401k Plan data: AVERA HEART HOSPITAL OF SOUTH DAKOTA 401(K) PLAN plan

AVERA HEART HOSPITAL OF SOUTH DAKOTA 401(K) PLAN 401k Plan overview

Plan Name	AVERA HEART HOSPITAL OF SOUTH DAKOTA 401(K) PLAN
Plan identification number	001

AVERA HEART HOSPITAL OF SOUTH DAKOTA 401(K) PLAN Benefits

401k Plan Type

Defined 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.
Participant-directed brokerage accounts provided as an investment option under the plan.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
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.

401k Sponsoring company profile

AVERA HEALTH has sponsored the creation of one or more 401k plans.

Company Name: AVERA HEALTH

Employer identification number (EIN): 562143771

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AVERA HEART HOSPITAL OF SOUTH DAKOTA 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01
001 2021-01-01
001 2020-01-01
001 2020-01-01
001 2019-01-01
001 2018-01-01
001 2017-01-01 KIMBERLY S. ENEBO KIMBERLY S. ENEBO 2018-10-12
001 2016-01-01 KIMBERLY S. ENEBO KIMBERLY S. ENEBO 2017-10-03
001 2015-01-01 KIMBERLY S. ENEBO KIMBERLY S. ENEBO 2016-10-17
001 2014-01-01 KIMBERLY S. ENEBO KIMBERLY S. ENEBO 2015-10-12
001 2013-01-01 KIMBERLY S. ENEBO KIMBERLY S. ENEBO 2014-08-05
001 2012-01-01 KIMBERLY S. ENEBO KIMBERLY S. ENEBO 2013-09-17
001 2011-01-01 KIMBERLY S. ENEBO KIMBERLY S. ENEBO 2012-09-21

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01
001	2021-01-01
001	2020-01-01
001	2020-01-01
001	2019-01-01
001	2018-01-01
001	2017-01-01	KIMBERLY S. ENEBO	KIMBERLY S. ENEBO	2018-10-12
001	2016-01-01	KIMBERLY S. ENEBO	KIMBERLY S. ENEBO	2017-10-03
001	2015-01-01	KIMBERLY S. ENEBO	KIMBERLY S. ENEBO	2016-10-17
001	2014-01-01	KIMBERLY S. ENEBO	KIMBERLY S. ENEBO	2015-10-12
001	2013-01-01	KIMBERLY S. ENEBO	KIMBERLY S. ENEBO	2014-08-05
001	2012-01-01	KIMBERLY S. ENEBO	KIMBERLY S. ENEBO	2013-09-17
001	2011-01-01	KIMBERLY S. ENEBO	KIMBERLY S. ENEBO	2012-09-21

Plan Statistics for AVERA HEART HOSPITAL OF SOUTH DAKOTA 401(K) PLAN

401k plan membership statisitcs for AVERA HEART HOSPITAL OF SOUTH DAKOTA 401(K) PLAN

Measure Date Value
2022: AVERA HEART HOSPITAL OF SOUTH DAKOTA 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 622
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 542
Number of retired or separated participants receiving benefits 2022-01-01 1
Number of other retired or separated participants entitled to future benefits 2022-01-01 96
Total of all active and inactive participants 2022-01-01 639
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 639
Number of participants with account balances 2022-01-01 619
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 0
2021: AVERA HEART HOSPITAL OF SOUTH DAKOTA 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 687
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 522
Number of retired or separated participants receiving benefits 2021-01-01 1
Number of other retired or separated participants entitled to future benefits 2021-01-01 99
Total of all active and inactive participants 2021-01-01 622
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 622
Number of participants with account balances 2021-01-01 603
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: AVERA HEART HOSPITAL OF SOUTH DAKOTA 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 634
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 590
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 97
Total of all active and inactive participants 2020-01-01 687
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 687
Number of participants with account balances 2020-01-01 596
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: AVERA HEART HOSPITAL OF SOUTH DAKOTA 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 586
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 541
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 93
Total of all active and inactive participants 2019-01-01 634
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 634
Number of participants with account balances 2019-01-01 571
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: AVERA HEART HOSPITAL OF SOUTH DAKOTA 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 627
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 478
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 108
Total of all active and inactive participants 2018-01-01 586
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 586
Number of participants with account balances 2018-01-01 568
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: AVERA HEART HOSPITAL OF SOUTH DAKOTA 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 604
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 548
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 79
Total of all active and inactive participants 2017-01-01 627
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 627
Number of participants with account balances 2017-01-01 543
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: AVERA HEART HOSPITAL OF SOUTH DAKOTA 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 585
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 535
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 69
Total of all active and inactive participants 2016-01-01 604
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 1
Total participants 2016-01-01 605
Number of participants with account balances 2016-01-01 522
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: AVERA HEART HOSPITAL OF SOUTH DAKOTA 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 504
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 535
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 50
Total of all active and inactive participants 2015-01-01 585
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 585
Number of participants with account balances 2015-01-01 493
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: AVERA HEART HOSPITAL OF SOUTH DAKOTA 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 560
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 456
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 48
Total of all active and inactive participants 2014-01-01 504
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 504
Number of participants with account balances 2014-01-01 479
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: AVERA HEART HOSPITAL OF SOUTH DAKOTA 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 448
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 529
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 31
Total of all active and inactive participants 2013-01-01 560
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 560
Number of participants with account balances 2013-01-01 447
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: AVERA HEART HOSPITAL OF SOUTH DAKOTA 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 359
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 420
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 28
Total of all active and inactive participants 2012-01-01 448
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 448
Number of participants with account balances 2012-01-01 356
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: AVERA HEART HOSPITAL OF SOUTH DAKOTA 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 412
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 331
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 28
Total of all active and inactive participants 2011-01-01 359
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 359
Number of participants with account balances 2011-01-01 343
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0

