401k Plan data: HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING PLAN plan

HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING PLAN
Plan identification number	001

HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT 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.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Participant-directed brokerage accounts provided as an investment option under the plan.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

HAMPSTEAD OUTLOOK, INC. has sponsored the creation of one or more 401k plans.

Company Name: HAMPSTEAD OUTLOOK, INC.

Employer identification number (EIN): 042527611

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2021-01-01 PHILLIP KUBIAK 2022-08-01
001 2020-01-01 PHILLIP KUBIAK 2021-10-06
001 2019-01-01 PHILLIP KUBIAK 2020-10-07
001 2018-01-01 PHILLIP KUBIAK 2019-08-18
001 2017-01-01
001 2016-01-01
001 2015-01-01 PHILLIP KUBIAK
001 2014-01-01 PHILLIP KUBIAK
001 2013-01-01 PHILLIP KUBIAK
001 2012-01-01 CHERIE CLOUGH-BERRY
001 2011-01-01 PHILLIP KUBIAK
001 2010-01-01 PHILLIP KUBIAK
001 2009-01-01 JOHN J. WHITTIER

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2021-01-01	PHILLIP KUBIAK	2022-08-01
001	2020-01-01	PHILLIP KUBIAK	2021-10-06
001	2019-01-01	PHILLIP KUBIAK	2020-10-07
001	2018-01-01	PHILLIP KUBIAK	2019-08-18
001	2017-01-01
001	2016-01-01
001	2015-01-01	PHILLIP KUBIAK
001	2014-01-01	PHILLIP KUBIAK
001	2013-01-01	PHILLIP KUBIAK
001	2012-01-01	CHERIE CLOUGH-BERRY
001	2011-01-01	PHILLIP KUBIAK
001	2010-01-01	PHILLIP KUBIAK
001	2009-01-01	JOHN J. WHITTIER

Plan Statistics for HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING PLAN

