401k Plan data: ALLIANCE MEDICAL CENTER 403(B) PLAN plan

ALLIANCE MEDICAL CENTER 403(B) PLAN 401k Plan overview

Plan Name	ALLIANCE MEDICAL CENTER 403(B) PLAN
Plan identification number	001

ALLIANCE MEDICAL CENTER 403(B) PLAN Benefits

401k Plan Type

Defined 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.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

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

Company Name: ALLIANCE MEDICAL CENTER INC.

Employer identification number (EIN): 942308747

NAIC Classification: 621111
NAIC Description: Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ALLIANCE MEDICAL CENTER 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2021-07-01
001 2020-07-01
001 2019-07-01
001 2019-07-01
001 2018-07-01
001 2017-07-01
001 2016-07-01
001 2015-07-01
001 2014-07-01 DEENA TRUCCO

Plan Statistics for ALLIANCE MEDICAL CENTER 403(B) PLAN

401k plan membership statisitcs for ALLIANCE MEDICAL CENTER 403(B) PLAN

Measure Date Value
2021: ALLIANCE MEDICAL CENTER 403(B) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-07-01 204
Total number of active participants reported on line 7a of the Form 5500 2021-07-01 152
Number of retired or separated participants receiving benefits 2021-07-01 0
Number of other retired or separated participants entitled to future benefits 2021-07-01 75
Total of all active and inactive participants 2021-07-01 227
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-07-01 0
Total participants 2021-07-01 227
Number of participants with account balances 2021-07-01 216
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-07-01 0
2020: ALLIANCE MEDICAL CENTER 403(B) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-07-01 200
Total number of active participants reported on line 7a of the Form 5500 2020-07-01 139
Number of retired or separated participants receiving benefits 2020-07-01 0
Number of other retired or separated participants entitled to future benefits 2020-07-01 65
Total of all active and inactive participants 2020-07-01 204
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-07-01 0
Total participants 2020-07-01 204
Number of participants with account balances 2020-07-01 188
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-07-01 0
2019: ALLIANCE MEDICAL CENTER 403(B) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-07-01 195
Total number of active participants reported on line 7a of the Form 5500 2019-07-01 122
Number of retired or separated participants receiving benefits 2019-07-01 0
Number of other retired or separated participants entitled to future benefits 2019-07-01 80
Total of all active and inactive participants 2019-07-01 202
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-07-01 0
Total participants 2019-07-01 202
Number of participants with account balances 2019-07-01 181
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-07-01 0
2018: ALLIANCE MEDICAL CENTER 403(B) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-07-01 162
Total number of active participants reported on line 7a of the Form 5500 2018-07-01 116
Number of retired or separated participants receiving benefits 2018-07-01 0
Number of other retired or separated participants entitled to future benefits 2018-07-01 73
Total of all active and inactive participants 2018-07-01 189
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-07-01 0
Total participants 2018-07-01 189
Number of participants with account balances 2018-07-01 164
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-07-01 0
2017: ALLIANCE MEDICAL CENTER 403(B) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-07-01 184
Total number of active participants reported on line 7a of the Form 5500 2017-07-01 110
Number of retired or separated participants receiving benefits 2017-07-01 0
Number of other retired or separated participants entitled to future benefits 2017-07-01 50
Total of all active and inactive participants 2017-07-01 160
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-07-01 0
Total participants 2017-07-01 160
Number of participants with account balances 2017-07-01 131
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-07-01 0
2016: ALLIANCE MEDICAL CENTER 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-07-01 195
Total number of active participants reported on line 7a of the Form 5500 2016-07-01 122
Number of retired or separated participants receiving benefits 2016-07-01 0
Number of other retired or separated participants entitled to future benefits 2016-07-01 65
Total of all active and inactive participants 2016-07-01 187
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-07-01 0
Total participants 2016-07-01 187
Number of participants with account balances 2016-07-01 146
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-07-01 0
2015: ALLIANCE MEDICAL CENTER 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-07-01 158
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 113
Number of retired or separated participants receiving benefits 2015-07-01 0
Number of other retired or separated participants entitled to future benefits 2015-07-01 82
Total of all active and inactive participants 2015-07-01 195
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-07-01 0
Total participants 2015-07-01 195
Number of participants with account balances 2015-07-01 172
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-07-01 0
2014: ALLIANCE MEDICAL CENTER 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-07-01 140
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 102
Number of retired or separated participants receiving benefits 2014-07-01 0
Number of other retired or separated participants entitled to future benefits 2014-07-01 54
Total of all active and inactive participants 2014-07-01 156
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-07-01 0
Total participants 2014-07-01 156
Number of participants with account balances 2014-07-01 113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-07-01 0

