HEALTH CARE FLEXIBLE SPENDING ACCOUNT PLAN 401k Plan overview

HEALTH CARE FLEXIBLE SPENDING ACCOUNT PLAN Benefits

401k Sponsoring company profile

Company Name:	ASHTABULA COUNTY MEDICAL CENTER
Employer identification number (EIN):	340726081
NAIC Classification:	622000
NAIC Description:	Hospitals

Additional information about ASHTABULA COUNTY MEDICAL CENTER

Jurisdiction of Incorporation:	Ohio Secretary of State Business Services Division
Incorporation Date:	1902-02-26
Company Identification Number:	13667
Legal Registered Office Address:	2420 LAKE AVENUE - ASHTABULA United States of America (USA) 44004

More information about ASHTABULA COUNTY MEDICAL CENTER

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
505	2018-01-01	DON KEPNER
505	2017-01-01	DON KEPNER
505	2016-01-01	DON KEPNER
505	2015-01-01	DON KEPNER		DON KEPNER	2016-07-18
505	2014-01-01	DON KEPNER		DON KEPNER	2015-07-25
505	2013-01-01	DON KEPNER
505	2012-01-01	DON KEPNER		DON KEPNER	2013-10-07
505	2011-01-01	DON KEPNER
505	2010-01-01	PHILIP PAWLOWSKI
505	2009-01-01	PHILIP PAWLOWSKI		PHILIP PAWLOWSKI	2010-10-15
505	2009-01-01	PHILIP E. PAWLOWSKI		PHILIP E. PAWLOWSKI	2010-10-15

Plan Statistics for HEALTH CARE FLEXIBLE SPENDING ACCOUNT PLAN

Measure	Date	Value
2018: HEALTH CARE FLEXIBLE SPENDING ACCOUNT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	160
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	0
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	0
Total of all active and inactive participants	2018-01-01	0
2017: HEALTH CARE FLEXIBLE SPENDING ACCOUNT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	155
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	160
Number of retired or separated participants receiving benefits	2017-01-01	15
Number of other retired or separated participants entitled to future benefits	2017-01-01	15
Total of all active and inactive participants	2017-01-01	190
2016: HEALTH CARE FLEXIBLE SPENDING ACCOUNT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	124
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	121
Number of retired or separated participants receiving benefits	2016-01-01	26
Number of other retired or separated participants entitled to future benefits	2016-01-01	14
Total of all active and inactive participants	2016-01-01	161
2015: HEALTH CARE FLEXIBLE SPENDING ACCOUNT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	120
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	120
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	0
Total of all active and inactive participants	2015-01-01	120
2014: HEALTH CARE FLEXIBLE SPENDING ACCOUNT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	107
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	83
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	0
Total of all active and inactive participants	2014-01-01	83
2013: HEALTH CARE FLEXIBLE SPENDING ACCOUNT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	107
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	107
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	107
2012: HEALTH CARE FLEXIBLE SPENDING ACCOUNT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	125
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	107
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	107
2011: HEALTH CARE FLEXIBLE SPENDING ACCOUNT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	117
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	125
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	0
Total of all active and inactive participants	2011-01-01	126
2010: HEALTH CARE FLEXIBLE SPENDING ACCOUNT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	129
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	117
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	117
2009: HEALTH CARE FLEXIBLE SPENDING ACCOUNT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	131
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	129
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	0
Total of all active and inactive participants	2009-01-01	129