Measure Date Value
2021: HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 219
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 144
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 61
Total of all active and inactive participants 2021-01-01 205
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 205
Number of participants with account balances 2021-01-01 162
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 9
2020: HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 211
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 149
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 60
Total of all active and inactive participants 2020-01-01 209
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 209
Number of participants with account balances 2020-01-01 169
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 10
2019: HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 222
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 165
Number of retired or separated participants receiving benefits 2019-01-01 2
Number of other retired or separated participants entitled to future benefits 2019-01-01 45
Total of all active and inactive participants 2019-01-01 212
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 212
Number of participants with account balances 2019-01-01 169
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 9
2018: HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 230
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 185
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 34
Total of all active and inactive participants 2018-01-01 219
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 219
Number of participants with account balances 2018-01-01 167
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 8
2017: HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 251
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 196
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 31
Total of all active and inactive participants 2017-01-01 227
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 227
Number of participants with account balances 2017-01-01 170
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 11
2016: HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 247
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 219
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 30
Total of all active and inactive participants 2016-01-01 249
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 1
Total participants 2016-01-01 250
Number of participants with account balances 2016-01-01 185
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 5
2015: HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 231
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 215
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 31
Total of all active and inactive participants 2015-01-01 246
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 246
Number of participants with account balances 2015-01-01 170
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 5
2014: HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 262
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 198
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 33
Total of all active and inactive participants 2014-01-01 231
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 231
Number of participants with account balances 2014-01-01 151
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 11
2013: HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 238
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 238
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 24
Total of all active and inactive participants 2013-01-01 262
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 262
Number of participants with account balances 2013-01-01 157
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 5
2012: HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 248
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 214
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 23
Total of all active and inactive participants 2012-01-01 237
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 237
Number of participants with account balances 2012-01-01 142
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 2
2011: HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 176
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 211
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 33
Total of all active and inactive participants 2011-01-01 244
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 244
Number of participants with account balances 2011-01-01 128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 4
2010: HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 172
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 130
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 26
Total of all active and inactive participants 2010-01-01 156
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 156
Number of participants with account balances 2010-01-01 117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 5
2009: HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 165
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 134
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 33
Total of all active and inactive participants 2009-01-01 167
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 167
Number of participants with account balances 2009-01-01 121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2021: HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	219
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	144
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	61
Total of all active and inactive participants	2021-01-01	205
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	205
Number of participants with account balances	2021-01-01	162
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	9
2020: HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	211
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	149
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	60
Total of all active and inactive participants	2020-01-01	209
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	209
Number of participants with account balances	2020-01-01	169
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	10
2019: HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	222
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	165
Number of retired or separated participants receiving benefits	2019-01-01	2
Number of other retired or separated participants entitled to future benefits	2019-01-01	45
Total of all active and inactive participants	2019-01-01	212
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	212
Number of participants with account balances	2019-01-01	169
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	9
2018: HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	230
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	185
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	34
Total of all active and inactive participants	2018-01-01	219
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	219
Number of participants with account balances	2018-01-01	167
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	8
2017: HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	251
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	196
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	31
Total of all active and inactive participants	2017-01-01	227
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	227
