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PETERSON REGIONAL MEDICAL CENTER SECTION 125 FLEXIBLE BENEFIT PLAN 401k Plan overview

Plan NamePETERSON REGIONAL MEDICAL CENTER SECTION 125 FLEXIBLE BENEFIT PLAN
Plan identification number 502

PETERSON REGIONAL MEDICAL CENTER SECTION 125 FLEXIBLE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Other welfare benefit cover

401k Sponsoring company profile

PETERSON REGIONAL MEDICAL CENTER has sponsored the creation of one or more 401k plans.

Company Name:PETERSON REGIONAL MEDICAL CENTER
Employer identification number (EIN):742557820
NAIC Classification:622000
NAIC Description: Hospitals

Additional information about PETERSON REGIONAL MEDICAL CENTER

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 1989-02-13
Company Identification Number: 0110424801
Legal Registered Office Address: 551 HILL COUNTRY DR

KERRVILLE
United States of America (USA)
78028

More information about PETERSON REGIONAL MEDICAL CENTER

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PETERSON REGIONAL MEDICAL CENTER SECTION 125 FLEXIBLE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022021-01-01
5022021-01-01
5022020-01-01LISA MEDOVICH2021-03-23 LISA MEDOVICH2021-03-23
5022020-01-01
5022019-01-01ORLANDO VOLPE2020-03-11 ORLANDO VOLPE2020-03-11
5022019-01-01
5022019-01-01
5022018-01-01
5022018-01-01
5022017-01-01
5022017-01-01ORLANDO VOLPE PATRICK MURRAY2018-10-11
5022016-01-01ORLANDO VOLPE PATRICK MURRAY2017-10-16
5022016-01-01ORLANDO VOLPE2017-07-24
5022015-01-01
5022015-01-01ORLANDO VOLPE PATRICK MURRAY2016-10-14
5022014-01-01
5022014-01-01ORLANDO VOLPE PATRICK MURRAY2015-10-15
5022013-01-01ORLANDO VOLPE PATRICK MURRAY2014-10-15
5022012-01-01ORLANDO VOLPE ORLANDO VOLPE2013-04-15
5022012-01-01ORLANDO VOLPE PATRICK MURRAY2013-10-15
5022011-01-01ORLANDO VOLPE PATRICK MURRAY2012-10-11
5022009-01-01ORLANDO VOLPE PATRICK MURRAY2010-10-15

Plan Statistics for PETERSON REGIONAL MEDICAL CENTER SECTION 125 FLEXIBLE BENEFIT PLAN

401k plan membership statisitcs for PETERSON REGIONAL MEDICAL CENTER SECTION 125 FLEXIBLE BENEFIT PLAN

Measure Date Value
2021: PETERSON REGIONAL MEDICAL CENTER SECTION 125 FLEXIBLE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01749
Total number of active participants reported on line 7a of the Form 55002021-01-010
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-010
2020: PETERSON REGIONAL MEDICAL CENTER SECTION 125 FLEXIBLE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01251
Total number of active participants reported on line 7a of the Form 55002020-01-01232
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-01232
2019: PETERSON REGIONAL MEDICAL CENTER SECTION 125 FLEXIBLE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01222
Total number of active participants reported on line 7a of the Form 55002019-01-01266
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01266
2018: PETERSON REGIONAL MEDICAL CENTER SECTION 125 FLEXIBLE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01215
Total number of active participants reported on line 7a of the Form 55002018-01-01222
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01222
2017: PETERSON REGIONAL MEDICAL CENTER SECTION 125 FLEXIBLE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01212
Total number of active participants reported on line 7a of the Form 55002017-01-01215
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01215
2016: PETERSON REGIONAL MEDICAL CENTER SECTION 125 FLEXIBLE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01582
Total number of active participants reported on line 7a of the Form 55002016-01-01655
Number of retired or separated participants receiving benefits2016-01-016
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01661
2015: PETERSON REGIONAL MEDICAL CENTER SECTION 125 FLEXIBLE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01191
Total number of active participants reported on line 7a of the Form 55002015-01-01184
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01184
2014: PETERSON REGIONAL MEDICAL CENTER SECTION 125 FLEXIBLE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01184
Total number of active participants reported on line 7a of the Form 55002014-01-01184
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-01184
2013: PETERSON REGIONAL MEDICAL CENTER SECTION 125 FLEXIBLE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01470
Total number of active participants reported on line 7a of the Form 55002013-01-01511
Number of retired or separated participants receiving benefits2013-01-010
Total of all active and inactive participants2013-01-01511
2012: PETERSON REGIONAL MEDICAL CENTER SECTION 125 FLEXIBLE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01163
Total number of active participants reported on line 7a of the Form 55002012-01-01139
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-01139
2011: PETERSON REGIONAL MEDICAL CENTER SECTION 125 FLEXIBLE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01504
Total number of active participants reported on line 7a of the Form 55002011-01-01509
Number of retired or separated participants receiving benefits2011-01-010
Total of all active and inactive participants2011-01-01509
2009: PETERSON REGIONAL MEDICAL CENTER SECTION 125 FLEXIBLE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01468
Total number of active participants reported on line 7a of the Form 55002009-01-01486
Total of all active and inactive participants2009-01-01486

