401k Plan data: BOCA RATON REGIONAL HOSPITAL, INC. RETIREMENT INCOME PLAN plan

BOCA RATON REGIONAL HOSPITAL, INC. RETIREMENT INCOME PLAN 401k Plan overview

Plan Name	BOCA RATON REGIONAL HOSPITAL, INC. RETIREMENT INCOME PLAN
Plan identification number	003

BOCA RATON REGIONAL HOSPITAL, INC. RETIREMENT INCOME PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
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.
Participant-directed brokerage accounts provided as an investment option under the plan.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.

401k Sponsoring company profile

BOCA RATON REGIONAL HOSPITAL, INC. has sponsored the creation of one or more 401k plans.

Company Name: BOCA RATON REGIONAL HOSPITAL, INC.

Employer identification number (EIN): 591006663

NAIC Classification: 622000
NAIC Description: Hospitals

Additional information about BOCA RATON REGIONAL HOSPITAL, INC.

Jurisdiction of Incorporation: Florida Department of State Division of Corporations

Incorporation Date: 1962-09-27

Company Identification Number: 704612

Legal Registered Office Address: 1201 HAYS STREET

TALLAHASSEE

32301

More information about BOCA RATON REGIONAL HOSPITAL, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BOCA RATON REGIONAL HOSPITAL, INC. RETIREMENT INCOME PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2013-01-01 MELINDA RAYMOND JAMI MAHON 2014-06-04
003 2012-01-01 MELINDA RAYMOND JAMI MAHON 2013-09-27
003 2011-01-01 MELINDA RAYMOND JAMI MAHON 2012-10-11

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
003	2013-01-01	MELINDA RAYMOND	JAMI MAHON	2014-06-04
003	2012-01-01	MELINDA RAYMOND	JAMI MAHON	2013-09-27
003	2011-01-01	MELINDA RAYMOND	JAMI MAHON	2012-10-11

Plan Statistics for BOCA RATON REGIONAL HOSPITAL, INC. RETIREMENT INCOME PLAN

401k plan membership statisitcs for BOCA RATON REGIONAL HOSPITAL, INC. RETIREMENT INCOME PLAN

Measure Date Value
2013: BOCA RATON REGIONAL HOSPITAL, INC. RETIREMENT INCOME PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 483
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 0
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 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 0
Number of participants with account balances 2013-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: BOCA RATON REGIONAL HOSPITAL, INC. RETIREMENT INCOME PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 312
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 385
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 98
Total of all active and inactive participants 2012-01-01 483
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 483
Number of participants with account balances 2012-01-01 483
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 64
2011: BOCA RATON REGIONAL HOSPITAL, INC. RETIREMENT INCOME PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 335
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 262
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 50
Total of all active and inactive participants 2011-01-01 312
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 312
Number of participants with account balances 2011-01-01 312
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 46

Measure	Date	Value
2013: BOCA RATON REGIONAL HOSPITAL, INC. RETIREMENT INCOME PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	483
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	0
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	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	0
Number of participants with account balances	2013-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: BOCA RATON REGIONAL HOSPITAL, INC. RETIREMENT INCOME PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	312
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	385
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	98
Total of all active and inactive participants	2012-01-01	483
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	483
Number of participants with account balances	2012-01-01	483
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	64
2011: BOCA RATON REGIONAL HOSPITAL, INC. RETIREMENT INCOME PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	335
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	262
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	50
Total of all active and inactive participants	2011-01-01	312
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	312
Number of participants with account balances	2011-01-01	312
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	46

