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401(A) VALLEY PRESBYTERIAN HOSPITAL DEFINED CONTRIBUTION PLAN 401k Plan overview

Plan Name401(A) VALLEY PRESBYTERIAN HOSPITAL DEFINED CONTRIBUTION PLAN
Plan identification number 002

401(A) VALLEY PRESBYTERIAN HOSPITAL DEFINED CONTRIBUTION PLAN Benefits

401k Plan TypeDefined 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 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Plan covering Self-Employed individuals.
  • 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

VALLEY PRESBYTERIAN HOSPITAL has sponsored the creation of one or more 401k plans.

Company Name:VALLEY PRESBYTERIAN HOSPITAL
Employer identification number (EIN):951945832
NAIC Classification:622000
NAIC Description: Hospitals

Additional information about VALLEY PRESBYTERIAN HOSPITAL

Jurisdiction of Incorporation: California Department of State
Incorporation Date:
Company Identification Number: C0231189

More information about VALLEY PRESBYTERIAN HOSPITAL

Form 5500 Filing Information

Submission information for form 5500 for 401k plan 401(A) VALLEY PRESBYTERIAN HOSPITAL DEFINED CONTRIBUTION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022022-01-01
0022021-01-01
0022020-01-01
0022019-01-01
0022018-11-01
0022017-11-01
0022016-11-01JANICE KLOSTERMEIER
0022015-11-01LORI CARDLE
0022014-11-01LORI CARDLE
0022013-11-01LORI CARDLE LORI CARDLE2015-06-12
0022012-11-01LORI CARDLE LORI CARDLE2014-08-15
0022011-11-01LORI CARDLE LORI CARDLE2013-08-13
0022009-11-01LORI CARDLE
0022008-11-01
0022008-11-01

Plan Statistics for 401(A) VALLEY PRESBYTERIAN HOSPITAL DEFINED CONTRIBUTION PLAN

401k plan membership statisitcs for 401(A) VALLEY PRESBYTERIAN HOSPITAL DEFINED CONTRIBUTION PLAN