Measure	Date	Value
2021: ALLIANCE MEDICAL CENTER 403(B) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-07-01	204
Total number of active participants reported on line 7a of the Form 5500	2021-07-01	152
Number of retired or separated participants receiving benefits	2021-07-01	0
Number of other retired or separated participants entitled to future benefits	2021-07-01	75
Total of all active and inactive participants	2021-07-01	227
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-07-01	0
Total participants	2021-07-01	227
Number of participants with account balances	2021-07-01	216
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-07-01	0
2020: ALLIANCE MEDICAL CENTER 403(B) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-07-01	200
Total number of active participants reported on line 7a of the Form 5500	2020-07-01	139
Number of retired or separated participants receiving benefits	2020-07-01	0
Number of other retired or separated participants entitled to future benefits	2020-07-01	65
Total of all active and inactive participants	2020-07-01	204
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-07-01	0
Total participants	2020-07-01	204
Number of participants with account balances	2020-07-01	188
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-07-01	0
2019: ALLIANCE MEDICAL CENTER 403(B) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-07-01	195
Total number of active participants reported on line 7a of the Form 5500	2019-07-01	122
Number of retired or separated participants receiving benefits	2019-07-01	0
Number of other retired or separated participants entitled to future benefits	2019-07-01	80
Total of all active and inactive participants	2019-07-01	202
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-07-01	0
Total participants	2019-07-01	202
Number of participants with account balances	2019-07-01	181
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-07-01	0
2018: ALLIANCE MEDICAL CENTER 403(B) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-07-01	162
Total number of active participants reported on line 7a of the Form 5500	2018-07-01	116
Number of retired or separated participants receiving benefits	2018-07-01	0
Number of other retired or separated participants entitled to future benefits	2018-07-01	73
Total of all active and inactive participants	2018-07-01	189
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-07-01	0
Total participants	2018-07-01	189
Number of participants with account balances	2018-07-01	164
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-07-01	0
2017: ALLIANCE MEDICAL CENTER 403(B) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-07-01	184
Total number of active participants reported on line 7a of the Form 5500	2017-07-01	110
Number of retired or separated participants receiving benefits	2017-07-01	0
Number of other retired or separated participants entitled to future benefits	2017-07-01	50
Total of all active and inactive participants	2017-07-01	160
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-07-01	0
Total participants	2017-07-01	160
Number of participants with account balances	2017-07-01	131
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-07-01	0
2016: ALLIANCE MEDICAL CENTER 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-07-01	195
Total number of active participants reported on line 7a of the Form 5500	2016-07-01	122
Number of retired or separated participants receiving benefits	2016-07-01	0
Number of other retired or separated participants entitled to future benefits	2016-07-01	65
Total of all active and inactive participants	2016-07-01	187
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-07-01	0
Total participants	2016-07-01	187
Number of participants with account balances	2016-07-01	146
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-07-01	0
2015: ALLIANCE MEDICAL CENTER 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-07-01	158
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	113
Number of retired or separated participants receiving benefits	2015-07-01	0
Number of other retired or separated participants entitled to future benefits	2015-07-01	82
Total of all active and inactive participants	2015-07-01	195
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-07-01	0
Total participants	2015-07-01	195
Number of participants with account balances	2015-07-01	172
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-07-01	0
2014: ALLIANCE MEDICAL CENTER 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-07-01	140
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	102
Number of retired or separated participants receiving benefits	2014-07-01	0
Number of other retired or separated participants entitled to future benefits	2014-07-01	54
Total of all active and inactive participants	2014-07-01	156
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-07-01	0
Total participants	2014-07-01	156
Number of participants with account balances	2014-07-01	113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-07-01	0

