401k Plan data: HIGHLANDS-CASHIERS HOSPITAL, INC. RETIREMENT PLAN plan

HIGHLANDS-CASHIERS HOSPITAL, INC. RETIREMENT PLAN 401k Plan overview

Plan Name	HIGHLANDS-CASHIERS HOSPITAL, INC. RETIREMENT PLAN
Plan identification number	001

HIGHLANDS-CASHIERS HOSPITAL, INC. RETIREMENT PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.

401k Sponsoring company profile

HIGHLANDS-CASHIERS HOSPITAL, INC. has sponsored the creation of one or more 401k plans.

Company Name: HIGHLANDS-CASHIERS HOSPITAL, INC.

Employer identification number (EIN): 560509400

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HIGHLANDS-CASHIERS HOSPITAL, INC. RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2015-10-01
001 2014-10-01
001 2013-10-01
001 2012-10-01 MANDY TALLEY MANDY TALLEY 2014-04-21
001 2011-10-01 MANDY TALLEY MANDY TALLEY 2013-07-08
001 2009-10-01 AMANDA TALLEY AMANDA TALLEY 2011-07-14

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2015-10-01
001	2014-10-01
001	2013-10-01
001	2012-10-01	MANDY TALLEY	MANDY TALLEY	2014-04-21
001	2011-10-01	MANDY TALLEY	MANDY TALLEY	2013-07-08
001	2009-10-01	AMANDA TALLEY	AMANDA TALLEY	2011-07-14

Plan Statistics for HIGHLANDS-CASHIERS HOSPITAL, INC. RETIREMENT PLAN

401k plan membership statisitcs for HIGHLANDS-CASHIERS HOSPITAL, INC. RETIREMENT PLAN

Measure Date Value
2015: HIGHLANDS-CASHIERS HOSPITAL, INC. RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-10-01 279
Total number of active participants reported on line 7a of the Form 5500 2015-10-01 0
Number of retired or separated participants receiving benefits 2015-10-01 0
Number of other retired or separated participants entitled to future benefits 2015-10-01 0
Total of all active and inactive participants 2015-10-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-10-01 0
Total participants 2015-10-01 0
Number of participants with account balances 2015-10-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-10-01 0
2014: HIGHLANDS-CASHIERS HOSPITAL, INC. RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-10-01 331
Total number of active participants reported on line 7a of the Form 5500 2014-10-01 126
Number of retired or separated participants receiving benefits 2014-10-01 0
Number of other retired or separated participants entitled to future benefits 2014-10-01 233
Total of all active and inactive participants 2014-10-01 359
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-10-01 0
Total participants 2014-10-01 359
Number of participants with account balances 2014-10-01 309
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-10-01 0
2013: HIGHLANDS-CASHIERS HOSPITAL, INC. RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-10-01 327
Total number of active participants reported on line 7a of the Form 5500 2013-10-01 237
Number of retired or separated participants receiving benefits 2013-10-01 0
Number of other retired or separated participants entitled to future benefits 2013-10-01 184
Total of all active and inactive participants 2013-10-01 421
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-10-01 0
Total participants 2013-10-01 421
Number of participants with account balances 2013-10-01 323
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-10-01 0
2012: HIGHLANDS-CASHIERS HOSPITAL, INC. RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-10-01 307
Total number of active participants reported on line 7a of the Form 5500 2012-10-01 250
Number of retired or separated participants receiving benefits 2012-10-01 0
Number of other retired or separated participants entitled to future benefits 2012-10-01 94
Total of all active and inactive participants 2012-10-01 344
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-10-01 0
Total participants 2012-10-01 344
Number of participants with account balances 2012-10-01 344
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-10-01 0
2011: HIGHLANDS-CASHIERS HOSPITAL, INC. RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-10-01 292
Total number of active participants reported on line 7a of the Form 5500 2011-10-01 240
Number of retired or separated participants receiving benefits 2011-10-01 0
Number of other retired or separated participants entitled to future benefits 2011-10-01 92
Total of all active and inactive participants 2011-10-01 332
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-10-01 0
Total participants 2011-10-01 332
Number of participants with account balances 2011-10-01 332
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-10-01 0
2009: HIGHLANDS-CASHIERS HOSPITAL, INC. RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-10-01 355
Total number of active participants reported on line 7a of the Form 5500 2009-10-01 349
Total of all active and inactive participants 2009-10-01 349
Total participants 2009-10-01 349