Measure Date Value
2022: 401(A) VALLEY PRESBYTERIAN HOSPITAL DEFINED CONTRIBUTION PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-012,232
Total number of active participants reported on line 7a of the Form 55002022-01-011,359
Number of retired or separated participants receiving benefits2022-01-0132
Number of other retired or separated participants entitled to future benefits2022-01-01771
Total of all active and inactive participants2022-01-012,162
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-0121
Total participants2022-01-012,183
Number of participants with account balances2022-01-012,032
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-0188
2021: 401(A) VALLEY PRESBYTERIAN HOSPITAL DEFINED CONTRIBUTION PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-012,156
Total number of active participants reported on line 7a of the Form 55002021-01-011,439
Number of retired or separated participants receiving benefits2021-01-0127
Number of other retired or separated participants entitled to future benefits2021-01-01720
Total of all active and inactive participants2021-01-012,186
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-0119
Total participants2021-01-012,205
Number of participants with account balances2021-01-012,032
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-0194
2020: 401(A) VALLEY PRESBYTERIAN HOSPITAL DEFINED CONTRIBUTION PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-012,114
Total number of active participants reported on line 7a of the Form 55002020-01-011,507
Number of retired or separated participants receiving benefits2020-01-016
Number of other retired or separated participants entitled to future benefits2020-01-01617
Total of all active and inactive participants2020-01-012,130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-0117
Total participants2020-01-012,147
Number of participants with account balances2020-01-012,049
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-0161
2019: 401(A) VALLEY PRESBYTERIAN HOSPITAL DEFINED CONTRIBUTION PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-012,019
Total number of active participants reported on line 7a of the Form 55002019-01-011,509
Number of retired or separated participants receiving benefits2019-01-0123
Number of other retired or separated participants entitled to future benefits2019-01-01555
Total of all active and inactive participants2019-01-012,087
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-0115
Total participants2019-01-012,102
Number of participants with account balances2019-01-011,959
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-0171
2018: 401(A) VALLEY PRESBYTERIAN HOSPITAL DEFINED CONTRIBUTION PLAN 2018 401k membership
Total participants, beginning-of-year2018-11-012,008
Total number of active participants reported on line 7a of the Form 55002018-11-011,465
Number of retired or separated participants receiving benefits2018-11-0115
Number of other retired or separated participants entitled to future benefits2018-11-01525
Total of all active and inactive participants2018-11-012,005
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-11-0114
Total participants2018-11-012,019
Number of participants with account balances2018-11-011,835
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-11-0110
2017: 401(A) VALLEY PRESBYTERIAN HOSPITAL DEFINED CONTRIBUTION PLAN 2017 401k membership
Total participants, beginning-of-year2017-11-011,770
Total number of active participants reported on line 7a of the Form 55002017-11-011,460
Number of retired or separated participants receiving benefits2017-11-0120
Number of other retired or separated participants entitled to future benefits2017-11-01514
Total of all active and inactive participants2017-11-011,994
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-11-0114
Total participants2017-11-012,008
Number of participants with account balances2017-11-011,855
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-11-0168
2016: 401(A) VALLEY PRESBYTERIAN HOSPITAL DEFINED CONTRIBUTION PLAN 2016 401k membership
Total participants, beginning-of-year2016-11-011,813
Total number of active participants reported on line 7a of the Form 55002016-11-011,277
Number of retired or separated participants receiving benefits2016-11-0117
Number of other retired or separated participants entitled to future benefits2016-11-01462
Total of all active and inactive participants2016-11-011,756
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-11-0114
Total participants2016-11-011,770
Number of participants with account balances2016-11-011,770
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-11-0147
2015: 401(A) VALLEY PRESBYTERIAN HOSPITAL DEFINED CONTRIBUTION PLAN 2015 401k membership
Total participants, beginning-of-year2015-11-011,581
Total number of active participants reported on line 7a of the Form 55002015-11-011,386
Number of retired or separated participants receiving benefits2015-11-0112
Number of other retired or separated participants entitled to future benefits2015-11-01403
Total of all active and inactive participants2015-11-011,801
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-11-0112
Total participants2015-11-011,813
Number of participants with account balances2015-11-011,706
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-11-0162
2014: 401(A) VALLEY PRESBYTERIAN HOSPITAL DEFINED CONTRIBUTION PLAN 2014 401k membership
Total participants, beginning-of-year2014-11-011,767
Total number of active participants reported on line 7a of the Form 55002014-11-011,218
Number of retired or separated participants receiving benefits2014-11-011
Number of other retired or separated participants entitled to future benefits2014-11-01322
Total of all active and inactive participants2014-11-011,541
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-11-0115
Total participants2014-11-011,556
Number of participants with account balances2014-11-011,556
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-11-0157
2013: 401(A) VALLEY PRESBYTERIAN HOSPITAL DEFINED CONTRIBUTION PLAN 2013 401k membership
Total participants, beginning-of-year2013-11-011,715
Total number of active participants reported on line 7a of the Form 55002013-11-011,390
Number of retired or separated participants receiving benefits2013-11-010
Number of other retired or separated participants entitled to future benefits2013-11-01361
Total of all active and inactive participants2013-11-011,751
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-11-0116
Total participants2013-11-011,767
Number of participants with account balances2013-11-011,767
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-11-0165
2012: 401(A) VALLEY PRESBYTERIAN HOSPITAL DEFINED CONTRIBUTION PLAN 2012 401k membership
Total participants, beginning-of-year2012-11-011,647
Total number of active participants reported on line 7a of the Form 55002012-11-011,374
Number of retired or separated participants receiving benefits2012-11-010
Number of other retired or separated participants entitled to future benefits2012-11-01326
Total of all active and inactive participants2012-11-011,700
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-11-0115
Total participants2012-11-011,715
Number of participants with account balances2012-11-011,714
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-11-0178
2011: 401(A) VALLEY PRESBYTERIAN HOSPITAL DEFINED CONTRIBUTION PLAN 2011 401k membership
Total participants, beginning-of-year2011-11-011,569
Total number of active participants reported on line 7a of the Form 55002011-11-011,355
Number of retired or separated participants receiving benefits2011-11-010
Number of other retired or separated participants entitled to future benefits2011-11-01276
Total of all active and inactive participants2011-11-011,631
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-11-0117
Total participants2011-11-011,648
Number of participants with account balances2011-11-011,646
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-11-0153
2009: 401(A) VALLEY PRESBYTERIAN HOSPITAL DEFINED CONTRIBUTION PLAN 2009 401k membership
Total participants, beginning-of-year2009-11-011,642
Total number of active participants reported on line 7a of the Form 55002009-11-011,205
Number of retired or separated participants receiving benefits2009-11-015
Number of other retired or separated participants entitled to future benefits2009-11-0137
Total of all active and inactive participants2009-11-011,247
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-11-011
Total participants2009-11-011,248
Number of participants with account balances2009-11-011,030
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-11-01113

