401k Plan data: MEMORIALCARE MEDICAL FOUNDATION 401(K) PLAN plan

MEMORIALCARE MEDICAL FOUNDATION 401(K) PLAN 401k Plan overview

Plan Name	MEMORIALCARE MEDICAL FOUNDATION 401(K) PLAN
Plan identification number	001

MEMORIALCARE MEDICAL FOUNDATION 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
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.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

MEMORIAL HEALTH SERVICES has sponsored the creation of one or more 401k plans.

Company Name: MEMORIAL HEALTH SERVICES

Employer identification number (EIN): 271504911

NAIC Classification: 622000
NAIC Description: Hospitals

Additional information about MEMORIAL HEALTH SERVICES

Jurisdiction of Incorporation: California Department of State

Incorporation Date:

Company Identification Number: C0171886

More information about MEMORIAL HEALTH SERVICES

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MEMORIALCARE MEDICAL FOUNDATION 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2018-01-01
001 2017-01-01 RICK GRANIERE RICK GRANIERE 2018-10-04
001 2016-01-01 MARK SCHAFER, M.D. MARK SCHAFER, M.D. 2017-07-26
001 2015-01-01 MARK SCHAFER, M.D. MARK SCHAFER, M.D. 2016-08-11
001 2014-01-01 MARK SCHAFER, M.D.
001 2013-01-01 JACQUELINE LUXENBERG
001 2012-01-01 PATRICK KAPSNER
001 2011-01-01 PATRICK KAPSNER 2012-07-27
001 2010-07-01 PATRICK KAPSNER 2011-09-16

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2018-01-01
001	2017-01-01	RICK GRANIERE		RICK GRANIERE	2018-10-04
001	2016-01-01	MARK SCHAFER, M.D.		MARK SCHAFER, M.D.	2017-07-26
001	2015-01-01	MARK SCHAFER, M.D.		MARK SCHAFER, M.D.	2016-08-11
001	2014-01-01	MARK SCHAFER, M.D.
001	2013-01-01	JACQUELINE LUXENBERG
001	2012-01-01	PATRICK KAPSNER
001	2011-01-01	PATRICK KAPSNER	2012-07-27
001	2010-07-01	PATRICK KAPSNER	2011-09-16

Plan Statistics for MEMORIALCARE MEDICAL FOUNDATION 401(K) PLAN

401k plan membership statisitcs for MEMORIALCARE MEDICAL FOUNDATION 401(K) PLAN

Measure Date Value
2018: MEMORIALCARE MEDICAL FOUNDATION 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 1,746
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 1,751
Number of retired or separated participants receiving benefits 2018-01-01 12
Number of other retired or separated participants entitled to future benefits 2018-01-01 256
Total of all active and inactive participants 2018-01-01 2,019
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 3
Total participants 2018-01-01 2,022
Number of participants with account balances 2018-01-01 1,969
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: MEMORIALCARE MEDICAL FOUNDATION 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 1,222
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 1,560
Number of retired or separated participants receiving benefits 2017-01-01 12
Number of other retired or separated participants entitled to future benefits 2017-01-01 172
Total of all active and inactive participants 2017-01-01 1,744
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 2
Total participants 2017-01-01 1,746
Number of participants with account balances 2017-01-01 995
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 29
2016: MEMORIALCARE MEDICAL FOUNDATION 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 1,192
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 1,044
Number of retired or separated participants receiving benefits 2016-01-01 11
Number of other retired or separated participants entitled to future benefits 2016-01-01 165
Total of all active and inactive participants 2016-01-01 1,220
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 2
Total participants 2016-01-01 1,222
Number of participants with account balances 2016-01-01 947
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 27
2015: MEMORIALCARE MEDICAL FOUNDATION 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 930
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 1,033
Number of retired or separated participants receiving benefits 2015-01-01 8
Number of other retired or separated participants entitled to future benefits 2015-01-01 150
Total of all active and inactive participants 2015-01-01 1,191
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 1
Total participants 2015-01-01 1,192
Number of participants with account balances 2015-01-01 948
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 28
2014: MEMORIALCARE MEDICAL FOUNDATION 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 537
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 780
Number of retired or separated participants receiving benefits 2014-01-01 6
Number of other retired or separated participants entitled to future benefits 2014-01-01 144
Total of all active and inactive participants 2014-01-01 930
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 930
Number of participants with account balances 2014-01-01 881
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 24
2013: MEMORIALCARE MEDICAL FOUNDATION 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 464
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 486
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 51
Total of all active and inactive participants 2013-01-01 537
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 537
Number of participants with account balances 2013-01-01 486
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 27
2012: MEMORIALCARE MEDICAL FOUNDATION 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 432
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 435
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 29
Total of all active and inactive participants 2012-01-01 464
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 464
Number of participants with account balances 2012-01-01 428
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 11

