401k Plan data: WATERBURY HOSPITAL TAX SHELTERED ANNUITY PLAN plan

WATERBURY HOSPITAL TAX SHELTERED ANNUITY PLAN 401k Plan overview

Plan Name	WATERBURY HOSPITAL TAX SHELTERED ANNUITY PLAN
Plan identification number	003

WATERBURY HOSPITAL TAX SHELTERED ANNUITY PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
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

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

Company Name: WATERBURY HOSPITAL

Employer identification number (EIN): 060665979

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WATERBURY HOSPITAL TAX SHELTERED ANNUITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2017-01-01 DAVID PIZZUTO
003 2017-01-01
003 2017-01-01
003 2016-01-01 DAVID PIZZUTO
003 2015-01-01 JYOTI MENON
003 2014-01-01 CHRISTINE THOMAS-MELLY RICHARD P. KROPP, JR. 2015-10-12
003 2013-01-01 CHRISTINE THOMAS-MELLY EDWARD ROMERO 2014-10-15
003 2012-01-01 CHRISTINE THOMAS-MELLY EDWARD ROMERO 2013-10-15
003 2011-01-01 CHRISTINE THOMAS-MELLY G.E. HOFFMAN JR 2012-10-11
003 2010-01-01 CHRISTINE THOMAS-MELLY CHARLES THORNE 2011-10-24
003 2009-01-01 CHRISTINE THOMAS-MELLY

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
003	2017-01-01	DAVID PIZZUTO
003	2017-01-01
003	2017-01-01
003	2016-01-01	DAVID PIZZUTO
003	2015-01-01	JYOTI MENON
003	2014-01-01	CHRISTINE THOMAS-MELLY	RICHARD P. KROPP, JR.	2015-10-12
003	2013-01-01	CHRISTINE THOMAS-MELLY	EDWARD ROMERO	2014-10-15
003	2012-01-01	CHRISTINE THOMAS-MELLY	EDWARD ROMERO	2013-10-15
003	2011-01-01	CHRISTINE THOMAS-MELLY	G.E. HOFFMAN JR	2012-10-11
003	2010-01-01	CHRISTINE THOMAS-MELLY	CHARLES THORNE	2011-10-24
003	2009-01-01	CHRISTINE THOMAS-MELLY

Plan Statistics for WATERBURY HOSPITAL TAX SHELTERED ANNUITY PLAN

401k plan membership statisitcs for WATERBURY HOSPITAL TAX SHELTERED ANNUITY PLAN