Measure	Date	Value
2015: HIGHLANDS-CASHIERS HOSPITAL, INC. RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-10-01	279
Total number of active participants reported on line 7a of the Form 5500	2015-10-01	0
Number of retired or separated participants receiving benefits	2015-10-01	0
Number of other retired or separated participants entitled to future benefits	2015-10-01	0
Total of all active and inactive participants	2015-10-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-10-01	0
Total participants	2015-10-01	0
Number of participants with account balances	2015-10-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-10-01	0
2014: HIGHLANDS-CASHIERS HOSPITAL, INC. RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-10-01	331
Total number of active participants reported on line 7a of the Form 5500	2014-10-01	126
Number of retired or separated participants receiving benefits	2014-10-01	0
Number of other retired or separated participants entitled to future benefits	2014-10-01	233
Total of all active and inactive participants	2014-10-01	359
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-10-01	0
Total participants	2014-10-01	359
Number of participants with account balances	2014-10-01	309
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-10-01	0
2013: HIGHLANDS-CASHIERS HOSPITAL, INC. RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-10-01	327
Total number of active participants reported on line 7a of the Form 5500	2013-10-01	237
Number of retired or separated participants receiving benefits	2013-10-01	0
Number of other retired or separated participants entitled to future benefits	2013-10-01	184
Total of all active and inactive participants	2013-10-01	421
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-10-01	0
Total participants	2013-10-01	421
Number of participants with account balances	2013-10-01	323
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-10-01	0
2012: HIGHLANDS-CASHIERS HOSPITAL, INC. RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-10-01	307
Total number of active participants reported on line 7a of the Form 5500	2012-10-01	250
Number of retired or separated participants receiving benefits	2012-10-01	0
Number of other retired or separated participants entitled to future benefits	2012-10-01	94
Total of all active and inactive participants	2012-10-01	344
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-10-01	0
Total participants	2012-10-01	344
Number of participants with account balances	2012-10-01	344
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-10-01	0
2011: HIGHLANDS-CASHIERS HOSPITAL, INC. RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-10-01	292
Total number of active participants reported on line 7a of the Form 5500	2011-10-01	240
Number of retired or separated participants receiving benefits	2011-10-01	0
Number of other retired or separated participants entitled to future benefits	2011-10-01	92
Total of all active and inactive participants	2011-10-01	332
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-10-01	0
Total participants	2011-10-01	332
Number of participants with account balances	2011-10-01	332
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-10-01	0
2009: HIGHLANDS-CASHIERS HOSPITAL, INC. RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-10-01	355
Total number of active participants reported on line 7a of the Form 5500	2009-10-01	349
Total of all active and inactive participants	2009-10-01	349
Total participants	2009-10-01	349