Measure	Date	Value
2018: MEMORIALCARE MEDICAL FOUNDATION 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	1,746
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	1,751
Number of retired or separated participants receiving benefits	2018-01-01	12
Number of other retired or separated participants entitled to future benefits	2018-01-01	256
Total of all active and inactive participants	2018-01-01	2,019
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	3
Total participants	2018-01-01	2,022
Number of participants with account balances	2018-01-01	1,969
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: MEMORIALCARE MEDICAL FOUNDATION 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	1,222
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	1,560
Number of retired or separated participants receiving benefits	2017-01-01	12
Number of other retired or separated participants entitled to future benefits	2017-01-01	172
Total of all active and inactive participants	2017-01-01	1,744
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	2
Total participants	2017-01-01	1,746
Number of participants with account balances	2017-01-01	995
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	29
2016: MEMORIALCARE MEDICAL FOUNDATION 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	1,192
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	1,044
Number of retired or separated participants receiving benefits	2016-01-01	11
Number of other retired or separated participants entitled to future benefits	2016-01-01	165
Total of all active and inactive participants	2016-01-01	1,220
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	2
Total participants	2016-01-01	1,222
Number of participants with account balances	2016-01-01	947
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	27
2015: MEMORIALCARE MEDICAL FOUNDATION 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	930
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	1,033
Number of retired or separated participants receiving benefits	2015-01-01	8
Number of other retired or separated participants entitled to future benefits	2015-01-01	150
Total of all active and inactive participants	2015-01-01	1,191
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	1
Total participants	2015-01-01	1,192
Number of participants with account balances	2015-01-01	948
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	28
2014: MEMORIALCARE MEDICAL FOUNDATION 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	537
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	780
Number of retired or separated participants receiving benefits	2014-01-01	6
Number of other retired or separated participants entitled to future benefits	2014-01-01	144
Total of all active and inactive participants	2014-01-01	930
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	930
Number of participants with account balances	2014-01-01	881
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	24
2013: MEMORIALCARE MEDICAL FOUNDATION 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	464
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	486
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	51
Total of all active and inactive participants	2013-01-01	537
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	537
Number of participants with account balances	2013-01-01	486
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	27
2012: MEMORIALCARE MEDICAL FOUNDATION 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	432
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	435
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	29
Total of all active and inactive participants	2012-01-01	464
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	464
Number of participants with account balances	2012-01-01	428
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	11

