401k Plan data: PARTNERS IN HEALTHCARE INC. 403B RETIREMENT PLAN plan

PARTNERS IN HEALTHCARE INC. 403B RETIREMENT PLAN 401k Plan overview

Plan Name	PARTNERS IN HEALTHCARE INC. 403B RETIREMENT PLAN
Plan identification number	002

PARTNERS IN HEALTHCARE INC. 403B RETIREMENT PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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.
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

NORTH CANYON MEDICAL CENTER has sponsored the creation of one or more 401k plans.

Company Name: NORTH CANYON MEDICAL CENTER

Employer identification number (EIN): 261938641

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PARTNERS IN HEALTHCARE INC. 403B RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2021-10-01
002 2020-10-01
002 2020-10-01
002 2019-10-01
002 2018-10-01
002 2017-10-01
002 2016-10-01 SARA OTTO
002 2016-10-01
002 2015-10-01 SARA OTTO
002 2015-10-01
002 2014-10-01 SARA OTTO SARA OTTO 2016-07-15
002 2013-10-01 SARA OTTO SARA OTTO 2015-07-15
002 2012-10-01 SARA OTTO
002 2011-10-01 SARA OTTO
002 2008-10-01 SARA OTTO
002 2008-03-23 SARA OTTO

Plan Statistics for PARTNERS IN HEALTHCARE INC. 403B RETIREMENT PLAN

401k plan membership statisitcs for PARTNERS IN HEALTHCARE INC. 403B RETIREMENT PLAN

Measure Date Value
2021: PARTNERS IN HEALTHCARE INC. 403B RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-10-01 323
Total number of active participants reported on line 7a of the Form 5500 2021-10-01 313
Number of retired or separated participants receiving benefits 2021-10-01 3
Number of other retired or separated participants entitled to future benefits 2021-10-01 44
Total of all active and inactive participants 2021-10-01 360
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-10-01 0
Total participants 2021-10-01 360
Number of participants with account balances 2021-10-01 272
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-10-01 40
2020: PARTNERS IN HEALTHCARE INC. 403B RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-10-01 273
Total number of active participants reported on line 7a of the Form 5500 2020-10-01 292
Number of retired or separated participants receiving benefits 2020-10-01 3
Number of other retired or separated participants entitled to future benefits 2020-10-01 29
Total of all active and inactive participants 2020-10-01 324
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-10-01 0
Total participants 2020-10-01 324
Number of participants with account balances 2020-10-01 213
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-10-01 14
2019: PARTNERS IN HEALTHCARE INC. 403B RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-10-01 265
Total number of active participants reported on line 7a of the Form 5500 2019-10-01 247
Number of retired or separated participants receiving benefits 2019-10-01 0
Number of other retired or separated participants entitled to future benefits 2019-10-01 32
Total of all active and inactive participants 2019-10-01 279
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-10-01 0
Total participants 2019-10-01 279
Number of participants with account balances 2019-10-01 160
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-10-01 0
2018: PARTNERS IN HEALTHCARE INC. 403B RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-10-01 249
Total number of active participants reported on line 7a of the Form 5500 2018-10-01 230
Number of retired or separated participants receiving benefits 2018-10-01 0
Number of other retired or separated participants entitled to future benefits 2018-10-01 32
Total of all active and inactive participants 2018-10-01 262
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-10-01 0
Total participants 2018-10-01 262
Number of participants with account balances 2018-10-01 142
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-10-01 0
2017: PARTNERS IN HEALTHCARE INC. 403B RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-10-01 209
Total number of active participants reported on line 7a of the Form 5500 2017-10-01 220
Number of retired or separated participants receiving benefits 2017-10-01 0
Number of other retired or separated participants entitled to future benefits 2017-10-01 27
Total of all active and inactive participants 2017-10-01 247
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-10-01 0
Total participants 2017-10-01 247
Number of participants with account balances 2017-10-01 134
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-10-01 0
2016: PARTNERS IN HEALTHCARE INC. 403B RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-10-01 180
Total number of active participants reported on line 7a of the Form 5500 2016-10-01 179
Number of retired or separated participants receiving benefits 2016-10-01 0
Number of other retired or separated participants entitled to future benefits 2016-10-01 30
Total of all active and inactive participants 2016-10-01 209
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-10-01 0
Total participants 2016-10-01 209
Number of participants with account balances 2016-10-01 127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-10-01 0
2015: PARTNERS IN HEALTHCARE INC. 403B RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-10-01 176
Total number of active participants reported on line 7a of the Form 5500 2015-10-01 164
Number of retired or separated participants receiving benefits 2015-10-01 0
Number of other retired or separated participants entitled to future benefits 2015-10-01 12
Total of all active and inactive participants 2015-10-01 176
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-10-01 0
Total participants 2015-10-01 176
Number of participants with account balances 2015-10-01 108
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-10-01 0
2014: PARTNERS IN HEALTHCARE INC. 403B RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-10-01 287
Total number of active participants reported on line 7a of the Form 5500 2014-10-01 163
Number of retired or separated participants receiving benefits 2014-10-01 0
Number of other retired or separated participants entitled to future benefits 2014-10-01 14
Total of all active and inactive participants 2014-10-01 177
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-10-01 0
Total participants 2014-10-01 177
Number of participants with account balances 2014-10-01 100
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-10-01 0
2013: PARTNERS IN HEALTHCARE INC. 403B RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-10-01 0
Total number of active participants reported on line 7a of the Form 5500 2013-10-01 265
Number of retired or separated participants receiving benefits 2013-10-01 0
Number of other retired or separated participants entitled to future benefits 2013-10-01 22
Total of all active and inactive participants 2013-10-01 287
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-10-01 0
Total participants 2013-10-01 287
Number of participants with account balances 2013-10-01 94
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-10-01 0
2012: PARTNERS IN HEALTHCARE INC. 403B RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-10-01 139
Total number of active participants reported on line 7a of the Form 5500 2012-10-01 114
Number of retired or separated participants receiving benefits 2012-10-01 0
Number of other retired or separated participants entitled to future benefits 2012-10-01 22
Total of all active and inactive participants 2012-10-01 136
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-10-01 0
Total participants 2012-10-01 136
Number of participants with account balances 2012-10-01 83
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-10-01 0
2011: PARTNERS IN HEALTHCARE INC. 403B RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-10-01 158
Total number of active participants reported on line 7a of the Form 5500 2011-10-01 117
Number of other retired or separated participants entitled to future benefits 2011-10-01 21
Total of all active and inactive participants 2011-10-01 138
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-10-01 1
Total participants 2011-10-01 139
Number of participants with account balances 2011-10-01 77
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-10-01 7

Measure	Date	Value
