401k Plan data: POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN plan

POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 401k Plan overview

Plan Name	POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN
Plan identification number	003

POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
Participant-directed brokerage accounts provided as an investment option under the plan.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.

401k Sponsoring company profile

POMONA VALLEY HOSPITAL MEDICAL CENTER has sponsored the creation of one or more 401k plans.

Company Name: POMONA VALLEY HOSPITAL MEDICAL CENTER

Employer identification number (EIN): 951115230

NAIC Classification: 622000
NAIC Description: Hospitals

Additional information about POMONA VALLEY HOSPITAL MEDICAL CENTER

Jurisdiction of Incorporation: California Department of State

Incorporation Date:

Company Identification Number: C0123032

More information about POMONA VALLEY HOSPITAL MEDICAL CENTER

Form 5500 Filing Information

Submission information for form 5500 for 401k plan POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2022-01-01
003 2021-01-01
003 2020-01-01
003 2019-01-01
003 2018-01-01
003 2017-01-01 RAY INGE
003 2016-01-01 RAY INGE
003 2015-01-01 RAY INGE
003 2014-01-01 RAY INGE
003 2013-01-01 RAY INGE
003 2012-01-01 RAY INGE RAY INGE 2013-10-14
003 2011-01-01 RAY INGE RAY INGE 2012-10-12
003 2010-01-01 RAY INGE RAY INGE 2011-10-14
003 2009-01-01 RAY INGE
003 2009-01-01 RAY INGE RAY INGE 2011-10-12

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
003	2022-01-01
003	2021-01-01
003	2020-01-01
003	2019-01-01
003	2018-01-01
003	2017-01-01	RAY INGE
003	2016-01-01	RAY INGE
003	2015-01-01	RAY INGE
003	2014-01-01	RAY INGE
003	2013-01-01	RAY INGE
003	2012-01-01	RAY INGE	RAY INGE	2013-10-14
003	2011-01-01	RAY INGE	RAY INGE	2012-10-12
003	2010-01-01	RAY INGE	RAY INGE	2011-10-14
003	2009-01-01	RAY INGE
003	2009-01-01	RAY INGE	RAY INGE	2011-10-12

Plan Statistics for POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN

401k plan membership statisitcs for POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN

