401k Plan data: CLIFTON SPRINGS HOSPITAL AND CLINIC RETIREMENT SAVINGS PLAN plan

CLIFTON SPRINGS HOSPITAL AND CLINIC RETIREMENT SAVINGS PLAN 401k Plan overview

Plan Name	CLIFTON SPRINGS HOSPITAL AND CLINIC RETIREMENT SAVINGS PLAN
Plan identification number	001

CLIFTON SPRINGS HOSPITAL AND CLINIC RETIREMENT SAVINGS 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.
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

CLIFTON SPRINGS HOSPITAL AND CLINIC has sponsored the creation of one or more 401k plans.

Company Name: CLIFTON SPRINGS HOSPITAL AND CLINIC

Employer identification number (EIN): 160743966

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CLIFTON SPRINGS HOSPITAL AND CLINIC RETIREMENT SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2017-01-01 THOMAS CRILLY
001 2016-01-01 THOMAS CRILLY
001 2015-01-01 THOMAS CRILLY
001 2014-01-01 SARA BRUZEE
001 2013-01-01 SARA BRUZEE
001 2012-01-01 SARA BRUZEE
001 2011-01-01 KATHRYN BABB
001 2009-01-01 KATHRYN BABB

Plan id#	Filing Submission Date	Name of Administrator
001	2017-01-01	THOMAS CRILLY
001	2016-01-01	THOMAS CRILLY
001	2015-01-01	THOMAS CRILLY
001	2014-01-01	SARA BRUZEE
001	2013-01-01	SARA BRUZEE
001	2012-01-01	SARA BRUZEE
001	2011-01-01	KATHRYN BABB
001	2009-01-01	KATHRYN BABB

Plan Statistics for CLIFTON SPRINGS HOSPITAL AND CLINIC RETIREMENT SAVINGS PLAN

401k plan membership statisitcs for CLIFTON SPRINGS HOSPITAL AND CLINIC RETIREMENT SAVINGS PLAN

Measure Date Value
2017: CLIFTON SPRINGS HOSPITAL AND CLINIC RETIREMENT SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 607
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 9
2016: CLIFTON SPRINGS HOSPITAL AND CLINIC RETIREMENT SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 591
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 484
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 122
Total of all active and inactive participants 2016-01-01 606
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 1
Total participants 2016-01-01 607
Number of participants with account balances 2016-01-01 324
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 9
2015: CLIFTON SPRINGS HOSPITAL AND CLINIC RETIREMENT SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 664
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 481
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 110
Total of all active and inactive participants 2015-01-01 591
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 591
Number of participants with account balances 2015-01-01 333
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 6
2014: CLIFTON SPRINGS HOSPITAL AND CLINIC RETIREMENT SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 749
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 598
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 64
Total of all active and inactive participants 2014-01-01 662
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 662
Number of participants with account balances 2014-01-01 329
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 6
2013: CLIFTON SPRINGS HOSPITAL AND CLINIC RETIREMENT SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 720
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 692
Number of other retired or separated participants entitled to future benefits 2013-01-01 57
Total of all active and inactive participants 2013-01-01 749
Total participants 2013-01-01 749
Number of participants with account balances 2013-01-01 352
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 11
2012: CLIFTON SPRINGS HOSPITAL AND CLINIC RETIREMENT SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 753
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 644
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 58
Total of all active and inactive participants 2012-01-01 702
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 702
Number of participants with account balances 2012-01-01 384
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 10
2011: CLIFTON SPRINGS HOSPITAL AND CLINIC RETIREMENT SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 673
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 698
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 55
Total of all active and inactive participants 2011-01-01 753
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 753
Number of participants with account balances 2011-01-01 400
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 10
2009: CLIFTON SPRINGS HOSPITAL AND CLINIC RETIREMENT SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 640
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 649
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 2009-01-01 691
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 691
Number of participants with account balances 2009-01-01 394
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 9