2021: PARTNERS IN HEALTHCARE INC. 403B RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-10-01	323
Total number of active participants reported on line 7a of the Form 5500	2021-10-01	313
Number of retired or separated participants receiving benefits	2021-10-01	3
Number of other retired or separated participants entitled to future benefits	2021-10-01	44
Total of all active and inactive participants	2021-10-01	360
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-10-01	0
Total participants	2021-10-01	360
Number of participants with account balances	2021-10-01	272
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-10-01	40
2020: PARTNERS IN HEALTHCARE INC. 403B RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-10-01	273
Total number of active participants reported on line 7a of the Form 5500	2020-10-01	292
Number of retired or separated participants receiving benefits	2020-10-01	3
Number of other retired or separated participants entitled to future benefits	2020-10-01	29
Total of all active and inactive participants	2020-10-01	324
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-10-01	0
Total participants	2020-10-01	324
Number of participants with account balances	2020-10-01	213
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-10-01	14
2019: PARTNERS IN HEALTHCARE INC. 403B RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-10-01	265
Total number of active participants reported on line 7a of the Form 5500	2019-10-01	247
Number of retired or separated participants receiving benefits	2019-10-01	0
Number of other retired or separated participants entitled to future benefits	2019-10-01	32
Total of all active and inactive participants	2019-10-01	279
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-10-01	0
Total participants	2019-10-01	279
Number of participants with account balances	2019-10-01	160
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-10-01	0
2018: PARTNERS IN HEALTHCARE INC. 403B RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-10-01	249
Total number of active participants reported on line 7a of the Form 5500	2018-10-01	230
Number of retired or separated participants receiving benefits	2018-10-01	0
Number of other retired or separated participants entitled to future benefits	2018-10-01	32
Total of all active and inactive participants	2018-10-01	262
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-10-01	0
Total participants	2018-10-01	262
Number of participants with account balances	2018-10-01	142
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-10-01	0
2017: PARTNERS IN HEALTHCARE INC. 403B RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-10-01	209
Total number of active participants reported on line 7a of the Form 5500	2017-10-01	220
Number of retired or separated participants receiving benefits	2017-10-01	0
Number of other retired or separated participants entitled to future benefits	2017-10-01	27
Total of all active and inactive participants	2017-10-01	247
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-10-01	0
Total participants	2017-10-01	247
Number of participants with account balances	2017-10-01	134
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-10-01	0
2016: PARTNERS IN HEALTHCARE INC. 403B RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-10-01	180
Total number of active participants reported on line 7a of the Form 5500	2016-10-01	179
Number of retired or separated participants receiving benefits	2016-10-01	0
Number of other retired or separated participants entitled to future benefits	2016-10-01	30
Total of all active and inactive participants	2016-10-01	209
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-10-01	0
Total participants	2016-10-01	209
Number of participants with account balances	2016-10-01	127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-10-01	0
2015: PARTNERS IN HEALTHCARE INC. 403B RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-10-01	176
Total number of active participants reported on line 7a of the Form 5500	2015-10-01	164
Number of retired or separated participants receiving benefits	2015-10-01	0
Number of other retired or separated participants entitled to future benefits	2015-10-01	12
Total of all active and inactive participants	2015-10-01	176
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-10-01	0
Total participants	2015-10-01	176
Number of participants with account balances	2015-10-01	108
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-10-01	0
2014: PARTNERS IN HEALTHCARE INC. 403B RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-10-01	287
Total number of active participants reported on line 7a of the Form 5500	2014-10-01	163
Number of retired or separated participants receiving benefits	2014-10-01	0
Number of other retired or separated participants entitled to future benefits	2014-10-01	14
Total of all active and inactive participants	2014-10-01	177
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-10-01	0
Total participants	2014-10-01	177
Number of participants with account balances	2014-10-01	100
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-10-01	0
2013: PARTNERS IN HEALTHCARE INC. 403B RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-10-01	0
Total number of active participants reported on line 7a of the Form 5500	2013-10-01	265
Number of retired or separated participants receiving benefits	2013-10-01	0
Number of other retired or separated participants entitled to future benefits	2013-10-01	22
Total of all active and inactive participants	2013-10-01	287
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-10-01	0
Total participants	2013-10-01	287
Number of participants with account balances	2013-10-01	94
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-10-01	0
2012: PARTNERS IN HEALTHCARE INC. 403B RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-10-01	139
Total number of active participants reported on line 7a of the Form 5500	2012-10-01	114
Number of retired or separated participants receiving benefits	2012-10-01	0
Number of other retired or separated participants entitled to future benefits	2012-10-01	22
Total of all active and inactive participants	2012-10-01	136
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-10-01	0
Total participants	2012-10-01	136
Number of participants with account balances	2012-10-01	83
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-10-01	0
2011: PARTNERS IN HEALTHCARE INC. 403B RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-10-01	158
Total number of active participants reported on line 7a of the Form 5500	2011-10-01	117
Number of other retired or separated participants entitled to future benefits	2011-10-01	21
Total of all active and inactive participants	2011-10-01	138
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-10-01	1
Total participants	2011-10-01	139
Number of participants with account balances	2011-10-01	77
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-10-01	7

Financial Data on PARTNERS IN HEALTHCARE INC. 403B RETIREMENT PLAN

Measure	Date	Value
2022 : PARTNERS IN HEALTHCARE INC. 403B RETIREMENT PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-09-30	$0
Total income from all sources (including contributions)	2022-09-30	$34,544
Total loss/gain on sale of assets	2022-09-30	$0
Total of all expenses incurred	2022-09-30	$766,300
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-09-30	$681,712
Expenses. Certain deemed distributions of participant loans	2022-09-30	$17,271
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-09-30	$1,431,314
Value of total assets at end of year	2022-09-30	$6,068,516
Value of total assets at beginning of year	2022-09-30	$6,800,272
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-09-30	$67,317
Total interest from all sources	2022-09-30	$0
Total dividends received (eg from common stock, registered investment company shares)	2022-09-30	$210,205
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-09-30	No
Was this plan covered by a fidelity bond	2022-09-30	Yes
Value of fidelity bond cover	2022-09-30	$1,000,000
If this is an individual account plan, was there a blackout period	2022-09-30	No
Were there any nonexempt tranactions with any party-in-interest	2022-09-30	No
Contributions received from participants	2022-09-30	$860,257
