401k Plan data: AMBULATORY SURGICAL CENTER OF STEVENS POINT, LLC 401(K) PLAN plan

AMBULATORY SURGICAL CENTER OF STEVENS POINT, LLC 401(K) PLAN 401k Plan overview

Plan Name	AMBULATORY SURGICAL CENTER OF STEVENS POINT, LLC 401(K) PLAN
Plan identification number	001

AMBULATORY SURGICAL CENTER OF STEVENS POINT, LLC 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
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.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

AMBULATORY SURGICAL CENTER OF STEVENS POINT, LLC has sponsored the creation of one or more 401k plans.

Company Name: AMBULATORY SURGICAL CENTER OF STEVENS POINT, LLC

Employer identification number (EIN): 202043506

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AMBULATORY SURGICAL CENTER OF STEVENS POINT, LLC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2023-01-01 STEPHANIE SCHROEDER 2024-06-26
001 2022-01-01 SHANE MELENBACKER 2023-07-25
001 2021-01-01 SHANE MELENBACKER 2022-05-05
001 2020-01-01 JOHN FULLER 2021-05-20
001 2019-01-01
001 2018-01-01 JOHN FULLER, MD 2019-07-18
001 2017-01-01 JOHN FULLER, MD 2018-07-11
001 2016-01-01 JOHN FULLER, MD 2017-05-19
001 2013-01-01 JOHN FULLER, MD 2014-06-24
001 2012-01-01 JOHN FULLER, MD 2013-05-14
001 2011-01-01 DR. JOHN FULLER 2012-07-25 DR. JOHN FULLER 2012-07-25
001 2010-01-01 DR. JOHN FULLER 2011-04-27 DR. JOHN FULLER 2011-04-27

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2023-01-01	STEPHANIE SCHROEDER	2024-06-26
001	2022-01-01	SHANE MELENBACKER	2023-07-25
001	2021-01-01	SHANE MELENBACKER	2022-05-05
001	2020-01-01	JOHN FULLER	2021-05-20
001	2019-01-01
001	2018-01-01	JOHN FULLER, MD	2019-07-18
001	2017-01-01	JOHN FULLER, MD	2018-07-11
001	2016-01-01	JOHN FULLER, MD	2017-05-19
001	2013-01-01	JOHN FULLER, MD	2014-06-24
001	2012-01-01	JOHN FULLER, MD	2013-05-14
001	2011-01-01	DR. JOHN FULLER	2012-07-25	DR. JOHN FULLER	2012-07-25
001	2010-01-01	DR. JOHN FULLER	2011-04-27	DR. JOHN FULLER	2011-04-27

Plan Statistics for AMBULATORY SURGICAL CENTER OF STEVENS POINT, LLC 401(K) PLAN

401k plan membership statisitcs for AMBULATORY SURGICAL CENTER OF STEVENS POINT, LLC 401(K) PLAN

Measure Date Value
2025: AMBULATORY SURGICAL CENTER OF STEVENS POINT, LLC 401(K) PLAN 2025 401k membership
Total number of particpants at beginning of year 2025-06-10 19
Total number of particpants at end of year 2025-06-10 20
Number of Participants With Account Balances 2025-06-10 19
2024: AMBULATORY SURGICAL CENTER OF STEVENS POINT, LLC 401(K) PLAN 2024 401k membership
Total number of particpants at beginning of year 2024-06-26 28
Total number of particpants at end of year 2024-06-26 24
Number of Participants With Account Balances 2024-06-26 17
2022: AMBULATORY SURGICAL CENTER OF STEVENS POINT, LLC 401(K) PLAN 2022 401k membership
Total number of particpants at beginning of year 2022-05-05 19
Total number of particpants at end of year 2022-05-05 18
Number of Participants With Account Balances 2022-05-05 18
2019: AMBULATORY SURGICAL CENTER OF STEVENS POINT, LLC 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 21
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 19
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 3
Total of all active and inactive participants 2019-01-01 22
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 22
Number of participants with account balances 2019-01-01 14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0

Measure	Date	Value
2025: AMBULATORY SURGICAL CENTER OF STEVENS POINT, LLC 401(K) PLAN 2025 401k membership
Total number of particpants at beginning of year	2025-06-10	19
Total number of particpants at end of year	2025-06-10	20
Number of Participants With Account Balances	2025-06-10	19
2024: AMBULATORY SURGICAL CENTER OF STEVENS POINT, LLC 401(K) PLAN 2024 401k membership
Total number of particpants at beginning of year	2024-06-26	28
Total number of particpants at end of year	2024-06-26	24
Number of Participants With Account Balances	2024-06-26	17
2022: AMBULATORY SURGICAL CENTER OF STEVENS POINT, LLC 401(K) PLAN 2022 401k membership
Total number of particpants at beginning of year	2022-05-05	19
Total number of particpants at end of year	2022-05-05	18
Number of Participants With Account Balances	2022-05-05	18
2019: AMBULATORY SURGICAL CENTER OF STEVENS POINT, LLC 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	21
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	19
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	3
Total of all active and inactive participants	2019-01-01	22
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	22
Number of participants with account balances	2019-01-01	14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0

