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403(B) THRIFT PLAN OF PRAIRIESTAR HEALTH CENTER, INC. 401k Plan overview

Plan Name403(B) THRIFT PLAN OF PRAIRIESTAR HEALTH CENTER, INC.
Plan identification number 001

403(B) THRIFT PLAN OF PRAIRIESTAR HEALTH CENTER, INC. Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • 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.
  • Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

PRAIRIESTAR HEALTH CENTER, INC. has sponsored the creation of one or more 401k plans.

Company Name:PRAIRIESTAR HEALTH CENTER, INC.
Employer identification number (EIN):481154210
NAIC Classification:621498
NAIC Description:All Other Outpatient Care Centers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan 403(B) THRIFT PLAN OF PRAIRIESTAR HEALTH CENTER, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-07-01
0012021-07-01
0012020-07-01
0012019-07-01KATHY IRELAND2020-11-13 KATHY IRELAND2020-11-13
0012018-07-01KATHY IRELAND2019-11-19
0012017-07-01AMY WIGGINS2019-01-17
0012016-07-01KATHY A IRELAND2018-01-05 KATHY A IRELAND2018-01-05
0012015-07-01KATHY IRELAND2016-12-20 KATHY IRELAND2016-12-20
0012014-07-01KATHY IRELAND2015-12-30 KATHY IRELAND2015-12-30
0012013-07-01SALLY TESLUK2014-11-10 SALLY TESLUK2014-11-10
0012012-07-01SALLY TESLUK2014-01-27 SALLY TESLUK2014-01-27
0012011-07-01SALLY TESLUK2012-12-20 SALLY TESLUK2012-12-20
0012010-07-01SALLY TESLUK2012-02-02 SALLY TESLUK2012-02-02

Plan Statistics for 403(B) THRIFT PLAN OF PRAIRIESTAR HEALTH CENTER, INC.

401k plan membership statisitcs for 403(B) THRIFT PLAN OF PRAIRIESTAR HEALTH CENTER, INC.

Measure Date Value
2022: 403(B) THRIFT PLAN OF PRAIRIESTAR HEALTH CENTER, INC. 2022 401k membership
Total participants, beginning-of-year2022-07-01153
Total number of active participants reported on line 7a of the Form 55002022-07-01134
Number of retired or separated participants receiving benefits2022-07-010
Number of other retired or separated participants entitled to future benefits2022-07-0122
Total of all active and inactive participants2022-07-01156
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-07-010
Total participants2022-07-01156
Number of participants with account balances2022-07-01149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-07-0113
2021: 403(B) THRIFT PLAN OF PRAIRIESTAR HEALTH CENTER, INC. 2021 401k membership
Total participants, beginning-of-year2021-07-01135
Total number of active participants reported on line 7a of the Form 55002021-07-01124
Number of retired or separated participants receiving benefits2021-07-010
Number of other retired or separated participants entitled to future benefits2021-07-0129
Total of all active and inactive participants2021-07-01153
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-07-010
Total participants2021-07-01153
Number of participants with account balances2021-07-01147
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-07-0130
2020: 403(B) THRIFT PLAN OF PRAIRIESTAR HEALTH CENTER, INC. 2020 401k membership
Total participants, beginning-of-year2020-07-01130
Total number of active participants reported on line 7a of the Form 55002020-07-01115
Number of retired or separated participants receiving benefits2020-07-010
Number of other retired or separated participants entitled to future benefits2020-07-0120
Total of all active and inactive participants2020-07-01135
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-07-010
Total participants2020-07-01135
Number of participants with account balances2020-07-01131
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-07-0113

Financial Data on 403(B) THRIFT PLAN OF PRAIRIESTAR HEALTH CENTER, INC.

