401k Plan data: MARIPOSA COMMUNITY HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN AND TRUST plan

MARIPOSA COMMUNITY HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN AND TRUST 401k Plan overview

Plan Name	MARIPOSA COMMUNITY HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN AND TRUST
Plan identification number	001

MARIPOSA COMMUNITY HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN AND TRUST 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.
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

MARIPOSA COMMUNITY HEALTH CENTER INC has sponsored the creation of one or more 401k plans.

Company Name: MARIPOSA COMMUNITY HEALTH CENTER INC

Employer identification number (EIN): 860524321

NAIC Classification: 621498
NAIC Description: All Other Outpatient Care Centers

Additional information about MARIPOSA COMMUNITY HEALTH CENTER INC

Jurisdiction of Incorporation: Arizona Corporation Commission

Incorporation Date:

Company Identification Number: 01773351

More information about MARIPOSA COMMUNITY HEALTH CENTER INC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MARIPOSA COMMUNITY HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN AND TRUST

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 2019-01-01
001 2018-01-01
001 2017-01-01 ED SICURELLO ED SICURELLO 2018-10-15
001 2016-01-01 ED SICURELLO ED SICURELLO 2017-10-23
001 2016-01-01 ED SICURELLO 2017-10-16

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	2019-01-01
001	2018-01-01
001	2017-01-01	ED SICURELLO	ED SICURELLO	2018-10-15
001	2016-01-01	ED SICURELLO	ED SICURELLO	2017-10-23
001	2016-01-01		ED SICURELLO	2017-10-16

Plan Statistics for MARIPOSA COMMUNITY HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN AND TRUST

401k plan membership statisitcs for MARIPOSA COMMUNITY HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN AND TRUST

Measure Date Value
2022: MARIPOSA COMMUNITY HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2022 401k membership
Total participants, beginning-of-year 2022-01-01 403
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 360
Number of retired or separated participants receiving benefits 2022-01-01 4
Number of other retired or separated participants entitled to future benefits 2022-01-01 38
Total of all active and inactive participants 2022-01-01 402
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 1
Total participants 2022-01-01 403
Number of participants with account balances 2022-01-01 373
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 0
2021: MARIPOSA COMMUNITY HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2021 401k membership
Total participants, beginning-of-year 2021-01-01 364
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 351
Number of retired or separated participants receiving benefits 2021-01-01 8
Number of other retired or separated participants entitled to future benefits 2021-01-01 40
Total of all active and inactive participants 2021-01-01 399
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 399
Number of participants with account balances 2021-01-01 362
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: MARIPOSA COMMUNITY HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2020 401k membership
Total participants, beginning-of-year 2020-01-01 340
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 327
Number of retired or separated participants receiving benefits 2020-01-01 5
Number of other retired or separated participants entitled to future benefits 2020-01-01 29
Total of all active and inactive participants 2020-01-01 361
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 361
Number of participants with account balances 2020-01-01 331
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: MARIPOSA COMMUNITY HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2019 401k membership
Total participants, beginning-of-year 2019-01-01 335
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 307
Number of retired or separated participants receiving benefits 2019-01-01 7
Number of other retired or separated participants entitled to future benefits 2019-01-01 24
Total of all active and inactive participants 2019-01-01 338
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 338
Number of participants with account balances 2019-01-01 311
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: MARIPOSA COMMUNITY HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2018 401k membership
Total participants, beginning-of-year 2018-01-01 297
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 298
Number of retired or separated participants receiving benefits 2018-01-01 3
Number of other retired or separated participants entitled to future benefits 2018-01-01 24
Total of all active and inactive participants 2018-01-01 325
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 325
Number of participants with account balances 2018-01-01 289
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: MARIPOSA COMMUNITY HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2017 401k membership
Total participants, beginning-of-year 2017-01-01 287
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 270
Number of retired or separated participants receiving benefits 2017-01-01 3
Number of other retired or separated participants entitled to future benefits 2017-01-01 17
Total of all active and inactive participants 2017-01-01 290
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 290
Number of participants with account balances 2017-01-01 252
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: MARIPOSA COMMUNITY HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2016 401k membership
Total participants, beginning-of-year 2016-01-01 268
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 250
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 33
Total of all active and inactive participants 2016-01-01 283
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 283
Number of participants with account balances 2016-01-01 252
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0