Measure	Date	Value
2017: CLIFTON SPRINGS HOSPITAL AND CLINIC RETIREMENT SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	607
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	9
2016: CLIFTON SPRINGS HOSPITAL AND CLINIC RETIREMENT SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	591
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	484
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	122
Total of all active and inactive participants	2016-01-01	606
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	1
Total participants	2016-01-01	607
Number of participants with account balances	2016-01-01	324
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	9
2015: CLIFTON SPRINGS HOSPITAL AND CLINIC RETIREMENT SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	664
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	481
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	110
Total of all active and inactive participants	2015-01-01	591
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	591
Number of participants with account balances	2015-01-01	333
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	6
2014: CLIFTON SPRINGS HOSPITAL AND CLINIC RETIREMENT SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	749
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	598
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	64
Total of all active and inactive participants	2014-01-01	662
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	662
Number of participants with account balances	2014-01-01	329
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	6
2013: CLIFTON SPRINGS HOSPITAL AND CLINIC RETIREMENT SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	720
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	692
Number of other retired or separated participants entitled to future benefits	2013-01-01	57
Total of all active and inactive participants	2013-01-01	749
Total participants	2013-01-01	749
Number of participants with account balances	2013-01-01	352
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	11
2012: CLIFTON SPRINGS HOSPITAL AND CLINIC RETIREMENT SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	753
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	644
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	58
Total of all active and inactive participants	2012-01-01	702
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	702
Number of participants with account balances	2012-01-01	384
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	10
2011: CLIFTON SPRINGS HOSPITAL AND CLINIC RETIREMENT SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	673
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	698
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	55
Total of all active and inactive participants	2011-01-01	753
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	753
Number of participants with account balances	2011-01-01	400
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	10
2009: CLIFTON SPRINGS HOSPITAL AND CLINIC RETIREMENT SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	640
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	649
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	691
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	691
Number of participants with account balances	2009-01-01	394
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	9

