401k Plan data: UPPER VALLEY MEDICAL CENTER AMENDED AND RESTATED RETIREMENT PLAN plan

UPPER VALLEY MEDICAL CENTER AMENDED AND RESTATED RETIREMENT PLAN 401k Plan overview

Plan Name	UPPER VALLEY MEDICAL CENTER AMENDED AND RESTATED RETIREMENT PLAN
Plan identification number	001

UPPER VALLEY MEDICAL CENTER AMENDED AND RESTATED RETIREMENT PLAN Benefits

401k Plan Type	Defined Benefit Pension
Plan Features/Benefits	Benefits are primarily pay related Covered by PBGC - Plan is covered under the PBGC insurance program (see ERISA section 4021). Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

UPPER VALLEY MEDICAL CENTER has sponsored the creation of one or more 401k plans.

Company Name: UPPER VALLEY MEDICAL CENTER

Employer identification number (EIN): 341850683

NAIC Classification: 622000
NAIC Description: Hospitals

Additional information about UPPER VALLEY MEDICAL CENTER

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division

Incorporation Date: 1926-09-10

Company Identification Number: 123017

Legal Registered Office Address: 110 N. MAIN ST.
STE 900
DAYTON
United States of America (USA)
45402

More information about UPPER VALLEY MEDICAL CENTER

Form 5500 Filing Information

Submission information for form 5500 for 401k plan UPPER VALLEY MEDICAL CENTER AMENDED AND RESTATED RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2012-01-01 WILLIAM LINESCH WILLIAM LINESCH 2013-10-11
001 2011-01-01 TRACY MOSER
001 2010-01-01 TRACY MOSER
001 2009-01-01 TRACY MOSER

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2012-01-01	WILLIAM LINESCH	WILLIAM LINESCH	2013-10-11
001	2011-01-01	TRACY MOSER
001	2010-01-01	TRACY MOSER
001	2009-01-01	TRACY MOSER

Plan Statistics for UPPER VALLEY MEDICAL CENTER AMENDED AND RESTATED RETIREMENT PLAN

401k plan membership statisitcs for UPPER VALLEY MEDICAL CENTER AMENDED AND RESTATED RETIREMENT PLAN

Measure Date Value
2012: UPPER VALLEY MEDICAL CENTER AMENDED AND RESTATED RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1,857
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 0
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 0
Total of all active and inactive participants 2012-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: UPPER VALLEY MEDICAL CENTER AMENDED AND RESTATED RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1,889
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 579
Number of retired or separated participants receiving benefits 2011-01-01 678
Number of other retired or separated participants entitled to future benefits 2011-01-01 556
Total of all active and inactive participants 2011-01-01 1,813
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 44
Total participants 2011-01-01 1,857
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 1
2010: UPPER VALLEY MEDICAL CENTER AMENDED AND RESTATED RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 2,022
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 634
Number of retired or separated participants receiving benefits 2010-01-01 642
Number of other retired or separated participants entitled to future benefits 2010-01-01 564
Total of all active and inactive participants 2010-01-01 1,840
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 49
Total participants 2010-01-01 1,889
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 3
2009: UPPER VALLEY MEDICAL CENTER AMENDED AND RESTATED RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 2,075
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 679
Number of retired or separated participants receiving benefits 2009-01-01 612
Number of other retired or separated participants entitled to future benefits 2009-01-01 682
Total of all active and inactive participants 2009-01-01 1,973
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 46
Total participants 2009-01-01 2,019
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 3

Measure	Date	Value
2012: UPPER VALLEY MEDICAL CENTER AMENDED AND RESTATED RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1,857
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	0
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	0
Total of all active and inactive participants	2012-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: UPPER VALLEY MEDICAL CENTER AMENDED AND RESTATED RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1,889
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	579
Number of retired or separated participants receiving benefits	2011-01-01	678
Number of other retired or separated participants entitled to future benefits	2011-01-01	556
Total of all active and inactive participants	2011-01-01	1,813
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	44
Total participants	2011-01-01	1,857
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	1
2010: UPPER VALLEY MEDICAL CENTER AMENDED AND RESTATED RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	2,022
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	634
Number of retired or separated participants receiving benefits	2010-01-01	642
Number of other retired or separated participants entitled to future benefits	2010-01-01	564
Total of all active and inactive participants	2010-01-01	1,840
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	49
Total participants	2010-01-01	1,889
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	3
2009: UPPER VALLEY MEDICAL CENTER AMENDED AND RESTATED RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	2,075
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	679
Number of retired or separated participants receiving benefits	2009-01-01	612
Number of other retired or separated participants entitled to future benefits	2009-01-01	682
Total of all active and inactive participants	2009-01-01	1,973
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	46
Total participants	2009-01-01	2,019
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	3