Number of participants with account balances	2017-01-01	170
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	11
2016: HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	247
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	219
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	30
Total of all active and inactive participants	2016-01-01	249
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	1
Total participants	2016-01-01	250
Number of participants with account balances	2016-01-01	185
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	5
2015: HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	231
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	215
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	31
Total of all active and inactive participants	2015-01-01	246
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	246
Number of participants with account balances	2015-01-01	170
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	5
2014: HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	262
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	198
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	33
Total of all active and inactive participants	2014-01-01	231
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	231
Number of participants with account balances	2014-01-01	151
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	11
2013: HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	238
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	238
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	24
Total of all active and inactive participants	2013-01-01	262
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	262
Number of participants with account balances	2013-01-01	157
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	5
2012: HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	248
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	214
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	23
Total of all active and inactive participants	2012-01-01	237
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	237
Number of participants with account balances	2012-01-01	142
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	2
2011: HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	176
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	211
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	33
Total of all active and inactive participants	2011-01-01	244
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	244
Number of participants with account balances	2011-01-01	128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	4
2010: HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	172
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	130
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	26
Total of all active and inactive participants	2010-01-01	156
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	156
Number of participants with account balances	2010-01-01	117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	5
2009: HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	165
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	134
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	33
Total of all active and inactive participants	2009-01-01	167
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	167
Number of participants with account balances	2009-01-01	121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2021 : HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total income from all sources (including contributions)	2021-12-31	$1,785,362
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$564,708
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$512,999
Value of total corrective distributions	2021-12-31	$4,125
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$454,354
Value of total assets at end of year	2021-12-31	$10,801,225
Value of total assets at beginning of year	2021-12-31	$9,580,571
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$47,584
Total interest from all sources	2021-12-31	$22,490
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$429,655
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$429,655
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$500,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$321,347
Participant contributions at end of year	2021-12-31	$94,925
Participant contributions at beginning of year	2021-12-31	$163,543
Participant contributions at beginning of year	2021-12-31	$13,003
Assets. Other investments not covered elsewhere at end of year	2021-12-31	$1,754,585
Assets. Other investments not covered elsewhere at beginning of year	2021-12-31	$1,525,400
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$15,906
Other income not declared elsewhere	2021-12-31	$212,483
Total non interest bearing cash at end of year	2021-12-31	$907
Total non interest bearing cash at beginning of year	2021-12-31	$2
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$1,220,654
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$10,801,225
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$9,580,571
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$8,162,524
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$7,029,645
Interest on participant loans	2021-12-31	$7,209
Interest earned on other investments	2021-12-31	$15,281
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$671,183
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$732,266
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$666,380
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$117,101
Employer contributions (assets) at end of year	2021-12-31	$117,101
Employer contributions (assets) at beginning of year	2021-12-31	$116,712
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$512,999
Contract administrator fees	2021-12-31	$47,584
Did the plan have assets held for investment	2021-12-31	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	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	BERRY, DUNN
Accountancy firm EIN	2021-12-31	010523282
2020 : HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total income from all sources (including contributions)	2020-12-31	$1,619,420
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$1,840,073
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$1,795,269
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$453,220
Value of total assets at end of year	2020-12-31	$9,580,571
Value of total assets at beginning of year	2020-12-31	$9,801,224
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$44,804
Total interest from all sources	2020-12-31	$28,920
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$172,749
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$172,749
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$500,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$342,697
Participant contributions at end of year	2020-12-31	$163,543
Participant contributions at beginning of year	2020-12-31	$175,428
Participant contributions at end of year	2020-12-31	$13,003
Assets. Other investments not covered elsewhere at end of year	2020-12-31	$1,525,400
Assets. Other investments not covered elsewhere at beginning of year	2020-12-31	$2,016,073
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$804
Other income not declared elsewhere	2020-12-31	$80,672
Total non interest bearing cash at end of year	2020-12-31	$2
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$-220,653
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$9,580,571
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$9,801,224
