401k Plan data: SATILLA HEALTH SERVICES SUPPLEMENTAL RETIREMENT PLAN plan

SATILLA HEALTH SERVICES SUPPLEMENTAL RETIREMENT PLAN 401k Plan overview

Plan Name	SATILLA HEALTH SERVICES SUPPLEMENTAL RETIREMENT PLAN
Plan identification number	002

SATILLA HEALTH SERVICES SUPPLEMENTAL RETIREMENT PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

MAYO CLINIC HEALTH SYSTEM-WAYCROSS has sponsored the creation of one or more 401k plans.

Company Name: MAYO CLINIC HEALTH SYSTEM-WAYCROSS

Employer identification number (EIN): 581667166

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SATILLA HEALTH SERVICES SUPPLEMENTAL RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2014-01-01 DAVID SCHUITEMA DAVID SCHUITEMA 2015-01-30
002 2014-01-01 DAVID SCHUITEMA DAVID SCHUITEMA 2015-01-15
002 2013-01-01 DAVID SCHUITEMA DAVID SCHUITEMA 2014-10-13
002 2012-01-01 DAVID SCHUITEMA DAVID SCHUITEMA 2013-10-15
002 2011-01-01 ROBERT TRIMM
002 2010-01-01 KATRINA WHEELER
002 2009-01-01 KATRINA T. WHEELER KATRINA T. WHEELER 2010-10-15

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
002	2014-01-01	DAVID SCHUITEMA	DAVID SCHUITEMA	2015-01-30
002	2014-01-01	DAVID SCHUITEMA	DAVID SCHUITEMA	2015-01-15
002	2013-01-01	DAVID SCHUITEMA	DAVID SCHUITEMA	2014-10-13
002	2012-01-01	DAVID SCHUITEMA	DAVID SCHUITEMA	2013-10-15
002	2011-01-01	ROBERT TRIMM
002	2010-01-01	KATRINA WHEELER
002	2009-01-01	KATRINA T. WHEELER	KATRINA T. WHEELER	2010-10-15

Plan Statistics for SATILLA HEALTH SERVICES SUPPLEMENTAL RETIREMENT PLAN

401k plan membership statisitcs for SATILLA HEALTH SERVICES SUPPLEMENTAL RETIREMENT PLAN

Measure Date Value
2014: SATILLA HEALTH SERVICES SUPPLEMENTAL RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 1,907
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 0
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 0
Number of participants with account balances 2014-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: SATILLA HEALTH SERVICES SUPPLEMENTAL RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1,892
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 1,834
Number of retired or separated participants receiving benefits 2013-01-01 5
Number of other retired or separated participants entitled to future benefits 2013-01-01 67
Total of all active and inactive participants 2013-01-01 1,906
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 1
Total participants 2013-01-01 1,907
Number of participants with account balances 2013-01-01 1,251
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: SATILLA HEALTH SERVICES SUPPLEMENTAL RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1,708
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1,826
Number of retired or separated participants receiving benefits 2012-01-01 7
Number of other retired or separated participants entitled to future benefits 2012-01-01 59
Total of all active and inactive participants 2012-01-01 1,892
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 1
Total participants 2012-01-01 1,893
Number of participants with account balances 2012-01-01 1,323
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: SATILLA HEALTH SERVICES SUPPLEMENTAL RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1,597
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 1,628
Number of retired or separated participants receiving benefits 2011-01-01 8
Number of other retired or separated participants entitled to future benefits 2011-01-01 72
Total of all active and inactive participants 2011-01-01 1,708
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 1,708
Number of participants with account balances 2011-01-01 1,234
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 16
2010: SATILLA HEALTH SERVICES SUPPLEMENTAL RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 2,185
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 1,438
Number of retired or separated participants receiving benefits 2010-01-01 4
Number of other retired or separated participants entitled to future benefits 2010-01-01 155
Total of all active and inactive participants 2010-01-01 1,597
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 1,597
Number of participants with account balances 2010-01-01 1,123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 27
2009: SATILLA HEALTH SERVICES SUPPLEMENTAL RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 1,167
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 2,137
Number of retired or separated participants receiving benefits 2009-01-01 1
Number of other retired or separated participants entitled to future benefits 2009-01-01 47
Total of all active and inactive participants 2009-01-01 2,185
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 2,185
Number of participants with account balances 2009-01-01 1,241
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 10

