401k Plan data: MERCY REGIONAL HEALTH CENTER 403(B) PLAN plan

MERCY REGIONAL HEALTH CENTER 403(B) PLAN 401k Plan overview

Plan Name	MERCY REGIONAL HEALTH CENTER 403(B) PLAN
Plan identification number	002

MERCY REGIONAL HEALTH CENTER 403(B) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 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.
Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
Participant-directed brokerage accounts provided as an investment option under the plan.

401k Sponsoring company profile

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

Company Name: MERCY REGIONAL HEALTH CENTER, INC.

Employer identification number (EIN): 481186704

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MERCY REGIONAL HEALTH CENTER 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2016-01-01 CHRIS BELCHER
002 2015-01-01 JULIE HUMPHREY JULIE HUMPHREY 2016-10-17
002 2015-01-01 JULIE HUMPHREY JULIE HUMPHREY 2016-10-17
002 2014-01-01 JULIE HUMPHREY JULIE HUMPHREY 2015-09-21
002 2013-01-01 JULIE HUMPHREY JULIE HUMPHREY 2014-10-13
002 2012-01-01 JULIE HUMPHREY JULIE HUMPHREY 2013-10-11
002 2011-01-01 JULIE A HUMPHREY JULIE A HUMPHREY 2012-10-10
002 2010-01-01 JULIE A HUMPHREY
002 2009-01-01 JULIE HUMPHREY

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
002	2016-01-01	CHRIS BELCHER
002	2015-01-01	JULIE HUMPHREY	JULIE HUMPHREY	2016-10-17
002	2015-01-01	JULIE HUMPHREY	JULIE HUMPHREY	2016-10-17
002	2014-01-01	JULIE HUMPHREY	JULIE HUMPHREY	2015-09-21
002	2013-01-01	JULIE HUMPHREY	JULIE HUMPHREY	2014-10-13
002	2012-01-01	JULIE HUMPHREY	JULIE HUMPHREY	2013-10-11
002	2011-01-01	JULIE A HUMPHREY	JULIE A HUMPHREY	2012-10-10
002	2010-01-01	JULIE A HUMPHREY
002	2009-01-01	JULIE HUMPHREY

Plan Statistics for MERCY REGIONAL HEALTH CENTER 403(B) PLAN

401k plan membership statisitcs for MERCY REGIONAL HEALTH CENTER 403(B) PLAN

Measure Date Value
2016: MERCY REGIONAL HEALTH CENTER 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 340
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 141
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 163
Total of all active and inactive participants 2016-01-01 304
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 304
Number of participants with account balances 2016-01-01 304
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: MERCY REGIONAL HEALTH CENTER 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 376
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 176
Number of retired or separated participants receiving benefits 2015-01-01 43
Number of other retired or separated participants entitled to future benefits 2015-01-01 118
Total of all active and inactive participants 2015-01-01 337
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 3
Total participants 2015-01-01 340
Number of participants with account balances 2015-01-01 338
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: MERCY REGIONAL HEALTH CENTER 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 507
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 245
Number of retired or separated participants receiving benefits 2014-01-01 18
Number of other retired or separated participants entitled to future benefits 2014-01-01 176
Total of all active and inactive participants 2014-01-01 439
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 1
Total participants 2014-01-01 440
Number of participants with account balances 2014-01-01 376
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: MERCY REGIONAL HEALTH CENTER 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 761
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 299
Number of other retired or separated participants entitled to future benefits 2013-01-01 144
Total of all active and inactive participants 2013-01-01 443
Total participants 2013-01-01 443
Number of participants with account balances 2013-01-01 443
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: MERCY REGIONAL HEALTH CENTER 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1,051
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 609
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 152
Total of all active and inactive participants 2012-01-01 761
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 761
Number of participants with account balances 2012-01-01 761
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: MERCY REGIONAL HEALTH CENTER 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1,020
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 928
Number of retired or separated participants receiving benefits 2011-01-01 3
Number of other retired or separated participants entitled to future benefits 2011-01-01 120
Total of all active and inactive participants 2011-01-01 1,051
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 1,051
Number of participants with account balances 2011-01-01 491
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 102
2010: MERCY REGIONAL HEALTH CENTER 403(B) PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 1,092
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 881
Number of retired or separated participants receiving benefits 2010-01-01 2
Number of other retired or separated participants entitled to future benefits 2010-01-01 117
Total of all active and inactive participants 2010-01-01 1,000
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 1,000
Number of participants with account balances 2010-01-01 483
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 186
2009: MERCY REGIONAL HEALTH CENTER 403(B) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 1,059
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 972
Number of retired or separated participants receiving benefits 2009-01-01 5
Number of other retired or separated participants entitled to future benefits 2009-01-01 98
Total of all active and inactive participants 2009-01-01 1,075
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 1,075
Number of participants with account balances 2009-01-01 420
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 200

