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SKY LAKES MEDICAL CENTER 403(B) PLAN 401k Plan overview

Plan NameSKY LAKES MEDICAL CENTER 403(B) PLAN
Plan identification number 001

SKY LAKES MEDICAL CENTER 403(B) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • 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.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

SKY LAKES MEDICAL CENTER has sponsored the creation of one or more 401k plans.

Company Name:SKY LAKES MEDICAL CENTER
Employer identification number (EIN):930508781
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SKY LAKES MEDICAL CENTER 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012019-10-01
0012018-10-01
0012017-10-01DON YORK
0012016-10-01DON YORK
0012015-10-01DON YORK
0012014-10-01DON YORK
0012013-10-01DON YORK
0012012-10-01DON YORK
0012011-10-01DON YORK
0012010-10-01DON YORK
0012009-10-01DON YORK

Plan Statistics for SKY LAKES MEDICAL CENTER 403(B) PLAN

401k plan membership statisitcs for SKY LAKES MEDICAL CENTER 403(B) PLAN

Measure Date Value
2019: SKY LAKES MEDICAL CENTER 403(B) PLAN 2019 401k membership
Total participants, beginning-of-year2019-10-010
Total number of active participants reported on line 7a of the Form 55002019-10-010
Total of all active and inactive participants2019-10-010
Total participants2019-10-010
2018: SKY LAKES MEDICAL CENTER 403(B) PLAN 2018 401k membership
Total participants, beginning-of-year2018-10-011,268
Total number of active participants reported on line 7a of the Form 55002018-10-010
Total of all active and inactive participants2018-10-010
Total participants2018-10-010
2017: SKY LAKES MEDICAL CENTER 403(B) PLAN 2017 401k membership
Total participants, beginning-of-year2017-10-011,465
Total number of active participants reported on line 7a of the Form 55002017-10-011,162
Number of retired or separated participants receiving benefits2017-10-012
Number of other retired or separated participants entitled to future benefits2017-10-01104
Total of all active and inactive participants2017-10-011,268
Total participants2017-10-011,268
Number of participants with account balances2017-10-01583
2016: SKY LAKES MEDICAL CENTER 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year2016-10-011,374
Total number of active participants reported on line 7a of the Form 55002016-10-011,390
Number of retired or separated participants receiving benefits2016-10-012
Number of other retired or separated participants entitled to future benefits2016-10-0173
Total of all active and inactive participants2016-10-011,465
Total participants2016-10-011,465
Number of participants with account balances2016-10-01541
2015: SKY LAKES MEDICAL CENTER 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year2015-10-011,329
Total number of active participants reported on line 7a of the Form 55002015-10-011,308
Number of retired or separated participants receiving benefits2015-10-011
Number of other retired or separated participants entitled to future benefits2015-10-0165
Total of all active and inactive participants2015-10-011,374
Total participants2015-10-011,374
Number of participants with account balances2015-10-01481
2014: SKY LAKES MEDICAL CENTER 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year2014-10-011,258
Total number of active participants reported on line 7a of the Form 55002014-10-011,290
Number of other retired or separated participants entitled to future benefits2014-10-0139
Total of all active and inactive participants2014-10-011,329
Total participants2014-10-011,329
Number of participants with account balances2014-10-01440
2013: SKY LAKES MEDICAL CENTER 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year2013-10-011,250
Total number of active participants reported on line 7a of the Form 55002013-10-011,258
Number of other retired or separated participants entitled to future benefits2013-10-0133
Total of all active and inactive participants2013-10-011,291
Total participants2013-10-011,291
Number of participants with account balances2013-10-01389
2012: SKY LAKES MEDICAL CENTER 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year2012-10-011,222
Total number of active participants reported on line 7a of the Form 55002012-10-011,219
Number of other retired or separated participants entitled to future benefits2012-10-0131
Total of all active and inactive participants2012-10-011,250
Total participants2012-10-011,250
Number of participants with account balances2012-10-01365
2011: SKY LAKES MEDICAL CENTER 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year2011-10-01263
Total number of active participants reported on line 7a of the Form 55002011-10-011,189
Number of other retired or separated participants entitled to future benefits2011-10-0133
Total of all active and inactive participants2011-10-011,222
Total participants2011-10-011,222
Number of participants with account balances2011-10-01344
2010: SKY LAKES MEDICAL CENTER 403(B) PLAN 2010 401k membership
Total participants, beginning-of-year2010-10-01263
Total number of active participants reported on line 7a of the Form 55002010-10-01254
Number of retired or separated participants receiving benefits2010-10-010
Number of other retired or separated participants entitled to future benefits2010-10-019
Total of all active and inactive participants2010-10-01263
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-10-010
Total participants2010-10-01263
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-10-010
2009: SKY LAKES MEDICAL CENTER 403(B) PLAN 2009 401k membership
Total participants, beginning-of-year2009-10-01240
Total number of active participants reported on line 7a of the Form 55002009-10-01263
Total of all active and inactive participants2009-10-01263
Total participants2009-10-01263