Income. Received or receivable in cash from other sources (including rollovers)	2022-09-30	$92,669
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-09-30	No
Value of net income/loss	2022-09-30	$-731,756
Value of net assets at end of year (total assets less liabilities)	2022-09-30	$6,068,516
Value of net assets at beginning of year (total assets less liabilities)	2022-09-30	$6,800,272
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-09-30	No
Were any leases to which the plan was party in default or uncollectible	2022-09-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-09-30	$6,067,880
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-09-30	$6,782,364
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-09-30	$636
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-09-30	$17,908
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-09-30	$-1,606,975
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-09-30	No
Was there a failure to transmit to the plan any participant contributions	2022-09-30	No
Has the plan failed to provide any benefit when due under the plan	2022-09-30	No
Contributions received in cash from employer	2022-09-30	$478,388
Income. Dividends from common stock	2022-09-30	$210,205
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-09-30	$681,712
Contract administrator fees	2022-09-30	$67,317
Did the plan have assets held for investment	2022-09-30	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	2022-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-09-30	No
Opinion of an independent qualified public accountant for this plan	2022-09-30	Unqualified
Accountancy firm name	2022-09-30	DINGUS ZARECOR & ASSOCIATES, PLLC
Accountancy firm EIN	2022-09-30	200079326
2021 : PARTNERS IN HEALTHCARE INC. 403B RETIREMENT PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-09-30	$0
Total income from all sources (including contributions)	2021-09-30	$4,183,470
Total loss/gain on sale of assets	2021-09-30	$0
Total of all expenses incurred	2021-09-30	$1,151,272
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-09-30	$1,117,373
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-09-30	$3,430,960
Value of total assets at end of year	2021-09-30	$6,800,272
Value of total assets at beginning of year	2021-09-30	$3,768,074
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-09-30	$33,899
Total interest from all sources	2021-09-30	$0
Total dividends received (eg from common stock, registered investment company shares)	2021-09-30	$115,789
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-09-30	No
Was this plan covered by a fidelity bond	2021-09-30	Yes
Value of fidelity bond cover	2021-09-30	$1,000,000
If this is an individual account plan, was there a blackout period	2021-09-30	No
Were there any nonexempt tranactions with any party-in-interest	2021-09-30	No
Contributions received from participants	2021-09-30	$697,754
Participant contributions at beginning of year	2021-09-30	$16,899
Income. Received or receivable in cash from other sources (including rollovers)	2021-09-30	$2,356,957
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-09-30	No
Value of net income/loss	2021-09-30	$3,032,198
Value of net assets at end of year (total assets less liabilities)	2021-09-30	$6,800,272
Value of net assets at beginning of year (total assets less liabilities)	2021-09-30	$3,768,074
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-09-30	No
Were any leases to which the plan was party in default or uncollectible	2021-09-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-09-30	$6,782,364
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-09-30	$3,687,012
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-09-30	$17,908
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-09-30	$64,163
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-09-30	$636,721
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-09-30	No
Was there a failure to transmit to the plan any participant contributions	2021-09-30	No
Has the plan failed to provide any benefit when due under the plan	2021-09-30	No
Contributions received in cash from employer	2021-09-30	$376,249
Income. Dividends from common stock	2021-09-30	$115,789
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-09-30	$1,117,373
Contract administrator fees	2021-09-30	$33,899
Did the plan have assets held for investment	2021-09-30	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	2021-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-09-30	No
Opinion of an independent qualified public accountant for this plan	2021-09-30	Disclaimer
Accountancy firm name	2021-09-30	DINGUS ZARECOR & ASSOCIATES, PLLC
Accountancy firm EIN	2021-09-30	200079326
2020 : PARTNERS IN HEALTHCARE INC. 403B RETIREMENT PLAN 2020 401k financial data
Unrealized appreciation/depreciation of real estate assets	2020-09-30	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2020-09-30	$0
Total unrealized appreciation/depreciation of assets	2020-09-30	$0
Total transfer of assets to this plan	2020-09-30	$22,090
Total transfer of assets from this plan	2020-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-09-30	$0
Expenses. Interest paid	2020-09-30	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2020-09-30	$0
Total income from all sources (including contributions)	2020-09-30	$860,428
Total loss/gain on sale of assets	2020-09-30	$0
Total of all expenses incurred	2020-09-30	$373,731
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-09-30	$360,023
Expenses. Certain deemed distributions of participant loans	2020-09-30	$0
Value of total corrective distributions	2020-09-30	$8,606
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-09-30	$563,637
Value of total assets at end of year	2020-09-30	$3,768,074
Value of total assets at beginning of year	2020-09-30	$3,259,287
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-09-30	$5,102
Total income from rents	2020-09-30	$0
Total interest from all sources	2020-09-30	$1,977
Total dividends received (eg from common stock, registered investment company shares)	2020-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-09-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-09-30	$0
Assets. Real estate other than employer real property at end of year	2020-09-30	$0
Assets. Real estate other than employer real property at beginning of year	2020-09-30	$0
Administrative expenses professional fees incurred	2020-09-30	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2020-09-30	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2020-09-30	$0
Was this plan covered by a fidelity bond	2020-09-30	Yes
Value of fidelity bond cover	2020-09-30	$1,000,000
If this is an individual account plan, was there a blackout period	2020-09-30	No
Were there any nonexempt tranactions with any party-in-interest	2020-09-30	No
Contributions received from participants	2020-09-30	$563,637
Participant contributions at end of year	2020-09-30	$16,899
Participant contributions at beginning of year	2020-09-30	$15,929
Participant contributions at end of year	2020-09-30	$0
Participant contributions at beginning of year	2020-09-30	$0
Assets. Other investments not covered elsewhere at end of year	2020-09-30	$0
Assets. Other investments not covered elsewhere at beginning of year	2020-09-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2020-09-30	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2020-09-30	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2020-09-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2020-09-30	$0
Assets. Loans (other than to participants) at end of year	2020-09-30	$0
Assets. Loans (other than to participants) at beginning of year	2020-09-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2020-09-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2020-09-30	$0
Other income not declared elsewhere	2020-09-30	$0
Administrative expenses (other) incurred	2020-09-30	$0
Liabilities. Value of operating payables at end of year	2020-09-30	$0
Liabilities. Value of operating payables at beginning of year	2020-09-30	$0
Total non interest bearing cash at end of year	2020-09-30	$0
Total non interest bearing cash at beginning of year	2020-09-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-09-30	No