Financial Data on ALLIANCE MEDICAL CENTER 403(B) PLAN

Measure	Date	Value
2022 : ALLIANCE MEDICAL CENTER 403(B) PLAN 2022 401k financial data
Total income from all sources (including contributions)	2022-06-30	$323,435
Total of all expenses incurred	2022-06-30	$552,333
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-06-30	$550,870
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-06-30	$1,090,137
Value of total assets at end of year	2022-06-30	$5,150,662
Value of total assets at beginning of year	2022-06-30	$5,379,560
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-06-30	$1,463
Total interest from all sources	2022-06-30	$3,376
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-06-30	No
Was this plan covered by a fidelity bond	2022-06-30	Yes
Value of fidelity bond cover	2022-06-30	$125,000
If this is an individual account plan, was there a blackout period	2022-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2022-06-30	No
Contributions received from participants	2022-06-30	$691,895
Participant contributions at end of year	2022-06-30	$85,699
Participant contributions at beginning of year	2022-06-30	$82,338
Participant contributions at end of year	2022-06-30	$180
Participant contributions at beginning of year	2022-06-30	$180
Income. Received or receivable in cash from other sources (including rollovers)	2022-06-30	$60,219
Value of other receiveables (less allowance for doubtful accounts) at end of year	2022-06-30	$102
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2022-06-30	$102
Total non interest bearing cash at end of year	2022-06-30	$0
Total non interest bearing cash at beginning of year	2022-06-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-06-30	No
Value of net income/loss	2022-06-30	$-228,898
Value of net assets at end of year (total assets less liabilities)	2022-06-30	$5,150,662
Value of net assets at beginning of year (total assets less liabilities)	2022-06-30	$5,379,560
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-06-30	No
Were any leases to which the plan was party in default or uncollectible	2022-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-06-30	$5,064,501
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-06-30	$5,296,760
Interest on participant loans	2022-06-30	$3,376
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-06-30	$-770,078
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-06-30	No
Was there a failure to transmit to the plan any participant contributions	2022-06-30	Yes
Has the plan failed to provide any benefit when due under the plan	2022-06-30	No
Contributions received in cash from employer	2022-06-30	$338,023
Employer contributions (assets) at end of year	2022-06-30	$180
Employer contributions (assets) at beginning of year	2022-06-30	$180
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-06-30	$550,870
Contract administrator fees	2022-06-30	$1,463
Did the plan have assets held for investment	2022-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-06-30	No
Opinion of an independent qualified public accountant for this plan	2022-06-30	Unqualified
Accountancy firm name	2022-06-30	MANN, URRUTIA, NELSON, CPAS & ASSOC
Accountancy firm EIN	2022-06-30	200276349
2021 : ALLIANCE MEDICAL CENTER 403(B) PLAN 2021 401k financial data
Total income from all sources (including contributions)	2021-06-30	$2,008,125
Total of all expenses incurred	2021-06-30	$296,538
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-06-30	$291,851
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-06-30	$864,022
Value of total assets at end of year	2021-06-30	$5,379,560
Value of total assets at beginning of year	2021-06-30	$3,667,973
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-06-30	$4,687
Total interest from all sources	2021-06-30	$2,066
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-06-30	No
Was this plan covered by a fidelity bond	2021-06-30	Yes
Value of fidelity bond cover	2021-06-30	$125,000
If this is an individual account plan, was there a blackout period	2021-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2021-06-30	No
Contributions received from participants	2021-06-30	$586,691
Participant contributions at end of year	2021-06-30	$82,338
Participant contributions at beginning of year	2021-06-30	$70,629
Participant contributions at end of year	2021-06-30	$180
Participant contributions at beginning of year	2021-06-30	$180
Income. Received or receivable in cash from other sources (including rollovers)	2021-06-30	$651
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2021-06-30	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2021-06-30	$102
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2021-06-30	$102
Total non interest bearing cash at end of year	2021-06-30	$0
Total non interest bearing cash at beginning of year	2021-06-30	$37,374
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-06-30	No
Income. Non cash contributions	2021-06-30	$0
Value of net income/loss	2021-06-30	$1,711,587
Value of net assets at end of year (total assets less liabilities)	2021-06-30	$5,379,560
Value of net assets at beginning of year (total assets less liabilities)	2021-06-30	$3,667,973
