401k Plan data: EMPLOYEE MEDICAL BENEFIT PLAN plan

EMPLOYEE MEDICAL BENEFIT PLAN 401k Plan overview

Plan Name	EMPLOYEE MEDICAL BENEFIT PLAN
Plan identification number	502

EMPLOYEE MEDICAL BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision)

401k Sponsoring company profile

LIFECARE MEDICAL CENTER has sponsored the creation of one or more 401k plans.

Company Name: LIFECARE MEDICAL CENTER

Employer identification number (EIN): 411804205

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE MEDICAL BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2012-01-01 CATHERINE HUSS
502 2011-01-01 CATHERINE HUSS
502 2010-01-01 CATHERINE HUSS
502 2009-01-01 CAROL KLOTZ

Plan id#	Filing Submission Date	Name of Administrator
502	2012-01-01	CATHERINE HUSS
502	2011-01-01	CATHERINE HUSS
502	2010-01-01	CATHERINE HUSS
502	2009-01-01	CAROL KLOTZ

Plan Statistics for EMPLOYEE MEDICAL BENEFIT PLAN

401k plan membership statisitcs for EMPLOYEE MEDICAL BENEFIT PLAN

Measure Date Value
2012: EMPLOYEE MEDICAL BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 287
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 270
Total of all active and inactive participants 2012-01-01 270
Total participants 2012-01-01 270
2011: EMPLOYEE MEDICAL BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 284
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 287
Total of all active and inactive participants 2011-01-01 287
Total participants 2011-01-01 287
2010: EMPLOYEE MEDICAL BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 281
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 284
Total of all active and inactive participants 2010-01-01 284
Total participants 2010-01-01 284
Number of participants with account balances 2010-01-01 284
2009: EMPLOYEE MEDICAL BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 277
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 281
Total of all active and inactive participants 2009-01-01 281
Total participants 2009-01-01 281

Measure	Date	Value
2012: EMPLOYEE MEDICAL BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	287
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	270
Total of all active and inactive participants	2012-01-01	270
Total participants	2012-01-01	270
2011: EMPLOYEE MEDICAL BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	284
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	287
Total of all active and inactive participants	2011-01-01	287
Total participants	2011-01-01	287
2010: EMPLOYEE MEDICAL BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	281
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	284
Total of all active and inactive participants	2010-01-01	284
Total participants	2010-01-01	284
Number of participants with account balances	2010-01-01	284
2009: EMPLOYEE MEDICAL BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	277
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	281
Total of all active and inactive participants	2009-01-01	281
Total participants	2009-01-01	281

Form 5500 Responses for EMPLOYEE MEDICAL BENEFIT PLAN

2012: EMPLOYEE MEDICAL BENEFIT 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 – Insurance	Yes
2012-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: EMPLOYEE MEDICAL BENEFIT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2010: EMPLOYEE MEDICAL BENEFIT PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: EMPLOYEE MEDICAL BENEFIT PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	LIFECARE MEDICAL CENTER
Employer identification number (EIN):	411804205
NAIC Classification:	622000
NAIC Description:	Hospitals