Measure Date Value
2022: POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 4,909
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 3,837
Number of retired or separated participants receiving benefits 2022-01-01 71
Number of other retired or separated participants entitled to future benefits 2022-01-01 931
Total of all active and inactive participants 2022-01-01 4,839
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 10
Total participants 2022-01-01 4,849
Number of participants with account balances 2022-01-01 4,064
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 0
2021: POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 4,622
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 3,731
Number of retired or separated participants receiving benefits 2021-01-01 63
Number of other retired or separated participants entitled to future benefits 2021-01-01 1,109
Total of all active and inactive participants 2021-01-01 4,903
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 6
Total participants 2021-01-01 4,909
Number of participants with account balances 2021-01-01 4,212
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 4,432
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 3,753
Number of retired or separated participants receiving benefits 2020-01-01 44
Number of other retired or separated participants entitled to future benefits 2020-01-01 819
Total of all active and inactive participants 2020-01-01 4,616
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 6
Total participants 2020-01-01 4,622
Number of participants with account balances 2020-01-01 3,769
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 4,256
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 3,636
Number of retired or separated participants receiving benefits 2019-01-01 40
Number of other retired or separated participants entitled to future benefits 2019-01-01 753
Total of all active and inactive participants 2019-01-01 4,429
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 3
Total participants 2019-01-01 4,432
Number of participants with account balances 2019-01-01 3,657
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 4,147
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 3,508
Number of retired or separated participants receiving benefits 2018-01-01 31
Number of other retired or separated participants entitled to future benefits 2018-01-01 711
Total of all active and inactive participants 2018-01-01 4,250
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 2
Total participants 2018-01-01 4,252
Number of participants with account balances 2018-01-01 3,474
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 3,991
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 3,356
Number of retired or separated participants receiving benefits 2017-01-01 24
Number of other retired or separated participants entitled to future benefits 2017-01-01 764
Total of all active and inactive participants 2017-01-01 4,144
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 2
Total participants 2017-01-01 4,146
Number of participants with account balances 2017-01-01 3,389
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 3,749
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 3,263
Number of retired or separated participants receiving benefits 2016-01-01 20
Number of other retired or separated participants entitled to future benefits 2016-01-01 705
Total of all active and inactive participants 2016-01-01 3,988
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 3
Total participants 2016-01-01 3,991
Number of participants with account balances 2016-01-01 3,208
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 3,469
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 3,094
Number of retired or separated participants receiving benefits 2015-01-01 14
Number of other retired or separated participants entitled to future benefits 2015-01-01 641
Total of all active and inactive participants 2015-01-01 3,749
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 3,749
Number of participants with account balances 2015-01-01 3,189
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 3,747
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 2,915
Number of retired or separated participants receiving benefits 2014-01-01 4
Number of other retired or separated participants entitled to future benefits 2014-01-01 550
Total of all active and inactive participants 2014-01-01 3,469
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 3,469
Number of participants with account balances 2014-01-01 3,170
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 3,825
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 3,026
Number of retired or separated participants receiving benefits 2013-01-01 2
Number of other retired or separated participants entitled to future benefits 2013-01-01 719
Total of all active and inactive participants 2013-01-01 3,747
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 3,747
Number of participants with account balances 2013-01-01 3,191
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 3,732
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 3,023
Number of retired or separated participants receiving benefits 2012-01-01 2
Number of other retired or separated participants entitled to future benefits 2012-01-01 800
Total of all active and inactive participants 2012-01-01 3,825
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 3,825
Number of participants with account balances 2012-01-01 3,186
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 3,397
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 3,018
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 714
Total of all active and inactive participants 2011-01-01 3,732
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 3,732
Number of participants with account balances 2011-01-01 3,160
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 3,609
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 2,959
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 438
Total of all active and inactive participants 2010-01-01 3,397
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 3,397
Number of participants with account balances 2010-01-01 2,436
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 3,237
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 3,237
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 339
Total of all active and inactive participants 2009-01-01 3,576
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 3,576
Number of participants with account balances 2009-01-01 2,934
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2022: POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	4,909
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	3,837
Number of retired or separated participants receiving benefits	2022-01-01	71
Number of other retired or separated participants entitled to future benefits	2022-01-01	931
Total of all active and inactive participants	2022-01-01	4,839
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	10
Total participants	2022-01-01	4,849
Number of participants with account balances	2022-01-01	4,064
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2021: POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	4,622
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	3,731
Number of retired or separated participants receiving benefits	2021-01-01	63
Number of other retired or separated participants entitled to future benefits	2021-01-01	1,109
Total of all active and inactive participants	2021-01-01	4,903
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	6
Total participants	2021-01-01	4,909
Number of participants with account balances	2021-01-01	4,212
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	4,432
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	3,753
Number of retired or separated participants receiving benefits	2020-01-01	44
Number of other retired or separated participants entitled to future benefits	2020-01-01	819
Total of all active and inactive participants	2020-01-01	4,616
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	6
Total participants	2020-01-01	4,622
Number of participants with account balances	2020-01-01	3,769
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	4,256
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	3,636
Number of retired or separated participants receiving benefits	2019-01-01	40
Number of other retired or separated participants entitled to future benefits	2019-01-01	753
Total of all active and inactive participants	2019-01-01	4,429
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	3
Total participants	2019-01-01	4,432
Number of participants with account balances	2019-01-01	3,657
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	4,147
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	3,508
Number of retired or separated participants receiving benefits	2018-01-01	31
Number of other retired or separated participants entitled to future benefits	2018-01-01	711
Total of all active and inactive participants	2018-01-01	4,250
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	2
Total participants	2018-01-01	4,252
Number of participants with account balances	2018-01-01	3,474
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	3,991
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	3,356
Number of retired or separated participants receiving benefits	2017-01-01	24
Number of other retired or separated participants entitled to future benefits	2017-01-01	764
Total of all active and inactive participants	2017-01-01	4,144
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	2
Total participants	2017-01-01	4,146
Number of participants with account balances	2017-01-01	3,389
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	3,749
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	3,263
Number of retired or separated participants receiving benefits	2016-01-01	20
Number of other retired or separated participants entitled to future benefits	2016-01-01	705
Total of all active and inactive participants	2016-01-01	3,988
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	3
Total participants	2016-01-01	3,991
Number of participants with account balances	2016-01-01	3,208
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	3,469
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	3,094
Number of retired or separated participants receiving benefits	2015-01-01	14
Number of other retired or separated participants entitled to future benefits	2015-01-01	641
Total of all active and inactive participants	2015-01-01	3,749
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	3,749
Number of participants with account balances	2015-01-01	3,189
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	3,747
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	2,915
Number of retired or separated participants receiving benefits	2014-01-01	4
Number of other retired or separated participants entitled to future benefits	2014-01-01	550
Total of all active and inactive participants	2014-01-01	3,469
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	3,469
Number of participants with account balances	2014-01-01	3,170
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	3,825
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	3,026
Number of retired or separated participants receiving benefits	2013-01-01	2
Number of other retired or separated participants entitled to future benefits	2013-01-01	719
Total of all active and inactive participants	2013-01-01	3,747
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	3,747
Number of participants with account balances	2013-01-01	3,191
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	3,732
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	3,023
Number of retired or separated participants receiving benefits	2012-01-01	2
Number of other retired or separated participants entitled to future benefits	2012-01-01	800
Total of all active and inactive participants	2012-01-01	3,825
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	3,825
Number of participants with account balances	2012-01-01	3,186
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	3,397
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	3,018
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	714
Total of all active and inactive participants	2011-01-01	3,732
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	3,732
Number of participants with account balances	2011-01-01	3,160
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	3,609
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	2,959
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	438
Total of all active and inactive participants	2010-01-01	3,397
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	3,397
Number of participants with account balances	2010-01-01	2,436
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	3,237
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	3,237
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	339
Total of all active and inactive participants	2009-01-01	3,576
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	3,576
Number of participants with account balances	2009-01-01	2,934
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN

