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SPINE & SPORT EMPLOYEE STOCK OWNERSHIP PLAN 401k Plan overview

Plan NameSPINE & SPORT EMPLOYEE STOCK OWNERSHIP PLAN
Plan identification number 003

SPINE & SPORT EMPLOYEE STOCK OWNERSHIP PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Stock bonus
  • Leveraged ESOP - An ESOP that acquires employer securities with borrowed money or other debt-financing techniques. A completed Schedule E must be attached to a Form 5500 filed for an ESOP.
  • The employer maintaining this ESOP is an S Corporation
  • Plan requiring that all or part of employer contributions be invested and held, at least for a limited period, in employer securities.

401k Sponsoring company profile

MDRS HOLDINGS, INC. has sponsored the creation of one or more 401k plans.

Company Name:MDRS HOLDINGS, INC.
Employer identification number (EIN):330848197
NAIC Classification:621498
NAIC Description:All Other Outpatient Care Centers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SPINE & SPORT EMPLOYEE STOCK OWNERSHIP PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0032022-01-01
0032020-01-01
0032019-01-01
0032018-01-01
0032017-01-01MARK MATHIESEN

Plan Statistics for SPINE & SPORT EMPLOYEE STOCK OWNERSHIP PLAN

401k plan membership statisitcs for SPINE & SPORT EMPLOYEE STOCK OWNERSHIP PLAN

Measure Date Value
2022: SPINE & SPORT EMPLOYEE STOCK OWNERSHIP PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01250
Total number of active participants reported on line 7a of the Form 55002022-01-01237
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-0139
Total of all active and inactive participants2022-01-01276
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01276
Number of participants with account balances2022-01-01251
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-0123
2020: SPINE & SPORT EMPLOYEE STOCK OWNERSHIP PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0188
Total number of active participants reported on line 7a of the Form 55002020-01-0183
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0111
Total of all active and inactive participants2020-01-0194
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-0194
Number of participants with account balances2020-01-0185
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-0111
2019: SPINE & SPORT EMPLOYEE STOCK OWNERSHIP PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0165
Total number of active participants reported on line 7a of the Form 55002019-01-0167
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-016
Total of all active and inactive participants2019-01-0173
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-0173
Number of participants with account balances2019-01-0154
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-016
2018: SPINE & SPORT EMPLOYEE STOCK OWNERSHIP PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0168
Total number of active participants reported on line 7a of the Form 55002018-01-0152
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-0152
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0152
Number of participants with account balances2018-01-0144
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: SPINE & SPORT EMPLOYEE STOCK OWNERSHIP PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0187
Total number of active participants reported on line 7a of the Form 55002017-01-0168
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-0168
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0168
Number of participants with account balances2017-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010