Measure Date Value
2017: WATERBURY HOSPITAL TAX SHELTERED ANNUITY PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 2,083
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 0
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 0
Number of participants with account balances 2017-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: WATERBURY HOSPITAL TAX SHELTERED ANNUITY PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 1,018
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 1,706
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 377
Total of all active and inactive participants 2016-01-01 2,083
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 2,083
Number of participants with account balances 2016-01-01 377
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: WATERBURY HOSPITAL TAX SHELTERED ANNUITY PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 978
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 764
Number of retired or separated participants receiving benefits 2015-01-01 5
Number of other retired or separated participants entitled to future benefits 2015-01-01 249
Total of all active and inactive participants 2015-01-01 1,018
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 1,018
Number of participants with account balances 2015-01-01 1,018
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: WATERBURY HOSPITAL TAX SHELTERED ANNUITY PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 984
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 730
Number of retired or separated participants receiving benefits 2014-01-01 6
Number of other retired or separated participants entitled to future benefits 2014-01-01 242
Total of all active and inactive participants 2014-01-01 978
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 978
Number of participants with account balances 2014-01-01 978
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: WATERBURY HOSPITAL TAX SHELTERED ANNUITY PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1,013
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 732
Number of retired or separated participants receiving benefits 2013-01-01 7
Number of other retired or separated participants entitled to future benefits 2013-01-01 245
Total of all active and inactive participants 2013-01-01 984
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 984
Number of participants with account balances 2013-01-01 984
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: WATERBURY HOSPITAL TAX SHELTERED ANNUITY PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1,057
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 767
Number of retired or separated participants receiving benefits 2012-01-01 5
Number of other retired or separated participants entitled to future benefits 2012-01-01 241
Total of all active and inactive participants 2012-01-01 1,013
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 1,013
Number of participants with account balances 2012-01-01 1,013
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: WATERBURY HOSPITAL TAX SHELTERED ANNUITY PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1,053
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 863
Number of retired or separated participants receiving benefits 2011-01-01 1
Number of other retired or separated participants entitled to future benefits 2011-01-01 193
Total of all active and inactive participants 2011-01-01 1,057
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 1,057
Number of participants with account balances 2011-01-01 1,057
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: WATERBURY HOSPITAL TAX SHELTERED ANNUITY PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 2,259
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 917
Number of retired or separated participants receiving benefits 2010-01-01 1
Number of other retired or separated participants entitled to future benefits 2010-01-01 135
Total of all active and inactive participants 2010-01-01 1,053
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 1,053
Number of participants with account balances 2010-01-01 1,053
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: WATERBURY HOSPITAL TAX SHELTERED ANNUITY PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 2,319
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 2,217
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 42
Total of all active and inactive participants 2009-01-01 2,259
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 2,259
Number of participants with account balances 2009-01-01 1,011
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2017: WATERBURY HOSPITAL TAX SHELTERED ANNUITY PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	2,083
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	0
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	0
Number of participants with account balances	2017-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: WATERBURY HOSPITAL TAX SHELTERED ANNUITY PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	1,018
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	1,706
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	377
Total of all active and inactive participants	2016-01-01	2,083
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	2,083
Number of participants with account balances	2016-01-01	377
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: WATERBURY HOSPITAL TAX SHELTERED ANNUITY PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	978
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	764
Number of retired or separated participants receiving benefits	2015-01-01	5
Number of other retired or separated participants entitled to future benefits	2015-01-01	249
Total of all active and inactive participants	2015-01-01	1,018
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	1,018
Number of participants with account balances	2015-01-01	1,018
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: WATERBURY HOSPITAL TAX SHELTERED ANNUITY PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	984
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	730
Number of retired or separated participants receiving benefits	2014-01-01	6
Number of other retired or separated participants entitled to future benefits	2014-01-01	242
Total of all active and inactive participants	2014-01-01	978
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	978
Number of participants with account balances	2014-01-01	978
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: WATERBURY HOSPITAL TAX SHELTERED ANNUITY PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1,013
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	732
Number of retired or separated participants receiving benefits	2013-01-01	7
Number of other retired or separated participants entitled to future benefits	2013-01-01	245
Total of all active and inactive participants	2013-01-01	984
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	984
Number of participants with account balances	2013-01-01	984
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: WATERBURY HOSPITAL TAX SHELTERED ANNUITY PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1,057
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	767
Number of retired or separated participants receiving benefits	2012-01-01	5
Number of other retired or separated participants entitled to future benefits	2012-01-01	241
Total of all active and inactive participants	2012-01-01	1,013
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	1,013
Number of participants with account balances	2012-01-01	1,013
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: WATERBURY HOSPITAL TAX SHELTERED ANNUITY PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1,053
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	863
Number of retired or separated participants receiving benefits	2011-01-01	1
Number of other retired or separated participants entitled to future benefits	2011-01-01	193
Total of all active and inactive participants	2011-01-01	1,057
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	1,057
Number of participants with account balances	2011-01-01	1,057
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: WATERBURY HOSPITAL TAX SHELTERED ANNUITY PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	2,259
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	917
Number of retired or separated participants receiving benefits	2010-01-01	1
Number of other retired or separated participants entitled to future benefits	2010-01-01	135
Total of all active and inactive participants	2010-01-01	1,053
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	1,053
Number of participants with account balances	2010-01-01	1,053
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: WATERBURY HOSPITAL TAX SHELTERED ANNUITY PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	2,319
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	2,217
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	42
Total of all active and inactive participants	2009-01-01	2,259
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	2,259
Number of participants with account balances	2009-01-01	1,011
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on WATERBURY HOSPITAL TAX SHELTERED ANNUITY PLAN

