401k Plan data: AUSTIN MEDICAL CENTER 403B PLAN plan

AUSTIN MEDICAL CENTER 403B PLAN 401k Plan overview

Plan Name	AUSTIN MEDICAL CENTER 403B PLAN
Plan identification number	003

AUSTIN MEDICAL CENTER 403B PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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 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.
Participant-directed brokerage accounts provided as an investment option under the plan.
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

AUSTIN MEDICAL CENTER - MAYO HEALTH SYSTEM has sponsored the creation of one or more 401k plans.

Company Name: AUSTIN MEDICAL CENTER - MAYO HEALTH SYSTEM

Employer identification number (EIN): 410695606

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AUSTIN MEDICAL CENTER 403B PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2012-01-01 SHERI DANKERT SHERI DANKERT 2013-07-31
003 2011-01-01 ROD NORDENG SHERI DANKERT 2012-10-04
003 2010-01-01 ROD NORDENG SHERI DANKERT 2011-07-18
003 2009-01-01 ROD NORDENG SHERI DANKERT 2010-07-22

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
003	2012-01-01	SHERI DANKERT	SHERI DANKERT	2013-07-31
003	2011-01-01	ROD NORDENG	SHERI DANKERT	2012-10-04
003	2010-01-01	ROD NORDENG	SHERI DANKERT	2011-07-18
003	2009-01-01	ROD NORDENG	SHERI DANKERT	2010-07-22

Plan Statistics for AUSTIN MEDICAL CENTER 403B PLAN

401k plan membership statisitcs for AUSTIN MEDICAL CENTER 403B PLAN

Measure Date Value
2012: AUSTIN MEDICAL CENTER 403B PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1,139
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1,091
Number of other retired or separated participants entitled to future benefits 2012-01-01 105
Total of all active and inactive participants 2012-01-01 1,196
Total participants 2012-01-01 1,196
Number of participants with account balances 2012-01-01 801
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 8
2011: AUSTIN MEDICAL CENTER 403B PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1,111
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 1,039
Number of other retired or separated participants entitled to future benefits 2011-01-01 100
Total of all active and inactive participants 2011-01-01 1,139
Total participants 2011-01-01 1,139
Number of participants with account balances 2011-01-01 775
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 9
2010: AUSTIN MEDICAL CENTER 403B PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 1,080
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 1,026
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 84
Total of all active and inactive participants 2010-01-01 1,111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 1,111
Number of participants with account balances 2010-01-01 767
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 4
2009: AUSTIN MEDICAL CENTER 403B PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 744
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 998
Number of retired or separated participants receiving benefits 2009-01-01 5
Number of other retired or separated participants entitled to future benefits 2009-01-01 77
Total of all active and inactive participants 2009-01-01 1,080
Total participants 2009-01-01 1,080
Number of participants with account balances 2009-01-01 748

Measure	Date	Value
2012: AUSTIN MEDICAL CENTER 403B PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1,139
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1,091
Number of other retired or separated participants entitled to future benefits	2012-01-01	105
Total of all active and inactive participants	2012-01-01	1,196
Total participants	2012-01-01	1,196
Number of participants with account balances	2012-01-01	801
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	8
2011: AUSTIN MEDICAL CENTER 403B PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1,111
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1,039
Number of other retired or separated participants entitled to future benefits	2011-01-01	100
Total of all active and inactive participants	2011-01-01	1,139
Total participants	2011-01-01	1,139
Number of participants with account balances	2011-01-01	775
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	9
2010: AUSTIN MEDICAL CENTER 403B PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	1,080
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	1,026
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	84
Total of all active and inactive participants	2010-01-01	1,111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	1,111
Number of participants with account balances	2010-01-01	767
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	4
2009: AUSTIN MEDICAL CENTER 403B PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	744
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	998
Number of retired or separated participants receiving benefits	2009-01-01	5
Number of other retired or separated participants entitled to future benefits	2009-01-01	77
Total of all active and inactive participants	2009-01-01	1,080
Total participants	2009-01-01	1,080
Number of participants with account balances	2009-01-01	748