Measure	Date	Value
2014: SATILLA HEALTH SERVICES SUPPLEMENTAL RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	1,907
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	0
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	0
Number of participants with account balances	2014-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: SATILLA HEALTH SERVICES SUPPLEMENTAL RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1,892
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	1,834
Number of retired or separated participants receiving benefits	2013-01-01	5
Number of other retired or separated participants entitled to future benefits	2013-01-01	67
Total of all active and inactive participants	2013-01-01	1,906
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	1
Total participants	2013-01-01	1,907
Number of participants with account balances	2013-01-01	1,251
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: SATILLA HEALTH SERVICES SUPPLEMENTAL RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1,708
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1,826
Number of retired or separated participants receiving benefits	2012-01-01	7
Number of other retired or separated participants entitled to future benefits	2012-01-01	59
Total of all active and inactive participants	2012-01-01	1,892
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	1
Total participants	2012-01-01	1,893
Number of participants with account balances	2012-01-01	1,323
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: SATILLA HEALTH SERVICES SUPPLEMENTAL RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1,597
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1,628
Number of retired or separated participants receiving benefits	2011-01-01	8
Number of other retired or separated participants entitled to future benefits	2011-01-01	72
Total of all active and inactive participants	2011-01-01	1,708
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	1,708
Number of participants with account balances	2011-01-01	1,234
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	16
2010: SATILLA HEALTH SERVICES SUPPLEMENTAL RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	2,185
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	1,438
Number of retired or separated participants receiving benefits	2010-01-01	4
Number of other retired or separated participants entitled to future benefits	2010-01-01	155
Total of all active and inactive participants	2010-01-01	1,597
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	1,597
Number of participants with account balances	2010-01-01	1,123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	27
2009: SATILLA HEALTH SERVICES SUPPLEMENTAL RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	1,167
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	2,137
Number of retired or separated participants receiving benefits	2009-01-01	1
Number of other retired or separated participants entitled to future benefits	2009-01-01	47
Total of all active and inactive participants	2009-01-01	2,185
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	2,185
Number of participants with account balances	2009-01-01	1,241
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	10