Financial Data on BOCA RATON REGIONAL HOSPITAL, INC. RETIREMENT INCOME PLAN

Measure	Date	Value
2013 : BOCA RATON REGIONAL HOSPITAL, INC. RETIREMENT INCOME PLAN 2013 401k financial data
Total income from all sources (including contributions)	2013-10-11	$125,123
Total of all expenses incurred	2013-10-11	$1,412,763
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-10-11	$1,392,848
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-10-11	$3,605
Value of total assets at end of year	2013-10-11	$0
Value of total assets at beginning of year	2013-10-11	$1,287,640
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-10-11	$19,915
Total interest from all sources	2013-10-11	$126
Total dividends received (eg from common stock, registered investment company shares)	2013-10-11	$640
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-10-11	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2013-10-11	$0
Total dividends received from registered investment company shares (eg mutual funds)	2013-10-11	$640
Administrative expenses professional fees incurred	2013-10-11	$17,693
Was this plan covered by a fidelity bond	2013-10-11	Yes
Value of fidelity bond cover	2013-10-11	$5,000,000
If this is an individual account plan, was there a blackout period	2013-10-11	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-10-11	$0
Were there any nonexempt tranactions with any party-in-interest	2013-10-11	No
Administrative expenses (other) incurred	2013-10-11	$2,222
Total non interest bearing cash at end of year	2013-10-11	$0
Total non interest bearing cash at beginning of year	2013-10-11	$463
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-10-11	No
Value of net income/loss	2013-10-11	$-1,287,640
Value of net assets at end of year (total assets less liabilities)	2013-10-11	$0
Value of net assets at beginning of year (total assets less liabilities)	2013-10-11	$1,287,640
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-10-11	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-10-11	No
Were any leases to which the plan was party in default or uncollectible	2013-10-11	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-10-11	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-10-11	$1,274,749
Value of interest in pooled separate accounts at end of year	2013-10-11	$0
Value of interest in pooled separate accounts at beginning of year	2013-10-11	$4,632
Interest earned on other investments	2013-10-11	$126
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-10-11	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-10-11	$7,796
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-10-11	$120,701
Net investment gain/loss from pooled separate accounts	2013-10-11	$51
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-10-11	No
Was there a failure to transmit to the plan any participant contributions	2013-10-11	No
Has the plan failed to provide any benefit when due under the plan	2013-10-11	No
Contributions received in cash from employer	2013-10-11	$3,605
Employer contributions (assets) at beginning of year	2013-10-11	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-10-11	$1,392,848
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	2013-10-11	No
Did the plan have assets held for investment	2013-10-11	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	2013-10-11	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-10-11	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-10-11	Yes
Opinion of an independent qualified public accountant for this plan	2013-10-11	Disclaimer
Accountancy firm name	2013-10-11	CARROLL AND COOK CPAS
Accountancy firm EIN	2013-10-11	592206283
2012 : BOCA RATON REGIONAL HOSPITAL, INC. RETIREMENT INCOME PLAN 2012 401k financial data
Total income from all sources (including contributions)	2012-12-31	$90,452
Total of all expenses incurred	2012-12-31	$63,033
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$61,965
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$10,592
Value of total assets at end of year	2012-12-31	$1,287,640
Value of total assets at beginning of year	2012-12-31	$1,260,221
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$1,068
Total interest from all sources	2012-12-31	$109
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$21,220
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$21,220
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
Administrative expenses (other) incurred	2012-12-31	$1,068
Total non interest bearing cash at end of year	2012-12-31	$463
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	$27,419
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$1,287,640
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$1,260,221
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	$1,274,749
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$652,637
Value of interest in pooled separate accounts at end of year	2012-12-31	$4,632
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$2,128
Interest earned on other investments	2012-12-31	$109
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$7,796
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$3,209
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$58,485
Net investment gain/loss from pooled separate accounts	2012-12-31	$46
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	$10,592
Employer contributions (assets) at end of year	2012-12-31	$0
Employer contributions (assets) at beginning of year	2012-12-31	$602,247
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$61,965
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	CARROLL AND COOK CPAS
Accountancy firm EIN	2012-12-31	592206283
2011 : BOCA RATON REGIONAL HOSPITAL, INC. RETIREMENT INCOME PLAN 2011 401k financial data
Total income from all sources (including contributions)	2011-12-31	$598,569
Total of all expenses incurred	2011-12-31	$34,956
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$34,956
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$602,247
Value of total assets at end of year	2011-12-31	$1,260,221
Value of total assets at beginning of year	2011-12-31	$696,608
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$12,192
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	$12,192
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
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	$563,613
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$1,260,221
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$696,608
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	$652,637
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$310,512
Value of interest in pooled separate accounts at end of year	2011-12-31	$2,128
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$1,026
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$3,209
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$3,998
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-15,901
Net investment gain/loss from pooled separate accounts	2011-12-31	$31
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	$602,247
Employer contributions (assets) at end of year	2011-12-31	$602,247
Employer contributions (assets) at beginning of year	2011-12-31	$381,072
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$34,956
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	CARROLL AND COOK CPAS
Accountancy firm EIN	2011-12-31	592206283
2010 : BOCA RATON REGIONAL HOSPITAL, INC. RETIREMENT INCOME PLAN 2010 401k financial data
Total transfer of assets to this plan	2010-12-31	$95,855
Total income from all sources (including contributions)	2010-12-31	$601,782
Total of all expenses incurred	2010-12-31	$1,029
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$894
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$563,006
Value of total assets at end of year	2010-12-31	$696,608
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$135
Total interest from all sources	2010-12-31	$119
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$6,741
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$6,741
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
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
Administrative expenses (other) incurred	2010-12-31	$135
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	$600,753
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$696,608
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	$310,512
Value of interest in pooled separate accounts at end of year	2010-12-31	$1,026
Interest earned on other investments	2010-12-31	$119
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$3,998
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$31,903
Net investment gain/loss from pooled separate accounts	2010-12-31	$13
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	$563,006
Employer contributions (assets) at end of year	2010-12-31	$381,072
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$894
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	CARROLL AND COOK CPAS
Accountancy firm EIN	2010-12-31	592206283

Form 5500 Responses for BOCA RATON REGIONAL HOSPITAL, INC. RETIREMENT INCOME PLAN

2013: BOCA RATON REGIONAL HOSPITAL, INC. RETIREMENT INCOME PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	This submission is the final filing	Yes
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: BOCA RATON REGIONAL HOSPITAL, INC. RETIREMENT INCOME PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
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: BOCA RATON REGIONAL HOSPITAL, INC. RETIREMENT INCOME PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
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

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Company Name:	BOCA RATON REGIONAL HOSPITAL, INC.
Employer identification number (EIN):	591006663
NAIC Classification:	622000
NAIC Description:	Hospitals

Jurisdiction of Incorporation:	Florida Department of State Division of Corporations
Incorporation Date:	1962-09-27
Company Identification Number:	704612
Legal Registered Office Address:	1201 HAYS STREET TALLAHASSEE 32301