401k Plan data: MARYMOUNT HEALTH CARE SYSTEMS AFFILIATED 401(K) PLAN plan

MARYMOUNT HEALTH CARE SYSTEMS AFFILIATED 401(K) PLAN 401k Plan overview

Plan Name	MARYMOUNT HEALTH CARE SYSTEMS AFFILIATED 401(K) PLAN
Plan identification number	001

MARYMOUNT HEALTH CARE SYSTEMS AFFILIATED 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
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

THE VILLAGE AT MARYMOUNT has sponsored the creation of one or more 401k plans.

Company Name: THE VILLAGE AT MARYMOUNT

Employer identification number (EIN): 205652595

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MARYMOUNT HEALTH CARE SYSTEMS AFFILIATED 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2023-01-01
001 2022-01-01
001 2021-01-01
001 2020-01-01
001 2019-01-01
001 2018-01-01
001 2017-01-01 JEFFRY A. MYERS JEFFRY A. MYERS 2018-10-09
001 2016-01-01 JEFFRY A. MYERS JEFFRY A. MYERS 2017-09-18
001 2015-01-01 JEFFRY MYERS JEFFRY MYERS 2016-10-10
001 2014-01-01 JEFFRY A. MYERS JEFFRY A. MYERS 2015-10-14
001 2014-01-01 JEFFRY A. MYERS JEFFRY A. MYERS 2015-10-15
001 2013-01-01 JEFFRY A. MYERS

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2023-01-01
001	2022-01-01
001	2021-01-01
001	2020-01-01
001	2019-01-01
001	2018-01-01
001	2017-01-01	JEFFRY A. MYERS	JEFFRY A. MYERS	2018-10-09
001	2016-01-01	JEFFRY A. MYERS	JEFFRY A. MYERS	2017-09-18
001	2015-01-01	JEFFRY MYERS	JEFFRY MYERS	2016-10-10
001	2014-01-01	JEFFRY A. MYERS	JEFFRY A. MYERS	2015-10-14
001	2014-01-01	JEFFRY A. MYERS	JEFFRY A. MYERS	2015-10-15
001	2013-01-01	JEFFRY A. MYERS

Plan Statistics for MARYMOUNT HEALTH CARE SYSTEMS AFFILIATED 401(K) PLAN

401k plan membership statisitcs for MARYMOUNT HEALTH CARE SYSTEMS AFFILIATED 401(K) PLAN

Measure Date Value
2023: MARYMOUNT HEALTH CARE SYSTEMS AFFILIATED 401(K) PLAN 2023 401k membership
Total participants, beginning-of-year 2023-01-01 257
Total number of active participants reported on line 7a of the Form 5500 2023-01-01 252
Number of retired or separated participants receiving benefits 2023-01-01 0
Number of other retired or separated participants entitled to future benefits 2023-01-01 19
Total of all active and inactive participants 2023-01-01 271
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2023-01-01 0
Total participants 2023-01-01 271
Number of participants with account balances 2023-01-01 103
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2023-01-01 0
2022: MARYMOUNT HEALTH CARE SYSTEMS AFFILIATED 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 287
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 230
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 27
Total of all active and inactive participants 2022-01-01 257
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 257
Number of participants with account balances 2022-01-01 113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 1
2021: MARYMOUNT HEALTH CARE SYSTEMS AFFILIATED 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 300
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 246
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 33
Total of all active and inactive participants 2021-01-01 279
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 279
Number of participants with account balances 2021-01-01 116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 2
2020: MARYMOUNT HEALTH CARE SYSTEMS AFFILIATED 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 236
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 261
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 29
Total of all active and inactive participants 2020-01-01 290
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 290
Number of participants with account balances 2020-01-01 126
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 2
2019: MARYMOUNT HEALTH CARE SYSTEMS AFFILIATED 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 234
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 201
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 24
Total of all active and inactive participants 2019-01-01 225
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 225
Number of participants with account balances 2019-01-01 131
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 5
2018: MARYMOUNT HEALTH CARE SYSTEMS AFFILIATED 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 238
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 205
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 24
Total of all active and inactive participants 2018-01-01 229
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 229
Number of participants with account balances 2018-01-01 143
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 2
2017: MARYMOUNT HEALTH CARE SYSTEMS AFFILIATED 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 259
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 210
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 23
Total of all active and inactive participants 2017-01-01 233
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 233
Number of participants with account balances 2017-01-01 156
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 9
2016: MARYMOUNT HEALTH CARE SYSTEMS AFFILIATED 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 264
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 230
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 25
Total of all active and inactive participants 2016-01-01 255
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 255
Number of participants with account balances 2016-01-01 164
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 5
2015: MARYMOUNT HEALTH CARE SYSTEMS AFFILIATED 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 347
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 225
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 32
Total of all active and inactive participants 2015-01-01 257
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 257
Number of participants with account balances 2015-01-01 182
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 24
2014: MARYMOUNT HEALTH CARE SYSTEMS AFFILIATED 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 483
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 284
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 53
Total of all active and inactive participants 2014-01-01 337
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 337
Number of participants with account balances 2014-01-01 243
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 31
2013: MARYMOUNT HEALTH CARE SYSTEMS AFFILIATED 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 361
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 279
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 194
Total of all active and inactive participants 2013-01-01 473
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 473
Number of participants with account balances 2013-01-01 428
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 4

