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FORM 5500 DATA

Quorum Health Retirement Savings Plan

Overview

Plan Information

  • Plan Year01/01/2018 — 12/31/2018
  • Date of Plan01/01/2016
  • Net Assets as of 12/31/2018 $362,656,355
  • Plan Number1
  • Plan Type Single Employer
  • Is the plan collectively bargained? No
  • Did the plan file for an extension of time or the DFVC Program?Yes
  • Plan Funding ArrangementInsurance Trust
  • Plan Benefit ArrangementInsurance Trust

Participant Information as of 12/31/2018

  • Active (Eligible) Participants8,205
  • Retired or separated participants receiving benefits6
  • Other retired or separated participants entitled to future benefits1,946
  • Subtotal10,157
  • Deceased participants whose beneficiaries are receiving or are entitled to receive benefits10
  • Total10,167
  • Total number of participants as of 01/01/201810,629
  • Number of participants with account balances6,419
  • Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested108

Expenses

  • Total Benefit Payments$0
  • Corrective Distributions$0
  • Administrative Service Providers$0
  • Other Expenses$0
  • Total Expenses$0
  • Total Transfers$0

Sponsor Information

  • Address1573 Mallory Lane Ste 100
  • CityBrentwood
  • StateTN
  • Zip37027-2895
  • Telephone(615) 465-7244
  • EIN38-3980467
  • Industry Code622000
  • Named AdministratorRandal Swinehart
  • Named Plan SponsorRandal Swinehart

Audit Information

  • Audit StatusAudited
  • AuditorLbmc, Pc
  • Auditor EIN62-1199757
  • Audit Opinion Disclaimer
  • Audit TypeLimited Scope Audit

Benefits Provided Under the Plan

Code Benefit Description
2E Profit-sharing A defined contribution plan that allows employer discretionary contributions. These plans often contain a 401(k) feature.
2F ERISA section 404(c) Plan This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
2G Total participant-directed account plan Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
2J Code section 401(k) feature A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
2K Code section 401(m) arrangement Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contributions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
2T Participant-directed Account Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
3H Controlled Group Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

Questions and Answers

Question Answer Amount
During the plan year did the employer fail to transmit to the plan any participant contributions within the time period described in 29 CFT 2510.3-102? Yes $54,768
Were any loans by the plan or fixed income obligations due the plan in default as of the close of plan year or classified during the year as uncollectible? Disregard participant loans secured by participant's account balance. No
Were any leases to which the plan was a party in default or classified during the year as uncollectible? No
Were there any nonexempt transactions with any party-in-interest? No
Was this plan covered by a fidelity bond? Yes $10,000,000
Did the plan have a loss, whether or not reimbursed by the plan's fidelity bond, that was caused by fraud or dishonesty? No
Did the plan hold any assets whose current value was neither readily determinable on an established market nor set by an independent third party appraiser? No
Did the plan receive any noncash contributions whose value was neither readily determinable on an established market nor set by an independent third party appraiser? No
Did the plan have assets held for investment? Yes
Were any plan transactions or series of transactions in excess of 5% of the current value of plan assets? No
Were all the plan assets either distributed to participants or beneficiaries, transferred to another plan, or brought under the control of the PBGC? No
Has the plan failed to provide any benefit when due under the plan? No
If this is an individual account plan, was there a blackout period? No
If there was a blackout period, have you either provided the required notice or one of the exceptions to providing the notice applied under 29 CFR 2520.101-3? No

Financials

Income and Expense Statement

Income $7,984,370
Contributions $31,534,099
Cash Contributions $31,534,099
Cash from Employers $3,823,624
Cash from Participants $22,626,541
Others (including rollovers) $5,083,934
Noncash Contributions $0
Total Earnings on Investments $-23,563,558
Total Interest $317,015
Interest-Bearing Cash $0
U.S. Government Securities $0
Corporate Debt Instruments $0
Loans (other than to participants) $0
Participant Loans $317,015
Interest from Other Investments $0
Total Dividends $454,077
Preferred Stock $0
Common Stock $0
Rents $0
Net gain (loss) on sale of assets $0
Aggregate Proceeds $0
Aggregate Carrying Amount $0
Total Unrealized Appreciation (depreciation) of assets $0
Real Estate $0
Other $0
Net investment gain (loss) from common/collective trusts $-18,132,776
Net investment gain (loss) from pooled separate accounts $-3,716,487
Net investment gain (loss) from master trust investment accounts $0
Net investment gain (loss) from 103-12 investment entities $0
Net investment gain (loss) from registered investment companies $-2,485,387
Other Income $13,829
Expenses $59,068,730
Total Benefit Payments $58,193,805
Directly to participants or beneficiaries, including direct rollovers $58,180,026
To insurance carriers for the provision of benefits $0
Other Benefit Payment Fees $13,779
Corrective Distributions $74,861
Certain deemed distributions of participant loans $40,417
Interest expense $0
Total Administrative Expenses $759,647
Professional Fees $0
Contract Administrator Fees $759,647
Investment Advisory and management fees $0
Other Administrative Fees $0
Net Income $-51,084,360
Transfers of Assets to this Plan $0
Transfers of Assets from this Plan $39,663

