401k Plan data: MEMORIAL MEDICAL CENTER CASH BALANCE PLAN plan

MEMORIAL MEDICAL CENTER CASH BALANCE PLAN 401k Plan overview

Plan Name	MEMORIAL MEDICAL CENTER CASH BALANCE PLAN
Plan identification number	001

MEMORIAL MEDICAL CENTER CASH BALANCE PLAN Benefits

401k Plan Type

Defined Benefit Pension

Plan Features/Benefits

Benefits are primarily pay related
Cash balance or similar plan - Plan has a "cash balance" formula. For this purpose, a "cash balance" formula is a benefit formula in a defined benefit plan by whatever name (for example, personal account plan, pension equity plan, life cycle plan, cash account plan, etc.) that rather than, or in addition to, expressing the accrued benefit as a life annuity commencing at normal retirement age, defines benefits for each employee in terms more common to a defined contribution plan such as a single sum distribution amount (for example, 10 percent of final average pay times years of service, or the amount of the employee's hypothetical account balance).
Frozen Plan - As of the last day of the plan year, the plan provides that no participant will get any new benefit accrual (whether because of service or compensation).
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

1889-CHS FOUNDATION, INC. has sponsored the creation of one or more 401k plans.

Company Name: 1889-CHS FOUNDATION, INC.

Employer identification number (EIN): 232801799

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MEMORIAL MEDICAL CENTER CASH BALANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2017-01-01 WENDY REITNAUER
001 2016-01-01 WENDY REITNAUER
001 2015-01-01 WENDY REITNAUER SUSAN MANN 2016-10-07
001 2014-01-01 CHRISTINA GATEHOUSE SUSAN MANN 2015-10-07

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2017-01-01	WENDY REITNAUER
001	2016-01-01	WENDY REITNAUER
001	2015-01-01	WENDY REITNAUER	SUSAN MANN	2016-10-07
001	2014-01-01	CHRISTINA GATEHOUSE	SUSAN MANN	2015-10-07

Plan Statistics for MEMORIAL MEDICAL CENTER CASH BALANCE PLAN

401k plan membership statisitcs for MEMORIAL MEDICAL CENTER CASH BALANCE PLAN

Measure Date Value
2017: MEMORIAL MEDICAL CENTER CASH BALANCE PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 1,948
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
2016: MEMORIAL MEDICAL CENTER CASH BALANCE PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 2,858
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 0
Number of retired or separated participants receiving benefits 2016-01-01 63
Number of other retired or separated participants entitled to future benefits 2016-01-01 1,881
Total of all active and inactive participants 2016-01-01 1,944
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 4
Total participants 2016-01-01 1,948
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: MEMORIAL MEDICAL CENTER CASH BALANCE PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 3,992
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 0
Number of retired or separated participants receiving benefits 2015-01-01 1
Number of other retired or separated participants entitled to future benefits 2015-01-01 2,852
Total of all active and inactive participants 2015-01-01 2,853
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 5
Total participants 2015-01-01 2,858
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: MEMORIAL MEDICAL CENTER CASH BALANCE PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 4,264
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 2,584
Number of retired or separated participants receiving benefits 2014-01-01 651
Number of other retired or separated participants entitled to future benefits 2014-01-01 714
Total of all active and inactive participants 2014-01-01 3,949
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 43
Total participants 2014-01-01 3,992
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 2

Measure	Date	Value
2017: MEMORIAL MEDICAL CENTER CASH BALANCE PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	1,948
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
2016: MEMORIAL MEDICAL CENTER CASH BALANCE PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	2,858
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	0
Number of retired or separated participants receiving benefits	2016-01-01	63
Number of other retired or separated participants entitled to future benefits	2016-01-01	1,881
Total of all active and inactive participants	2016-01-01	1,944
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	4
Total participants	2016-01-01	1,948
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: MEMORIAL MEDICAL CENTER CASH BALANCE PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	3,992
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	0
Number of retired or separated participants receiving benefits	2015-01-01	1
Number of other retired or separated participants entitled to future benefits	2015-01-01	2,852
Total of all active and inactive participants	2015-01-01	2,853
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	5
Total participants	2015-01-01	2,858
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: MEMORIAL MEDICAL CENTER CASH BALANCE PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	4,264
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	2,584
Number of retired or separated participants receiving benefits	2014-01-01	651
Number of other retired or separated participants entitled to future benefits	2014-01-01	714
Total of all active and inactive participants	2014-01-01	3,949
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	43
Total participants	2014-01-01	3,992
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	2