Measure	Date	Value
2023: MARYMOUNT HEALTH CARE SYSTEMS AFFILIATED 401(K) PLAN 2023 401k membership
Total participants, beginning-of-year	2023-01-01	257
Total number of active participants reported on line 7a of the Form 5500	2023-01-01	252
Number of retired or separated participants receiving benefits	2023-01-01	0
Number of other retired or separated participants entitled to future benefits	2023-01-01	19
Total of all active and inactive participants	2023-01-01	271
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2023-01-01	0
Total participants	2023-01-01	271
Number of participants with account balances	2023-01-01	103
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2023-01-01	0
2022: MARYMOUNT HEALTH CARE SYSTEMS AFFILIATED 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	287
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	230
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	27
Total of all active and inactive participants	2022-01-01	257
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	257
Number of participants with account balances	2022-01-01	113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	1
2021: MARYMOUNT HEALTH CARE SYSTEMS AFFILIATED 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	300
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	246
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	33
Total of all active and inactive participants	2021-01-01	279
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	279
Number of participants with account balances	2021-01-01	116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	2
2020: MARYMOUNT HEALTH CARE SYSTEMS AFFILIATED 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	236
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	261
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	29
Total of all active and inactive participants	2020-01-01	290
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	290
Number of participants with account balances	2020-01-01	126
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	2
2019: MARYMOUNT HEALTH CARE SYSTEMS AFFILIATED 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	234
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	201
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	24
Total of all active and inactive participants	2019-01-01	225
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	225
Number of participants with account balances	2019-01-01	131
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	5
2018: MARYMOUNT HEALTH CARE SYSTEMS AFFILIATED 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	238
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	205
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	24
Total of all active and inactive participants	2018-01-01	229
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	229
Number of participants with account balances	2018-01-01	143
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	2
2017: MARYMOUNT HEALTH CARE SYSTEMS AFFILIATED 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	259
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	210
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	23
Total of all active and inactive participants	2017-01-01	233
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	233
Number of participants with account balances	2017-01-01	156
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	9
2016: MARYMOUNT HEALTH CARE SYSTEMS AFFILIATED 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	264
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	230
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	25
Total of all active and inactive participants	2016-01-01	255
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	255
Number of participants with account balances	2016-01-01	164
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	5
2015: MARYMOUNT HEALTH CARE SYSTEMS AFFILIATED 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	347
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	225
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	32
Total of all active and inactive participants	2015-01-01	257
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	257
Number of participants with account balances	2015-01-01	182
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	24
2014: MARYMOUNT HEALTH CARE SYSTEMS AFFILIATED 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	483
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	284
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	53
Total of all active and inactive participants	2014-01-01	337
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	337
Number of participants with account balances	2014-01-01	243
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	31
2013: MARYMOUNT HEALTH CARE SYSTEMS AFFILIATED 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	361
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	279
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	194
Total of all active and inactive participants	2013-01-01	473
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	473
Number of participants with account balances	2013-01-01	428
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	4