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-06-30	No
Were any leases to which the plan was party in default or uncollectible	2021-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-06-30	$5,296,760
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-06-30	$3,559,508
Interest on participant loans	2021-06-30	$2,066
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-06-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-06-30	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2021-06-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-06-30	$1,142,037
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-06-30	No
Was there a failure to transmit to the plan any participant contributions	2021-06-30	Yes
Has the plan failed to provide any benefit when due under the plan	2021-06-30	No
Contributions received in cash from employer	2021-06-30	$276,680
Employer contributions (assets) at end of year	2021-06-30	$180
Employer contributions (assets) at beginning of year	2021-06-30	$180
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-06-30	$291,851
Contract administrator fees	2021-06-30	$4,687
Did the plan have assets held for investment	2021-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-06-30	No
Opinion of an independent qualified public accountant for this plan	2021-06-30	Unqualified
Accountancy firm name	2021-06-30	MANN URRUTIA NESION CPAS & ASSOC
Accountancy firm EIN	2021-06-30	200276349
2020 : ALLIANCE MEDICAL CENTER 403(B) PLAN 2020 401k financial data
Total transfer of assets to this plan	2020-06-30	$796
Total income from all sources (including contributions)	2020-06-30	$952,421
Total of all expenses incurred	2020-06-30	$134,135
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-06-30	$133,172
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-06-30	$836,972
Value of total assets at end of year	2020-06-30	$3,676,793
Value of total assets at beginning of year	2020-06-30	$2,857,711
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-06-30	$963
Total interest from all sources	2020-06-30	$1,447
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-06-30	No
Was this plan covered by a fidelity bond	2020-06-30	Yes
Value of fidelity bond cover	2020-06-30	$125,000
If this is an individual account plan, was there a blackout period	2020-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2020-06-30	No
Contributions received from participants	2020-06-30	$557,385
Participant contributions at end of year	2020-06-30	$70,629
Participant contributions at beginning of year	2020-06-30	$51,891
Participant contributions at end of year	2020-06-30	$3,879
Participant contributions at beginning of year	2020-06-30	$18,288
Income. Received or receivable in cash from other sources (including rollovers)	2020-06-30	$35,639
Value of other receiveables (less allowance for doubtful accounts) at end of year	2020-06-30	$102
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2020-06-30	$102
Total non interest bearing cash at end of year	2020-06-30	$37,374
Total non interest bearing cash at beginning of year	2020-06-30	$48,630
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-06-30	No
Value of net income/loss	2020-06-30	$818,286
Value of net assets at end of year (total assets less liabilities)	2020-06-30	$3,676,793
Value of net assets at beginning of year (total assets less liabilities)	2020-06-30	$2,857,711
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-06-30	No
Were any leases to which the plan was party in default or uncollectible	2020-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-06-30	$3,559,508
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-06-30	$2,722,874
Interest on participant loans	2020-06-30	$1,447
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-06-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-06-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-06-30	$114,002
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-06-30	No
Was there a failure to transmit to the plan any participant contributions	2020-06-30	No
Has the plan failed to provide any benefit when due under the plan	2020-06-30	No
Contributions received in cash from employer	2020-06-30	$243,948
Employer contributions (assets) at end of year	2020-06-30	$5,301
Employer contributions (assets) at beginning of year	2020-06-30	$15,926
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-06-30	$133,172
Contract administrator fees	2020-06-30	$963
Did the plan have assets held for investment	2020-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2020-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2020-06-30	Disclaimer
Accountancy firm name	2020-06-30	MANN URRUTIA NESION CPAS & ASSOC
Accountancy firm EIN	2020-06-30	200276349
2019 : ALLIANCE MEDICAL CENTER 403(B) PLAN 2019 401k financial data
Total transfer of assets to this plan	2019-06-30	$103,155
Total income from all sources (including contributions)	2019-06-30	$1,054,560
Total of all expenses incurred	2019-06-30	$186,419
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-06-30	$185,636
