30	No
Assets. partnership/joint venture interests at end of year	2012-04-30	$0
Assets. partnership/joint venture interests at beginning of year	2012-04-30	$0
Investment advisory and management fees	2012-04-30	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-04-30	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-04-30	$0
Interest on participant loans	2012-04-30	$0
Income. Interest from loans (other than to participants)	2012-04-30	$0
Interest earned on other investments	2012-04-30	$68,153
Income. Interest from US Government securities	2012-04-30	$0
Income. Interest from corporate debt instruments	2012-04-30	$0
Value of interest in master investment trust accounts at end of year	2012-04-30	$0
Value of interest in master investment trust accounts at beginning of year	2012-04-30	$0
Value of interest in common/collective trusts at end of year	2012-04-30	$0
Value of interest in common/collective trusts at beginning of year	2012-04-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-04-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-04-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-04-30	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-04-30	$0
Assets. Value of investments in 103.12 investment entities at end of year	2012-04-30	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2012-04-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-04-30	$2,393,795
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-04-30	$2,100,322
Expenses. Payments to insurance carriers foe the provision of benefits	2012-04-30	$0
Asset value of US Government securities at end of year	2012-04-30	$0
Asset value of US Government securities at beginning of year	2012-04-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-04-30	$0
Net investment gain/loss from pooled separate accounts	2012-04-30	$0
Net investment gain or loss from common/collective trusts	2012-04-30	$0
Net gain/loss from 103.12 investment entities	2012-04-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-04-30	No
Was there a failure to transmit to the plan any participant contributions	2012-04-30	No
Has the plan failed to provide any benefit when due under the plan	2012-04-30	No
Assets. Invements in employer securities at end of year	2012-04-30	$0
Assets. Invements in employer securities at beginning of year	2012-04-30	$0
Assets. Value of employer real property at end of year	2012-04-30	$0
Assets. Value of employer real property at beginning of year	2012-04-30	$0
Contributions received in cash from employer	2012-04-30	$263,178
Employer contributions (assets) at end of year	2012-04-30	$263,178
Employer contributions (assets) at beginning of year	2012-04-30	$312,575
Income. Dividends from preferred stock	2012-04-30	$0
Income. Dividends from common stock	2012-04-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-04-30	$360,764
Asset. Corporate debt instrument preferred debt at end of year	2012-04-30	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2012-04-30	$0
Asset. Corporate debt instrument debt (other) at end of year	2012-04-30	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2012-04-30	$0
Contract administrator fees	2012-04-30	$0
Assets. Corporate common stocks other than exployer securities at end of year	2012-04-30	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2012-04-30	$0
Liabilities. Value of benefit claims payable at end of year	2012-04-30	$0
Liabilities. Value of benefit claims payable at beginning of year	2012-04-30	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2012-04-30	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2012-04-30	$0
Did the plan have assets held for investment	2012-04-30	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	2012-04-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-04-30	No
Aggregate proceeds on sale of assets	2012-04-30	$0
Aggregate carrying amount (costs) on sale of assets	2012-04-30	$0
Liabilities. Value of acquisition indebtedness at end of year	2012-04-30	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2012-04-30	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-04-30	Yes
Opinion of an independent qualified public accountant for this plan	2012-04-30	Disclaimer
Accountancy firm name	2012-04-30	BKD, LLP
Accountancy firm EIN	2012-04-30	440160260
2011 : JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN 2011 401k financial data
Unrealized appreciation/depreciation of real estate assets	2011-04-30	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2011-04-30	$0
Total unrealized appreciation/depreciation of assets	2011-04-30	$0
Total transfer of assets to this plan	2011-04-30	$0
Total transfer of assets from this plan	2011-04-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-04-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-04-30	$0
Expenses. Interest paid	2011-04-30	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2011-04-30	$0
Total income from all sources (including contributions)	2011-04-30	$1,576,069
Total loss/gain on sale of assets	2011-04-30	$0
Total of all expenses incurred	2011-04-30	$442,884
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-04-30	$442,884
Expenses. Certain deemed distributions of participant loans	2011-04-30	$0
Value of total corrective distributions	2011-04-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-04-30	$823,485
Value of total assets at end of year	2011-04-30	$6,921,251
Value of total assets at beginning of year	2011-04-30	$5,788,066
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-04-30	$0
Total income from rents	2011-04-30	$0
Total interest from all sources	2011-04-30	$65,040
Total dividends received (eg from common stock, registered investment company shares)	2011-04-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-04-30	No
Assets. Real estate other than employer real property at end of year	2011-04-30	$0
Assets. Real estate other than employer real property at beginning of year	2011-04-30	$0
Administrative expenses professional fees incurred	2011-04-30	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2011-04-30	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2011-04-30	$0
Was this plan covered by a fidelity bond	2011-04-30	Yes
Value of fidelity bond cover	2011-04-30	$275,000
If this is an individual account plan, was there a blackout period	2011-04-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-04-30	$0