Financial Data on HIGHLANDS-CASHIERS HOSPITAL, INC. RETIREMENT PLAN

Measure	Date	Value
2015 : HIGHLANDS-CASHIERS HOSPITAL, INC. RETIREMENT PLAN 2015 401k financial data
Total transfer of assets from this plan	2015-12-31	$7,200,224
Total income from all sources (including contributions)	2015-12-31	$332,032
Total of all expenses incurred	2015-12-31	$127,781
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$127,781
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$71,607
Value of total assets at end of year	2015-12-31	$0
Value of total assets at beginning of year	2015-12-31	$6,995,973
Total interest from all sources	2015-12-31	$12,423
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2015-12-31	$0
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$500,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$44,813
Participant contributions at end of year	2015-12-31	$0
Participant contributions at beginning of year	2015-12-31	$41,483
Participant contributions at end of year	2015-12-31	$0
Participant contributions at beginning of year	2015-12-31	$0
Other income not declared elsewhere	2015-12-31	$391
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$204,251
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$6,995,973
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in pooled separate accounts at end of year	2015-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$5,568,489
Interest on participant loans	2015-12-31	$1,977
Interest earned on other investments	2015-12-31	$10,446
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$1,386,001
Net investment gain/loss from pooled separate accounts	2015-12-31	$247,611
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$26,794
Employer contributions (assets) at end of year	2015-12-31	$0
Employer contributions (assets) at beginning of year	2015-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$127,781
Did the plan have assets held for investment	2015-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	FRAZIER & DEETER, LLC
Accountancy firm EIN	2015-12-31	581433845
Total income from all sources (including contributions)	2015-09-30	$280,774
Total of all expenses incurred	2015-09-30	$890,555
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-09-30	$872,299
Expenses. Certain deemed distributions of participant loans	2015-09-30	$16,823
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-09-30	$429,908
Value of total assets at end of year	2015-09-30	$6,995,973
Value of total assets at beginning of year	2015-09-30	$7,605,754
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-09-30	$1,433
Total interest from all sources	2015-09-30	$42,697
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-09-30	No
Was this plan covered by a fidelity bond	2015-09-30	Yes
Value of fidelity bond cover	2015-09-30	$500,000
If this is an individual account plan, was there a blackout period	2015-09-30	No
Were there any nonexempt tranactions with any party-in-interest	2015-09-30	No
Contributions received from participants	2015-09-30	$238,980
Participant contributions at end of year	2015-09-30	$41,483
Participant contributions at beginning of year	2015-09-30	$71,196
Participant contributions at end of year	2015-09-30	$0
Participant contributions at beginning of year	2015-09-30	$10,938
Income. Received or receivable in cash from other sources (including rollovers)	2015-09-30	$40,092
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-09-30	No
Value of net income/loss	2015-09-30	$-609,781
Value of net assets at end of year (total assets less liabilities)	2015-09-30	$6,995,973
Value of net assets at beginning of year (total assets less liabilities)	2015-09-30	$7,605,754
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-09-30	No
Were any leases to which the plan was party in default or uncollectible	2015-09-30	No
Value of interest in pooled separate accounts at end of year	2015-09-30	$5,568,489
Value of interest in pooled separate accounts at beginning of year	2015-09-30	$6,194,942
Interest on participant loans	2015-09-30	$2,557
Interest earned on other investments	2015-09-30	$40,140
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-09-30	$1,386,001
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-09-30	$1,322,144
Net investment gain/loss from pooled separate accounts	2015-09-30	$-191,831
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-09-30	No
Was there a failure to transmit to the plan any participant contributions	2015-09-30	No
Has the plan failed to provide any benefit when due under the plan	2015-09-30	No
Contributions received in cash from employer	2015-09-30	$150,836
Employer contributions (assets) at end of year	2015-09-30	$0
Employer contributions (assets) at beginning of year	2015-09-30	$6,534
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-09-30	$872,299
Contract administrator fees	2015-09-30	$1,433
Did the plan have assets held for investment	2015-09-30	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	2015-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2015-09-30	Disclaimer
Accountancy firm name	2015-09-30	FRAZIER & DEETER, LLC
Accountancy firm EIN	2015-09-30	581433845
2014 : HIGHLANDS-CASHIERS HOSPITAL, INC. RETIREMENT PLAN 2014 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-09-30	$0
Total income from all sources (including contributions)	2014-09-30	$1,305,230
Total of all expenses incurred	2014-09-30	$544,228
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-09-30	$528,810
Expenses. Certain deemed distributions of participant loans	2014-09-30	$13,174
Value of total corrective distributions	2014-09-30	$2,244
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-09-30	$633,199
Value of total assets at end of year	2014-09-30	$7,605,754
Value of total assets at beginning of year	2014-09-30	$6,844,752
Total interest from all sources	2014-09-30	$39,920
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-09-30	No
Was this plan covered by a fidelity bond	2014-09-30	Yes
Value of fidelity bond cover	2014-09-30	$500,000
If this is an individual account plan, was there a blackout period	2014-09-30	No