Income. Non cash contributions	2020-09-30	$0
Value of net income/loss	2020-09-30	$486,697
Value of net assets at end of year (total assets less liabilities)	2020-09-30	$3,768,074
Value of net assets at beginning of year (total assets less liabilities)	2020-09-30	$3,259,287
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-09-30	No
Were any leases to which the plan was party in default or uncollectible	2020-09-30	No
Assets. partnership/joint venture interests at end of year	2020-09-30	$0
Assets. partnership/joint venture interests at beginning of year	2020-09-30	$0
Investment advisory and management fees	2020-09-30	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-09-30	$3,687,012
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-09-30	$3,177,702
Value of interest in pooled separate accounts at end of year	2020-09-30	$0
Value of interest in pooled separate accounts at beginning of year	2020-09-30	$0
Interest on participant loans	2020-09-30	$970
Income. Interest from loans (other than to participants)	2020-09-30	$0
Interest earned on other investments	2020-09-30	$1,007
Income. Interest from US Government securities	2020-09-30	$0
Income. Interest from corporate debt instruments	2020-09-30	$0
Value of interest in master investment trust accounts at end of year	2020-09-30	$0
Value of interest in master investment trust accounts at beginning of year	2020-09-30	$0
Value of interest in common/collective trusts at end of year	2020-09-30	$0
Value of interest in common/collective trusts at beginning of year	2020-09-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2020-09-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2020-09-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2020-09-30	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2020-09-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-09-30	$64,163
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-09-30	$65,656
Expenses. Payments to insurance carriers foe the provision of benefits	2020-09-30	$0
Asset value of US Government securities at end of year	2020-09-30	$0
Asset value of US Government securities at beginning of year	2020-09-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-09-30	$294,814
Net investment gain/loss from pooled separate accounts	2020-09-30	$0
Net investment gain or loss from common/collective trusts	2020-09-30	$0
Net gain/loss from 103.12 investment entities	2020-09-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-09-30	No
Was there a failure to transmit to the plan any participant contributions	2020-09-30	No
Has the plan failed to provide any benefit when due under the plan	2020-09-30	No
Assets. Invements in employer securities at end of year	2020-09-30	$0
Assets. Invements in employer securities at beginning of year	2020-09-30	$0
Assets. Value of employer real property at end of year	2020-09-30	$0
Assets. Value of employer real property at beginning of year	2020-09-30	$0
Contributions received in cash from employer	2020-09-30	$0
Employer contributions (assets) at end of year	2020-09-30	$0
Employer contributions (assets) at beginning of year	2020-09-30	$0
Income. Dividends from preferred stock	2020-09-30	$0
Income. Dividends from common stock	2020-09-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-09-30	$360,023
Asset. Corporate debt instrument preferred debt at end of year	2020-09-30	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2020-09-30	$0
Asset. Corporate debt instrument debt (other) at end of year	2020-09-30	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2020-09-30	$0
Contract administrator fees	2020-09-30	$5,102
Assets. Corporate common stocks other than exployer securities at end of year	2020-09-30	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2020-09-30	$0
Liabilities. Value of benefit claims payable at end of year	2020-09-30	$0
Liabilities. Value of benefit claims payable at beginning of year	2020-09-30	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2020-09-30	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2020-09-30	$0
Did the plan have assets held for investment	2020-09-30	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	2020-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-09-30	No
Aggregate proceeds on sale of assets	2020-09-30	$0
Aggregate carrying amount (costs) on sale of assets	2020-09-30	$0
Liabilities. Value of acquisition indebtedness at end of year	2020-09-30	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2020-09-30	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2020-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2020-09-30	Disclaimer
Accountancy firm name	2020-09-30	DINGUS ZARECOR & ASSOCIATES PLLC
Accountancy firm EIN	2020-09-30	200079326
2019 : PARTNERS IN HEALTHCARE INC. 403B RETIREMENT PLAN 2019 401k financial data
Unrealized appreciation/depreciation of real estate assets	2019-09-30	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2019-09-30	$0
Total unrealized appreciation/depreciation of assets	2019-09-30	$0
Total transfer of assets to this plan	2019-09-30	$0
Total transfer of assets from this plan	2019-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-09-30	$0
Expenses. Interest paid	2019-09-30	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2019-09-30	$0
Total income from all sources (including contributions)	2019-09-30	$601,047
Total loss/gain on sale of assets	2019-09-30	$0
Total of all expenses incurred	2019-09-30	$179,540
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-09-30	$173,856
Expenses. Certain deemed distributions of participant loans	2019-09-30	$0
Value of total corrective distributions	2019-09-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-09-30	$513,473
Value of total assets at end of year	2019-09-30	$3,259,287
Value of total assets at beginning of year	2019-09-30	$2,837,780
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-09-30	$5,684
Total income from rents	2019-09-30	$0
Total interest from all sources	2019-09-30	$1,861
Total dividends received (eg from common stock, registered investment company shares)	2019-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-09-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-09-30	$0
Assets. Real estate other than employer real property at end of year	2019-09-30	$0
Assets. Real estate other than employer real property at beginning of year	2019-09-30	$0
Administrative expenses professional fees incurred	2019-09-30	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2019-09-30	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2019-09-30	$0
Was this plan covered by a fidelity bond	2019-09-30	Yes
Value of fidelity bond cover	2019-09-30	$1,000,000
If this is an individual account plan, was there a blackout period	2019-09-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2019-09-30	No
Contributions received from participants	2019-09-30	$490,467
Participant contributions at end of year	2019-09-30	$15,929
Participant contributions at beginning of year	2019-09-30	$15,005
Participant contributions at end of year	2019-09-30	$0
Participant contributions at beginning of year	2019-09-30	$16,511
Assets. Other investments not covered elsewhere at end of year	2019-09-30	$0
Assets. Other investments not covered elsewhere at beginning of year	2019-09-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2019-09-30	$23,006
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2019-09-30	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2019-09-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2019-09-30	$0
Assets. Loans (other than to participants) at end of year	2019-09-30	$0
Assets. Loans (other than to participants) at beginning of year	2019-09-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2019-09-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2019-09-30	$0
Other income not declared elsewhere	2019-09-30	$0
Administrative expenses (other) incurred	2019-09-30	$0
Liabilities. Value of operating payables at end of year	2019-09-30	$0
Liabilities. Value of operating payables at beginning of year	2019-09-30	$0
Total non interest bearing cash at end of year	2019-09-30	$0
Total non interest bearing cash at beginning of year	2019-09-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-09-30	No
