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THE YAVAPAI REGIONAL MEDICAL CENTER TAX SHELTERED 401k Plan overview

Plan NameTHE YAVAPAI REGIONAL MEDICAL CENTER TAX SHELTERED
Plan identification number 002

THE YAVAPAI REGIONAL MEDICAL CENTER TAX SHELTERED Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • 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.

401k Sponsoring company profile

YAVAPAI COMMUNITY HOSPITAL ASSOC. has sponsored the creation of one or more 401k plans.

Company Name:YAVAPAI COMMUNITY HOSPITAL ASSOC.
Employer identification number (EIN):860098923
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE YAVAPAI REGIONAL MEDICAL CENTER TAX SHELTERED

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022022-01-01
0022021-01-01
0022021-01-01
0022020-01-01
0022019-01-01
0022018-01-01
0022017-01-01BRIAN DEVRIES BRIAN DEVRIES2018-10-11
0022016-01-01BRIAN DEVRIES BRIAN DEVRIES2017-10-16
0022015-01-01MARK TIMM MARK TIMM2016-10-13
0022014-01-01MARK TIMM MARK TIMM2015-10-14
0022013-01-01MARK TIMM MARK TIMM2014-10-15
0022012-01-01BRIAN DEVRIES BRIAN DEVRIES2013-10-15
0022011-01-01BRIAN DEVRIES
0022010-01-01MARK TIMM
0022009-01-01MARK TIMM

Plan Statistics for THE YAVAPAI REGIONAL MEDICAL CENTER TAX SHELTERED

401k plan membership statisitcs for THE YAVAPAI REGIONAL MEDICAL CENTER TAX SHELTERED

Measure Date Value
2022: THE YAVAPAI REGIONAL MEDICAL CENTER TAX SHELTERED 2022 401k membership
Total participants, beginning-of-year2022-01-012,682
Total number of active participants reported on line 7a of the Form 55002022-01-010
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-010
Number of participants with account balances2022-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: THE YAVAPAI REGIONAL MEDICAL CENTER TAX SHELTERED 2021 401k membership
Total participants, beginning-of-year2021-01-012,724
Total number of active participants reported on line 7a of the Form 55002021-01-011,937
Number of retired or separated participants receiving benefits2021-01-0147
Number of other retired or separated participants entitled to future benefits2021-01-01691
Total of all active and inactive participants2021-01-012,675
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-017
Total participants2021-01-012,682
Number of participants with account balances2021-01-011,868
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-0197
2020: THE YAVAPAI REGIONAL MEDICAL CENTER TAX SHELTERED 2020 401k membership
Total participants, beginning-of-year2020-01-012,619
Total number of active participants reported on line 7a of the Form 55002020-01-012,056
Number of retired or separated participants receiving benefits2020-01-0138
Number of other retired or separated participants entitled to future benefits2020-01-01621
Total of all active and inactive participants2020-01-012,715
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-019
Total participants2020-01-012,724
Number of participants with account balances2020-01-011,869
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-0167
2019: THE YAVAPAI REGIONAL MEDICAL CENTER TAX SHELTERED 2019 401k membership
Total participants, beginning-of-year2019-01-011,855
Total number of active participants reported on line 7a of the Form 55002019-01-012,010
Number of retired or separated participants receiving benefits2019-01-0139
Number of other retired or separated participants entitled to future benefits2019-01-01564
Total of all active and inactive participants2019-01-012,613
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-016
Total participants2019-01-012,619
Number of participants with account balances2019-01-011,791
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-0184
2018: THE YAVAPAI REGIONAL MEDICAL CENTER TAX SHELTERED 2018 401k membership
Total participants, beginning-of-year2018-01-012,291
Total number of active participants reported on line 7a of the Form 55002018-01-011,276
Number of retired or separated participants receiving benefits2018-01-0141
Number of other retired or separated participants entitled to future benefits2018-01-01530
Total of all active and inactive participants2018-01-011,847
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-018
Total participants2018-01-011,855
Number of participants with account balances2018-01-011,696
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-0153
2017: THE YAVAPAI REGIONAL MEDICAL CENTER TAX SHELTERED 2017 401k membership
Total participants, beginning-of-year2017-01-012,372
Total number of active participants reported on line 7a of the Form 55002017-01-011,709
Number of retired or separated participants receiving benefits2017-01-0139
Number of other retired or separated participants entitled to future benefits2017-01-01537
Total of all active and inactive participants2017-01-012,285
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-016
Total participants2017-01-012,291
Number of participants with account balances2017-01-011,605
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-0134
2016: THE YAVAPAI REGIONAL MEDICAL CENTER TAX SHELTERED 2016 401k membership
Total participants, beginning-of-year2016-01-012,137
Total number of active participants reported on line 7a of the Form 55002016-01-011,803
Number of retired or separated participants receiving benefits2016-01-0142
Number of other retired or separated participants entitled to future benefits2016-01-01524
Total of all active and inactive participants2016-01-012,369
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-013
Total participants2016-01-012,372
Number of participants with account balances2016-01-011,542
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-0144
2015: THE YAVAPAI REGIONAL MEDICAL CENTER TAX SHELTERED 2015 401k membership
Total participants, beginning-of-year2015-01-012,130
Total number of active participants reported on line 7a of the Form 55002015-01-011,614
Number of retired or separated participants receiving benefits2015-01-0135
Number of other retired or separated participants entitled to future benefits2015-01-01486
Total of all active and inactive participants2015-01-012,135
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-012
Total participants2015-01-012,137