Measure	Date	Value
2022: AVERA HEART HOSPITAL OF SOUTH DAKOTA 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	622
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	542
Number of retired or separated participants receiving benefits	2022-01-01	1
Number of other retired or separated participants entitled to future benefits	2022-01-01	96
Total of all active and inactive participants	2022-01-01	639
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	639
Number of participants with account balances	2022-01-01	619
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2021: AVERA HEART HOSPITAL OF SOUTH DAKOTA 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	687
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	522
Number of retired or separated participants receiving benefits	2021-01-01	1
Number of other retired or separated participants entitled to future benefits	2021-01-01	99
Total of all active and inactive participants	2021-01-01	622
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	622
Number of participants with account balances	2021-01-01	603
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: AVERA HEART HOSPITAL OF SOUTH DAKOTA 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	634
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	590
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	97
Total of all active and inactive participants	2020-01-01	687
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	687
Number of participants with account balances	2020-01-01	596
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: AVERA HEART HOSPITAL OF SOUTH DAKOTA 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	586
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	541
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	93
Total of all active and inactive participants	2019-01-01	634
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	634
Number of participants with account balances	2019-01-01	571
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: AVERA HEART HOSPITAL OF SOUTH DAKOTA 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	627
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	478
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	108
Total of all active and inactive participants	2018-01-01	586
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	586
Number of participants with account balances	2018-01-01	568
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: AVERA HEART HOSPITAL OF SOUTH DAKOTA 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	604
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	548
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	79
Total of all active and inactive participants	2017-01-01	627
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	627
Number of participants with account balances	2017-01-01	543
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: AVERA HEART HOSPITAL OF SOUTH DAKOTA 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	585
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	535
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	69
Total of all active and inactive participants	2016-01-01	604
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	1
Total participants	2016-01-01	605
Number of participants with account balances	2016-01-01	522
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: AVERA HEART HOSPITAL OF SOUTH DAKOTA 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	504
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	535
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	50
Total of all active and inactive participants	2015-01-01	585
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	585
Number of participants with account balances	2015-01-01	493
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: AVERA HEART HOSPITAL OF SOUTH DAKOTA 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	560
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	456
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	48
Total of all active and inactive participants	2014-01-01	504
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	504
Number of participants with account balances	2014-01-01	479
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: AVERA HEART HOSPITAL OF SOUTH DAKOTA 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	448
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	529
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	31
Total of all active and inactive participants	2013-01-01	560
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	560
Number of participants with account balances	2013-01-01	447
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: AVERA HEART HOSPITAL OF SOUTH DAKOTA 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	359
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	420
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	28
Total of all active and inactive participants	2012-01-01	448
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	448
Number of participants with account balances	2012-01-01	356
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: AVERA HEART HOSPITAL OF SOUTH DAKOTA 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	412
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	331
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	28
Total of all active and inactive participants	2011-01-01	359
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	359
Number of participants with account balances	2011-01-01	343
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0