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$7,029,645
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$6,385,920
Interest on participant loans	2020-12-31	$8,576
Interest earned on other investments	2020-12-31	$20,344
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$732,266
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$1,057,082
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$883,859
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$109,719
Employer contributions (assets) at end of year	2020-12-31	$116,712
Employer contributions (assets) at beginning of year	2020-12-31	$166,721
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$1,795,269
Contract administrator fees	2020-12-31	$44,804
Did the plan have assets held for investment	2020-12-31	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	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Unqualified
Accountancy firm name	2020-12-31	BERRY, DUNN
Accountancy firm EIN	2020-12-31	010523282
2019 : HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$2,633,929
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$690,557
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$648,710
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$1,023,372
Value of total assets at end of year	2019-12-31	$9,801,224
Value of total assets at beginning of year	2019-12-31	$7,857,852
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$41,847
Total interest from all sources	2019-12-31	$33,002
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$171,653
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$171,653
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$405,050
Participant contributions at end of year	2019-12-31	$175,428
Participant contributions at beginning of year	2019-12-31	$133,360
Assets. Other investments not covered elsewhere at end of year	2019-12-31	$2,016,073
Assets. Other investments not covered elsewhere at beginning of year	2019-12-31	$1,685,232
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$451,601
Other income not declared elsewhere	2019-12-31	$311,944
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$1,943,372
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$9,801,224
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$7,857,852
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$6,385,920
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$5,136,336
Interest on participant loans	2019-12-31	$9,125
Interest earned on other investments	2019-12-31	$23,877
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$1,057,082
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$737,341
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$1,093,958
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$166,721
Employer contributions (assets) at end of year	2019-12-31	$166,721
Employer contributions (assets) at beginning of year	2019-12-31	$165,583
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$648,710
Contract administrator fees	2019-12-31	$41,847
Did the plan have assets held for investment	2019-12-31	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	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	BERRY, DUNN
Accountancy firm EIN	2019-12-31	010523282
2018 : HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$421,186
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$1,189,754
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$1,150,421
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$620,355
Value of total assets at end of year	2018-12-31	$7,857,852
Value of total assets at beginning of year	2018-12-31	$8,626,420
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$39,333
Total interest from all sources	2018-12-31	$26,483
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$204,701
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$204,701
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$500,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$448,386
Participant contributions at end of year	2018-12-31	$133,360
Participant contributions at beginning of year	2018-12-31	$129,851
Assets. Other investments not covered elsewhere at end of year	2018-12-31	$1,685,232
Assets. Other investments not covered elsewhere at beginning of year	2018-12-31	$1,755,578
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$6,386
Other income not declared elsewhere	2018-12-31	$-94,703
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-768,568
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$7,857,852
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$8,626,420
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$5,136,336
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$5,740,367
Interest on participant loans	2018-12-31	$6,391
Interest earned on other investments	2018-12-31	$20,092
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$737,341
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$842,012
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-335,650
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$165,583
Employer contributions (assets) at end of year	2018-12-31	$165,583
Employer contributions (assets) at beginning of year	2018-12-31	$158,612
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$1,150,421
Contract administrator fees	2018-12-31	$39,333
Did the plan have assets held for investment	2018-12-31	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	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	BERRY, DUNN
Accountancy firm EIN	2018-12-31	010523282
2017 : HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$2,553
Total income from all sources (including contributions)	2017-12-31	$1,828,318
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$1,317,871
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$1,269,566
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$616,697
Value of total assets at end of year	2017-12-31	$8,626,420
Value of total assets at beginning of year	2017-12-31	$8,118,526
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$48,305
Total interest from all sources	2017-12-31	$22,988
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$178,682
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$178,682
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$500,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$450,986
Participant contributions at end of year	2017-12-31	$129,851
Participant contributions at beginning of year	2017-12-31	$131,079
Assets. Other investments not covered elsewhere at end of year	2017-12-31	$1,755,578
Assets. Other investments not covered elsewhere at beginning of year	2017-12-31	$2,353,228
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$7,099
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2017-12-31	$2,548
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2017-12-31	$2,553
Other income not declared elsewhere	2017-12-31	$260,382
Total non interest bearing cash at beginning of year	2017-12-31	$2,553
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$510,447
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$8,626,420
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$8,115,973
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$5,740,367
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$4,712,903
Interest on participant loans	2017-12-31	$5,478
Interest earned on other investments	2017-12-31	$17,510
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$842,012
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$743,340
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$749,569