Number of participants with account balances2015-01-011,449
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-0136
2014: THE YAVAPAI REGIONAL MEDICAL CENTER TAX SHELTERED 2014 401k membership
Total participants, beginning-of-year2014-01-012,360
Total number of active participants reported on line 7a of the Form 55002014-01-011,643
Number of retired or separated participants receiving benefits2014-01-0128
Number of other retired or separated participants entitled to future benefits2014-01-01458
Total of all active and inactive participants2014-01-012,129
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-011
Total participants2014-01-012,130
Number of participants with account balances2014-01-011,420
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-0126
2013: THE YAVAPAI REGIONAL MEDICAL CENTER TAX SHELTERED 2013 401k membership
Total participants, beginning-of-year2013-01-012,251
Total number of active participants reported on line 7a of the Form 55002013-01-011,892
Number of retired or separated participants receiving benefits2013-01-018
Number of other retired or separated participants entitled to future benefits2013-01-01456
Total of all active and inactive participants2013-01-012,356
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-014
Total participants2013-01-012,360
Number of participants with account balances2013-01-011,409
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-0136
2012: THE YAVAPAI REGIONAL MEDICAL CENTER TAX SHELTERED 2012 401k membership
Total participants, beginning-of-year2012-01-011,252
Total number of active participants reported on line 7a of the Form 55002012-01-011,880
Number of retired or separated participants receiving benefits2012-01-019
Number of other retired or separated participants entitled to future benefits2012-01-01359
Total of all active and inactive participants2012-01-012,248
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-013
Total participants2012-01-012,251
Number of participants with account balances2012-01-011,315
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-0121
2011: THE YAVAPAI REGIONAL MEDICAL CENTER TAX SHELTERED 2011 401k membership
Total participants, beginning-of-year2011-01-011,248
Total number of active participants reported on line 7a of the Form 55002011-01-01909
Number of retired or separated participants receiving benefits2011-01-017
Number of other retired or separated participants entitled to future benefits2011-01-01336
Total of all active and inactive participants2011-01-011,252
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-011,252
Number of participants with account balances2011-01-011,222
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-0129
2010: THE YAVAPAI REGIONAL MEDICAL CENTER TAX SHELTERED 2010 401k membership
Total participants, beginning-of-year2010-01-011,302
Total number of active participants reported on line 7a of the Form 55002010-01-01940
Number of retired or separated participants receiving benefits2010-01-019
Number of other retired or separated participants entitled to future benefits2010-01-01299
Total of all active and inactive participants2010-01-011,248
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-011,248
Number of participants with account balances2010-01-011,216
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-0130
2009: THE YAVAPAI REGIONAL MEDICAL CENTER TAX SHELTERED 2009 401k membership
Total participants, beginning-of-year2009-01-011,260
Total number of active participants reported on line 7a of the Form 55002009-01-011,039
Number of retired or separated participants receiving benefits2009-01-01262
Total of all active and inactive participants2009-01-011,301
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-011
Total participants2009-01-011,302
Number of participants with account balances2009-01-011,183
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-0179

Financial Data on THE YAVAPAI REGIONAL MEDICAL CENTER TAX SHELTERED

Measure Date Value
2022 : THE YAVAPAI REGIONAL MEDICAL CENTER TAX SHELTERED 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-03-31$0
Total transfer of assets from this plan2022-03-31$142,488,887
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-03-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-03-31$0
Total income from all sources (including contributions)2022-03-31$-11,038,754
Total loss/gain on sale of assets2022-03-31$0
Total of all expenses incurred2022-03-31$12,909,697
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-03-31$12,859,029
Value of total corrective distributions2022-03-31$599
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-03-31$431
Value of total assets at end of year2022-03-31$0
Value of total assets at beginning of year2022-03-31$166,437,338
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-03-31$50,069
Total interest from all sources2022-03-31$57,054
Total dividends received (eg from common stock, registered investment company shares)2022-03-31$554,820
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-03-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-03-31$554,820
Was this plan covered by a fidelity bond2022-03-31Yes
Value of fidelity bond cover2022-03-31$1,500,000
If this is an individual account plan, was there a blackout period2022-03-31No
Were there any nonexempt tranactions with any party-in-interest2022-03-31No
Contributions received from participants2022-03-31$0
Participant contributions at end of year2022-03-31$0
Participant contributions at beginning of year2022-03-31$1,838,750
Assets. Other investments not covered elsewhere at end of year2022-03-31$0
Assets. Other investments not covered elsewhere at beginning of year2022-03-31$11,194
Income. Received or receivable in cash from other sources (including rollovers)2022-03-31$431
Other income not declared elsewhere2022-03-31$5,744
Administrative expenses (other) incurred2022-03-31$50,069
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-03-31No
Value of net income/loss2022-03-31$-23,948,451
Value of net assets at end of year (total assets less liabilities)2022-03-31$0
Value of net assets at beginning of year (total assets less liabilities)2022-03-31$166,437,338
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-03-31No
