401k Plan data: VERDUGO HILLS HOSPITAL GAIN SHARING PLAN plan

VERDUGO HILLS HOSPITAL GAIN SHARING PLAN 401k Plan overview

Plan Name	VERDUGO HILLS HOSPITAL GAIN SHARING PLAN
Plan identification number	002

VERDUGO HILLS HOSPITAL GAIN SHARING 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.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.

401k Sponsoring company profile

VERDUGO HILLS HOSPITAL has sponsored the creation of one or more 401k plans.

Company Name: VERDUGO HILLS HOSPITAL

Employer identification number (EIN): 951547003

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan VERDUGO HILLS HOSPITAL GAIN SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2013-01-01 DEBRA FABANISH DEBRA FABANISH 2015-09-15
002 2012-01-01 PAUL CELUCH PAUL CELUCH 2013-09-23
002 2011-01-01 PAUL CELUCH PAUL CELUCH 2012-08-16
002 2010-01-01 PAUL CELUCH PAUL CELUCH 2012-06-26
002 2009-01-01 PAUL J. CELUCH PAUL J. CELUCH 2010-10-12

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
002	2013-01-01	DEBRA FABANISH	DEBRA FABANISH	2015-09-15
002	2012-01-01	PAUL CELUCH	PAUL CELUCH	2013-09-23
002	2011-01-01	PAUL CELUCH	PAUL CELUCH	2012-08-16
002	2010-01-01	PAUL CELUCH	PAUL CELUCH	2012-06-26
002	2009-01-01	PAUL J. CELUCH	PAUL J. CELUCH	2010-10-12

Plan Statistics for VERDUGO HILLS HOSPITAL GAIN SHARING PLAN

401k plan membership statisitcs for VERDUGO HILLS HOSPITAL GAIN SHARING PLAN

Measure Date Value
2013: VERDUGO HILLS HOSPITAL GAIN SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 120
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 0
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 0
Number of participants with account balances 2013-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: VERDUGO HILLS HOSPITAL GAIN SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 126
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 71
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 49
Total of all active and inactive participants 2012-01-01 120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 120
Number of participants with account balances 2012-01-01 119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: VERDUGO HILLS HOSPITAL GAIN SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 136
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 76
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 50
Total of all active and inactive participants 2011-01-01 126
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 126
Number of participants with account balances 2011-01-01 125
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: VERDUGO HILLS HOSPITAL GAIN SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 947
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 751
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 52
Total of all active and inactive participants 2010-01-01 803
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 803
Number of participants with account balances 2010-01-01 135
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 30
2009: VERDUGO HILLS HOSPITAL GAIN SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 852
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 735
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 130
Total of all active and inactive participants 2009-01-01 865
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 1
Total participants 2009-01-01 866
Number of participants with account balances 2009-01-01 160
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2013: VERDUGO HILLS HOSPITAL GAIN SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	120
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	0
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	0
Number of participants with account balances	2013-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: VERDUGO HILLS HOSPITAL GAIN SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	126
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	71
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	49
Total of all active and inactive participants	2012-01-01	120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	120
Number of participants with account balances	2012-01-01	119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: VERDUGO HILLS HOSPITAL GAIN SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	136
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	76
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	50
Total of all active and inactive participants	2011-01-01	126
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	126
Number of participants with account balances	2011-01-01	125
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: VERDUGO HILLS HOSPITAL GAIN SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	947
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	751
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	52
Total of all active and inactive participants	2010-01-01	803
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	803
Number of participants with account balances	2010-01-01	135
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	30
2009: VERDUGO HILLS HOSPITAL GAIN SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	852
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	735
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	130
Total of all active and inactive participants	2009-01-01	865
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	1
Total participants	2009-01-01	866
Number of participants with account balances	2009-01-01	160
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on VERDUGO HILLS HOSPITAL GAIN SHARING PLAN