Measure	Date	Value
2023 : POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 2023 401k financial data
Total unrealized appreciation/depreciation of assets	2023-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2023-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2023-12-31	$0
Total income from all sources (including contributions)	2023-12-31	$106,104,863
Total loss/gain on sale of assets	2023-12-31	$0
Total of all expenses incurred	2023-12-31	$34,605,490
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2023-12-31	$33,870,944
Expenses. Certain deemed distributions of participant loans	2023-12-31	$662,084
Value of total corrective distributions	2023-12-31	$19,996
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2023-12-31	$40,575,634
Value of total assets at end of year	2023-12-31	$525,201,271
Value of total assets at beginning of year	2023-12-31	$453,701,898
Total of administrative expenses incurred including professional, contract, advisory and management fees	2023-12-31	$52,466
Total interest from all sources	2023-12-31	$4,316,361
Total dividends received (eg from common stock, registered investment company shares)	2023-12-31	$13,410,281
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2023-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2023-12-31	$13,410,281
Was this plan covered by a fidelity bond	2023-12-31	Yes
Value of fidelity bond cover	2023-12-31	$500,000
If this is an individual account plan, was there a blackout period	2023-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2023-12-31	No
Contributions received from participants	2023-12-31	$25,350,510
Participant contributions at end of year	2023-12-31	$9,573,982
Participant contributions at beginning of year	2023-12-31	$9,352,541
Assets. Other investments not covered elsewhere at end of year	2023-12-31	$2,616,882
Assets. Other investments not covered elsewhere at beginning of year	2023-12-31	$1,732,492
Income. Received or receivable in cash from other sources (including rollovers)	2023-12-31	$1,062,391
Other income not declared elsewhere	2023-12-31	$313,397
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2023-12-31	No
Value of net income/loss	2023-12-31	$71,499,373
Value of net assets at end of year (total assets less liabilities)	2023-12-31	$525,201,271
Value of net assets at beginning of year (total assets less liabilities)	2023-12-31	$453,701,898
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2023-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2023-12-31	No
Were any leases to which the plan was party in default or uncollectible	2023-12-31	No
Investment advisory and management fees	2023-12-31	$17,279
Value of interest in registered invesment companies (eg mutual funds) at end of year	2023-12-31	$379,651,199
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2023-12-31	$307,993,394
Interest on participant loans	2023-12-31	$422,177
Interest earned on other investments	2023-12-31	$3,797,731
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2023-12-31	$1,806,112
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2023-12-31	$2,085,574
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2023-12-31	$2,085,574
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2023-12-31	$96,453
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2023-12-31	$119,593,007
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2023-12-31	$121,532,754
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2023-12-31	$47,489,190
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2023-12-31	No
Was there a failure to transmit to the plan any participant contributions	2023-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2023-12-31	No
Contributions received in cash from employer	2023-12-31	$14,162,733
Employer contributions (assets) at end of year	2023-12-31	$11,960,089
Employer contributions (assets) at beginning of year	2023-12-31	$11,005,143
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2023-12-31	$33,870,944
Contract administrator fees	2023-12-31	$35,187
Did the plan have assets held for investment	2023-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2023-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2023-12-31	No
Opinion of an independent qualified public accountant for this plan	2023-12-31	Unqualified
Accountancy firm name	2023-12-31	FARBER HASS HURLEY LLP
Accountancy firm EIN	2023-12-31	204207759
2022 : POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total income from all sources (including contributions)	2022-12-31	$-26,977,746
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$26,763,684
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$26,424,839
Expenses. Certain deemed distributions of participant loans	2022-12-31	$275,337
Value of total corrective distributions	2022-12-31	$19,520
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$37,606,383
Value of total assets at end of year	2022-12-31	$453,701,898
Value of total assets at beginning of year	2022-12-31	$507,443,328
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$43,988
Total interest from all sources	2022-12-31	$4,120,154
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$19,405,301
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$19,405,301
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$500,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$23,349,125
Participant contributions at end of year	2022-12-31	$9,352,541
Participant contributions at beginning of year	2022-12-31	$10,375,959
Assets. Other investments not covered elsewhere at end of year	2022-12-31	$1,732,492
Assets. Other investments not covered elsewhere at beginning of year	2022-12-31	$1,195,268
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$1,091,940
Other income not declared elsewhere	2022-12-31	$-160,159
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-53,741,430
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$453,701,898
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$507,443,328
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Investment advisory and management fees	2022-12-31	$17,390
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$307,993,394
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$367,144,578
Interest on participant loans	2022-12-31	$363,990
Interest earned on other investments	2022-12-31	$3,728,608
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2022-12-31	$2,085,574
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2022-12-31	$2,084,291
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2022-12-31	$2,084,291
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2022-12-31	$27,556
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$121,532,754
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$116,217,167
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-87,949,425
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$13,165,318
Employer contributions (assets) at end of year	2022-12-31	$11,005,143
Employer contributions (assets) at beginning of year	2022-12-31	$10,426,065
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$26,424,839
Contract administrator fees	2022-12-31	$26,598
Did the plan have assets held for investment	2022-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	FARBER HASS HURLEY LLP
Accountancy firm EIN	2022-12-31	204207759
2021 : POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total income from all sources (including contributions)	2021-12-31	$90,212,894
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$34,887,998
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$34,597,702
Expenses. Certain deemed distributions of participant loans	2021-12-31	$258,076
Value of total corrective distributions	2021-12-31	$4,458
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$35,152,037
Value of total assets at end of year	2021-12-31	$507,443,328
Value of total assets at beginning of year	2021-12-31	$452,118,432
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$27,762
Total interest from all sources	2021-12-31	$4,150,730
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$25,003,850
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$25,003,850
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$500,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$21,541,489