Were there any nonexempt tranactions with any party-in-interest	2014-09-30	No
Contributions received from participants	2014-09-30	$305,763
Participant contributions at end of year	2014-09-30	$71,196
Participant contributions at beginning of year	2014-09-30	$72,299
Participant contributions at end of year	2014-09-30	$10,938
Participant contributions at beginning of year	2014-09-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2014-09-30	$149,922
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2014-09-30	$1,964
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2014-09-30	$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	2014-09-30	No
Value of net income/loss	2014-09-30	$761,002
Value of net assets at end of year (total assets less liabilities)	2014-09-30	$7,605,754
Value of net assets at beginning of year (total assets less liabilities)	2014-09-30	$6,844,752
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-09-30	No
Were any leases to which the plan was party in default or uncollectible	2014-09-30	No
Value of interest in pooled separate accounts at end of year	2014-09-30	$6,194,942
Value of interest in pooled separate accounts at beginning of year	2014-09-30	$5,615,139
Interest on participant loans	2014-09-30	$3,655
Interest earned on other investments	2014-09-30	$36,265
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-09-30	$1,322,144
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-09-30	$1,157,314
Net investment gain/loss from pooled separate accounts	2014-09-30	$632,111
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-09-30	No
Was there a failure to transmit to the plan any participant contributions	2014-09-30	No
Has the plan failed to provide any benefit when due under the plan	2014-09-30	No
Contributions received in cash from employer	2014-09-30	$177,514
Employer contributions (assets) at end of year	2014-09-30	$6,534
Employer contributions (assets) at beginning of year	2014-09-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-09-30	$526,846
Did the plan have assets held for investment	2014-09-30	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	2014-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2014-09-30	Disclaimer
Accountancy firm name	2014-09-30	FRAZIER & DEETER, LLC
Accountancy firm EIN	2014-09-30	581433845
2013 : HIGHLANDS-CASHIERS HOSPITAL, INC. RETIREMENT PLAN 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-09-30	$1,043
Total income from all sources (including contributions)	2013-09-30	$1,432,906
Total of all expenses incurred	2013-09-30	$934,121
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-09-30	$882,283
Expenses. Certain deemed distributions of participant loans	2013-09-30	$48,974
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-09-30	$614,029
Value of total assets at end of year	2013-09-30	$6,844,752
Value of total assets at beginning of year	2013-09-30	$6,347,010
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-09-30	$2,864
Total interest from all sources	2013-09-30	$41,437
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-09-30	No
Was this plan covered by a fidelity bond	2013-09-30	Yes
Value of fidelity bond cover	2013-09-30	$500,000
If this is an individual account plan, was there a blackout period	2013-09-30	No
Were there any nonexempt tranactions with any party-in-interest	2013-09-30	No
Contributions received from participants	2013-09-30	$340,967
Participant contributions at end of year	2013-09-30	$72,299
Participant contributions at beginning of year	2013-09-30	$131,992
Participant contributions at end of year	2013-09-30	$0
Participant contributions at beginning of year	2013-09-30	$13,065
Income. Received or receivable in cash from other sources (including rollovers)	2013-09-30	$64,300
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2013-09-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2013-09-30	$1,043
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-09-30	No
Value of net income/loss	2013-09-30	$498,785
Value of net assets at end of year (total assets less liabilities)	2013-09-30	$6,844,752
Value of net assets at beginning of year (total assets less liabilities)	2013-09-30	$6,345,967
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-09-30	No
Were any leases to which the plan was party in default or uncollectible	2013-09-30	No
Value of interest in pooled separate accounts at end of year	2013-09-30	$5,615,139
Value of interest in pooled separate accounts at beginning of year	2013-09-30	$5,062,698
Interest on participant loans	2013-09-30	$5,565
Interest earned on other investments	2013-09-30	$35,872
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-09-30	$1,157,314
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-09-30	$1,131,520
Net investment gain/loss from pooled separate accounts	2013-09-30	$777,440
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-09-30	No
Was there a failure to transmit to the plan any participant contributions	2013-09-30	No
Has the plan failed to provide any benefit when due under the plan	2013-09-30	No
Contributions received in cash from employer	2013-09-30	$208,762
Employer contributions (assets) at end of year	2013-09-30	$0
Employer contributions (assets) at beginning of year	2013-09-30	$7,735
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-09-30	$882,283
Contract administrator fees	2013-09-30	$2,864
Did the plan have assets held for investment	2013-09-30	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	2013-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2013-09-30	Disclaimer
Accountancy firm name	2013-09-30	FRAZIER & DEETER, LLC
Accountancy firm EIN	2013-09-30	581433845
2012 : HIGHLANDS-CASHIERS HOSPITAL, INC. RETIREMENT PLAN 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-09-30	$1,043
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-09-30	$9,524
Expenses. Interest paid	2012-09-30	$62,238
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2012-09-30	$62,238
Total income from all sources (including contributions)	2012-09-30	$1,660,410
Total of all expenses incurred	2012-09-30	$480,787
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-09-30	$417,506
