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VICTOR VALLEY COMMUNITY HOSPITAL 401(K) PLAN 401k Plan overview

Plan NameVICTOR VALLEY COMMUNITY HOSPITAL 401(K) PLAN
Plan identification number 002

VICTOR VALLEY COMMUNITY HOSPITAL 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

VICTOR VALLEY HOSPITAL ACQUISITION, INC. DBA has sponsored the creation of one or more 401k plans.

Company Name:VICTOR VALLEY HOSPITAL ACQUISITION, INC. DBA
Employer identification number (EIN):952475762
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan VICTOR VALLEY COMMUNITY HOSPITAL 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022013-01-01JOANNE CAMERON
0022012-01-01JOANNE CAMERON
0022011-01-01DONNA BALDEWICZ
0022009-01-01EDWARD MATTHEWS

Plan Statistics for VICTOR VALLEY COMMUNITY HOSPITAL 401(K) PLAN

401k plan membership statisitcs for VICTOR VALLEY COMMUNITY HOSPITAL 401(K) PLAN

Measure Date Value
2013: VICTOR VALLEY COMMUNITY HOSPITAL 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01976
Total number of active participants reported on line 7a of the Form 55002013-01-010
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-010
Number of participants with account balances2013-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: VICTOR VALLEY COMMUNITY HOSPITAL 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01973
Total number of active participants reported on line 7a of the Form 55002012-01-01523
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-01453
Total of all active and inactive participants2012-01-01976
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01976
Number of participants with account balances2012-01-01619
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-0118
2011: VICTOR VALLEY COMMUNITY HOSPITAL 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01983
Total number of active participants reported on line 7a of the Form 55002011-01-01518
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-01453
Total of all active and inactive participants2011-01-01971
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-011
Total participants2011-01-01972
Number of participants with account balances2011-01-01631
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-0111
2009: VICTOR VALLEY COMMUNITY HOSPITAL 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01851
Total number of active participants reported on line 7a of the Form 55002009-01-01377
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-01421
Total of all active and inactive participants2009-01-01798
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01798
Number of participants with account balances2009-01-01648
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-018