Measure	Date	Value
2016: MERCY REGIONAL HEALTH CENTER 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	340
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	141
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	163
Total of all active and inactive participants	2016-01-01	304
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	304
Number of participants with account balances	2016-01-01	304
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: MERCY REGIONAL HEALTH CENTER 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	376
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	176
Number of retired or separated participants receiving benefits	2015-01-01	43
Number of other retired or separated participants entitled to future benefits	2015-01-01	118
Total of all active and inactive participants	2015-01-01	337
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	3
Total participants	2015-01-01	340
Number of participants with account balances	2015-01-01	338
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: MERCY REGIONAL HEALTH CENTER 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	507
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	245
Number of retired or separated participants receiving benefits	2014-01-01	18
Number of other retired or separated participants entitled to future benefits	2014-01-01	176
Total of all active and inactive participants	2014-01-01	439
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	1
Total participants	2014-01-01	440
Number of participants with account balances	2014-01-01	376
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: MERCY REGIONAL HEALTH CENTER 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	761
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	299
Number of other retired or separated participants entitled to future benefits	2013-01-01	144
Total of all active and inactive participants	2013-01-01	443
Total participants	2013-01-01	443
Number of participants with account balances	2013-01-01	443
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: MERCY REGIONAL HEALTH CENTER 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1,051
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	609
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	152
Total of all active and inactive participants	2012-01-01	761
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	761
Number of participants with account balances	2012-01-01	761
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: MERCY REGIONAL HEALTH CENTER 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1,020
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	928
Number of retired or separated participants receiving benefits	2011-01-01	3
Number of other retired or separated participants entitled to future benefits	2011-01-01	120
Total of all active and inactive participants	2011-01-01	1,051
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	1,051
Number of participants with account balances	2011-01-01	491
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	102
2010: MERCY REGIONAL HEALTH CENTER 403(B) PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	1,092
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	881
Number of retired or separated participants receiving benefits	2010-01-01	2
Number of other retired or separated participants entitled to future benefits	2010-01-01	117
Total of all active and inactive participants	2010-01-01	1,000
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	1,000
Number of participants with account balances	2010-01-01	483
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	186
2009: MERCY REGIONAL HEALTH CENTER 403(B) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	1,059
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	972
Number of retired or separated participants receiving benefits	2009-01-01	5
Number of other retired or separated participants entitled to future benefits	2009-01-01	98
Total of all active and inactive participants	2009-01-01	1,075
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	1,075
Number of participants with account balances	2009-01-01	420
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	200

