401k Plan data: ANGEL COMMUNITY HOSPITAL PREFERRED CARE PROGRAM plan

ANGEL COMMUNITY HOSPITAL PREFERRED CARE PROGRAM 401k Plan overview

Plan Name	ANGEL COMMUNITY HOSPITAL PREFERRED CARE PROGRAM
Plan identification number	501

ANGEL COMMUNITY HOSPITAL PREFERRED CARE PROGRAM Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Temporary disability (accident and sickness) Long-term disability cover Other welfare benefit cover

401k Sponsoring company profile

ANGEL MEDICAL CENTER, INC. has sponsored the creation of one or more 401k plans.

Company Name: ANGEL MEDICAL CENTER, INC.

Employer identification number (EIN): 566000064

NAIC Classification: 622000
NAIC Description: Hospitals

Additional information about ANGEL MEDICAL CENTER, INC.

Jurisdiction of Incorporation: Florida Department of State Division of Corporations

Incorporation Date: 1990-05-23

Company Identification Number: L75142

Legal Registered Office Address: 1401 E 4TH AVE

HIALEAH

33010

More information about ANGEL MEDICAL CENTER, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ANGEL COMMUNITY HOSPITAL PREFERRED CARE PROGRAM

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2013-01-01 ROBERT BEDNAREK ROBERT BEDNAREK 2015-12-30
501 2012-10-01 JAMES BROSS JAMES BROSS 2014-05-29
501 2011-10-01 JAMES BROSS JAMES BROSS 2013-05-24
501 2010-10-01 MARK GARBER MARK GARBER 2012-06-21
501 2009-10-01 MARK GARBER

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2013-01-01	ROBERT BEDNAREK	ROBERT BEDNAREK	2015-12-30
501	2012-10-01	JAMES BROSS	JAMES BROSS	2014-05-29
501	2011-10-01	JAMES BROSS	JAMES BROSS	2013-05-24
501	2010-10-01	MARK GARBER	MARK GARBER	2012-06-21
501	2009-10-01	MARK GARBER

Plan Statistics for ANGEL COMMUNITY HOSPITAL PREFERRED CARE PROGRAM

401k plan membership statisitcs for ANGEL COMMUNITY HOSPITAL PREFERRED CARE PROGRAM

Measure Date Value
2013: ANGEL COMMUNITY HOSPITAL PREFERRED CARE PROGRAM 2013 401k membership
Total participants, beginning-of-year 2013-01-01 320
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 374
Number of retired or separated participants receiving benefits 2013-01-01 8
Total of all active and inactive participants 2013-01-01 382
2012: ANGEL COMMUNITY HOSPITAL PREFERRED CARE PROGRAM 2012 401k membership
Total participants, beginning-of-year 2012-10-01 305
Total number of active participants reported on line 7a of the Form 5500 2012-10-01 317
Number of retired or separated participants receiving benefits 2012-10-01 3
Total of all active and inactive participants 2012-10-01 320
2011: ANGEL COMMUNITY HOSPITAL PREFERRED CARE PROGRAM 2011 401k membership
Total participants, beginning-of-year 2011-10-01 294
Total number of active participants reported on line 7a of the Form 5500 2011-10-01 303
Number of retired or separated participants receiving benefits 2011-10-01 2
Total of all active and inactive participants 2011-10-01 305
2010: ANGEL COMMUNITY HOSPITAL PREFERRED CARE PROGRAM 2010 401k membership
Total participants, beginning-of-year 2010-10-01 322
Total number of active participants reported on line 7a of the Form 5500 2010-10-01 322
Number of retired or separated participants receiving benefits 2010-10-01 5
Number of other retired or separated participants entitled to future benefits 2010-10-01 0
Total of all active and inactive participants 2010-10-01 327
2009: ANGEL COMMUNITY HOSPITAL PREFERRED CARE PROGRAM 2009 401k membership
Total participants, beginning-of-year 2009-10-01 385
Total number of active participants reported on line 7a of the Form 5500 2009-10-01 318
Number of retired or separated participants receiving benefits 2009-10-01 4
Total of all active and inactive participants 2009-10-01 322