Value of total corrective distributions	2012-09-30	$1,043
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-09-30	$795,940
Value of total assets at end of year	2012-09-30	$6,347,010
Value of total assets at beginning of year	2012-09-30	$5,175,868
Total interest from all sources	2012-09-30	$43,891
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-09-30	No
Was this plan covered by a fidelity bond	2012-09-30	Yes
Value of fidelity bond cover	2012-09-30	$500,000
If this is an individual account plan, was there a blackout period	2012-09-30	No
Were there any nonexempt tranactions with any party-in-interest	2012-09-30	No
Contributions received from participants	2012-09-30	$360,459
Participant contributions at end of year	2012-09-30	$131,992
Participant contributions at beginning of year	2012-09-30	$139,872
Participant contributions at end of year	2012-09-30	$13,065
Participant contributions at beginning of year	2012-09-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2012-09-30	$232,322
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2012-09-30	$1,043
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2012-09-30	$9,524
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-09-30	No
Income. Non cash contributions	2012-09-30	$0
Value of net income/loss	2012-09-30	$1,179,623
Value of net assets at end of year (total assets less liabilities)	2012-09-30	$6,345,967
Value of net assets at beginning of year (total assets less liabilities)	2012-09-30	$5,166,344
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-09-30	No
Were any leases to which the plan was party in default or uncollectible	2012-09-30	No
Value of interest in pooled separate accounts at end of year	2012-09-30	$5,062,698
Interest on participant loans	2012-09-30	$11,433
Interest earned on other investments	2012-09-30	$32,458
Value of interest in common/collective trusts at beginning of year	2012-09-30	$3,832,375
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-09-30	$1,131,520
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-09-30	$1,195,401
Net investment gain/loss from pooled separate accounts	2012-09-30	$820,579
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-09-30	No
Was there a failure to transmit to the plan any participant contributions	2012-09-30	No
Has the plan failed to provide any benefit when due under the plan	2012-09-30	No
Contributions received in cash from employer	2012-09-30	$203,159
Employer contributions (assets) at end of year	2012-09-30	$7,735
Employer contributions (assets) at beginning of year	2012-09-30	$8,220
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-09-30	$417,506
Did the plan have assets held for investment	2012-09-30	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	2012-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2012-09-30	Disclaimer
Accountancy firm name	2012-09-30	FRAZIER & DEETER, LLC
Accountancy firm EIN	2012-09-30	581433845
2011 : HIGHLANDS-CASHIERS HOSPITAL, INC. RETIREMENT PLAN 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-09-30	$9,524
Total income from all sources (including contributions)	2011-09-30	$538,557
Total of all expenses incurred	2011-09-30	$180,299
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-09-30	$112,548
Expenses. Certain deemed distributions of participant loans	2011-09-30	$67,751
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-09-30	$705,496
Value of total assets at end of year	2011-09-30	$5,175,868
Value of total assets at beginning of year	2011-09-30	$4,808,086
Total interest from all sources	2011-09-30	$38,043
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-09-30	No
Was this plan covered by a fidelity bond	2011-09-30	Yes
Value of fidelity bond cover	2011-09-30	$500,000
If this is an individual account plan, was there a blackout period	2011-09-30	No
Were there any nonexempt tranactions with any party-in-interest	2011-09-30	No
Contributions received from participants	2011-09-30	$401,458
Participant contributions at end of year	2011-09-30	$139,872
Participant contributions at beginning of year	2011-09-30	$155,005
Participant contributions at end of year	2011-09-30	$0
Participant contributions at beginning of year	2011-09-30	$16,895
Income. Received or receivable in cash from other sources (including rollovers)	2011-09-30	$102,307
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2011-09-30	$9,524
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-09-30	No
Value of net income/loss	2011-09-30	$358,258
Value of net assets at end of year (total assets less liabilities)	2011-09-30	$5,166,344
Value of net assets at beginning of year (total assets less liabilities)	2011-09-30	$4,808,086
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-09-30	No
Were any leases to which the plan was party in default or uncollectible	2011-09-30	No
Interest on participant loans	2011-09-30	$8,350
Interest earned on other investments	2011-09-30	$29,693
Value of interest in common/collective trusts at end of year	2011-09-30	$3,832,375
Value of interest in common/collective trusts at beginning of year	2011-09-30	$3,710,309
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-09-30	$1,195,401
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-09-30	$917,089
Net investment gain/loss from pooled separate accounts	2011-09-30	$-204,982
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-09-30	No
Was there a failure to transmit to the plan any participant contributions	2011-09-30	No
Has the plan failed to provide any benefit when due under the plan	2011-09-30	No
Contributions received in cash from employer	2011-09-30	$201,731
Employer contributions (assets) at end of year	2011-09-30	$8,220
Employer contributions (assets) at beginning of year	2011-09-30	$8,788
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-09-30	$112,548
Did the plan have assets held for investment	2011-09-30	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	2011-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2011-09-30	Disclaimer
Accountancy firm name	2011-09-30	FRAZIER DEETER
Accountancy firm EIN	2011-09-30	581433845