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$158,612
Employer contributions (assets) at end of year	2017-12-31	$158,612
Employer contributions (assets) at beginning of year	2017-12-31	$172,875
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$1,269,566
Contract administrator fees	2017-12-31	$48,305
Did the plan have assets held for investment	2017-12-31	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	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	BERRY DUNN MCNEIL & PARKER
Accountancy firm EIN	2017-12-31	010523282
2016 : HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$2,553
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$2,984
Total income from all sources (including contributions)	2016-12-31	$1,278,276
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$416,011
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$376,035
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$747,226
Value of total assets at end of year	2016-12-31	$8,118,526
Value of total assets at beginning of year	2016-12-31	$7,256,692
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$39,976
Total interest from all sources	2016-12-31	$5,982
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$205,646
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$131,634
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$500,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$428,860
Participant contributions at end of year	2016-12-31	$131,079
Participant contributions at beginning of year	2016-12-31	$154,013
Assets. Other investments not covered elsewhere at end of year	2016-12-31	$2,353,228
Assets. Other investments not covered elsewhere at beginning of year	2016-12-31	$1,983,964
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$145,491
Value of other receiveables (less allowance for doubtful accounts) at end of year	2016-12-31	$2,548
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2016-12-31	$4,239
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2016-12-31	$2,553
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2016-12-31	$2,984
Total non interest bearing cash at end of year	2016-12-31	$2,553
Total non interest bearing cash at beginning of year	2016-12-31	$4,682
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$862,265
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$8,115,973
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$7,253,708
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$4,712,903
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$4,293,494
Interest on participant loans	2016-12-31	$5,982
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$743,340
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$668,210
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$319,422
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$172,875
Employer contributions (assets) at end of year	2016-12-31	$172,875
Employer contributions (assets) at beginning of year	2016-12-31	$148,090
Income. Dividends from common stock	2016-12-31	$74,012
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$376,035
Contract administrator fees	2016-12-31	$39,976
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	BERRY DUNN MCNEIL & PARKER
Accountancy firm EIN	2016-12-31	010523282
2015 : HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$2,984
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$16,494
Total income from all sources (including contributions)	2015-12-31	$492,492
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$470,518
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$430,730
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$514,463
Value of total assets at end of year	2015-12-31	$7,256,692
Value of total assets at beginning of year	2015-12-31	$7,248,228
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$39,788
Total interest from all sources	2015-12-31	$6,740
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$225,121
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$157,313
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$500,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$366,373
Participant contributions at end of year	2015-12-31	$154,013
Participant contributions at beginning of year	2015-12-31	$91,940
Participant contributions at beginning of year	2015-12-31	$13,688
Assets. Other investments not covered elsewhere at end of year	2015-12-31	$1,983,964
Value of other receiveables (less allowance for doubtful accounts) at end of year	2015-12-31	$4,239
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2015-12-31	$4,537
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2015-12-31	$2,984
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2015-12-31	$16,494
Total non interest bearing cash at end of year	2015-12-31	$4,682
Total non interest bearing cash at beginning of year	2015-12-31	$2,412
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$21,974
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$7,253,708
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$7,231,734
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$4,293,494
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$4,324,331
Interest on participant loans	2015-12-31	$6,740
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$668,210
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$677,782
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-253,832
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$148,090
Employer contributions (assets) at end of year	2015-12-31	$148,090
Employer contributions (assets) at beginning of year	2015-12-31	$135,564
Income. Dividends from common stock	2015-12-31	$67,808
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$430,730
Contract administrator fees	2015-12-31	$39,788
Assets. Corporate common stocks other than exployer securities at beginning of year	2015-12-31	$1,997,974
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	BERRY DUNN MCNEIL & PARKER
Accountancy firm EIN	2015-12-31	010523282
2014 : HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$16,494
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$1,482
Total income from all sources (including contributions)	2014-12-31	$992,807
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$623,861
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$544,919
Expenses. Certain deemed distributions of participant loans	2014-12-31	$40,291
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$497,627
Value of total assets at end of year	2014-12-31	$7,248,228
Value of total assets at beginning of year	2014-12-31	$6,864,270
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$38,651
Total interest from all sources	2014-12-31	$4,339
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$262,746
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$262,746
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$360,793
Participant contributions at end of year	2014-12-31	$91,940
Participant contributions at beginning of year	2014-12-31	$126,219
Participant contributions at end of year	2014-12-31	$13,688
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$1,270
Value of other receiveables (less allowance for doubtful accounts) at end of year	2014-12-31	$4,537
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2014-12-31	$12,623
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2014-12-31	$16,494
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2014-12-31	$1,482
Other income not declared elsewhere	2014-12-31	$17,423
Total non interest bearing cash at end of year	2014-12-31	$2,412
Total non interest bearing cash at beginning of year	2014-12-31	$3,124