Measure	Date	Value
2013: ANGEL COMMUNITY HOSPITAL PREFERRED CARE PROGRAM 2013 401k membership
Total participants, beginning-of-year	2013-01-01	320
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	374
Number of retired or separated participants receiving benefits	2013-01-01	8
Total of all active and inactive participants	2013-01-01	382
2012: ANGEL COMMUNITY HOSPITAL PREFERRED CARE PROGRAM 2012 401k membership
Total participants, beginning-of-year	2012-10-01	305
Total number of active participants reported on line 7a of the Form 5500	2012-10-01	317
Number of retired or separated participants receiving benefits	2012-10-01	3
Total of all active and inactive participants	2012-10-01	320
2011: ANGEL COMMUNITY HOSPITAL PREFERRED CARE PROGRAM 2011 401k membership
Total participants, beginning-of-year	2011-10-01	294
Total number of active participants reported on line 7a of the Form 5500	2011-10-01	303
Number of retired or separated participants receiving benefits	2011-10-01	2
Total of all active and inactive participants	2011-10-01	305
2010: ANGEL COMMUNITY HOSPITAL PREFERRED CARE PROGRAM 2010 401k membership
Total participants, beginning-of-year	2010-10-01	322
Total number of active participants reported on line 7a of the Form 5500	2010-10-01	322
Number of retired or separated participants receiving benefits	2010-10-01	5
Number of other retired or separated participants entitled to future benefits	2010-10-01	0
Total of all active and inactive participants	2010-10-01	327
2009: ANGEL COMMUNITY HOSPITAL PREFERRED CARE PROGRAM 2009 401k membership
Total participants, beginning-of-year	2009-10-01	385
Total number of active participants reported on line 7a of the Form 5500	2009-10-01	318
Number of retired or separated participants receiving benefits	2009-10-01	4
Total of all active and inactive participants	2009-10-01	322

Form 5500 Responses for ANGEL COMMUNITY HOSPITAL PREFERRED CARE PROGRAM

2013: ANGEL COMMUNITY HOSPITAL PREFERRED CARE PROGRAM 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	Yes
2013-01-01	This submission is the final filing	Yes
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: ANGEL COMMUNITY HOSPITAL PREFERRED CARE PROGRAM 2012 form 5500 responses
2012-10-01	Type of plan entity	Single employer plan
2012-10-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2012-10-01	Plan funding arrangement – Insurance	Yes
2012-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-10-01	Plan benefit arrangement – Insurance	Yes
2012-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: ANGEL COMMUNITY HOSPITAL PREFERRED CARE PROGRAM 2011 form 5500 responses
2011-10-01	Type of plan entity	Single employer plan
2011-10-01	Plan funding arrangement – Insurance	Yes
2011-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-10-01	Plan benefit arrangement – Insurance	Yes
2011-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2010: ANGEL COMMUNITY HOSPITAL PREFERRED CARE PROGRAM 2010 form 5500 responses
2010-10-01	Type of plan entity	Single employer plan
2010-10-01	Submission has been amended	No
2010-10-01	This submission is the final filing	No
2010-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-10-01	Plan is a collectively bargained plan	No
2010-10-01	Plan funding arrangement – Insurance	Yes
2010-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-10-01	Plan benefit arrangement – Insurance	Yes
2010-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: ANGEL COMMUNITY HOSPITAL PREFERRED CARE PROGRAM 2009 form 5500 responses
2009-10-01	Type of plan entity	Single employer plan
2009-10-01	Plan funding arrangement – Insurance	Yes
2009-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-10-01	Plan benefit arrangement – Insurance	Yes
2009-10-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	ANGEL MEDICAL CENTER, INC.
Employer identification number (EIN):	566000064
NAIC Classification:	622000
NAIC Description:	Hospitals

Jurisdiction of Incorporation:	Florida Department of State Division of Corporations
Incorporation Date:	1990-05-23
Company Identification Number:	L75142
Legal Registered Office Address:	1401 E 4TH AVE HIALEAH 33010