401k Plan data: JENNIE STUART MEDICAL CENTER 401(K) RETIREMENT SAVINGS PLAN plan

JENNIE STUART MEDICAL CENTER 401(K) RETIREMENT SAVINGS PLAN 401k Plan overview

Plan Name	JENNIE STUART MEDICAL CENTER 401(K) RETIREMENT SAVINGS PLAN
Plan identification number	002

JENNIE STUART MEDICAL CENTER 401(K) RETIREMENT SAVINGS 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 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
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

JENNIE STUART MEDICAL CENTER has sponsored the creation of one or more 401k plans.

Company Name: JENNIE STUART MEDICAL CENTER

Employer identification number (EIN): 610482973

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JENNIE STUART MEDICAL CENTER 401(K) RETIREMENT SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2017-01-01 GREG MOORE
002 2016-01-01 GREG MOORE
002 2015-01-01 RICHARD SCOTT RICHARD SCOTT 2016-12-12
002 2015-01-01 RICHARD SCOTT
002 2014-01-01 RICHARD SCOTT
002 2013-01-01 GREGORY DARRELL MOORE
002 2012-01-01 ERIC LEE
002 2011-01-01 SAMUEL BROWN
002 2009-01-01 LESLIE O'BRYAN

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
002	2017-01-01	GREG MOORE
002	2016-01-01	GREG MOORE
002	2015-01-01	RICHARD SCOTT	RICHARD SCOTT	2016-12-12
002	2015-01-01	RICHARD SCOTT
002	2014-01-01	RICHARD SCOTT
002	2013-01-01	GREGORY DARRELL MOORE
002	2012-01-01	ERIC LEE
002	2011-01-01	SAMUEL BROWN
002	2009-01-01	LESLIE O'BRYAN

Plan Statistics for JENNIE STUART MEDICAL CENTER 401(K) RETIREMENT SAVINGS PLAN

401k plan membership statisitcs for JENNIE STUART MEDICAL CENTER 401(K) RETIREMENT SAVINGS PLAN

Measure Date Value
2017: JENNIE STUART MEDICAL CENTER 401(K) RETIREMENT SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 475
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 0
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 0
Number of participants with account balances 2017-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: JENNIE STUART MEDICAL CENTER 401(K) RETIREMENT SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 769
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 756
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 756
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 756
Number of participants with account balances 2016-01-01 315
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: JENNIE STUART MEDICAL CENTER 401(K) RETIREMENT SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 848
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 658
Number of retired or separated participants receiving benefits 2015-01-01 60
Number of other retired or separated participants entitled to future benefits 2015-01-01 108
Total of all active and inactive participants 2015-01-01 826
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 826
Number of participants with account balances 2015-01-01 481
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 16
2014: JENNIE STUART MEDICAL CENTER 401(K) RETIREMENT SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 880
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 670
Number of retired or separated participants receiving benefits 2014-01-01 51
Number of other retired or separated participants entitled to future benefits 2014-01-01 100
Total of all active and inactive participants 2014-01-01 821
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 821
Number of participants with account balances 2014-01-01 491
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 14
2013: JENNIE STUART MEDICAL CENTER 401(K) RETIREMENT SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 851
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 747
Number of retired or separated participants receiving benefits 2013-01-01 45
Number of other retired or separated participants entitled to future benefits 2013-01-01 83
Total of all active and inactive participants 2013-01-01 875
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 875
Number of participants with account balances 2013-01-01 478
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 11
2012: JENNIE STUART MEDICAL CENTER 401(K) RETIREMENT SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 737
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 717
Number of retired or separated participants receiving benefits 2012-01-01 60
Number of other retired or separated participants entitled to future benefits 2012-01-01 106
Total of all active and inactive participants 2012-01-01 883
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 883
Number of participants with account balances 2012-01-01 494
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 8
2011: JENNIE STUART MEDICAL CENTER 401(K) RETIREMENT SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 731
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 636
Number of retired or separated participants receiving benefits 2011-01-01 34
Number of other retired or separated participants entitled to future benefits 2011-01-01 67
Total of all active and inactive participants 2011-01-01 737
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 737
Number of participants with account balances 2011-01-01 449
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 13
2009: JENNIE STUART MEDICAL CENTER 401(K) RETIREMENT SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 664
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 583
Number of retired or separated participants receiving benefits 2009-01-01 22
Number of other retired or separated participants entitled to future benefits 2009-01-01 40
Total of all active and inactive participants 2009-01-01 645
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 645
Number of participants with account balances 2009-01-01 432
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 5