Were any leases to which the plan was party in default or uncollectible2022-03-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-03-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-03-31$141,643,679
Interest on participant loans2022-03-31$1,168
Interest earned on other investments2022-03-31$55,886
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-03-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-03-31$22,943,715
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-03-31$-11,656,803
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-03-31No
Was there a failure to transmit to the plan any participant contributions2022-03-31No
Has the plan failed to provide any benefit when due under the plan2022-03-31No
Contributions received in cash from employer2022-03-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-03-31$12,859,029
Did the plan have assets held for investment2022-03-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-03-31Yes
Opinion of an independent qualified public accountant for this plan2022-03-31Unqualified
Accountancy firm name2022-03-31ERNST & YOUNG LLP
Accountancy firm EIN2022-03-31346565596
2021 : THE YAVAPAI REGIONAL MEDICAL CENTER TAX SHELTERED 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$34,673,876
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$42,284,146
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$42,040,588
Value of total corrective distributions2021-12-31$5,460
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$13,447,748
Value of total assets at end of year2021-12-31$166,437,338
Value of total assets at beginning of year2021-12-31$174,047,608
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$238,098
Total interest from all sources2021-12-31$402,089
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$8,972,907
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$8,972,907
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$1,500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$8,343,177
Participant contributions at end of year2021-12-31$1,838,750
Participant contributions at beginning of year2021-12-31$1,995,397
Assets. Other investments not covered elsewhere at end of year2021-12-31$11,194
Assets. Other investments not covered elsewhere at beginning of year2021-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$775,399
Other income not declared elsewhere2021-12-31$143,333
Administrative expenses (other) incurred2021-12-31$238,098
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$-7,610,270
Value of net assets at end of year (total assets less liabilities)2021-12-31$166,437,338
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$174,047,608
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$141,643,679
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$141,426,264
Interest on participant loans2021-12-31$77,920
Interest earned on other investments2021-12-31$324,169
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$22,943,715
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$30,625,947
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$11,707,799
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$4,329,172
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$42,040,588
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31ERNST & YOUNG LLP
Accountancy firm EIN2021-12-31346565596
2020 : THE YAVAPAI REGIONAL MEDICAL CENTER TAX SHELTERED 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$36,329,617
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$17,542,531
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$16,583,761
Value of total corrective distributions2020-12-31$8,769
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$12,562,762
Value of total assets at end of year2020-12-31$174,047,608
Value of total assets at beginning of year2020-12-31$155,260,522
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$950,001
Total interest from all sources2020-12-31$589,166
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$4,543,421
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$4,543,421
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$1,500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$7,391,667
Participant contributions at end of year2020-12-31$1,995,397
Participant contributions at beginning of year2020-12-31$2,524,085
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$1,182,408
Other income not declared elsewhere2020-12-31$75,932
Administrative expenses (other) incurred2020-12-31$950,001
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$18,787,086
Value of net assets at end of year (total assets less liabilities)2020-12-31$174,047,608
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$155,260,522
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$141,426,264
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$119,583,705
Interest on participant loans2020-12-31$152,229
Interest earned on other investments2020-12-31$436,937
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$30,625,947
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$33,152,732
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$18,470,567
Net investment gain/loss from pooled separate accounts2020-12-31$87,769
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$3,988,687
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$16,583,761
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31ERNST & YOUNG
Accountancy firm EIN2020-12-31346565596
2019 : THE YAVAPAI REGIONAL MEDICAL CENTER TAX SHELTERED 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$38,388,196
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$14,981,543
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$14,794,155
Expenses. Certain deemed distributions of participant loans2019-12-31$1,984
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$13,683,384
Value of total assets at end of year2019-12-31$155,260,522
Value of total assets at beginning of year2019-12-31$131,853,869
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$185,404
Total interest from all sources2019-12-31$690,867
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$3,819,256
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$3,819,256