Participant contributions at end of year	2021-12-31	$10,375,959
Participant contributions at beginning of year	2021-12-31	$11,791,759
Assets. Other investments not covered elsewhere at end of year	2021-12-31	$1,195,268
Assets. Other investments not covered elsewhere at beginning of year	2021-12-31	$1,003,078
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$984,701
Other income not declared elsewhere	2021-12-31	$99,198
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$55,324,896
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$507,443,328
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$452,118,432
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Investment advisory and management fees	2021-12-31	$12,463
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$367,144,578
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$309,204,154
Interest on participant loans	2021-12-31	$469,006
Interest earned on other investments	2021-12-31	$3,681,456
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2021-12-31	$2,084,291
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2021-12-31	$2,941,075
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2021-12-31	$2,941,075
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2021-12-31	$268
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$116,217,167
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$117,183,719
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$25,807,079
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$12,625,847
Employer contributions (assets) at end of year	2021-12-31	$10,426,065
Employer contributions (assets) at beginning of year	2021-12-31	$9,994,647
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$34,597,702
Contract administrator fees	2021-12-31	$15,299
Did the plan have assets held for investment	2021-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	FARBER HASS HURLEY LLP
Accountancy firm EIN	2021-12-31	204207759
2020 : POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total income from all sources (including contributions)	2020-12-31	$80,017,991
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$30,740,269
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$30,396,813
Expenses. Certain deemed distributions of participant loans	2020-12-31	$307,452
Value of total corrective distributions	2020-12-31	$935
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$33,700,812
Value of total assets at end of year	2020-12-31	$452,118,432
Value of total assets at beginning of year	2020-12-31	$402,840,710
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$35,069
Total interest from all sources	2020-12-31	$4,065,442
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$13,085,498
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$13,085,498
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$500,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$19,415,712
Participant contributions at end of year	2020-12-31	$11,791,759
Participant contributions at beginning of year	2020-12-31	$10,576,473
Assets. Other investments not covered elsewhere at end of year	2020-12-31	$1,003,078
Assets. Other investments not covered elsewhere at beginning of year	2020-12-31	$185,097
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$2,272,322
Other income not declared elsewhere	2020-12-31	$5,680,936
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$49,277,722
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$452,118,432
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$402,840,710
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Investment advisory and management fees	2020-12-31	$7,607
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$309,204,154
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$275,792,940
Interest on participant loans	2020-12-31	$482,651
Interest earned on other investments	2020-12-31	$3,575,489
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2020-12-31	$2,941,075
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2020-12-31	$2,842,463
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2020-12-31	$2,842,463
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2020-12-31	$7,302
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$117,183,719
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$103,993,238
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$23,485,303
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$12,012,778
Employer contributions (assets) at end of year	2020-12-31	$9,994,647
Employer contributions (assets) at beginning of year	2020-12-31	$9,450,499
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$30,396,813
Contract administrator fees	2020-12-31	$27,462
Did the plan have assets held for investment	2020-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	FARBER HASS HURLEY LLP
Accountancy firm EIN	2020-12-31	204207759
2019 : POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total transfer of assets to this plan	2019-12-31	$220,663
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$86,771,313
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$19,440,688
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$19,103,640
Expenses. Certain deemed distributions of participant loans	2019-12-31	$267,795
Value of total corrective distributions	2019-12-31	$3,174
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$31,165,275
Value of total assets at end of year	2019-12-31	$402,840,710
Value of total assets at beginning of year	2019-12-31	$335,289,422
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$66,079
Total interest from all sources	2019-12-31	$3,708,501
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$12,805,995
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$12,805,995
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$18,639,581
Participant contributions at end of year	2019-12-31	$10,576,473
Participant contributions at beginning of year	2019-12-31	$9,696,601
Assets. Other investments not covered elsewhere at end of year	2019-12-31	$185,097
Assets. Other investments not covered elsewhere at beginning of year	2019-12-31	$644,812
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$1,088,180
Other income not declared elsewhere	2019-12-31	$90,721
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$67,330,625
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$402,840,710
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$335,289,422
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Investment advisory and management fees	2019-12-31	$40,644
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$275,792,940
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$214,836,608
Interest on participant loans	2019-12-31	$444,953
Interest earned on other investments	2019-12-31	$3,210,317
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-12-31	$2,842,463
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-12-31	$3,010,017
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-12-31	$3,010,017
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-12-31	$53,231
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$103,993,238
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$98,148,259
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$39,000,821
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$11,437,514
Employer contributions (assets) at end of year	2019-12-31	$9,450,499
Employer contributions (assets) at beginning of year	2019-12-31	$8,953,125
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$19,103,640
Contract administrator fees	2019-12-31	$25,435
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	FARBER HASS HURLEY LLP
Accountancy firm EIN	2019-12-31	204207759
2018 : POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$18,340,532
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$17,227,275
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$16,817,757
Expenses. Certain deemed distributions of participant loans	2018-12-31	$381,468
Value of total corrective distributions	2018-12-31	$1,687
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$30,519,349
Value of total assets at end of year	2018-12-31	$335,289,422
Value of total assets at beginning of year	2018-12-31	$334,176,165
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$26,363