Financial Data on AVERA HEART HOSPITAL OF SOUTH DAKOTA 401(K) PLAN

Measure	Date	Value
2022 : AVERA HEART HOSPITAL OF SOUTH DAKOTA 401(K) PLAN 2022 401k financial data
Unrealized appreciation/depreciation of real estate assets	2022-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2022-12-31	$0
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total transfer of assets to this plan	2022-12-31	$0
Total transfer of assets from this plan	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Expenses. Interest paid	2022-12-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2022-12-31	$0
Total income from all sources (including contributions)	2022-12-31	$-4,091,801
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$3,537,927
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$3,510,084
Expenses. Certain deemed distributions of participant loans	2022-12-31	$0
Value of total corrective distributions	2022-12-31	$3,183
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$3,590,621
Value of total assets at end of year	2022-12-31	$37,039,367
Value of total assets at beginning of year	2022-12-31	$44,669,095
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$24,660
Total income from rents	2022-12-31	$0
Total interest from all sources	2022-12-31	$12,279
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$2,411,527
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$2,411,527
Assets. Real estate other than employer real property at end of year	2022-12-31	$0
Assets. Real estate other than employer real property at beginning of year	2022-12-31	$0
Administrative expenses professional fees incurred	2022-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2022-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2022-12-31	$0
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$1,500,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$2,724,610
Participant contributions at end of year	2022-12-31	$280,634
Participant contributions at beginning of year	2022-12-31	$288,508
Participant contributions at end of year	2022-12-31	$0
Participant contributions at beginning of year	2022-12-31	$0
Assets. Other investments not covered elsewhere at end of year	2022-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2022-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$326,417
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2022-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2022-12-31	$2,048
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2022-12-31	$0
Assets. Loans (other than to participants) at end of year	2022-12-31	$0
Assets. Loans (other than to participants) at beginning of year	2022-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2022-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2022-12-31	$0
Other income not declared elsewhere	2022-12-31	$0
Administrative expenses (other) incurred	2022-12-31	$20,367
Liabilities. Value of operating payables at end of year	2022-12-31	$0
Liabilities. Value of operating payables at beginning of year	2022-12-31	$0
Total non interest bearing cash at end of year	2022-12-31	$0
Total non interest bearing cash at beginning of year	2022-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Income. Non cash contributions	2022-12-31	$0
Value of net income/loss	2022-12-31	$-7,629,728
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$37,039,367
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$44,669,095
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Assets. partnership/joint venture interests at end of year	2022-12-31	$0
Assets. partnership/joint venture interests at beginning of year	2022-12-31	$0
Investment advisory and management fees	2022-12-31	$4,293
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$35,722,645
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$43,611,491
Value of interest in pooled separate accounts at end of year	2022-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2022-12-31	$0
Interest on participant loans	2022-12-31	$15,035
Income. Interest from loans (other than to participants)	2022-12-31	$0
Interest earned on other investments	2022-12-31	$0
Income. Interest from US Government securities	2022-12-31	$0
Income. Interest from corporate debt instruments	2022-12-31	$0
Value of interest in master investment trust accounts at end of year	2022-12-31	$0
Value of interest in master investment trust accounts at beginning of year	2022-12-31	$0
Value of interest in common/collective trusts at end of year	2022-12-31	$0
Value of interest in common/collective trusts at beginning of year	2022-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2022-12-31	$1,452
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2022-12-31	$666
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2022-12-31	$666
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2022-12-31	$-2,756
Assets. Value of investments in 103.12 investment entities at end of year	2022-12-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2022-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$1,011,435
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$742,191
Expenses. Payments to insurance carriers foe the provision of benefits	2022-12-31	$0
Asset value of US Government securities at end of year	2022-12-31	$0
Asset value of US Government securities at beginning of year	2022-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-10,106,228
Net investment gain/loss from pooled separate accounts	2022-12-31	$0
Net investment gain or loss from common/collective trusts	2022-12-31	$0
Net gain/loss from 103.12 investment entities	2022-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Assets. Invements in employer securities at end of year	2022-12-31	$0
Assets. Invements in employer securities at beginning of year	2022-12-31	$0
Assets. Value of employer real property at end of year	2022-12-31	$0
Assets. Value of employer real property at beginning of year	2022-12-31	$0
Contributions received in cash from employer	2022-12-31	$539,594
Employer contributions (assets) at end of year	2022-12-31	$21,153
Employer contributions (assets) at beginning of year	2022-12-31	$26,239
Income. Dividends from preferred stock	2022-12-31	$0
Income. Dividends from common stock	2022-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$3,510,084
Asset. Corporate debt instrument preferred debt at end of year	2022-12-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2022-12-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2022-12-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2022-12-31	$0
Contract administrator fees	2022-12-31	$0
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	2022-12-31	No
Assets. Corporate common stocks other than exployer securities at end of year	2022-12-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2022-12-31	$0
Liabilities. Value of benefit claims payable at end of year	2022-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2022-12-31	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2022-12-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2022-12-31	$0
Did the plan have assets held for investment	2022-12-31	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	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Aggregate proceeds on sale of assets	2022-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2022-12-31	$0
Liabilities. Value of acquisition indebtedness at end of year	2022-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2022-12-31	$0
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	EIDE BAILLY
Accountancy firm EIN	2022-12-31	450250958
2021 : AVERA HEART HOSPITAL OF SOUTH DAKOTA 401(K) PLAN 2021 401k financial data
Unrealized appreciation/depreciation of real estate assets	2021-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2021-12-31	$0
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total transfer of assets to this plan	2021-12-31	$0
Total transfer of assets from this plan	2021-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Expenses. Interest paid	2021-12-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2021-12-31	$0