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$1,500,000
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$7,150,867
Participant contributions at end of year2019-12-31$2,524,085
Participant contributions at beginning of year2019-12-31$2,290,366
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$2,695,193
Other income not declared elsewhere2019-12-31$10,635
Administrative expenses (other) incurred2019-12-31$185,404
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$23,406,653
Value of net assets at end of year (total assets less liabilities)2019-12-31$155,260,522
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$131,853,869
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$119,583,705
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$91,992,548
Interest on participant loans2019-12-31$109,537
Interest earned on other investments2019-12-31$581,330
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$33,152,732
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$37,570,955
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$20,184,054
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$3,837,324
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$14,794,155
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31BKD, LLP
Accountancy firm EIN2019-12-31440160260
2018 : THE YAVAPAI REGIONAL MEDICAL CENTER TAX SHELTERED 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$7,020,166
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$10,463,777
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$10,256,692
Expenses. Certain deemed distributions of participant loans2018-12-31$46,257
Value of total corrective distributions2018-12-31$4,456
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$10,923,544
Value of total assets at end of year2018-12-31$131,853,869
Value of total assets at beginning of year2018-12-31$135,297,480
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$156,372
Total interest from all sources2018-12-31$765,461
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$5,252,495
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$5,252,495
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$1,500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$6,257,247
Participant contributions at end of year2018-12-31$2,290,366
Participant contributions at beginning of year2018-12-31$2,419,768
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$1,345,096
Other income not declared elsewhere2018-12-31$26,780
Administrative expenses (other) incurred2018-12-31$156,372
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-3,443,611
Value of net assets at end of year (total assets less liabilities)2018-12-31$131,853,869
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$135,297,480
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$91,992,548
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$93,393,327
Interest on participant loans2018-12-31$91,701
Interest earned on other investments2018-12-31$673,760
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$37,570,955
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$39,484,385
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-9,907,760
Net investment gain/loss from pooled separate accounts2018-12-31$-40,354
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$3,321,201
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$10,256,692
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31BKD, LLP
Accountancy firm EIN2018-12-31440160260
2017 : THE YAVAPAI REGIONAL MEDICAL CENTER TAX SHELTERED 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$26,996,679
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$7,840,982
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$7,782,594
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$10,771,188
Value of total assets at end of year2017-12-31$135,297,480
Value of total assets at beginning of year2017-12-31$116,141,783
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$58,388
Total interest from all sources2017-12-31$790,852
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$5,070,541
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$5,070,541
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$1,000,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$5,633,000
Participant contributions at end of year2017-12-31$2,419,768
Participant contributions at beginning of year2017-12-31$2,335,371
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$2,148,955
Other income not declared elsewhere2017-12-31$4,591
Administrative expenses (other) incurred2017-12-31$58,388
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$19,155,697
Value of net assets at end of year (total assets less liabilities)2017-12-31$135,297,480
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$116,141,783
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$93,393,327
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$72,046,836
Interest on participant loans2017-12-31$80,812
Interest earned on other investments2017-12-31$710,040
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$39,484,385
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$41,759,576
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$10,250,370
Net investment gain/loss from pooled separate accounts2017-12-31$109,137
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$2,989,233
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$7,782,594
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31BKD, LLP
Accountancy firm EIN2017-12-31440160260
2016 : THE YAVAPAI REGIONAL MEDICAL CENTER TAX SHELTERED 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$18,861,118
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$7,985,202
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$7,908,130
Expenses. Certain deemed distributions of participant loans2016-12-31$51,379
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$11,607,402
Value of total assets at end of year2016-12-31$116,141,783
Value of total assets at beginning of year2016-12-31$105,265,867
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$25,693
Total interest from all sources2016-12-31$1,177,509
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$2,476,724