Financial Data on PETERSON REGIONAL MEDICAL CENTER SECTION 125 FLEXIBLE BENEFIT PLAN

Measure Date Value
2020 : PETERSON REGIONAL MEDICAL CENTER SECTION 125 FLEXIBLE BENEFIT PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$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$2,128,143
Total income from all sources (including contributions)2020-12-31$13,959,371
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$13,959,371
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$13,623,822
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$13,959,371
Value of total assets at end of year2020-12-31$0
Value of total assets at beginning of year2020-12-31$2,128,143
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$335,549
Total interest from all sources2020-12-31$0
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 year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$3,312,985
Participant contributions at end of year2020-12-31$0
Participant contributions at beginning of year2020-12-31$159,329
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$64,246
Liabilities. Value of operating payables at end of year2020-12-31$0
Liabilities. Value of operating payables at beginning of year2020-12-31$159,329
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Income. Non cash contributions2020-12-31$6,415,134
Value of net income/loss2020-12-31$0
Value of net assets at end of year (total assets less liabilities)2020-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$416,260
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$4,167,006
Employer contributions (assets) at end of year2020-12-31$0
Employer contributions (assets) at beginning of year2020-12-31$1,968,814
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$13,207,562
Contract administrator fees2020-12-31$335,549
Liabilities. Value of benefit claims payable at end of year2020-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$1,968,814
Did the plan have assets held for investment2020-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31LANE GORMAN TRUBITT LLC
Accountancy firm EIN2020-12-31751044330
2019 : PETERSON REGIONAL MEDICAL CENTER SECTION 125 FLEXIBLE BENEFIT PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$2,128,143
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$2,128,143
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$1,281,736
Total income from all sources (including contributions)2019-12-31$16,688,543
Total income from all sources (including contributions)2019-12-31$16,688,543
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$16,688,543
Total of all expenses incurred2019-12-31$16,688,543
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$16,303,205
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$16,303,205
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$16,688,543
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$16,688,543
Value of total assets at end of year2019-12-31$2,128,143
Value of total assets at end of year2019-12-31$2,128,143
Value of total assets at beginning of year2019-12-31$1,281,736
Value of total assets at beginning of year2019-12-31$1,281,736
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$385,338
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$385,338
Total interest from all sources2019-12-31$0
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 year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$3,235,997
Contributions received from participants2019-12-31$3,235,997
Participant contributions at end of year2019-12-31$159,329
Participant contributions at end of year2019-12-31$159,329
Participant contributions at beginning of year2019-12-31$73,551
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$248,205
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$248,205
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$17,358
Liabilities. Value of operating payables at end of year2019-12-31$159,329
Liabilities. Value of operating payables at end of year2019-12-31$159,329
Liabilities. Value of operating payables at beginning of year2019-12-31$90,909
Liabilities. Value of operating payables at beginning of year2019-12-31$90,909
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Income. Non cash contributions2019-12-31$7,855,120
Income. Non cash contributions2019-12-31$7,855,120
Value of net income/loss2019-12-31$0
Value of net income/loss2019-12-31$0
Value of net assets at end of year (total assets less liabilities)2019-12-31$0
Value of net assets at end of year (total assets less liabilities)2019-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$403,606
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$403,606
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$5,349,221
Contributions received in cash from employer2019-12-31$5,349,221
Employer contributions (assets) at end of year2019-12-31$1,968,814
Employer contributions (assets) at end of year2019-12-31$1,968,814
Employer contributions (assets) at beginning of year2019-12-31$1,190,827
Employer contributions (assets) at beginning of year2019-12-31$1,190,827
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$15,899,599
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$15,899,599
Contract administrator fees2019-12-31$385,338
Contract administrator fees2019-12-31$385,338
Liabilities. Value of benefit claims payable at end of year2019-12-31$1,968,814
Liabilities. Value of benefit claims payable at end of year2019-12-31$1,968,814
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$1,190,827
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$1,190,827
Did the plan have assets held for investment2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31LANE GORMAN TRUBITT LLC
Accountancy firm name2019-12-31LANE GORMAN TRUBITT LLC
Accountancy firm EIN2019-12-31751044330
Accountancy firm EIN2019-12-31751044330
2018 : PETERSON REGIONAL MEDICAL CENTER SECTION 125 FLEXIBLE BENEFIT PLAN 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$1,190,827
