401k Plan data: CAPITAL HEALTHCARE SOLUTIONS, INC. 401(K) PLAN plan

CAPITAL HEALTHCARE SOLUTIONS, INC. 401(K) PLAN 401k Plan overview

Plan Name	CAPITAL HEALTHCARE SOLUTIONS, INC. 401(K) PLAN
Plan identification number	001

CAPITAL HEALTHCARE SOLUTIONS, INC. 401(K) 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).
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.
Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
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

AMARE MEDICAL NETWORK has sponsored the creation of one or more 401k plans.

Company Name: AMARE MEDICAL NETWORK

Employer identification number (EIN): 204761498

NAIC Classification: 623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CAPITAL HEALTHCARE SOLUTIONS, INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2021-01-01
001 2020-01-01 ARTHUR HOOPES 2021-10-15
001 2019-01-01 ARTHUR HOOPES 2020-10-15
001 2018-01-01
001 2017-01-01 JUSTINE MOYER JUSTINE MOYER 2018-10-15
001 2011-01-01 MAGGIE HOEFLEIN 2012-05-31
001 2010-01-01 MAGGIE HOEFLEIN 2011-10-14

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2021-01-01
001	2020-01-01	ARTHUR HOOPES	2021-10-15
001	2019-01-01	ARTHUR HOOPES	2020-10-15
001	2018-01-01
001	2017-01-01	JUSTINE MOYER		JUSTINE MOYER	2018-10-15
001	2011-01-01	MAGGIE HOEFLEIN	2012-05-31
001	2010-01-01	MAGGIE HOEFLEIN	2011-10-14

Plan Statistics for CAPITAL HEALTHCARE SOLUTIONS, INC. 401(K) PLAN

401k plan membership statisitcs for CAPITAL HEALTHCARE SOLUTIONS, INC. 401(K) PLAN

Measure Date Value
2021: CAPITAL HEALTHCARE SOLUTIONS, INC. 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 369
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 284
Number of retired or separated participants receiving benefits 2021-01-01 1
Number of other retired or separated participants entitled to future benefits 2021-01-01 42
Total of all active and inactive participants 2021-01-01 327
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 327
Number of participants with account balances 2021-01-01 95
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: CAPITAL HEALTHCARE SOLUTIONS, INC. 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 327
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 298
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 31
Total of all active and inactive participants 2020-01-01 329
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 329
Number of participants with account balances 2020-01-01 71
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: CAPITAL HEALTHCARE SOLUTIONS, INC. 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 288
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 274
Number of retired or separated participants receiving benefits 2019-01-01 1
Number of other retired or separated participants entitled to future benefits 2019-01-01 18
Total of all active and inactive participants 2019-01-01 293
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 293
Number of participants with account balances 2019-01-01 60
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: CAPITAL HEALTHCARE SOLUTIONS, INC. 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 304
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 249
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 10
Total of all active and inactive participants 2018-01-01 259
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 259
Number of participants with account balances 2018-01-01 54
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: CAPITAL HEALTHCARE SOLUTIONS, INC. 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 219
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 252
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 14
Total of all active and inactive participants 2017-01-01 266
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 266
Number of participants with account balances 2017-01-01 40
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 1

Measure	Date	Value
2021: CAPITAL HEALTHCARE SOLUTIONS, INC. 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	369
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	284
Number of retired or separated participants receiving benefits	2021-01-01	1
Number of other retired or separated participants entitled to future benefits	2021-01-01	42
Total of all active and inactive participants	2021-01-01	327
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	327
Number of participants with account balances	2021-01-01	95
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: CAPITAL HEALTHCARE SOLUTIONS, INC. 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	327
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	298
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	31
Total of all active and inactive participants	2020-01-01	329
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	329
Number of participants with account balances	2020-01-01	71
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: CAPITAL HEALTHCARE SOLUTIONS, INC. 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	288
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	274
Number of retired or separated participants receiving benefits	2019-01-01	1
Number of other retired or separated participants entitled to future benefits	2019-01-01	18
Total of all active and inactive participants	2019-01-01	293
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	293
Number of participants with account balances	2019-01-01	60
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: CAPITAL HEALTHCARE SOLUTIONS, INC. 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	304
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	249
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	10
Total of all active and inactive participants	2018-01-01	259
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	259
Number of participants with account balances	2018-01-01	54
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: CAPITAL HEALTHCARE SOLUTIONS, INC. 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	219
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	252
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	14
Total of all active and inactive participants	2017-01-01	266
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	266
Number of participants with account balances	2017-01-01	40
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	1