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$2,476,724
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$1,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$5,418,744
Participant contributions at end of year2016-12-31$2,335,371
Participant contributions at beginning of year2016-12-31$2,204,487
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$3,349,731
Other income not declared elsewhere2016-12-31$40,503
Administrative expenses (other) incurred2016-12-31$25,693
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$10,875,916
Value of net assets at end of year (total assets less liabilities)2016-12-31$116,141,783
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$105,265,867
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$72,046,836
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$63,830,397
Interest on participant loans2016-12-31$74,015
Interest earned on other investments2016-12-31$1,103,494
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$41,759,576
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$39,230,983
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$3,529,798
Net investment gain/loss from pooled separate accounts2016-12-31$29,182
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$2,838,927
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$7,908,130
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31BKD, LLP
Accountancy firm EIN2016-12-31440160260
2015 : THE YAVAPAI REGIONAL MEDICAL CENTER TAX SHELTERED 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$11,196,153
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$7,248,404
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$7,218,489
Expenses. Certain deemed distributions of participant loans2015-12-31$7,166
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$11,013,865
Value of total assets at end of year2015-12-31$105,265,867
Value of total assets at beginning of year2015-12-31$101,318,118
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$22,749
Total interest from all sources2015-12-31$1,188,140
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$3,209,117
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$3,209,117
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$1,000,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$5,423,100
Participant contributions at end of year2015-12-31$2,204,487
Participant contributions at beginning of year2015-12-31$1,965,213
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$2,843,027
Other income not declared elsewhere2015-12-31$4,876
Administrative expenses (other) incurred2015-12-31$22,749
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$3,947,749
Value of net assets at end of year (total assets less liabilities)2015-12-31$105,265,867
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$101,318,118
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$63,830,397
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$62,784,703
Interest on participant loans2015-12-31$69,979
Interest earned on other investments2015-12-31$1,118,161
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$39,230,983
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$36,568,202
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-4,206,655
Net investment gain/loss from pooled separate accounts2015-12-31$-13,190
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$2,747,738
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$7,218,489
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31BKD, LLP
Accountancy firm EIN2015-12-31440160260
2014 : THE YAVAPAI REGIONAL MEDICAL CENTER TAX SHELTERED 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total income from all sources (including contributions)2014-12-31$15,147,512
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$8,605,366
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$8,406,203
Expenses. Certain deemed distributions of participant loans2014-12-31$178,727
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$9,707,692
Value of total assets at end of year2014-12-31$101,318,118
Value of total assets at beginning of year2014-12-31$94,775,972
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$20,436
Total interest from all sources2014-12-31$1,186,268
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$3,915,686
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$3,915,686
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$1,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$5,271,932
Participant contributions at end of year2014-12-31$1,965,213
Participant contributions at beginning of year2014-12-31$1,788,742
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$1,680,313
Other income not declared elsewhere2014-12-31$115,250
Administrative expenses (other) incurred2014-12-31$20,436
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$6,542,146
Value of net assets at end of year (total assets less liabilities)2014-12-31$101,318,118
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$94,775,972
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$62,784,703
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$56,204,100
Interest on participant loans2014-12-31$107,421
Interest earned on other investments2014-12-31$1,078,847
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$36,568,202
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$36,783,130
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$206,132
Net investment gain/loss from pooled separate accounts2014-12-31$16,484
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$2,755,447
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$8,406,203
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31BKD, LLP
Accountancy firm EIN2014-12-31440160260
2013 : THE YAVAPAI REGIONAL MEDICAL CENTER TAX SHELTERED 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$21,495,420
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$6,703,243
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$6,677,698
Expenses. Certain deemed distributions of participant loans2013-12-31$25,545
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$10,595,132
Value of total assets at end of year2013-12-31$94,775,972