Measure	Date	Value
2022: MARIPOSA COMMUNITY HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2022 401k membership
Total participants, beginning-of-year	2022-01-01	403
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	360
Number of retired or separated participants receiving benefits	2022-01-01	4
Number of other retired or separated participants entitled to future benefits	2022-01-01	38
Total of all active and inactive participants	2022-01-01	402
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	1
Total participants	2022-01-01	403
Number of participants with account balances	2022-01-01	373
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2021: MARIPOSA COMMUNITY HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2021 401k membership
Total participants, beginning-of-year	2021-01-01	364
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	351
Number of retired or separated participants receiving benefits	2021-01-01	8
Number of other retired or separated participants entitled to future benefits	2021-01-01	40
Total of all active and inactive participants	2021-01-01	399
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	399
Number of participants with account balances	2021-01-01	362
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: MARIPOSA COMMUNITY HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2020 401k membership
Total participants, beginning-of-year	2020-01-01	340
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	327
Number of retired or separated participants receiving benefits	2020-01-01	5
Number of other retired or separated participants entitled to future benefits	2020-01-01	29
Total of all active and inactive participants	2020-01-01	361
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	361
Number of participants with account balances	2020-01-01	331
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: MARIPOSA COMMUNITY HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2019 401k membership
Total participants, beginning-of-year	2019-01-01	335
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	307
Number of retired or separated participants receiving benefits	2019-01-01	7
Number of other retired or separated participants entitled to future benefits	2019-01-01	24
Total of all active and inactive participants	2019-01-01	338
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	338
Number of participants with account balances	2019-01-01	311
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: MARIPOSA COMMUNITY HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2018 401k membership
Total participants, beginning-of-year	2018-01-01	297
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	298
Number of retired or separated participants receiving benefits	2018-01-01	3
Number of other retired or separated participants entitled to future benefits	2018-01-01	24
Total of all active and inactive participants	2018-01-01	325
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	325
Number of participants with account balances	2018-01-01	289
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: MARIPOSA COMMUNITY HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2017 401k membership
Total participants, beginning-of-year	2017-01-01	287
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	270
Number of retired or separated participants receiving benefits	2017-01-01	3
Number of other retired or separated participants entitled to future benefits	2017-01-01	17
Total of all active and inactive participants	2017-01-01	290
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	290
Number of participants with account balances	2017-01-01	252
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: MARIPOSA COMMUNITY HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2016 401k membership
Total participants, beginning-of-year	2016-01-01	268
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	250
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	33
Total of all active and inactive participants	2016-01-01	283
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	283
Number of participants with account balances	2016-01-01	252
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0

Financial Data on MARIPOSA COMMUNITY HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN AND TRUST