Asset and Liability Statement

12/31/2018 12/31/2017 Change YOY
Total Assets $362,656,355 $413,567,547 -12.31%
Total noninterest-bearing cash $0 $0 0.0%
Receivables $4,569,535 $871,579 424.28%
Employer Contributions $3,811,722 $0 0.0%
Participant Contributions $757,813 $871,579 -13.05%
Other Contributions $0 $0 0.0%
General Investments $0 $0 0.0%
Interest-bearing cash $0 $0 0.0%
U.S. Government Securities $0 $0 0.0%
Corporate Debt Instruments $0 $0 0.0%
Preferred $0 $0 0.0%
All Other $0 $0 0.0%
Corporate Stocks $0 $0 0.0%
Preferred $0 $0 0.0%
Common $0 $0 0.0%
Partnership/joint venture interests $0 $0 0.0%
Real estate (other than employer real property) $0 $0 0.0%
Loans (other than to participants) $0 $0 0.0%
Participants Loans $6,386,840 $6,967,708 -8.34%
Value of interest in common/collective trusts $300,074,027 $314,509,305 -4.59%
Value of interest in pooled separate accounts $42,207,604 $49,159,776 -14.14%
Value of interest in master trust investment accounts $0 $0 0.0%
Value of interest in 103-12 investment entities $0 $0 0.0%
Value of interest in registered investment companies $9,418,349 $42,059,179 -77.61%
Value of funds held in insurance co. general account $0 $0 0.0%
Other Investments $0 $0 0.0%
Employer-related Investments $0 $0 0.0%
Employer Securities $0 $0 0.0%
Employer Real Property $0 $0 0.0%
Buildings and other property used in plan operation $0 $0 0.0%
Total Liabilities $0 $0 0.0%
Benefit Claims Payable (1) $0 $0 0.0%
Operating Payables (1) $0 $0 0.0%
Acquisition Indebtedness (1) $0 $0 0.0%
Other liabilities (1) $0 $0 0.0%
Net Assets $362,656,355 $413,567,547 -12.31%

Service Providers

Persons Receiving Only Eligible Indirect Compensation

  • Principal Life Insurance Company

Other Service Providers Receiving Direct or Indirect Compensation

Name Nature of Service Relationship to Plan Sponsor Direct Compensation Paid by Plan Indirect Compensation Paid by Plan Total Compensation
Principal Life Insurance Company Contract Administrator, Participant loan processing, Direct payment from the plan, Recordkeeping fees Contract Administrator $759,647 $13,799 $773,446
Lpl Financial LLC - Rpcp Investment advisory (plan), Other fees Investment Advisory $0 $56,024 $56,024
Lbmc, Pc Accounting (including auditing), Other fees Accountant $0 $14,000 $14,000
Total $759,647 $83,823 $843,470

Indirect Compensation

Name Source of Indirect Compensation* Nature of Service Description of Indirect Compensation Indirect Compensation Paid by Plan
Principal Life Insurance Company Principal Life Insurance Company Contract Administrator, Participant loan processing, Direct payment from the plan, Recordkeeping fees Contract Administrator $13,799
Lpl Financial LLC - Rpcp Principal Life Insurance Company Investment advisory (plan), Other fees Investment Advisory (Plan) $56,024
Lbmc, Pc Principal Life Insurance Company Accounting (including auditing), Other fees Accountant $14,000
*As outlined by the Form 5500 Instructions for service providers with indirect compensation.

Service Providers Who Fail or Refuse to Provide Information

There are no service providers who failed or refused to provide information.