Financial Data on SKY LAKES MEDICAL CENTER 403(B) PLAN

Measure Date Value
2019 : SKY LAKES MEDICAL CENTER 403(B) PLAN 2019 401k financial data
Total plan liabilities at beginning of year2019-12-31$147
Expenses. Total of all expenses incurred2019-12-31$0
Total plan assets at end of year2019-12-31$0
Total plan assets at beginning of year2019-12-31$147
Expenses. Other expenses not covered elsewhere2019-12-31$0
Net income (gross income less expenses)2019-12-31$0
Net plan assets at end of year (total assets less liabilities)2019-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-09-30$147
Total income from all sources (including contributions)2019-09-30$-278,501
Total of all expenses incurred2019-09-30$35,397,832
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-09-30$35,367,226
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-09-30$887,204
Value of total assets at end of year2019-09-30$147
Value of total assets at beginning of year2019-09-30$35,676,333
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-09-30$30,606
Total dividends received (eg from common stock, registered investment company shares)2019-09-30$1,494,914
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-09-30Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2019-09-30$0
Total dividends received from registered investment company shares (eg mutual funds)2019-09-30$1,494,914
Was this plan covered by a fidelity bond2019-09-30Yes
Value of fidelity bond cover2019-09-30$1,300,000
If this is an individual account plan, was there a blackout period2019-09-30No
Were there any nonexempt tranactions with any party-in-interest2019-09-30No
Contributions received from participants2019-09-30$784,312
Participant contributions at end of year2019-09-30$0
Participant contributions at beginning of year2019-09-30$139,668
Income. Received or receivable in cash from other sources (including rollovers)2019-09-30$102,892
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-09-30$147
Administrative expenses (other) incurred2019-09-30$24,460
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-09-30No
Value of net income/loss2019-09-30$-35,676,333
Value of net assets at end of year (total assets less liabilities)2019-09-30$0
Value of net assets at beginning of year (total assets less liabilities)2019-09-30$35,676,333
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-09-30No
Were any leases to which the plan was party in default or uncollectible2019-09-30No
Investment advisory and management fees2019-09-30$6,146
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-09-30$147
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-09-30$35,536,665
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-09-30$-2,660,619
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-09-30No
Was there a failure to transmit to the plan any participant contributions2019-09-30Yes
Has the plan failed to provide any benefit when due under the plan2019-09-30No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-09-30$35,367,226
Did the plan have assets held for investment2019-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-09-30Yes
Opinion of an independent qualified public accountant for this plan2019-09-30Disclaimer
Accountancy firm name2019-09-30MOSS ADAMS LLP
Accountancy firm EIN2019-09-30910189318
2018 : SKY LAKES MEDICAL CENTER 403(B) PLAN 2018 401k financial data
Total income from all sources (including contributions)2018-09-30$7,166,991
Total of all expenses incurred2018-09-30$1,557,195
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-09-30$1,504,404
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-09-30$3,655,427
Value of total assets at end of year2018-09-30$35,676,333
Value of total assets at beginning of year2018-09-30$30,066,537
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-09-30$52,791
Total dividends received (eg from common stock, registered investment company shares)2018-09-30$1,671,891
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2018-09-30$1,671,891
Was this plan covered by a fidelity bond2018-09-30Yes
Value of fidelity bond cover2018-09-30$1,300,000
If this is an individual account plan, was there a blackout period2018-09-30No
Were there any nonexempt tranactions with any party-in-interest2018-09-30No
Contributions received from participants2018-09-30$3,391,403
Participant contributions at end of year2018-09-30$139,668
Participant contributions at beginning of year2018-09-30$116,964
Income. Received or receivable in cash from other sources (including rollovers)2018-09-30$264,024
Administrative expenses (other) incurred2018-09-30$45,325
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-09-30No
Value of net income/loss2018-09-30$5,609,796
Value of net assets at end of year (total assets less liabilities)2018-09-30$35,676,333
Value of net assets at beginning of year (total assets less liabilities)2018-09-30$30,066,537
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-09-30No
Were any leases to which the plan was party in default or uncollectible2018-09-30No
Investment advisory and management fees2018-09-30$7,466
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-09-30$35,536,665
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-09-30$29,949,573
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-09-30$1,839,673
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-09-30No
Was there a failure to transmit to the plan any participant contributions2018-09-30Yes
Has the plan failed to provide any benefit when due under the plan2018-09-30No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-09-30$1,504,404
Did the plan have assets held for investment2018-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-09-30Yes
Opinion of an independent qualified public accountant for this plan2018-09-30Disclaimer
Accountancy firm name2018-09-30MOSS ADAMS LLP
Accountancy firm EIN2018-09-30910189318