Measure	Date	Value
2017 : WATERBURY HOSPITAL TAX SHELTERED ANNUITY PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-03-07	$0
Total transfer of assets from this plan	2017-03-07	$574,644
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-03-07	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-03-07	$0
Total income from all sources (including contributions)	2017-03-07	$318,664
Total loss/gain on sale of assets	2017-03-07	$0
Total of all expenses incurred	2017-03-07	$8,204,015
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-03-07	$8,215,605
Expenses. Certain deemed distributions of participant loans	2017-03-07	$-12,151
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-03-07	$0
Value of total assets at end of year	2017-03-07	$0
Value of total assets at beginning of year	2017-03-07	$8,459,995
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-03-07	$561
Total interest from all sources	2017-03-07	$4,127
Total dividends received (eg from common stock, registered investment company shares)	2017-03-07	$1,945
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-03-07	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2017-03-07	$0
Total dividends received from registered investment company shares (eg mutual funds)	2017-03-07	$1,945
Was this plan covered by a fidelity bond	2017-03-07	Yes
Value of fidelity bond cover	2017-03-07	$5,000,000
If this is an individual account plan, was there a blackout period	2017-03-07	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-03-07	$0
Were there any nonexempt tranactions with any party-in-interest	2017-03-07	No
Participant contributions at end of year	2017-03-07	$0
Participant contributions at beginning of year	2017-03-07	$135,558
Other income not declared elsewhere	2017-03-07	$-12,149
Administrative expenses (other) incurred	2017-03-07	$561
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-03-07	No
Value of net income/loss	2017-03-07	$-7,885,351
Value of net assets at end of year (total assets less liabilities)	2017-03-07	$0
Value of net assets at beginning of year (total assets less liabilities)	2017-03-07	$8,459,995
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-03-07	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-03-07	No
Were any leases to which the plan was party in default or uncollectible	2017-03-07	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-03-07	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-03-07	$6,567,187
Interest on participant loans	2017-03-07	$445
Interest earned on other investments	2017-03-07	$3,682
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-03-07	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-03-07	$1,757,250
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-03-07	$324,741
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-03-07	No
Was there a failure to transmit to the plan any participant contributions	2017-03-07	No
Has the plan failed to provide any benefit when due under the plan	2017-03-07	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-03-07	$8,215,605
Did the plan have assets held for investment	2017-03-07	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-03-07	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-03-07	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-03-07	No
Opinion of an independent qualified public accountant for this plan	2017-03-07	Unqualified
Accountancy firm name	2017-03-07	MARCUM LLP
Accountancy firm EIN	2017-03-07	111986323
2016 : WATERBURY HOSPITAL TAX SHELTERED ANNUITY PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total transfer of assets from this plan	2016-12-31	$5,002,346
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$8,675,778
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$72,928,932
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$72,846,366
Expenses. Certain deemed distributions of participant loans	2016-12-31	$8,985
Value of total corrective distributions	2016-12-31	$17,099
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$4,426,654
Value of total assets at end of year	2016-12-31	$8,459,995
Value of total assets at beginning of year	2016-12-31	$77,715,495
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$56,482
Total interest from all sources	2016-12-31	$366,606
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$612,612
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2016-12-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$612,612
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$5,000,000
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	$3,829,385
Participant contributions at end of year	2016-12-31	$135,558
Participant contributions at beginning of year	2016-12-31	$871,789
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$597,269
Other income not declared elsewhere	2016-12-31	$38,537
Administrative expenses (other) incurred	2016-12-31	$56,482
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	$-64,253,154
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$8,459,995
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$77,715,495
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	$6,567,187
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$56,258,191
Interest on participant loans	2016-12-31	$30,290
Interest earned on other investments	2016-12-31	$336,316
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$1,757,250
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$20,585,515
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$3,231,369
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$72,846,366
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	MARCUM LLP
Accountancy firm EIN	2016-12-31	111986323
2015 : WATERBURY HOSPITAL TAX SHELTERED ANNUITY 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	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$5,904,668
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$6,240,325
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$6,210,751
Expenses. Certain deemed distributions of participant loans	2015-12-31	$-177
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$5,803,116
Value of total assets at end of year	2015-12-31	$77,715,495
Value of total assets at beginning of year	2015-12-31	$78,051,152
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$29,751
Total interest from all sources	2015-12-31	$396,813
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$947,305
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	$947,305
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$4,894,550
Participant contributions at end of year	2015-12-31	$871,789
Participant contributions at beginning of year	2015-12-31	$760,220
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$713,954
Other income not declared elsewhere	2015-12-31	$25,348
Administrative expenses (other) incurred	2015-12-31	$29,751
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	$-335,657
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$77,715,495
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$78,051,152
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	$56,258,191
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$57,717,755
Interest on participant loans	2015-12-31	$31,583
Interest earned on other investments	2015-12-31	$365,230
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$20,585,515
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$19,573,177
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-1,267,914
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	$194,612
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$6,210,751
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	No
Opinion of an independent qualified public accountant for this plan	2015-12-31	Unqualified
Accountancy firm name	2015-12-31	MARCUM LLP
Accountancy firm EIN	2015-12-31	111986323
2014 : WATERBURY HOSPITAL TAX SHELTERED ANNUITY PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$9,105,883
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$5,078,099
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$5,073,516
Expenses. Certain deemed distributions of participant loans	2014-12-31	$-9,853
Value of total corrective distributions	2014-12-31	$6,075
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$5,560,569
Value of total assets at end of year	2014-12-31	$78,051,152
Value of total assets at beginning of year	2014-12-31	$74,023,368
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$8,361
Total interest from all sources	2014-12-31	$415,701
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$786,616
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	$786,616
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$4,820,559
Participant contributions at end of year	2014-12-31	$760,220