Were there any nonexempt tranactions with any party-in-interest	2011-04-30	No
Contributions received from participants	2011-04-30	$507,924
Participant contributions at end of year	2011-04-30	$0
Participant contributions at beginning of year	2011-04-30	$0
Participant contributions at end of year	2011-04-30	$19,723
Participant contributions at beginning of year	2011-04-30	$16,559
Assets. Other investments not covered elsewhere at end of year	2011-04-30	$4,488,631
Assets. Other investments not covered elsewhere at beginning of year	2011-04-30	$3,373,024
Income. Received or receivable in cash from other sources (including rollovers)	2011-04-30	$2,986
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2011-04-30	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-04-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-04-30	$0
Assets. Loans (other than to participants) at end of year	2011-04-30	$0
Assets. Loans (other than to participants) at beginning of year	2011-04-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2011-04-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2011-04-30	$0
Other income not declared elsewhere	2011-04-30	$687,544
Administrative expenses (other) incurred	2011-04-30	$0
Liabilities. Value of operating payables at end of year	2011-04-30	$0
Liabilities. Value of operating payables at beginning of year	2011-04-30	$0
Total non interest bearing cash at end of year	2011-04-30	$0
Total non interest bearing cash at beginning of year	2011-04-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-04-30	No
Income. Non cash contributions	2011-04-30	$0
Value of net income/loss	2011-04-30	$1,133,185
Value of net assets at end of year (total assets less liabilities)	2011-04-30	$6,921,251
Value of net assets at beginning of year (total assets less liabilities)	2011-04-30	$5,788,066
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-04-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-04-30	No
Were any leases to which the plan was party in default or uncollectible	2011-04-30	No
Assets. partnership/joint venture interests at end of year	2011-04-30	$0
Assets. partnership/joint venture interests at beginning of year	2011-04-30	$0
Investment advisory and management fees	2011-04-30	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-04-30	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-04-30	$0
Interest on participant loans	2011-04-30	$0
Income. Interest from loans (other than to participants)	2011-04-30	$0
Interest earned on other investments	2011-04-30	$65,040
Income. Interest from US Government securities	2011-04-30	$0
Income. Interest from corporate debt instruments	2011-04-30	$0
Value of interest in master investment trust accounts at end of year	2011-04-30	$0
Value of interest in master investment trust accounts at beginning of year	2011-04-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-04-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-04-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-04-30	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-04-30	$0
Assets. Value of investments in 103.12 investment entities at end of year	2011-04-30	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2011-04-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-04-30	$2,100,322
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-04-30	$2,017,430
Expenses. Payments to insurance carriers foe the provision of benefits	2011-04-30	$0
Asset value of US Government securities at end of year	2011-04-30	$0
Asset value of US Government securities at beginning of year	2011-04-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-04-30	$0
Net investment gain/loss from pooled separate accounts	2011-04-30	$0
Net investment gain or loss from common/collective trusts	2011-04-30	$0
Net gain/loss from 103.12 investment entities	2011-04-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-04-30	No
Was there a failure to transmit to the plan any participant contributions	2011-04-30	Yes
Has the plan failed to provide any benefit when due under the plan	2011-04-30	No
Assets. Invements in employer securities at end of year	2011-04-30	$0
Assets. Invements in employer securities at beginning of year	2011-04-30	$0
Assets. Value of employer real property at end of year	2011-04-30	$0
Assets. Value of employer real property at beginning of year	2011-04-30	$0
Contributions received in cash from employer	2011-04-30	$312,575
Employer contributions (assets) at end of year	2011-04-30	$312,575
Employer contributions (assets) at beginning of year	2011-04-30	$381,053
Income. Dividends from preferred stock	2011-04-30	$0
Income. Dividends from common stock	2011-04-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-04-30	$442,884
Asset. Corporate debt instrument preferred debt at end of year	2011-04-30	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2011-04-30	$0
Asset. Corporate debt instrument debt (other) at end of year	2011-04-30	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2011-04-30	$0
Contract administrator fees	2011-04-30	$0
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	2011-04-30	No
Assets. Corporate common stocks other than exployer securities at end of year	2011-04-30	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2011-04-30	$0
Liabilities. Value of benefit claims payable at end of year	2011-04-30	$0
Liabilities. Value of benefit claims payable at beginning of year	2011-04-30	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2011-04-30	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2011-04-30	$0
Did the plan have assets held for investment	2011-04-30	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	2011-04-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-04-30	No
Aggregate proceeds on sale of assets	2011-04-30	$0
Aggregate carrying amount (costs) on sale of assets	2011-04-30	$0
Liabilities. Value of acquisition indebtedness at end of year	2011-04-30	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2011-04-30	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-04-30	Yes
Opinion of an independent qualified public accountant for this plan	2011-04-30	Disclaimer
Accountancy firm name	2011-04-30	BKD, LLP
Accountancy firm EIN	2011-04-30	440160260
2010 : JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-04-30	$0