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$1,336,885
Total income from all sources (including contributions)2018-12-31$14,614,480
Total of all expenses incurred2018-12-31$14,614,480
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$14,189,801
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$14,614,480
Value of total assets at end of year2018-12-31$1,190,827
Value of total assets at beginning of year2018-12-31$1,336,885
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$424,679
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$2,896,543
Participant contributions at end of year2018-12-31$73,551
Participant contributions at beginning of year2018-12-31$59,120
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2018-12-31$13,884,044
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$17,358
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$423,831
Administrative expenses (other) incurred2018-12-31$424,679
Total non interest bearing cash at end of year2018-12-31$-90,909
Total non interest bearing cash at beginning of year2018-12-31$-59,120
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Income. Non cash contributions2018-12-31$6,746,452
Value of net assets at end of year (total assets less liabilities)2018-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$305,757
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$4,971,485
Employer contributions (assets) at end of year2018-12-31$1,190,827
Employer contributions (assets) at beginning of year2018-12-31$913,054
Liabilities. Value of benefit claims payable at end of year2018-12-31$1,190,827
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$1,336,885
Did the plan have assets held for investment2018-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31PRESSLER THOMPSON AND COMPANY, LLC
Accountancy firm EIN2018-12-31472364727
2017 : PETERSON REGIONAL MEDICAL CENTER SECTION 125 FLEXIBLE BENEFIT PLAN 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$1,336,885
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$518,899
Total income from all sources (including contributions)2017-12-31$13,179,460
Total of all expenses incurred2017-12-31$13,179,460
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$12,862,539
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$13,179,460
Value of total assets at end of year2017-12-31$1,336,885
Value of total assets at beginning of year2017-12-31$518,899
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$316,921
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$2,592,802
Participant contributions at end of year2017-12-31$59,120
Participant contributions at beginning of year2017-12-31$41,075
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$423,831
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2017-12-31$12,570,272
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$423,831
Administrative expenses (other) incurred2017-12-31$316,921
Total non interest bearing cash at end of year2017-12-31$-59,120
Total non interest bearing cash at beginning of year2017-12-31$-41,075
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Income. Non cash contributions2017-12-31$4,423,092
Value of net assets at end of year (total assets less liabilities)2017-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$292,267
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$5,739,735
Employer contributions (assets) at end of year2017-12-31$913,054
Employer contributions (assets) at beginning of year2017-12-31$518,899
Liabilities. Value of benefit claims payable at end of year2017-12-31$1,336,885
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$518,899
Did the plan have assets held for investment2017-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31PRESSLER THOMPSON AND COMPANY, LLC
Accountancy firm EIN2017-12-31472364727
2016 : PETERSON REGIONAL MEDICAL CENTER SECTION 125 FLEXIBLE BENEFIT PLAN 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$518,899
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$586,039
Total income from all sources (including contributions)2016-12-31$9,950,962
Total of all expenses incurred2016-12-31$9,950,962
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$9,586,117
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$9,950,962
Value of total assets at end of year2016-12-31$518,899
Value of total assets at beginning of year2016-12-31$586,039
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$364,845
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$2,424,832
Participant contributions at end of year2016-12-31$41,075
Participant contributions at beginning of year2016-12-31$27,374
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-12-31$9,300,301
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$495,123
Administrative expenses (other) incurred2016-12-31$364,845
Total non interest bearing cash at end of year2016-12-31$-41,075
Total non interest bearing cash at beginning of year2016-12-31$-522,497
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Income. Non cash contributions2016-12-31$3,490,092
Value of net assets at end of year (total assets less liabilities)2016-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$285,816
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$4,036,038
Employer contributions (assets) at end of year2016-12-31$518,899
Employer contributions (assets) at beginning of year2016-12-31$586,039
Liabilities. Value of benefit claims payable at end of year2016-12-31$518,899
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$586,039
Did the plan have assets held for investment2016-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31PRESSLER THOMPSON AND COMPANY, LLC
Accountancy firm EIN2016-12-31472364727
2015 : PETERSON REGIONAL MEDICAL CENTER SECTION 125 FLEXIBLE BENEFIT PLAN 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$586,039
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$534,269
Total income from all sources (including contributions)2015-12-31$13,419,591