Financial Data on VICTOR VALLEY COMMUNITY HOSPITAL 401(K) PLAN

Measure Date Value
2013 : VICTOR VALLEY COMMUNITY HOSPITAL 401(K) PLAN 2013 401k financial data
Total income from all sources (including contributions)2013-12-31$411,823
Total of all expenses incurred2013-12-31$5,781,825
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$5,654,645
Expenses. Certain deemed distributions of participant loans2013-12-31$103,922
Value of total assets at end of year2013-12-31$0
Value of total assets at beginning of year2013-12-31$5,370,002
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$23,258
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2013-12-31$0
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Participant contributions at end of year2013-12-31$0
Participant contributions at beginning of year2013-12-31$103,922
Other income not declared elsewhere2013-12-31$2,275
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-5,370,002
Value of net assets at end of year (total assets less liabilities)2013-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$5,370,002
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in pooled separate accounts at end of year2013-12-31$0
Value of interest in pooled separate accounts at beginning of year2013-12-31$4,201,265
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$1,064,815
Net investment gain/loss from pooled separate accounts2013-12-31$409,548
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$5,654,645
Contract administrator fees2013-12-31$23,258
Did the plan have assets held for investment2013-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31TCA PARTNERS, LLP
Accountancy firm EIN2013-12-31202707086
2012 : VICTOR VALLEY COMMUNITY HOSPITAL 401(K) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total income from all sources (including contributions)2012-12-31$971,669
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$622,716
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$592,591
Expenses. Certain deemed distributions of participant loans2012-12-31$9,084
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$507,112
Value of total assets at end of year2012-12-31$5,370,002
Value of total assets at beginning of year2012-12-31$5,021,049
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$21,041
Total interest from all sources2012-12-31$3,300
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$394,750
Participant contributions at end of year2012-12-31$103,922
Participant contributions at beginning of year2012-12-31$108,781
Participant contributions at beginning of year2012-12-31$33,827
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$61,619
Other income not declared elsewhere2012-12-31$5,957
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$348,953
Value of net assets at end of year (total assets less liabilities)2012-12-31$5,370,002
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$5,021,049
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in pooled separate accounts at end of year2012-12-31$4,201,265
Value of interest in pooled separate accounts at beginning of year2012-12-31$3,810,224
Interest on participant loans2012-12-31$3,300
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$1,064,815
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$1,063,504
Net investment gain/loss from pooled separate accounts2012-12-31$455,300
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$50,743
Employer contributions (assets) at beginning of year2012-12-31$4,713
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$592,591
Contract administrator fees2012-12-31$21,041
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31TCA PARTNERS LLP
Accountancy firm EIN2012-12-31202707086
2011 : VICTOR VALLEY COMMUNITY HOSPITAL 401(K) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total income from all sources (including contributions)2011-12-31$551,669
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$512,811
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$465,699
Expenses. Certain deemed distributions of participant loans2011-12-31$17,735
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$666,735
Value of total assets at end of year2011-12-31$5,021,049
Value of total assets at beginning of year2011-12-31$4,982,191
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$29,377
Total interest from all sources2011-12-31$5,109
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31No
If this is an individual account plan, was there a blackout period2011-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$547,707
Participant contributions at end of year2011-12-31$108,781
Participant contributions at beginning of year2011-12-31$142,758
Participant contributions at end of year2011-12-31$33,827
Participant contributions at beginning of year2011-12-31$19,388
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$48,416
Other income not declared elsewhere2011-12-31$12,231
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$38,858
Value of net assets at end of year (total assets less liabilities)2011-12-31$5,021,049
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$4,982,191
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in pooled separate accounts at end of year2011-12-31$3,810,224
Value of interest in pooled separate accounts at beginning of year2011-12-31$3,806,421
Interest on participant loans2011-12-31$5,109
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$1,063,504
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$1,011,140
Net investment gain/loss from pooled separate accounts2011-12-31$-132,406
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$70,612
Employer contributions (assets) at end of year2011-12-31$4,713
Employer contributions (assets) at beginning of year2011-12-31$2,484
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$465,699
Contract administrator fees2011-12-31$29,377
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31TCA PARTNERS LLP
Accountancy firm EIN2011-12-31202707086
2010 : VICTOR VALLEY COMMUNITY HOSPITAL 401(K) PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$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$1,096,518
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$708,429
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$666,895
Expenses. Certain deemed distributions of participant loans2010-12-31$3,858
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$629,052
Value of total assets at end of year2010-12-31$4,982,191
Value of total assets at beginning of year2010-12-31$4,594,102
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$37,676
Total interest from all sources2010-12-31$5,966
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31No
If this is an individual account plan, was there a blackout period2010-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$549,210
Participant contributions at end of year2010-12-31$142,758
Participant contributions at beginning of year2010-12-31$114,181
Participant contributions at end of year2010-12-31$19,388
Participant contributions at beginning of year2010-12-31$43,167
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$7,364
Other income not declared elsewhere2010-12-31$7,159
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$388,089
Value of net assets at end of year (total assets less liabilities)2010-12-31$4,982,191
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$4,594,102
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$3,623,580
Value of interest in pooled separate accounts at end of year2010-12-31$3,806,421
Interest on participant loans2010-12-31$5,966
Value of interest in common/collective trusts at beginning of year2010-12-31$807,852
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$1,011,140
Net investment gain/loss from pooled separate accounts2010-12-31$454,341
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$72,478
Employer contributions (assets) at end of year2010-12-31$2,484
Employer contributions (assets) at beginning of year2010-12-31$5,322
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$666,895
Contract administrator fees2010-12-31$37,676
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31TCA PARTNERS, LLP
Accountancy firm EIN2010-12-31202707086
2009 : VICTOR VALLEY COMMUNITY HOSPITAL 401(K) PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for VICTOR VALLEY COMMUNITY HOSPITAL 401(K) PLAN

2013: VICTOR VALLEY COMMUNITY HOSPITAL 401(K) PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01This submission is the final filingYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: VICTOR VALLEY COMMUNITY HOSPITAL 401(K) PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: VICTOR VALLEY COMMUNITY HOSPITAL 401(K) PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: VICTOR VALLEY COMMUNITY HOSPITAL 401(K) PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

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