Financial Data on MARYMOUNT HEALTH CARE SYSTEMS AFFILIATED 401(K) PLAN

Measure	Date	Value
2023 : MARYMOUNT HEALTH CARE SYSTEMS AFFILIATED 401(K) PLAN 2023 401k financial data
Total unrealized appreciation/depreciation of assets	2023-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2023-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2023-12-31	$0
Total income from all sources (including contributions)	2023-12-31	$972,472
Total loss/gain on sale of assets	2023-12-31	$0
Total of all expenses incurred	2023-12-31	$583,461
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2023-12-31	$576,221
Value of total corrective distributions	2023-12-31	$2,237
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2023-12-31	$322,702
Value of total assets at end of year	2023-12-31	$4,500,291
Value of total assets at beginning of year	2023-12-31	$4,111,280
Total of administrative expenses incurred including professional, contract, advisory and management fees	2023-12-31	$5,003
Total interest from all sources	2023-12-31	$2,232
Total dividends received (eg from common stock, registered investment company shares)	2023-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2023-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2023-12-31	$0
Was this plan covered by a fidelity bond	2023-12-31	Yes
Value of fidelity bond cover	2023-12-31	$500,000
If this is an individual account plan, was there a blackout period	2023-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2023-12-31	No
Contributions received from participants	2023-12-31	$146,739
Participant contributions at end of year	2023-12-31	$32,628
Participant contributions at beginning of year	2023-12-31	$37,313
Income. Received or receivable in cash from other sources (including rollovers)	2023-12-31	$134,437
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2023-12-31	No
Value of net income/loss	2023-12-31	$389,011
Value of net assets at end of year (total assets less liabilities)	2023-12-31	$4,500,291
Value of net assets at beginning of year (total assets less liabilities)	2023-12-31	$4,111,280
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2023-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2023-12-31	No
Were any leases to which the plan was party in default or uncollectible	2023-12-31	No
Value of interest in pooled separate accounts at end of year	2023-12-31	$4,411,490
Value of interest in pooled separate accounts at beginning of year	2023-12-31	$3,999,659
Interest on participant loans	2023-12-31	$1,190
Income. Interest from loans (other than to participants)	2023-12-31	$0
Interest earned on other investments	2023-12-31	$1,042
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2023-12-31	$56,173
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2023-12-31	$74,308
Net investment gain/loss from pooled separate accounts	2023-12-31	$647,538
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2023-12-31	No
Was there a failure to transmit to the plan any participant contributions	2023-12-31	No
Has the plan failed to provide any benefit when due under the plan	2023-12-31	No
Contributions received in cash from employer	2023-12-31	$41,526
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2023-12-31	$576,221
Contract administrator fees	2023-12-31	$5,003
Did the plan have assets held for investment	2023-12-31	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	2023-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2023-12-31	No
Opinion of an independent qualified public accountant for this plan	2023-12-31	Unqualified
Accountancy firm name	2023-12-31	HW&CO
Accountancy firm EIN	2023-12-31	341663157
2022 : MARYMOUNT HEALTH CARE SYSTEMS AFFILIATED 401(K) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total income from all sources (including contributions)	2022-12-31	$-550,954
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$497,027
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$487,556
Value of total corrective distributions	2022-12-31	$3,432
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$346,380
Value of total assets at end of year	2022-12-31	$4,111,280
Value of total assets at beginning of year	2022-12-31	$5,159,261
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$6,039
Total interest from all sources	2022-12-31	$3,041
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$500,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$259,015
Participant contributions at end of year	2022-12-31	$37,313
Participant contributions at beginning of year	2022-12-31	$34,089
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-1,047,981
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$4,111,280
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$5,159,261
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Value of interest in pooled separate accounts at end of year	2022-12-31	$3,999,659
Value of interest in pooled separate accounts at beginning of year	2022-12-31	$5,064,669
Interest on participant loans	2022-12-31	$2,413
Income. Interest from loans (other than to participants)	2022-12-31	$0
Interest earned on other investments	2022-12-31	$628
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$74,308
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$60,503
Net investment gain/loss from pooled separate accounts	2022-12-31	$-900,375
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$87,365
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$487,556
Contract administrator fees	2022-12-31	$6,039
Did the plan have assets held for investment	2022-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	HW&CO
Accountancy firm EIN	2022-12-31	341663157
2021 : MARYMOUNT HEALTH CARE SYSTEMS AFFILIATED 401(K) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total income from all sources (including contributions)	2021-12-31	$863,974
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$763,756