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-06-30	$900,657
Value of total assets at end of year	2019-06-30	$2,857,711
Value of total assets at beginning of year	2019-06-30	$1,886,415
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-06-30	$783
Total interest from all sources	2019-06-30	$1,505
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-06-30	No
Was this plan covered by a fidelity bond	2019-06-30	Yes
Value of fidelity bond cover	2019-06-30	$125,000
If this is an individual account plan, was there a blackout period	2019-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2019-06-30	No
Contributions received from participants	2019-06-30	$439,804
Participant contributions at end of year	2019-06-30	$51,891
Participant contributions at beginning of year	2019-06-30	$24,634
Participant contributions at end of year	2019-06-30	$18,288
Participant contributions at beginning of year	2019-06-30	$584
Income. Received or receivable in cash from other sources (including rollovers)	2019-06-30	$246,507
Value of other receiveables (less allowance for doubtful accounts) at end of year	2019-06-30	$102
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2019-06-30	$57
Other income not declared elsewhere	2019-06-30	$45
Total non interest bearing cash at end of year	2019-06-30	$48,630
Total non interest bearing cash at beginning of year	2019-06-30	$21,480
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-06-30	No
Value of net income/loss	2019-06-30	$868,141
Value of net assets at end of year (total assets less liabilities)	2019-06-30	$2,857,711
Value of net assets at beginning of year (total assets less liabilities)	2019-06-30	$1,886,415
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-06-30	No
Were any leases to which the plan was party in default or uncollectible	2019-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-06-30	$2,722,874
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-06-30	$1,832,307
Interest on participant loans	2019-06-30	$1,505
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-06-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-06-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-06-30	$152,353
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-06-30	No
Was there a failure to transmit to the plan any participant contributions	2019-06-30	Yes
Has the plan failed to provide any benefit when due under the plan	2019-06-30	No
Contributions received in cash from employer	2019-06-30	$214,346
Employer contributions (assets) at end of year	2019-06-30	$15,926
Employer contributions (assets) at beginning of year	2019-06-30	$7,353
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-06-30	$185,636
Contract administrator fees	2019-06-30	$783
Did the plan have assets held for investment	2019-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2019-06-30	Disclaimer
Accountancy firm name	2019-06-30	MANN URRUTIA NESION CPAS & ASSOC
Accountancy firm EIN	2019-06-30	200276349
2018 : ALLIANCE MEDICAL CENTER 403(B) PLAN 2018 401k financial data
Total transfer of assets from this plan	2018-06-30	$1,010,244
Total income from all sources (including contributions)	2018-06-30	$625,598
Total of all expenses incurred	2018-06-30	$212,583
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-06-30	$211,773
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-06-30	$501,972
Value of total assets at end of year	2018-06-30	$1,886,415
Value of total assets at beginning of year	2018-06-30	$2,483,644
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-06-30	$810
Total interest from all sources	2018-06-30	$622
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-06-30	No
Was this plan covered by a fidelity bond	2018-06-30	Yes
Value of fidelity bond cover	2018-06-30	$125,000
If this is an individual account plan, was there a blackout period	2018-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2018-06-30	No
Contributions received from participants	2018-06-30	$337,833
Participant contributions at end of year	2018-06-30	$24,634
Participant contributions at beginning of year	2018-06-30	$10,594
Participant contributions at end of year	2018-06-30	$584
Participant contributions at beginning of year	2018-06-30	$3,699
Assets. Other investments not covered elsewhere at beginning of year	2018-06-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2018-06-30	$17,201
Value of other receiveables (less allowance for doubtful accounts) at end of year	2018-06-30	$57
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2018-06-30	$57
Total non interest bearing cash at end of year	2018-06-30	$21,480
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-06-30	No
Value of net income/loss	2018-06-30	$413,015
Value of net assets at end of year (total assets less liabilities)	2018-06-30	$1,886,415
Value of net assets at beginning of year (total assets less liabilities)	2018-06-30	$2,483,644
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-06-30	No
Were any leases to which the plan was party in default or uncollectible	2018-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-06-30	$1,832,307
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-06-30	$1,755,720