Income. Non cash contributions	2019-09-30	$0
Value of net income/loss	2019-09-30	$421,507
Value of net assets at end of year (total assets less liabilities)	2019-09-30	$3,259,287
Value of net assets at beginning of year (total assets less liabilities)	2019-09-30	$2,837,780
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-09-30	No
Were any leases to which the plan was party in default or uncollectible	2019-09-30	No
Assets. partnership/joint venture interests at end of year	2019-09-30	$0
Assets. partnership/joint venture interests at beginning of year	2019-09-30	$0
Investment advisory and management fees	2019-09-30	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-09-30	$3,177,702
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-09-30	$2,758,069
Value of interest in pooled separate accounts at end of year	2019-09-30	$0
Value of interest in pooled separate accounts at beginning of year	2019-09-30	$0
Interest on participant loans	2019-09-30	$926
Income. Interest from loans (other than to participants)	2019-09-30	$0
Interest earned on other investments	2019-09-30	$935
Income. Interest from US Government securities	2019-09-30	$0
Income. Interest from corporate debt instruments	2019-09-30	$0
Value of interest in master investment trust accounts at end of year	2019-09-30	$0
Value of interest in master investment trust accounts at beginning of year	2019-09-30	$0
Value of interest in common/collective trusts at end of year	2019-09-30	$0
Value of interest in common/collective trusts at beginning of year	2019-09-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-09-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-09-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-09-30	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-09-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-09-30	$65,656
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-09-30	$48,195
Expenses. Payments to insurance carriers foe the provision of benefits	2019-09-30	$0
Asset value of US Government securities at end of year	2019-09-30	$0
Asset value of US Government securities at beginning of year	2019-09-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-09-30	$85,713
Net investment gain/loss from pooled separate accounts	2019-09-30	$0
Net investment gain or loss from common/collective trusts	2019-09-30	$0
Net gain/loss from 103.12 investment entities	2019-09-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-09-30	No
Was there a failure to transmit to the plan any participant contributions	2019-09-30	No
Has the plan failed to provide any benefit when due under the plan	2019-09-30	No
Assets. Invements in employer securities at end of year	2019-09-30	$0
Assets. Invements in employer securities at beginning of year	2019-09-30	$0
Assets. Value of employer real property at end of year	2019-09-30	$0
Assets. Value of employer real property at beginning of year	2019-09-30	$0
Contributions received in cash from employer	2019-09-30	$0
Employer contributions (assets) at end of year	2019-09-30	$0
Employer contributions (assets) at beginning of year	2019-09-30	$0
Income. Dividends from preferred stock	2019-09-30	$0
Income. Dividends from common stock	2019-09-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-09-30	$173,856
Asset. Corporate debt instrument preferred debt at end of year	2019-09-30	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2019-09-30	$0
Asset. Corporate debt instrument debt (other) at end of year	2019-09-30	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2019-09-30	$0
Contract administrator fees	2019-09-30	$5,684
Assets. Corporate common stocks other than exployer securities at end of year	2019-09-30	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2019-09-30	$0
Liabilities. Value of benefit claims payable at end of year	2019-09-30	$0
Liabilities. Value of benefit claims payable at beginning of year	2019-09-30	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2019-09-30	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2019-09-30	$0
Did the plan have assets held for investment	2019-09-30	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	2019-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-09-30	No
Aggregate proceeds on sale of assets	2019-09-30	$0
Aggregate carrying amount (costs) on sale of assets	2019-09-30	$0
Liabilities. Value of acquisition indebtedness at end of year	2019-09-30	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2019-09-30	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2019-09-30	Disclaimer
Accountancy firm name	2019-09-30	DINGUS ZARECOR & ASSOCIATES PLLC
Accountancy firm EIN	2019-09-30	200079326
2018 : PARTNERS IN HEALTHCARE INC. 403B RETIREMENT PLAN 2018 401k financial data
Unrealized appreciation/depreciation of real estate assets	2018-09-30	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2018-09-30	$0
Total unrealized appreciation/depreciation of assets	2018-09-30	$0
Total transfer of assets to this plan	2018-09-30	$126,043
Total transfer of assets from this plan	2018-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-09-30	$0
Expenses. Interest paid	2018-09-30	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2018-09-30	$0
Total income from all sources (including contributions)	2018-09-30	$669,857
Total loss/gain on sale of assets	2018-09-30	$0
Total of all expenses incurred	2018-09-30	$360,723
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-09-30	$354,969
Expenses. Certain deemed distributions of participant loans	2018-09-30	$0
Value of total corrective distributions	2018-09-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-09-30	$500,822
Value of total assets at end of year	2018-09-30	$2,837,780
Value of total assets at beginning of year	2018-09-30	$2,402,603
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-09-30	$5,754
Total income from rents	2018-09-30	$0
Total interest from all sources	2018-09-30	$1,410
Total dividends received (eg from common stock, registered investment company shares)	2018-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-09-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-09-30	$0
Assets. Real estate other than employer real property at end of year	2018-09-30	$0
Assets. Real estate other than employer real property at beginning of year	2018-09-30	$0
Administrative expenses professional fees incurred	2018-09-30	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2018-09-30	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2018-09-30	$0
Was this plan covered by a fidelity bond	2018-09-30	Yes
Value of fidelity bond cover	2018-09-30	$1,000,000
If this is an individual account plan, was there a blackout period	2018-09-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2018-09-30	No
Contributions received from participants	2018-09-30	$436,458
Participant contributions at end of year	2018-09-30	$15,005
Participant contributions at beginning of year	2018-09-30	$32,201
Participant contributions at end of year	2018-09-30	$16,511
Participant contributions at beginning of year	2018-09-30	$13,825
Assets. Other investments not covered elsewhere at end of year	2018-09-30	$0
Assets. Other investments not covered elsewhere at beginning of year	2018-09-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2018-09-30	$64,364
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2018-09-30	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2018-09-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2018-09-30	$0
Assets. Loans (other than to participants) at end of year	2018-09-30	$0
Assets. Loans (other than to participants) at beginning of year	2018-09-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2018-09-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2018-09-30	$0
Other income not declared elsewhere	2018-09-30	$0
Administrative expenses (other) incurred	2018-09-30	$0
Liabilities. Value of operating payables at end of year	2018-09-30	$0
Liabilities. Value of operating payables at beginning of year	2018-09-30	$0
Total non interest bearing cash at end of year	2018-09-30	$0
Total non interest bearing cash at beginning of year	2018-09-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-09-30	No
Income. Non cash contributions	2018-09-30	$0
Value of net income/loss	2018-09-30	$309,134