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$751,977
Expenses. Certain deemed distributions of participant loans	2021-12-31	$1,776
Value of total corrective distributions	2021-12-31	$3,842
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$303,721
Value of total assets at end of year	2021-12-31	$5,159,261
Value of total assets at beginning of year	2021-12-31	$5,059,043
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$6,161
Total interest from all sources	2021-12-31	$2,903
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$500,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$224,378
Participant contributions at end of year	2021-12-31	$34,089
Participant contributions at beginning of year	2021-12-31	$68,773
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$100,218
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$5,159,261
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$5,059,043
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Value of interest in pooled separate accounts at end of year	2021-12-31	$5,064,669
Value of interest in pooled separate accounts at beginning of year	2021-12-31	$4,927,620
Interest on participant loans	2021-12-31	$2,632
Income. Interest from loans (other than to participants)	2021-12-31	$0
Interest earned on other investments	2021-12-31	$271
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$60,503
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$62,650
Net investment gain/loss from pooled separate accounts	2021-12-31	$557,350
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$79,343
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$751,977
Contract administrator fees	2021-12-31	$6,161
Did the plan have assets held for investment	2021-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	HW&CO
Accountancy firm EIN	2021-12-31	341663157
2020 : MARYMOUNT HEALTH CARE SYSTEMS AFFILIATED 401(K) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total income from all sources (including contributions)	2020-12-31	$919,129
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$260,559
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$251,154
Value of total corrective distributions	2020-12-31	$3,421
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$332,575
Value of total assets at end of year	2020-12-31	$5,059,043
Value of total assets at beginning of year	2020-12-31	$4,400,473
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$5,984
Total interest from all sources	2020-12-31	$5,136
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$500,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$241,806
Participant contributions at end of year	2020-12-31	$68,773
Participant contributions at beginning of year	2020-12-31	$58,796
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$658,570
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$5,059,043
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$4,400,473
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest in pooled separate accounts at end of year	2020-12-31	$4,927,620
Value of interest in pooled separate accounts at beginning of year	2020-12-31	$4,301,501
Interest on participant loans	2020-12-31	$4,884
Income. Interest from loans (other than to participants)	2020-12-31	$0
Interest earned on other investments	2020-12-31	$252
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$62,650
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$40,176
Net investment gain/loss from pooled separate accounts	2020-12-31	$581,418
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$90,769
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$251,154
Contract administrator fees	2020-12-31	$5,984
Did the plan have assets held for investment	2020-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Unqualified
Accountancy firm name	2020-12-31	HW&CO
Accountancy firm EIN	2020-12-31	341663157
2019 : MARYMOUNT HEALTH CARE SYSTEMS AFFILIATED 401(K) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$1,043,197
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$228,949
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$224,115
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$324,259
Value of total assets at end of year	2019-12-31	$4,400,473
Value of total assets at beginning of year	2019-12-31	$3,586,225
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$4,834
Total interest from all sources	2019-12-31	$6,078
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$237,509
Participant contributions at end of year	2019-12-31	$58,796
Participant contributions at beginning of year	2019-12-31	$97,078
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$1,023
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$814,248
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$4,400,473
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$3,586,225
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in pooled separate accounts at end of year	2019-12-31	$4,301,501
Value of interest in pooled separate accounts at beginning of year	2019-12-31	$3,434,343
Interest on participant loans	2019-12-31	$5,660
Interest earned on other investments	2019-12-31	$418
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$40,176
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$54,804
Net investment gain/loss from pooled separate accounts	2019-12-31	$712,860
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$85,727
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$224,115
Contract administrator fees	2019-12-31	$4,834
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	HW&CO
Accountancy firm EIN	2019-12-31	341663157
2018 : MARYMOUNT HEALTH CARE SYSTEMS AFFILIATED 401(K) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$65,344
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$154,698
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$144,599
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$338,762