Measure	Date	Value
2017: JENNIE STUART MEDICAL CENTER 401(K) RETIREMENT SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	475
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	0
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	0
Number of participants with account balances	2017-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: JENNIE STUART MEDICAL CENTER 401(K) RETIREMENT SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	769
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	756
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	756
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	756
Number of participants with account balances	2016-01-01	315
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: JENNIE STUART MEDICAL CENTER 401(K) RETIREMENT SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	848
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	658
Number of retired or separated participants receiving benefits	2015-01-01	60
Number of other retired or separated participants entitled to future benefits	2015-01-01	108
Total of all active and inactive participants	2015-01-01	826
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	826
Number of participants with account balances	2015-01-01	481
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	16
2014: JENNIE STUART MEDICAL CENTER 401(K) RETIREMENT SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	880
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	670
Number of retired or separated participants receiving benefits	2014-01-01	51
Number of other retired or separated participants entitled to future benefits	2014-01-01	100
Total of all active and inactive participants	2014-01-01	821
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	821
Number of participants with account balances	2014-01-01	491
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	14
2013: JENNIE STUART MEDICAL CENTER 401(K) RETIREMENT SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	851
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	747
Number of retired or separated participants receiving benefits	2013-01-01	45
Number of other retired or separated participants entitled to future benefits	2013-01-01	83
Total of all active and inactive participants	2013-01-01	875
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	875
Number of participants with account balances	2013-01-01	478
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	11
2012: JENNIE STUART MEDICAL CENTER 401(K) RETIREMENT SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	737
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	717
Number of retired or separated participants receiving benefits	2012-01-01	60
Number of other retired or separated participants entitled to future benefits	2012-01-01	106
Total of all active and inactive participants	2012-01-01	883
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	883
Number of participants with account balances	2012-01-01	494
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	8
2011: JENNIE STUART MEDICAL CENTER 401(K) RETIREMENT SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	731
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	636
Number of retired or separated participants receiving benefits	2011-01-01	34
Number of other retired or separated participants entitled to future benefits	2011-01-01	67
Total of all active and inactive participants	2011-01-01	737
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	737
Number of participants with account balances	2011-01-01	449
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	13
2009: JENNIE STUART MEDICAL CENTER 401(K) RETIREMENT SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	664
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	583
Number of retired or separated participants receiving benefits	2009-01-01	22
Number of other retired or separated participants entitled to future benefits	2009-01-01	40
Total of all active and inactive participants	2009-01-01	645
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	645
Number of participants with account balances	2009-01-01	432
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	5