Measure	Date	Value
2013 : VERDUGO HILLS HOSPITAL GAIN SHARING PLAN 2013 401k financial data
Unrealized appreciation/depreciation of real estate assets	2013-12-16	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2013-12-16	$0
Total unrealized appreciation/depreciation of assets	2013-12-16	$0
Total transfer of assets to this plan	2013-12-16	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-16	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-16	$0
Total income from all sources (including contributions)	2013-12-16	$296,943
Total loss/gain on sale of assets	2013-12-16	$0
Total of all expenses incurred	2013-12-16	$4,353,112
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-16	$4,342,715
Value of total corrective distributions	2013-12-16	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-16	$0
Value of total assets at end of year	2013-12-16	$0
Value of total assets at beginning of year	2013-12-16	$4,056,169
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-16	$10,397
Total income from rents	2013-12-16	$0
Total interest from all sources	2013-12-16	$5,387
Total dividends received (eg from common stock, registered investment company shares)	2013-12-16	$8
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-16	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-16	$8
Administrative expenses professional fees incurred	2013-12-16	$0
Was this plan covered by a fidelity bond	2013-12-16	Yes
Value of fidelity bond cover	2013-12-16	$1,000,000
If this is an individual account plan, was there a blackout period	2013-12-16	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-16	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-16	No
Amount of non-exempt transactions with any party-in-interest	2013-12-16	$0
Contributions received from participants	2013-12-16	$0
Participant contributions at end of year	2013-12-16	$0
Participant contributions at beginning of year	2013-12-16	$0
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-16	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2013-12-16	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2013-12-16	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2013-12-16	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2013-12-16	$0
Other income not declared elsewhere	2013-12-16	$0
Administrative expenses (other) incurred	2013-12-16	$0
Liabilities. Value of operating payables at beginning of year	2013-12-16	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-16	No
Value of net income/loss	2013-12-16	$-4,056,169
Value of net assets at end of year (total assets less liabilities)	2013-12-16	$0
Value of net assets at beginning of year (total assets less liabilities)	2013-12-16	$4,056,169
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-16	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-16	No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year	2013-12-16	$0
Were any leases to which the plan was party in default or uncollectible	2013-12-16	No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year	2013-12-16	$0
Investment advisory and management fees	2013-12-16	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-16	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-16	$3,734,322
Income. Interest from loans (other than to participants)	2013-12-16	$0
Interest earned on other investments	2013-12-16	$5,387
Income. Interest from US Government securities	2013-12-16	$0
Income. Interest from corporate debt instruments	2013-12-16	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-16	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-16	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-16	$321,847
Expenses. Payments to insurance carriers foe the provision of benefits	2013-12-16	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-16	$291,548
Net investment gain/loss from pooled separate accounts	2013-12-16	$0
Net investment gain or loss from common/collective trusts	2013-12-16	$0
Net gain/loss from 103.12 investment entities	2013-12-16	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-16	No
Was there a failure to transmit to the plan any participant contributions	2013-12-16	No
Has the plan failed to provide any benefit when due under the plan	2013-12-16	No
Contributions received in cash from employer	2013-12-16	$0
Employer contributions (assets) at end of year	2013-12-16	$0
Employer contributions (assets) at beginning of year	2013-12-16	$0
Income. Dividends from preferred stock	2013-12-16	$0
Income. Dividends from common stock	2013-12-16	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-16	$4,342,715
Contract administrator fees	2013-12-16	$10,397
Liabilities. Value of benefit claims payable at beginning of year	2013-12-16	$0
Did the plan have assets held for investment	2013-12-16	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	2013-12-16	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-16	Yes
Aggregate proceeds on sale of assets	2013-12-16	$0
Aggregate carrying amount (costs) on sale of assets	2013-12-16	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2013-12-16	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-16	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-16	Disclaimer
Accountancy firm name	2013-12-16	VAVRINEK, TRINE, DAY & CO., LLP
Accountancy firm EIN	2013-12-16	952648289
2012 : VERDUGO HILLS HOSPITAL GAIN SHARING PLAN 2012 401k financial data
Unrealized appreciation/depreciation of real estate assets	2012-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2012-12-31	$0
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total transfer of assets to this plan	2012-12-31	$0
Total transfer of assets from this plan	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	$0
Total income from all sources (including contributions)	2012-12-31	$453,309
