401k Plan data: MILLS-PENINSULA HEALTH SERVICES RN 403(B) PLAN plan

MILLS-PENINSULA HEALTH SERVICES RN 403(B) PLAN 401k Plan overview

Plan Name	MILLS-PENINSULA HEALTH SERVICES RN 403(B) PLAN
Plan identification number	004

MILLS-PENINSULA HEALTH SERVICES RN 403(B) 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.
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

MILLS-PENINSULA HEALTH SERVICES has sponsored the creation of one or more 401k plans.

Company Name: MILLS-PENINSULA HEALTH SERVICES

Employer identification number (EIN): 941156265

NAIC Classification: 621610
NAIC Description: Home Health Care Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MILLS-PENINSULA HEALTH SERVICES RN 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
004 2014-01-01 VICTORIA FLEMMING
004 2013-01-01 VICTORIA FLEMMING
004 2012-01-01 VICTORIA FLEMMING
004 2011-01-01 MAYNARD JENKINS
004 2009-01-01 MAYNARD JENKINS
004 2009-01-01 JUDY DIPAOLO

Plan id#	Filing Submission Date	Name of Administrator
004	2014-01-01	VICTORIA FLEMMING
004	2013-01-01	VICTORIA FLEMMING
004	2012-01-01	VICTORIA FLEMMING
004	2011-01-01	MAYNARD JENKINS
004	2009-01-01	MAYNARD JENKINS
004	2009-01-01	JUDY DIPAOLO

Plan Statistics for MILLS-PENINSULA HEALTH SERVICES RN 403(B) PLAN

401k plan membership statisitcs for MILLS-PENINSULA HEALTH SERVICES RN 403(B) PLAN

Measure Date Value
2014: MILLS-PENINSULA HEALTH SERVICES RN 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 226
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: MILLS-PENINSULA HEALTH SERVICES RN 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 234
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 112
Number of retired or separated participants receiving benefits 2013-01-01 4
Number of other retired or separated participants entitled to future benefits 2013-01-01 108
Total of all active and inactive participants 2013-01-01 224
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 2
Total participants 2013-01-01 226
Number of participants with account balances 2013-01-01 226
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: MILLS-PENINSULA HEALTH SERVICES RN 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 255
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 129
Number of retired or separated participants receiving benefits 2012-01-01 4
Number of other retired or separated participants entitled to future benefits 2012-01-01 99
Total of all active and inactive participants 2012-01-01 232
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 2
Total participants 2012-01-01 234
Number of participants with account balances 2012-01-01 234
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: MILLS-PENINSULA HEALTH SERVICES RN 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 277
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 137
Number of retired or separated participants receiving benefits 2011-01-01 4
Number of other retired or separated participants entitled to future benefits 2011-01-01 113
Total of all active and inactive participants 2011-01-01 254
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 1
Total participants 2011-01-01 255
Number of participants with account balances 2011-01-01 255
2009: MILLS-PENINSULA HEALTH SERVICES RN 403(B) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 323
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 295
Total of all active and inactive participants 2009-01-01 295
Total participants 2009-01-01 295
Number of participants with account balances 2009-01-01 295

Measure	Date	Value
2014: MILLS-PENINSULA HEALTH SERVICES RN 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	226
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: MILLS-PENINSULA HEALTH SERVICES RN 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	234
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	112
Number of retired or separated participants receiving benefits	2013-01-01	4
Number of other retired or separated participants entitled to future benefits	2013-01-01	108
Total of all active and inactive participants	2013-01-01	224
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	2
Total participants	2013-01-01	226
Number of participants with account balances	2013-01-01	226
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: MILLS-PENINSULA HEALTH SERVICES RN 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	255
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	129
Number of retired or separated participants receiving benefits	2012-01-01	4
Number of other retired or separated participants entitled to future benefits	2012-01-01	99
Total of all active and inactive participants	2012-01-01	232
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	2
Total participants	2012-01-01	234
Number of participants with account balances	2012-01-01	234
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: MILLS-PENINSULA HEALTH SERVICES RN 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	277
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	137
Number of retired or separated participants receiving benefits	2011-01-01	4
Number of other retired or separated participants entitled to future benefits	2011-01-01	113
Total of all active and inactive participants	2011-01-01	254
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	1
Total participants	2011-01-01	255
Number of participants with account balances	2011-01-01	255
2009: MILLS-PENINSULA HEALTH SERVICES RN 403(B) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	323
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	295
Total of all active and inactive participants	2009-01-01	295
Total participants	2009-01-01	295
Number of participants with account balances	2009-01-01	295