Financial Data on CLIFTON SPRINGS HOSPITAL AND CLINIC RETIREMENT SAVINGS PLAN

Measure	Date	Value
2017 : CLIFTON SPRINGS HOSPITAL AND CLINIC RETIREMENT SAVINGS PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-07-03	$0
Total transfer of assets from this plan	2017-07-03	$16,202,015
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-07-03	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-07-03	$0
Total income from all sources (including contributions)	2017-07-03	$1,988,051
Total loss/gain on sale of assets	2017-07-03	$0
Total of all expenses incurred	2017-07-03	$1,879,382
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-07-03	$1,855,306
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-07-03	$610,290
Value of total assets at end of year	2017-07-03	$0
Value of total assets at beginning of year	2017-07-03	$16,093,346
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-07-03	$24,076
Total interest from all sources	2017-07-03	$0
Total dividends received (eg from common stock, registered investment company shares)	2017-07-03	$57,553
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-07-03	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2017-07-03	$0
Total dividends received from registered investment company shares (eg mutual funds)	2017-07-03	$57,553
Was this plan covered by a fidelity bond	2017-07-03	Yes
Value of fidelity bond cover	2017-07-03	$2,000,000
If this is an individual account plan, was there a blackout period	2017-07-03	No
Were there any nonexempt tranactions with any party-in-interest	2017-07-03	No
Contributions received from participants	2017-07-03	$478,979
Participant contributions at end of year	2017-07-03	$0
Participant contributions at beginning of year	2017-07-03	$33,602
Income. Received or receivable in cash from other sources (including rollovers)	2017-07-03	$43,313
Value of other receiveables (less allowance for doubtful accounts) at end of year	2017-07-03	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2017-07-03	$1,366
Administrative expenses (other) incurred	2017-07-03	$24,076
Total non interest bearing cash at end of year	2017-07-03	$0
Total non interest bearing cash at beginning of year	2017-07-03	$2,300
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-07-03	No
Value of net income/loss	2017-07-03	$108,669
Value of net assets at end of year (total assets less liabilities)	2017-07-03	$0
Value of net assets at beginning of year (total assets less liabilities)	2017-07-03	$16,093,346
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-07-03	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-07-03	No
Were any leases to which the plan was party in default or uncollectible	2017-07-03	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-07-03	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-07-03	$14,298,485
Value of interest in common/collective trusts at end of year	2017-07-03	$0
Value of interest in common/collective trusts at beginning of year	2017-07-03	$1,754,729
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-07-03	$1,320,208
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-07-03	No
Was there a failure to transmit to the plan any participant contributions	2017-07-03	No
Has the plan failed to provide any benefit when due under the plan	2017-07-03	No
Contributions received in cash from employer	2017-07-03	$87,998
Employer contributions (assets) at end of year	2017-07-03	$0
Employer contributions (assets) at beginning of year	2017-07-03	$2,864
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-07-03	$1,855,306
Did the plan have assets held for investment	2017-07-03	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	2017-07-03	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-07-03	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-07-03	Yes
Opinion of an independent qualified public accountant for this plan	2017-07-03	Disclaimer
Accountancy firm name	2017-07-03	FREED MAXICK CPAS, P.C.
Accountancy firm EIN	2017-07-03	161608956
2016 : CLIFTON SPRINGS HOSPITAL AND CLINIC RETIREMENT SAVINGS 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	$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	$2,085,937
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$1,401,823
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$1,355,846
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$1,057,440
Value of total assets at end of year	2016-12-31	$16,093,346
Value of total assets at beginning of year	2016-12-31	$15,409,232
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$45,977
Total interest from all sources	2016-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$402,405
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	$402,405
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$2,000,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$875,129
Participant contributions at end of year	2016-12-31	$33,602
Participant contributions at beginning of year	2016-12-31	$29,198
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$35,840
Value of other receiveables (less allowance for doubtful accounts) at end of year	2016-12-31	$1,366
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2016-12-31	$2,143
Administrative expenses (other) incurred	2016-12-31	$45,977
Total non interest bearing cash at end of year	2016-12-31	$2,300
Total non interest bearing cash at beginning of year	2016-12-31	$1,804
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	$684,114
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$16,093,346
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$15,409,232
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	$14,298,485
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$13,588,288
Value of interest in common/collective trusts at end of year	2016-12-31	$1,754,729
Value of interest in common/collective trusts at beginning of year	2016-12-31	$1,784,750
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$605,574
Net investment gain or loss from common/collective trusts	2016-12-31	$20,518
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	$146,471
Employer contributions (assets) at end of year	2016-12-31	$2,864
Employer contributions (assets) at beginning of year	2016-12-31	$3,049
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$1,355,846
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	FREED MAXICK CPAS, P.C.
Accountancy firm EIN	2016-12-31	161608956
2015 : CLIFTON SPRINGS HOSPITAL AND CLINIC RETIREMENT SAVINGS 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	$1,931,046
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$2,315,083
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$2,282,819
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$1,498,374
Value of total assets at end of year	2015-12-31	$15,409,232
Value of total assets at beginning of year	2015-12-31	$15,793,269
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$32,264
Total interest from all sources	2015-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$629,894