Financial Data on 401(A) VALLEY PRESBYTERIAN HOSPITAL DEFINED CONTRIBUTION PLAN

Measure Date Value
2022 : 401(A) VALLEY PRESBYTERIAN HOSPITAL DEFINED CONTRIBUTION PLAN 2022 401k financial data
Total income from all sources (including contributions)2022-12-31$-7,043,342
Total of all expenses incurred2022-12-31$5,699,566
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$5,511,322
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$4,409,779
Value of total assets at end of year2022-12-31$61,687,026
Value of total assets at beginning of year2022-12-31$74,429,934
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$188,244
Total interest from all sources2022-12-31$102,633
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$1,069,919
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$1,069,919
Administrative expenses professional fees incurred2022-12-31$20,620
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$1,000,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Administrative expenses (other) incurred2022-12-31$112,836
Total non interest bearing cash at end of year2022-12-31$44,304
Total non interest bearing cash at beginning of year2022-12-31$59,986
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-12,742,908
Value of net assets at end of year (total assets less liabilities)2022-12-31$61,687,026
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$74,429,934
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$54,788
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$51,812,006
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$64,618,198
Interest earned on other investments2022-12-31$102,450
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$36,633
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$153,339
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$153,339
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$183
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$5,383,918
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$5,522,249
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-12,625,673
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$4,409,779
Employer contributions (assets) at end of year2022-12-31$4,410,165
Employer contributions (assets) at beginning of year2022-12-31$4,076,162
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$5,511,322
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-12-31No
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31MOSS ADAMS LLP
Accountancy firm EIN2022-12-31910189318
2021 : 401(A) VALLEY PRESBYTERIAN HOSPITAL DEFINED CONTRIBUTION PLAN 2021 401k financial data
Total income from all sources (including contributions)2021-12-31$11,781,655
Total of all expenses incurred2021-12-31$3,206,087
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$2,943,219
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$3,951,883
Value of total assets at end of year2021-12-31$74,429,934
Value of total assets at beginning of year2021-12-31$65,854,366
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$262,868
Total interest from all sources2021-12-31$90,460
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$1,054,292
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$1,054,292
Administrative expenses professional fees incurred2021-12-31$17,850
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$1,000,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$8,562
Administrative expenses (other) incurred2021-12-31$198,619
Total non interest bearing cash at end of year2021-12-31$59,986
Total non interest bearing cash at beginning of year2021-12-31$37,648
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$8,575,568
Value of net assets at end of year (total assets less liabilities)2021-12-31$74,429,934
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$65,854,366
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$46,399
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$64,618,198
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$56,305,894
Interest earned on other investments2021-12-31$90,460
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$153,339
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$30,571
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$30,571
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$5,522,249
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$5,167,217
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$6,685,020
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$3,943,321
Employer contributions (assets) at end of year2021-12-31$4,076,162
Employer contributions (assets) at beginning of year2021-12-31$4,313,036
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$2,943,219
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-12-31No
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31MOSS ADAMS LLP
Accountancy firm EIN2021-12-31910189318
2020 : 401(A) VALLEY PRESBYTERIAN HOSPITAL DEFINED CONTRIBUTION PLAN 2020 401k financial data
Total income from all sources (including contributions)2020-12-31$11,940,530
Total of all expenses incurred2020-12-31$4,496,705
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$4,340,179
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$4,325,039
Value of total assets at end of year2020-12-31$65,854,366
Value of total assets at beginning of year2020-12-31$58,410,541
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$156,526
Total interest from all sources2020-12-31$109,552
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$828,987
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$828,987
Administrative expenses professional fees incurred2020-12-31$17,850
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$1,000,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$12,003
Administrative expenses (other) incurred2020-12-31$91,387
Total non interest bearing cash at end of year2020-12-31$37,648
Total non interest bearing cash at beginning of year2020-12-31$120,647
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$7,443,825
Value of net assets at end of year (total assets less liabilities)2020-12-31$65,854,366
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$58,410,541
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$47,289
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$56,305,894
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$49,033,911
Interest earned on other investments2020-12-31$109,489
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$30,571
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$56,303
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$56,303
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$63
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$5,167,217
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$5,064,903
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$6,676,952
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$4,313,036
Employer contributions (assets) at end of year2020-12-31$4,313,036
Employer contributions (assets) at beginning of year2020-12-31$4,134,777
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$4,340,179
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-12-31No
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31MOSS ADAMS LLP
Accountancy firm EIN2020-12-31910189318
2019 : 401(A) VALLEY PRESBYTERIAN HOSPITAL DEFINED CONTRIBUTION PLAN 2019 401k financial data
Total income from all sources (including contributions)2019-12-31$13,073,988
Total of all expenses incurred2019-12-31$3,423,114
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$3,190,086
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$4,145,943
Value of total assets at end of year2019-12-31$58,410,541
Value of total assets at beginning of year2019-12-31$48,759,667
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$233,028
Total interest from all sources2019-12-31$109,398
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$965,448
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$965,448
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$1,000,000
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$11,166
Administrative expenses (other) incurred2019-12-31$233,028
Total non interest bearing cash at end of year2019-12-31$120,647
Total non interest bearing cash at beginning of year2019-12-31$72,414
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$9,650,874
Value of net assets at end of year (total assets less liabilities)2019-12-31$58,410,541
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$48,759,667
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$49,033,911
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$38,917,745
Interest earned on other investments2019-12-31$109,150
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$56,303
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$30,358
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$30,358
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$248
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$5,064,903
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$4,966,655
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$7,853,199
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$4,134,777
Employer contributions (assets) at end of year2019-12-31$4,134,777
Employer contributions (assets) at beginning of year2019-12-31$4,772,495