Financial Data on CAPITAL HEALTHCARE SOLUTIONS, INC. 401(K) PLAN

Measure	Date	Value
2021 : CAPITAL HEALTHCARE SOLUTIONS, INC. 401(K) 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	$556,746
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$121,650
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$107,281
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$392,443
Value of total assets at end of year	2021-12-31	$1,551,072
Value of total assets at beginning of year	2021-12-31	$1,115,976
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$14,369
Total interest from all sources	2021-12-31	$428
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$41,873
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	$41,873
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$385,000
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	$232,095
Participant contributions at end of year	2021-12-31	$17,019
Participant contributions at beginning of year	2021-12-31	$0
Participant contributions at end of year	2021-12-31	$5,348
Participant contributions at beginning of year	2021-12-31	$171
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$41,438
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
Income. Non cash contributions	2021-12-31	$0
Value of net income/loss	2021-12-31	$435,096
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$1,551,072
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$1,115,976
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$1,504,190
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$1,097,680
Interest on participant loans	2021-12-31	$428
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$21,072
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$17,480
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$122,002
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	$118,910
Employer contributions (assets) at end of year	2021-12-31	$3,443
Employer contributions (assets) at beginning of year	2021-12-31	$645
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$107,281
Contract administrator fees	2021-12-31	$14,369
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	Disclaimer
Accountancy firm name	2021-12-31	WILKE & ASSOCIATES, LLP
Accountancy firm EIN	2021-12-31	251871694
2020 : CAPITAL HEALTHCARE SOLUTIONS, INC. 401(K) 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	$373,125
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$44,479
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$34,194
Value of total corrective distributions	2020-12-31	$2,042
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$234,284
Value of total assets at end of year	2020-12-31	$1,115,976
Value of total assets at beginning of year	2020-12-31	$787,330
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$8,243
Total interest from all sources	2020-12-31	$205
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$20,630
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	$20,630
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$385,000
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	$133,323
Participant contributions at end of year	2020-12-31	$0
Participant contributions at beginning of year	2020-12-31	$17,470
Participant contributions at end of year	2020-12-31	$171
Participant contributions at beginning of year	2020-12-31	$19,876
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$16,127
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	$328,646
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$1,115,976
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$787,330
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$1,097,680
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$725,250
Interest on participant loans	2020-12-31	$205
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$17,480
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$11,765
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$118,006
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	Yes
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	$84,834
Employer contributions (assets) at end of year	2020-12-31	$645
Employer contributions (assets) at beginning of year	2020-12-31	$12,969
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$34,194
Contract administrator fees	2020-12-31	$8,243
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	WILKE & ASSOCIATES, LLP
Accountancy firm EIN	2020-12-31	251871694
2019 : CAPITAL HEALTHCARE SOLUTIONS, INC. 401(K) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
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 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	$350,011
Total income from all sources (including contributions)	2019-12-31	$350,011
Total loss/gain on sale of assets	2019-12-31	$0
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$81,747
Total of all expenses incurred	2019-12-31	$81,747
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$74,053
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$74,053
Expenses. Certain deemed distributions of participant loans	2019-12-31	$3,942
Expenses. Certain deemed distributions of participant loans	2019-12-31	$3,942
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$236,817
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$236,817
Value of total assets at end of year	2019-12-31	$787,330
Value of total assets at end of year	2019-12-31	$787,330
Value of total assets at beginning of year	2019-12-31	$519,066
Value of total assets at beginning of year	2019-12-31	$519,066
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$3,752
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$3,752
Total interest from all sources	2019-12-31	$1,338
Total interest from all sources	2019-12-31	$1,338
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$12,867
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$12,867
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
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	$12,867
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$12,867
Was this plan covered by a fidelity bond	2019-12-31	Yes
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$385,000
Value of fidelity bond cover	2019-12-31	$385,000
If this is an individual account plan, was there a blackout period	2019-12-31	Yes
If this is an individual account plan, was there a blackout period	2019-12-31	Yes
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
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$136,704
Contributions received from participants	2019-12-31	$136,704
Participant contributions at end of year	2019-12-31	$17,470
Participant contributions at end of year	2019-12-31	$17,470
Participant contributions at beginning of year	2019-12-31	$37,673
Participant contributions at beginning of year	2019-12-31	$37,673
Participant contributions at end of year	2019-12-31	$19,876
Participant contributions at end of year	2019-12-31	$19,876
Participant contributions at beginning of year	2019-12-31	$0
Participant contributions at beginning of year	2019-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$10,719
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$10,719
Other income not declared elsewhere	2019-12-31	$54
Other income not declared elsewhere	2019-12-31	$54
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
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	$268,264
Value of net income/loss	2019-12-31	$268,264
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$787,330
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$787,330
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$519,066
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$519,066
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