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	$629,894
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2015-12-31	Yes
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$864,570
Participant contributions at end of year	2015-12-31	$29,198
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$477,685
Value of other receiveables (less allowance for doubtful accounts) at end of year	2015-12-31	$2,143
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2015-12-31	$3,829
Administrative expenses (other) incurred	2015-12-31	$32,264
Total non interest bearing cash at end of year	2015-12-31	$1,804
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	$-384,037
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$15,409,232
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$15,793,269
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	$13,588,288
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$13,812,950
Value of interest in common/collective trusts at end of year	2015-12-31	$1,784,750
Value of interest in common/collective trusts at beginning of year	2015-12-31	$1,897,559
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$78,931
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$78,931
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-214,595
Net investment gain or loss from common/collective trusts	2015-12-31	$17,373
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	$156,119
Employer contributions (assets) at end of year	2015-12-31	$3,049
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$2,282,819
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	2015-12-31	Yes
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	FREED MAXICK CPAS, P.C.
Accountancy firm EIN	2015-12-31	161608956
2014 : CLIFTON SPRINGS HOSPITAL AND CLINIC RETIREMENT SAVINGS PLAN 2014 401k financial data
Total income from all sources (including contributions)	2014-12-31	$2,070,288
Total of all expenses incurred	2014-12-31	$2,190,255
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$2,147,137
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$1,042,218
Value of total assets at end of year	2014-12-31	$15,793,269
Value of total assets at beginning of year	2014-12-31	$15,913,236
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$43,118
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$618,558
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	$618,558
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	$761,367
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$126,777
Value of other receiveables (less allowance for doubtful accounts) at end of year	2014-12-31	$3,829
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2014-12-31	$2,950
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
Income. Non cash contributions	2014-12-31	$0
Value of net income/loss	2014-12-31	$-119,967
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$15,793,269
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$15,913,236
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
Investment advisory and management fees	2014-12-31	$43,118
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$13,812,950
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$13,706,794
Value of interest in common/collective trusts at end of year	2014-12-31	$1,897,559
Value of interest in common/collective trusts at beginning of year	2014-12-31	$2,203,492
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$78,931
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
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$408,633
Net investment gain or loss from common/collective trusts	2014-12-31	$879
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	$154,074
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$2,147,137
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	FUST CHARLES CHAMBERS, LLP
Accountancy firm EIN	2014-12-31	161226221
2013 : CLIFTON SPRINGS HOSPITAL AND CLINIC RETIREMENT SAVINGS PLAN 2013 401k financial data
Total income from all sources (including contributions)	2013-12-31	$3,666,805
Total of all expenses incurred	2013-12-31	$3,346,604
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$3,310,224
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$1,013,160
Value of total assets at end of year	2013-12-31	$15,913,236
Value of total assets at beginning of year	2013-12-31	$15,593,035
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$36,380
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$662,217
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	$662,217
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
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	$801,218
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$38,143
Value of other receiveables (less allowance for doubtful accounts) at end of year	2013-12-31	$2,950
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2013-12-31	$175,584
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	$320,201
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$15,913,236
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$15,593,035
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
Investment advisory and management fees	2013-12-31	$36,380
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$13,706,794
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$12,852,159
Value of interest in common/collective trusts at end of year	2013-12-31	$2,203,492
Value of interest in common/collective trusts at beginning of year	2013-12-31	$2,563,864
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	$1,428
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$1,428
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$2,164,063
Net investment gain or loss from common/collective trusts	2013-12-31	$-172,635
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	$173,799
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$3,310,224
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	FUST CHARLES CHAMBERS, LLP
Accountancy firm EIN	2013-12-31	161226221
2012 : CLIFTON SPRINGS HOSPITAL AND CLINIC RETIREMENT SAVINGS PLAN 2012 401k financial data
Total income from all sources (including contributions)	2012-12-31	$2,812,470
Total of all expenses incurred	2012-12-31	$1,440,267
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$1,373,621
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$1,194,738
Value of total assets at end of year	2012-12-31	$15,593,035
Value of total assets at beginning of year	2012-12-31	$14,220,832
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$66,646
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$478,610
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$478,610
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
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	$940,412
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$49,250
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-12-31	$175,584
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-12-31	$159,901