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$292,707
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$284,609
Value of total corrective distributions	2012-12-31	$0
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	$4,056,169
Value of total assets at beginning of year	2012-12-31	$3,895,567
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$8,098
Total income from rents	2012-12-31	$0
Total interest from all sources	2012-12-31	$9,084
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$66,529
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$66,529
Administrative expenses professional fees incurred	2012-12-31	$0
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Amount of non-exempt transactions with any party-in-interest	2012-12-31	$0
Contributions received from participants	2012-12-31	$0
Participant contributions at end of year	2012-12-31	$0
Participant contributions at beginning of year	2012-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2012-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2012-12-31	$0
Other income not declared elsewhere	2012-12-31	$0
Administrative expenses (other) incurred	2012-12-31	$0
Liabilities. Value of operating payables at beginning of year	2012-12-31	$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	2012-12-31	No
Value of net income/loss	2012-12-31	$160,602
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$4,056,169
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$3,895,567
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
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year	2012-12-31	$0
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year	2012-12-31	$0
Investment advisory and management fees	2012-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$3,734,322
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$3,484,708
Income. Interest from loans (other than to participants)	2012-12-31	$0
Interest earned on other investments	2012-12-31	$9,084
Income. Interest from US Government securities	2012-12-31	$0
Income. Interest from corporate debt instruments	2012-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$321,847
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$410,859
Expenses. Payments to insurance carriers foe the provision of benefits	2012-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$377,696
Net investment gain/loss from pooled separate accounts	2012-12-31	$0
Net investment gain or loss from common/collective trusts	2012-12-31	$0
Net gain/loss from 103.12 investment entities	2012-12-31	$0
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	$0
Employer contributions (assets) at end of year	2012-12-31	$0
Employer contributions (assets) at beginning of year	2012-12-31	$0
Income. Dividends from preferred stock	2012-12-31	$0
Income. Dividends from common stock	2012-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$284,609
Contract administrator fees	2012-12-31	$8,098
Liabilities. Value of benefit claims payable at beginning of year	2012-12-31	$0
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
Aggregate proceeds on sale of assets	2012-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2012-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2012-12-31	$0
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	VAVRINEK, TRINE, DAY & CO., LLP
Accountancy firm EIN	2012-12-31	952648289
2011 : VERDUGO HILLS HOSPITAL GAIN SHARING PLAN 2011 401k financial data
Unrealized appreciation/depreciation of real estate assets	2011-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2011-12-31	$0
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total transfer of assets to this plan	2011-12-31	$0
Total transfer of assets from this plan	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Expenses. Interest paid	2011-12-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$-12,024
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$171,227
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$158,961
Value of total corrective distributions	2011-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$0
Value of total assets at end of year	2011-12-31	$3,895,567
Value of total assets at beginning of year	2011-12-31	$4,078,818
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$12,266
Total income from rents	2011-12-31	$0
Total interest from all sources	2011-12-31	$11,833
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$64,701
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	$64,701
Administrative expenses professional fees incurred	2011-12-31	$3,800
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Amount of non-exempt transactions with any party-in-interest	2011-12-31	$0
Contributions received from participants	2011-12-31	$0
Participant contributions at end of year	2011-12-31	$0
Participant contributions at beginning of year	2011-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2011-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2011-12-31	$0
Other income not declared elsewhere	2011-12-31	$0
Administrative expenses (other) incurred	2011-12-31	$0
Liabilities. Value of operating payables at beginning of year	2011-12-31	$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	2011-12-31	No
Income. Non cash contributions	2011-12-31	$0
Value of net income/loss	2011-12-31	$-183,251
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$3,895,567
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$4,078,818
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
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year	2011-12-31	$0
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year	2011-12-31	$0
Investment advisory and management fees	2011-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$3,484,708