Form 5500 Responses for HEALTH CARE FLEXIBLE SPENDING ACCOUNT PLAN

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• HEALTH CARE WITHOUT HARM RETIREMENT PLAN [EIN = 522358837]
• HEALTH CARE FSA, DEPENDENT CARE FSA [EIN = 522056410]
• HEALTH CARE ADVOCATES INTERNATIONAL, LLC 401(K) RETIREMENT PLAN [EIN = 814538081]
• HEALTH CARE AMENITIES PLUS, INC. 401(K) PROFIT SHARING PLAN & TRUST [EIN = 752613677]
• HEALTH CARE LEGAL SERVICES, INC. PROFIT SHARING 401K PLAN [EIN = 330297047]
• HEALTH CARE INTRANET TECHNOLOGIES, INC. 401K RETIREMENT PLAN [EIN = 522102111]
• HEALTH CARE PARTNERS, INC. 401(K) PLAN [EIN = 383607271]
• HEALTH CARE MANAGEMENT GROUP [EIN = 522072830]
• HEALTH CARE PLAN OF GEORGE, MILES & BUHR [EIN = 520740145]
• HEALTH CARE INFORMATION SERVICE LLC 125 BENEFIT PLAN [EIN = 364089115]
• HEALTH CARE REIMBURSEMENT FOR EMPLOYEES OF TRINITY INDUSTRIES, INC & CERTAIN AFFILIATES [EIN = 750225040]
• HEALTH CARE SPENDING ACCOUNT [EIN = 360947870]
• HEALTH CARE PLAN [EIN = 251578904]
• HEALTH CARE PLAN [EIN = 232902931]
• HEALTH CARE PLAN - MICHIGAN HMOS [EIN = 133386776]
• HEALTH CARE PLAN - BLUE CROSS [EIN = 133386776]
• HEALTH CARE CONNECTIONS 401K PLAN [EIN = 562212522]
• HEALTH CARE LEGAL CONCULTING INC DEFINED BENEFIT PENSION PLAN [EIN = 330414164]
• HEALTH CARE SERVICE CORP.; BLUE CROSS BLUE SHIELD; MEDICAL INSURANCE; BLUE BALANCE; EIN #36-1236610 [EIN = 043675131]
• HEALTH CARE PHARMACY RETIREMENT PLAN [EIN = 464363453]
• HEALTH CARE PRACTICE MANAGEMENT, INC. CASH BALANCE PLAN [EIN = 510340618]
• HEALTH CARE BILLING CORP 401(K) PROFIT SHARING PLAN & TRUST [EIN = 061530070]
• HEALTH CARE ACCESS NOW 401(K) PLAN [EIN = 264042151]
• HEALTH CAREER INSTITUTE [EIN = 383905312]
• HEALTH CARE ADVISORY GROUP INC 401(K) PROFIT SHARING PLAN & TRUST [EIN = 452624640]
• HEALTH CARE TRANSFORMATION TASK FORCE 403(B) [EIN = 611765045]
• HEALTH CARE PROVIDERS SOCA BENEFIT PLAN [EIN = 341708405]
• HEALTH CARE PLAN OF MCGEE BROTHERS COMPANY, INC. [EIN = 561146621]
• HEALTH CARE MANAGEMENT SYSTEMS, INC. DENTAL PLAN [EIN = 431342874]
• HEALTH CARE MANAGEMENT SYSTEMS, INC. HEALTH AND WELFARE PLAN [EIN = 431342874]
• HEALTH CARE MANAGEMENT SYSTEMS, INC. VISION PLAN [EIN = 431342874]
• HEALTH CARE MANAGEMENT & STAFFING CORP 401(K) PLAN [EIN = 462764126]
• HEALTH CARE COALITION OF SOUTHERN OREGON 403(B) PLAN [EIN = 931065133]
• HEALTH CARE FOUNDATIONS 401(K) PLAN [EIN = 850515840]
• HEALTH CARE COLLABORATIVE OF RURAL MISSOURI [EIN = 300349211]
• HEALTH CARE RESOURCES PLUS INC [EIN = 810776865]
• HEALTH CARE MEDICAL ASSOCIATES, P.C. 401(K) PLAN [EIN = 472622111]
• HEALTH CARE PHARMACY 401K [EIN = 223833297]
• HEALTH CARE MANAGEMENT, INC. MCF BENEFIT PLAN [EIN = 431703999]
• HEALTH CARE PARTNERS MEDICAL GROUP (COATS), LTD. LIFE AND HEALTH BENEFIT PLAN [EIN = 880213519]
• HEALTH CARE BENEFITS PLAN FOR THE EMPLOYEES OF DRA SOFTWARE, LLC [EIN = 261539542]
• HEALTH CARE TRANSFORMATION 401(K) PLAN [EIN = 852091202]
• HEALTH CARE CONSULTING, INC. 401K PLAN [EIN = 510654858]

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