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FSA - HAWAII MEDICAL CENTER, LLC 401k Plan overview

Plan NameFSA - HAWAII MEDICAL CENTER, LLC
Plan identification number 502

FSA - HAWAII MEDICAL CENTER, LLC Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

FSA - HAWAII MEDICAL CENTER, LLC has sponsored the creation of one or more 401k plans.

Company Name:FSA - HAWAII MEDICAL CENTER, LLC
Employer identification number (EIN):203409838
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FSA - HAWAII MEDICAL CENTER, LLC

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022010-03-01JESSICA SPHAR
5022009-03-01JESSICA SPHAR

Plan Statistics for FSA - HAWAII MEDICAL CENTER, LLC

401k plan membership statisitcs for FSA - HAWAII MEDICAL CENTER, LLC

Measure Date Value
2010: FSA - HAWAII MEDICAL CENTER, LLC 2010 401k membership
Total participants, beginning-of-year2010-03-0192
Total number of active participants reported on line 7a of the Form 55002010-03-0188
Number of retired or separated participants receiving benefits2010-03-010
Number of other retired or separated participants entitled to future benefits2010-03-010
Total of all active and inactive participants2010-03-0188
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-03-010
Total participants2010-03-0188
Number of participants with account balances2010-03-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-03-010
2009: FSA - HAWAII MEDICAL CENTER, LLC 2009 401k membership
Total participants, beginning-of-year2009-03-0177
Total number of active participants reported on line 7a of the Form 55002009-03-0173
Number of retired or separated participants receiving benefits2009-03-010
Number of other retired or separated participants entitled to future benefits2009-03-010
Total of all active and inactive participants2009-03-0173
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-03-010
Total participants2009-03-0173
Number of participants with account balances2009-03-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-03-010

Financial Data on FSA - HAWAII MEDICAL CENTER, LLC

Measure Date Value
2011 : FSA - HAWAII MEDICAL CENTER, LLC 2011 401k financial data
Total income from all sources2011-02-28$78,397
Expenses. Total of all expenses incurred2011-02-28$78,397
Benefits paid (including direct rollovers)2011-02-28$72,155
Total plan assets at end of year2011-02-28$0
Total plan assets at beginning of year2011-02-28$4,490
Value of fidelity bond covering the plan2011-02-28$1,000,000
Total contributions received or receivable from participants2011-02-28$78,397
Expenses. Other expenses not covered elsewhere2011-02-28$6,242
Contributions received from other sources (not participants or employers)2011-02-28$0
Other income received2011-02-28$0
Noncash contributions received2011-02-28$0
Net income (gross income less expenses)2011-02-28$0
Net plan assets at end of year (total assets less liabilities)2011-02-28$0
Net plan assets at beginning of year (total assets less liabilities)2011-02-28$4,490

Form 5500 Responses for FSA - HAWAII MEDICAL CENTER, LLC

2010: FSA - HAWAII MEDICAL CENTER, LLC 2010 form 5500 responses
2010-03-01Type of plan entitySingle employer plan
2010-03-01Submission has been amendedNo
2010-03-01This submission is the final filingNo
2010-03-01This return/report is a short plan year return/report (less than 12 months)No
2010-03-01Plan is a collectively bargained planNo
2010-03-01Plan funding arrangement – TrustYes
2010-03-01Plan benefit arrangement - TrustYes
2009: FSA - HAWAII MEDICAL CENTER, LLC 2009 form 5500 responses
2009-03-01Type of plan entitySingle employer plan
2009-03-01Submission has been amendedNo
2009-03-01This submission is the final filingNo
2009-03-01This return/report is a short plan year return/report (less than 12 months)No
2009-03-01Plan is a collectively bargained planNo
2009-03-01Plan funding arrangement – TrustYes
2009-03-01Plan benefit arrangement - TrustYes

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