Total of all expenses incurred2015-12-31$13,419,591
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$13,078,379
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$13,419,591
Value of total assets at end of year2015-12-31$586,039
Value of total assets at beginning of year2015-12-31$534,269
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$341,212
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$2,007,741
Participant contributions at end of year2015-12-31$27,374
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$1,477,668
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-12-31$12,794,444
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$495,123
Administrative expenses (other) incurred2015-12-31$341,212
Total non interest bearing cash at end of year2015-12-31$-522,497
Total non interest bearing cash at beginning of year2015-12-31$-117,111
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Income. Non cash contributions2015-12-31$3,745,420
Value of net assets at end of year (total assets less liabilities)2015-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$283,935
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$6,188,762
Employer contributions (assets) at end of year2015-12-31$586,039
Employer contributions (assets) at beginning of year2015-12-31$651,380
Liabilities. Value of benefit claims payable at end of year2015-12-31$586,039
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$534,269
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31PRESSLER THOMPSON AND COMPANY, LLC
Accountancy firm EIN2015-12-31472364727
2014 : PETERSON REGIONAL MEDICAL CENTER SECTION 125 FLEXIBLE BENEFIT PLAN 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$534,269
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$564,576
Total income from all sources (including contributions)2014-12-31$8,738,025
Total of all expenses incurred2014-12-31$8,738,025
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$8,411,869
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$8,738,025
Value of total assets at end of year2014-12-31$534,269
Value of total assets at beginning of year2014-12-31$564,576
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$326,156
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31No
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$1,848,935
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$465,343
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-12-31$8,163,341
Administrative expenses (other) incurred2014-12-31$326,156
Total non interest bearing cash at end of year2014-12-31$-117,111
Total non interest bearing cash at beginning of year2014-12-31$-14,191
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Income. Non cash contributions2014-12-31$3,323,127
Value of net assets at end of year (total assets less liabilities)2014-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$248,528
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$3,100,620
Employer contributions (assets) at end of year2014-12-31$651,380
Employer contributions (assets) at beginning of year2014-12-31$578,767
Liabilities. Value of benefit claims payable at end of year2014-12-31$534,269
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$564,576
Did the plan have assets held for investment2014-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31PRESSLER THOMPSON AND COMPANY, LLC
Accountancy firm EIN2014-12-31472364727
2013 : PETERSON REGIONAL MEDICAL CENTER SECTION 125 FLEXIBLE BENEFIT PLAN 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$564,576
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$422,603
Total income from all sources (including contributions)2013-12-31$7,138,733
Total of all expenses incurred2013-12-31$7,342,690
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$6,919,618
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$7,138,733
Value of total assets at end of year2013-12-31$564,576
Value of total assets at beginning of year2013-12-31$626,560
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$423,072
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31No
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$1,753,526
Participant contributions at beginning of year2013-12-31$72,307
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$275,812
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-12-31$6,687,720
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$296,477
Administrative expenses (other) incurred2013-12-31$423,072
Total non interest bearing cash at end of year2013-12-31$-14,191
Total non interest bearing cash at beginning of year2013-12-31$257,776
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Income. Non cash contributions2013-12-31$2,339,311
Value of net income/loss2013-12-31$-203,957
Value of net assets at end of year (total assets less liabilities)2013-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$203,957
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$231,898
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$2,770,084
Employer contributions (assets) at end of year2013-12-31$578,767
Liabilities. Value of benefit claims payable at end of year2013-12-31$564,576
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$422,603
Did the plan have assets held for investment2013-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31PRESSLER THOMPSON AND COMPANY, P.C.
Accountancy firm EIN2013-12-31741845723
2012 : PETERSON REGIONAL MEDICAL CENTER SECTION 125 FLEXIBLE BENEFIT PLAN 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$422,603
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$1,064,762
Total income from all sources (including contributions)2012-12-31$7,964,917
Total of all expenses incurred2012-12-31$7,760,960
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$7,332,066
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$7,964,917
Value of total assets at end of year2012-12-31$626,560
Value of total assets at beginning of year2012-12-31$1,064,762
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$428,894