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 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
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$725,250
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$725,250
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$481,393
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$481,393
Interest on participant loans	2019-12-31	$1,338
Interest on participant loans	2019-12-31	$1,338
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$11,765
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$11,765
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$98,935
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$98,935
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	Yes
Was there a failure to transmit to the plan any participant contributions	2019-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	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	$89,394
Contributions received in cash from employer	2019-12-31	$89,394
Employer contributions (assets) at end of year	2019-12-31	$12,969
Employer contributions (assets) at end of year	2019-12-31	$12,969
Employer contributions (assets) at beginning of year	2019-12-31	$0
Employer contributions (assets) at beginning of year	2019-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$74,053
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$74,053
Contract administrator fees	2019-12-31	$3,752
Contract administrator fees	2019-12-31	$3,752
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	2019-12-31	Yes
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	2019-12-31	Yes
Did the plan have assets held for investment	2019-12-31	Yes
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
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
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
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
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	WILKE & ASSOCIATES, LLP
Accountancy firm name	2019-12-31	WILKE & ASSOCIATES, LLP
Accountancy firm EIN	2019-12-31	251871694
Accountancy firm EIN	2019-12-31	251871694
2018 : CAPITAL HEALTHCARE SOLUTIONS, INC. 401(K) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total transfer of assets to this plan	2018-12-31	$0
Total transfer of assets from this plan	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	$133,885
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$56,103
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$53,017
Expenses. Certain deemed distributions of participant loans	2018-12-31	$20
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$161,872
Value of total assets at end of year	2018-12-31	$519,066
Value of total assets at beginning of year	2018-12-31	$441,284
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$3,066
Total interest from all sources	2018-12-31	$1,513
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$14,876
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	$14,876
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$45,000
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	$101,266
Participant contributions at end of year	2018-12-31	$37,673
Participant contributions at beginning of year	2018-12-31	$8,808
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$3,162
Administrative expenses (other) incurred	2018-12-31	$3,066
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	$77,782
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$519,066
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$441,284
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$481,393
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$432,476
Interest on participant loans	2018-12-31	$1,513
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-44,376
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	$57,444
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$53,017
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	WILKE & ASSOCIATES, LLP
Accountancy firm EIN	2018-12-31	251871694
2017 : CAPITAL HEALTHCARE SOLUTIONS, INC. 401(K) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total transfer of assets to this plan	2017-12-31	$307,405
Total transfer of assets from this plan	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	$154,875
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$20,996
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$19,607
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$105,057
Value of total assets at end of year	2017-12-31	$441,284
Value of total assets at beginning of year	2017-12-31	$0
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$1,389
Total interest from all sources	2017-12-31	$377
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$10,031
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	$10,031
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$1,000
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	$78,464
Participant contributions at end of year	2017-12-31	$8,808
Administrative expenses (other) incurred	2017-12-31	$1,389
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	$133,879
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$441,284
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$432,476
Interest on participant loans	2017-12-31	$377
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$39,410
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	No
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	$26,593
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$19,607
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	WILKE & ASSOCIATES, LLP
Accountancy firm EIN	2017-12-31	251871694

Form 5500 Responses for CAPITAL HEALTHCARE SOLUTIONS, INC. 401(K) PLAN

2021: CAPITAL HEALTHCARE SOLUTIONS, INC. 401(K) 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	No
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: CAPITAL HEALTHCARE SOLUTIONS, INC. 401(K) 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	No
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: CAPITAL HEALTHCARE SOLUTIONS, INC. 401(K) 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	No
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: CAPITAL HEALTHCARE SOLUTIONS, INC. 401(K) 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	No
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: CAPITAL HEALTHCARE SOLUTIONS, INC. 401(K) PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	First time form 5500 has been submitted	Yes
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	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

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

Policy contract number

507419-01

Policy instance

Insurance contract or identification number	507419-01
Number of Individuals Covered	4
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
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

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

Policy contract number

507419-01

Policy instance

Insurance contract or identification number	507419-01
Number of Individuals Covered	4
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
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

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

Policy contract number

507419-01

Policy instance

Insurance contract or identification number	507419-01
Number of Individuals Covered	5
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
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

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Company Name:	AMARE MEDICAL NETWORK
Employer identification number (EIN):	204761498
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities