401k Plan data: SOUTHWEST MEDICAL CENTER 401 (K) PLAN plan

SOUTHWEST MEDICAL CENTER 401 (K) PLAN 401k Plan overview

Plan Name	SOUTHWEST MEDICAL CENTER 401 (K) PLAN
Plan identification number	001

SOUTHWEST MEDICAL CENTER 401 (K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
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

MIDWEST MEDICAL ASSOCIATES D/B/A SOUTHWEST MEDICAL CENTER, INC. has sponsored the creation of one or more 401k plans.

Company Name: MIDWEST MEDICAL ASSOCIATES D/B/A SOUTHWEST MEDICAL CENTER, INC.

Employer identification number (EIN): 431907608

NAIC Classification: 621111
NAIC Description: Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SOUTHWEST MEDICAL CENTER 401 (K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2013-01-01 STEVEN PISONI 2014-05-12
001 2012-01-01 STEVEN PISONI
001 2011-01-01 STEVEN PISONI
001 2009-01-01 STEVEN PISONI

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2013-01-01	STEVEN PISONI	2014-05-12
001	2012-01-01	STEVEN PISONI
001	2011-01-01	STEVEN PISONI
001	2009-01-01	STEVEN PISONI

Plan Statistics for SOUTHWEST MEDICAL CENTER 401 (K) PLAN

401k plan membership statisitcs for SOUTHWEST MEDICAL CENTER 401 (K) PLAN

Measure Date Value
2012: SOUTHWEST MEDICAL CENTER 401 (K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 117
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 14
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 76
Total of all active and inactive participants 2012-01-01 90
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 90
Number of participants with account balances 2012-01-01 90
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: SOUTHWEST MEDICAL CENTER 401 (K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 130
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 73
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 44
Total of all active and inactive participants 2011-01-01 117
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 117
Number of participants with account balances 2011-01-01 117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 1
2009: SOUTHWEST MEDICAL CENTER 401 (K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 178
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 97
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 54
Total of all active and inactive participants 2009-01-01 151
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 151
Number of participants with account balances 2009-01-01 151
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2012: SOUTHWEST MEDICAL CENTER 401 (K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	117
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	14
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	76
Total of all active and inactive participants	2012-01-01	90
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	90
Number of participants with account balances	2012-01-01	90
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: SOUTHWEST MEDICAL CENTER 401 (K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	130
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	73
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	44
Total of all active and inactive participants	2011-01-01	117
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	117
Number of participants with account balances	2011-01-01	117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	1
2009: SOUTHWEST MEDICAL CENTER 401 (K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	178
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	97
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	54
Total of all active and inactive participants	2009-01-01	151
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	151
Number of participants with account balances	2009-01-01	151
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on SOUTHWEST MEDICAL CENTER 401 (K) PLAN