Financial Data on AUSTIN MEDICAL CENTER 403B PLAN

Measure	Date	Value
2012 : AUSTIN MEDICAL CENTER 403B PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2012-12-31	$2,284
Total unrealized appreciation/depreciation of assets	2012-12-31	$2,284
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	$7,074,646
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$1,056,414
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$1,012,720
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$3,505,747
Value of total assets at end of year	2012-12-31	$31,293,894
Value of total assets at beginning of year	2012-12-31	$25,275,662
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$43,694
Total interest from all sources	2012-12-31	$983,148
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Administrative expenses professional fees incurred	2012-12-31	$43,694
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	$2,661,869
Assets. Other investments not covered elsewhere at end of year	2012-12-31	$12,541
Assets. Other investments not covered elsewhere at beginning of year	2012-12-31	$169,914
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$535,699
Other income not declared elsewhere	2012-12-31	$10,301
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	$6,018,232
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$31,293,894
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$25,275,662
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	$29,606,529
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$23,890,801
Interest earned on other investments	2012-12-31	$983,148
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$999,504
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$1,098,707
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$1,098,707
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$675,320
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$116,240
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$2,573,166
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	$308,179
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$1,012,720
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	2012-12-31	No
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	MCGLADREY LLP
Accountancy firm EIN	2012-12-31	420714325
2011 : AUSTIN MEDICAL CENTER 403B PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2011-12-31	$8,677
Total unrealized appreciation/depreciation of assets	2011-12-31	$8,677
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	$2,778,787
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$1,053,835
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$1,013,775
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$2,959,265
Value of total assets at end of year	2011-12-31	$25,275,662
Value of total assets at beginning of year	2011-12-31	$23,550,710
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$40,060
Total interest from all sources	2011-12-31	$751,759
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Administrative expenses professional fees incurred	2011-12-31	$40,060
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	$2,577,630
Assets. Other investments not covered elsewhere at end of year	2011-12-31	$169,914
Assets. Other investments not covered elsewhere at beginning of year	2011-12-31	$100,325
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$77,637
Other income not declared elsewhere	2011-12-31	$1,455
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	$1,724,952
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$25,275,662
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$23,550,710
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	$23,890,801
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$22,593,100
Interest earned on other investments	2011-12-31	$751,759
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$1,098,707
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$846,977
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$846,977
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$116,240
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$10,308
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-942,369
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	$303,998
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$1,013,775
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	2011-12-31	No
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	MCGLADREY LLP
Accountancy firm EIN	2011-12-31	420714325
2010 : AUSTIN MEDICAL CENTER 403B PLAN 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2010-12-31	$3,984
Total unrealized appreciation/depreciation of assets	2010-12-31	$3,984
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	$5,309,464
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$1,129,768
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$1,091,081
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$2,847,807
Value of total assets at end of year	2010-12-31	$23,550,710
Value of total assets at beginning of year	2010-12-31	$19,371,014
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$38,687
Total interest from all sources	2010-12-31	$581,597
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
Administrative expenses professional fees incurred	2010-12-31	$38,687
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	No
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$2,499,659
Assets. Other investments not covered elsewhere at end of year	2010-12-31	$100,325
Assets. Other investments not covered elsewhere at beginning of year	2010-12-31	$72,266
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$42,390
Other income not declared elsewhere	2010-12-31	$650
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	$4,179,696
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$23,550,710
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$19,371,014
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	$22,593,100
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$18,183,193
Interest earned on other investments	2010-12-31	$581,597
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$846,977
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$1,115,555
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$1,115,555
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$10,308
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$1,875,426
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$305,758
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$1,091,081
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	No
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	MC GLADREY & PULLEN LLP
Accountancy firm EIN	2010-12-31	420714325

Form 5500 Responses for AUSTIN MEDICAL CENTER 403B PLAN

2012: AUSTIN MEDICAL CENTER 403B 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: AUSTIN MEDICAL CENTER 403B 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: AUSTIN MEDICAL CENTER 403B PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – 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: AUSTIN MEDICAL CENTER 403B 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:	AUSTIN MEDICAL CENTER - MAYO HEALTH SYSTEM
Employer identification number (EIN):	410695606
NAIC Classification:	622000
NAIC Description:	Hospitals