Total interest from all sources	2018-12-31	$3,485,362
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$14,402,622
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$14,402,622
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$500,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$17,197,590
Participant contributions at end of year	2018-12-31	$9,696,601
Participant contributions at beginning of year	2018-12-31	$9,727,765
Assets. Other investments not covered elsewhere at end of year	2018-12-31	$644,812
Assets. Other investments not covered elsewhere at beginning of year	2018-12-31	$1,088,497
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$2,524,860
Other income not declared elsewhere	2018-12-31	$-23,658
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$1,113,257
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$335,289,422
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$334,176,165
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Investment advisory and management fees	2018-12-31	$5,629
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$214,836,608
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$218,845,416
Interest on participant loans	2018-12-31	$376,173
Interest earned on other investments	2018-12-31	$3,064,249
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2018-12-31	$3,010,017
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2018-12-31	$3,018,198
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2018-12-31	$3,018,198
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2018-12-31	$44,940
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$98,148,259
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$93,091,616
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-30,043,143
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$10,796,899
Employer contributions (assets) at end of year	2018-12-31	$8,953,125
Employer contributions (assets) at beginning of year	2018-12-31	$8,404,673
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$16,817,757
Contract administrator fees	2018-12-31	$20,734
Did the plan have assets held for investment	2018-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	FARBER HASS HURLEY LLP
Accountancy firm EIN	2018-12-31	204207759
2017 : POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$64,398,252
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$15,620,401
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$15,319,449
Expenses. Certain deemed distributions of participant loans	2017-12-31	$247,329
Value of total corrective distributions	2017-12-31	$2,199
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$27,006,063
Value of total assets at end of year	2017-12-31	$334,176,165
Value of total assets at beginning of year	2017-12-31	$285,398,314
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$51,424
Total interest from all sources	2017-12-31	$3,223,670
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$9,087,504
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$9,087,504
Administrative expenses professional fees incurred	2017-12-31	$3,750
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$500,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$15,763,292
Participant contributions at end of year	2017-12-31	$9,727,765
Participant contributions at beginning of year	2017-12-31	$8,482,999
Assets. Other investments not covered elsewhere at end of year	2017-12-31	$1,088,497
Assets. Other investments not covered elsewhere at beginning of year	2017-12-31	$1,048,484
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$1,100,559
Other income not declared elsewhere	2017-12-31	$52,092
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$48,777,851
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$334,176,165
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$285,398,314
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Investment advisory and management fees	2017-12-31	$3,351
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$218,845,416
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$175,909,225
Interest on participant loans	2017-12-31	$298,782
Interest earned on other investments	2017-12-31	$2,908,297
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2017-12-31	$3,018,198
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2017-12-31	$2,871,533
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2017-12-31	$2,871,533
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-12-31	$16,591
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$93,091,616
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$89,166,869
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$25,028,923
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$10,142,212
Employer contributions (assets) at end of year	2017-12-31	$8,404,673
Employer contributions (assets) at beginning of year	2017-12-31	$7,919,204
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$15,319,449
Contract administrator fees	2017-12-31	$44,323
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	FARBER HASS HURLEY LLP
Accountancy firm EIN	2017-12-31	204207759
2016 : POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$40,706,687
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$13,909,617
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$13,686,184
Expenses. Certain deemed distributions of participant loans	2016-12-31	$141,032
Value of total corrective distributions	2016-12-31	$4,396
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$24,857,929
Value of total assets at end of year	2016-12-31	$285,398,314
Value of total assets at beginning of year	2016-12-31	$258,601,244
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$78,005
Total interest from all sources	2016-12-31	$3,027,384
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$5,607,103
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$5,607,103
Administrative expenses professional fees incurred	2016-12-31	$25,997
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$500,000
If this is an individual account plan, was there a blackout period	2016-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$14,824,095
Participant contributions at end of year	2016-12-31	$8,482,999
Participant contributions at beginning of year	2016-12-31	$7,208,497
Participant contributions at end of year	2016-12-31	$0
Participant contributions at beginning of year	2016-12-31	$441,896
Assets. Other investments not covered elsewhere at end of year	2016-12-31	$1,048,484
Assets. Other investments not covered elsewhere at beginning of year	2016-12-31	$731,133
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$561,756
Other income not declared elsewhere	2016-12-31	$129,978
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$26,797,070
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$285,398,314
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$258,601,244
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Investment advisory and management fees	2016-12-31	$27,000
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$175,909,225
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$157,694,142
Interest on participant loans	2016-12-31	$256,588
Interest earned on other investments	2016-12-31	$2,768,292
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-12-31	$2,871,533
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-12-31	$3,376,725
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-12-31	$3,376,725
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-12-31	$2,504
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$89,166,869
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$81,945,642
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$7,084,293
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$9,472,078
Employer contributions (assets) at end of year	2016-12-31	$7,919,204
Employer contributions (assets) at beginning of year	2016-12-31	$7,203,209
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$13,686,184
Contract administrator fees	2016-12-31	$25,008
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2016-12-31	Yes
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	FARBER HASS HURLEY LLP
Accountancy firm EIN	2016-12-31	204207759