Value of total assets at beginning of year2013-12-31$79,983,795
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$0
Total interest from all sources2013-12-31$1,221,326
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$3,070,030
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$3,070,030
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$1,500,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$5,205,336
Participant contributions at end of year2013-12-31$1,788,742
Participant contributions at beginning of year2013-12-31$1,746,085
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$2,736,743
Other income not declared elsewhere2013-12-31$8,962
Administrative expenses (other) incurred2013-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$14,792,177
Value of net assets at end of year (total assets less liabilities)2013-12-31$94,775,972
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$79,983,795
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$56,204,100
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$42,832,549
Interest on participant loans2013-12-31$79,390
Interest earned on other investments2013-12-31$1,141,936
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$36,783,130
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$35,405,161
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$6,520,498
Net investment gain/loss from pooled separate accounts2013-12-31$79,472
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$2,653,053
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$6,677,698
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31BKD, LLP
Accountancy firm EIN2013-12-31440160260
2012 : THE YAVAPAI REGIONAL MEDICAL CENTER TAX SHELTERED 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total income from all sources (including contributions)2012-12-31$14,945,563
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$3,899,020
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$3,859,952
Expenses. Certain deemed distributions of participant loans2012-12-31$6,262
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$8,549,912
Value of total assets at end of year2012-12-31$79,983,795
Value of total assets at beginning of year2012-12-31$68,937,252
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$32,806
Total interest from all sources2012-12-31$1,098,084
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$991,519
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$991,519
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$1,500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$4,724,436
Participant contributions at end of year2012-12-31$1,746,085
Participant contributions at beginning of year2012-12-31$1,741,323
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$1,200,231
Other income not declared elsewhere2012-12-31$61,424
Administrative expenses (other) incurred2012-12-31$32,806
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$11,046,543
Value of net assets at end of year (total assets less liabilities)2012-12-31$79,983,795
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$68,937,252
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$42,832,549
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$33,548,609
Interest on participant loans2012-12-31$81,637
Interest earned on other investments2012-12-31$1,016,447
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$35,405,161
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$33,647,320
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$4,137,161
Net investment gain/loss from pooled separate accounts2012-12-31$107,463
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$2,625,245
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$3,859,952
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31BKD, LLP
Accountancy firm EIN2012-12-31440160260
2011 : THE YAVAPAI REGIONAL MEDICAL CENTER TAX SHELTERED 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total income from all sources (including contributions)2011-12-31$8,294,145
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$6,424,410
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$6,249,011
Expenses. Certain deemed distributions of participant loans2011-12-31$137,312
Value of total corrective distributions2011-12-31$2,625
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$8,219,422
Value of total assets at end of year2011-12-31$68,937,252
Value of total assets at beginning of year2011-12-31$67,067,517
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$35,462
Total interest from all sources2011-12-31$1,049,877
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$826,125
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$826,125
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$1,500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$4,472,949
Participant contributions at end of year2011-12-31$1,741,323
Participant contributions at beginning of year2011-12-31$1,516,911
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$1,293,908
Other income not declared elsewhere2011-12-31$110,966
Administrative expenses (other) incurred2011-12-31$35,462
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$1,869,735
Value of net assets at end of year (total assets less liabilities)2011-12-31$68,937,252
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$67,067,517
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$33,548,609
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$33,653,319
Value of interest in pooled separate accounts at end of year2011-12-31$0
Value of interest in pooled separate accounts at beginning of year2011-12-31$795,097
Interest on participant loans2011-12-31$85,443
Interest earned on other investments2011-12-31$964,434
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$33,647,320
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$31,102,190
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-1,855,478
Net investment gain or loss from common/collective trusts2011-12-31$-56,767
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$2,452,565
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$6,249,011
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31BKD, LLP