Financial Data on SPINE & SPORT EMPLOYEE STOCK OWNERSHIP PLAN

Measure Date Value
2022 : SPINE & SPORT EMPLOYEE STOCK OWNERSHIP PLAN 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$231,000
Total unrealized appreciation/depreciation of assets2022-12-31$231,000
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$17,559,725
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$17,862,984
Expenses. Interest paid2022-12-31$471,583
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022022-12-31$471,583
Total income from all sources (including contributions)2022-12-31$1,005,873
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$471,628
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$774,873
Value of total assets at end of year2022-12-31$3,423,155
Value of total assets at beginning of year2022-12-31$3,192,169
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$45
Total interest from all sources2022-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$169
Administrative expenses (other) incurred2022-12-31$45
Total non interest bearing cash at end of year2022-12-31$155
Total non interest bearing cash at beginning of year2022-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$534,245
Value of net assets at end of year (total assets less liabilities)2022-12-31$-14,136,570
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$-14,670,815
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Assets. Invements in employer securities at end of year2022-12-31$3,423,000
Assets. Invements in employer securities at beginning of year2022-12-31$3,192,000
Contributions received in cash from employer2022-12-31$774,873
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Liabilities. Value of acquisition indebtedness at end of year2022-12-31$17,559,725
Liabilities. Value of acquisition indebtedness at beginning of year2022-12-31$17,862,984
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2022-12-31410746749
2020 : SPINE & SPORT EMPLOYEE STOCK OWNERSHIP PLAN 2020 401k financial data
Total plan liabilities at end of year2020-12-31$18,158,443
Total plan liabilities at beginning of year2020-12-31$18,446,302
Total income from all sources2020-12-31$1,698,841
Expenses. Total of all expenses incurred2020-12-31$489,399
Benefits paid (including direct rollovers)2020-12-31$2,157
Total plan assets at end of year2020-12-31$3,131,513
Total plan assets at beginning of year2020-12-31$2,209,930
Value of fidelity bond covering the plan2020-12-31$500,000
Expenses. Other expenses not covered elsewhere2020-12-31$486,982
Other income received2020-12-31$924,000
Net income (gross income less expenses)2020-12-31$1,209,442
Net plan assets at end of year (total assets less liabilities)2020-12-31$-15,026,930
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$-16,236,372
Assets. Value of employer securities2020-12-31$3,129,000
Total contributions received or receivable from employer(s)2020-12-31$774,841
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$260
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
2019 : SPINE & SPORT EMPLOYEE STOCK OWNERSHIP PLAN 2019 401k financial data
Total plan liabilities at end of year2019-12-31$18,446,302
Total plan liabilities at beginning of year2019-12-31$18,726,758
Total income from all sources2019-12-31$627,802
Expenses. Total of all expenses incurred2019-12-31$494,446
Total plan assets at end of year2019-12-31$2,209,930
Total plan assets at beginning of year2019-12-31$2,357,030
Value of fidelity bond covering the plan2019-12-31$1,000,000
Expenses. Other expenses not covered elsewhere2019-12-31$494,446
Other income received2019-12-31$145,004
Net income (gross income less expenses)2019-12-31$133,356
Net plan assets at end of year (total assets less liabilities)2019-12-31$-16,236,372
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$-16,369,728
Assets. Value of employer securities2019-12-31$2,206,040
Total contributions received or receivable from employer(s)2019-12-31$482,798
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
2018 : SPINE & SPORT EMPLOYEE STOCK OWNERSHIP PLAN 2018 401k financial data
Total plan liabilities at end of year2018-12-31$18,726,758
Total plan liabilities at beginning of year2018-12-31$19,000,000
Total income from all sources2018-12-31$-15,868,118
Expenses. Total of all expenses incurred2018-12-31$501,610
Total plan assets at end of year2018-12-31$2,357,030
Total plan assets at beginning of year2018-12-31$19,000,000
Value of fidelity bond covering the plan2018-12-31$1,000,000
Expenses. Other expenses not covered elsewhere2018-12-31$501,610
Other income received2018-12-31$-16,647,960
Net income (gross income less expenses)2018-12-31$-16,369,728
Net plan assets at end of year (total assets less liabilities)2018-12-31$-16,369,728
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$0
Assets. Value of employer securities2018-12-31$2,352,040
Total contributions received or receivable from employer(s)2018-12-31$779,842
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
2017 : SPINE & SPORT EMPLOYEE STOCK OWNERSHIP PLAN 2017 401k financial data
Total plan liabilities at end of year2017-12-31$19,000,000
Total plan liabilities at beginning of year2017-12-31$0
Total income from all sources2017-12-31$0
Expenses. Total of all expenses incurred2017-12-31$0
Total plan assets at end of year2017-12-31$19,000,000
Total plan assets at beginning of year2017-12-31$0
Value of fidelity bond covering the plan2017-12-31$1,000,000
Net income (gross income less expenses)2017-12-31$0
Net plan assets at end of year (total assets less liabilities)2017-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$0
Assets. Value of employer securities2017-12-31$19,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0

Form 5500 Responses for SPINE & SPORT EMPLOYEE STOCK OWNERSHIP PLAN

2022: SPINE & SPORT EMPLOYEE STOCK OWNERSHIP PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2020: SPINE & SPORT EMPLOYEE STOCK OWNERSHIP PLAN 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 – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: SPINE & SPORT EMPLOYEE STOCK OWNERSHIP PLAN 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 – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: SPINE & SPORT EMPLOYEE STOCK OWNERSHIP PLAN 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 – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: SPINE & SPORT EMPLOYEE STOCK OWNERSHIP PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01First time form 5500 has been submittedYes
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 – TrustYes
2017-01-01Plan benefit arrangement - TrustYes

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