Form 5500 Responses for HIGHLANDS-CASHIERS HOSPITAL, INC. RETIREMENT PLAN

2015: HIGHLANDS-CASHIERS HOSPITAL, INC. RETIREMENT PLAN 2015 form 5500 responses
2015-10-01	Type of plan entity	Single employer plan
2015-10-01	Submission has been amended	No
2015-10-01	This submission is the final filing	Yes
2015-10-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2015-10-01	Plan is a collectively bargained plan	No
2015-10-01	Plan funding arrangement – Insurance	Yes
2015-10-01	Plan funding arrangement – Trust	Yes
2015-10-01	Plan benefit arrangement – Insurance	Yes
2015-10-01	Plan benefit arrangement - Trust	Yes
2014: HIGHLANDS-CASHIERS HOSPITAL, INC. RETIREMENT PLAN 2014 form 5500 responses
2014-10-01	Type of plan entity	Single employer plan
2014-10-01	Submission has been amended	No
2014-10-01	This submission is the final filing	No
2014-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-10-01	Plan is a collectively bargained plan	No
2014-10-01	Plan funding arrangement – Insurance	Yes
2014-10-01	Plan funding arrangement – Trust	Yes
2014-10-01	Plan benefit arrangement – Insurance	Yes
2014-10-01	Plan benefit arrangement - Trust	Yes
2013: HIGHLANDS-CASHIERS HOSPITAL, INC. RETIREMENT PLAN 2013 form 5500 responses
2013-10-01	Type of plan entity	Single employer plan
2013-10-01	Submission has been amended	No
2013-10-01	This submission is the final filing	No
2013-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-10-01	Plan is a collectively bargained plan	No
2013-10-01	Plan funding arrangement – Insurance	Yes
2013-10-01	Plan funding arrangement – Trust	Yes
2013-10-01	Plan benefit arrangement – Insurance	Yes
2013-10-01	Plan benefit arrangement - Trust	Yes
2012: HIGHLANDS-CASHIERS HOSPITAL, INC. RETIREMENT PLAN 2012 form 5500 responses
2012-10-01	Type of plan entity	Single employer plan
2012-10-01	Submission has been amended	No
2012-10-01	This submission is the final filing	No
2012-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-10-01	Plan is a collectively bargained plan	No
2012-10-01	Plan funding arrangement – Insurance	Yes
2012-10-01	Plan funding arrangement – Trust	Yes
2012-10-01	Plan benefit arrangement – Insurance	Yes
2012-10-01	Plan benefit arrangement - Trust	Yes
2011: HIGHLANDS-CASHIERS HOSPITAL, INC. RETIREMENT PLAN 2011 form 5500 responses
2011-10-01	Type of plan entity	Single employer plan
2011-10-01	Submission has been amended	No
2011-10-01	This submission is the final filing	No
2011-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-10-01	Plan is a collectively bargained plan	No
2011-10-01	Plan funding arrangement – Insurance	Yes
2011-10-01	Plan funding arrangement – Trust	Yes
2011-10-01	Plan benefit arrangement – Insurance	Yes
2011-10-01	Plan benefit arrangement - Trust	Yes
2009: HIGHLANDS-CASHIERS HOSPITAL, INC. RETIREMENT PLAN 2009 form 5500 responses
2009-10-01	Type of plan entity	Single employer plan
2009-10-01	This submission is the final filing	No
2009-10-01	Plan funding arrangement – Insurance	Yes
2009-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-10-01	Plan benefit arrangement – Insurance	Yes
2009-10-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	HIGHLANDS-CASHIERS HOSPITAL, INC.
Employer identification number (EIN):	560509400
NAIC Classification:	622000
NAIC Description:	Hospitals