Accountancy firm EIN2011-12-31440160260
2010 : THE YAVAPAI REGIONAL MEDICAL CENTER TAX SHELTERED 2010 401k financial data
Unrealized appreciation/depreciation of real estate assets2010-12-31$0
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total income from all sources (including contributions)2010-12-31$13,063,134
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$3,821,985
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$3,504,174
Expenses. Certain deemed distributions of participant loans2010-12-31$288,406
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$8,082,733
Value of total assets at end of year2010-12-31$67,067,517
Value of total assets at beginning of year2010-12-31$57,826,368
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$29,405
Total interest from all sources2010-12-31$924,840
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$352,801
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$352,801
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$1,500,000
If this is an individual account plan, was there a blackout period2010-12-31Yes
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$4,486,509
Participant contributions at end of year2010-12-31$1,516,911
Participant contributions at beginning of year2010-12-31$1,434,625
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$1,087,931
Other income not declared elsewhere2010-12-31$97,807
Administrative expenses (other) incurred2010-12-31$29,405
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$9,241,149
Value of net assets at end of year (total assets less liabilities)2010-12-31$67,067,517
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$57,826,368
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$33,653,319
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$0
Value of interest in pooled separate accounts at end of year2010-12-31$795,097
Value of interest in pooled separate accounts at beginning of year2010-12-31$29,439,607
Interest on participant loans2010-12-31$76,033
Interest earned on other investments2010-12-31$848,807
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$31,102,190
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$26,952,136
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$3,991,230
Net investment gain/loss from pooled separate accounts2010-12-31$-386,277
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$2,508,293
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$3,504,174
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31Yes
Did the plan have assets held for investment2010-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31BKD, LLP
Accountancy firm EIN2010-12-31440160260

Form 5500 Responses for THE YAVAPAI REGIONAL MEDICAL CENTER TAX SHELTERED

2022: THE YAVAPAI REGIONAL MEDICAL CENTER TAX SHELTERED 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedYes
2022-01-01This submission is the final filingYes
2022-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: THE YAVAPAI REGIONAL MEDICAL CENTER TAX SHELTERED 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: THE YAVAPAI REGIONAL MEDICAL CENTER TAX SHELTERED 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: THE YAVAPAI REGIONAL MEDICAL CENTER TAX SHELTERED 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: THE YAVAPAI REGIONAL MEDICAL CENTER TAX SHELTERED 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: THE YAVAPAI REGIONAL MEDICAL CENTER TAX SHELTERED 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: THE YAVAPAI REGIONAL MEDICAL CENTER TAX SHELTERED 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: THE YAVAPAI REGIONAL MEDICAL CENTER TAX SHELTERED 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: THE YAVAPAI REGIONAL MEDICAL CENTER TAX SHELTERED 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: THE YAVAPAI REGIONAL MEDICAL CENTER TAX SHELTERED 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: THE YAVAPAI REGIONAL MEDICAL CENTER TAX SHELTERED 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: THE YAVAPAI REGIONAL MEDICAL CENTER TAX SHELTERED 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedYes
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: THE YAVAPAI REGIONAL MEDICAL CENTER TAX SHELTERED 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: THE YAVAPAI REGIONAL MEDICAL CENTER TAX SHELTERED 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVF6024
Policy instance 2
Insurance contract or identification numberVF6024
Number of Individuals Covered0
Insurance policy start date2022-01-01
Insurance policy end date2022-03-31
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
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVFZ435
Policy instance 1
Insurance contract or identification numberVFZ435
Number of Individuals Covered0
Insurance policy start date2022-01-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $2,885
Total amount of fees paid to insurance companyUSD $0
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
Commission paid to Insurance BrokerUSD $2,885
Insurance broker organization code?3
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVFZ435
Policy instance 1
Insurance contract or identification numberVFZ435
Number of Individuals Covered2682
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $14,275
Total amount of fees paid to insurance companyUSD $71
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
Commission paid to Insurance BrokerUSD $13,360
Amount paid for insurance broker fees71
Additional information about fees paid to insurance brokerNON CASH COMPENSATION
Insurance broker organization code?3
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVF6024
Policy instance 2
Insurance contract or identification numberVF6024
Number of Individuals Covered27
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVF6024
Policy instance 2
Insurance contract or identification numberVF6024
Number of Individuals Covered35
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVFZ435
Policy instance 1
Insurance contract or identification numberVFZ435
Number of Individuals Covered2724
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $17,352
Total amount of fees paid to insurance companyUSD $0
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