Financial Data on MERCY REGIONAL HEALTH CENTER 403(B) PLAN

Measure	Date	Value
2016 : MERCY REGIONAL HEALTH CENTER 403(B) PLAN 2016 401k financial data
Total income from all sources (including contributions)	2016-12-31	$619,454
Total of all expenses incurred	2016-12-31	$784,539
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$778,363
Expenses. Certain deemed distributions of participant loans	2016-12-31	$6,176
Value of total assets at end of year	2016-12-31	$7,112,654
Value of total assets at beginning of year	2016-12-31	$7,277,739
Total interest from all sources	2016-12-31	$24,263
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$101,270
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$101,270
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$20,000,000
If this is an individual account plan, was there a blackout period	2016-12-31	Yes
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
Participant contributions at end of year	2016-12-31	$60,905
Participant contributions at beginning of year	2016-12-31	$92,380
Value of other receiveables (less allowance for doubtful accounts) at end of year	2016-12-31	$94
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2016-12-31	$0
Total non interest bearing cash at end of year	2016-12-31	$0
Total non interest bearing cash at beginning of year	2016-12-31	$6,012,473
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	$-165,085
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$7,112,654
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$7,277,739
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 registered invesment companies (eg mutual funds) at end of year	2016-12-31	$5,752,648
Value of interest in pooled separate accounts at end of year	2016-12-31	$710,520
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$570,437
Interest on participant loans	2016-12-31	$3,864
Interest earned on other investments	2016-12-31	$20,399
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$588,487
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$602,449
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$445,863
Net investment gain/loss from pooled separate accounts	2016-12-31	$48,058
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$778,363
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2016-12-31	Yes
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2016-12-31	410746749
2015 : MERCY REGIONAL HEALTH CENTER 403(B) 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	$97,369
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$970,527
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$968,719
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$0
Value of total assets at end of year	2015-12-31	$7,277,739
Value of total assets at beginning of year	2015-12-31	$8,150,897
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$1,808
Total interest from all sources	2015-12-31	$25,699
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$466,338
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$466,338
Administrative expenses professional fees incurred	2015-12-31	$1,808
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$5,000,000
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
Participant contributions at end of year	2015-12-31	$92,380
Participant contributions at beginning of year	2015-12-31	$111,069
Total non interest bearing cash at end of year	2015-12-31	$6,012,473
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	$-873,158
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$7,277,739
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$8,150,897
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 registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$6,788,189
Value of interest in pooled separate accounts at end of year	2015-12-31	$570,437
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$613,934
Interest on participant loans	2015-12-31	$5,107
Interest earned on other investments	2015-12-31	$20,592
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$41,369
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$41,369
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$602,449
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$596,336
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-390,220
Net investment gain/loss from pooled separate accounts	2015-12-31	$-4,448
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$968,719
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	ALLEN, GIBBS & HOULIK, L.C.
Accountancy firm EIN	2015-12-31	481032601
2014 : MERCY REGIONAL HEALTH CENTER 403(B) 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	$437,938
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$808,710
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$807,478
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$0
Value of total assets at end of year	2014-12-31	$8,150,897
Value of total assets at beginning of year	2014-12-31	$8,521,669
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$1,232
Total interest from all sources	2014-12-31	$26,432
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$496,661
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$496,661
Administrative expenses professional fees incurred	2014-12-31	$1,232
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$5,000,000
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
Participant contributions at end of year	2014-12-31	$111,069
Participant contributions at beginning of year	2014-12-31	$95,968
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	$-370,772
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$8,150,897
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$8,521,669
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 registered invesment companies (eg mutual funds) at end of year	2014-12-31	$6,788,189
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$6,926,199
Value of interest in pooled separate accounts at end of year	2014-12-31	$613,934
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$644,070
Interest on participant loans	2014-12-31	$4,790
Interest earned on other investments	2014-12-31	$21,642
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$41,369
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$182,081
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$182,081
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$596,336
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$673,351
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$-124,198
Net investment gain or loss from common/collective trusts	2014-12-31	$39,043
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$807,478
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	ALLEN, GIBBS, HOULIK, L.C.
Accountancy firm EIN	2014-12-31	481032601
2013 : MERCY REGIONAL HEALTH CENTER 403(B) 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	$1,400,271
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$788,772
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$785,733
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$0
Value of total assets at end of year	2013-12-31	$8,521,669
Value of total assets at beginning of year	2013-12-31	$7,910,170
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$3,039
Total interest from all sources	2013-12-31	$28,410
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$242,301
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	$242,301
Administrative expenses professional fees incurred	2013-12-31	$3,039
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
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
Participant contributions at end of year	2013-12-31	$95,968
Participant contributions at beginning of year	2013-12-31	$95,969
Assets. Other investments not covered elsewhere at beginning of year	2013-12-31	$57,964
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	$611,499
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$8,521,669
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$7,910,170
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 end of year	2013-12-31	$6,926,199
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$6,313,964
Value of interest in pooled separate accounts at end of year	2013-12-31	$644,070