Value of net assets at end of year (total assets less liabilities)	2018-09-30	$2,837,780
Value of net assets at beginning of year (total assets less liabilities)	2018-09-30	$2,402,603
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-09-30	No
Were any leases to which the plan was party in default or uncollectible	2018-09-30	No
Assets. partnership/joint venture interests at end of year	2018-09-30	$0
Assets. partnership/joint venture interests at beginning of year	2018-09-30	$0
Investment advisory and management fees	2018-09-30	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-09-30	$2,758,069
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-09-30	$2,165,802
Value of interest in pooled separate accounts at end of year	2018-09-30	$0
Value of interest in pooled separate accounts at beginning of year	2018-09-30	$0
Interest on participant loans	2018-09-30	$642
Income. Interest from loans (other than to participants)	2018-09-30	$0
Interest earned on other investments	2018-09-30	$768
Income. Interest from US Government securities	2018-09-30	$0
Income. Interest from corporate debt instruments	2018-09-30	$0
Value of interest in master investment trust accounts at end of year	2018-09-30	$0
Value of interest in master investment trust accounts at beginning of year	2018-09-30	$0
Value of interest in common/collective trusts at end of year	2018-09-30	$0
Value of interest in common/collective trusts at beginning of year	2018-09-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2018-09-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2018-09-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2018-09-30	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2018-09-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-09-30	$48,195
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-09-30	$190,775
Expenses. Payments to insurance carriers foe the provision of benefits	2018-09-30	$0
Asset value of US Government securities at end of year	2018-09-30	$0
Asset value of US Government securities at beginning of year	2018-09-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-09-30	$167,625
Net investment gain/loss from pooled separate accounts	2018-09-30	$0
Net investment gain or loss from common/collective trusts	2018-09-30	$0
Net gain/loss from 103.12 investment entities	2018-09-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-09-30	No
Was there a failure to transmit to the plan any participant contributions	2018-09-30	No
Has the plan failed to provide any benefit when due under the plan	2018-09-30	No
Assets. Invements in employer securities at end of year	2018-09-30	$0
Assets. Invements in employer securities at beginning of year	2018-09-30	$0
Assets. Value of employer real property at end of year	2018-09-30	$0
Assets. Value of employer real property at beginning of year	2018-09-30	$0
Contributions received in cash from employer	2018-09-30	$0
Employer contributions (assets) at end of year	2018-09-30	$0
Employer contributions (assets) at beginning of year	2018-09-30	$0
Income. Dividends from preferred stock	2018-09-30	$0
Income. Dividends from common stock	2018-09-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-09-30	$354,969
Asset. Corporate debt instrument preferred debt at end of year	2018-09-30	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2018-09-30	$0
Asset. Corporate debt instrument debt (other) at end of year	2018-09-30	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2018-09-30	$0
Contract administrator fees	2018-09-30	$5,754
Assets. Corporate common stocks other than exployer securities at end of year	2018-09-30	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2018-09-30	$0
Liabilities. Value of benefit claims payable at end of year	2018-09-30	$0
Liabilities. Value of benefit claims payable at beginning of year	2018-09-30	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2018-09-30	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2018-09-30	$0
Did the plan have assets held for investment	2018-09-30	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	2018-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-09-30	No
Aggregate proceeds on sale of assets	2018-09-30	$0
Aggregate carrying amount (costs) on sale of assets	2018-09-30	$0
Liabilities. Value of acquisition indebtedness at end of year	2018-09-30	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2018-09-30	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2018-09-30	Disclaimer
Accountancy firm name	2018-09-30	DINGUS ZARECOR & ASSOCIATES PLLC
Accountancy firm EIN	2018-09-30	200079326
2017 : PARTNERS IN HEALTHCARE INC. 403B RETIREMENT PLAN 2017 401k financial data
Unrealized appreciation/depreciation of real estate assets	2017-09-30	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2017-09-30	$0
Total unrealized appreciation/depreciation of assets	2017-09-30	$0
Total transfer of assets to this plan	2017-09-30	$0
Total transfer of assets from this plan	2017-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-09-30	$0
Expenses. Interest paid	2017-09-30	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2017-09-30	$0
Total income from all sources (including contributions)	2017-09-30	$579,616
Total loss/gain on sale of assets	2017-09-30	$0
Total of all expenses incurred	2017-09-30	$35,872
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-09-30	$31,129
Expenses. Certain deemed distributions of participant loans	2017-09-30	$0
Value of total corrective distributions	2017-09-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-09-30	$376,438
Value of total assets at end of year	2017-09-30	$2,402,603
Value of total assets at beginning of year	2017-09-30	$1,858,859
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-09-30	$4,743
Total income from rents	2017-09-30	$0
Total interest from all sources	2017-09-30	$3,127
Total dividends received (eg from common stock, registered investment company shares)	2017-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-09-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-09-30	$0
Assets. Real estate other than employer real property at end of year	2017-09-30	$0
Assets. Real estate other than employer real property at beginning of year	2017-09-30	$0
Administrative expenses professional fees incurred	2017-09-30	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2017-09-30	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2017-09-30	$0
Was this plan covered by a fidelity bond	2017-09-30	Yes
Value of fidelity bond cover	2017-09-30	$1,000,000
If this is an individual account plan, was there a blackout period	2017-09-30	No
Were there any nonexempt tranactions with any party-in-interest	2017-09-30	No
Contributions received from participants	2017-09-30	$376,438
Participant contributions at end of year	2017-09-30	$32,201
Participant contributions at beginning of year	2017-09-30	$40,188
Participant contributions at end of year	2017-09-30	$13,825
Participant contributions at beginning of year	2017-09-30	$10,938
Assets. Other investments not covered elsewhere at end of year	2017-09-30	$0
Assets. Other investments not covered elsewhere at beginning of year	2017-09-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2017-09-30	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2017-09-30	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2017-09-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2017-09-30	$0
Assets. Loans (other than to participants) at end of year	2017-09-30	$0
Assets. Loans (other than to participants) at beginning of year	2017-09-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2017-09-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2017-09-30	$0
Other income not declared elsewhere	2017-09-30	$0
Administrative expenses (other) incurred	2017-09-30	$0
Liabilities. Value of operating payables at end of year	2017-09-30	$0
Liabilities. Value of operating payables at beginning of year	2017-09-30	$0
Total non interest bearing cash at end of year	2017-09-30	$0
Total non interest bearing cash at beginning of year	2017-09-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-09-30	No
Income. Non cash contributions	2017-09-30	$0
Value of net income/loss	2017-09-30	$543,744
Value of net assets at end of year (total assets less liabilities)	2017-09-30	$2,402,603