Commission paid to Insurance BrokerUSD $17,352
Insurance broker organization code?3
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVF6024
Policy instance 2
Insurance contract or identification numberVF6024
Number of Individuals Covered38
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVFZ435
Policy instance 1
Insurance contract or identification numberVFZ435
Number of Individuals Covered2619
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $19,233
Total amount of fees paid to insurance companyUSD $0
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
Commission paid to Insurance BrokerUSD $19,233
Insurance broker organization code?3
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVFZ435
Policy instance 2
Insurance contract or identification numberVFZ435
Number of Individuals Covered1855
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $31,964
Total amount of fees paid to insurance companyUSD $0
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
Commission paid to Insurance BrokerUSD $19,465
Insurance broker organization code?3
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVF6024
Policy instance 1
Insurance contract or identification numberVF6024
Number of Individuals Covered43
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVFZ435
Policy instance 1
Insurance contract or identification numberVFZ435
Number of Individuals Covered2291
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $32,051
Total amount of fees paid to insurance companyUSD $0
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
Commission paid to Insurance BrokerUSD $32,051
Insurance broker organization code?3
Insurance broker nameHELFINSTINE NANCY J
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVF6024
Policy instance 2
Insurance contract or identification numberVF6024
Number of Individuals Covered48
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVFZ435
Policy instance 2
Insurance contract or identification numberVFZ435
Number of Individuals Covered2137
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $37,295
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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
Commission paid to Insurance BrokerUSD $37,295
Insurance broker organization code?3
Insurance broker nameNANCY J HELFINSTINE
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVF6024
Policy instance 1
Insurance contract or identification numberVF6024
Number of Individuals Covered69
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVFZ435
Policy instance 3
Insurance contract or identification numberVFZ435
Number of Individuals Covered2130
Insurance policy start date2014-03-11
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $25,477
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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
Commission paid to Insurance BrokerUSD $25,477
Insurance broker organization code?3
Insurance broker nameHELFINSTINE NANCY J
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVF6024
Policy instance 2
Insurance contract or identification numberVF6024
Number of Individuals Covered81
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVFZ274
Policy instance 1
Insurance contract or identification numberVFZ274
Number of Individuals Covered0
Insurance policy start date2014-01-01
Insurance policy end date2014-03-11
Total amount of commissions paid to insurance brokerUSD $8,321
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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
Commission paid to Insurance BrokerUSD $8,321
Insurance broker organization code?3
Insurance broker nameHELFINSTINE NANCY JMS.
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVFZ274
Policy instance 1
Insurance contract or identification numberVFZ274
Number of Individuals Covered2356
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $38,144
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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
Commission paid to Insurance BrokerUSD $38,144
Insurance broker organization code?3
Insurance broker nameHELFINSTINE NANCY JMS.
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVF6024
Policy instance 2
Insurance contract or identification numberVF6024
Number of Individuals Covered93
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVFZ274
Policy instance 1
Insurance contract or identification numberVFZ274
Number of Individuals Covered2251
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $42,052
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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
Commission paid to Insurance BrokerUSD $42,052
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameHELFINSTINE NANCY J
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVF6024
Policy instance 2
Insurance contract or identification numberVF6024
Number of Individuals Covered118
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVFZ274
Policy instance 1
Insurance contract or identification numberVFZ274
Number of Individuals Covered1252
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $45,356
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVF6024
Policy instance 2
Insurance contract or identification numberVF6024
Number of Individuals Covered148
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVFZ274
Policy instance 3
Insurance contract or identification numberVFZ274
Number of Individuals Covered1248
Insurance policy start date2010-06-25
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $15,485
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVF6114
Policy instance 2
Insurance contract or identification numberVF6114
Number of Individuals Covered14
Insurance policy start date2010-01-01
Insurance policy end date2010-06-24
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVF6024
Policy instance 1
Insurance contract or identification numberVF6024
Number of Individuals Covered1250
Insurance policy start date2010-01-01
Insurance policy end date2010-06-24
Total amount of commissions paid to insurance brokerUSD $87,254
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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

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