ST. ALEXIUS HOPSITAL CORP. MEDICAL PLAN 401k Plan overview

ST. ALEXIUS HOPSITAL CORP. MEDICAL PLAN Benefits

401k Sponsoring company profile

Company Name:	SUCCESS HEALTHCARE , LLC
Employer identification number (EIN):	263245401
NAIC Classification:	622000
NAIC Description:	Hospitals

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
508	2014-06-01	DAVID ARMSTRONG
508	2013-06-01	DAVID ARMSTRONG
508	2012-06-01	DAVID J. ARMSTRONG, ESQ.
508	2012-01-01	DAVID J. ARMSTRONG, ESQ.
508	2011-01-01	DAVID J. ARMSTRONG, ESQ.

Plan Statistics for ST. ALEXIUS HOPSITAL CORP. MEDICAL PLAN

Measure	Date	Value
2014: ST. ALEXIUS HOPSITAL CORP. MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year	2014-06-01	309
Total number of active participants reported on line 7a of the Form 5500	2014-06-01	0
Number of retired or separated participants receiving benefits	2014-06-01	0
Number of other retired or separated participants entitled to future benefits	2014-06-01	0
Total of all active and inactive participants	2014-06-01	0
2013: ST. ALEXIUS HOPSITAL CORP. MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year	2013-06-01	361
Total number of active participants reported on line 7a of the Form 5500	2013-06-01	309
Number of retired or separated participants receiving benefits	2013-06-01	0
Number of other retired or separated participants entitled to future benefits	2013-06-01	0
Total of all active and inactive participants	2013-06-01	309
2012: ST. ALEXIUS HOPSITAL CORP. MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year	2012-06-01	246
Total number of active participants reported on line 7a of the Form 5500	2012-06-01	361
Total of all active and inactive participants	2012-06-01	361
Total participants	2012-06-01	361
Total participants, beginning-of-year	2012-01-01	257
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	246
Total of all active and inactive participants	2012-01-01	246
2011: ST. ALEXIUS HOPSITAL CORP. MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	257
Total of all active and inactive participants	2011-01-01	257

Form 5500 Responses for ST. ALEXIUS HOPSITAL CORP. MEDICAL PLAN

Potentially related plans

• ST. ALEXIUS HOSPITAL HEALTH AND DRUG PLAN [EIN = 263798861]
• ST. ALEXIUS MEDICAL CENTER EMPLOYEE ASSISTANCE PLAN [EIN = 450226711]
• ST. ALEXIUS MEDICAL CENTER HEALTH CARE REIMBURSEMENT PLAN [EIN = 450226711]
• ST. ALEXIUS MEDICAL CENTER GROUP HEALTH PLAN [EIN = 450226711]
• ST. ALEXIUS HOSPITAL VISION BENEFIT PLAN [EIN = 201872766]
• ST. ALEXIUS HOSPITAL MEDICAL INSURANCE PLAN [EIN = 201872766]
• ST. ALEXIUS HOSPITAL LIFE AND LONG TERM DISABILITY INSURANCE PLAN [EIN = 263798861]

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