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$368,946
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$7,231,734
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$6,862,788
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$4,324,331
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$3,931,896
Interest on participant loans	2014-12-31	$4,339
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$677,782
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$869,712
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$210,672
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$135,564
Employer contributions (assets) at end of year	2014-12-31	$135,564
Employer contributions (assets) at beginning of year	2014-12-31	$151,294
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$544,919
Contract administrator fees	2014-12-31	$38,651
Assets. Corporate common stocks other than exployer securities at end of year	2014-12-31	$1,997,974
Assets. Corporate common stocks other than exployer securities at beginning of year	2014-12-31	$1,769,402
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	BERRY DUNN MCNEIL & PARKER
Accountancy firm EIN	2014-12-31	010523282
2013 : HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$1,482
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$2,410
Total income from all sources (including contributions)	2013-12-31	$1,518,143
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$470,734
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$434,358
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$534,567
Value of total assets at end of year	2013-12-31	$6,864,270
Value of total assets at beginning of year	2013-12-31	$5,817,789
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$36,376
Total interest from all sources	2013-12-31	$6,249
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$146,610
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$146,610
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$373,697
Participant contributions at end of year	2013-12-31	$126,219
Participant contributions at beginning of year	2013-12-31	$138,255
Participant contributions at beginning of year	2013-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$9,576
Value of other receiveables (less allowance for doubtful accounts) at end of year	2013-12-31	$12,623
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2013-12-31	$18,125
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2013-12-31	$1,482
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2013-12-31	$2,410
Other income not declared elsewhere	2013-12-31	$0
Total non interest bearing cash at end of year	2013-12-31	$3,124
Total non interest bearing cash at beginning of year	2013-12-31	$3,655
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	$1,047,409
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$6,862,788
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$5,815,379
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	$3,931,896
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$3,319,954
Interest on participant loans	2013-12-31	$6,249
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$2
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$2
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$869,712
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$768,355
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$830,717
Net investment gain/loss from pooled separate accounts	2013-12-31	$0
Net investment gain or loss from common/collective trusts	2013-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$151,294
Employer contributions (assets) at end of year	2013-12-31	$151,294
Employer contributions (assets) at beginning of year	2013-12-31	$120,570
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$434,358
Contract administrator fees	2013-12-31	$36,376
Assets. Corporate common stocks other than exployer securities at end of year	2013-12-31	$1,769,402
Assets. Corporate common stocks other than exployer securities at beginning of year	2013-12-31	$1,448,873
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	BERRY DUNN MCNEIL & PARKER
Accountancy firm EIN	2013-12-31	010523282
2012 : HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING 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	$2,410
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	$959,527
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$322,252
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$294,403
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$429,332
Value of total assets at end of year	2012-12-31	$5,817,789
Value of total assets at beginning of year	2012-12-31	$5,178,104
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$27,849
Total interest from all sources	2012-12-31	$5,284
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$124,973
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	$92,375
Administrative expenses professional fees incurred	2012-12-31	$1,545
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$308,762
Participant contributions at end of year	2012-12-31	$138,255
Participant contributions at beginning of year	2012-12-31	$93,913
Participant contributions at end of year	2012-12-31	$0
Participant contributions at beginning of year	2012-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-12-31	$18,125
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-12-31	$12,119
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2012-12-31	$2,410
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2012-12-31	$0
Total non interest bearing cash at end of year	2012-12-31	$3,655
Total non interest bearing cash at beginning of year	2012-12-31	$1,245
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	$637,275
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$5,815,379
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$5,178,104
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	$24,979
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$3,319,954
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$3,021,022
Interest on participant loans	2012-12-31	$5,242
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$2
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$619,220
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$619,220
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$42
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$768,355
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$399,938
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	$120,570
Employer contributions (assets) at end of year	2012-12-31	$120,570
Employer contributions (assets) at beginning of year	2012-12-31	$124,923
Income. Dividends from common stock	2012-12-31	$32,598
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$294,403
Contract administrator fees	2012-12-31	$1,325
Assets. Corporate common stocks other than exployer securities at end of year	2012-12-31	$1,448,873
Assets. Corporate common stocks other than exployer securities at beginning of year	2012-12-31	$1,305,662
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	BERRY DUNN MCNEIL & PARKER
Accountancy firm EIN	2012-12-31	010523282
2011 : HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$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	$460,861
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$466,497
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$411,116
Expenses. Certain deemed distributions of participant loans	2011-12-31	$27,468
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$434,678