Value of total assets at end of year	2018-12-31	$3,586,225
Value of total assets at beginning of year	2018-12-31	$3,675,579
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$10,099
Total interest from all sources	2018-12-31	$4,453
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Administrative expenses professional fees incurred	2018-12-31	$0
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$500,000
If this is an individual account plan, was there a blackout period	2018-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$250,446
Participant contributions at end of year	2018-12-31	$97,078
Participant contributions at beginning of year	2018-12-31	$70,858
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-89,354
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$3,586,225
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$3,675,579
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in pooled separate accounts at end of year	2018-12-31	$3,434,343
Value of interest in pooled separate accounts at beginning of year	2018-12-31	$3,489,542
Interest on participant loans	2018-12-31	$3,939
Income. Interest from loans (other than to participants)	2018-12-31	$0
Interest earned on other investments	2018-12-31	$514
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$54,804
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$115,179
Net investment gain/loss from pooled separate accounts	2018-12-31	$-277,871
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$88,316
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$144,599
Contract administrator fees	2018-12-31	$10,099
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2018-12-31	Yes
Did the plan have assets held for investment	2018-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	HW&CO
Accountancy firm EIN	2018-12-31	341663157
2017 : MARYMOUNT HEALTH CARE SYSTEMS AFFILIATED 401(K) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$880,570
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$407,101
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$401,100
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$400,340
Value of total assets at end of year	2017-12-31	$3,675,579
Value of total assets at beginning of year	2017-12-31	$3,202,110
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$6,001
Total interest from all sources	2017-12-31	$3,633
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$500,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$237,071
Participant contributions at end of year	2017-12-31	$70,858
Participant contributions at beginning of year	2017-12-31	$49,836
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$11,916
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$473,469
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$3,675,579
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$3,202,110
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in pooled separate accounts at end of year	2017-12-31	$3,489,542
Value of interest in pooled separate accounts at beginning of year	2017-12-31	$3,047,799
Interest on participant loans	2017-12-31	$3,303
Income. Interest from loans (other than to participants)	2017-12-31	$0
Interest earned on other investments	2017-12-31	$330
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$115,179
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$104,475
Net investment gain/loss from pooled separate accounts	2017-12-31	$476,597
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$151,353
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$401,100
Contract administrator fees	2017-12-31	$6,001
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	HW&CO
Accountancy firm EIN	2017-12-31	341663157
2016 : MARYMOUNT HEALTH CARE SYSTEMS AFFILIATED 401(K) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$555,982
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$374,902
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$354,959
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$383,691
Value of total assets at end of year	2016-12-31	$3,202,110
Value of total assets at beginning of year	2016-12-31	$3,021,030
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$19,943
Total interest from all sources	2016-12-31	$3,569
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Administrative expenses professional fees incurred	2016-12-31	$14,600
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$500,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$227,773
Participant contributions at end of year	2016-12-31	$49,836
Participant contributions at beginning of year	2016-12-31	$68,750
Participant contributions at end of year	2016-12-31	$0
Participant contributions at beginning of year	2016-12-31	$8,632
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$181,080
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$3,202,110
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$3,021,030
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest in pooled separate accounts at end of year	2016-12-31	$3,047,799
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$2,849,316
Interest on participant loans	2016-12-31	$3,292
Income. Interest from loans (other than to participants)	2016-12-31	$0
Interest earned on other investments	2016-12-31	$277
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$104,475
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$88,760
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$0
Net investment gain/loss from pooled separate accounts	2016-12-31	$168,722
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$155,918
Employer contributions (assets) at end of year	2016-12-31	$0
Employer contributions (assets) at beginning of year	2016-12-31	$5,572
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$354,959
Contract administrator fees	2016-12-31	$5,343
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	HW&CO