Termination Information on Accountants and Enrolled Actuaries

There is no termination information for this plan.

Investments

Investments

Name of Investment Investment Manager Type of Investment Dollar Value
Prin Lifetime Hybr 2020 Cit Z Principal Global Investors Trust Co DFE: Common/Collective Trust $47,687,569
Prin Lifetime Hybr 2025 Cit Z Principal Global Investors Trust Co DFE: Common/Collective Trust $46,358,042
Prin Lifetime Hybr 2030 Cit Z Principal Global Investors Trust Co DFE: Common/Collective Trust $34,143,591
Prin Lifetime Hybr 2035 Cit Z Principal Global Investors Trust Co DFE: Common/Collective Trust $30,598,424
Principal Stable Value Z Fund Principal Global Investors Trust Co DFE: Common/Collective Trust $26,652,653
Prin Lifetime Hybr 2040 Cit Z Principal Global Investors Trust Co DFE: Common/Collective Trust $20,161,474
Prin Lifetime Hybr 2015 Cit Z Principal Global Investors Trust Co DFE: Common/Collective Trust $16,977,616
Prin Lifetime Hybr 2045 Cit Z Principal Global Investors Trust Co DFE: Common/Collective Trust $15,334,090
Clearbridge Lr Cp Grwth Cit R2 Wilmington Trust DFE: Common/Collective Trust $15,235,329
Prin Lgcp S&P 500 Index Sa-Z Principal Life Insurance Company DFE: Pooled Separate Account $13,643,279
Prin Midcap S&P 400 Idx Sa-Z Principal Life Insurance Company DFE: Pooled Separate Account $11,987,095
Prin Lifetime Hybr 2050 Cit Z Principal Global Investors Trust Co DFE: Common/Collective Trust $11,083,863
Invesco Divers Div Trust Cl I Invesco Trust Company DFE: Common/Collective Trust $9,866,633
Schwab Instl Fix Inc Cr Plus Charles Schwab Bank DFE: Common/Collective Trust $8,916,990
Prin Smcap S&P 600 Index Sa-Z Principal Life Insurance Company DFE: Pooled Separate Account $8,103,251
Prin Smcap Growth I Sep Acct-Z Principal Life Insurance Company DFE: Pooled Separate Account $6,375,078
Western Ast Inc R3 Hand Benefits & Trust Company DFE: Common/Collective Trust $6,343,100
Prin Lifetime Hybr 2010 Cit Z Principal Global Investors Trust Co DFE: Common/Collective Trust $4,096,936
Prin Lifetime Hybr 2055 Cit Z Principal Global Investors Trust Co DFE: Common/Collective Trust $3,357,942
Prin Lifetime Hybr Inc Cit Z Principal Global Investors Trust Co DFE: Common/Collective Trust $2,381,931
Prin Diversified Intl Sa-Z Principal Life Insurance Company DFE: Pooled Separate Account $2,098,901
Prin Lifetime Hybr 2060 Cit Z Principal Global Investors Trust Co DFE: Common/Collective Trust $821,521
Prin Lifetime Hybr 2065 Cit Z Principal Global Investors Trust Co DFE: Common/Collective Trust $56,323
Total $342,281,631

Insurance Information

Insurance Information

Insurance Carrier Summary Persons Covered
Principal Life Insurance Company 10,167
EIN 42-0127290
Industry Code 61271
Contract Number 527891
Contract Year 01/01/2018 — 12/31/2018
Value in General Account at Year End $0
Value in Separate Accounts at Year End $42,207,604
Insurance Fees and Commissions $0
Persons Receiving Commissions and Fees There are no brokers listed for this plan.
Allocated Funds
Type of Contract Unspecified
Basis of premium rates
Premiums paid to carrier $0
Premiums due but unpaid at the end of the year $0
If the carrier, service, or other organization incurred any specific costs in connection with the acquisition or retention of the contract or policy, enter amount $0
Specify the nature of the costs
Unallocated Funds
Type of Contract Unspecified
Balance at the end of the previous year $0
Additions $0
Contributions Deposited during the year $0
Dividends and credits $0
Interest credited during the year $0
Transferred from separate account $0
Other $0
Total of Balance and Additions $0
Deductions $0
Disbursed from fund to pay benefits or purchase annuities during the year $0
Administration charge made by carrier $0
Transferred to Separate Account $0
Other $0
Balance at the end of the current year $0