2015 : POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$25,343,406
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$10,923,447
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$10,732,568
Expenses. Certain deemed distributions of participant loans	2015-12-31	$144,963
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$23,976,060
Value of total assets at end of year	2015-12-31	$258,601,244
Value of total assets at beginning of year	2015-12-31	$244,181,285
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$45,916
Total interest from all sources	2015-12-31	$2,801,524
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$7,177,252
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$7,177,252
Administrative expenses professional fees incurred	2015-12-31	$24,811
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$500,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$14,556,455
Participant contributions at end of year	2015-12-31	$7,208,497
Participant contributions at beginning of year	2015-12-31	$6,363,152
Participant contributions at end of year	2015-12-31	$441,896
Participant contributions at beginning of year	2015-12-31	$0
Assets. Other investments not covered elsewhere at end of year	2015-12-31	$731,133
Assets. Other investments not covered elsewhere at beginning of year	2015-12-31	$645,155
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$465,588
Other income not declared elsewhere	2015-12-31	$35,352
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$14,419,959
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$258,601,244
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$244,181,285
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Investment advisory and management fees	2015-12-31	$16,144
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$157,694,142
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$150,024,554
Interest on participant loans	2015-12-31	$215,746
Interest earned on other investments	2015-12-31	$2,585,286
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$3,376,725
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$3,496,726
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$3,496,726
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-12-31	$492
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$81,945,642
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$76,919,855
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-8,646,782
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$8,954,017
Employer contributions (assets) at end of year	2015-12-31	$7,203,209
Employer contributions (assets) at beginning of year	2015-12-31	$6,731,843
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$10,732,568
Contract administrator fees	2015-12-31	$4,961
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	FARBER HASS HURLEY LLP
Accountancy firm EIN	2015-12-31	204207759
2014 : POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$33,861,825
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$14,450,856
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$14,245,434
Expenses. Certain deemed distributions of participant loans	2014-12-31	$176,710
Value of total corrective distributions	2014-12-31	$104
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$21,892,869
Value of total assets at end of year	2014-12-31	$244,181,285
Value of total assets at beginning of year	2014-12-31	$224,770,316
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$28,608
Total interest from all sources	2014-12-31	$2,656,317
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$7,281,961
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$7,281,961
Administrative expenses professional fees incurred	2014-12-31	$23,448
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$13,187,252
Participant contributions at end of year	2014-12-31	$6,363,152
Participant contributions at beginning of year	2014-12-31	$5,545,560
Assets. Other investments not covered elsewhere at end of year	2014-12-31	$645,155
Assets. Other investments not covered elsewhere at beginning of year	2014-12-31	$534,548
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$403,626
Other income not declared elsewhere	2014-12-31	$72,044
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$19,410,969
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$244,181,285
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$224,770,316
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Investment advisory and management fees	2014-12-31	$459
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$150,024,554
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$133,829,839
Interest on participant loans	2014-12-31	$183,352
Interest earned on other investments	2014-12-31	$2,472,557
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$3,496,726
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$3,893,439
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$3,893,439
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-12-31	$408
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$76,919,855
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$74,176,220
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$1,958,634
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$8,301,991
Employer contributions (assets) at end of year	2014-12-31	$6,731,843
Employer contributions (assets) at beginning of year	2014-12-31	$6,790,710
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$14,245,434
Contract administrator fees	2014-12-31	$4,701
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	FARBER HASS HURLEY LLP
Accountancy firm EIN	2014-12-31	204207759
2013 : POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$48,907,297
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$10,217,832
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$10,068,052
Expenses. Certain deemed distributions of participant loans	2013-12-31	$115,006
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$22,558,648
Value of total assets at end of year	2013-12-31	$224,770,316
Value of total assets at beginning of year	2013-12-31	$186,080,851
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$34,774
Total interest from all sources	2013-12-31	$2,456,160
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$5,581,992
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$5,581,992
Administrative expenses professional fees incurred	2013-12-31	$22,763
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$13,237,173
Participant contributions at end of year	2013-12-31	$5,545,560
Participant contributions at beginning of year	2013-12-31	$4,889,278
Assets. Other investments not covered elsewhere at end of year	2013-12-31	$534,548
Assets. Other investments not covered elsewhere at beginning of year	2013-12-31	$533,932
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$970,070
Other income not declared elsewhere	2013-12-31	$123,260
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$38,689,465
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$224,770,316
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$186,080,851
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$133,829,839
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$104,465,561
Interest on participant loans	2013-12-31	$129,017
Interest earned on other investments	2013-12-31	$2,326,750
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$3,893,439
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$3,808,742
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$3,808,742
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-31	$393
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$74,176,220
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$65,763,504
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$18,187,237
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$8,351,405
Employer contributions (assets) at end of year	2013-12-31	$6,790,710
Employer contributions (assets) at beginning of year	2013-12-31	$6,619,834
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$10,068,052
Contract administrator fees	2013-12-31	$12,011
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	FARBER HASS HURLEY LLP
Accountancy firm EIN	2013-12-31	204207759
2012 : POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$125,725