Accountancy firm EIN	2016-12-31	341663157
2015 : MARYMOUNT HEALTH CARE SYSTEMS AFFILIATED 401(K) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$313,935
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$142,051
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$136,505
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$380,353
Value of total assets at end of year	2015-12-31	$3,021,030
Value of total assets at beginning of year	2015-12-31	$2,849,146
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$5,546
Total interest from all sources	2015-12-31	$3,075
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$500,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$231,120
Participant contributions at end of year	2015-12-31	$68,750
Participant contributions at beginning of year	2015-12-31	$58,556
Participant contributions at end of year	2015-12-31	$8,632
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$171,884
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$3,021,030
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$2,849,146
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in pooled separate accounts at end of year	2015-12-31	$2,849,316
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$2,750,257
Interest on participant loans	2015-12-31	$2,905
Interest earned on other investments	2015-12-31	$170
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$88,760
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$40,333
Net investment gain/loss from pooled separate accounts	2015-12-31	$-69,493
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$149,233
Employer contributions (assets) at end of year	2015-12-31	$5,572
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$136,505
Contract administrator fees	2015-12-31	$5,546
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	HW&CO
Accountancy firm EIN	2015-12-31	341663157
2014 : MARYMOUNT HEALTH CARE SYSTEMS AFFILIATED 401(K) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$522,252
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$226,576
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$217,871
Expenses. Certain deemed distributions of participant loans	2014-12-31	$1,948
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$378,571
Value of total assets at end of year	2014-12-31	$2,849,146
Value of total assets at beginning of year	2014-12-31	$2,553,470
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$6,757
Total interest from all sources	2014-12-31	$2,579
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$211,783
Participant contributions at end of year	2014-12-31	$58,556
Participant contributions at beginning of year	2014-12-31	$40,953
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$5,108
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$295,676
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$2,849,146
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$2,553,470
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in pooled separate accounts at end of year	2014-12-31	$2,750,257
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$2,451,919
Interest on participant loans	2014-12-31	$2,515
Interest earned on other investments	2014-12-31	$64
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$40,333
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$60,598
Net investment gain/loss from pooled separate accounts	2014-12-31	$141,102
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$161,680
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$217,871
Contract administrator fees	2014-12-31	$6,757
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	HW&CO
Accountancy firm EIN	2014-12-31	341663157
2013 : MARYMOUNT HEALTH CARE SYSTEMS AFFILIATED 401(K) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$732,716
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$129,833
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$121,843
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$404,873
Value of total assets at end of year	2013-12-31	$2,553,470
Value of total assets at beginning of year	2013-12-31	$1,950,587
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$7,990
Total interest from all sources	2013-12-31	$1,914
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$24,385
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$24,385
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
If this is an individual account plan, was there a blackout period	2013-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$167,306
Participant contributions at end of year	2013-12-31	$40,953
Participant contributions at beginning of year	2013-12-31	$51,803
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$22,145
Administrative expenses (other) incurred	2013-12-31	$7,940
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$602,883
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$2,553,470
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$1,950,587
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$1,841,454
Value of interest in pooled separate accounts at end of year	2013-12-31	$2,451,919
Interest on participant loans	2013-12-31	$1,817
Interest earned on other investments	2013-12-31	$97
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$57,330
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$57,330
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$60,598
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$263,216
Net investment gain/loss from pooled separate accounts	2013-12-31	$38,328
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$215,422
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$121,843
Contract administrator fees	2013-12-31	$50
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2013-12-31	Yes
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	HW&CO.
Accountancy firm EIN	2013-12-31	341663157