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$692,049
Interest on participant loans	2013-12-31	$5,042
Interest earned on other investments	2013-12-31	$23,276
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$182,081
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-31	$92
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$673,351
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$750,224
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$1,129,560
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$785,733
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	ALLEN, GIBBS & HOULIK, LC
Accountancy firm EIN	2013-12-31	481032601
2012 : MERCY REGIONAL HEALTH CENTER 403(B) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$876,934
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$1,194,343
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$1,193,828
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$23,351
Value of total assets at end of year	2012-12-31	$7,910,170
Value of total assets at beginning of year	2012-12-31	$8,227,579
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$515
Total interest from all sources	2012-12-31	$33,038
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$226,953
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$226,953
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Participant contributions at end of year	2012-12-31	$95,969
Participant contributions at beginning of year	2012-12-31	$73,764
Assets. Other investments not covered elsewhere at end of year	2012-12-31	$57,964
Assets. Other investments not covered elsewhere at beginning of year	2012-12-31	$50,001
Administrative expenses (other) incurred	2012-12-31	$515
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Income. Non cash contributions	2012-12-31	$23,351
Value of net income/loss	2012-12-31	$-317,409
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$7,910,170
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$8,227,579
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$6,313,964
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$2,716,069
Value of interest in pooled separate accounts at end of year	2012-12-31	$692,049
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$3,798,450
Interest on participant loans	2012-12-31	$4,335
Interest earned on other investments	2012-12-31	$28,703
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$750,224
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$1,589,295
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$593,592
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$1,193,828
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	ALLEN, GIBBS & HOULIK, LC.
Accountancy firm EIN	2012-12-31	481032601
2011 : MERCY REGIONAL HEALTH CENTER 403(B) PLAN 2011 401k financial data
Unrealized appreciation/depreciation of real estate assets	2011-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2011-12-31	$0
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total transfer of assets to this plan	2011-12-31	$0
Total transfer of assets from this plan	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Expenses. Interest paid	2011-12-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$1,430,257
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$684,414
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$646,060
Expenses. Certain deemed distributions of participant loans	2011-12-31	$5,344
Value of total corrective distributions	2011-12-31	$1,211
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$1,511,198
Value of total assets at end of year	2011-12-31	$8,227,579
Value of total assets at beginning of year	2011-12-31	$7,481,736
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$31,799
Total income from rents	2011-12-31	$0
Total interest from all sources	2011-12-31	$53,511
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$52,299
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$52,299
Assets. Real estate other than employer real property at end of year	2011-12-31	$0
Assets. Real estate other than employer real property at beginning of year	2011-12-31	$0
Administrative expenses professional fees incurred	2011-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2011-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2011-12-31	$0
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$1,149,489
Participant contributions at end of year	2011-12-31	$73,764
Participant contributions at beginning of year	2011-12-31	$51,193
Participant contributions at end of year	2011-12-31	$0
Participant contributions at beginning of year	2011-12-31	$0
Assets. Other investments not covered elsewhere at end of year	2011-12-31	$50,001
Assets. Other investments not covered elsewhere at beginning of year	2011-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$210,139
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2011-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-12-31	$0
Assets. Loans (other than to participants) at end of year	2011-12-31	$0
Assets. Loans (other than to participants) at beginning of year	2011-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2011-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2011-12-31	$0
Other income not declared elsewhere	2011-12-31	$1
Administrative expenses (other) incurred	2011-12-31	$0
Total non interest bearing cash at end of year	2011-12-31	$0
Total non interest bearing cash at beginning of year	2011-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Income. Non cash contributions	2011-12-31	$0
Value of net income/loss	2011-12-31	$745,843
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$8,227,579
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$7,481,736
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Assets. partnership/joint venture interests at end of year	2011-12-31	$0
Assets. partnership/joint venture interests at beginning of year	2011-12-31	$0
Investment advisory and management fees	2011-12-31	$15
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$2,716,069
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$2,292,103
Value of interest in pooled separate accounts at end of year	2011-12-31	$3,798,450
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$3,908,495
Interest on participant loans	2011-12-31	$3,466
Income. Interest from loans (other than to participants)	2011-12-31	$0
Interest earned on other investments	2011-12-31	$50,045
Income. Interest from US Government securities	2011-12-31	$0
Income. Interest from corporate debt instruments	2011-12-31	$0
Value of interest in master investment trust accounts at end of year	2011-12-31	$0
Value of interest in master investment trust accounts at beginning of year	2011-12-31	$0
Value of interest in common/collective trusts at end of year	2011-12-31	$0
Value of interest in common/collective trusts at beginning of year	2011-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$0
Assets. Value of investments in 103.12 investment entities at end of year	2011-12-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2011-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$1,589,295
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$1,229,945
Expenses. Payments to insurance carriers foe the provision of benefits	2011-12-31	$0
Asset value of US Government securities at end of year	2011-12-31	$0
Asset value of US Government securities at beginning of year	2011-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-138,854
Net investment gain/loss from pooled separate accounts	2011-12-31	$-47,898
Net investment gain or loss from common/collective trusts	2011-12-31	$0
Net gain/loss from 103.12 investment entities	2011-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Assets. Invements in employer securities at end of year	2011-12-31	$0
Assets. Invements in employer securities at beginning of year	2011-12-31	$0
Assets. Value of employer real property at end of year	2011-12-31	$0
Assets. Value of employer real property at beginning of year	2011-12-31	$0
Contributions received in cash from employer	2011-12-31	$151,570
Employer contributions (assets) at end of year	2011-12-31	$0
Employer contributions (assets) at beginning of year	2011-12-31	$0
Income. Dividends from preferred stock	2011-12-31	$0
