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SIERRA VISTA REGIONAL HEALTH CENTER INC. 403B PLAN 401k Plan overview

Plan NameSIERRA VISTA REGIONAL HEALTH CENTER INC. 403B PLAN
Plan identification number 003

SIERRA VISTA REGIONAL HEALTH CENTER INC. 403B PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • 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 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.

401k Sponsoring company profile

SIERRA VISTA REGIONAL HEALTH CENTER INC. has sponsored the creation of one or more 401k plans.

Company Name:SIERRA VISTA REGIONAL HEALTH CENTER INC.
Employer identification number (EIN):860186064
NAIC Classification:813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SIERRA VISTA REGIONAL HEALTH CENTER INC. 403B PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0032014-01-01JUDY KING2014-12-09
0032013-01-01JUDY KING
0032012-01-01JUDY KING
0032011-01-01JUDY KING
0032010-01-01MARIE WURTH MARIE WURTH2011-10-13
0032009-01-01MARIE WURTH MARIE WURTH2010-10-15

Plan Statistics for SIERRA VISTA REGIONAL HEALTH CENTER INC. 403B PLAN

401k plan membership statisitcs for SIERRA VISTA REGIONAL HEALTH CENTER INC. 403B PLAN

Measure Date Value
2013: SIERRA VISTA REGIONAL HEALTH CENTER INC. 403B PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01872
Total number of active participants reported on line 7a of the Form 55002013-01-01730
Number of retired or separated participants receiving benefits2013-01-019
Number of other retired or separated participants entitled to future benefits2013-01-0145
Total of all active and inactive participants2013-01-01784
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01784
Number of participants with account balances2013-01-0179
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-011
2012: SIERRA VISTA REGIONAL HEALTH CENTER INC. 403B PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01843
Total number of active participants reported on line 7a of the Form 55002012-01-01746
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-01130
Total of all active and inactive participants2012-01-01876
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01876
Number of participants with account balances2012-01-01452
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-019
2011: SIERRA VISTA REGIONAL HEALTH CENTER INC. 403B PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01865
Total number of active participants reported on line 7a of the Form 55002011-01-01714
Number of retired or separated participants receiving benefits2011-01-0113
Number of other retired or separated participants entitled to future benefits2011-01-01119
Total of all active and inactive participants2011-01-01846
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01846
Number of participants with account balances2011-01-01443
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-0111
2010: SIERRA VISTA REGIONAL HEALTH CENTER INC. 403B PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01904
Total number of active participants reported on line 7a of the Form 55002010-01-01726
Number of retired or separated participants receiving benefits2010-01-0112
Number of other retired or separated participants entitled to future benefits2010-01-01112
Total of all active and inactive participants2010-01-01850
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-01850
Number of participants with account balances2010-01-01451
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-0114
2009: SIERRA VISTA REGIONAL HEALTH CENTER INC. 403B PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01909
Total number of active participants reported on line 7a of the Form 55002009-01-01766
Number of retired or separated participants receiving benefits2009-01-015
Number of other retired or separated participants entitled to future benefits2009-01-01150
Total of all active and inactive participants2009-01-01921
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01921
Number of participants with account balances2009-01-01481
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-019