Measure	Date	Value
2022 : MARIPOSA COMMUNITY HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$1,960
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$1,960
Total income from all sources (including contributions)	2022-12-31	$-809,034
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$2,953,079
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$2,845,944
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$2,305,516
Value of total assets at end of year	2022-12-31	$16,416,967
Value of total assets at beginning of year	2022-12-31	$20,179,080
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$107,135
Total interest from all sources	2022-12-31	$43,961
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$269,432
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	$269,432
Administrative expenses professional fees incurred	2022-12-31	$22,005
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$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	$1,220,408
Participant contributions at end of year	2022-12-31	$802,924
Participant contributions at beginning of year	2022-12-31	$706,645
Participant contributions at end of year	2022-12-31	$36,587
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$329,398
Value of other receiveables (less allowance for doubtful accounts) at end of year	2022-12-31	$2,363
Total non interest bearing cash at end of year	2022-12-31	$1,960
Total non interest bearing cash at beginning of year	2022-12-31	$96,737
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
Value of net income/loss	2022-12-31	$-3,762,113
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$16,415,007
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$20,177,120
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$13,971,737
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$17,193,727
Interest on participant loans	2022-12-31	$43,961
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$1,576,697
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$2,181,971
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-3,427,943
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
Contributions received in cash from employer	2022-12-31	$755,710
Employer contributions (assets) at end of year	2022-12-31	$24,699
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$2,845,944
Contract administrator fees	2022-12-31	$85,130
Liabilities. Value of benefit claims payable at end of year	2022-12-31	$1,960
Liabilities. Value of benefit claims payable at beginning of year	2022-12-31	$1,960
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
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	FESTER & CHAPMAN
Accountancy firm EIN	2022-12-31	821455657
2021 : MARIPOSA COMMUNITY HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$1,960
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$1,780
Total income from all sources (including contributions)	2021-12-31	$4,879,111
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$1,093,669
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$991,454
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$2,211,132
Value of total assets at end of year	2021-12-31	$20,179,080
Value of total assets at beginning of year	2021-12-31	$16,393,458
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$102,215
Total interest from all sources	2021-12-31	$40,761
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$262,803
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	$262,803
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$500,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$1,195,840
Participant contributions at end of year	2021-12-31	$706,645
Participant contributions at beginning of year	2021-12-31	$674,197
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$284,780
Total non interest bearing cash at end of year	2021-12-31	$96,737
Total non interest bearing cash at beginning of year	2021-12-31	$1,780
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
Value of net income/loss	2021-12-31	$3,785,442
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$20,177,120
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$16,391,678
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
Investment advisory and management fees	2021-12-31	$85,423
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$17,193,727
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$13,525,404
Interest on participant loans	2021-12-31	$40,761
Value of interest in common/collective trusts 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	$2,181,971
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$2,192,077
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$2,364,415
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	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$730,512
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$991,454
Contract administrator fees	2021-12-31	$16,792
Liabilities. Value of benefit claims payable at end of year	2021-12-31	$1,960
Liabilities. Value of benefit claims payable at beginning of year	2021-12-31	$1,780
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
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	FESTER & CHAPMAN
Accountancy firm EIN	2021-12-31	821455657
2020 : MARIPOSA COMMUNITY HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN AND TRUST 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	$1,780
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$2,691
Total income from all sources (including contributions)	2020-12-31	$3,765,756
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$620,380
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$540,945
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$1,682,347
Value of total assets at end of year	2020-12-31	$16,393,458
Value of total assets at beginning of year	2020-12-31	$13,248,993
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$79,435
Total interest from all sources	2020-12-31	$93,857
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$198,989
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$198,989
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
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$944,623
Participant contributions at end of year	2020-12-31	$674,197
Participant contributions at beginning of year	2020-12-31	$779,352
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$128,028
Total non interest bearing cash at end of year	2020-12-31	$1,780
Total non interest bearing cash at beginning of year	2020-12-31	$5,860
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	$3,145,376
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$16,391,678
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$13,246,302
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	$62,686
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$13,525,404
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$10,149,605
Interest on participant loans	2020-12-31	$47,156
Interest earned on other investments	2020-12-31	$46,701
Value of interest in common/collective trusts at end of year	2020-12-31	$0
Value of interest in common/collective trusts at beginning of year	2020-12-31	$2,125,474
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2020-12-31	$198
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2020-12-31	$198
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$2,192,077
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$188,504
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$1,790,563
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	No
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	$609,696
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$540,945
Contract administrator fees	2020-12-31	$16,749
Liabilities. Value of benefit claims payable at end of year	2020-12-31	$1,780
Liabilities. Value of benefit claims payable at beginning of year	2020-12-31	$2,691
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	Disclaimer
Accountancy firm name	2020-12-31	FESTER & CHAPMAN
Accountancy firm EIN	2020-12-31	821455657
2019 : MARIPOSA COMMUNITY HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
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	$2,691
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$2,691
Total liabilities at beginning 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	$3,701,303
Total income from all sources (including contributions)	2019-12-31	$3,701,303
Total loss/gain on sale of assets	2019-12-31	$0
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$822,221
Total of all expenses incurred	2019-12-31	$822,221
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$748,161
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$748,161
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$1,673,055
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$1,673,055
Value of total assets at end of year	2019-12-31	$13,248,993
Value of total assets at end of year	2019-12-31	$13,248,993
Value of total assets at beginning of year	2019-12-31	$10,367,220
Value of total assets at beginning of year	2019-12-31	$10,367,220
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$74,060
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$74,060
Total interest from all sources	2019-12-31	$48,697
Total interest from all sources	2019-12-31	$48,697
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$206,955
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$206,955
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$206,955
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$206,955
Was this plan covered by a fidelity bond	2019-12-31	Yes
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
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
If this is an individual account plan, was there a blackout period	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$896,318
Contributions received from participants	2019-12-31	$896,318
Participant contributions at end of year	2019-12-31	$779,352
Participant contributions at end of year	2019-12-31	$779,352
Participant contributions at beginning of year	2019-12-31	$610,987
Participant contributions at beginning of year	2019-12-31	$610,987
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$215,748
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$215,748
Total non interest bearing cash at end of year	2019-12-31	$5,860
Total non interest bearing cash at end of year	2019-12-31	$5,860
Total non interest bearing cash at beginning of year	2019-12-31	$181
Total non interest bearing cash at beginning of year	2019-12-31	$181
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
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	$2,879,082
Value of net income/loss	2019-12-31	$2,879,082
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$13,246,302
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$13,246,302