Financial Data on JENNIE STUART MEDICAL CENTER 401(K) RETIREMENT SAVINGS PLAN

Measure	Date	Value
2017 : JENNIE STUART MEDICAL CENTER 401(K) RETIREMENT SAVINGS PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-02-28	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-02-28	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-02-28	$0
Total income from all sources (including contributions)	2017-02-28	$305,846
Total loss/gain on sale of assets	2017-02-28	$0
Total of all expenses incurred	2017-02-28	$13,587,955
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-02-28	$13,564,890
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-02-28	$0
Value of total assets at end of year	2017-02-28	$0
Value of total assets at beginning of year	2017-02-28	$13,282,109
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-02-28	$23,065
Total interest from all sources	2017-02-28	$0
Total dividends received (eg from common stock, registered investment company shares)	2017-02-28	$17
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-02-28	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2017-02-28	$0
Total dividends received from registered investment company shares (eg mutual funds)	2017-02-28	$17
Was this plan covered by a fidelity bond	2017-02-28	Yes
Value of fidelity bond cover	2017-02-28	$1,000,000
If this is an individual account plan, was there a blackout period	2017-02-28	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-02-28	$0
Were there any nonexempt tranactions with any party-in-interest	2017-02-28	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-02-28	No
Value of net income/loss	2017-02-28	$-13,282,109
Value of net assets at end of year (total assets less liabilities)	2017-02-28	$0
Value of net assets at beginning of year (total assets less liabilities)	2017-02-28	$13,282,109
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-02-28	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-02-28	No
Were any leases to which the plan was party in default or uncollectible	2017-02-28	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-02-28	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-02-28	$13,168,540
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-02-28	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-02-28	$113,569
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-02-28	$305,829
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-02-28	No
Was there a failure to transmit to the plan any participant contributions	2017-02-28	No
Has the plan failed to provide any benefit when due under the plan	2017-02-28	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-02-28	$13,564,890
Contract administrator fees	2017-02-28	$23,065
Did the plan have assets held for investment	2017-02-28	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	2017-02-28	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-02-28	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-02-28	Yes
Opinion of an independent qualified public accountant for this plan	2017-02-28	Disclaimer
Accountancy firm name	2017-02-28	MOUNTJOY CHILTON MEDLEY, LLP
Accountancy firm EIN	2017-02-28	271235638
2016 : JENNIE STUART MEDICAL CENTER 401(K) RETIREMENT SAVINGS PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total transfer of assets to this plan	2016-12-31	$531,958
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$1,344,436
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$2,024,547
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$1,963,882
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$510,187
Value of total assets at end of year	2016-12-31	$13,282,109
Value of total assets at beginning of year	2016-12-31	$13,430,262
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$60,665
Total interest from all sources	2016-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$449,987
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2016-12-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$449,987
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2016-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$341,032
Participant contributions at end of year	2016-12-31	$0
Participant contributions at beginning of year	2016-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$42,349
Other income not declared elsewhere	2016-12-31	$57,361
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$-680,111
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$13,282,109
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$13,430,262
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Investment advisory and management fees	2016-12-31	$17,011
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$13,168,540
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$0
Value of interest in pooled separate accounts at end of year	2016-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$12,521,192
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$113,569
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$811,245
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$237,555
Net investment gain/loss from pooled separate accounts	2016-12-31	$89,346
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$126,806
Employer contributions (assets) at end of year	2016-12-31	$0
Employer contributions (assets) at beginning of year	2016-12-31	$97,825
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$1,963,882
Contract administrator fees	2016-12-31	$43,654
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	2016-12-31	Yes
Did the plan have assets held for investment	2016-12-31	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	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
2015 : JENNIE STUART MEDICAL CENTER 401(K) RETIREMENT SAVINGS PLAN 2015 401k financial data
Total income from all sources (including contributions)	2015-12-31	$1,334,597
Total of all expenses incurred	2015-12-31	$1,964,847
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$1,962,772
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$1,393,674
Value of total assets at end of year	2015-12-31	$13,402,500
Value of total assets at beginning of year	2015-12-31	$14,032,750
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$2,075
Total interest from all sources	2015-12-31	$25,077
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$1,072,453
Participant contributions at end of year	2015-12-31	$0
Participant contributions at beginning of year	2015-12-31	$80,867
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$16,107
Other income not declared elsewhere	2015-12-31	$-48,842
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	$-630,250
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$13,402,500
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$14,032,750
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	$12,521,192
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$12,904,641
Interest earned on other investments	2015-12-31	$25,077
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$811,245
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$941,354
Net investment gain/loss from pooled separate accounts	2015-12-31	$-35,312
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	$305,114
Employer contributions (assets) at end of year	2015-12-31	$70,063
Employer contributions (assets) at beginning of year	2015-12-31	$105,888
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$1,962,772
Contract administrator fees	2015-12-31	$2,075
Did the plan have assets held for investment	2015-12-31	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	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	MOUNTJOY CHILTON MEDLEY LLP
Accountancy firm EIN	2015-12-31	271235638
2014 : JENNIE STUART MEDICAL CENTER 401(K) RETIREMENT SAVINGS PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$55,208
Total income from all sources (including contributions)	2014-12-31	$2,575,270
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$1,256,701