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$3,639,253
Income. Interest from loans (other than to participants)	2011-12-31	$0
Interest earned on other investments	2011-12-31	$11,833
Income. Interest from US Government securities	2011-12-31	$0
Income. Interest from corporate debt instruments	2011-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$410,859
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$439,565
Expenses. Payments to insurance carriers foe the provision of benefits	2011-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-88,558
Net investment gain/loss from pooled separate accounts	2011-12-31	$0
Net investment gain or loss from common/collective trusts	2011-12-31	$0
Net gain/loss from 103.12 investment entities	2011-12-31	$0
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	$0
Employer contributions (assets) at end of year	2011-12-31	$0
Employer contributions (assets) at beginning of year	2011-12-31	$0
Income. Dividends from preferred stock	2011-12-31	$0
Income. Dividends from common stock	2011-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$158,961
Contract administrator fees	2011-12-31	$8,466
Liabilities. Value of benefit claims payable at beginning of year	2011-12-31	$0
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
Aggregate proceeds on sale of assets	2011-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2011-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2011-12-31	$0
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	VAVRINEK, TRINE, DAY & COMPANY., LL
Accountancy firm EIN	2011-12-31	952648289
2010 : VERDUGO HILLS HOSPITAL GAIN SHARING 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	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
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	$470,798
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$475,456
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$448,775
Value of total corrective distributions	2010-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$0
Value of total assets at end of year	2010-12-31	$4,078,818
Value of total assets at beginning of year	2010-12-31	$4,083,476
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$26,681
Total income from rents	2010-12-31	$0
Total interest from all sources	2010-12-31	$15,523
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$64,013
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	$64,013
Administrative expenses professional fees incurred	2010-12-31	$17,225
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$1,000,000
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
Amount of non-exempt transactions with any party-in-interest	2010-12-31	$0
Contributions received from participants	2010-12-31	$0
Participant contributions at end of year	2010-12-31	$0
Participant contributions at beginning of year	2010-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$0
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
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2010-12-31	$0
Other income not declared elsewhere	2010-12-31	$0
Administrative expenses (other) incurred	2010-12-31	$0
Liabilities. Value of operating payables 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	$-4,658
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$4,078,818
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$4,083,476
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
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year	2010-12-31	$0
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the 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	$3,639,253
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$3,485,767
Income. Interest from loans (other than to participants)	2010-12-31	$0
Interest earned on other investments	2010-12-31	$15,523
Income. Interest from US Government securities	2010-12-31	$0
Income. Interest from corporate debt instruments	2010-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$439,565
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$597,709
Expenses. Payments to insurance carriers foe the provision of benefits	2010-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$391,262
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
Contributions received in cash from employer	2010-12-31	$0
Employer contributions (assets) at end of year	2010-12-31	$0
Employer contributions (assets) at beginning of year	2010-12-31	$0
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	$448,775
Contract administrator fees	2010-12-31	$9,456
Liabilities. Value of benefit claims payable 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 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	VAVRINEK, TRINE, DAY AND CO.,LLP
Accountancy firm EIN	2010-12-31	952648289
2009 : VERDUGO HILLS HOSPITAL GAIN SHARING PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for VERDUGO HILLS HOSPITAL GAIN SHARING PLAN

2013: VERDUGO HILLS HOSPITAL GAIN SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	This submission is the final filing	Yes
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
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: VERDUGO HILLS HOSPITAL GAIN SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
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: VERDUGO HILLS HOSPITAL GAIN SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: VERDUGO HILLS HOSPITAL GAIN SHARING PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	Yes
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: VERDUGO HILLS HOSPITAL GAIN SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
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:	VERDUGO HILLS HOSPITAL
Employer identification number (EIN):	951547003
NAIC Classification:	622000
NAIC Description:	Hospitals