Measure Date Value
2023 : 403(B) THRIFT PLAN OF PRAIRIESTAR HEALTH CENTER, INC. 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-06-30$0
Total income from all sources (including contributions)2023-06-30$1,193,445
Total loss/gain on sale of assets2023-06-30$0
Total of all expenses incurred2023-06-30$168,411
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-06-30$151,996
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-06-30$737,256
Value of total assets at end of year2023-06-30$3,989,858
Value of total assets at beginning of year2023-06-30$2,964,824
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-06-30$16,415
Total interest from all sources2023-06-30$3,599
Total dividends received (eg from common stock, registered investment company shares)2023-06-30$161,270
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2023-06-30$161,270
Was this plan covered by a fidelity bond2023-06-30Yes
Value of fidelity bond cover2023-06-30$450,000
If this is an individual account plan, was there a blackout period2023-06-30No
Were there any nonexempt tranactions with any party-in-interest2023-06-30No
Contributions received from participants2023-06-30$529,303
Income. Received or receivable in cash from other sources (including rollovers)2023-06-30$47,333
Other income not declared elsewhere2023-06-30$15,725
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-06-30No
Value of net income/loss2023-06-30$1,025,034
Value of net assets at end of year (total assets less liabilities)2023-06-30$3,989,858
Value of net assets at beginning of year (total assets less liabilities)2023-06-30$2,964,824
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2023-06-30No
Were any leases to which the plan was party in default or uncollectible2023-06-30No
Investment advisory and management fees2023-06-30$15,725
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-06-30$3,789,984
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-06-30$2,783,823
Interest earned on other investments2023-06-30$3,599
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2023-06-30$199,874
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2023-06-30$181,001
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-06-30$275,595
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-06-30No
Was there a failure to transmit to the plan any participant contributions2023-06-30No
Has the plan failed to provide any benefit when due under the plan2023-06-30No
Contributions received in cash from employer2023-06-30$160,620
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-06-30$151,996
Contract administrator fees2023-06-30$690
Did the plan have assets held for investment2023-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-06-30No
Opinion of an independent qualified public accountant for this plan2023-06-30Unqualified
Accountancy firm name2023-06-30FORVIS
Accountancy firm EIN2023-06-30440160260
2022 : 403(B) THRIFT PLAN OF PRAIRIESTAR HEALTH CENTER, INC. 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$0
Total income from all sources (including contributions)2022-06-30$320,029
Total loss/gain on sale of assets2022-06-30$0
Total of all expenses incurred2022-06-30$242,939
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-06-30$220,760
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-06-30$861,915
Value of total assets at end of year2022-06-30$2,964,824
Value of total assets at beginning of year2022-06-30$2,887,734
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-06-30$22,179
Total interest from all sources2022-06-30$2,695
Total dividends received (eg from common stock, registered investment company shares)2022-06-30$172,642
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2022-06-30$172,642
Was this plan covered by a fidelity bond2022-06-30Yes
Value of fidelity bond cover2022-06-30$350,000
If this is an individual account plan, was there a blackout period2022-06-30No
Were there any nonexempt tranactions with any party-in-interest2022-06-30No
Contributions received from participants2022-06-30$468,944
Income. Received or receivable in cash from other sources (including rollovers)2022-06-30$245,996
Other income not declared elsewhere2022-06-30$15,690
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Value of net income/loss2022-06-30$77,090
Value of net assets at end of year (total assets less liabilities)2022-06-30$2,964,824
Value of net assets at beginning of year (total assets less liabilities)2022-06-30$2,887,734
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-06-30No
Were any leases to which the plan was party in default or uncollectible2022-06-30No
Investment advisory and management fees2022-06-30$16,989
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-06-30$2,783,823
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-06-30$2,729,804
Interest earned on other investments2022-06-30$2,695
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-06-30$181,001
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-06-30$157,930
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-06-30$-732,913
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-06-30No
Was there a failure to transmit to the plan any participant contributions2022-06-30No
Has the plan failed to provide any benefit when due under the plan2022-06-30No
Contributions received in cash from employer2022-06-30$146,975
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-06-30$220,760
Contract administrator fees2022-06-30$5,190
Did the plan have assets held for investment2022-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-06-30No
Opinion of an independent qualified public accountant for this plan2022-06-30Unqualified
Accountancy firm name2022-06-30FORVIS
Accountancy firm EIN2022-06-30440160260
2021 : 403(B) THRIFT PLAN OF PRAIRIESTAR HEALTH CENTER, INC. 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$0
Total income from all sources (including contributions)2021-06-30$1,137,789
Total loss/gain on sale of assets2021-06-30$0
Total of all expenses incurred2021-06-30$34,025
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-06-30$28,848
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-06-30$558,073
Value of total assets at end of year2021-06-30$2,887,734
Value of total assets at beginning of year2021-06-30$1,783,970
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-06-30$5,177
Total interest from all sources2021-06-30$2,518
Total dividends received (eg from common stock, registered investment company shares)2021-06-30$81,277
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2021-06-30$81,277
Was this plan covered by a fidelity bond2021-06-30Yes
Value of fidelity bond cover2021-06-30$250,000
If this is an individual account plan, was there a blackout period2021-06-30Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-06-30$0
Were there any nonexempt tranactions with any party-in-interest2021-06-30No
Contributions received from participants2021-06-30$391,600
Income. Received or receivable in cash from other sources (including rollovers)2021-06-30$26,254
Other income not declared elsewhere2021-06-30$1,107
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Value of net income/loss2021-06-30$1,103,764
Value of net assets at end of year (total assets less liabilities)2021-06-30$2,887,734
Value of net assets at beginning of year (total assets less liabilities)2021-06-30$1,783,970
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-06-30No
Were any leases to which the plan was party in default or uncollectible2021-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-06-30$2,729,804
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-06-30$1,662,550
Interest earned on other investments2021-06-30$2,518
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-06-30$157,930
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-06-30$121,420
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-06-30$494,814
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-06-30No
Was there a failure to transmit to the plan any participant contributions2021-06-30No
Has the plan failed to provide any benefit when due under the plan2021-06-30No
Contributions received in cash from employer2021-06-30$140,219
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-06-30$28,848
Contract administrator fees2021-06-30$5,177
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-06-30Yes
Did the plan have assets held for investment2021-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-06-30No
Opinion of an independent qualified public accountant for this plan2021-06-30Unqualified
Accountancy firm name2021-06-30BKD, LLP.
Accountancy firm EIN2021-06-30440160260