Interest on participant loans	2018-06-30	$622
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-06-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-06-30	$709,768
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-06-30	$123,004
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-06-30	Yes
Was there a failure to transmit to the plan any participant contributions	2018-06-30	Yes
Has the plan failed to provide any benefit when due under the plan	2018-06-30	No
Contributions received in cash from employer	2018-06-30	$146,938
Employer contributions (assets) at end of year	2018-06-30	$7,353
Employer contributions (assets) at beginning of year	2018-06-30	$3,806
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-06-30	$211,773
Contract administrator fees	2018-06-30	$810
Did the plan have assets held for investment	2018-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2018-06-30	Disclaimer
Accountancy firm name	2018-06-30	MANN URRUTIA NESION CPAS & ASSOC
Accountancy firm EIN	2018-06-30	200276349
2017 : ALLIANCE MEDICAL CENTER 403(B) PLAN 2017 401k financial data
Total income from all sources (including contributions)	2017-06-30	$702,551
Total of all expenses incurred	2017-06-30	$381,432
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-06-30	$378,868
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-06-30	$473,894
Value of total assets at end of year	2017-06-30	$2,483,644
Value of total assets at beginning of year	2017-06-30	$2,162,525
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-06-30	$2,564
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-06-30	No
Administrative expenses professional fees incurred	2017-06-30	$2,564
Was this plan covered by a fidelity bond	2017-06-30	Yes
Value of fidelity bond cover	2017-06-30	$125,000
If this is an individual account plan, was there a blackout period	2017-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2017-06-30	No
Contributions received from participants	2017-06-30	$266,253
Participant contributions at end of year	2017-06-30	$10,594
Participant contributions at beginning of year	2017-06-30	$1,423
Participant contributions at end of year	2017-06-30	$3,699
Participant contributions at beginning of year	2017-06-30	$8,892
Assets. Other investments not covered elsewhere at end of year	2017-06-30	$0
Assets. Other investments not covered elsewhere at beginning of year	2017-06-30	$269,022
Income. Received or receivable in cash from other sources (including rollovers)	2017-06-30	$79,151
Value of other receiveables (less allowance for doubtful accounts) at end of year	2017-06-30	$57
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2017-06-30	$57
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-06-30	No
Value of net income/loss	2017-06-30	$321,119
Value of net assets at end of year (total assets less liabilities)	2017-06-30	$2,483,644
Value of net assets at beginning of year (total assets less liabilities)	2017-06-30	$2,162,525
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-06-30	No
Were any leases to which the plan was party in default or uncollectible	2017-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-06-30	$1,755,720
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-06-30	$927,752
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-06-30	$709,768
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-06-30	$950,748
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-06-30	$228,657
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-06-30	No
Was there a failure to transmit to the plan any participant contributions	2017-06-30	No
Has the plan failed to provide any benefit when due under the plan	2017-06-30	No
Contributions received in cash from employer	2017-06-30	$128,490
Employer contributions (assets) at end of year	2017-06-30	$3,806
Employer contributions (assets) at beginning of year	2017-06-30	$4,631
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-06-30	$378,868
Did the plan have assets held for investment	2017-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2017-06-30	Disclaimer
Accountancy firm name	2017-06-30	MANN URRUTIA NESION CPAS & ASSOC
Accountancy firm EIN	2017-06-30	200276349
2016 : ALLIANCE MEDICAL CENTER 403(B) PLAN 2016 401k financial data
Total income from all sources (including contributions)	2016-06-30	$185,819
Total of all expenses incurred	2016-06-30	$145,347
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-06-30	$71,894
Expenses. Certain deemed distributions of participant loans	2016-06-30	$38,274
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-06-30	$212,432
Value of total assets at end of year	2016-06-30	$2,162,525
Value of total assets at beginning of year	2016-06-30	$2,122,053
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-06-30	$35,179
Total interest from all sources	2016-06-30	$14
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-06-30	No
Was this plan covered by a fidelity bond	2016-06-30	Yes
Value of fidelity bond cover	2016-06-30	$125,000
If this is an individual account plan, was there a blackout period	2016-06-30	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2016-06-30	No