Total income from all sources (including contributions)	2021-12-31	$10,058,025
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$2,994,718
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$2,947,580
Expenses. Certain deemed distributions of participant loans	2021-12-31	$3,355
Value of total corrective distributions	2021-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$4,163,906
Value of total assets at end of year	2021-12-31	$44,669,095
Value of total assets at beginning of year	2021-12-31	$37,605,788
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$43,783
Total income from rents	2021-12-31	$0
Total interest from all sources	2021-12-31	$22,325
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$2,200,020
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$2,200,020
Assets. Real estate other than employer real property at end of year	2021-12-31	$0
Assets. Real estate other than employer real property at beginning of year	2021-12-31	$0
Administrative expenses professional fees incurred	2021-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2021-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2021-12-31	$0
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$1,500,000
If this is an individual account plan, was there a blackout period	2021-12-31	Yes
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$2,411,868
Participant contributions at end of year	2021-12-31	$288,508
Participant contributions at beginning of year	2021-12-31	$324,373
Participant contributions at end of year	2021-12-31	$0
Participant contributions at beginning of year	2021-12-31	$0
Assets. Other investments not covered elsewhere at end of year	2021-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2021-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$848,729
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2021-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2021-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2021-12-31	$0
Assets. Loans (other than to participants) at end of year	2021-12-31	$0
Assets. Loans (other than to participants) at beginning of year	2021-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2021-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2021-12-31	$0
Other income not declared elsewhere	2021-12-31	$8,221
Administrative expenses (other) incurred	2021-12-31	$43,608
Liabilities. Value of operating payables at end of year	2021-12-31	$0
Liabilities. Value of operating payables at beginning of year	2021-12-31	$0
Total non interest bearing cash at end of year	2021-12-31	$0
Total non interest bearing cash at beginning of year	2021-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Income. Non cash contributions	2021-12-31	$0
Value of net income/loss	2021-12-31	$7,063,307
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$44,669,095
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$37,605,788
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Assets. partnership/joint venture interests at end of year	2021-12-31	$0
Assets. partnership/joint venture interests at beginning of year	2021-12-31	$0
Investment advisory and management fees	2021-12-31	$175
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$43,611,491
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$36,131,676
Value of interest in pooled separate accounts at end of year	2021-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2021-12-31	$0
Interest on participant loans	2021-12-31	$15,456
Income. Interest from loans (other than to participants)	2021-12-31	$0
Interest earned on other investments	2021-12-31	$6,266
Income. Interest from US Government securities	2021-12-31	$0
Income. Interest from corporate debt instruments	2021-12-31	$0
Value of interest in master investment trust accounts at end of year	2021-12-31	$0
Value of interest in master investment trust accounts at beginning of year	2021-12-31	$0
Value of interest in common/collective trusts at end of year	2021-12-31	$0
Value of interest in common/collective trusts at beginning of year	2021-12-31	$1,128,822
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2021-12-31	$666
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2021-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2021-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2021-12-31	$603
Assets. Value of investments in 103.12 investment entities at end of year	2021-12-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2021-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$742,191
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2021-12-31	$0
Asset value of US Government securities at end of year	2021-12-31	$0
Asset value of US Government securities at beginning of year	2021-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$3,659,060
Net investment gain/loss from pooled separate accounts	2021-12-31	$0
Net investment gain or loss from common/collective trusts	2021-12-31	$4,493
Net gain/loss from 103.12 investment entities	2021-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Assets. Invements in employer securities at end of year	2021-12-31	$0
Assets. Invements in employer securities at beginning of year	2021-12-31	$0
Assets. Value of employer real property at end of year	2021-12-31	$0
Assets. Value of employer real property at beginning of year	2021-12-31	$0
Contributions received in cash from employer	2021-12-31	$903,309
Employer contributions (assets) at end of year	2021-12-31	$26,239
Employer contributions (assets) at beginning of year	2021-12-31	$20,917
Income. Dividends from preferred stock	2021-12-31	$0
Income. Dividends from common stock	2021-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$2,947,580
Asset. Corporate debt instrument preferred debt at end of year	2021-12-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2021-12-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2021-12-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2021-12-31	$0
Contract administrator fees	2021-12-31	$0
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	2021-12-31	Yes
Assets. Corporate common stocks other than exployer securities at end of year	2021-12-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2021-12-31	$0
Liabilities. Value of benefit claims payable at end of year	2021-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2021-12-31	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2021-12-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2021-12-31	$0
Did the plan have assets held for investment	2021-12-31	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	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Aggregate proceeds on sale of assets	2021-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2021-12-31	$0
Liabilities. Value of acquisition indebtedness at end of year	2021-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2021-12-31	$0
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	EIDE BAILLY
Accountancy firm EIN	2021-12-31	450250958
2020 : AVERA HEART HOSPITAL OF SOUTH DAKOTA 401(K) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total income from all sources (including contributions)	2020-12-31	$7,641,695
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$3,056,739
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$3,003,253
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$2,968,463
Value of total assets at end of year	2020-12-31	$37,605,788
Value of total assets at beginning of year	2020-12-31	$33,020,832
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$53,486
Total interest from all sources	2020-12-31	$20,635
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$914,790
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$500,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$2,137,185
Participant contributions at end of year	2020-12-31	$324,373
Participant contributions at beginning of year	2020-12-31	$338,700
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$207,222
Other income not declared elsewhere	2020-12-31	$10,215
Administrative expenses (other) incurred	2020-12-31	$40,823