Total income from all sources (including contributions)	2012-12-31	$35,759,879
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$7,108,386
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$7,009,449
Expenses. Certain deemed distributions of participant loans	2012-12-31	$56,668
Value of total corrective distributions	2012-12-31	$3,177
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$21,401,095
Value of total assets at end of year	2012-12-31	$186,080,851
Value of total assets at beginning of year	2012-12-31	$157,555,083
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$39,092
Total interest from all sources	2012-12-31	$2,273,098
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$2,307,182
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$2,307,182
Administrative expenses professional fees incurred	2012-12-31	$24,805
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$2,500,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$12,480,563
Participant contributions at end of year	2012-12-31	$4,889,278
Participant contributions at beginning of year	2012-12-31	$4,304,643
Assets. Other investments not covered elsewhere at end of year	2012-12-31	$533,932
Assets. Other investments not covered elsewhere at beginning of year	2012-12-31	$576,322
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$719,036
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-12-31	$87,239
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2012-12-31	$125,725
Other income not declared elsewhere	2012-12-31	$66,503
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$28,651,493
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$186,080,851
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$157,429,358
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Investment advisory and management fees	2012-12-31	$1,163
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$104,465,561
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$82,396,287
Interest on participant loans	2012-12-31	$110,046
Interest earned on other investments	2012-12-31	$2,162,320
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$3,808,742
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$5,462,825
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$5,462,825
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$732
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$65,763,504
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$58,754,183
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$9,712,001
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$8,201,496
Employer contributions (assets) at end of year	2012-12-31	$6,619,834
Employer contributions (assets) at beginning of year	2012-12-31	$5,973,584
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$7,009,449
Contract administrator fees	2012-12-31	$13,124
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	FARBER HASS HURLEY LLP
Accountancy firm EIN	2012-12-31	204207759
2011 : POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$125,725
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	$19,287,294
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$11,461,730
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$11,410,657
Expenses. Certain deemed distributions of participant loans	2011-12-31	$430
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$19,559,001
Value of total assets at end of year	2011-12-31	$157,555,083
Value of total assets at beginning of year	2011-12-31	$149,603,794
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$50,643
Total interest from all sources	2011-12-31	$2,032,995
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$1,510,442
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$1,510,442
Administrative expenses professional fees incurred	2011-12-31	$23,250
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$500,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$11,193,272
Participant contributions at end of year	2011-12-31	$4,304,643
Participant contributions at beginning of year	2011-12-31	$3,973,278
Assets. Other investments not covered elsewhere at end of year	2011-12-31	$576,322
Assets. Other investments not covered elsewhere at beginning of year	2011-12-31	$402,240
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$878,677
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-12-31	$87,239
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2011-12-31	$125,725
Other income not declared elsewhere	2011-12-31	$-13,905
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$7,825,564
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$157,429,358
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$149,603,794
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$82,396,287
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$80,299,470
Interest on participant loans	2011-12-31	$81,053
Interest earned on other investments	2011-12-31	$1,951,331
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$5,462,825
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$7,373,221
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$7,373,221
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$611
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$58,754,183
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$52,288,913
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-3,801,239
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$7,487,052
Employer contributions (assets) at end of year	2011-12-31	$5,973,584
Employer contributions (assets) at beginning of year	2011-12-31	$5,266,672
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$11,410,657
Contract administrator fees	2011-12-31	$27,393
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	FARBER HASS HURLEY LLP
Accountancy firm EIN	2011-12-31	204207759
2010 : POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$29,695,992
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$5,555,886
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$5,521,727
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$17,715,426
Value of total assets at end of year	2010-12-31	$149,603,794
Value of total assets at beginning of year	2010-12-31	$125,463,688
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$34,159
Total interest from all sources	2010-12-31	$1,917,634
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$773,912
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$773,912
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$500,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$10,161,445
Participant contributions at end of year	2010-12-31	$3,973,278
Participant contributions at beginning of year	2010-12-31	$3,006,266
Assets. Other investments not covered elsewhere at end of year	2010-12-31	$402,240
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$805,769
Administrative expenses (other) incurred	2010-12-31	$4,374
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$24,140,106
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$149,603,794
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$125,463,688
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$80,299,470
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$62,218,602
Interest on participant loans	2010-12-31	$89,530
Interest earned on other investments	2010-12-31	$1,824,616
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$7,373,221
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$7,828,574
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$7,828,574
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$3,488
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$52,288,913
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$47,702,796
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$9,289,020
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$6,748,212
Employer contributions (assets) at end of year	2010-12-31	$5,266,672
Employer contributions (assets) at beginning of year	2010-12-31	$4,707,450
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$5,521,727
Contract administrator fees	2010-12-31	$29,785
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	FARBER HASS HURLEY, LLP
Accountancy firm EIN	2010-12-31	204207759
2009 : POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$1