Measure	Date	Value
2012 : SOUTHWEST MEDICAL CENTER 401 (K) PLAN 2012 401k financial data
Total income from all sources (including contributions)	2012-12-31	$2,165,221
Total of all expenses incurred	2012-12-31	$3,273,006
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$3,266,162
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$753,436
Value of total assets at end of year	2012-12-31	$10,753,766
Value of total assets at beginning of year	2012-12-31	$11,861,551
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$6,844
Total interest from all sources	2012-12-31	$2,276
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Administrative expenses professional fees incurred	2012-12-31	$6,844
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$69,161
Participant contributions at end of year	2012-12-31	$27,717
Participant contributions at beginning of year	2012-12-31	$55,776
Participant contributions at end of year	2012-12-31	$0
Participant contributions at beginning of year	2012-12-31	$-400
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-12-31	$1,918
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$-1,107,785
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$10,753,766
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$11,861,551
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$253,841
Value of interest in pooled separate accounts at end of year	2012-12-31	$9,460,686
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$11,223,317
Income. Interest from loans (other than to participants)	2012-12-31	$3,413
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$338,124
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$-1,137
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$59,692
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$7,948
Net investment gain/loss from pooled separate accounts	2012-12-31	$1,401,561
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$684,275
Employer contributions (assets) at end of year	2012-12-31	$673,398
Employer contributions (assets) at beginning of year	2012-12-31	$521,248
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$3,266,162
Assets. Corporate common stocks other than exployer securities at end of year	2012-12-31	$0
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	BKD, LLP
Accountancy firm EIN	2012-12-31	440160260
2011 : SOUTHWEST MEDICAL CENTER 401 (K) PLAN 2011 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$491,792
Total of all expenses incurred	2011-12-31	$996,318
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$994,016
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$953,578
Value of total assets at end of year	2011-12-31	$11,861,551
Value of total assets at beginning of year	2011-12-31	$12,366,077
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$2,302
Total interest from all sources	2011-12-31	$2,431
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$500,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$418,461
Participant contributions at end of year	2011-12-31	$55,776
Participant contributions at beginning of year	2011-12-31	$59,992
Participant contributions at end of year	2011-12-31	$-400
Participant contributions at beginning of year	2011-12-31	$-400
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$13,869
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-12-31	$1,918
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-12-31	$1,918
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$-504,526
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$11,861,551
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$12,366,077
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in pooled separate accounts at end of year	2011-12-31	$11,223,317
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$11,598,481
Income. Interest from loans (other than to participants)	2011-12-31	$4,401
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$-1,970
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$59,692
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$65,591
Net investment gain/loss from pooled separate accounts	2011-12-31	$-464,217
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$521,248
Employer contributions (assets) at end of year	2011-12-31	$521,248
Employer contributions (assets) at beginning of year	2011-12-31	$640,495
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$994,016
Contract administrator fees	2011-12-31	$2,302
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	BKD, LLP
Accountancy firm EIN	2011-12-31	440160260
2010 : SOUTHWEST MEDICAL CENTER 401 (K) PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$2,579,636
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$327,348
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$324,676
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$1,117,124
Value of total assets at end of year	2010-12-31	$12,366,077
Value of total assets at beginning of year	2010-12-31	$10,113,789
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$2,672
Total interest from all sources	2010-12-31	$3,807
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$500,000
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$478,415
Participant contributions at end of year	2010-12-31	$59,992
Participant contributions at beginning of year	2010-12-31	$58,455
Participant contributions at end of year	2010-12-31	$-400
Participant contributions at beginning of year	2010-12-31	$-400
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$898
Value of other receiveables (less allowance for doubtful accounts) at end of year	2010-12-31	$1,918
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Income. Non cash contributions	2010-12-31	$0
Value of net income/loss	2010-12-31	$2,252,288
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$12,366,077
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$10,113,789
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in pooled separate accounts at end of year	2010-12-31	$11,598,481
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$9,265,217
Income. Interest from loans (other than to participants)	2010-12-31	$4,883
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$2,686
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$2,686
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$-1,076
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$65,591
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$57,085
Net investment gain/loss from pooled separate accounts	2010-12-31	$1,458,705
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$637,811
Employer contributions (assets) at end of year	2010-12-31	$640,495
Employer contributions (assets) at beginning of year	2010-12-31	$730,746
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$324,676
Contract administrator fees	2010-12-31	$2,672
Liabilities. Value of benefit claims payable at beginning of year	2010-12-31	$0
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	BKD, LLP
Accountancy firm EIN	2010-12-31	440160260

Form 5500 Responses for SOUTHWEST MEDICAL CENTER 401 (K) PLAN

2012: SOUTHWEST MEDICAL CENTER 401 (K) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: SOUTHWEST MEDICAL CENTER 401 (K) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: SOUTHWEST MEDICAL CENTER 401 (K) PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

82965

Policy instance

Insurance contract or identification number	82965
Number of Individuals Covered	143
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $27,020
Total amount of fees paid to insurance company	USD $7,934
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

82965

Policy instance

Insurance contract or identification number	82965
Number of Individuals Covered	156
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $25,210
Total amount of fees paid to insurance company	USD $7,257
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes

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Company Name:	MIDWEST MEDICAL ASSOCIATES D/B/A SOUTHWEST MEDICAL CENTER, INC.
Employer identification number (EIN):	431907608
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)