Financial Data on SIERRA VISTA REGIONAL HEALTH CENTER INC. 403B PLAN

Measure Date Value
2013 : SIERRA VISTA REGIONAL HEALTH CENTER INC. 403B PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$1,218
Total income from all sources (including contributions)2013-12-31$2,630,268
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$19,910,215
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$19,906,798
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$881,150
Value of total assets at end of year2013-12-31$1,572,050
Value of total assets at beginning of year2013-12-31$18,853,215
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$3,417
Total interest from all sources2013-12-31$3,638
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$481,718
Participant contributions at end of year2013-12-31$0
Participant contributions at beginning of year2013-12-31$435,071
Participant contributions at end of year2013-12-31$0
Participant contributions at beginning of year2013-12-31$750
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$194,537
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$1,218
Other income not declared elsewhere2013-12-31$1,217
Total non interest bearing cash at end of year2013-12-31$34,254
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-17,279,947
Value of net assets at end of year (total assets less liabilities)2013-12-31$1,572,050
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$18,851,997
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$1,537,796
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$18,079,944
Interest on participant loans2013-12-31$14,222
Interest earned on other investments2013-12-31$-10,584
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$337,450
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$1,744,263
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$204,895
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$19,906,798
Contract administrator fees2013-12-31$3,417
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31ERNST & YOUNG, LLP
Accountancy firm EIN2013-12-31346565596
2012 : SIERRA VISTA REGIONAL HEALTH CENTER INC. 403B PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$1,218
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total income from all sources (including contributions)2012-12-31$4,265,853
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$1,895,360
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$1,875,908
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$2,089,048
Value of total assets at end of year2012-12-31$18,853,215
Value of total assets at beginning of year2012-12-31$16,481,504
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$19,452
Total interest from all sources2012-12-31$20,992
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$1,358,680
Participant contributions at end of year2012-12-31$435,071
Participant contributions at beginning of year2012-12-31$483,631
Participant contributions at end of year2012-12-31$750
Assets. Other investments not covered elsewhere at beginning of year2012-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$147,100
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$1,218
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$2,370,493
Value of net assets at end of year (total assets less liabilities)2012-12-31$18,851,997
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$16,481,504
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$18,079,944
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$15,613,007
Interest on participant loans2012-12-31$20,992
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$337,450
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$384,866
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$2,155,813
Net investment gain or loss from common/collective trusts2012-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$583,268
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$1,875,908
Contract administrator fees2012-12-31$19,452
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31ERNST & YOUNG, LLP
Accountancy firm EIN2012-12-31346565596
2011 : SIERRA VISTA REGIONAL HEALTH CENTER INC. 403B PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
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$1,591,274
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$2,370,338
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$2,172,135
Expenses. Certain deemed distributions of participant loans2011-12-31$47,601
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$1,962,722
Value of total assets at end of year2011-12-31$16,481,504
Value of total assets at beginning of year2011-12-31$17,260,568
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$150,602
Total interest from all sources2011-12-31$24,765
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$204,353
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$204,353
Administrative expenses professional fees incurred2011-12-31$150,602
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$1,369,682
Participant contributions at end of year2011-12-31$483,631
Participant contributions at beginning of year2011-12-31$648,638
Assets. Other investments not covered elsewhere at end of year2011-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2011-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$9,583
Other income not declared elsewhere2011-12-31$2,445
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-779,064
Value of net assets at end of year (total assets less liabilities)2011-12-31$16,481,504
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$17,260,568
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$15,613,007
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$16,280,789
Interest on participant loans2011-12-31$24,765
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$384,866
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$331,141
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-603,011
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$583,457
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$2,172,135
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$0
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31ERNST & YOUNG, LLP
Accountancy firm EIN2011-12-31346565596
2010 : SIERRA VISTA REGIONAL HEALTH CENTER INC. 403B PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
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$4,946
Total income from all sources (including contributions)2010-12-31$4,077,520
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$2,038,580
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$1,855,738
Expenses. Certain deemed distributions of participant loans2010-12-31$33,006
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$1,958,403
Value of total assets at end of year2010-12-31$17,260,568
Value of total assets at beginning of year2010-12-31$15,226,574
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$149,836
Total interest from all sources2010-12-31$24,772
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$174,531
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$174,531
Administrative expenses professional fees incurred2010-12-31$149,836
Was this plan covered by a fidelity bond2010-12-31No
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$1,300,730
Participant contributions at end of year2010-12-31$648,638
Participant contributions at beginning of year2010-12-31$481,582
Assets. Other investments not covered elsewhere at end of year2010-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2010-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$77,949
Other income not declared elsewhere2010-12-31$8,631
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$2,038,940
Value of net assets at end of year (total assets less liabilities)2010-12-31$17,260,568
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$15,221,628
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$16,280,789
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$14,390,691
Interest on participant loans2010-12-31$24,772
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$331,141
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$354,301
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$1,911,183
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Assets. Invements in employer securities at beginning of year2010-12-31$0
Contributions received in cash from employer2010-12-31$579,724
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$1,855,738
Liabilities. Value of benefit claims payable at end of year2010-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$4,946
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31ERNST & YOUNG, LLP
Accountancy firm EIN2010-12-31346565596

Form 5500 Responses for SIERRA VISTA REGIONAL HEALTH CENTER INC. 403B PLAN

2013: SIERRA VISTA REGIONAL HEALTH CENTER INC. 403B PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedYes
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: SIERRA VISTA REGIONAL HEALTH CENTER INC. 403B PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: SIERRA VISTA REGIONAL HEALTH CENTER INC. 403B PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: SIERRA VISTA REGIONAL HEALTH CENTER INC. 403B PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: SIERRA VISTA REGIONAL HEALTH CENTER INC. 403B PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number310-80541
Policy instance 1
Insurance contract or identification number310-80541
Number of Individuals Covered79
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $588
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
Commission paid to Insurance BrokerUSD $588
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameSAGEPOINT FINANCIAL INC
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number310-80541
Policy instance 1
Insurance contract or identification number310-80541
Number of Individuals Covered498
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $1,198
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
Commission paid to Insurance BrokerUSD $659
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameSAGEPOINT FINANCIAL INC
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number310-80541
Policy instance 1
Insurance contract or identification number310-80541
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $1,525
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number310-80541
Policy instance 1
Insurance contract or identification number310-80541
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $1,586
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
Commission paid to Insurance BrokerUSD $1,586
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameWOODBURY FINANCIAL SERVICES

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