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$10,367,220
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$10,367,220
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
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 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
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	$54,745
Investment advisory and management fees	2019-12-31	$54,745
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$10,149,605
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$10,149,605
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$7,528,844
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$7,528,844
Interest on participant loans	2019-12-31	$44,506
Interest on participant loans	2019-12-31	$44,506
Interest earned on other investments	2019-12-31	$4,191
Interest earned on other investments	2019-12-31	$4,191
Value of interest in common/collective trusts at end of year	2019-12-31	$2,125,474
Value of interest in common/collective trusts at end of year	2019-12-31	$2,125,474
Value of interest in common/collective trusts at beginning of year	2019-12-31	$1,872,227
Value of interest in common/collective trusts at beginning of year	2019-12-31	$1,872,227
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-12-31	$198
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-12-31	$198
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$188,504
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$188,504
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$354,754
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$354,754
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$1,724,259
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$1,724,259
Net investment gain or loss from common/collective trusts	2019-12-31	$48,337
Net investment gain or loss from common/collective trusts	2019-12-31	$48,337
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
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
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
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	$560,989
Contributions received in cash from employer	2019-12-31	$560,989
Employer contributions (assets) at beginning of year	2019-12-31	$227
Employer contributions (assets) at beginning of year	2019-12-31	$227
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$748,161
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$748,161
Contract administrator fees	2019-12-31	$19,315
Contract administrator fees	2019-12-31	$19,315
Liabilities. Value of benefit claims payable at end of year	2019-12-31	$2,691
Liabilities. Value of benefit claims payable at end of year	2019-12-31	$2,691
Did the plan have assets held for investment	2019-12-31	Yes
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
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
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
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
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	COLLINGS CPA FIRM
Accountancy firm name	2019-12-31	COLLINGS CPA FIRM
Accountancy firm EIN	2019-12-31	823581216
Accountancy firm EIN	2019-12-31	823581216
2018 : MARIPOSA COMMUNITY HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN AND TRUST 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	$10,782
Total income from all sources (including contributions)	2018-12-31	$955,550
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$1,174,948
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$1,119,091
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$1,398,113
Value of total assets at end of year	2018-12-31	$10,367,220
Value of total assets at beginning of year	2018-12-31	$10,597,400
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$55,857
Total interest from all sources	2018-12-31	$38,532
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$168,327
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$168,327
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
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$797,083
Participant contributions at end of year	2018-12-31	$610,987
Participant contributions at beginning of year	2018-12-31	$492,862
Participant contributions at beginning of year	2018-12-31	$1,731
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$121,327
Liabilities. Value of operating payables at beginning of year	2018-12-31	$10,782
Total non interest bearing cash at end of year	2018-12-31	$181
Total non interest bearing cash at beginning of year	2018-12-31	$42,644
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	$-219,398
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$10,367,220
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$10,586,618
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	$40,117
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$7,528,844
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$8,192,979
Interest on participant loans	2018-12-31	$31,930
Interest earned on other investments	2018-12-31	$6,602
Value of interest in common/collective trusts at end of year	2018-12-31	$1,872,227
Value of interest in common/collective trusts at beginning of year	2018-12-31	$1,348,010
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$354,754
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$518,304
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-686,425
Net investment gain or loss from common/collective trusts	2018-12-31	$37,003
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	$479,703
Employer contributions (assets) at end of year	2018-12-31	$227
Employer contributions (assets) at beginning of year	2018-12-31	$870
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$1,119,091
Contract administrator fees	2018-12-31	$15,740
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	COLLINGS CPA FIRM
Accountancy firm EIN	2018-12-31	823581216
2017 : MARIPOSA COMMUNITY HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN AND TRUST 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	$10,782
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$8,655
Total income from all sources (including contributions)	2017-12-31	$2,505,553
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$756,298
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$693,461
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$1,175,971
Value of total assets at end of year	2017-12-31	$10,597,400
Value of total assets at beginning of year	2017-12-31	$8,846,018
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$62,837
Total interest from all sources	2017-12-31	$23,466
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$150,369
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$150,369
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
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$733,999
Participant contributions at end of year	2017-12-31	$492,862
Participant contributions at beginning of year	2017-12-31	$473,635
Participant contributions at end of year	2017-12-31	$1,731
Liabilities. Value of operating payables at end of year	2017-12-31	$10,782
Liabilities. Value of operating payables at beginning of year	2017-12-31	$8,655
Total non interest bearing cash at end of year	2017-12-31	$42,644
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	$1,749,255
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$10,586,618
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$8,837,363
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	$45,790
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$8,192,979
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$6,603,253
Interest on participant loans	2017-12-31	$23,466
Value of interest in common/collective trusts at end of year	2017-12-31	$1,348,010
Value of interest in common/collective trusts at beginning of year	2017-12-31	$1,089,708
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$518,304
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$679,422
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$1,120,865
Net investment gain or loss from common/collective trusts	2017-12-31	$34,882
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	$441,972
Employer contributions (assets) at end of year	2017-12-31	$870
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$693,461
Contract administrator fees	2017-12-31	$17,047
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	COLLINGS CPA FIRM
Accountancy firm EIN	2017-12-31	823581216
2016 : MARIPOSA COMMUNITY HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN AND TRUST 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	$8,655
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	$1,574,086
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$262,367
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$216,433
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$1,023,640
Value of total assets at end of year	2016-12-31	$8,847,527
Value of total assets at beginning of year	2016-12-31	$7,527,153
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$45,934
Total interest from all sources	2016-12-31	$19,910
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$92,060
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$92,060
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	Yes
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$642,633
Participant contributions at end of year	2016-12-31	$473,635
Participant contributions at beginning of year	2016-12-31	$439,269
Participant contributions at beginning of year	2016-12-31	$3,232
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$1,684
Liabilities. Value of operating payables at end of year	2016-12-31	$8,655
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	$1,311,719
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$8,838,872
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$7,527,153
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	$38,555
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$6,603,253
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$6,247,400
Interest on participant loans	2016-12-31	$19,910
Value of interest in common/collective trusts at end of year	2016-12-31	$1,089,708
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$680,931
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$837,067
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$426,599
Net investment gain or loss from common/collective trusts	2016-12-31	$11,877
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	$379,323
Employer contributions (assets) at beginning of year	2016-12-31	$185
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$216,433
Contract administrator fees	2016-12-31	$7,379
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	2016-12-31	Yes
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	BITNER & COLLINGS, PLLC
Accountancy firm EIN	2016-12-31	203463883