2017 : SKY LAKES MEDICAL CENTER 403(B) PLAN 2017 401k financial data
Total income from all sources (including contributions)2017-09-30$7,064,559
Total of all expenses incurred2017-09-30$2,110,855
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-09-30$2,065,556
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-09-30$3,311,352
Value of total assets at end of year2017-09-30$30,066,537
Value of total assets at beginning of year2017-09-30$25,112,833
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-09-30$45,299
Total dividends received (eg from common stock, registered investment company shares)2017-09-30$1,084,286
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2017-09-30$1,084,286
Was this plan covered by a fidelity bond2017-09-30Yes
Value of fidelity bond cover2017-09-30$1,300,000
If this is an individual account plan, was there a blackout period2017-09-30No
Were there any nonexempt tranactions with any party-in-interest2017-09-30No
Contributions received from participants2017-09-30$3,106,285
Participant contributions at end of year2017-09-30$116,964
Participant contributions at beginning of year2017-09-30$0
Income. Received or receivable in cash from other sources (including rollovers)2017-09-30$205,067
Administrative expenses (other) incurred2017-09-30$41,371
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-09-30No
Value of net income/loss2017-09-30$4,953,704
Value of net assets at end of year (total assets less liabilities)2017-09-30$30,066,537
Value of net assets at beginning of year (total assets less liabilities)2017-09-30$25,112,833
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-09-30No
Were any leases to which the plan was party in default or uncollectible2017-09-30No
Investment advisory and management fees2017-09-30$3,928
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-09-30$29,949,573
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-09-30$25,112,833
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-09-30$2,668,921
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-09-30No
Was there a failure to transmit to the plan any participant contributions2017-09-30Yes
Has the plan failed to provide any benefit when due under the plan2017-09-30No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-09-30$2,065,556
Did the plan have assets held for investment2017-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-09-30Yes
Opinion of an independent qualified public accountant for this plan2017-09-30Disclaimer
Accountancy firm name2017-09-30MOSS ADAMS LLP
Accountancy firm EIN2017-09-30910189318
2016 : SKY LAKES MEDICAL CENTER 403(B) PLAN 2016 401k financial data
Total income from all sources (including contributions)2016-09-30$5,966,313
Total of all expenses incurred2016-09-30$1,908,876
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-09-30$1,870,858
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-09-30$3,609,408
Value of total assets at end of year2016-09-30$25,112,833
Value of total assets at beginning of year2016-09-30$21,055,396
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-09-30$38,018
Total dividends received (eg from common stock, registered investment company shares)2016-09-30$1,018,710
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2016-09-30$1,018,710
Was this plan covered by a fidelity bond2016-09-30Yes
Value of fidelity bond cover2016-09-30$1,300,000
If this is an individual account plan, was there a blackout period2016-09-30No
Were there any nonexempt tranactions with any party-in-interest2016-09-30No
Contributions received from participants2016-09-30$2,830,558
Income. Received or receivable in cash from other sources (including rollovers)2016-09-30$778,850
Administrative expenses (other) incurred2016-09-30$38,018
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-09-30No
Value of net income/loss2016-09-30$4,057,437
Value of net assets at end of year (total assets less liabilities)2016-09-30$25,112,833
Value of net assets at beginning of year (total assets less liabilities)2016-09-30$21,055,396
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-09-30No
Were any leases to which the plan was party in default or uncollectible2016-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-09-30$25,112,833
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-09-30$21,055,396
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-09-30$1,338,195
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-09-30No
Was there a failure to transmit to the plan any participant contributions2016-09-30Yes
Has the plan failed to provide any benefit when due under the plan2016-09-30No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-09-30$1,870,858
Did the plan have assets held for investment2016-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-09-30Yes
Opinion of an independent qualified public accountant for this plan2016-09-30Disclaimer
Accountancy firm name2016-09-30MOSS ADAMS LLP
Accountancy firm EIN2016-09-30910189318
2015 : SKY LAKES MEDICAL CENTER 403(B) PLAN 2015 401k financial data
Total income from all sources (including contributions)2015-09-30$3,135,263
Total of all expenses incurred2015-09-30$1,976,847
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-09-30$1,939,864
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-09-30$3,583,625
Value of total assets at end of year2015-09-30$21,055,396
Value of total assets at beginning of year2015-09-30$19,896,980
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-09-30$36,983
Total dividends received (eg from common stock, registered investment company shares)2015-09-30$1,186,739
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2015-09-30$1,186,739
Was this plan covered by a fidelity bond2015-09-30Yes
Value of fidelity bond cover2015-09-30$1,300,000
If this is an individual account plan, was there a blackout period2015-09-30No
Were there any nonexempt tranactions with any party-in-interest2015-09-30No