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$4,584,956
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$37,605,788
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$33,020,832
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Investment advisory and management fees	2020-12-31	$12,663
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$36,131,676
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$31,859,697
Interest on participant loans	2020-12-31	$20,635
Value of interest in common/collective trusts at end of year	2020-12-31	$1,128,822
Value of interest in common/collective trusts at beginning of year	2020-12-31	$806,730
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$3,718,731
Net investment gain or loss from common/collective trusts	2020-12-31	$19,076
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$624,056
Employer contributions (assets) at end of year	2020-12-31	$20,917
Employer contributions (assets) at beginning of year	2020-12-31	$15,705
Income. Dividends from preferred stock	2020-12-31	$914,790
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$3,003,253
Did the plan have assets held for investment	2020-12-31	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	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Unqualified
Accountancy firm name	2020-12-31	EIDE BAILLY
Accountancy firm EIN	2020-12-31	450250958
2019 : AVERA HEART HOSPITAL OF SOUTH DAKOTA 401(K) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$8,753,139
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$2,035,572
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$1,983,742
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$2,604,928
Value of total assets at end of year	2019-12-31	$33,020,832
Value of total assets at beginning of year	2019-12-31	$26,303,265
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$51,830
Total interest from all sources	2019-12-31	$20,415
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$793,498
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$793,498
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$1,960,670
Participant contributions at end of year	2019-12-31	$338,700
Participant contributions at beginning of year	2019-12-31	$306,906
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$64,808
Administrative expenses (other) incurred	2019-12-31	$40,160
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$6,717,567
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$33,020,832
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$26,303,265
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Investment advisory and management fees	2019-12-31	$11,670
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$31,859,697
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$25,269,889
Income. Interest from loans (other than to participants)	2019-12-31	$20,415
Value of interest in common/collective trusts at end of year	2019-12-31	$806,730
Value of interest in common/collective trusts at beginning of year	2019-12-31	$709,521
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$5,318,825
Net investment gain or loss from common/collective trusts	2019-12-31	$15,473
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$579,450
Employer contributions (assets) at end of year	2019-12-31	$15,705
Employer contributions (assets) at beginning of year	2019-12-31	$16,949
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$1,983,742
Did the plan have assets held for investment	2019-12-31	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	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	EIDE BAILLY
Accountancy firm EIN	2019-12-31	450250958
2018 : AVERA HEART HOSPITAL OF SOUTH DAKOTA 401(K) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$912,303
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$2,148,206
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$2,092,895
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$2,542,891
Value of total assets at end of year	2018-12-31	$26,303,265
Value of total assets at beginning of year	2018-12-31	$27,539,168
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$55,311
Total interest from all sources	2018-12-31	$14,820
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$1,229,281
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$1,229,281
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$500,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$1,817,449
Participant contributions at end of year	2018-12-31	$306,906
Participant contributions at beginning of year	2018-12-31	$342,448
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$177,705
Administrative expenses (other) incurred	2018-12-31	$41,501
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-1,235,903
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$26,303,265
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$27,539,168
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Investment advisory and management fees	2018-12-31	$13,810
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$25,269,889
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$26,518,974
Interest on participant loans	2018-12-31	$14,820
Value of interest in common/collective trusts at end of year	2018-12-31	$709,521
Value of interest in common/collective trusts at beginning of year	2018-12-31	$660,492
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-2,887,502
Net investment gain or loss from common/collective trusts	2018-12-31	$12,813
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$547,737
Employer contributions (assets) at end of year	2018-12-31	$16,949
Employer contributions (assets) at beginning of year	2018-12-31	$17,254
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$2,092,895
Did the plan have assets held for investment	2018-12-31	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	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	EIDE BAILLY
Accountancy firm EIN	2018-12-31	450250958
2017 : AVERA HEART HOSPITAL OF SOUTH DAKOTA 401(K) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$6,478,339
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$1,972,071
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$1,914,508
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$2,340,884
Value of total assets at end of year	2017-12-31	$27,539,168
Value of total assets at beginning of year	2017-12-31	$23,032,900
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$57,563
Total interest from all sources	2017-12-31	$16,779
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$747,606
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$747,606
Administrative expenses professional fees incurred	2017-12-31	$41,918
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$500,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$1,709,017
Participant contributions at end of year	2017-12-31	$342,448
Participant contributions at beginning of year	2017-12-31	$398,829
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$114,438
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$4,506,268
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$27,539,168
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$23,032,900
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Investment advisory and management fees	2017-12-31	$15,645
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$26,518,974
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$22,039,617
Interest on participant loans	2017-12-31	$16,779
Value of interest in common/collective trusts at end of year	2017-12-31	$660,492
Value of interest in common/collective trusts at beginning of year	2017-12-31	$581,909
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$3,362,803
Net investment gain or loss from common/collective trusts	2017-12-31	$10,267
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$517,429
Employer contributions (assets) at end of year	2017-12-31	$17,254
Employer contributions (assets) at beginning of year	2017-12-31	$12,545
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$1,914,508