Income. Dividends from common stock	2011-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$646,060
Asset. Corporate debt instrument preferred debt at end of year	2011-12-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2011-12-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2011-12-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2011-12-31	$0
Contract administrator fees	2011-12-31	$31,784
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	2011-12-31	No
Assets. Corporate common stocks other than exployer securities at end of year	2011-12-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2011-12-31	$0
Liabilities. Value of benefit claims payable at end of year	2011-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2011-12-31	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2011-12-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2011-12-31	$0
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Aggregate proceeds on sale of assets	2011-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2011-12-31	$0
Liabilities. Value of acquisition indebtedness at end of year	2011-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2011-12-31	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	AGH
Accountancy firm EIN	2011-12-31	481032601
2010 : MERCY REGIONAL HEALTH CENTER 403(B) PLAN 2010 401k financial data
Unrealized appreciation/depreciation of real estate assets	2010-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2010-12-31	$0
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total transfer of assets to this plan	2010-12-31	$8,957
Total transfer of assets from this plan	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Expenses. Interest paid	2010-12-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$2,084,098
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$525,068
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$496,597
Expenses. Certain deemed distributions of participant loans	2010-12-31	$1,146
Value of total corrective distributions	2010-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$1,300,250
Value of total assets at end of year	2010-12-31	$7,481,736
Value of total assets at beginning of year	2010-12-31	$5,913,749
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$27,325
Total income from rents	2010-12-31	$0
Total interest from all sources	2010-12-31	$43,298
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$37,868
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$37,868
Assets. Real estate other than employer real property at end of year	2010-12-31	$0
Assets. Real estate other than employer real property at beginning of year	2010-12-31	$0
Administrative expenses professional fees incurred	2010-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2010-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2010-12-31	$0
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$1,126,137
Participant contributions at end of year	2010-12-31	$51,193
Participant contributions at beginning of year	2010-12-31	$76,521
Participant contributions at end of year	2010-12-31	$0
Participant contributions at beginning of year	2010-12-31	$0
Assets. Other investments not covered elsewhere at end of year	2010-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2010-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$26,015
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2010-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2010-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2010-12-31	$0
Assets. Loans (other than to participants) at end of year	2010-12-31	$0
Assets. Loans (other than to participants) at beginning of year	2010-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2010-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2010-12-31	$0
Other income not declared elsewhere	2010-12-31	$0
Administrative expenses (other) incurred	2010-12-31	$0
Total non interest bearing cash at end of year	2010-12-31	$0
Total non interest bearing cash at beginning of year	2010-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Income. Non cash contributions	2010-12-31	$0
Value of net income/loss	2010-12-31	$1,559,030
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$7,481,736
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$5,913,749
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Assets. partnership/joint venture interests at end of year	2010-12-31	$0
Assets. partnership/joint venture interests at beginning of year	2010-12-31	$0
Investment advisory and management fees	2010-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$2,292,103
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$1,820,579
Value of interest in pooled separate accounts at end of year	2010-12-31	$3,908,495
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$2,959,915
Interest on participant loans	2010-12-31	$3,952
Income. Interest from loans (other than to participants)	2010-12-31	$0
Interest earned on other investments	2010-12-31	$39,346
Income. Interest from US Government securities	2010-12-31	$0
Income. Interest from corporate debt instruments	2010-12-31	$0
Value of interest in master investment trust accounts at end of year	2010-12-31	$0
Value of interest in master investment trust accounts at beginning of year	2010-12-31	$0
Value of interest in common/collective trusts at end of year	2010-12-31	$0
Value of interest in common/collective trusts at beginning of year	2010-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$0
Assets. Value of investments in 103.12 investment entities at end of year	2010-12-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2010-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$1,229,945
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$1,056,734
Expenses. Payments to insurance carriers foe the provision of benefits	2010-12-31	$0
Asset value of US Government securities at end of year	2010-12-31	$0
Asset value of US Government securities at beginning of year	2010-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$264,712
Net investment gain/loss from pooled separate accounts	2010-12-31	$437,970
Net investment gain or loss from common/collective trusts	2010-12-31	$0
Net gain/loss from 103.12 investment entities	2010-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Assets. Invements in employer securities at end of year	2010-12-31	$0
Assets. Invements in employer securities at beginning of year	2010-12-31	$0
Assets. Value of employer real property at end of year	2010-12-31	$0
Assets. Value of employer real property at beginning of year	2010-12-31	$0
Contributions received in cash from employer	2010-12-31	$148,098
Employer contributions (assets) at end of year	2010-12-31	$0
Employer contributions (assets) at beginning of year	2010-12-31	$0
Income. Dividends from preferred stock	2010-12-31	$0
Income. Dividends from common stock	2010-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$496,597
Asset. Corporate debt instrument preferred debt at end of year	2010-12-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2010-12-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2010-12-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2010-12-31	$0
Contract administrator fees	2010-12-31	$27,325
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	2010-12-31	No
Assets. Corporate common stocks other than exployer securities at end of year	2010-12-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2010-12-31	$0
Liabilities. Value of benefit claims payable at end of year	2010-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2010-12-31	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2010-12-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2010-12-31	$0
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Aggregate proceeds on sale of assets	2010-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2010-12-31	$0
Liabilities. Value of acquisition indebtedness at end of year	2010-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2010-12-31	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	AGH
Accountancy firm EIN	2010-12-31	481032601
2009 : MERCY REGIONAL HEALTH CENTER 403(B) PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for MERCY REGIONAL HEALTH CENTER 403(B) PLAN