Contributions received from participants	2016-06-30	$161,218
Participant contributions at end of year	2016-06-30	$1,423
Participant contributions at beginning of year	2016-06-30	$37,560
Participant contributions at end of year	2016-06-30	$8,892
Assets. Other investments not covered elsewhere at end of year	2016-06-30	$269,022
Value of other receiveables (less allowance for doubtful accounts) at end of year	2016-06-30	$57
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2016-06-30	$57
Administrative expenses (other) incurred	2016-06-30	$35,029
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-06-30	No
Value of net income/loss	2016-06-30	$40,472
Value of net assets at end of year (total assets less liabilities)	2016-06-30	$2,162,525
Value of net assets at beginning of year (total assets less liabilities)	2016-06-30	$2,122,053
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-06-30	No
Were any leases to which the plan was party in default or uncollectible	2016-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-06-30	$927,752
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-06-30	$447,206
Interest on participant loans	2016-06-30	$14
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-06-30	$950,748
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-06-30	$1,614,142
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-06-30	$-26,627
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-06-30	No
Was there a failure to transmit to the plan any participant contributions	2016-06-30	Yes
Has the plan failed to provide any benefit when due under the plan	2016-06-30	No
Contributions received in cash from employer	2016-06-30	$51,214
Employer contributions (assets) at end of year	2016-06-30	$4,631
Employer contributions (assets) at beginning of year	2016-06-30	$23,088
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-06-30	$71,894
Contract administrator fees	2016-06-30	$150
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2016-06-30	Yes
Did the plan have assets held for investment	2016-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-06-30	No
Opinion of an independent qualified public accountant for this plan	2016-06-30	Unqualified
Accountancy firm name	2016-06-30	MANN URRUTIA NESION CPAS & ASSOC.
Accountancy firm EIN	2016-06-30	200276349
2015 : ALLIANCE MEDICAL CENTER 403(B) PLAN 2015 401k financial data
Total income from all sources (including contributions)	2015-06-30	$251,229
Total of all expenses incurred	2015-06-30	$145,948
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-06-30	$142,411
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-06-30	$204,249
Value of total assets at end of year	2015-06-30	$2,122,053
Value of total assets at beginning of year	2015-06-30	$2,016,772
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-06-30	$3,537
Total interest from all sources	2015-06-30	$292
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-06-30	No
Was this plan covered by a fidelity bond	2015-06-30	Yes
Value of fidelity bond cover	2015-06-30	$125,000
If this is an individual account plan, was there a blackout period	2015-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2015-06-30	No
Contributions received from participants	2015-06-30	$134,402
Participant contributions at end of year	2015-06-30	$37,560
Participant contributions at beginning of year	2015-06-30	$39,108
Value of other receiveables (less allowance for doubtful accounts) at end of year	2015-06-30	$57
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-06-30	No
Value of net income/loss	2015-06-30	$105,281
Value of net assets at end of year (total assets less liabilities)	2015-06-30	$2,122,053
Value of net assets at beginning of year (total assets less liabilities)	2015-06-30	$2,016,772
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-06-30	No
Were any leases to which the plan was party in default or uncollectible	2015-06-30	No
Investment advisory and management fees	2015-06-30	$3,537
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-06-30	$447,206
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-06-30	$361,405
Interest on participant loans	2015-06-30	$292
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-06-30	$1,614,142
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-06-30	$1,616,259
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-06-30	$46,688
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-06-30	No
Was there a failure to transmit to the plan any participant contributions	2015-06-30	No
Has the plan failed to provide any benefit when due under the plan	2015-06-30	No
Contributions received in cash from employer	2015-06-30	$69,847
Employer contributions (assets) at end of year	2015-06-30	$23,088
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-06-30	$142,411
Did the plan have assets held for investment	2015-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-06-30	No
Opinion of an independent qualified public accountant for this plan	2015-06-30	Unqualified
Accountancy firm name	2015-06-30	MANN URRUTIA NESION CPAS & ASSOC.
Accountancy firm EIN	2015-06-30	200276349