Value of net assets at beginning of year (total assets less liabilities)	2017-09-30	$1,858,859
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-09-30	No
Were any leases to which the plan was party in default or uncollectible	2017-09-30	No
Assets. partnership/joint venture interests at end of year	2017-09-30	$0
Assets. partnership/joint venture interests at beginning of year	2017-09-30	$0
Investment advisory and management fees	2017-09-30	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-09-30	$2,165,802
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-09-30	$1,583,511
Value of interest in pooled separate accounts at end of year	2017-09-30	$0
Value of interest in pooled separate accounts at beginning of year	2017-09-30	$0
Interest on participant loans	2017-09-30	$1,544
Income. Interest from loans (other than to participants)	2017-09-30	$0
Interest earned on other investments	2017-09-30	$1,583
Income. Interest from US Government securities	2017-09-30	$0
Income. Interest from corporate debt instruments	2017-09-30	$0
Value of interest in master investment trust accounts at end of year	2017-09-30	$0
Value of interest in master investment trust accounts at beginning of year	2017-09-30	$0
Value of interest in common/collective trusts at end of year	2017-09-30	$0
Value of interest in common/collective trusts at beginning of year	2017-09-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2017-09-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2017-09-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2017-09-30	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-09-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-09-30	$190,775
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-09-30	$224,222
Expenses. Payments to insurance carriers foe the provision of benefits	2017-09-30	$0
Asset value of US Government securities at end of year	2017-09-30	$0
Asset value of US Government securities at beginning of year	2017-09-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-09-30	$200,051
Net investment gain/loss from pooled separate accounts	2017-09-30	$0
Net investment gain or loss from common/collective trusts	2017-09-30	$0
Net gain/loss from 103.12 investment entities	2017-09-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-09-30	No
Was there a failure to transmit to the plan any participant contributions	2017-09-30	No
Has the plan failed to provide any benefit when due under the plan	2017-09-30	No
Assets. Invements in employer securities at end of year	2017-09-30	$0
Assets. Invements in employer securities at beginning of year	2017-09-30	$0
Assets. Value of employer real property at end of year	2017-09-30	$0
Assets. Value of employer real property at beginning of year	2017-09-30	$0
Contributions received in cash from employer	2017-09-30	$0
Employer contributions (assets) at end of year	2017-09-30	$0
Employer contributions (assets) at beginning of year	2017-09-30	$0
Income. Dividends from preferred stock	2017-09-30	$0
Income. Dividends from common stock	2017-09-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-09-30	$31,129
Asset. Corporate debt instrument preferred debt at end of year	2017-09-30	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2017-09-30	$0
Asset. Corporate debt instrument debt (other) at end of year	2017-09-30	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2017-09-30	$0
Contract administrator fees	2017-09-30	$4,743
Assets. Corporate common stocks other than exployer securities at end of year	2017-09-30	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2017-09-30	$0
Liabilities. Value of benefit claims payable at end of year	2017-09-30	$0
Liabilities. Value of benefit claims payable at beginning of year	2017-09-30	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2017-09-30	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2017-09-30	$0
Did the plan have assets held for investment	2017-09-30	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	2017-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-09-30	No
Aggregate proceeds on sale of assets	2017-09-30	$0
Aggregate carrying amount (costs) on sale of assets	2017-09-30	$0
Liabilities. Value of acquisition indebtedness at end of year	2017-09-30	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2017-09-30	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2017-09-30	Disclaimer
Accountancy firm name	2017-09-30	DINGUS, ZARECOR & ASSOCIATES PLLC
Accountancy firm EIN	2017-09-30	200079326
2016 : PARTNERS IN HEALTHCARE INC. 403B RETIREMENT PLAN 2016 401k financial data
Unrealized appreciation/depreciation of real estate assets	2016-09-30	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2016-09-30	$0
Total unrealized appreciation/depreciation of assets	2016-09-30	$0
Total transfer of assets to this plan	2016-09-30	$0
Total transfer of assets from this plan	2016-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-09-30	$0
Expenses. Interest paid	2016-09-30	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2016-09-30	$0
Total income from all sources (including contributions)	2016-09-30	$423,659
Total loss/gain on sale of assets	2016-09-30	$0
Total of all expenses incurred	2016-09-30	$85,462
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-09-30	$81,195
Expenses. Certain deemed distributions of participant loans	2016-09-30	$0
Value of total corrective distributions	2016-09-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-09-30	$305,522
Value of total assets at end of year	2016-09-30	$1,858,859
Value of total assets at beginning of year	2016-09-30	$1,520,662
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-09-30	$4,267
Total income from rents	2016-09-30	$0
Total interest from all sources	2016-09-30	$4,211
Total dividends received (eg from common stock, registered investment company shares)	2016-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-09-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-09-30	$0
Assets. Real estate other than employer real property at end of year	2016-09-30	$0
Assets. Real estate other than employer real property at beginning of year	2016-09-30	$0
Administrative expenses professional fees incurred	2016-09-30	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2016-09-30	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2016-09-30	$0
Was this plan covered by a fidelity bond	2016-09-30	Yes
Value of fidelity bond cover	2016-09-30	$1,000,000
If this is an individual account plan, was there a blackout period	2016-09-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2016-09-30	No
Contributions received from participants	2016-09-30	$305,522
Participant contributions at end of year	2016-09-30	$40,188
Participant contributions at beginning of year	2016-09-30	$45,247
Participant contributions at end of year	2016-09-30	$10,938
Participant contributions at beginning of year	2016-09-30	$0
Assets. Other investments not covered elsewhere at end of year	2016-09-30	$0
Assets. Other investments not covered elsewhere at beginning of year	2016-09-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2016-09-30	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2016-09-30	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2016-09-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2016-09-30	$0
Assets. Loans (other than to participants) at end of year	2016-09-30	$0
Assets. Loans (other than to participants) at beginning of year	2016-09-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2016-09-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2016-09-30	$0
Other income not declared elsewhere	2016-09-30	$0
Administrative expenses (other) incurred	2016-09-30	$0
Liabilities. Value of operating payables at end of year	2016-09-30	$0
Liabilities. Value of operating payables at beginning of year	2016-09-30	$0
Total non interest bearing cash at end of year	2016-09-30	$0
Total non interest bearing cash at beginning of year	2016-09-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-09-30	No
Income. Non cash contributions	2016-09-30	$0
Value of net income/loss	2016-09-30	$338,197
Value of net assets at end of year (total assets less liabilities)	2016-09-30	$1,858,859
Value of net assets at beginning of year (total assets less liabilities)	2016-09-30	$1,520,662