Form 5500 Responses for JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN

2022: JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN 2022 form 5500 responses
2022-05-01	Type of plan entity	Single employer plan
2022-05-01	Submission has been amended	Yes
2022-05-01	This submission is the final filing	No
2022-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-05-01	Plan is a collectively bargained plan	No
2022-05-01	Plan funding arrangement – Insurance	Yes
2022-05-01	Plan benefit arrangement - Trust	Yes
2021: JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN 2021 form 5500 responses
2021-05-01	Type of plan entity	Single employer plan
2021-05-01	Submission has been amended	No
2021-05-01	This submission is the final filing	No
2021-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-05-01	Plan is a collectively bargained plan	No
2021-05-01	Plan funding arrangement – Insurance	Yes
2021-05-01	Plan benefit arrangement - Trust	Yes
2020: JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN 2020 form 5500 responses
2020-05-01	Type of plan entity	Single employer plan
2020-05-01	Submission has been amended	No
2020-05-01	This submission is the final filing	No
2020-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-05-01	Plan is a collectively bargained plan	No
2020-05-01	Plan funding arrangement – Insurance	Yes
2020-05-01	Plan benefit arrangement - Trust	Yes
2019: JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN 2019 form 5500 responses
2019-05-01	Type of plan entity	Single employer plan
2019-05-01	Submission has been amended	No
2019-05-01	This submission is the final filing	No
2019-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-05-01	Plan is a collectively bargained plan	No
2019-05-01	Plan funding arrangement – Insurance	Yes
2019-05-01	Plan benefit arrangement - Trust	Yes
2018: JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN 2018 form 5500 responses
2018-05-01	Type of plan entity	Single employer plan
2018-05-01	Submission has been amended	No
2018-05-01	This submission is the final filing	No
2018-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-05-01	Plan is a collectively bargained plan	No
2018-05-01	Plan funding arrangement – Insurance	Yes
2018-05-01	Plan benefit arrangement - Trust	Yes
2017: JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN 2017 form 5500 responses
2017-05-01	Type of plan entity	Single employer plan
2017-05-01	Submission has been amended	No
2017-05-01	This submission is the final filing	No
2017-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-05-01	Plan is a collectively bargained plan	No
2017-05-01	Plan funding arrangement – Insurance	Yes
2017-05-01	Plan benefit arrangement - Trust	Yes
2016: JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN 2016 form 5500 responses
2016-05-01	Type of plan entity	Single employer plan
2016-05-01	Submission has been amended	No
2016-05-01	This submission is the final filing	No
2016-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-05-01	Plan is a collectively bargained plan	No
2016-05-01	Plan funding arrangement – Insurance	Yes
2016-05-01	Plan benefit arrangement - Trust	Yes
2015: JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN 2015 form 5500 responses
2015-05-01	Type of plan entity	Single employer plan
2015-05-01	Submission has been amended	No
2015-05-01	This submission is the final filing	No
2015-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-05-01	Plan is a collectively bargained plan	No
2015-05-01	Plan funding arrangement – Insurance	Yes
2015-05-01	Plan benefit arrangement - Trust	Yes
2014: JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN 2014 form 5500 responses
2014-05-01	Type of plan entity	Single employer plan
2014-05-01	Submission has been amended	No
2014-05-01	This submission is the final filing	No
2014-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-05-01	Plan is a collectively bargained plan	No