Financial Data on UPPER VALLEY MEDICAL CENTER AMENDED AND RESTATED RETIREMENT PLAN

Measure	Date	Value
2012 : UPPER VALLEY MEDICAL CENTER AMENDED AND RESTATED RETIREMENT PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2012-12-31	$853,701
Total unrealized appreciation/depreciation of assets	2012-12-31	$853,701
Total transfer of assets from this plan	2012-12-31	$64,568,561
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	$12,093,497
Total loss/gain on sale of assets	2012-12-31	$3,704
Total of all expenses incurred	2012-12-31	$2,922,129
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$2,825,691
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$4,300,000
Value of total assets at end of year	2012-12-31	$0
Value of total assets at beginning of year	2012-12-31	$55,397,193
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$96,438
Total interest from all sources	2012-12-31	$781,814
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$849,546
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2012-12-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$849,546
Administrative expenses professional fees incurred	2012-12-31	$50,508
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$2,000,000
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
Assets. Other investments not covered elsewhere at end of year	2012-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2012-12-31	$57,260
Other income not declared elsewhere	2012-12-31	$28,157
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	$9,171,368
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$55,397,193
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
Investment advisory and management fees	2012-12-31	$45,930
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$33,663,644
Interest earned on other investments	2012-12-31	$2,703
Income. Interest from US Government securities	2012-12-31	$225,159
Income. Interest from corporate debt instruments	2012-12-31	$553,952
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$1,889,965
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$1,889,965
Asset value of US Government securities at end of year	2012-12-31	$0
Asset value of US Government securities at beginning of year	2012-12-31	$7,648,823
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$5,276,575
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	Yes
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	$4,300,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$2,825,691
Asset. Corporate debt instrument debt (other) at end of year	2012-12-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2012-12-31	$12,137,501
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	Yes
Aggregate proceeds on sale of assets	2012-12-31	$23,997,390
Aggregate carrying amount (costs) on sale of assets	2012-12-31	$23,993,686
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	PLANTE & MORAN, PLLC
Accountancy firm EIN	2012-12-31	381357951
2011 : UPPER VALLEY MEDICAL CENTER AMENDED AND RESTATED RETIREMENT PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2011-12-31	$994,116
Total unrealized appreciation/depreciation of assets	2011-12-31	$994,116
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
Total income from all sources (including contributions)	2011-12-31	$4,838,868
Total loss/gain on sale of assets	2011-12-31	$521,895
Total of all expenses incurred	2011-12-31	$2,593,645
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$2,489,113
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$4,152,274
Value of total assets at end of year	2011-12-31	$55,397,193
Value of total assets at beginning of year	2011-12-31	$53,151,970
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$104,532
Total interest from all sources	2011-12-31	$799,127
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$660,754
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	$596,933
Administrative expenses professional fees incurred	2011-12-31	$52,110
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$2,000,000
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
Assets. Other investments not covered elsewhere at end of year	2011-12-31	$57,260
Assets. Other investments not covered elsewhere at beginning of year	2011-12-31	$340,923
Other income not declared elsewhere	2011-12-31	$42,266
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	$2,245,223
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$55,397,193
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$53,151,970
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
Investment advisory and management fees	2011-12-31	$52,422
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$33,663,644
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$22,562,959
Interest earned on other investments	2011-12-31	$4,877
Income. Interest from US Government securities	2011-12-31	$384,990
Income. Interest from corporate debt instruments	2011-12-31	$409,260
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$1,889,965
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$3,620,627
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$3,620,627
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$0
Asset value of US Government securities at end of year	2011-12-31	$7,648,823
Asset value of US Government securities at beginning of year	2011-12-31	$10,214,639