Financial Data on SATILLA HEALTH SERVICES SUPPLEMENTAL RETIREMENT PLAN

Measure	Date	Value
2014 : SATILLA HEALTH SERVICES SUPPLEMENTAL RETIREMENT PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-03-31	$0
Total transfer of assets from this plan	2014-03-31	$28,723,702
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-03-31	$35,510
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-03-31	$0
Total income from all sources (including contributions)	2014-03-31	$-304,614
Total loss/gain on sale of assets	2014-03-31	$0
Total of all expenses incurred	2014-03-31	$2,148,669
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-03-31	$2,147,288
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-03-31	$0
Value of total assets at end of year	2014-03-31	$35,510
Value of total assets at beginning of year	2014-03-31	$31,176,985
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-03-31	$1,381
Total interest from all sources	2014-03-31	$15,778
Total dividends received (eg from common stock, registered investment company shares)	2014-03-31	$58,241
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-03-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-03-31	$58,241
Was this plan covered by a fidelity bond	2014-03-31	Yes
Value of fidelity bond cover	2014-03-31	$1,000,000
If this is an individual account plan, was there a blackout period	2014-03-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-03-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-03-31	No
Participant contributions at beginning of year	2014-03-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2014-03-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2014-03-31	$35,510
Assets. Loans (other than to participants) at end of year	2014-03-31	$0
Assets. Loans (other than to participants) at beginning of year	2014-03-31	$1,050,740
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2014-03-31	$35,510
Administrative expenses (other) incurred	2014-03-31	$1,381
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-03-31	No
Value of net income/loss	2014-03-31	$-2,453,283
Value of net assets at end of year (total assets less liabilities)	2014-03-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2014-03-31	$31,176,985
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-03-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-03-31	No
Were any leases to which the plan was party in default or uncollectible	2014-03-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-03-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-03-31	$18,673,252
Interest on participant loans	2014-03-31	$15,778
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-03-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-03-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-03-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-03-31	$11,452,993
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-03-31	$-378,633
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-03-31	No
Was there a failure to transmit to the plan any participant contributions	2014-03-31	No
Has the plan failed to provide any benefit when due under the plan	2014-03-31	No
Employer contributions (assets) at beginning of year	2014-03-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-03-31	$2,147,288
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	2014-03-31	No
Did the plan have assets held for investment	2014-03-31	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	2014-03-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-03-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-03-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-03-31	Disclaimer
Accountancy firm name	2014-03-31	MCGLADREY LLP
Accountancy firm EIN	2014-03-31	420714325
2013 : SATILLA HEALTH SERVICES SUPPLEMENTAL RETIREMENT PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$2,844,743
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$3,146,235
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$3,139,029
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$5,813
Value of total assets at end of year	2013-12-31	$31,176,985
Value of total assets at beginning of year	2013-12-31	$31,478,477
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$7,206
Total interest from all sources	2013-12-31	$61,492
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$915,890
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$915,890
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$0
Participant contributions at end of year	2013-12-31	$0
Participant contributions at beginning of year	2013-12-31	$92,048
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$5,813
Assets. Loans (other than to participants) at end of year	2013-12-31	$1,050,740
Assets. Loans (other than to participants) at beginning of year	2013-12-31	$1,666,809
Administrative expenses (other) incurred	2013-12-31	$7,206
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$-301,492
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$31,176,985
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$31,478,477
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$18,673,252
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$15,690,207
Interest on participant loans	2013-12-31	$61,492
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$19,494
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$19,494
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$11,452,993
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$13,635,065
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$1,861,548
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$0
Employer contributions (assets) at end of year	2013-12-31	$0
Employer contributions (assets) at beginning of year	2013-12-31	$374,854
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$3,139,029
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	2013-12-31	No
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	MCGLADREY LLP
Accountancy firm EIN	2013-12-31	420714325
2012 : SATILLA HEALTH SERVICES SUPPLEMENTAL RETIREMENT PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2012-12-31	$368,726
Total unrealized appreciation/depreciation of assets	2012-12-31	$368,726
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$6,290,457
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$2,553,771
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$2,541,728
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$3,596,634
Value of total assets at end of year	2012-12-31	$31,478,477
Value of total assets at beginning of year	2012-12-31	$27,741,791
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$12,043
Total interest from all sources	2012-12-31	$56,854
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$639,345
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$639,345
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$2,467,259
Participant contributions at end of year	2012-12-31	$92,048
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$75,671
Assets. Loans (other than to participants) at end of year	2012-12-31	$1,666,809
Assets. Loans (other than to participants) at beginning of year	2012-12-31	$1,331,475
Administrative expenses (other) incurred	2012-12-31	$12,043
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$3,736,686
