401k Plan data: THE VILLAGES REGIONAL HOSPITAL WELFARE PLAN plan

THE VILLAGES REGIONAL HOSPITAL WELFARE PLAN 401k Plan overview

Plan Name	THE VILLAGES REGIONAL HOSPITAL WELFARE PLAN
Plan identification number	501

THE VILLAGES REGIONAL HOSPITAL WELFARE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

THE VILLAGES REGIONAL HOSPITAL has sponsored the creation of one or more 401k plans.

Company Name: THE VILLAGES REGIONAL HOSPITAL

Employer identification number (EIN): 593527036

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE VILLAGES REGIONAL HOSPITAL WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2011-07-01 AMIE RICHASON
501 2010-07-01 MJ CURRY-PELYAK FOR CFHA
501 2009-07-01 INGRID PROVENCHER DALE E. HOCKING 2011-04-07

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2011-07-01	AMIE RICHASON
501	2010-07-01	MJ CURRY-PELYAK FOR CFHA
501	2009-07-01	INGRID PROVENCHER	DALE E. HOCKING	2011-04-07

Plan Statistics for THE VILLAGES REGIONAL HOSPITAL WELFARE PLAN

401k plan membership statisitcs for THE VILLAGES REGIONAL HOSPITAL WELFARE PLAN

Measure Date Value
2011: THE VILLAGES REGIONAL HOSPITAL WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 765
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 0
Number of retired or separated participants receiving benefits 2011-07-01 0
Number of other retired or separated participants entitled to future benefits 2011-07-01 0
Total of all active and inactive participants 2011-07-01 0
2010: THE VILLAGES REGIONAL HOSPITAL WELFARE PLAN 2010 401k membership
Total participants, beginning-of-year 2010-07-01 1,230
Total number of active participants reported on line 7a of the Form 5500 2010-07-01 1,419
Number of retired or separated participants receiving benefits 2010-07-01 10
Number of other retired or separated participants entitled to future benefits 2010-07-01 0
Total of all active and inactive participants 2010-07-01 1,429
2009: THE VILLAGES REGIONAL HOSPITAL WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year 2009-07-01 1,227
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 1,386
Number of retired or separated participants receiving benefits 2009-07-01 5
Number of other retired or separated participants entitled to future benefits 2009-07-01 0
Total of all active and inactive participants 2009-07-01 1,391

Measure	Date	Value
2011: THE VILLAGES REGIONAL HOSPITAL WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	765
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	0
Number of retired or separated participants receiving benefits	2011-07-01	0
Number of other retired or separated participants entitled to future benefits	2011-07-01	0
Total of all active and inactive participants	2011-07-01	0
2010: THE VILLAGES REGIONAL HOSPITAL WELFARE PLAN 2010 401k membership
Total participants, beginning-of-year	2010-07-01	1,230
Total number of active participants reported on line 7a of the Form 5500	2010-07-01	1,419
Number of retired or separated participants receiving benefits	2010-07-01	10
Number of other retired or separated participants entitled to future benefits	2010-07-01	0
Total of all active and inactive participants	2010-07-01	1,429
2009: THE VILLAGES REGIONAL HOSPITAL WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year	2009-07-01	1,227
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	1,386
Number of retired or separated participants receiving benefits	2009-07-01	5
Number of other retired or separated participants entitled to future benefits	2009-07-01	0
Total of all active and inactive participants	2009-07-01	1,391

Form 5500 Responses for THE VILLAGES REGIONAL HOSPITAL WELFARE PLAN

2011: THE VILLAGES REGIONAL HOSPITAL WELFARE PLAN 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	Submission has been amended	No
2011-07-01	This submission is the final filing	Yes
2011-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-07-01	Plan is a collectively bargained plan	No
2011-07-01	Plan funding arrangement – Insurance	Yes
2011-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-07-01	Plan benefit arrangement – Insurance	Yes
2011-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2010: THE VILLAGES REGIONAL HOSPITAL WELFARE PLAN 2010 form 5500 responses
2010-07-01	Type of plan entity	Single employer plan
2010-07-01	Submission has been amended	No
2010-07-01	This submission is the final filing	No
2010-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-07-01	Plan is a collectively bargained plan	No
2010-07-01	Plan funding arrangement – Insurance	Yes
2010-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-07-01	Plan benefit arrangement – Insurance	Yes
2010-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: THE VILLAGES REGIONAL HOSPITAL WELFARE PLAN 2009 form 5500 responses
2009-07-01	Type of plan entity	Single employer plan
2009-07-01	Submission has been amended	No
2009-07-01	This submission is the final filing	No
2009-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-07-01	Plan is a collectively bargained plan	No
2009-07-01	Plan funding arrangement – Insurance	Yes
2009-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-07-01	Plan benefit arrangement – Insurance	Yes
2009-07-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	THE VILLAGES REGIONAL HOSPITAL
Employer identification number (EIN):	593527036
NAIC Classification:	622000
NAIC Description:	Hospitals