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31No
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$1,822,023
Participant contributions at end of year2012-12-31$72,307
Participant contributions at beginning of year2012-12-31$68,981
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$411,151
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-12-31$7,037,285
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$296,477
Administrative expenses (other) incurred2012-12-31$428,894
Total non interest bearing cash at end of year2012-12-31$257,776
Total non interest bearing cash at beginning of year2012-12-31$-41,072
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Income. Non cash contributions2012-12-31$2,776,710
Value of net income/loss2012-12-31$203,957
Value of net assets at end of year (total assets less liabilities)2012-12-31$203,957
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$294,781
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$2,955,033
Employer contributions (assets) at beginning of year2012-12-31$1,036,853
Liabilities. Value of benefit claims payable at end of year2012-12-31$422,603
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$1,064,762
Did the plan have assets held for investment2012-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31PRESSLER THOMPSON AND COMPANY, P.C.
Accountancy firm EIN2012-12-31741845723
2011 : PETERSON REGIONAL MEDICAL CENTER SECTION 125 FLEXIBLE BENEFIT PLAN 2011 401k financial data
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
Total income from all sources (including contributions)2011-12-31$162,054
Total of all expenses incurred2011-12-31$162,054
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$161,767
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$162,054
Value of total assets at end of year2011-12-31$0
Value of total assets at beginning of year2011-12-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$287
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31No
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$162,054
Participant contributions at end of year2011-12-31$68,981
Participant contributions at beginning of year2011-12-31$65,263
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$4,431
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-12-31$8,232,006
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$0
Administrative expenses (other) incurred2011-12-31$287
Liabilities. Value of operating payables at end of year2011-12-31$0
Liabilities. Value of operating payables at beginning of year2011-12-31$0
Total non interest bearing cash at end of year2011-12-31$-41,072
Total non interest bearing cash at beginning of year2011-12-31$18,360
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$0
Value of net assets at end of year (total assets less liabilities)2011-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Assets. Invements in employer securities at end of year2011-12-31$0
Assets. Invements in employer securities at beginning of year2011-12-31$0
Assets. Value of employer real property at end of year2011-12-31$0
Assets. Value of employer real property at beginning of year2011-12-31$0
Contributions received in cash from employer2011-12-31$6,434,955
Employer contributions (assets) at end of year2011-12-31$1,036,853
Employer contributions (assets) at beginning of year2011-12-31$661,235
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$161,767
Liabilities. Value of benefit claims payable at end of year2011-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$0
Assets. Value of buildings and other operty used in plan operation at end of year2011-12-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2011-12-31$0
Did the plan have assets held for investment2011-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Liabilities. Value of acquisition indebtedness at end of year2011-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2011-12-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31PRESSLER THOMPSON AND COMPANY, P.C.
Accountancy firm EIN2011-12-31741845723
2010 : PETERSON REGIONAL MEDICAL CENTER SECTION 125 FLEXIBLE BENEFIT PLAN 2010 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$744,858
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$1,305,950
Total income from all sources (including contributions)2010-12-31$6,622,566
Total of all expenses incurred2010-12-31$6,622,566
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$6,452,951
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$6,622,566
Value of total assets at end of year2010-12-31$744,858
Value of total assets at beginning of year2010-12-31$1,305,950
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$169,615
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31No
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$1,663,242
Participant contributions at end of year2010-12-31$65,263
Participant contributions at beginning of year2010-12-31$49,219
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$16,969
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2010-12-31$6,452,951
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$1,692
Administrative expenses (other) incurred2010-12-31$169,615
Total non interest bearing cash at end of year2010-12-31$18,360
Total non interest bearing cash at beginning of year2010-12-31$-13,674
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net assets at end of year (total assets less liabilities)2010-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$4,942,355
Employer contributions (assets) at end of year2010-12-31$661,235
Employer contributions (assets) at beginning of year2010-12-31$1,270,405
Liabilities. Value of benefit claims payable at end of year2010-12-31$743,166
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$1,305,950
Did the plan have assets held for investment2010-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31PRESSLER THOMPSON AND COMPANY, P.C.
Accountancy firm EIN2010-12-31741845723