Did the plan have assets held for investment	2017-12-31	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	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	EIDE BAILLY
Accountancy firm EIN	2017-12-31	450250958
2016 : AVERA HEART HOSPITAL OF SOUTH DAKOTA 401(K) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$3,938,086
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$1,329,900
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$1,270,786
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$2,160,796
Value of total assets at end of year	2016-12-31	$23,032,900
Value of total assets at beginning of year	2016-12-31	$20,424,714
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$59,114
Total interest from all sources	2016-12-31	$19,078
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$564,979
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$564,979
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$500,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$1,592,647
Participant contributions at end of year	2016-12-31	$398,829
Participant contributions at beginning of year	2016-12-31	$490,760
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$81,014
Administrative expenses (other) incurred	2016-12-31	$41,534
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$2,608,186
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$23,032,900
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$20,424,714
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Investment advisory and management fees	2016-12-31	$17,580
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$22,039,617
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$19,247,755
Income. Interest from loans (other than to participants)	2016-12-31	$19,078
Value of interest in common/collective trusts at end of year	2016-12-31	$581,909
Value of interest in common/collective trusts at beginning of year	2016-12-31	$673,944
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$1,183,341
Net investment gain or loss from common/collective trusts	2016-12-31	$9,892
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$487,135
Employer contributions (assets) at end of year	2016-12-31	$12,545
Employer contributions (assets) at beginning of year	2016-12-31	$12,255
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$1,270,786
Did the plan have assets held for investment	2016-12-31	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	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	EIDE BAILLY LLP
Accountancy firm EIN	2016-12-31	450250958
2015 : AVERA HEART HOSPITAL OF SOUTH DAKOTA 401(K) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$2,143,374
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$1,247,401
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$1,186,369
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$2,177,641
Value of total assets at end of year	2015-12-31	$20,424,714
Value of total assets at beginning of year	2015-12-31	$19,528,741
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$61,032
Total interest from all sources	2015-12-31	$19,314
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$712,335
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$712,335
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$500,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$1,501,401
Participant contributions at end of year	2015-12-31	$490,760
Participant contributions at beginning of year	2015-12-31	$458,883
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$210,322
Administrative expenses (other) incurred	2015-12-31	$41,504
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$895,973
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$20,424,714
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$19,528,741
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Investment advisory and management fees	2015-12-31	$19,528
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$19,247,755
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$18,343,049
Interest on participant loans	2015-12-31	$19,314
Value of interest in common/collective trusts at end of year	2015-12-31	$673,944
Value of interest in common/collective trusts at beginning of year	2015-12-31	$712,885
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-774,220
Net investment gain or loss from common/collective trusts	2015-12-31	$8,304
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$465,918
Employer contributions (assets) at end of year	2015-12-31	$12,255
Employer contributions (assets) at beginning of year	2015-12-31	$13,924
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$1,186,369
Did the plan have assets held for investment	2015-12-31	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	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	EIDE BAILLY LLP
Accountancy firm EIN	2015-12-31	450250958
2014 : AVERA HEART HOSPITAL OF SOUTH DAKOTA 401(K) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$3,482,210
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$1,475,695
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$1,410,774
Value of total corrective distributions	2014-12-31	$2,617
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$2,232,227
Value of total assets at end of year	2014-12-31	$19,528,741
Value of total assets at beginning of year	2014-12-31	$17,522,226
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$62,304
Total interest from all sources	2014-12-31	$16,223
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$594,689
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$594,689
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$1,445,480
Participant contributions at end of year	2014-12-31	$458,883
Participant contributions at beginning of year	2014-12-31	$356,041
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$340,731
Administrative expenses (other) incurred	2014-12-31	$62,304
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$2,006,515
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$19,528,741
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$17,522,226
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$18,343,049
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$16,359,781
Interest on participant loans	2014-12-31	$16,223
Value of interest in common/collective trusts at end of year	2014-12-31	$712,885
Value of interest in common/collective trusts at beginning of year	2014-12-31	$793,511
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$632,607
Net investment gain or loss from common/collective trusts	2014-12-31	$6,464
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$446,016
Employer contributions (assets) at end of year	2014-12-31	$13,924
Employer contributions (assets) at beginning of year	2014-12-31	$12,893
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$1,410,774
Did the plan have assets held for investment	2014-12-31	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	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	EIDE BAILLY LLP
Accountancy firm EIN	2014-12-31	450250958
2013 : AVERA HEART HOSPITAL OF SOUTH DAKOTA 401(K) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$5,092,988
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$667,542
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$599,176
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$1,947,555
Value of total assets at end of year	2013-12-31	$17,522,226
Value of total assets at beginning of year	2013-12-31	$13,096,780
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$68,366
Total interest from all sources	2013-12-31	$10,498
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$374,654
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$374,654
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$1,343,229
Participant contributions at end of year	2013-12-31	$356,041
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$191,924
Assets. Loans (other than to participants) at beginning of year	2013-12-31	$217,583
Administrative expenses (other) incurred	2013-12-31	$68,366
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$4,425,446
