401k Plan data: MEDAMERICA HEALTH SYSTEMS CORPORATION EMPLOYEES MEDICAL, DENTAL AND VISION PLAN plan

MEDAMERICA HEALTH SYSTEMS CORPORATION EMPLOYEES MEDICAL, DENTAL AND VISION PLAN 401k Plan overview

Plan Name	MEDAMERICA HEALTH SYSTEMS CORPORATION EMPLOYEES MEDICAL, DENTAL AND VISION PLAN
Plan identification number	501

MEDAMERICA HEALTH SYSTEMS CORPORATION EMPLOYEES MEDICAL, DENTAL AND VISION PLAN Benefits

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

401k Sponsoring company profile

MEDAMERICA HEALTH SYSTEMS CORPORATION has sponsored the creation of one or more 401k plans.

Company Name: MEDAMERICA HEALTH SYSTEMS CORPORATION

Employer identification number (EIN): 311040228

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MEDAMERICA HEALTH SYSTEMS CORPORATION EMPLOYEES MEDICAL, DENTAL AND VISION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2013-01-01 BARBARA JOHNSON
501 2012-01-01 WILLIAM LINESCH
501 2011-01-01 WILLIAM LINESCH
501 2010-01-01 WILLIAN LINESCH WILLIAM LINESCH 2011-09-29
501 2009-01-01 WILLIAM E LINESCH

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2013-01-01	BARBARA JOHNSON
501	2012-01-01	WILLIAM LINESCH
501	2011-01-01	WILLIAM LINESCH
501	2010-01-01	WILLIAN LINESCH	WILLIAM LINESCH	2011-09-29
501	2009-01-01	WILLIAM E LINESCH

Plan Statistics for MEDAMERICA HEALTH SYSTEMS CORPORATION EMPLOYEES MEDICAL, DENTAL AND VISION PLAN

401k plan membership statisitcs for MEDAMERICA HEALTH SYSTEMS CORPORATION EMPLOYEES MEDICAL, DENTAL AND VISION PLAN

Measure Date Value
2013: MEDAMERICA HEALTH SYSTEMS CORPORATION EMPLOYEES MEDICAL, DENTAL AND VISION PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 4,229
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 0
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 0
Total of all active and inactive participants 2013-01-01 0
2012: MEDAMERICA HEALTH SYSTEMS CORPORATION EMPLOYEES MEDICAL, DENTAL AND VISION PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 4,743
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 4,777
Number of retired or separated participants receiving benefits 2012-01-01 68
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 4,845
2011: MEDAMERICA HEALTH SYSTEMS CORPORATION EMPLOYEES MEDICAL, DENTAL AND VISION PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 4,647
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 4,774
Number of retired or separated participants receiving benefits 2011-01-01 46
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 4,820
2010: MEDAMERICA HEALTH SYSTEMS CORPORATION EMPLOYEES MEDICAL, DENTAL AND VISION PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 12,402
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 12,353
Number of retired or separated participants receiving benefits 2010-01-01 29
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 12,382
2009: MEDAMERICA HEALTH SYSTEMS CORPORATION EMPLOYEES MEDICAL, DENTAL AND VISION PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 12,365
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 12,402
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 12,402

Measure	Date	Value
2013: MEDAMERICA HEALTH SYSTEMS CORPORATION EMPLOYEES MEDICAL, DENTAL AND VISION PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	4,229
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	0
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	0
Total of all active and inactive participants	2013-01-01	0
2012: MEDAMERICA HEALTH SYSTEMS CORPORATION EMPLOYEES MEDICAL, DENTAL AND VISION PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	4,743
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	4,777
Number of retired or separated participants receiving benefits	2012-01-01	68
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	4,845
2011: MEDAMERICA HEALTH SYSTEMS CORPORATION EMPLOYEES MEDICAL, DENTAL AND VISION PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	4,647
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	4,774
Number of retired or separated participants receiving benefits	2011-01-01	46
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	4,820
2010: MEDAMERICA HEALTH SYSTEMS CORPORATION EMPLOYEES MEDICAL, DENTAL AND VISION PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	12,402
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	12,353
Number of retired or separated participants receiving benefits	2010-01-01	29
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	12,382
2009: MEDAMERICA HEALTH SYSTEMS CORPORATION EMPLOYEES MEDICAL, DENTAL AND VISION PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	12,365
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	12,402
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	12,402

Form 5500 Responses for MEDAMERICA HEALTH SYSTEMS CORPORATION EMPLOYEES MEDICAL, DENTAL AND VISION PLAN

2013: MEDAMERICA HEALTH SYSTEMS CORPORATION EMPLOYEES MEDICAL, DENTAL AND VISION 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	Yes
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 – Insurance	Yes
2013-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: MEDAMERICA HEALTH SYSTEMS CORPORATION EMPLOYEES MEDICAL, DENTAL AND VISION 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 – Insurance	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: MEDAMERICA HEALTH SYSTEMS CORPORATION EMPLOYEES MEDICAL, DENTAL AND VISION 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 – Insurance	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2010: MEDAMERICA HEALTH SYSTEMS CORPORATION EMPLOYEES MEDICAL, DENTAL AND VISION 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 – Insurance	Yes
2010-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: MEDAMERICA HEALTH SYSTEMS CORPORATION EMPLOYEES MEDICAL, DENTAL AND VISION 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 – General assets of the sponsor	Yes
2009-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	MEDAMERICA HEALTH SYSTEMS CORPORATION
Employer identification number (EIN):	311040228
NAIC Classification:	622000
NAIC Description:	Hospitals