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SIERRA PACIFIC SURGERY CENTER 401(K) PLAN 401k Plan overview

Plan NameSIERRA PACIFIC SURGERY CENTER 401(K) PLAN
Plan identification number 001

SIERRA PACIFIC SURGERY CENTER 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • 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

SUMMIT SURGICAL has sponsored the creation of one or more 401k plans.

Company Name:SUMMIT SURGICAL
Employer identification number (EIN):954810282
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SIERRA PACIFIC SURGERY CENTER 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012021-01-01
0012020-01-01
0012019-01-01GLENN COZEN2020-08-27
0012018-01-01
0012017-01-01GLENN COZEN2018-09-11
0012016-01-01GLENN COZEN2017-05-24
0012015-01-01GLENN COZEN2016-07-21
0012013-01-01GLENN COZEN
0012012-01-01GLENN COZEN
0012011-01-01GLENN COZEN2012-09-25 GLENN COZEN2012-09-25
0012010-01-01GLENN COZEN2011-07-07 GLENN COZEN2011-07-07

Plan Statistics for SIERRA PACIFIC SURGERY CENTER 401(K) PLAN

401k plan membership statisitcs for SIERRA PACIFIC SURGERY CENTER 401(K) PLAN

Measure Date Value
2022: SIERRA PACIFIC SURGERY CENTER 401(K) PLAN 2022 401k membership
Total number of particpants at beginning of year2022-04-05114
Total number of particpants at end of year2022-04-050
Number of Participants With Account Balances2022-04-050
2013: SIERRA PACIFIC SURGERY CENTER 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01117
Total number of active participants reported on line 7a of the Form 55002013-01-0196
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-0196
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0196
Number of participants with account balances2013-01-0196
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-017
2012: SIERRA PACIFIC SURGERY CENTER 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01129
Total number of active participants reported on line 7a of the Form 55002012-01-01117
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-01117
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01117
Number of participants with account balances2012-01-01117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-014

Financial Data on SIERRA PACIFIC SURGERY CENTER 401(K) PLAN

Measure Date Value
2022 : SIERRA PACIFIC SURGERY CENTER 401(K) PLAN 2022 401k financial data
Total expenses incurred by plan in this plan year2022-04-058496914
Net assets as of the end of the plan year2022-04-050
Total assets as of the beginning of the plan year2022-04-058015689
Value of plan covered by a fidelity bond2022-04-05500000
Other expenses paid from plan in this plan year2022-04-052936
Other income to plan in this plan year2022-04-05481225
Plan net income in this plan year2022-04-05-8015689
Net assets as of the end of the plan year2022-04-050
Net assets as of the beginning of the plan year2022-04-058015689
Fees paid to broker by Benefit Provider2022-04-057548
Expensese paid to adminstrative service provicers from plan in this plan year2022-04-0512704
2013 : SIERRA PACIFIC SURGERY CENTER 401(K) PLAN 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$122,246
Total income from all sources (including contributions)2013-12-31$944,239
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$323,891
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$318,376
Expenses. Certain deemed distributions of participant loans2013-12-31$5,425
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$496,892
Value of total assets at end of year2013-12-31$4,612,821
Value of total assets at beginning of year2013-12-31$4,114,719
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$90
Total interest from all sources2013-12-31$24,346
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$400,000
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$336,765
Participant contributions at end of year2013-12-31$168,039
Participant contributions at beginning of year2013-12-31$122,246
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$36,923
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$122,246
Total non interest bearing cash at end of year2013-12-31$21,824
Total non interest bearing cash at beginning of year2013-12-31$26,033
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$620,348
Value of net assets at end of year (total assets less liabilities)2013-12-31$4,612,821
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$3,992,473
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 pooled separate accounts at end of year2013-12-31$3,995,432
Value of interest in pooled separate accounts at beginning of year2013-12-31$3,966,440
Interest on participant loans2013-12-31$6,524
Interest earned on other investments2013-12-31$17,822
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$427,526
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$0
Net investment gain/loss from pooled separate accounts2013-12-31$423,001
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 contributions2013-12-31Yes
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$123,204
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$318,376
Contract administrator fees2013-12-31$90
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 name2013-12-31WALLACE PLESE & DREHER
Accountancy firm EIN2013-12-31860841383
2012 : SIERRA PACIFIC SURGERY CENTER 401(K) PLAN 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$122,246
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$121,199
Total income from all sources (including contributions)2012-12-31$831,975
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$174,202
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$170,531
Expenses. Certain deemed distributions of participant loans2012-12-31$3,530
Value of total corrective distributions2012-12-31$141
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$519,457
Value of total assets at end of year2012-12-31$4,114,719
Value of total assets at beginning of year2012-12-31$3,455,899
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$0
Total interest from all sources2012-12-31$34,235
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$400,000
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$320,583
Participant contributions at end of year2012-12-31$122,246
Participant contributions at beginning of year2012-12-31$121,199
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$80,995
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$122,246
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$121,199
Total non interest bearing cash at end of year2012-12-31$26,033
Total non interest bearing cash at beginning of year2012-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$657,773
Value of net assets at end of year (total assets less liabilities)2012-12-31$3,992,473
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$3,334,700
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 pooled separate accounts at end of year2012-12-31$3,966,440
Value of interest in pooled separate accounts at beginning of year2012-12-31$3,334,700
Interest earned on other investments2012-12-31$34,235
Net investment gain/loss from pooled separate accounts2012-12-31$278,283
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$117,879
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$170,531
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 plan2012-12-31Qualified
Accountancy firm name2012-12-31WALLACE PLESE & DREHER
Accountancy firm EIN2012-12-31860841383

Form 5500 Responses for SIERRA PACIFIC SURGERY CENTER 401(K) PLAN

2013: SIERRA PACIFIC SURGERY CENTER 401(K) PLAN 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 - TrustYes
2012: SIERRA PACIFIC SURGERY CENTER 401(K) PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedYes
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 - TrustYes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number108378
Policy instance 1
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number108378
Policy instance 1

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