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$17,522,226
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$13,096,780
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$16,359,781
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$12,355,090
Interest on participant loans	2013-12-31	$10,498
Value of interest in common/collective trusts at end of year	2013-12-31	$793,511
Value of interest in common/collective trusts at beginning of year	2013-12-31	$516,219
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$2,753,611
Net investment gain or loss from common/collective trusts	2013-12-31	$6,670
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$412,402
Employer contributions (assets) at end of year	2013-12-31	$12,893
Employer contributions (assets) at beginning of year	2013-12-31	$7,888
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$599,176
Did the plan have assets held for investment	2013-12-31	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	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	EIDE BAILLY LLP
Accountancy firm EIN	2013-12-31	450250958
2012 : AVERA HEART HOSPITAL OF SOUTH DAKOTA 401(K) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$7,154
Total income from all sources (including contributions)	2012-12-31	$2,948,748
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$540,268
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$479,866
Expenses. Certain deemed distributions of participant loans	2012-12-31	$5,514
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$1,451,832
Value of total assets at end of year	2012-12-31	$13,096,780
Value of total assets at beginning of year	2012-12-31	$10,695,454
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$54,888
Total interest from all sources	2012-12-31	$9,308
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$321,604
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$321,604
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$1,045,675
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$84,129
Assets. Loans (other than to participants) at end of year	2012-12-31	$217,583
Assets. Loans (other than to participants) at beginning of year	2012-12-31	$219,117
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2012-12-31	$7,154
Administrative expenses (other) incurred	2012-12-31	$54,888
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$2,408,480
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$13,096,780
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$10,688,300
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$12,355,090
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$9,973,566
Interest on participant loans	2012-12-31	$9,308
Value of interest in common/collective trusts at end of year	2012-12-31	$516,219
Value of interest in common/collective trusts at beginning of year	2012-12-31	$495,630
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$1,158,384
Net investment gain or loss from common/collective trusts	2012-12-31	$7,620
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$322,028
Employer contributions (assets) at end of year	2012-12-31	$7,888
Employer contributions (assets) at beginning of year	2012-12-31	$7,141
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$479,866
Did the plan have assets held for investment	2012-12-31	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	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	EIDE BAILLY LLP
Accountancy firm EIN	2012-12-31	450250958
2011 : AVERA HEART HOSPITAL OF SOUTH DAKOTA 401(K) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total transfer of assets to this plan	2011-12-31	$261
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$7,154
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$1,273,275
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$919,454
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$865,651
Expenses. Certain deemed distributions of participant loans	2011-12-31	$5,763
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$1,384,095
Value of total assets at end of year	2011-12-31	$10,695,454
Value of total assets at beginning of year	2011-12-31	$10,334,218
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$48,040
Total interest from all sources	2011-12-31	$11,000
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$270,719
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$270,719
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$500,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$973,866
Participant contributions at beginning of year	2011-12-31	$32,423
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$103,195
Assets. Loans (other than to participants) at end of year	2011-12-31	$219,117
Assets. Loans (other than to participants) at beginning of year	2011-12-31	$191,354
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2011-12-31	$7,154
Administrative expenses (other) incurred	2011-12-31	$48,040
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$353,821
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$10,688,300
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$10,334,218
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$9,973,566
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$9,444,327
Interest on participant loans	2011-12-31	$11,000
Value of interest in common/collective trusts at end of year	2011-12-31	$495,630
Value of interest in common/collective trusts at beginning of year	2011-12-31	$653,797
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-403,384
Net investment gain or loss from common/collective trusts	2011-12-31	$10,845
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$307,034
Employer contributions (assets) at end of year	2011-12-31	$7,141
Employer contributions (assets) at beginning of year	2011-12-31	$12,317
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$865,651
Did the plan have assets held for investment	2011-12-31	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	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	EIDE BAILLY
Accountancy firm EIN	2011-12-31	450250958
2010 : AVERA HEART HOSPITAL OF SOUTH DAKOTA 401(K) PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total transfer of assets to this plan	2010-12-31	$9,603,699
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$793,362
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$62,843
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$57,555
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$311,796
Value of total assets at end of year	2010-12-31	$10,334,218
Value of total assets at beginning of year	2010-12-31	$0
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$5,288
Total interest from all sources	2010-12-31	$1,590
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$144,660
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$144,660
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$500,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$234,267
Participant contributions at end of year	2010-12-31	$32,423
Assets. Loans (other than to participants) at end of year	2010-12-31	$191,354
Administrative expenses (other) incurred	2010-12-31	$5,288
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$730,519
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$10,334,218
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$9,444,327
Income. Interest from loans (other than to participants)	2010-12-31	$1,590
Value of interest in common/collective trusts at end of year	2010-12-31	$653,797
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$331,811
Net investment gain or loss from common/collective trusts	2010-12-31	$3,505
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$77,529
Employer contributions (assets) at end of year	2010-12-31	$12,317
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$57,555
Did the plan have assets held for investment	2010-12-31	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	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	EIDE BAILLY
Accountancy firm EIN	2010-12-31	450250958