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$1,255,501
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$1,727,784
Value of total assets at end of year	2014-12-31	$14,032,750
Value of total assets at beginning of year	2014-12-31	$12,769,389
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$1,200
Total interest from all sources	2014-12-31	$24,853
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$1,192,403
Participant contributions at end of year	2014-12-31	$80,867
Participant contributions at beginning of year	2014-12-31	$36,241
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$41,614
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2014-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2014-12-31	$55,208
Other income not declared elsewhere	2014-12-31	$48,842
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$1,318,569
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$14,032,750
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$12,714,181
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in pooled separate accounts at end of year	2014-12-31	$12,904,641
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$11,788,199
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-12-31	$24,853
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$941,354
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$780,159
Net investment gain/loss from pooled separate accounts	2014-12-31	$773,791
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$493,767
Employer contributions (assets) at end of year	2014-12-31	$105,888
Employer contributions (assets) at beginning of year	2014-12-31	$164,790
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$1,255,501
Contract administrator fees	2014-12-31	$1,200
Did the plan have assets held for investment	2014-12-31	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	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	MOUNTJOY CHILTON MEDLEY LLP
Accountancy firm EIN	2014-12-31	271235638
2013 : JENNIE STUART MEDICAL CENTER 401(K) RETIREMENT SAVINGS 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	$55,208
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$57,815
Total income from all sources (including contributions)	2013-12-31	$3,428,688
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$743,695
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$696,943
Value of total corrective distributions	2013-12-31	$46,327
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$1,673,760
Value of total assets at end of year	2013-12-31	$12,769,389
Value of total assets at beginning of year	2013-12-31	$10,087,003
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$425
Total interest from all sources	2013-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
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	$1,156,635
Participant contributions at end of year	2013-12-31	$36,241
Participant contributions at beginning of year	2013-12-31	$344
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$116,298
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2013-12-31	$55,208
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2013-12-31	$57,815
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	$2,684,993
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$12,714,181
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$10,029,188
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Investment advisory and management fees	2013-12-31	$425
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$9,107,104
Value of interest in pooled separate accounts at end of year	2013-12-31	$11,788,199
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$0
Value of interest in master investment trust accounts at end of year	2013-12-31	$0
Value of interest in master investment trust accounts at beginning of year	2013-12-31	$0
Value of interest in common/collective trusts at end of year	2013-12-31	$0
Value of interest in common/collective trusts at beginning of year	2013-12-31	$0
Assets. Value of investments in 103.12 investment entities at end of year	2013-12-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2013-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$780,159
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$801,018
Net investment gain/loss from pooled separate accounts	2013-12-31	$1,754,928
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$400,827
Employer contributions (assets) at end of year	2013-12-31	$164,790
Employer contributions (assets) at beginning of year	2013-12-31	$178,537
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$696,943
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	ENGLISH LACY AND COMPANY, PLLC
Accountancy firm EIN	2013-12-31	262572033
2012 : JENNIE STUART MEDICAL CENTER 401(K) RETIREMENT SAVINGS PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$57,815
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$38,971
Total income from all sources (including contributions)	2012-12-31	$2,479,878
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$413,494
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$413,494
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$1,433,973
Value of total assets at end of year	2012-12-31	$10,087,003
Value of total assets at beginning of year	2012-12-31	$8,001,775
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$0
Total interest from all sources	2012-12-31	$22,252
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
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	$1,014,056
Participant contributions at end of year	2012-12-31	$344
Participant contributions at beginning of year	2012-12-31	$257
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$31,271
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2012-12-31	$57,815
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2012-12-31	$38,971
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$2,066,384
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$10,029,188
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$7,962,804
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	$9,107,104
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$7,211,811
Interest earned on other investments	2012-12-31	$22,252
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$801,018
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$715,566
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$1,023,653
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	$388,646
Employer contributions (assets) at end of year	2012-12-31	$178,537
Employer contributions (assets) at beginning of year	2012-12-31	$74,141
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$413,494
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	ENGLISH LACY AND COMPANY, PLLC
Accountancy firm EIN	2012-12-31	262572033
2011 : JENNIE STUART MEDICAL CENTER 401(K) RETIREMENT SAVINGS PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$38,971
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$27,268
Total income from all sources (including contributions)	2011-12-31	$1,252,102
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$321,615
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$321,615
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$1,462,795
Value of total assets at end of year	2011-12-31	$8,001,775
Value of total assets at beginning of year	2011-12-31	$7,059,585
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$0
Total interest from all sources	2011-12-31	$18,775
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$0
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	$0
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$500,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$1,012,237
Participant contributions at end of year	2011-12-31	$257
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$52,302
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2011-12-31	$38,971
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2011-12-31	$27,268