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$3,190,086
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31MOSS ADAMS LLP
Accountancy firm EIN2019-12-31910189318
2018 : 401(A) VALLEY PRESBYTERIAN HOSPITAL DEFINED CONTRIBUTION PLAN 2018 401k financial data
Total income from all sources (including contributions)2018-12-31$-704,770
Total of all expenses incurred2018-12-31$403,477
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$380,548
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$803,452
Value of total assets at end of year2018-12-31$48,759,667
Value of total assets at beginning of year2018-12-31$49,867,914
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$22,929
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$693,896
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$693,896
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$1,000,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Administrative expenses (other) incurred2018-12-31$22,929
Total non interest bearing cash at end of year2018-12-31$72,414
Total non interest bearing cash at beginning of year2018-12-31$62,216
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-1,108,247
Value of net assets at end of year (total assets less liabilities)2018-12-31$48,759,667
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$49,867,914
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$38,917,745
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$40,871,389
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$30,358
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$16,267
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$16,267
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$4,966,655
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$4,948,999
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-2,202,118
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$803,452
Employer contributions (assets) at end of year2018-12-31$4,772,495
Employer contributions (assets) at beginning of year2018-12-31$3,969,043
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$380,548
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31MOSS ADAMS LLP
Accountancy firm EIN2018-12-31910189318
Total income from all sources (including contributions)2018-10-31$4,419,525
Total of all expenses incurred2018-10-31$3,911,972
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-10-31$3,677,547
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-10-31$3,969,043
Value of total assets at end of year2018-10-31$49,867,914
Value of total assets at beginning of year2018-10-31$49,360,361
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-10-31$234,425
Total dividends received (eg from common stock, registered investment company shares)2018-10-31$777,814
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-10-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-10-31$777,814
Was this plan covered by a fidelity bond2018-10-31Yes
Value of fidelity bond cover2018-10-31$1,000,000
If this is an individual account plan, was there a blackout period2018-10-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-10-31$0
Were there any nonexempt tranactions with any party-in-interest2018-10-31No
Administrative expenses (other) incurred2018-10-31$234,425
Total non interest bearing cash at end of year2018-10-31$62,216
Total non interest bearing cash at beginning of year2018-10-31$81,427
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-10-31No
Value of net income/loss2018-10-31$507,553
Value of net assets at end of year (total assets less liabilities)2018-10-31$49,867,914
Value of net assets at beginning of year (total assets less liabilities)2018-10-31$49,360,361
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-10-31No
Were any leases to which the plan was party in default or uncollectible2018-10-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-10-31$40,871,389
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-10-31$40,341,580
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-10-31$16,267
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-10-31$22,318
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-10-31$22,318
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-10-31$4,948,999
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-10-31$5,129,418
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-10-31$-327,332
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-10-31No
Was there a failure to transmit to the plan any participant contributions2018-10-31No
Has the plan failed to provide any benefit when due under the plan2018-10-31No
Contributions received in cash from employer2018-10-31$3,969,043
Employer contributions (assets) at end of year2018-10-31$3,969,043
Employer contributions (assets) at beginning of year2018-10-31$3,785,618
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-10-31$3,677,547
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-10-31No
Did the plan have assets held for investment2018-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-10-31Yes
Opinion of an independent qualified public accountant for this plan2018-10-31Disclaimer
Accountancy firm name2018-10-31MOSS ADAMS LLP
Accountancy firm EIN2018-10-31910189318
2017 : 401(A) VALLEY PRESBYTERIAN HOSPITAL DEFINED CONTRIBUTION PLAN 2017 401k financial data
Total income from all sources (including contributions)2017-10-31$9,447,757
Total of all expenses incurred2017-10-31$2,721,159
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-10-31$2,445,572
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-10-31$3,785,618
Value of total assets at end of year2017-10-31$49,360,361
Value of total assets at beginning of year2017-10-31$42,633,763
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-10-31$275,587
Total interest from all sources2017-10-31$93,990
Total dividends received (eg from common stock, registered investment company shares)2017-10-31$694,671
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-10-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-10-31$694,671
Was this plan covered by a fidelity bond2017-10-31Yes
Value of fidelity bond cover2017-10-31$1,000,000
If this is an individual account plan, was there a blackout period2017-10-31No
Were there any nonexempt tranactions with any party-in-interest2017-10-31No
Administrative expenses (other) incurred2017-10-31$235,947
Total non interest bearing cash at end of year2017-10-31$81,427
Total non interest bearing cash at beginning of year2017-10-31$46,952
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-10-31No
Value of net income/loss2017-10-31$6,726,598
Value of net assets at end of year (total assets less liabilities)2017-10-31$49,360,361
Value of net assets at beginning of year (total assets less liabilities)2017-10-31$42,633,763
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-10-31No
Were any leases to which the plan was party in default or uncollectible2017-10-31No
Investment advisory and management fees2017-10-31$39,640
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-10-31$40,341,580
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-10-31$33,938,280
Interest earned on other investments2017-10-31$93,958
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-10-31$22,318
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-10-31$18,080
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-10-31$18,080
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-10-31$32
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-10-31$5,129,418
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-10-31$5,009,426
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-10-31$4,873,478
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-10-31No
Was there a failure to transmit to the plan any participant contributions2017-10-31No
Has the plan failed to provide any benefit when due under the plan2017-10-31No
Contributions received in cash from employer2017-10-31$3,785,618
Employer contributions (assets) at end of year2017-10-31$3,785,618
Employer contributions (assets) at beginning of year2017-10-31$3,621,025
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-10-31$2,445,572
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-10-31No
Did the plan have assets held for investment2017-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-10-31Yes
Opinion of an independent qualified public accountant for this plan2017-10-31Disclaimer
Accountancy firm name2017-10-31MOSS ADAMS LLP
Accountancy firm EIN2017-10-31910189318
2016 : 401(A) VALLEY PRESBYTERIAN HOSPITAL DEFINED CONTRIBUTION PLAN 2016 401k financial data
Total income from all sources (including contributions)2016-10-31$4,454,530
Total of all expenses incurred2016-10-31$2,974,112
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-10-31$2,795,897
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-10-31$3,319,312
Value of total assets at end of year2016-10-31$42,633,763
Value of total assets at beginning of year2016-10-31$41,153,345
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-10-31$178,215
Total interest from all sources2016-10-31$103,911
Total dividends received (eg from common stock, registered investment company shares)2016-10-31$641,858
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-10-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-10-31$641,858
Was this plan covered by a fidelity bond2016-10-31Yes