Financial Data on MEMORIALCARE MEDICAL FOUNDATION 401(K) PLAN

Measure	Date	Value
2018 : MEMORIALCARE MEDICAL FOUNDATION 401(K) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$12,165,000
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$4,388,000
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$4,242,000
Expenses. Certain deemed distributions of participant loans	2018-12-31	$28,000
Value of total corrective distributions	2018-12-31	$6,000
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$14,665,000
Value of total assets at end of year	2018-12-31	$57,906,000
Value of total assets at beginning of year	2018-12-31	$50,129,000
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$112,000
Total interest from all sources	2018-12-31	$64,000
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$1,243,000
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$1,243,000
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$8,488,000
Participant contributions at end of year	2018-12-31	$1,356,000
Participant contributions at beginning of year	2018-12-31	$1,348,000
Participant contributions at end of year	2018-12-31	$364,000
Participant contributions at beginning of year	2018-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$1,467,000
Administrative expenses (other) incurred	2018-12-31	$112,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$7,777,000
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$57,906,000
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$50,129,000
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$26,482,000
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$42,823,000
Interest on participant loans	2018-12-31	$64,000
Value of interest in common/collective trusts at end of year	2018-12-31	$24,994,000
Value of interest in common/collective trusts at beginning of year	2018-12-31	$4,415,000
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-2,238,000
Net investment gain or loss from common/collective trusts	2018-12-31	$-1,569,000
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$4,710,000
Employer contributions (assets) at end of year	2018-12-31	$4,710,000
Employer contributions (assets) at beginning of year	2018-12-31	$1,543,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$4,242,000
Did the plan have assets held for investment	2018-12-31	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	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	PRICEWATERHOUSECOOPERS
Accountancy firm EIN	2018-12-31	134008324
2017 : MEMORIALCARE MEDICAL FOUNDATION 401(K) 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	$0
Total income from all sources (including contributions)	2017-12-31	$11,742,000
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$3,805,000
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$3,743,000
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$5,101,000
Value of total assets at end of year	2017-12-31	$50,129,000
Value of total assets at beginning of year	2017-12-31	$42,192,000
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$62,000
Total interest from all sources	2017-12-31	$57,000
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$1,203,000
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$1,203,000
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$3,252,000
Participant contributions at end of year	2017-12-31	$1,348,000
Participant contributions at beginning of year	2017-12-31	$1,302,000
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$306,000
Administrative expenses (other) incurred	2017-12-31	$62,000
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	$7,937,000
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$50,129,000
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$42,192,000
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$42,823,000
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$35,058,000
Interest on participant loans	2017-12-31	$57,000
Value of interest in common/collective trusts at end of year	2017-12-31	$4,415,000
Value of interest in common/collective trusts at beginning of year	2017-12-31	$4,325,000
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$5,351,000
Net investment gain or loss from common/collective trusts	2017-12-31	$30,000
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
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	$1,543,000
Employer contributions (assets) at end of year	2017-12-31	$1,543,000
Employer contributions (assets) at beginning of year	2017-12-31	$1,507,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$3,743,000
Did the plan have assets held for investment	2017-12-31	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	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	No
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	PRICEWATERHOUSECOOPERS, LLP
Accountancy firm EIN	2017-12-31	134008324
2016 : MEMORIALCARE MEDICAL FOUNDATION 401(K) 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	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$7,577,000
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$3,604,000
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$3,575,000
Expenses. Certain deemed distributions of participant loans	2016-12-31	$1,000
Value of total corrective distributions	2016-12-31	$7,000
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$4,742,000
Value of total assets at end of year	2016-12-31	$42,192,000
Value of total assets at beginning of year	2016-12-31	$38,219,000
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$21,000
Total interest from all sources	2016-12-31	$59,000
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$999,000
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$999,000
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$3,174,000
Participant contributions at end of year	2016-12-31	$1,302,000
Participant contributions at beginning of year	2016-12-31	$1,328,000
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$61,000