Participant contributions at beginning of year	2014-12-31	$759,751
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$740,010
Administrative expenses (other) incurred	2014-12-31	$8,361
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$4,027,784
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$78,051,152
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$74,023,368
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	$57,717,755
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$53,294,917
Interest on participant loans	2014-12-31	$33,056
Interest earned on other investments	2014-12-31	$382,645
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$19,573,177
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$19,968,700
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$2,342,997
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$5,073,516
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	MARCUM LLP
Accountancy firm EIN	2014-12-31	111986323
2013 : WATERBURY HOSPITAL TAX SHELTERED ANNUITY 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	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$16,116,970
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$5,898,167
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$5,883,886
Expenses. Certain deemed distributions of participant loans	2013-12-31	$1,654
Value of total corrective distributions	2013-12-31	$9,607
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$5,409,455
Value of total assets at end of year	2013-12-31	$74,023,368
Value of total assets at beginning of year	2013-12-31	$63,804,565
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$3,020
Total interest from all sources	2013-12-31	$453,529
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$594,202
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	$594,202
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$4,857,657
Participant contributions at end of year	2013-12-31	$759,751
Participant contributions at beginning of year	2013-12-31	$843,876
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$551,798
Administrative expenses (other) incurred	2013-12-31	$3,020
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	$10,218,803
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$74,023,368
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$63,804,565
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	$53,294,917
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$42,691,406
Interest on participant loans	2013-12-31	$32,165
Interest earned on other investments	2013-12-31	$421,364
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$19,968,700
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$20,269,283
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$9,659,784
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$5,883,886
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	MARCUM, LLP
Accountancy firm EIN	2013-12-31	111986323
2012 : WATERBURY HOSPITAL TAX SHELTERED ANNUITY PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$11,704,785
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$6,838,380
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$6,821,079
Expenses. Certain deemed distributions of participant loans	2012-12-31	$5,500
Value of total corrective distributions	2012-12-31	$3,994
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$5,903,378
Value of total assets at end of year	2012-12-31	$63,804,565
Value of total assets at beginning of year	2012-12-31	$58,938,160
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$7,807
Total interest from all sources	2012-12-31	$539,163
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$636,502
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	$636,502
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$4,999,776
Participant contributions at end of year	2012-12-31	$843,876
Participant contributions at beginning of year	2012-12-31	$923,627
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$903,602
Administrative expenses (other) incurred	2012-12-31	$7,807
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	$4,866,405
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$63,804,565
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$58,938,160
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$42,691,406
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$37,276,664
Interest on participant loans	2012-12-31	$37,126
Interest earned on other investments	2012-12-31	$502,037
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$20,269,283
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$20,737,869
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$4,625,742
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$6,821,079
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	MARCUM, LLP
Accountancy firm EIN	2012-12-31	111986323
2011 : WATERBURY HOSPITAL TAX SHELTERED ANNUITY 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	$5,599,430
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$6,245,839
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$6,221,774
Expenses. Certain deemed distributions of participant loans	2011-12-31	$15,290
Value of total corrective distributions	2011-12-31	$6,037
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$6,346,019
Value of total assets at end of year	2011-12-31	$58,938,160
Value of total assets at beginning of year	2011-12-31	$59,584,569
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$2,738
Total interest from all sources	2011-12-31	$597,342
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$516,756
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	$516,756
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$5,679,580
Participant contributions at end of year	2011-12-31	$923,627
Participant contributions at beginning of year	2011-12-31	$904,587
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$666,439
Other income not declared elsewhere	2011-12-31	$5,927
Administrative expenses (other) incurred	2011-12-31	$2,738
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	$-646,409
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$58,938,160
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$59,584,569
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$37,276,664
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$38,312,289
Interest on participant loans	2011-12-31	$36,457
Interest earned on other investments	2011-12-31	$560,885
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$20,737,869
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$20,367,693
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-1,866,614
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$6,221,774
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	MARCUM, LLP
Accountancy firm EIN	2011-12-31	111986323
2010 : WATERBURY HOSPITAL TAX SHELTERED ANNUITY 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	$13,124,520
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$4,944,684
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$4,902,570
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$7,445,301
Value of total assets at end of year	2010-12-31	$59,584,569
Value of total assets at beginning of year	2010-12-31	$51,404,733
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$42,114
Total interest from all sources	2010-12-31	$642,221
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$486,030
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	$486,030
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2010-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$5,372,998
Participant contributions at end of year	2010-12-31	$904,587
Participant contributions at beginning of year	2010-12-31	$634,645
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$2,072,303
Other income not declared elsewhere	2010-12-31	$609
Administrative expenses (other) incurred	2010-12-31	$42,114
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	$8,179,836
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$59,584,569
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$51,404,733
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$38,312,289
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$31,307,656
Interest on participant loans	2010-12-31	$32,326
Interest earned on other investments	2010-12-31	$609,895
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$20,367,693
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$19,462,432
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$4,550,359
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$4,902,570
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2010-12-31	Yes
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	MARCUM LLP
Accountancy firm EIN	2010-12-31	111986323