Financial Data on MEMORIAL MEDICAL CENTER CASH BALANCE PLAN

Measure	Date	Value
2017 : MEMORIAL MEDICAL CENTER CASH BALANCE PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$106,010
Total income from all sources (including contributions)	2017-12-31	$8,786,148
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$33,317,825
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$33,278,522
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$8,502,751
Value of total assets at end of year	2017-12-31	$0
Value of total assets at beginning of year	2017-12-31	$24,637,687
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$39,303
Total interest from all sources	2017-12-31	$7,483
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$31,434
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2017-12-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$31,434
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2017-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2017-12-31	$52,673
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2017-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2017-12-31	$106,010
Administrative expenses (other) incurred	2017-12-31	$20,108
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$-24,531,677
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$24,531,677
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Investment advisory and management fees	2017-12-31	$1,937
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$24,585,014
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-12-31	$7,483
Expenses. Payments to insurance carriers foe the provision of benefits	2017-12-31	$9,217,981
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$244,480
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$8,502,751
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$24,060,541
Contract administrator fees	2017-12-31	$17,258
Did the plan have assets held for investment	2017-12-31	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	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	BKD, LLP
Accountancy firm EIN	2017-12-31	440160260
2016 : MEMORIAL MEDICAL CENTER CASH BALANCE 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	$106,010
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$44,136
Total income from all sources (including contributions)	2016-12-31	$3,069,120
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$43,259,710
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$42,738,173
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$0
Value of total assets at end of year	2016-12-31	$24,637,687
Value of total assets at beginning of year	2016-12-31	$64,766,403
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$521,537
Total interest from all sources	2016-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$1,876,868
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2016-12-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$1,876,868
Administrative expenses professional fees incurred	2016-12-31	$0
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2016-12-31	$52,673
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2016-12-31	$167,173
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2016-12-31	$106,010
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2016-12-31	$44,136
Administrative expenses (other) incurred	2016-12-31	$182,912
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	$-40,190,590
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$24,531,677
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$64,722,267
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
Investment advisory and management fees	2016-12-31	$123,137
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$24,585,014
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$64,599,230
Expenses. Payments to insurance carriers foe the provision of benefits	2016-12-31	$52,906
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$1,192,252
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	Yes
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	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$42,685,267
Contract administrator fees	2016-12-31	$215,488
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	BKD, LLP
Accountancy firm EIN	2016-12-31	440160260
2015 : MEMORIAL MEDICAL CENTER CASH BALANCE 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	$44,136
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$43,800
Total income from all sources (including contributions)	2015-12-31	$75,363
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$37,279,707
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$36,537,773
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$0
Value of total assets at end of year	2015-12-31	$64,766,403
Value of total assets at beginning of year	2015-12-31	$101,970,411
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$741,934
Total interest from all sources	2015-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$1,670,325
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2015-12-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$1,670,325
Administrative expenses professional fees incurred	2015-12-31	$177,286
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2015-12-31	$167,173
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2015-12-31	$131,902
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2015-12-31	$44,136
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2015-12-31	$43,800
Administrative expenses (other) incurred	2015-12-31	$229,810
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	$-37,204,344
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$64,722,267
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$101,926,611
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
Investment advisory and management fees	2015-12-31	$83,369
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$64,599,230
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$101,838,509
Expenses. Payments to insurance carriers foe the provision of benefits	2015-12-31	$23,127,020
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-1,594,962
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	Yes
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	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$13,410,753
Contract administrator fees	2015-12-31	$251,469
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	BKD, LLP
Accountancy firm EIN	2015-12-31	440160260
2014 : MEMORIAL MEDICAL CENTER CASH BALANCE PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$43,800
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$122,808
Total income from all sources (including contributions)	2014-12-31	$7,893,860
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$10,903,092
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$10,407,030
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$1,039,246
Value of total assets at end of year	2014-12-31	$101,970,411
Value of total assets at beginning of year	2014-12-31	$105,058,651
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$496,062
Total interest from all sources	2014-12-31	$8,541
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$1,979,279
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$1,979,279
Administrative expenses professional fees incurred	2014-12-31	$55,399
Was this plan covered by a fidelity bond	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
Value of other receiveables (less allowance for doubtful accounts) at end of year	2014-12-31	$131,902
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2014-12-31	$6
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2014-12-31	$43,800
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2014-12-31	$122,808
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
Value of net income/loss	2014-12-31	$-3,009,232
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$101,926,611
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$104,935,843
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	$235,896
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$101,838,509
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$95,409,187
Interest earned on other investments	2014-12-31	$8,541
Value of interest in common/collective trusts at beginning of year	2014-12-31	$7,997,958
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$5,463,832
Net investment gain or loss from common/collective trusts	2014-12-31	$-597,038
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	Yes
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	$1,039,246
Employer contributions (assets) at beginning of year	2014-12-31	$1,651,500
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$10,407,030
Contract administrator fees	2014-12-31	$204,767
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	BKD, LLP
Accountancy firm EIN	2014-12-31	440160260

Form 5500 Responses for MEMORIAL MEDICAL CENTER CASH BALANCE PLAN

2017: MEMORIAL MEDICAL CENTER CASH BALANCE 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)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: MEMORIAL MEDICAL CENTER CASH BALANCE 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 – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: MEMORIAL MEDICAL CENTER CASH BALANCE 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 – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: MEMORIAL MEDICAL CENTER CASH BALANCE PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

33800

Policy instance

Insurance contract or identification number	33800
Number of Individuals Covered	670
Insurance policy start date	2015-12-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $576,185
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $425,000
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	N/A
Insurance broker organization code?	4
Insurance broker name	ANN ARBOR ANNUITY EXCHANGE LLC

Potentially related plans

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Company Name:	1889-CHS FOUNDATION, INC.
Employer identification number (EIN):	232801799
NAIC Classification:	622000
NAIC Description:	Hospitals