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	$930,487
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$7,962,804
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$7,032,317
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	$7,211,811
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$6,390,069
Interest earned on other investments	2011-12-31	$18,775
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$715,566
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$566,993
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-229,468
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	$398,256
Employer contributions (assets) at end of year	2011-12-31	$74,141
Employer contributions (assets) at beginning of year	2011-12-31	$102,523
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$321,615
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	ENGLISH LACY AND COMPANY, PLLC
Accountancy firm EIN	2011-12-31	262572033
2010 : JENNIE STUART MEDICAL CENTER 401(K) RETIREMENT SAVINGS PLAN 2010 401k financial data
Unrealized appreciation/depreciation of real estate assets	2010-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2010-12-31	$0
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total transfer of assets to this plan	2010-12-31	$0
Total transfer of assets from this plan	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$27,268
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$38,059
Expenses. Interest paid	2010-12-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$2,756,215
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$248,551
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$227,871
Expenses. Certain deemed distributions of participant loans	2010-12-31	$0
Value of total corrective distributions	2010-12-31	$20,680
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$2,092,443
Value of total assets at end of year	2010-12-31	$7,059,585
Value of total assets at beginning of year	2010-12-31	$4,562,712
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$0
Total income from rents	2010-12-31	$0
Total interest from all sources	2010-12-31	$663,772
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$0
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	$0
Assets. Real estate other than employer real property at end of year	2010-12-31	$0
Assets. Real estate other than employer real property at beginning of year	2010-12-31	$0
Administrative expenses professional fees incurred	2010-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2010-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2010-12-31	$0
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$500,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$1,014,452
Participant contributions at end of year	2010-12-31	$0
Participant contributions at beginning of year	2010-12-31	$0
Participant contributions at end of year	2010-12-31	$0
Assets. Other investments not covered elsewhere at end of year	2010-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2010-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$675,957
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2010-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2010-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2010-12-31	$0
Assets. Loans (other than to participants) at end of year	2010-12-31	$0
Assets. Loans (other than to participants) at beginning of year	2010-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2010-12-31	$27,268
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2010-12-31	$38,059
Other income not declared elsewhere	2010-12-31	$0
Administrative expenses (other) incurred	2010-12-31	$0
Liabilities. Value of operating payables at end of year	2010-12-31	$0
Liabilities. Value of operating payables at beginning of year	2010-12-31	$0
Total non interest bearing cash at end of year	2010-12-31	$0
Total non interest bearing cash at beginning of year	2010-12-31	$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	2010-12-31	No
Income. Non cash contributions	2010-12-31	$0
Value of net income/loss	2010-12-31	$2,507,664
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$7,032,317
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$4,524,653
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
Assets. partnership/joint venture interests at end of year	2010-12-31	$0
Assets. partnership/joint venture interests at beginning of year	2010-12-31	$0
Investment advisory and management fees	2010-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$6,390,069
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$4,201,571
Value of interest in pooled separate accounts at end of year	2010-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$0
Interest on participant loans	2010-12-31	$0
Income. Interest from loans (other than to participants)	2010-12-31	$0
Interest earned on other investments	2010-12-31	$0
Income. Interest from US Government securities	2010-12-31	$0
Income. Interest from corporate debt instruments	2010-12-31	$0
Value of interest in master investment trust accounts at end of year	2010-12-31	$0
Value of interest in master investment trust accounts at beginning of year	2010-12-31	$0
Value of interest in common/collective trusts at end of year	2010-12-31	$0
Value of interest in common/collective trusts at beginning of year	2010-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$663,772
Assets. Value of investments in 103.12 investment entities at end of year	2010-12-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2010-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$566,993
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$267,106
Expenses. Payments to insurance carriers foe the provision of benefits	2010-12-31	$0
Asset value of US Government securities at end of year	2010-12-31	$0
Asset value of US Government securities at beginning of year	2010-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$0
Net investment gain/loss from pooled separate accounts	2010-12-31	$0
Net investment gain or loss from common/collective trusts	2010-12-31	$0
Net gain/loss from 103.12 investment entities	2010-12-31	$0
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
Assets. Invements in employer securities at end of year	2010-12-31	$0
Assets. Invements in employer securities at beginning of year	2010-12-31	$0
Assets. Value of employer real property at end of year	2010-12-31	$0
Assets. Value of employer real property at beginning of year	2010-12-31	$0
Contributions received in cash from employer	2010-12-31	$402,034
Employer contributions (assets) at end of year	2010-12-31	$102,523
Employer contributions (assets) at beginning of year	2010-12-31	$94,035
Income. Dividends from preferred stock	2010-12-31	$0
Income. Dividends from common stock	2010-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$227,871
Asset. Corporate debt instrument preferred debt at end of year	2010-12-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2010-12-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2010-12-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2010-12-31	$0
Contract administrator fees	2010-12-31	$0
Assets. Corporate common stocks other than exployer securities at end of year	2010-12-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2010-12-31	$0
Liabilities. Value of benefit claims payable at end of year	2010-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2010-12-31	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2010-12-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2010-12-31	$0
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
Aggregate proceeds on sale of assets	2010-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2010-12-31	$0
Liabilities. Value of acquisition indebtedness at end of year	2010-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2010-12-31	$0
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	ENGLISH LACY AND COMPANY, PLLC
Accountancy firm EIN	2010-12-31	262572033