Form 5500 Responses for 403(B) THRIFT PLAN OF PRAIRIESTAR HEALTH CENTER, INC.

2022: 403(B) THRIFT PLAN OF PRAIRIESTAR HEALTH CENTER, INC. 2022 form 5500 responses
2022-07-01Type of plan entitySingle employer plan
2022-07-01Submission has been amendedNo
2022-07-01This submission is the final filingNo
2022-07-01This return/report is a short plan year return/report (less than 12 months)No
2022-07-01Plan is a collectively bargained planNo
2022-07-01Plan funding arrangement – InsuranceYes
2022-07-01Plan funding arrangement – TrustYes
2022-07-01Plan benefit arrangement – InsuranceYes
2022-07-01Plan benefit arrangement - TrustYes
2021: 403(B) THRIFT PLAN OF PRAIRIESTAR HEALTH CENTER, INC. 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Submission has been amendedNo
2021-07-01This submission is the final filingNo
2021-07-01This return/report is a short plan year return/report (less than 12 months)No
2021-07-01Plan is a collectively bargained planNo
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan funding arrangement – TrustYes
2021-07-01Plan benefit arrangement – InsuranceYes
2021-07-01Plan benefit arrangement - TrustYes
2020: 403(B) THRIFT PLAN OF PRAIRIESTAR HEALTH CENTER, INC. 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Submission has been amendedNo
2020-07-01This submission is the final filingNo
2020-07-01This return/report is a short plan year return/report (less than 12 months)No
2020-07-01Plan is a collectively bargained planNo
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan funding arrangement – TrustYes
2020-07-01Plan benefit arrangement – InsuranceYes
2020-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number896688+007
Policy instance 1
Insurance contract or identification number896688+007
Number of Individuals Covered7
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number896688+007
Policy instance 1
Insurance contract or identification number896688+007
Number of Individuals Covered7
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number896688+007
Policy instance 1
Insurance contract or identification number896688+007
Number of Individuals Covered7
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HORACE MANN LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 64513 )
Policy contract number55A322
Policy instance 2
Insurance contract or identification number55A322
Number of Individuals Covered0
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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