Form 5500 Responses for MARIPOSA COMMUNITY HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN AND TRUST

2022: MARIPOSA COMMUNITY HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	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: MARIPOSA COMMUNITY HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN AND TRUST 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: MARIPOSA COMMUNITY HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
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 – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: MARIPOSA COMMUNITY HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN AND TRUST 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 – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: MARIPOSA COMMUNITY HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN AND TRUST 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 – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: MARIPOSA COMMUNITY HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN AND TRUST 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 – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: MARIPOSA COMMUNITY HEALTH CENTER, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	Yes
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 – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

07C674X5

Policy instance

Insurance contract or identification number	07C674X5
Number of Individuals Covered	39
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
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 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 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?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
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

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

07C674X5

Policy instance

Insurance contract or identification number	07C674X5
Number of Individuals Covered	43
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Are there contracts with allocated funds for individual policies?	0
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 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?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
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

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

07C674X5

Policy instance

Insurance contract or identification number	07C674X5
Number of Individuals Covered	46
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
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 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 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?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
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

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

CAP-CP-FU1I

Policy instance

Insurance contract or identification number	CAP-CP-FU1I
Number of Individuals Covered	0
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
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 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 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

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

CAP-CP-FU1I

Policy instance

Insurance contract or identification number	CAP-CP-FU1I
Number of Individuals Covered	4
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
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 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 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
Insurance broker organization code?	3

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

07C674X5

Policy instance

Insurance contract or identification number	07C674X5
Number of Individuals Covered	39
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
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 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 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?	No
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

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

07C674X5

Policy instance

Insurance contract or identification number	07C674X5
Number of Individuals Covered	45
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
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 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 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?	No
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

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

CAP-CP-FU1I

Policy instance

Insurance contract or identification number	CAP-CP-FU1I
Number of Individuals Covered	6
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
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 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 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
Insurance broker organization code?	3

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

07C674X5

Policy instance

Insurance contract or identification number	07C674X5
Number of Individuals Covered	48
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
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 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 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?	No
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

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

CAP-CP-FU1I

Policy instance

Insurance contract or identification number	CAP-CP-FU1I
Number of Individuals Covered	9
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
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 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 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
Insurance broker organization code?	3
Insurance broker name	LEGEND EQUITIES CORPORATION

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The information provided on this website is not advice, endorsement or recommendation
The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
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See full terms and conditions

Company Name:	MARIPOSA COMMUNITY HEALTH CENTER INC
Employer identification number (EIN):	860524321
NAIC Classification:	621498
NAIC Description:	All Other Outpatient Care Centers

Jurisdiction of Incorporation:	Arizona Corporation Commission
Incorporation Date:
Company Identification Number:	01773351