Value of fidelity bond cover2016-10-31$1,000,000
If this is an individual account plan, was there a blackout period2016-10-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-10-31$0
Were there any nonexempt tranactions with any party-in-interest2016-10-31No
Income. Received or receivable in cash from other sources (including rollovers)2016-10-31$7,055
Administrative expenses (other) incurred2016-10-31$133,215
Total non interest bearing cash at end of year2016-10-31$46,952
Total non interest bearing cash at beginning of year2016-10-31$23,271
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-10-31No
Value of net income/loss2016-10-31$1,480,418
Value of net assets at end of year (total assets less liabilities)2016-10-31$42,633,763
Value of net assets at beginning of year (total assets less liabilities)2016-10-31$41,153,345
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-10-31No
Were any leases to which the plan was party in default or uncollectible2016-10-31No
Investment advisory and management fees2016-10-31$45,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-10-31$33,938,280
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-10-31$31,730,147
Interest earned on other investments2016-10-31$103,903
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-10-31$18,080
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-10-31$554,540
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-10-31$554,540
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-10-31$8
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-10-31$5,009,426
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-10-31$5,400,602
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-10-31$389,449
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-10-31No
Was there a failure to transmit to the plan any participant contributions2016-10-31No
Has the plan failed to provide any benefit when due under the plan2016-10-31No
Contributions received in cash from employer2016-10-31$3,312,257
Employer contributions (assets) at end of year2016-10-31$3,621,025
Employer contributions (assets) at beginning of year2016-10-31$3,444,785
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-10-31$2,795,897
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-10-31No
Did the plan have assets held for investment2016-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-10-31Yes
Opinion of an independent qualified public accountant for this plan2016-10-31Disclaimer
Accountancy firm name2016-10-31MOSS ADAMS LLP
Accountancy firm EIN2016-10-31910189318
2015 : 401(A) VALLEY PRESBYTERIAN HOSPITAL DEFINED CONTRIBUTION PLAN 2015 401k financial data
Total income from all sources (including contributions)2015-10-31$4,269,003
Total of all expenses incurred2015-10-31$3,580,902
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-10-31$3,530,691
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-10-31$3,443,092
Value of total assets at end of year2015-10-31$41,153,345
Value of total assets at beginning of year2015-10-31$40,465,244
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-10-31$50,211
Total interest from all sources2015-10-31$84,727
Total dividends received (eg from common stock, registered investment company shares)2015-10-31$66,823
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-10-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-10-31$66,823
Was this plan covered by a fidelity bond2015-10-31Yes
Value of fidelity bond cover2015-10-31$1,000,000
If this is an individual account plan, was there a blackout period2015-10-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-10-31$0
Were there any nonexempt tranactions with any party-in-interest2015-10-31No
Income. Received or receivable in cash from other sources (including rollovers)2015-10-31$76,090
Administrative expenses (other) incurred2015-10-31$50,211
Total non interest bearing cash at end of year2015-10-31$23,271
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-10-31No
Value of net income/loss2015-10-31$688,101
Value of net assets at end of year (total assets less liabilities)2015-10-31$41,153,345
Value of net assets at beginning of year (total assets less liabilities)2015-10-31$40,465,244
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-10-31No
Were any leases to which the plan was party in default or uncollectible2015-10-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-10-31$31,730,147
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-10-31$31,935,376
Interest earned on other investments2015-10-31$84,727
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-10-31$554,540
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-10-31$5,400,602
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-10-31$5,276,216
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-10-31$639,937
Net investment gain/loss from pooled separate accounts2015-10-31$34,424
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-10-31No
Was there a failure to transmit to the plan any participant contributions2015-10-31No
Has the plan failed to provide any benefit when due under the plan2015-10-31No
Contributions received in cash from employer2015-10-31$3,367,002
Employer contributions (assets) at end of year2015-10-31$3,444,785
Employer contributions (assets) at beginning of year2015-10-31$3,253,652
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-10-31$3,530,691
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-10-31Yes
Did the plan have assets held for investment2015-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-10-31Yes
Opinion of an independent qualified public accountant for this plan2015-10-31Disclaimer
Accountancy firm name2015-10-31MOSS ADAMS LLP
Accountancy firm EIN2015-10-31910189318
2014 : 401(A) VALLEY PRESBYTERIAN HOSPITAL DEFINED CONTRIBUTION PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-10-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-10-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-10-31$0
Total income from all sources (including contributions)2014-10-31$5,829,525
Total loss/gain on sale of assets2014-10-31$0
Total of all expenses incurred2014-10-31$2,188,697
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-10-31$2,186,223
Expenses. Certain deemed distributions of participant loans2014-10-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-10-31$3,253,652
Value of total assets at end of year2014-10-31$40,465,244
Value of total assets at beginning of year2014-10-31$36,824,416
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-10-31$2,474
Total interest from all sources2014-10-31$82,794
Total dividends received (eg from common stock, registered investment company shares)2014-10-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-10-31No
Administrative expenses professional fees incurred2014-10-31$2,474
Was this plan covered by a fidelity bond2014-10-31Yes
Value of fidelity bond cover2014-10-31$1,000,000
If this is an individual account plan, was there a blackout period2014-10-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-10-31$0
Were there any nonexempt tranactions with any party-in-interest2014-10-31No
Contributions received from participants2014-10-31$0
Income. Received or receivable in cash from other sources (including rollovers)2014-10-31$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-10-31$95,638
Other income not declared elsewhere2014-10-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-10-31No
Value of net income/loss2014-10-31$3,640,828
Value of net assets at end of year (total assets less liabilities)2014-10-31$40,465,244
Value of net assets at beginning of year (total assets less liabilities)2014-10-31$36,824,416
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-10-31No
Were any leases to which the plan was party in default or uncollectible2014-10-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-10-31$31,935,376
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-10-31$28,304,796
Interest on participant loans2014-10-31$0
Interest earned on other investments2014-10-31$82,794
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-10-31$5,276,216
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-10-31$5,432,904
Expenses. Payments to insurance carriers foe the provision of benefits2014-10-31$70,143
Net investment gain/loss from pooled separate accounts2014-10-31$2,493,079
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-10-31No
Was there a failure to transmit to the plan any participant contributions2014-10-31No
Has the plan failed to provide any benefit when due under the plan2014-10-31No
Contributions received in cash from employer2014-10-31$3,253,652
Employer contributions (assets) at end of year2014-10-31$3,253,652
Employer contributions (assets) at beginning of year2014-10-31$3,086,716
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-10-31$2,020,442
Did the plan have assets held for investment2014-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-10-31Yes
Opinion of an independent qualified public accountant for this plan2014-10-31Disclaimer
Accountancy firm name2014-10-31MOSS ADAMS LLP
Accountancy firm EIN2014-10-31910189318
2013 : 401(A) VALLEY PRESBYTERIAN HOSPITAL DEFINED CONTRIBUTION PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-10-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-10-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-10-31$0
Total income from all sources (including contributions)2013-10-31$7,184,731