Contributions received from participants2015-09-30$2,296,231
Income. Received or receivable in cash from other sources (including rollovers)2015-09-30$1,287,394
Administrative expenses (other) incurred2015-09-30$36,983
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-09-30No
Value of net income/loss2015-09-30$1,158,416
Value of net assets at end of year (total assets less liabilities)2015-09-30$21,055,396
Value of net assets at beginning of year (total assets less liabilities)2015-09-30$19,896,980
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-09-30No
Were any leases to which the plan was party in default or uncollectible2015-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-09-30$21,055,396
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-09-30$19,896,980
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-09-30$-1,635,101
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-09-30No
Was there a failure to transmit to the plan any participant contributions2015-09-30Yes
Has the plan failed to provide any benefit when due under the plan2015-09-30No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-09-30$1,939,864
Did the plan have assets held for investment2015-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-09-30Yes
Opinion of an independent qualified public accountant for this plan2015-09-30Disclaimer
Accountancy firm name2015-09-30MOSS ADAMS LLP
Accountancy firm EIN2015-09-30910189318
2014 : SKY LAKES MEDICAL CENTER 403(B) PLAN 2014 401k financial data
Total income from all sources (including contributions)2014-09-30$4,429,616
Total of all expenses incurred2014-09-30$1,846,400
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-09-30$1,814,049
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-09-30$2,416,123
Value of total assets at end of year2014-09-30$19,896,980
Value of total assets at beginning of year2014-09-30$17,313,764
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-09-30$32,351
Total dividends received (eg from common stock, registered investment company shares)2014-09-30$1,038,056
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2014-09-30$1,038,056
Was this plan covered by a fidelity bond2014-09-30Yes
Value of fidelity bond cover2014-09-30$1,300,000
If this is an individual account plan, was there a blackout period2014-09-30No
Were there any nonexempt tranactions with any party-in-interest2014-09-30No
Contributions received from participants2014-09-30$2,220,005
Income. Received or receivable in cash from other sources (including rollovers)2014-09-30$196,118
Administrative expenses (other) incurred2014-09-30$32,351
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-09-30No
Value of net income/loss2014-09-30$2,583,216
Value of net assets at end of year (total assets less liabilities)2014-09-30$19,896,980
Value of net assets at beginning of year (total assets less liabilities)2014-09-30$17,313,764
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-09-30No
Were any leases to which the plan was party in default or uncollectible2014-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-09-30$19,896,980
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-09-30$17,313,764
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-09-30$975,437
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-09-30No
Was there a failure to transmit to the plan any participant contributions2014-09-30No
Has the plan failed to provide any benefit when due under the plan2014-09-30No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-09-30$1,814,049
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-09-30No
Did the plan have assets held for investment2014-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-09-30Yes
Opinion of an independent qualified public accountant for this plan2014-09-30Disclaimer
Accountancy firm name2014-09-30MOSS ADAMS LLP
Accountancy firm EIN2014-09-30910189318
2013 : SKY LAKES MEDICAL CENTER 403(B) PLAN 2013 401k financial data
Total income from all sources (including contributions)2013-09-30$4,465,597
Total of all expenses incurred2013-09-30$1,156,412
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-09-30$1,128,043
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-09-30$2,300,232
Value of total assets at end of year2013-09-30$17,313,764
Value of total assets at beginning of year2013-09-30$14,004,579
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-09-30$28,369
Total dividends received (eg from common stock, registered investment company shares)2013-09-30$529,933
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2013-09-30$529,933
Was this plan covered by a fidelity bond2013-09-30Yes
Value of fidelity bond cover2013-09-30$1,300,000
If this is an individual account plan, was there a blackout period2013-09-30No
Were there any nonexempt tranactions with any party-in-interest2013-09-30No
Contributions received from participants2013-09-30$1,822,166
Income. Received or receivable in cash from other sources (including rollovers)2013-09-30$478,066
Administrative expenses (other) incurred2013-09-30$28,369
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-09-30No
Value of net income/loss2013-09-30$3,309,185
Value of net assets at end of year (total assets less liabilities)2013-09-30$17,313,764
Value of net assets at beginning of year (total assets less liabilities)2013-09-30$14,004,579
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-09-30No
Were any leases to which the plan was party in default or uncollectible2013-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-09-30$17,313,764
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-09-30$14,004,579
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-09-30$1,635,432
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-09-30No
Was there a failure to transmit to the plan any participant contributions2013-09-30No