Form 5500 Responses for JENNIE STUART MEDICAL CENTER 401(K) RETIREMENT SAVINGS PLAN

2017: JENNIE STUART MEDICAL CENTER 401(K) RETIREMENT SAVINGS PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	Yes
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: JENNIE STUART MEDICAL CENTER 401(K) RETIREMENT SAVINGS PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: JENNIE STUART MEDICAL CENTER 401(K) RETIREMENT SAVINGS PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	Yes
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: JENNIE STUART MEDICAL CENTER 401(K) RETIREMENT SAVINGS PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
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: JENNIE STUART MEDICAL CENTER 401(K) RETIREMENT SAVINGS 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: JENNIE STUART MEDICAL CENTER 401(K) RETIREMENT SAVINGS 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: JENNIE STUART MEDICAL CENTER 401(K) RETIREMENT SAVINGS PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – 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
2009: JENNIE STUART MEDICAL CENTER 401(K) RETIREMENT SAVINGS 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

Insurance Providers Used on plan

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

GH2334

Policy instance

Insurance contract or identification number	GH2334
Number of Individuals Covered	481
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $25,278
Total amount of fees paid to insurance company	USD $6,747
Are there contracts with allocated funds for group deferred annuity?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $25,278
Insurance broker organization code?	3
Amount paid for insurance broker fees	6747
Additional information about fees paid to insurance broker	TPA PARTNERSHIP PROGRAM
Insurance broker name	ERAS, LLC

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

GH2334

Policy instance

Insurance contract or identification number	GH2334
Number of Individuals Covered	519
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $33,292
Total amount of fees paid to insurance company	USD $6,509
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 $33,292
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	SALES COMMISSION
Insurance broker organization code?	3
Insurance broker name	ERAS, LLC

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

GH2334

Policy instance

Insurance contract or identification number	GH2334
Number of Individuals Covered	478
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $27,859
Total amount of fees paid to insurance company	USD $8,702
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 $27,859
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	SALES COMMISSION
Insurance broker organization code?	3
Insurance broker name	ERAS, LLC

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

GH2334

Policy instance

Insurance contract or identification number	GH2334
Number of Individuals Covered	494
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $22,396
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 $22,396
Insurance broker organization code?	3
Insurance broker name	JJB HILLIARD WL LYONS INC

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

GH2334

Policy instance

Insurance contract or identification number	GH2334
Number of Individuals Covered	487
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $23,639
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?	No
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

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

GH2334

Policy instance

Insurance contract or identification number	GH2334
Number of Individuals Covered	472
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $12,685
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?	No
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:	JENNIE STUART MEDICAL CENTER
Employer identification number (EIN):	610482973
NAIC Classification:	622000
NAIC Description:	Hospitals