Form 5500 Responses for WATERBURY HOSPITAL TAX SHELTERED ANNUITY PLAN

2017: WATERBURY HOSPITAL TAX SHELTERED ANNUITY PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	Yes
2017-01-01	This submission is the final filing	Yes
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: WATERBURY HOSPITAL TAX SHELTERED ANNUITY 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: WATERBURY HOSPITAL TAX SHELTERED ANNUITY 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: WATERBURY HOSPITAL TAX SHELTERED ANNUITY 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: WATERBURY HOSPITAL TAX SHELTERED ANNUITY 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: WATERBURY HOSPITAL TAX SHELTERED ANNUITY 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: WATERBURY HOSPITAL TAX SHELTERED ANNUITY PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: WATERBURY HOSPITAL TAX SHELTERED ANNUITY PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	Yes
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: WATERBURY HOSPITAL TAX SHELTERED ANNUITY PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	This submission is the final filing	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

041494

Policy instance

Insurance contract or identification number	041494
Number of Individuals Covered	0
Insurance policy start date	2017-01-01
Insurance policy end date	2017-03-07
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	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

041494

Policy instance

Insurance contract or identification number	041494
Number of Individuals Covered	1018
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	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

041494

Policy instance

Insurance contract or identification number	041494
Number of Individuals Covered	978
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	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

041494

Policy instance

Insurance contract or identification number	041494
Number of Individuals Covered	984
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	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

041494

Policy instance

Insurance contract or identification number	041494
Number of Individuals Covered	1013
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?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

041494

Policy instance

Insurance contract or identification number	041494
Number of Individuals Covered	1057
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
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?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

67206

Policy instance

Insurance contract or identification number	67206
Number of Individuals Covered	0
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
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

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

041494

Policy instance

Insurance contract or identification number	041494
Number of Individuals Covered	1053
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
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?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

Potentially related plans

WATERBURY HOSPITAL CASH BALANCE RETIREMENT PLAN [EIN = 812181470]

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Company Name:	WATERBURY HOSPITAL
Employer identification number (EIN):	060665979
NAIC Classification:	622000
NAIC Description:	Hospitals