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-2,331,564
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	Yes
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	$4,152,274
Income. Dividends from common stock	2011-12-31	$63,821
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$2,489,113
Asset. Corporate debt instrument debt (other) at end of year	2011-12-31	$12,137,501
Asset. Corporate debt instrument debt (other) at beginning of year	2011-12-31	$7,305,485
Assets. Corporate common stocks other than exployer securities at end of year	2011-12-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2011-12-31	$9,107,337
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	$86,741,041
Aggregate carrying amount (costs) on sale of assets	2011-12-31	$86,219,146
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	PLANTE & MORAN, PLLC
Accountancy firm EIN	2011-12-31	381357951
2010 : UPPER VALLEY MEDICAL CENTER AMENDED AND RESTATED RETIREMENT PLAN 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2010-12-31	$1,467,480
Total unrealized appreciation/depreciation of assets	2010-12-31	$1,467,480
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
Total income from all sources (including contributions)	2010-12-31	$8,884,366
Total loss/gain on sale of assets	2010-12-31	$9,194
Total of all expenses incurred	2010-12-31	$2,696,666
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$2,584,091
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$3,279,204
Value of total assets at end of year	2010-12-31	$53,151,970
Value of total assets at beginning of year	2010-12-31	$46,964,270
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$112,575
Total interest from all sources	2010-12-31	$871,561
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$452,765
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	$295,329
Administrative expenses professional fees incurred	2010-12-31	$49,422
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$1,500,000
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Assets. Other investments not covered elsewhere at end of year	2010-12-31	$340,923
Other income not declared elsewhere	2010-12-31	$7,569
Administrative expenses (other) incurred	2010-12-31	$4
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	$6,187,700
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$53,151,970
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$46,964,270
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
Investment advisory and management fees	2010-12-31	$63,149
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$22,562,959
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$16,574,255
Income. Interest from US Government securities	2010-12-31	$557,871
Income. Interest from corporate debt instruments	2010-12-31	$313,662
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$3,620,627
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$3,960,122
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$3,960,122
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$28
Asset value of US Government securities at end of year	2010-12-31	$10,214,639
Asset value of US Government securities at beginning of year	2010-12-31	$13,273,193
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$2,796,593
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	Yes
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	$3,279,204
Income. Dividends from common stock	2010-12-31	$157,436
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$2,584,091
Asset. Corporate debt instrument debt (other) at end of year	2010-12-31	$7,305,485
Asset. Corporate debt instrument debt (other) at beginning of year	2010-12-31	$5,236,056
Assets. Corporate common stocks other than exployer securities at end of year	2010-12-31	$9,107,337
Assets. Corporate common stocks other than exployer securities at beginning of year	2010-12-31	$7,920,644
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	$35,492,152
Aggregate carrying amount (costs) on sale of assets	2010-12-31	$35,482,958
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	PLANTE & MORAN, PLLC
Accountancy firm EIN	2010-12-31	381357951

Form 5500 Responses for UPPER VALLEY MEDICAL CENTER AMENDED AND RESTATED RETIREMENT PLAN

2012: UPPER VALLEY MEDICAL CENTER AMENDED AND RESTATED RETIREMENT PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	Yes
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 – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: UPPER VALLEY MEDICAL CENTER AMENDED AND RESTATED RETIREMENT 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 – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: UPPER VALLEY MEDICAL CENTER AMENDED AND RESTATED RETIREMENT PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
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 – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: UPPER VALLEY MEDICAL CENTER AMENDED AND RESTATED RETIREMENT PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	UPPER VALLEY MEDICAL CENTER
Employer identification number (EIN):	341850683
NAIC Classification:	622000
NAIC Description:	Hospitals

Jurisdiction of Incorporation:	Ohio Secretary of State Business Services Division
Incorporation Date:	1926-09-10
Company Identification Number:	123017
Legal Registered Office Address:	110 N. MAIN ST. STE 900 DAYTON United States of America (USA) 45402