Administrative expenses (other) incurred	2016-12-31	$21,000
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	$3,973,000
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$42,192,000
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$38,219,000
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$35,058,000
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$31,239,000
Interest on participant loans	2016-12-31	$59,000
Value of interest in common/collective trusts at end of year	2016-12-31	$4,325,000
Value of interest in common/collective trusts at beginning of year	2016-12-31	$4,126,000
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$1,693,000
Net investment gain or loss from common/collective trusts	2016-12-31	$84,000
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
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	$1,507,000
Employer contributions (assets) at end of year	2016-12-31	$1,507,000
Employer contributions (assets) at beginning of year	2016-12-31	$1,526,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$3,575,000
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	PRICEWATERHOUSECOOPERS, LLP
Accountancy firm EIN	2016-12-31	134008324
2015 : MEMORIALCARE MEDICAL FOUNDATION 401(K) 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	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$4,964,000
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$3,015,000
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$2,952,000
Expenses. Certain deemed distributions of participant loans	2015-12-31	$57,000
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$4,941,000
Value of total assets at end of year	2015-12-31	$38,219,000
Value of total assets at beginning of year	2015-12-31	$36,270,000
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$6,000
Total interest from all sources	2015-12-31	$55,000
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$1,209,000
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$1,209,000
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$3,226,000
Participant contributions at end of year	2015-12-31	$1,328,000
Participant contributions at beginning of year	2015-12-31	$1,196,000
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$189,000
Administrative expenses (other) incurred	2015-12-31	$6,000
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	$1,949,000
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$38,219,000
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$36,270,000
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$31,239,000
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$29,479,000
Interest on participant loans	2015-12-31	$55,000
Value of interest in common/collective trusts at end of year	2015-12-31	$4,126,000
Value of interest in common/collective trusts at beginning of year	2015-12-31	$4,124,000
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-1,262,000
Net investment gain or loss from common/collective trusts	2015-12-31	$21,000
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
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	$1,526,000
Employer contributions (assets) at end of year	2015-12-31	$1,526,000
Employer contributions (assets) at beginning of year	2015-12-31	$1,471,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$2,952,000
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	PRICEWATERCOOPERHOUSE LLP
Accountancy firm EIN	2015-12-31	134008324
2014 : MEMORIALCARE MEDICAL FOUNDATION 401(K) 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	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$7,778,000
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$2,800,000
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$2,736,000
Expenses. Certain deemed distributions of participant loans	2014-12-31	$61,000
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$4,936,000
Value of total assets at end of year	2014-12-31	$36,270,000
Value of total assets at beginning of year	2014-12-31	$31,292,000
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$3,000
Total interest from all sources	2014-12-31	$45,000
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$1,028,000
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$1,028,000
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$2,969,000
Participant contributions at end of year	2014-12-31	$1,196,000
Participant contributions at beginning of year	2014-12-31	$1,067,000
Participant contributions at end of year	2014-12-31	$0
Participant contributions at beginning of year	2014-12-31	$117,000
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$496,000
Value of other receiveables (less allowance for doubtful accounts) at end of year	2014-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2014-12-31	$17,201,000
Administrative expenses (other) incurred	2014-12-31	$3,000
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	$4,978,000
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$36,270,000
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$31,292,000
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$29,479,000
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$11,183,000
Interest on participant loans	2014-12-31	$45,000
Value of interest in common/collective trusts at end of year	2014-12-31	$4,124,000
Value of interest in common/collective trusts at beginning of year	2014-12-31	$1,162,000
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$1,605,000
Net investment gain/loss from pooled separate accounts	2014-12-31	$164,000
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	Yes
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	$1,471,000
Employer contributions (assets) at end of year	2014-12-31	$1,471,000
Employer contributions (assets) at beginning of year	2014-12-31	$562,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$2,736,000
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	PRICEWATERHOUSECOOPERS LLP
Accountancy firm EIN	2014-12-31	134008324