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$31,478,477
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$27,741,791
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$15,690,207
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$13,307,508
Interest on participant loans	2012-12-31	$56,854
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$19,494
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$13,635,065
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$12,850,970
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$1,628,898
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$1,053,704
Employer contributions (assets) at end of year	2012-12-31	$374,854
Employer contributions (assets) at beginning of year	2012-12-31	$251,838
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$2,541,728
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2012-12-31	No
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	MCGLADREY LLP
Accountancy firm EIN	2012-12-31	420714325
2011 : SATILLA HEALTH SERVICES SUPPLEMENTAL RETIREMENT PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2011-12-31	$1,198,120
Total unrealized appreciation/depreciation of assets	2011-12-31	$1,198,120
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$19,317
Total income from all sources (including contributions)	2011-12-31	$4,633,280
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$1,143,374
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$1,130,027
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$3,293,186
Value of total assets at end of year	2011-12-31	$27,489,953
Value of total assets at beginning of year	2011-12-31	$24,019,364
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$13,347
Total interest from all sources	2011-12-31	$375,334
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$460,697
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$460,697
Administrative expenses professional fees incurred	2011-12-31	$7,500
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$2,385,427
Participant contributions at end of year	2011-12-31	$1,331,475
Participant contributions at beginning of year	2011-12-31	$1,120,464
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$10,180
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-12-31	$25,877
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2011-12-31	$19,317
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$3,489,906
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$27,489,953
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$24,000,047
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$13,307,508
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$12,981,423
Interest on participant loans	2011-12-31	$54,604
Interest earned on other investments	2011-12-31	$320,730
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$12,850,970
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$9,891,600
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-694,057
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$897,579
Employer contributions (assets) at end of year	2011-12-31	$251,838
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$1,130,027
Contract administrator fees	2011-12-31	$5,847
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	MCGLADREY LLP
Accountancy firm EIN	2011-12-31	420714325
2010 : SATILLA HEALTH SERVICES SUPPLEMENTAL RETIREMENT PLAN 2010 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$19,317
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$23,669
Total income from all sources (including contributions)	2010-12-31	$5,104,891
Total of all expenses incurred	2010-12-31	$1,514,746
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$1,509,506
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$3,274,064
Value of total assets at end of year	2010-12-31	$24,019,364
Value of total assets at beginning of year	2010-12-31	$20,433,571
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$5,240
Total interest from all sources	2010-12-31	$336,800
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$350,871
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$350,871
Was this plan covered by a fidelity bond	2010-12-31	No
If this is an individual account plan, was there a blackout period	2010-12-31	Yes
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$2,213,874
Participant contributions at end of year	2010-12-31	$1,120,464
Participant contributions at beginning of year	2010-12-31	$983,324
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$149,309
Value of other receiveables (less allowance for doubtful accounts) at end of year	2010-12-31	$25,877
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2010-12-31	$23,670
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2010-12-31	$19,317
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2010-12-31	$23,669
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$3,590,145
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$24,000,047
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$20,409,902
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$12,981,423
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$10,479,394
Income. Interest from loans (other than to participants)	2010-12-31	$56,931
Interest earned on other investments	2010-12-31	$279,862
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$2,905
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$2,905
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$7
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$9,891,600
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$8,944,278
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$1,143,156
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$910,881
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$1,509,506
Contract administrator fees	2010-12-31	$5,240
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	2010-12-31	Yes
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	DRAFFIN AND TUCKER
Accountancy firm EIN	2010-12-31	580914992
2009 : SATILLA HEALTH SERVICES SUPPLEMENTAL RETIREMENT PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for SATILLA HEALTH SERVICES SUPPLEMENTAL RETIREMENT PLAN

2014: SATILLA HEALTH SERVICES SUPPLEMENTAL RETIREMENT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	Yes
2014-01-01	This submission is the final filing	Yes
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: SATILLA HEALTH SERVICES SUPPLEMENTAL RETIREMENT PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: SATILLA HEALTH SERVICES SUPPLEMENTAL RETIREMENT PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: SATILLA HEALTH SERVICES SUPPLEMENTAL RETIREMENT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	Yes
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: SATILLA HEALTH SERVICES SUPPLEMENTAL RETIREMENT PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: SATILLA HEALTH SERVICES SUPPLEMENTAL RETIREMENT PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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SATILLA HEALTH FOUNDATION GCF BENEFIT PLAN [EIN = 582008998]

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Company Name:	MAYO CLINIC HEALTH SYSTEM-WAYCROSS
Employer identification number (EIN):	581667166
NAIC Classification:	622000
NAIC Description:	Hospitals