2016: MERCY REGIONAL HEALTH CENTER 403(B) PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
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: MERCY REGIONAL HEALTH CENTER 403(B) PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	Yes
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: MERCY REGIONAL HEALTH CENTER 403(B) 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: MERCY REGIONAL HEALTH CENTER 403(B) 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
2012: MERCY REGIONAL HEALTH CENTER 403(B) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: MERCY REGIONAL HEALTH CENTER 403(B) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: MERCY REGIONAL HEALTH CENTER 403(B) PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: MERCY REGIONAL HEALTH CENTER 403(B) PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

95155-01

Policy instance

Insurance contract or identification number	95155-01
Number of Individuals Covered	128
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

95155-01

Policy instance

Insurance contract or identification number	95155-01
Number of Individuals Covered	138
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

95155-01

Policy instance

Insurance contract or identification number	95155-01
Number of Individuals Covered	152
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

95155-01

Policy instance

Insurance contract or identification number	95155-01
Number of Individuals Covered	176
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

95155-01

Policy instance

Insurance contract or identification number	95155-01
Number of Individuals Covered	422
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

95155-01

Policy instance

Insurance contract or identification number	95155-01
Number of Individuals Covered	443
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No

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The information provided on this website is not advice, endorsement or recommendation
The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
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Company Name:	MERCY REGIONAL HEALTH CENTER, INC.
Employer identification number (EIN):	481186704
NAIC Classification:	622000
NAIC Description:	Hospitals