2013 : MEMORIALCARE MEDICAL FOUNDATION 401(K) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total transfer of assets to this plan	2013-12-31	$17,845,000
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$4,007,000
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$545,000
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$542,000
Expenses. Certain deemed distributions of participant loans	2013-12-31	$1,000
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$2,282,000
Value of total assets at end of year	2013-12-31	$31,292,000
Value of total assets at beginning of year	2013-12-31	$9,985,000
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$2,000
Total interest from all sources	2013-12-31	$12,000
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$274,000
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$274,000
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$1,720,000
Participant contributions at end of year	2013-12-31	$1,067,000
Participant contributions at beginning of year	2013-12-31	$296,000
Participant contributions at end of year	2013-12-31	$117,000
Participant contributions at beginning of year	2013-12-31	$62,000
Value of other receiveables (less allowance for doubtful accounts) at end of year	2013-12-31	$17,201,000
Other income not declared elsewhere	2013-12-31	$-7,000
Administrative expenses (other) incurred	2013-12-31	$2,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$3,462,000
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$31,292,000
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$9,985,000
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$11,183,000
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$8,115,000
Interest on participant loans	2013-12-31	$12,000
Value of interest in common/collective trusts at end of year	2013-12-31	$1,162,000
Value of interest in common/collective trusts at beginning of year	2013-12-31	$1,002,000
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$1,443,000
Net investment gain or loss from common/collective trusts	2013-12-31	$3,000
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$562,000
Employer contributions (assets) at end of year	2013-12-31	$562,000
Employer contributions (assets) at beginning of year	2013-12-31	$510,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$542,000
Did the plan have assets held for investment	2013-12-31	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	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	PRICEWATERHOUSECOOPERS LLP
Accountancy firm EIN	2013-12-31	134008324
2012 : MEMORIALCARE MEDICAL FOUNDATION 401(K) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
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	$3,001,000
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$389,000
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$380,000
Expenses. Certain deemed distributions of participant loans	2012-12-31	$7,000
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$2,116,000
Value of total assets at end of year	2012-12-31	$9,985,000
Value of total assets at beginning of year	2012-12-31	$7,373,000
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$2,000
Total interest from all sources	2012-12-31	$15,000
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$194,000
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	$194,000
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
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$1,462,000
Participant contributions at end of year	2012-12-31	$296,000
Participant contributions at beginning of year	2012-12-31	$387,000
Participant contributions at end of year	2012-12-31	$62,000
Participant contributions at beginning of year	2012-12-31	$49,000
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$144,000
Administrative expenses (other) incurred	2012-12-31	$2,000
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	$2,612,000
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$9,985,000
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$7,373,000
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	$8,115,000
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$5,663,000
Interest on participant loans	2012-12-31	$15,000
Value of interest in common/collective trusts at end of year	2012-12-31	$1,002,000
Value of interest in common/collective trusts at beginning of year	2012-12-31	$885,000
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$604,000
Net investment gain or loss from common/collective trusts	2012-12-31	$72,000
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	$510,000
Employer contributions (assets) at end of year	2012-12-31	$510,000
Employer contributions (assets) at beginning of year	2012-12-31	$389,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$380,000
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	PRICEWATERHOUSECOOPERS
Accountancy firm EIN	2012-12-31	134008324

Form 5500 Responses for MEMORIALCARE MEDICAL FOUNDATION 401(K) PLAN

2018: MEMORIALCARE MEDICAL FOUNDATION 401(K) PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: MEMORIALCARE MEDICAL FOUNDATION 401(K) 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	No
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 - Trust	Yes
2016: MEMORIALCARE MEDICAL FOUNDATION 401(K) 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 - Trust	Yes
2015: MEMORIALCARE MEDICAL FOUNDATION 401(K) 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 - Trust	Yes
2014: MEMORIALCARE MEDICAL FOUNDATION 401(K) 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
2013: MEMORIALCARE MEDICAL FOUNDATION 401(K) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: MEMORIALCARE MEDICAL FOUNDATION 401(K) 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 – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	MEMORIAL HEALTH SERVICES
Employer identification number (EIN):	271504911
NAIC Classification:	622000
NAIC Description:	Hospitals

Jurisdiction of Incorporation:	California Department of State
Incorporation Date:
Company Identification Number:	C0171886