Form 5500 Responses for ALLIANCE MEDICAL CENTER 403(B) PLAN

2021: ALLIANCE MEDICAL CENTER 403(B) PLAN 2021 form 5500 responses
2021-07-01	Type of plan entity	Single employer plan
2021-07-01	Plan funding arrangement – Insurance	Yes
2021-07-01	Plan funding arrangement – Trust	Yes
2021-07-01	Plan benefit arrangement – Insurance	Yes
2021-07-01	Plan benefit arrangement - Trust	Yes
2020: ALLIANCE MEDICAL CENTER 403(B) PLAN 2020 form 5500 responses
2020-07-01	Type of plan entity	Single employer plan
2020-07-01	Plan funding arrangement – Insurance	Yes
2020-07-01	Plan funding arrangement – Trust	Yes
2020-07-01	Plan benefit arrangement – Insurance	Yes
2020-07-01	Plan benefit arrangement - Trust	Yes
2019: ALLIANCE MEDICAL CENTER 403(B) PLAN 2019 form 5500 responses
2019-07-01	Type of plan entity	Single employer plan
2019-07-01	Submission has been amended	Yes
2019-07-01	Plan funding arrangement – Insurance	Yes
2019-07-01	Plan funding arrangement – Trust	Yes
2019-07-01	Plan benefit arrangement – Insurance	Yes
2019-07-01	Plan benefit arrangement - Trust	Yes
2018: ALLIANCE MEDICAL CENTER 403(B) PLAN 2018 form 5500 responses
2018-07-01	Type of plan entity	Single employer plan
2018-07-01	Plan funding arrangement – Insurance	Yes
2018-07-01	Plan funding arrangement – Trust	Yes
2018-07-01	Plan benefit arrangement – Insurance	Yes
2018-07-01	Plan benefit arrangement - Trust	Yes
2017: ALLIANCE MEDICAL CENTER 403(B) PLAN 2017 form 5500 responses
2017-07-01	Type of plan entity	Single employer plan
2017-07-01	Plan funding arrangement – Insurance	Yes
2017-07-01	Plan funding arrangement – Trust	Yes
2017-07-01	Plan benefit arrangement – Insurance	Yes
2017-07-01	Plan benefit arrangement - Trust	Yes
2016: ALLIANCE MEDICAL CENTER 403(B) PLAN 2016 form 5500 responses
2016-07-01	Type of plan entity	Single employer plan
2016-07-01	Plan funding arrangement – Insurance	Yes
2016-07-01	Plan funding arrangement – Trust	Yes
2016-07-01	Plan benefit arrangement – Insurance	Yes
2016-07-01	Plan benefit arrangement - Trust	Yes
2015: ALLIANCE MEDICAL CENTER 403(B) PLAN 2015 form 5500 responses
2015-07-01	Type of plan entity	Single employer plan
2015-07-01	Plan funding arrangement – Insurance	Yes
2015-07-01	Plan funding arrangement – Trust	Yes
2015-07-01	Plan benefit arrangement – Insurance	Yes
2015-07-01	Plan benefit arrangement - Trust	Yes
2014: ALLIANCE MEDICAL CENTER 403(B) PLAN 2014 form 5500 responses
2014-07-01	Type of plan entity	Single employer plan
2014-07-01	Plan funding arrangement – Insurance	Yes
2014-07-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

RIVERSOURCE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65005 )

Policy contract number

15261181

Policy instance

Insurance contract or identification number	15261181
Number of Individuals Covered	19
Insurance policy start date	2018-07-01
Insurance policy end date	2019-06-30
Total amount of commissions paid to insurance broker	USD $898
Are there contracts with allocated funds for individual policies?	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $226
Insurance broker organization code?	3

RIVERSOURCE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65005 )

Policy contract number

15261181

Policy instance

Insurance contract or identification number	15261181
Number of Individuals Covered	22
Insurance policy start date	2017-07-01
Insurance policy end date	2018-06-30
Total amount of commissions paid to insurance broker	USD $1,135
Are there contracts with allocated funds for individual policies?	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

RIVERSOURCE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65005 )

Policy contract number

15261181

Policy instance

Insurance contract or identification number	15261181
Number of Individuals Covered	44
Insurance policy start date	2015-07-01
Insurance policy end date	2016-06-30
Total amount of commissions paid to insurance broker	USD $4,545
Are there contracts with allocated funds for individual policies?	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,708
Insurance broker organization code?	3

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Company Name:	ALLIANCE MEDICAL CENTER INC.
Employer identification number (EIN):	942308747
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)