Total loss/gain on sale of assets2013-10-31$0
Total of all expenses incurred2013-10-31$2,116,304
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-10-31$2,113,873
Expenses. Certain deemed distributions of participant loans2013-10-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-10-31$3,101,336
Value of total assets at end of year2013-10-31$36,824,416
Value of total assets at beginning of year2013-10-31$31,755,989
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-10-31$2,431
Total interest from all sources2013-10-31$105,597
Total dividends received (eg from common stock, registered investment company shares)2013-10-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-10-31No
Was this plan covered by a fidelity bond2013-10-31Yes
Value of fidelity bond cover2013-10-31$1,000,000
If this is an individual account plan, was there a blackout period2013-10-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-10-31$0
Were there any nonexempt tranactions with any party-in-interest2013-10-31No
Contributions received from participants2013-10-31$0
Income. Received or receivable in cash from other sources (including rollovers)2013-10-31$14,620
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-10-31$193,812
Other income not declared elsewhere2013-10-31$20,951
Administrative expenses (other) incurred2013-10-31$2,431
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-10-31No
Value of net income/loss2013-10-31$5,068,427
Value of net assets at end of year (total assets less liabilities)2013-10-31$36,824,416
Value of net assets at beginning of year (total assets less liabilities)2013-10-31$31,755,989
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-10-31No
Were any leases to which the plan was party in default or uncollectible2013-10-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-10-31$28,304,796
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-10-31$23,174,436
Interest on participant loans2013-10-31$0
Interest earned on other investments2013-10-31$105,597
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-10-31$5,432,904
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-10-31$5,474,182
Expenses. Payments to insurance carriers foe the provision of benefits2013-10-31$0
Net investment gain/loss from pooled separate accounts2013-10-31$3,956,847
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-10-31No
Was there a failure to transmit to the plan any participant contributions2013-10-31No
Has the plan failed to provide any benefit when due under the plan2013-10-31No
Contributions received in cash from employer2013-10-31$3,086,716
Employer contributions (assets) at end of year2013-10-31$3,086,716
Employer contributions (assets) at beginning of year2013-10-31$3,107,371
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-10-31$1,920,061
Did the plan have assets held for investment2013-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-10-31Yes
Opinion of an independent qualified public accountant for this plan2013-10-31Disclaimer
Accountancy firm name2013-10-31MOSS ADAMS LLP
Accountancy firm EIN2013-10-31910189318
2012 : 401(A) VALLEY PRESBYTERIAN HOSPITAL DEFINED CONTRIBUTION PLAN 2012 401k financial data
Total income from all sources (including contributions)2012-10-31$5,014,689
Total of all expenses incurred2012-10-31$1,553,033
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-10-31$1,550,566
Value of total corrective distributions2012-10-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-10-31$3,114,885
Value of total assets at end of year2012-10-31$31,755,989
Value of total assets at beginning of year2012-10-31$28,294,333
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-10-31$2,467
Total interest from all sources2012-10-31$121,835
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-10-31No
Was this plan covered by a fidelity bond2012-10-31Yes
Value of fidelity bond cover2012-10-31$1,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-10-31$0
Funding deficiency by the employer to the plan for this plan year2012-10-31$0
Minimum employer required contribution for this plan year2012-10-31$0
Amount contributed by the employer to the plan for this plan year2012-10-31$0
Were there any nonexempt tranactions with any party-in-interest2012-10-31No
Contributions received from participants2012-10-31$0
Income. Received or receivable in cash from other sources (including rollovers)2012-10-31$7,514
Administrative expenses (other) incurred2012-10-31$2,467
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-10-31No
Value of net income/loss2012-10-31$3,461,656
Value of net assets at end of year (total assets less liabilities)2012-10-31$31,755,989
Value of net assets at beginning of year (total assets less liabilities)2012-10-31$28,294,333
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-10-31No
Were any leases to which the plan was party in default or uncollectible2012-10-31No
Value of interest in pooled separate accounts at end of year2012-10-31$23,174,436
Value of interest in pooled separate accounts at beginning of year2012-10-31$20,216,760
Interest earned on other investments2012-10-31$121,835
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-10-31$5,474,182
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-10-31$5,204,407
Expenses. Payments to insurance carriers foe the provision of benefits2012-10-31$0
Net investment gain/loss from pooled separate accounts2012-10-31$1,777,969
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-10-31No
Was there a failure to transmit to the plan any participant contributions2012-10-31No
Has the plan failed to provide any benefit when due under the plan2012-10-31No
Contributions received in cash from employer2012-10-31$3,107,371
Employer contributions (assets) at end of year2012-10-31$3,107,371
Employer contributions (assets) at beginning of year2012-10-31$2,873,166
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-10-31$1,550,566
Did the plan have assets held for investment2012-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-10-31Yes
Opinion of an independent qualified public accountant for this plan2012-10-31Disclaimer
Accountancy firm name2012-10-31MOSS ADAMS, LLP
Accountancy firm EIN2012-10-31910189318
2011 : 401(A) VALLEY PRESBYTERIAN HOSPITAL DEFINED CONTRIBUTION PLAN 2011 401k financial data
Total income from all sources (including contributions)2011-10-31$3,250,896
Total of all expenses incurred2011-10-31$798,600
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-10-31$752,308
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-10-31$2,880,924
Value of total assets at end of year2011-10-31$28,294,333
Value of total assets at beginning of year2011-10-31$25,842,037
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-10-31$46,292
Total interest from all sources2011-10-31$120,088
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-10-31No
Was this plan covered by a fidelity bond2011-10-31Yes
Value of fidelity bond cover2011-10-31$1,000,000
If this is an individual account plan, was there a blackout period2011-10-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-10-31$0
Funding deficiency by the employer to the plan for this plan year2011-10-31$0
Minimum employer required contribution for this plan year2011-10-31$0
Amount contributed by the employer to the plan for this plan year2011-10-31$0
Were there any nonexempt tranactions with any party-in-interest2011-10-31No
Income. Received or receivable in cash from other sources (including rollovers)2011-10-31$7,758
Administrative expenses (other) incurred2011-10-31$43,556
Total non interest bearing cash at beginning of year2011-10-31$23,159,759
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-10-31No
Value of net income/loss2011-10-31$2,452,296
Value of net assets at end of year (total assets less liabilities)2011-10-31$28,294,333
Value of net assets at beginning of year (total assets less liabilities)2011-10-31$25,842,037
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-10-31No
Were any leases to which the plan was party in default or uncollectible2011-10-31No
Value of interest in pooled separate accounts at end of year2011-10-31$20,216,760
Interest earned on other investments2011-10-31$120,088
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-10-31$5,204,407
Net investment gain/loss from pooled separate accounts2011-10-31$249,884
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-10-31No
Was there a failure to transmit to the plan any participant contributions2011-10-31No
Has the plan failed to provide any benefit when due under the plan2011-10-31No
Contributions received in cash from employer2011-10-31$2,873,166
Employer contributions (assets) at end of year2011-10-31$2,873,166
Employer contributions (assets) at beginning of year2011-10-31$2,682,278
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-10-31$752,308
Contract administrator fees2011-10-31$2,736
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-10-31Yes
Did the plan have assets held for investment2011-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-10-31Yes
Opinion of an independent qualified public accountant for this plan2011-10-31Disclaimer
Accountancy firm name2011-10-31MOSS ADAMS, LLP
Accountancy firm EIN2011-10-31910189318
2010 : 401(A) VALLEY PRESBYTERIAN HOSPITAL DEFINED CONTRIBUTION PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-10-31$0