Form 5500 Responses for POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN

2022: POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	Yes
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	Yes
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	Yes
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	Yes
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	Yes
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	Yes
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	Yes
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: POMONA VALLEY HOSPITAL MEDICAL CENTER RETIREMENT SAVINGS PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

893265-007

Policy instance

Insurance contract or identification number	893265-007
Number of Individuals Covered	1177
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $42,654
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

CR02719

Policy instance

Insurance contract or identification number	CR02719
Number of Individuals Covered	728
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $83,294
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

CR02719

Policy instance

Insurance contract or identification number	CR02719
Number of Individuals Covered	779
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $88,291
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $88,291
Insurance broker organization code?	4

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

893265-007

Policy instance

Insurance contract or identification number	893265-007
Number of Individuals Covered	1231
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $40,204
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $40,204
Insurance broker organization code?	4

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

893265-007

Policy instance

Insurance contract or identification number	893265-007
Number of Individuals Covered	1310
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $38,380
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $38,380
Insurance broker organization code?	4

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

CR02719

Policy instance

Insurance contract or identification number	CR02719
Number of Individuals Covered	811
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $81,429
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $81,429
Insurance broker organization code?	4

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

CR02719

Policy instance

Insurance contract or identification number	CR02719
Number of Individuals Covered	896
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $120,003
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $120,003
Insurance broker organization code?	4

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

893265-007

Policy instance

Insurance contract or identification number	893265-007
Number of Individuals Covered	1357
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $36,074
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $36,074
Insurance broker organization code?	4

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

893265-007

Policy instance

Insurance contract or identification number	893265-007
Number of Individuals Covered	1345
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $31,560
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $31,560
Insurance broker organization code?	4

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

CR02719

Policy instance

Insurance contract or identification number	CR02719
Number of Individuals Covered	940
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $170,813
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $170,813
Insurance broker organization code?	4

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

893265-007

Policy instance

Insurance contract or identification number	893265-007
Number of Individuals Covered	1357
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $33,383
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $33,383
Insurance broker organization code?	4

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

CR02719

Policy instance

Insurance contract or identification number	CR02719
Number of Individuals Covered	979
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $176,525
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $176,525
Insurance broker organization code?	4

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

893265-007

Policy instance

Insurance contract or identification number	893265-007
Number of Individuals Covered	1415
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $46,934
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $46,934
Insurance broker organization code?	4
Insurance broker name	LINCOLN FINANCIAL ADVISORS

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

CR02719

Policy instance

Insurance contract or identification number	CR02719
Number of Individuals Covered	1021
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $256,250
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $256,250
Insurance broker organization code?	4
Insurance broker name	LINCOLN FINANCIAL ADVISORS

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

CR02719 CR05455

Policy instance

Insurance contract or identification number	CR02719 CR05455
Number of Individuals Covered	1149
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $312,669
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $312,669
Insurance broker organization code?	4
Insurance broker name	LINCOLN FINANCIAL ADVISORS

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

893265-007

Policy instance

Insurance contract or identification number	893265-007
Number of Individuals Covered	1385
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $34,466
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $34,466
Insurance broker organization code?	4
Insurance broker name	LINCOLN FINANCIAL ADVISORS

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

CR02719 CR05455

Policy instance

Insurance contract or identification number	CR02719 CR05455
Number of Individuals Covered	1225
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $110,184
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $110,184
Insurance broker organization code?	4
Insurance broker name	LINCOLN FINANCIAL ADVISORS

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

893265-007

Policy instance

Insurance contract or identification number	893265-007
Number of Individuals Covered	1417
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $48,958
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $48,958
Insurance broker organization code?	4
Insurance broker name	LINCOLN FINANCIAL ADVISORS

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

893265-007

Policy instance

Insurance contract or identification number	893265-007
Number of Individuals Covered	1454
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $36,957
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $36,957
Insurance broker organization code?	4
Insurance broker name	LINCOLN FINANCIAL ADVISORS

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

CR02719 PA02719

Policy instance

Insurance contract or identification number	CR02719 PA02719
Number of Individuals Covered	1329
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $120,635
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $120,635
Insurance broker organization code?	4
Insurance broker name	LINCOLN FINANCIAL ADVISORS

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

893265-007

Policy instance

Insurance contract or identification number	893265-007
Number of Individuals Covered	1518
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $26,277
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $26,277
Insurance broker organization code?	4
Insurance broker name	LINCOLN FINANCIAL ADVISORS

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

CR2719 PA2719

Policy instance

Insurance contract or identification number	CR2719 PA2719
Number of Individuals Covered	1432
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $127,528
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $127,528
Insurance broker organization code?	4
Insurance broker name	LINCOLN FINANCIAL ADVISORS

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

893265-007

Policy instance

Insurance contract or identification number	893265-007
Number of Individuals Covered	1440
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $12,385
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

CR2719 PA2719

Policy instance

Insurance contract or identification number	CR2719 PA2719
Number of Individuals Covered	1602
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $187,398
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

VARIOUS

Policy instance

Insurance contract or identification number	VARIOUS
Number of Individuals Covered	2470
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $576,483
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	POMONA VALLEY HOSPITAL MEDICAL CENTER
Employer identification number (EIN):	951115230
NAIC Classification:	622000
NAIC Description:	Hospitals

Jurisdiction of Incorporation:	California Department of State
Incorporation Date:
Company Identification Number:	C0123032