Financial Data on AMBULATORY SURGICAL CENTER OF STEVENS POINT, LLC 401(K) PLAN

Measure	Date	Value
2025 : AMBULATORY SURGICAL CENTER OF STEVENS POINT, LLC 401(K) PLAN 2025 401k financial data
Total expenses incurred by plan in this plan year	2025-06-10	32002
Net assets as of the end of the plan year	2025-06-10	819041
Total assets as of the beginning of the plan year	2025-06-10	426858
Value of plan covered by a fidelity bond	2025-06-10	42686
Participant contributions to plan in this plan year	2025-06-10	44041
Other contributions to plan in this plan year	2025-06-10	283266
Other income to plan in this plan year	2025-06-10	30886
Plan net income in this plan year	2025-06-10	392183
Net assets as of the end of the plan year	2025-06-10	819041
Net assets as of the beginning of the plan year	2025-06-10	426858
Employer contributions to plan in this plan year	2025-06-10	65992
Expensese paid to adminstrative service provicers from plan in this plan year	2025-06-10	3087
2024 : AMBULATORY SURGICAL CENTER OF STEVENS POINT, LLC 401(K) PLAN 2024 401k financial data
Total transfers to/from plan in this plan year	2024-06-26	0
Total liabilities as of the end of the plan year	2024-06-26	0
Total liabilities as of the beginning of the plan year	2024-06-26	0
Total expenses incurred by plan in this plan year	2024-06-26	194347
Net assets as of the end of the plan year	2024-06-26	426858
Total assets as of the beginning of the plan year	2024-06-26	466913
Value of plan covered by a fidelity bond	2024-06-26	46691
Participant contributions to plan in this plan year	2024-06-26	53222
Other expenses paid from plan in this plan year	2024-06-26	0
Other contributions to plan in this plan year	2024-06-26	0
Other income to plan in this plan year	2024-06-26	58063
Plan net income in this plan year	2024-06-26	-40055
Net assets as of the end of the plan year	2024-06-26	426858
Net assets as of the beginning of the plan year	2024-06-26	466913
Employer contributions to plan in this plan year	2024-06-26	43007
Expensese paid to adminstrative service provicers from plan in this plan year	2024-06-26	2676
2022 : AMBULATORY SURGICAL CENTER OF STEVENS POINT, LLC 401(K) PLAN 2022 401k financial data
Total transfers to/from plan in this plan year	2022-05-05	0
Total liabilities as of the end of the plan year	2022-05-05	0
Total liabilities as of the beginning of the plan year	2022-05-05	0
Total expenses incurred by plan in this plan year	2022-05-05	256968
Net assets as of the end of the plan year	2022-05-05	1133057
Total assets as of the beginning of the plan year	2022-05-05	1086134
Value of plan covered by a fidelity bond	2022-05-05	108613
Participant contributions to plan in this plan year	2022-05-05	44683
Other expenses paid from plan in this plan year	2022-05-05	0
Other contributions to plan in this plan year	2022-05-05	0
Other income to plan in this plan year	2022-05-05	219162
Plan net income in this plan year	2022-05-05	46923
Net assets as of the end of the plan year	2022-05-05	1133057
Net assets as of the beginning of the plan year	2022-05-05	1086134
Employer contributions to plan in this plan year	2022-05-05	40046
Expensese paid to adminstrative service provicers from plan in this plan year	2022-05-05	713
2019 : AMBULATORY SURGICAL CENTER OF STEVENS POINT, LLC 401(K) PLAN 2019 401k financial data
Transfers to/from the plan	2019-12-31	$0
Total plan liabilities at end of year	2019-12-31	$0
Total plan liabilities at beginning of year	2019-12-31	$0
Total income from all sources	2019-12-31	$219,260
Expenses. Total of all expenses incurred	2019-12-31	$0
Benefits paid (including direct rollovers)	2019-12-31	$0
Total plan assets at end of year	2019-12-31	$875,286
Total plan assets at beginning of year	2019-12-31	$656,026
Value of fidelity bond covering the plan	2019-12-31	$20,000
Total contributions received or receivable from participants	2019-12-31	$36,717
Expenses. Other expenses not covered elsewhere	2019-12-31	$0
Contributions received from other sources (not participants or employers)	2019-12-31	$0
Other income received	2019-12-31	$179,748
Net income (gross income less expenses)	2019-12-31	$219,260
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$875,286
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$656,026
Total contributions received or receivable from employer(s)	2019-12-31	$2,795
Value of certain deemed distributions of participant loans	2019-12-31	$0
Value of corrective distributions	2019-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$0

Form 5500 Responses for AMBULATORY SURGICAL CENTER OF STEVENS POINT, LLC 401(K) PLAN

2019: AMBULATORY SURGICAL CENTER OF STEVENS POINT, LLC 401(K) PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	AMBULATORY SURGICAL CENTER OF STEVENS POINT, LLC
Employer identification number (EIN):	202043506
NAIC Classification:	622000
NAIC Description:	Hospitals