Form 5500 Responses for MARYMOUNT HEALTH CARE SYSTEMS AFFILIATED 401(K) PLAN

2023: MARYMOUNT HEALTH CARE SYSTEMS AFFILIATED 401(K) PLAN 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	Submission has been amended	No
2023-01-01	This submission is the final filing	No
2023-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2023-01-01	Plan is a collectively bargained plan	No
2023-01-01	Plan funding arrangement – Insurance	Yes
2023-01-01	Plan funding arrangement – Trust	Yes
2023-01-01	Plan benefit arrangement – Insurance	Yes
2023-01-01	Plan benefit arrangement - Trust	Yes
2022: MARYMOUNT HEALTH CARE SYSTEMS AFFILIATED 401(K) PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: MARYMOUNT HEALTH CARE SYSTEMS AFFILIATED 401(K) PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: MARYMOUNT HEALTH CARE SYSTEMS AFFILIATED 401(K) PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: MARYMOUNT HEALTH CARE SYSTEMS AFFILIATED 401(K) PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: MARYMOUNT HEALTH CARE SYSTEMS AFFILIATED 401(K) PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: MARYMOUNT HEALTH CARE SYSTEMS AFFILIATED 401(K) PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: MARYMOUNT HEALTH CARE SYSTEMS AFFILIATED 401(K) PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: MARYMOUNT HEALTH CARE SYSTEMS AFFILIATED 401(K) PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: MARYMOUNT HEALTH CARE SYSTEMS AFFILIATED 401(K) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: MARYMOUNT HEALTH CARE SYSTEMS AFFILIATED 401(K) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

18044

Policy instance

Insurance contract or identification number	18044
Number of Individuals Covered	103
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $15,069
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

18044

Policy instance

Insurance contract or identification number	18044
Number of Individuals Covered	113
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $16,362
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $16,362
Insurance broker organization code?	3

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

18044

Policy instance

Insurance contract or identification number	18044
Number of Individuals Covered	116
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $20,281
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $20,281
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

18044

Policy instance

Insurance contract or identification number	18044
Number of Individuals Covered	126
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $16,960
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $16,960
Insurance broker organization code?	3

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

18044

Policy instance

Insurance contract or identification number	18044
Number of Individuals Covered	131
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $15,604
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $15,604
Insurance broker organization code?	3

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

18044

Policy instance

Insurance contract or identification number	18044
Number of Individuals Covered	143
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $14,752
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $14,752
Insurance broker organization code?	3

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

18044

Policy instance

Insurance contract or identification number	18044
Number of Individuals Covered	156
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $13,347
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $13,347
Insurance broker organization code?	3
Insurance broker name	EMPLOYEE BENEFITS INTERNATIONAL

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

18044

Policy instance

Insurance contract or identification number	18044
Number of Individuals Covered	182
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $14,527
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Commission paid to Insurance Broker	USD $14,527
Insurance broker organization code?	3
Insurance broker name	EMPLOYEE BENEFITS INTERNATIONAL

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

18044

Policy instance

Insurance contract or identification number	18044
Number of Individuals Covered	243
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $17,226
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $17,226
Insurance broker organization code?	3
Insurance broker name	EMPLOYEE BENEFITS INTERNATIONAL

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

18044

Policy instance

Insurance contract or identification number	18044
Number of Individuals Covered	428
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $24,790
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Commission paid to Insurance Broker	USD $24,790
Insurance broker organization code?	3
Insurance broker name	EMPLOYEE BENEFITS INTERNATIONAL

Potentially related plans

MARYMOUNT HEALTH CARE SYSTEMS AFFILIATES 401(K) PLAN [EIN = 341408846]

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Company Name:	THE VILLAGE AT MARYMOUNT
Employer identification number (EIN):	205652595
NAIC Classification:	622000
NAIC Description:	Hospitals