Has the plan failed to provide any benefit when due under the plan2013-09-30No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-09-30$1,128,043
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-09-30No
Did the plan have assets held for investment2013-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-09-30Yes
Opinion of an independent qualified public accountant for this plan2013-09-30Disclaimer
Accountancy firm name2013-09-30MOSS ADAMS LLP
Accountancy firm EIN2013-09-30910189318
2012 : SKY LAKES MEDICAL CENTER 403(B) PLAN 2012 401k financial data
Total income from all sources (including contributions)2012-09-30$4,138,574
Total of all expenses incurred2012-09-30$773,765
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-09-30$747,880
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-09-30$1,836,116
Value of total assets at end of year2012-09-30$14,004,579
Value of total assets at beginning of year2012-09-30$10,639,770
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-09-30$25,885
Total dividends received (eg from common stock, registered investment company shares)2012-09-30$269,866
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2012-09-30$269,866
Was this plan covered by a fidelity bond2012-09-30Yes
Value of fidelity bond cover2012-09-30$1,300,000
If this is an individual account plan, was there a blackout period2012-09-30No
Were there any nonexempt tranactions with any party-in-interest2012-09-30No
Contributions received from participants2012-09-30$1,577,124
Income. Received or receivable in cash from other sources (including rollovers)2012-09-30$258,992
Administrative expenses (other) incurred2012-09-30$25,885
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-09-30No
Value of net income/loss2012-09-30$3,364,809
Value of net assets at end of year (total assets less liabilities)2012-09-30$14,004,579
Value of net assets at beginning of year (total assets less liabilities)2012-09-30$10,639,770
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-09-30No
Were any leases to which the plan was party in default or uncollectible2012-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-09-30$14,004,579
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-09-30$10,122,118
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-09-30$517,652
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-09-30$517,652
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-09-30$2,032,592
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-09-30No
Was there a failure to transmit to the plan any participant contributions2012-09-30No
Has the plan failed to provide any benefit when due under the plan2012-09-30No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-09-30$747,880
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-09-30No
Did the plan have assets held for investment2012-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-09-30Yes
Opinion of an independent qualified public accountant for this plan2012-09-30Disclaimer
Accountancy firm name2012-09-30MOSS ADAMS LLP
Accountancy firm EIN2012-09-30910189318
2011 : SKY LAKES MEDICAL CENTER 403(B) PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-09-30$-636,806
Total unrealized appreciation/depreciation of assets2011-09-30$-636,806
Total transfer of assets to this plan2011-09-30$32,251
Total income from all sources (including contributions)2011-09-30$1,324,682
Total of all expenses incurred2011-09-30$598,153
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-09-30$573,574
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-09-30$1,493,995
Value of total assets at end of year2011-09-30$10,639,770
Value of total assets at beginning of year2011-09-30$9,874,074
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-09-30$24,579
Total interest from all sources2011-09-30$81
Total dividends received (eg from common stock, registered investment company shares)2011-09-30$215,331
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-09-30No
Was this plan covered by a fidelity bond2011-09-30No
If this is an individual account plan, was there a blackout period2011-09-30No
Were there any nonexempt tranactions with any party-in-interest2011-09-30No
Contributions received from participants2011-09-30$1,493,995
Administrative expenses (other) incurred2011-09-30$24,579
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-09-30No
Value of net income/loss2011-09-30$726,529
Value of net assets at end of year (total assets less liabilities)2011-09-30$10,639,770
Value of net assets at beginning of year (total assets less liabilities)2011-09-30$9,874,074
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-09-30No
Were any leases to which the plan was party in default or uncollectible2011-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-09-30$10,122,118
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-09-30$9,412,236
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-09-30$517,652
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-09-30$461,838
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-09-30$461,838
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-09-30$81
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-09-30$252,081
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-09-30No
Was there a failure to transmit to the plan any participant contributions2011-09-30No
Has the plan failed to provide any benefit when due under the plan2011-09-30No
Income. Dividends from common stock2011-09-30$215,331
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-09-30$573,574
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-09-30No
Did the plan have assets held for investment2011-09-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-09-30Yes
Opinion of an independent qualified public accountant for this plan2011-09-30Disclaimer
Accountancy firm name2011-09-30MOLATORE SCROGGIN PTERSON & CO LLP
Accountancy firm EIN2011-09-30930428202