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	$1,372,203
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$15,593,035
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$14,220,832
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	$66,646
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$12,852,159
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$11,414,512
Value of interest in common/collective trusts at end of year	2012-12-31	$2,563,864
Value of interest in common/collective trusts at beginning of year	2012-12-31	$2,591,145
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$1,428
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$55,274
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$55,274
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$1,105,090
Net investment gain or loss from common/collective trusts	2012-12-31	$34,032
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	$205,076
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$1,373,621
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	FUST CHARLES CHAMBERS LLP
Accountancy firm EIN	2012-12-31	161226221
2011 : CLIFTON SPRINGS HOSPITAL AND CLINIC RETIREMENT SAVINGS PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2011-12-31	$-348,816
Total unrealized appreciation/depreciation of assets	2011-12-31	$-348,816
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	$1,195,004
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$796,435
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$734,599
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$1,211,735
Value of total assets at end of year	2011-12-31	$14,220,832
Value of total assets at beginning of year	2011-12-31	$13,822,263
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$61,836
Total interest from all sources	2011-12-31	$11,592
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$342,875
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	$342,875
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
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	$936,830
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$61,937
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-12-31	$159,901
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-12-31	$148,309
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	$398,569
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$14,220,832
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$13,822,263
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	$61,836
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$11,414,512
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$11,200,981
Interest earned on other investments	2011-12-31	$11,592
Value of interest in common/collective trusts at end of year	2011-12-31	$2,591,145
Value of interest in common/collective trusts at beginning of year	2011-12-31	$2,431,167
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$55,274
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$41,806
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$41,806
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-22,382
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	$212,968
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$734,599
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	FUST CHARLES CHAMBERS LLP
Accountancy firm EIN	2011-12-31	161226221
2010 : CLIFTON SPRINGS HOSPITAL AND CLINIC RETIREMENT SAVINGS PLAN 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2010-12-31	$331,034
Total unrealized appreciation/depreciation of assets	2010-12-31	$331,034
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	$2,638,721
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$873,165
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$819,539
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$1,189,257
Value of total assets at end of year	2010-12-31	$13,822,263
Value of total assets at beginning of year	2010-12-31	$12,056,707
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$53,626
Total interest from all sources	2010-12-31	$497,331
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$500,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$954,015
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$21,506
Value of other receiveables (less allowance for doubtful accounts) at end of year	2010-12-31	$148,309
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2010-12-31	$9,840
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	$1,765,556
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$13,822,263
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$12,056,707
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	$53,626
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$11,200,981
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$9,548,955
Interest earned on other investments	2010-12-31	$497,331
Value of interest in common/collective trusts at end of year	2010-12-31	$2,431,167
Value of interest in common/collective trusts at beginning of year	2010-12-31	$2,459,685
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$41,806
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$38,227
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$38,227
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$621,099
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$213,736
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$819,539
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	FUST CHARLES CHAMBERS LLP
Accountancy firm EIN	2010-12-31	161226221
2009 : CLIFTON SPRINGS HOSPITAL AND CLINIC RETIREMENT SAVINGS 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 CLIFTON SPRINGS HOSPITAL AND CLINIC RETIREMENT SAVINGS PLAN

2017: CLIFTON SPRINGS HOSPITAL AND CLINIC RETIREMENT SAVINGS 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	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 – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: CLIFTON SPRINGS HOSPITAL AND CLINIC RETIREMENT SAVINGS 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 – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: CLIFTON SPRINGS HOSPITAL AND CLINIC RETIREMENT SAVINGS 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 – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: CLIFTON SPRINGS HOSPITAL AND CLINIC RETIREMENT SAVINGS PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: CLIFTON SPRINGS HOSPITAL AND CLINIC RETIREMENT SAVINGS PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: CLIFTON SPRINGS HOSPITAL AND CLINIC RETIREMENT SAVINGS PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: CLIFTON SPRINGS HOSPITAL AND CLINIC RETIREMENT SAVINGS 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
2009: CLIFTON SPRINGS HOSPITAL AND CLINIC RETIREMENT SAVINGS PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	CLIFTON SPRINGS HOSPITAL AND CLINIC
Employer identification number (EIN):	160743966
NAIC Classification:	622000
NAIC Description:	Hospitals