Financial Data on MILLS-PENINSULA HEALTH SERVICES RN 403(B) PLAN

Measure	Date	Value
2014 : MILLS-PENINSULA HEALTH SERVICES RN 403(B) PLAN 2014 401k financial data
Total transfer of assets from this plan	2014-11-01	$7,495,821
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-11-01	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-11-01	$21,797
Total income from all sources (including contributions)	2014-11-01	$311,927
Total of all expenses incurred	2014-11-01	$352,780
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-11-01	$352,730
Value of total assets at end of year	2014-11-01	$0
Value of total assets at beginning of year	2014-11-01	$7,558,471
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-11-01	$50
Total interest from all sources	2014-11-01	$107,313
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-11-01	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2014-11-01	$0
Was this plan covered by a fidelity bond	2014-11-01	Yes
Value of fidelity bond cover	2014-11-01	$10,000,000
If this is an individual account plan, was there a blackout period	2014-11-01	No
Were there any nonexempt tranactions with any party-in-interest	2014-11-01	No
Participant contributions at end of year	2014-11-01	$0
Participant contributions at beginning of year	2014-11-01	$72,373
Administrative expenses (other) incurred	2014-11-01	$50
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-11-01	No
Value of net income/loss	2014-11-01	$-40,853
Value of net assets at end of year (total assets less liabilities)	2014-11-01	$0
Value of net assets at beginning of year (total assets less liabilities)	2014-11-01	$7,536,674
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-11-01	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-11-01	No
Were any leases to which the plan was party in default or uncollectible	2014-11-01	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-11-01	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-11-01	$3,742,662
Interest on participant loans	2014-11-01	$2,489
Interest earned on other investments	2014-11-01	$104,824
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-11-01	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-11-01	$3,743,436
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-11-01	$204,614
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-11-01	No
Was there a failure to transmit to the plan any participant contributions	2014-11-01	No
Has the plan failed to provide any benefit when due under the plan	2014-11-01	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-11-01	$352,730
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	2014-11-01	No
Liabilities. Value of benefit claims payable at end of year	2014-11-01	$0
Liabilities. Value of benefit claims payable at beginning of year	2014-11-01	$21,797
Did the plan have assets held for investment	2014-11-01	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	2014-11-01	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-11-01	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-11-01	No
Opinion of an independent qualified public accountant for this plan	2014-11-01	Disclaimer
Accountancy firm name	2014-11-01	MOSS ADAMS LLP
Accountancy firm EIN	2014-11-01	910189318
2013 : MILLS-PENINSULA HEALTH SERVICES RN 403(B) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total transfer of assets from this plan	2013-12-31	$27,716
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$21,797
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	$844,791
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$536,703
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$536,653
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$0
Value of total assets at end of year	2013-12-31	$7,558,471
Value of total assets at beginning of year	2013-12-31	$7,256,302
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$50
Total interest from all sources	2013-12-31	$138,819
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	$10,000,000
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
Participant contributions at end of year	2013-12-31	$72,373
Participant contributions at beginning of year	2013-12-31	$83,665
Administrative expenses (other) incurred	2013-12-31	$50
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	$308,088
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$7,536,674
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$7,256,302
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	$3,742,662
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$3,295,131
Interest on participant loans	2013-12-31	$7,122
Interest earned on other investments	2013-12-31	$131,697
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$3,743,436
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$3,877,506
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$705,972
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$536,653
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
Liabilities. Value of benefit claims payable at end of year	2013-12-31	$21,797
Liabilities. Value of benefit claims payable at beginning of year	2013-12-31	$0
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	No
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	ERNST & YOUNG LLP
Accountancy firm EIN	2013-12-31	346565596
2012 : MILLS-PENINSULA HEALTH SERVICES RN 403(B) 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	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$86,774
Total income from all sources (including contributions)	2012-12-31	$527,061
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$643,672
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$643,622
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$0
Value of total assets at end of year	2012-12-31	$7,256,302
Value of total assets at beginning of year	2012-12-31	$7,459,687
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$50
Total interest from all sources	2012-12-31	$141,911