Form 5500 Responses for 401(A) VALLEY PRESBYTERIAN HOSPITAL DEFINED CONTRIBUTION PLAN

2022: 401(A) VALLEY PRESBYTERIAN HOSPITAL DEFINED CONTRIBUTION PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: 401(A) VALLEY PRESBYTERIAN HOSPITAL DEFINED CONTRIBUTION PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: 401(A) VALLEY PRESBYTERIAN HOSPITAL DEFINED CONTRIBUTION PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: 401(A) VALLEY PRESBYTERIAN HOSPITAL DEFINED CONTRIBUTION PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: 401(A) VALLEY PRESBYTERIAN HOSPITAL DEFINED CONTRIBUTION PLAN 2018 form 5500 responses
2018-11-01Type of plan entitySingle employer plan
2018-11-01This return/report is a short plan year return/report (less than 12 months)Yes
2018-11-01Plan funding arrangement – InsuranceYes
2018-11-01Plan funding arrangement – TrustYes
2018-11-01Plan benefit arrangement – InsuranceYes
2018-11-01Plan benefit arrangement - TrustYes
2017: 401(A) VALLEY PRESBYTERIAN HOSPITAL DEFINED CONTRIBUTION PLAN 2017 form 5500 responses
2017-11-01Type of plan entitySingle employer plan
2017-11-01Plan funding arrangement – InsuranceYes
2017-11-01Plan funding arrangement – TrustYes
2017-11-01Plan benefit arrangement – InsuranceYes
2017-11-01Plan benefit arrangement - TrustYes
2016: 401(A) VALLEY PRESBYTERIAN HOSPITAL DEFINED CONTRIBUTION PLAN 2016 form 5500 responses
2016-11-01Type of plan entitySingle employer plan
2016-11-01Plan funding arrangement – InsuranceYes
2016-11-01Plan funding arrangement – TrustYes
2016-11-01Plan benefit arrangement – InsuranceYes
2016-11-01Plan benefit arrangement - TrustYes
2015: 401(A) VALLEY PRESBYTERIAN HOSPITAL DEFINED CONTRIBUTION PLAN 2015 form 5500 responses
2015-11-01Type of plan entitySingle employer plan
2015-11-01Plan funding arrangement – InsuranceYes
2015-11-01Plan funding arrangement – TrustYes
2015-11-01Plan benefit arrangement – InsuranceYes
2015-11-01Plan benefit arrangement - TrustYes
2014: 401(A) VALLEY PRESBYTERIAN HOSPITAL DEFINED CONTRIBUTION PLAN 2014 form 5500 responses
2014-11-01Type of plan entitySingle employer plan
2014-11-01Plan funding arrangement – InsuranceYes
2014-11-01Plan funding arrangement – TrustYes
2014-11-01Plan benefit arrangement – InsuranceYes
2014-11-01Plan benefit arrangement - TrustYes
2013: 401(A) VALLEY PRESBYTERIAN HOSPITAL DEFINED CONTRIBUTION PLAN 2013 form 5500 responses
2013-11-01Type of plan entitySingle employer plan
2013-11-01Submission has been amendedNo
2013-11-01This submission is the final filingNo
2013-11-01This return/report is a short plan year return/report (less than 12 months)No
2013-11-01Plan is a collectively bargained planNo
2013-11-01Plan funding arrangement – InsuranceYes
2013-11-01Plan funding arrangement – TrustYes
2013-11-01Plan benefit arrangement – InsuranceYes
2012: 401(A) VALLEY PRESBYTERIAN HOSPITAL DEFINED CONTRIBUTION PLAN 2012 form 5500 responses
2012-11-01Type of plan entitySingle employer plan
2012-11-01Submission has been amendedNo
2012-11-01This submission is the final filingNo
2012-11-01This return/report is a short plan year return/report (less than 12 months)No
2012-11-01Plan is a collectively bargained planNo
2012-11-01Plan funding arrangement – InsuranceYes
2012-11-01Plan benefit arrangement – InsuranceYes
2011: 401(A) VALLEY PRESBYTERIAN HOSPITAL DEFINED CONTRIBUTION PLAN 2011 form 5500 responses
2011-11-01Type of plan entitySingle employer plan
2011-11-01Submission has been amendedNo
2011-11-01This submission is the final filingNo
2011-11-01This return/report is a short plan year return/report (less than 12 months)No
2011-11-01Plan is a collectively bargained planNo
2011-11-01Plan funding arrangement – InsuranceYes
2011-11-01Plan benefit arrangement – InsuranceYes
2009: 401(A) VALLEY PRESBYTERIAN HOSPITAL DEFINED CONTRIBUTION PLAN 2009 form 5500 responses
2009-11-01Type of plan entitySingle employer plan
2009-11-01Submission has been amendedNo
2009-11-01This submission is the final filingNo
2009-11-01This return/report is a short plan year return/report (less than 12 months)No
2009-11-01Plan is a collectively bargained planNo
2009-11-01Plan funding arrangement – TrustYes
2009-11-01Plan benefit arrangement - TrustYes
2008: 401(A) VALLEY PRESBYTERIAN HOSPITAL DEFINED CONTRIBUTION PLAN 2008 form 5500 responses
2008-11-01Type of plan entitySingle employer plan
2008-11-01Submission has been amendedYes
2008-11-01This submission is the final filingNo
2008-11-01This return/report is a short plan year return/report (less than 12 months)No
2008-11-01Plan is a collectively bargained planNo