Form 5500 Responses for AVERA HEART HOSPITAL OF SOUTH DAKOTA 401(K) PLAN

2022: AVERA HEART HOSPITAL OF SOUTH DAKOTA 401(K) PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	This submission is the final filing	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: AVERA HEART HOSPITAL OF SOUTH DAKOTA 401(K) PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: AVERA HEART HOSPITAL OF SOUTH DAKOTA 401(K) PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	Yes
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: AVERA HEART HOSPITAL OF SOUTH DAKOTA 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
2018: AVERA HEART HOSPITAL OF SOUTH DAKOTA 401(K) PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: AVERA HEART HOSPITAL OF SOUTH DAKOTA 401(K) PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: AVERA HEART HOSPITAL OF SOUTH DAKOTA 401(K) PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: AVERA HEART HOSPITAL OF SOUTH DAKOTA 401(K) PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: AVERA HEART HOSPITAL OF SOUTH DAKOTA 401(K) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: AVERA HEART HOSPITAL OF SOUTH DAKOTA 401(K) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: AVERA HEART HOSPITAL OF SOUTH DAKOTA 401(K) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: AVERA HEART HOSPITAL OF SOUTH DAKOTA 401(K) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )

Policy contract number

GA85204

Policy instance

Insurance contract or identification number	GA85204
Number of Individuals Covered	55
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )

Policy contract number

GA85204

Policy instance

Insurance contract or identification number	GA85204
Number of Individuals Covered	56
Insurance policy start date	2021-06-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	AVERA HEALTH
Employer identification number (EIN):	562143771
NAIC Classification:	622000
NAIC Description:	Hospitals