Form 5500 Responses for PETERSON REGIONAL MEDICAL CENTER SECTION 125 FLEXIBLE BENEFIT PLAN

2021: PETERSON REGIONAL MEDICAL CENTER SECTION 125 FLEXIBLE BENEFIT PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingYes
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: PETERSON REGIONAL MEDICAL CENTER SECTION 125 FLEXIBLE BENEFIT PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: PETERSON REGIONAL MEDICAL CENTER SECTION 125 FLEXIBLE BENEFIT PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: PETERSON REGIONAL MEDICAL CENTER SECTION 125 FLEXIBLE BENEFIT PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: PETERSON REGIONAL MEDICAL CENTER SECTION 125 FLEXIBLE BENEFIT PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: PETERSON REGIONAL MEDICAL CENTER SECTION 125 FLEXIBLE BENEFIT PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: PETERSON REGIONAL MEDICAL CENTER SECTION 125 FLEXIBLE BENEFIT PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: PETERSON REGIONAL MEDICAL CENTER SECTION 125 FLEXIBLE BENEFIT PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: PETERSON REGIONAL MEDICAL CENTER SECTION 125 FLEXIBLE BENEFIT PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: PETERSON REGIONAL MEDICAL CENTER SECTION 125 FLEXIBLE BENEFIT PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: PETERSON REGIONAL MEDICAL CENTER SECTION 125 FLEXIBLE BENEFIT PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement - TrustYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: PETERSON REGIONAL MEDICAL CENTER SECTION 125 FLEXIBLE BENEFIT PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement - TrustYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

BERKLEY LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64890 )
Policy contract numberEMCL19100639002
Policy instance 1
Insurance contract or identification numberEMCL19100639002
Number of Individuals Covered0
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $376,893
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number942374
Policy instance 2
Insurance contract or identification number942374
Number of Individuals Covered767
Insurance policy start date2020-10-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $4,702
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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $118,711
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees4702
Additional information about fees paid to insurance brokerOVERRIDE
Insurance broker organization code?3
BERKLEY LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64890 )
Policy contract numberEMCL19100639001
Policy instance 1
Insurance contract or identification numberEMCL19100639001
Number of Individuals Covered1514
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Welfare Benefit Premiums Paid to CarrierUSD $334,222
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
QBE A&H (National Association of Insurance Commissioners NAIC id number: 10219 )
Policy contract numberLGS01358-16
Policy instance 1
Insurance contract or identification numberLGS01358-16
Number of Individuals Covered1421
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Welfare Benefit Premiums Paid to CarrierUSD $305,757
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
QBE A&H (National Association of Insurance Commissioners NAIC id number: 10219 )
Policy contract numberLGS01358-16
Policy instance 1
Insurance contract or identification numberLGS01358-16
Number of Individuals Covered1360
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Welfare Benefit Premiums Paid to CarrierUSD $292,267
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberEXRK
Policy instance 1
Insurance contract or identification numberEXRK
Number of Individuals Covered1357
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Welfare Benefit Premiums Paid to CarrierUSD $262,267
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number4043900010 SSLS
Policy instance 1
Insurance contract or identification number4043900010 SSLS
Number of Individuals Covered532
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Welfare Benefit Premiums Paid to CarrierUSD $248,695
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number4043900010 SSL
Policy instance 1
Insurance contract or identification number4043900010 SSL
Number of Individuals Covered481
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Welfare Benefit Premiums Paid to CarrierUSD $231,898
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number16-012058-000
Policy instance 1
Insurance contract or identification number16-012058-000
Number of Individuals Covered460
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of fees paid to insurance companyUSD $2,300
Welfare Benefit Premiums Paid to CarrierUSD $294,781
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees2300
Additional information about fees paid to insurance brokerGROUP MARKETING SUPPORT FEE
Insurance broker organization code?3
Insurance broker nameWELLS FARGO INS SERVICES USA, INC

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