Value of total assets at end of year	2011-12-31	$5,178,104
Value of total assets at beginning of year	2011-12-31	$5,183,740
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$27,913
Total interest from all sources	2011-12-31	$4,738
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$121,169
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	$82,320
Administrative expenses professional fees incurred	2011-12-31	$845
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$500,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$291,264
Participant contributions at end of year	2011-12-31	$93,913
Participant contributions at beginning of year	2011-12-31	$120,358
Participant contributions at end of year	2011-12-31	$0
Participant contributions at beginning of year	2011-12-31	$10,157
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$18,491
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-12-31	$12,119
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-12-31	$10,979
Assets. Loans (other than to participants) at end of year	2011-12-31	$0
Assets. Loans (other than to participants) at beginning of year	2011-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2011-12-31	$0
Total non interest bearing cash at end of year	2011-12-31	$1,245
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	$-5,636
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$5,178,104
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$5,183,740
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	$26,108
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$3,021,022
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$3,125,722
Interest on participant loans	2011-12-31	$4,738
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$619,220
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$539,320
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$539,320
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-99,724
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	$124,923
Employer contributions (assets) at end of year	2011-12-31	$124,923
Employer contributions (assets) at beginning of year	2011-12-31	$107,174
Income. Dividends from common stock	2011-12-31	$38,849
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$411,116
Contract administrator fees	2011-12-31	$960
Assets. Corporate common stocks other than exployer securities at end of year	2011-12-31	$1,305,662
Assets. Corporate common stocks other than exployer securities at beginning of year	2011-12-31	$1,270,030
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	BERRY DUNN MCNEIL & PARKER
Accountancy firm EIN	2011-12-31	010523282
2010 : HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	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
Total income from all sources (including contributions)	2010-12-31	$792,144
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$179,256
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$149,310
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$366,473
Value of total assets at end of year	2010-12-31	$5,183,740
Value of total assets at beginning of year	2010-12-31	$4,570,852
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$29,946
Total interest from all sources	2010-12-31	$3,794
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$97,223
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	$80,160
Administrative expenses professional fees incurred	2010-12-31	$1,753
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$500,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$255,917
Participant contributions at end of year	2010-12-31	$120,358
Participant contributions at end of year	2010-12-31	$10,157
Participant contributions at beginning of year	2010-12-31	$9,610
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$3,382
Value of other receiveables (less allowance for doubtful accounts) at end of year	2010-12-31	$10,979
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2010-12-31	$11,265
Assets. Loans (other than to participants) at end of year	2010-12-31	$0
Assets. Loans (other than to participants) at beginning of year	2010-12-31	$49,742
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	$612,888
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$5,183,740
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$4,570,852
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	$26,572
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$3,125,722
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$3,677,681
Interest on participant loans	2010-12-31	$3,753
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$539,320
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$41
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$324,654
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	$107,174
Employer contributions (assets) at end of year	2010-12-31	$107,174
Employer contributions (assets) at beginning of year	2010-12-31	$112,920
Income. Dividends from common stock	2010-12-31	$17,063
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$149,310
Contract administrator fees	2010-12-31	$1,621
Assets. Corporate common stocks other than exployer securities at end of year	2010-12-31	$1,270,030
Assets. Corporate common stocks other than exployer securities at beginning of year	2010-12-31	$709,634
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	BERRY DUNN MCNEIL & PARKER
Accountancy firm EIN	2010-12-31	010523282
2009 : HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT 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 HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING PLAN

2021: HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING 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: HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING 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: HAMPSTEAD HOSPITAL, INC. 401(K) PROFIT SHARING 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

Insurance Providers Used on plan

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

804210

Policy instance

Insurance contract or identification number	804210
Number of Individuals Covered	205
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

804210

Policy instance

Insurance contract or identification number	804210
Number of Individuals Covered	209
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

804210

Policy instance

Insurance contract or identification number	804210
Number of Individuals Covered	212
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

804210

Policy instance

Insurance contract or identification number	804210
Number of Individuals Covered	219
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

804210

Policy instance

Insurance contract or identification number	804210
Number of Individuals Covered	170
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

804210

Policy instance

Insurance contract or identification number	804210
Number of Individuals Covered	246
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

804210

Policy instance

Insurance contract or identification number	804210
Number of Individuals Covered	231
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

804210

Policy instance

Insurance contract or identification number	804210
Number of Individuals Covered	262
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

804210

Policy instance

Insurance contract or identification number	804210
Number of Individuals Covered	237
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	HAMPSTEAD OUTLOOK, INC.
Employer identification number (EIN):	042527611
NAIC Classification:	622000
NAIC Description:	Hospitals