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MEMORIAL HEALTH SYSTEMS, INC. RESTATED RETIREMENT PLAN 401k Plan overview

Plan NameMEMORIAL HEALTH SYSTEMS, INC. RESTATED RETIREMENT PLAN
Plan identification number 001

MEMORIAL HEALTH SYSTEMS, INC. RESTATED RETIREMENT PLAN Benefits

401k Plan TypeDefined 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 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.
  • 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.

401k Sponsoring company profile

FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER has sponsored the creation of one or more 401k plans.

Company Name:FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER
Employer identification number (EIN):590973502
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MEMORIAL HEALTH SYSTEMS, INC. RESTATED RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012010-01-01CONNIE SCHOTT CONNIE SCHOTT2011-10-14
0012009-01-01CONNIE SCHOTT
0012009-01-01CONNIE SCHOTT CONNIE SCHOTT2010-10-15

Plan Statistics for MEMORIAL HEALTH SYSTEMS, INC. RESTATED RETIREMENT PLAN

401k plan membership statisitcs for MEMORIAL HEALTH SYSTEMS, INC. RESTATED RETIREMENT PLAN

Measure Date Value
2010: MEMORIAL HEALTH SYSTEMS, INC. RESTATED RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-011,198
Total of all active and inactive participants2010-01-010
Total participants2010-01-010
Number of participants with account balances2010-01-011,134
2009: MEMORIAL HEALTH SYSTEMS, INC. RESTATED RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-011,262
Total number of active participants reported on line 7a of the Form 55002009-01-010
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-010
Number of participants with account balances2009-01-011,198
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on MEMORIAL HEALTH SYSTEMS, INC. RESTATED RETIREMENT PLAN

Measure Date Value
2011 : MEMORIAL HEALTH SYSTEMS, INC. RESTATED RETIREMENT PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total income from all sources (including contributions)2011-12-31$1,956,206
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$3,580,982
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$3,528,695
Expenses. Certain deemed distributions of participant loans2011-12-31$7,450
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$1,443,623
Value of total assets at end of year2011-12-31$21,058,499
Value of total assets at beginning of year2011-12-31$22,683,275
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$44,837
Total interest from all sources2011-12-31$523,898
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$210,242
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$210,242
Was this plan covered by a fidelity bond2011-12-31No
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Participant contributions at end of year2011-12-31$124,510
Participant contributions at beginning of year2011-12-31$134,813
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$1,443,623
Administrative expenses (other) incurred2011-12-31$44,792
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-1,624,776
Value of net assets at end of year (total assets less liabilities)2011-12-31$21,058,499
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$22,683,275
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$6,636,972
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$7,204,709
Interest on participant loans2011-12-31$395
Interest earned on other investments2011-12-31$523,503
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$14,297,017
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$15,343,753
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-221,557
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$3,528,695
Contract administrator fees2011-12-31$45
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
2010 : MEMORIAL HEALTH SYSTEMS, INC. RESTATED RETIREMENT PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total income from all sources (including contributions)2010-12-31$1,412,067
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$1,109,363
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$1,067,089
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$21,862
Value of total assets at end of year2010-12-31$22,683,275
Value of total assets at beginning of year2010-12-31$22,380,571
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$42,274
Total interest from all sources2010-12-31$536,389
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$123,148
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$123,148
Was this plan covered by a fidelity bond2010-12-31No
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Participant contributions at end of year2010-12-31$134,813
Participant contributions at beginning of year2010-12-31$141,561
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$21,862
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$302,704
Value of net assets at end of year (total assets less liabilities)2010-12-31$22,683,275
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$22,380,571
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$7,204,709
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$6,821,043
Interest earned on other investments2010-12-31$536,389
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$15,343,753
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$15,417,967
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$730,668
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$1,067,089
Contract administrator fees2010-12-31$42,274
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31BOLERJACK, HALSEMA & BOWLING PA
Accountancy firm EIN2010-12-31592533085

Form 5500 Responses for MEMORIAL HEALTH SYSTEMS, INC. RESTATED RETIREMENT PLAN

2010: MEMORIAL HEALTH SYSTEMS, INC. RESTATED RETIREMENT PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: MEMORIAL HEALTH SYSTEMS, INC. RESTATED RETIREMENT PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

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