2014-05-01	Plan funding arrangement – Insurance	Yes
2014-05-01	Plan benefit arrangement - Trust	Yes
2013: JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN 2013 form 5500 responses
2013-05-01	Type of plan entity	Single employer plan
2013-05-01	Submission has been amended	No
2013-05-01	This submission is the final filing	No
2013-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-05-01	Plan is a collectively bargained plan	No
2013-05-01	Plan funding arrangement – Insurance	Yes
2013-05-01	Plan benefit arrangement – Insurance	Yes
2013-05-01	Plan benefit arrangement - Trust	Yes
2012: JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN 2012 form 5500 responses
2012-05-01	Type of plan entity	Single employer plan
2012-05-01	Submission has been amended	No
2012-05-01	This submission is the final filing	No
2012-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-05-01	Plan is a collectively bargained plan	No
2012-05-01	Plan funding arrangement – Insurance	Yes
2012-05-01	Plan benefit arrangement – Insurance	Yes
2011: JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN 2011 form 5500 responses
2011-05-01	Type of plan entity	Single employer plan
2011-05-01	Submission has been amended	No
2011-05-01	This submission is the final filing	No
2011-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-05-01	Plan is a collectively bargained plan	No
2011-05-01	Plan funding arrangement – Insurance	Yes
2011-05-01	Plan benefit arrangement – Insurance	Yes
2010: JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN 2010 form 5500 responses
2010-05-01	Type of plan entity	Single employer plan
2010-05-01	Submission has been amended	No
2010-05-01	This submission is the final filing	No
2010-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-05-01	Plan is a collectively bargained plan	No
2010-05-01	Plan funding arrangement – Insurance	Yes
2010-05-01	Plan benefit arrangement – Insurance	Yes
2009: JOHN FITZGIBBON MEMORIAL HOSPITAL SECTION 403B RETIREMENT PLAN 2009 form 5500 responses
2009-05-01	Type of plan entity	Single employer plan
2009-05-01	Submission has been amended	No
2009-05-01	This submission is the final filing	No
2009-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-05-01	Plan is a collectively bargained plan	No
2009-05-01	Plan funding arrangement – Insurance	Yes
2009-05-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

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

Policy contract number

1005032-01

Policy instance

Insurance contract or identification number	1005032-01
Number of Individuals Covered	12
Insurance policy start date	2022-05-01
Insurance policy end date	2023-04-30
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G76068

Policy instance

Insurance contract or identification number	G76068
Number of Individuals Covered	490
Insurance policy start date	2022-05-01
Insurance policy end date	2023-04-30
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

1005032-01

Policy instance

Insurance contract or identification number	1005032-01
Number of Individuals Covered	13
Insurance policy start date	2021-05-01
Insurance policy end date	2022-04-30
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G76068

Policy instance

Insurance contract or identification number	G76068
Number of Individuals Covered	515
Insurance policy start date	2021-05-01
Insurance policy end date	2022-04-30
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G76068

Policy instance

Insurance contract or identification number	G76068
Number of Individuals Covered	458
Insurance policy start date	2020-05-01
Insurance policy end date	2021-04-30
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

1005032-01

Policy instance

Insurance contract or identification number	1005032-01
Number of Individuals Covered	15
Insurance policy start date	2020-05-01
Insurance policy end date	2021-04-30
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