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	$10,000,000
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
Participant contributions at end of year	2012-12-31	$83,665
Participant contributions at beginning of year	2012-12-31	$117,324
Administrative expenses (other) incurred	2012-12-31	$50
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	$-116,611
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$7,256,302
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$7,372,913
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	$3,295,131
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$3,277,083
Interest on participant loans	2012-12-31	$5,145
Interest earned on other investments	2012-12-31	$136,766
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$3,877,506
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$4,065,280
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$385,150
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$643,622
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
Liabilities. Value of benefit claims payable at end of year	2012-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2012-12-31	$86,774
Did the plan have assets held for investment	2012-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	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	No
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	ERNST & YOUNG LLP
Accountancy firm EIN	2012-12-31	346565596
2011 : MILLS-PENINSULA HEALTH SERVICES RN 403(B) PLAN 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$86,774
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$28,161
Total income from all sources (including contributions)	2011-12-31	$142,607
Total of all expenses incurred	2011-12-31	$809,782
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$809,732
Value of total assets at end of year	2011-12-31	$7,459,687
Value of total assets at beginning of year	2011-12-31	$8,068,249
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$50
Total interest from all sources	2011-12-31	$149,346
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Participant contributions at end of year	2011-12-31	$117,324
Participant contributions at beginning of year	2011-12-31	$138,337
Administrative expenses (other) incurred	2011-12-31	$50
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	$-667,175
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$7,372,913
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$8,040,088
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	$3,277,083
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$3,670,528
Interest on participant loans	2011-12-31	$5,524
Interest earned on other investments	2011-12-31	$143,822
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$4,065,280
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$4,259,384
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-6,739
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$809,732
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2011-12-31	No
Liabilities. Value of benefit claims payable at end of year	2011-12-31	$86,774
Liabilities. Value of benefit claims payable at beginning of year	2011-12-31	$28,161
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	CROWE HORWATH LLP
Accountancy firm EIN	2011-12-31	350921680
2010 : MILLS-PENINSULA HEALTH SERVICES RN 403(B) PLAN 2010 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$28,161
Total income from all sources (including contributions)	2010-12-31	$606,565
Total of all expenses incurred	2010-12-31	$750,702
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$750,371
Value of total assets at end of year	2010-12-31	$8,068,249
Value of total assets at beginning of year	2010-12-31	$8,184,225
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$331
Total interest from all sources	2010-12-31	$154,944
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Participant contributions at end of year	2010-12-31	$138,337
Participant contributions at beginning of year	2010-12-31	$195,876
Administrative expenses (other) incurred	2010-12-31	$331
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	$-144,137
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$8,040,088
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$8,184,225
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	$3,670,528
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$3,610,792
Interest on participant loans	2010-12-31	$6,767
Interest earned on other investments	2010-12-31	$148,177
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$4,259,384
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$4,377,557
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$451,621
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$750,371
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	No
Liabilities. Value of benefit claims payable at end of year	2010-12-31	$28,161
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	PERRY-SMITH, LLP
Accountancy firm EIN	2010-12-31	680041802

Form 5500 Responses for MILLS-PENINSULA HEALTH SERVICES RN 403(B) PLAN

2014: MILLS-PENINSULA HEALTH SERVICES RN 403(B) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
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	Yes
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: MILLS-PENINSULA HEALTH SERVICES RN 403(B) 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	Yes
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: MILLS-PENINSULA HEALTH SERVICES RN 403(B) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	Yes
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: MILLS-PENINSULA HEALTH SERVICES RN 403(B) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: MILLS-PENINSULA HEALTH SERVICES RN 403(B) PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	MILLS-PENINSULA HEALTH SERVICES
Employer identification number (EIN):	941156265
NAIC Classification:	621610
NAIC Description:	Home Health Care Services