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberTA080539
Policy instance 2
Insurance contract or identification numberTA080539
Number of Individuals Covered2032
Insurance policy start date2022-03-01
Insurance policy end date2022-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract numberTA080359
Policy instance 1
Insurance contract or identification numberTA080359
Number of Individuals Covered2032
Insurance policy start date2022-01-01
Insurance policy end date2022-03-01
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract numberTA080359
Policy instance 1
Insurance contract or identification numberTA080359
Number of Individuals Covered2032
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract numberTA080359
Policy instance 1
Insurance contract or identification numberTA080359
Number of Individuals Covered2049
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract numberTA080359
Policy instance 1
Insurance contract or identification numberTA080359
Number of Individuals Covered1959
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract numberTA080359
Policy instance 1
Insurance contract or identification numberTA080359
Number of Individuals Covered1855
Insurance policy start date2017-11-01
Insurance policy end date2018-10-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number089031E
Policy instance 1
Insurance contract or identification number089031E
Number of Individuals Covered0
Insurance policy start date2014-11-01
Insurance policy end date2015-06-30
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract numberTA080359
Policy instance 2
Insurance contract or identification numberTA080359
Number of Individuals Covered1556
Insurance policy start date2015-07-01
Insurance policy end date2015-10-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number089031E
Policy instance 1
Insurance contract or identification number089031E
Number of Individuals Covered1767
Insurance policy start date2013-11-01
Insurance policy end date2014-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $11,237
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 Administration1
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 $0
Amount paid for insurance broker fees11237
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?3
Insurance broker nameLOS ANGELES REGIONAL OFFICE
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number089031E
Policy instance 1
Insurance contract or identification number089031E
Number of Individuals Covered1715
Insurance policy start date2012-11-01
Insurance policy end date2013-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $10,240
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 Administration1
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 $0
Amount paid for insurance broker fees5544
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?3
Insurance broker nameJOHN COTTEE
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number089031-E
Policy instance 1
Insurance contract or identification number089031-E
Number of Individuals Covered1648
Insurance policy start date2011-11-01
Insurance policy end date2012-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $53,406
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number089031-E
Policy instance 1
Insurance contract or identification number089031-E
Number of Individuals Covered1569
Insurance policy start date2010-11-01
Insurance policy end date2011-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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