1005032-01

Policy instance

Insurance contract or identification number	1005032-01
Number of Individuals Covered	15
Insurance policy start date	2019-05-01
Insurance policy end date	2020-04-30
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G76068

Policy instance

Insurance contract or identification number	G76068
Number of Individuals Covered	459
Insurance policy start date	2019-05-01
Insurance policy end date	2020-04-30
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

1005032-01

Policy instance

Insurance contract or identification number	1005032-01
Number of Individuals Covered	13
Insurance policy start date	2018-05-01
Insurance policy end date	2019-04-30
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G76068

Policy instance

Insurance contract or identification number	G76068
Number of Individuals Covered	472
Insurance policy start date	2018-05-01
Insurance policy end date	2019-04-30
Total amount of commissions paid to insurance broker	USD $21,737
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $21,737
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	N/A
Insurance broker organization code?	3

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

Policy contract number

1005032-01

Policy instance

Insurance contract or identification number	1005032-01
Number of Individuals Covered	17
Insurance policy start date	2017-05-01
Insurance policy end date	2018-04-30
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G76068

Policy instance

Insurance contract or identification number	G76068
Number of Individuals Covered	513
Insurance policy start date	2017-05-01
Insurance policy end date	2018-04-30
Total amount of commissions paid to insurance broker	USD $46,584
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G76068

Policy instance

Insurance contract or identification number	G76068
Number of Individuals Covered	465
Insurance policy start date	2015-05-01
Insurance policy end date	2016-04-30
Total amount of commissions paid to insurance broker	USD $47,463
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $47,463
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	N/A
Insurance broker organization code?	3
Insurance broker name	AMERITAS INVESTMENT CORP

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G76068

Policy instance

Insurance contract or identification number	G76068
Number of Individuals Covered	526
Insurance policy start date	2014-05-01
Insurance policy end date	2015-04-30
Total amount of commissions paid to insurance broker	USD $42,829
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $42,829
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	N/A
Insurance broker organization code?	3
Insurance broker name	AMERITAS INVESTMENT CORP

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

Policy contract number

1005032-01

Policy instance

Insurance contract or identification number	1005032-01
Insurance policy start date	2014-05-01
Insurance policy end date	2015-04-30
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

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G76068

Policy instance

Insurance contract or identification number	G76068
Number of Individuals Covered	566
Insurance policy start date	2013-05-01
Insurance policy end date	2014-04-30
Total amount of commissions paid to insurance broker	USD $164,830
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $164,830
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	N/A
Insurance broker organization code?	3
Insurance broker name	AMERITAS INVESTMENT CORP

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

Policy contract number

1005032-01

Policy instance

Insurance contract or identification number	1005032-01
Number of Individuals Covered	24
Insurance policy start date	2013-05-01
Insurance policy end date	2014-04-30
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

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

Policy contract number

1005032-01

Policy instance

Insurance contract or identification number	1005032-01
Number of Individuals Covered	28
Insurance policy start date	2012-05-01
Insurance policy end date	2013-04-30
Total amount of commissions paid to insurance broker	USD $25,620
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $25,620
Insurance broker organization code?	3
Insurance broker name	METLIFE SECURITIES INC.

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

Policy contract number

1005032-01

Policy instance

Insurance contract or identification number	1005032-01
Number of Individuals Covered	706
Insurance policy start date	2011-05-01
Insurance policy end date	2012-04-30
Total amount of commissions paid to insurance broker	USD $27,684
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

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

Policy contract number

1005032-01

Policy instance

Insurance contract or identification number	1005032-01
Number of Individuals Covered	679
Insurance policy start date	2010-05-01
Insurance policy end date	2011-04-30
Total amount of commissions paid to insurance broker	USD $12,571
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:	JOHN FITZGIBBON MEMORIAL HOSPITAL, INC
Employer identification number (EIN):	440655986
NAIC Classification:	622000
NAIC Description:	Hospitals

Jurisdiction of Incorporation:	Missouri Secretary of State
Incorporation Date:
Company Identification Number:	N00003109