Form 5500 Responses for SKY LAKES MEDICAL CENTER 403(B) PLAN

2019: SKY LAKES MEDICAL CENTER 403(B) PLAN 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01This submission is the final filingYes
2019-10-01This return/report is a short plan year return/report (less than 12 months)Yes
2019-10-01Plan funding arrangement – TrustYes
2019-10-01Plan benefit arrangement - TrustYes
2018: SKY LAKES MEDICAL CENTER 403(B) PLAN 2018 form 5500 responses
2018-10-01Type of plan entitySingle employer plan
2018-10-01Plan funding arrangement – TrustYes
2018-10-01Plan benefit arrangement - TrustYes
2017: SKY LAKES MEDICAL CENTER 403(B) PLAN 2017 form 5500 responses
2017-10-01Type of plan entitySingle employer plan
2017-10-01Plan funding arrangement – TrustYes
2017-10-01Plan benefit arrangement - TrustYes
2016: SKY LAKES MEDICAL CENTER 403(B) PLAN 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01Plan funding arrangement – TrustYes
2016-10-01Plan benefit arrangement - TrustYes
2015: SKY LAKES MEDICAL CENTER 403(B) PLAN 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01Plan funding arrangement – TrustYes
2015-10-01Plan benefit arrangement - TrustYes
2014: SKY LAKES MEDICAL CENTER 403(B) PLAN 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01Plan funding arrangement – TrustYes
2014-10-01Plan benefit arrangement - TrustYes
2013: SKY LAKES MEDICAL CENTER 403(B) PLAN 2013 form 5500 responses
2013-10-01Type of plan entitySingle employer plan
2013-10-01Plan funding arrangement – TrustYes
2013-10-01Plan benefit arrangement - TrustYes
2012: SKY LAKES MEDICAL CENTER 403(B) PLAN 2012 form 5500 responses
2012-10-01Type of plan entitySingle employer plan
2012-10-01Plan funding arrangement – TrustYes
2012-10-01Plan benefit arrangement - TrustYes
2011: SKY LAKES MEDICAL CENTER 403(B) PLAN 2011 form 5500 responses
2011-10-01Type of plan entitySingle employer plan
2011-10-01Plan funding arrangement – TrustYes
2011-10-01Plan benefit arrangement - TrustYes
2010: SKY LAKES MEDICAL CENTER 403(B) PLAN 2010 form 5500 responses
2010-10-01Type of plan entitySingle employer plan
2010-10-01Plan funding arrangement – TrustYes
2010-10-01Plan benefit arrangement - TrustYes
2009: SKY LAKES MEDICAL CENTER 403(B) PLAN 2009 form 5500 responses
2009-10-01Type of plan entitySingle employer plan
2009-10-01First time form 5500 has been submittedYes
2009-10-01This submission is the final filingNo
2009-10-01Plan funding arrangement – TrustYes
2009-10-01Plan benefit arrangement - TrustYes

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