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-09-30	No
Were any leases to which the plan was party in default or uncollectible	2016-09-30	No
Assets. partnership/joint venture interests at end of year	2016-09-30	$0
Assets. partnership/joint venture interests at beginning of year	2016-09-30	$0
Investment advisory and management fees	2016-09-30	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-09-30	$1,583,511
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-09-30	$1,267,541
Value of interest in pooled separate accounts at end of year	2016-09-30	$0
Value of interest in pooled separate accounts at beginning of year	2016-09-30	$0
Interest on participant loans	2016-09-30	$1,478
Income. Interest from loans (other than to participants)	2016-09-30	$0
Interest earned on other investments	2016-09-30	$2,733
Income. Interest from US Government securities	2016-09-30	$0
Income. Interest from corporate debt instruments	2016-09-30	$0
Value of interest in master investment trust accounts at end of year	2016-09-30	$0
Value of interest in master investment trust accounts at beginning of year	2016-09-30	$0
Value of interest in common/collective trusts at end of year	2016-09-30	$0
Value of interest in common/collective trusts at beginning of year	2016-09-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-09-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-09-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-09-30	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-09-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-09-30	$224,222
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-09-30	$207,874
Expenses. Payments to insurance carriers foe the provision of benefits	2016-09-30	$0
Asset value of US Government securities at end of year	2016-09-30	$0
Asset value of US Government securities at beginning of year	2016-09-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-09-30	$113,926
Net investment gain/loss from pooled separate accounts	2016-09-30	$0
Net investment gain or loss from common/collective trusts	2016-09-30	$0
Net gain/loss from 103.12 investment entities	2016-09-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-09-30	No
Was there a failure to transmit to the plan any participant contributions	2016-09-30	No
Has the plan failed to provide any benefit when due under the plan	2016-09-30	No
Assets. Invements in employer securities at end of year	2016-09-30	$0
Assets. Invements in employer securities at beginning of year	2016-09-30	$0
Assets. Value of employer real property at end of year	2016-09-30	$0
Assets. Value of employer real property at beginning of year	2016-09-30	$0
Contributions received in cash from employer	2016-09-30	$0
Employer contributions (assets) at end of year	2016-09-30	$0
Employer contributions (assets) at beginning of year	2016-09-30	$0
Income. Dividends from preferred stock	2016-09-30	$0
Income. Dividends from common stock	2016-09-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-09-30	$81,195
Asset. Corporate debt instrument preferred debt at end of year	2016-09-30	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2016-09-30	$0
Asset. Corporate debt instrument debt (other) at end of year	2016-09-30	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2016-09-30	$0
Contract administrator fees	2016-09-30	$4,267
Assets. Corporate common stocks other than exployer securities at end of year	2016-09-30	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2016-09-30	$0
Liabilities. Value of benefit claims payable at end of year	2016-09-30	$0
Liabilities. Value of benefit claims payable at beginning of year	2016-09-30	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2016-09-30	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2016-09-30	$0
Did the plan have assets held for investment	2016-09-30	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	2016-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-09-30	No
Aggregate proceeds on sale of assets	2016-09-30	$0
Aggregate carrying amount (costs) on sale of assets	2016-09-30	$0
Liabilities. Value of acquisition indebtedness at end of year	2016-09-30	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2016-09-30	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2016-09-30	Disclaimer
Accountancy firm name	2016-09-30	DINGUS, ZARECOR & ASSOCIATES PLLC
Accountancy firm EIN	2016-09-30	200079326
2015 : PARTNERS IN HEALTHCARE INC. 403B RETIREMENT PLAN 2015 401k financial data
Unrealized appreciation/depreciation of real estate assets	2015-09-30	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2015-09-30	$0
Total unrealized appreciation/depreciation of assets	2015-09-30	$0
Total transfer of assets to this plan	2015-09-30	$0
Total transfer of assets from this plan	2015-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-09-30	$0
Expenses. Interest paid	2015-09-30	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2015-09-30	$0
Total income from all sources (including contributions)	2015-09-30	$210,798
Total loss/gain on sale of assets	2015-09-30	$0
Total of all expenses incurred	2015-09-30	$170,157
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-09-30	$164,870
Expenses. Certain deemed distributions of participant loans	2015-09-30	$0
Value of total corrective distributions	2015-09-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-09-30	$255,291
Value of total assets at end of year	2015-09-30	$1,520,662
Value of total assets at beginning of year	2015-09-30	$1,480,021
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-09-30	$5,287
Total income from rents	2015-09-30	$0
Total interest from all sources	2015-09-30	$5,416
Total dividends received (eg from common stock, registered investment company shares)	2015-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-09-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-09-30	$0
Assets. Real estate other than employer real property at end of year	2015-09-30	$0
Assets. Real estate other than employer real property at beginning of year	2015-09-30	$0
Administrative expenses professional fees incurred	2015-09-30	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2015-09-30	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2015-09-30	$0
Was this plan covered by a fidelity bond	2015-09-30	Yes
Value of fidelity bond cover	2015-09-30	$1,000,000
If this is an individual account plan, was there a blackout period	2015-09-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2015-09-30	No
Contributions received from participants	2015-09-30	$255,291
Participant contributions at end of year	2015-09-30	$45,247
Participant contributions at beginning of year	2015-09-30	$49,404
Participant contributions at end of year	2015-09-30	$0
Participant contributions at beginning of year	2015-09-30	$125
Assets. Other investments not covered elsewhere at end of year	2015-09-30	$0
Assets. Other investments not covered elsewhere at beginning of year	2015-09-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2015-09-30	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2015-09-30	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2015-09-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2015-09-30	$0
Assets. Loans (other than to participants) at end of year	2015-09-30	$0
Assets. Loans (other than to participants) at beginning of year	2015-09-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2015-09-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2015-09-30	$0
Other income not declared elsewhere	2015-09-30	$0
Administrative expenses (other) incurred	2015-09-30	$0
Liabilities. Value of operating payables at end of year	2015-09-30	$0
Liabilities. Value of operating payables at beginning of year	2015-09-30	$0
Total non interest bearing cash at end of year	2015-09-30	$0
Total non interest bearing cash at beginning of year	2015-09-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-09-30	No
Income. Non cash contributions	2015-09-30	$0
Value of net income/loss	2015-09-30	$40,641
Value of net assets at end of year (total assets less liabilities)	2015-09-30	$1,520,662
Value of net assets at beginning of year (total assets less liabilities)	2015-09-30	$1,480,021
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-09-30	No
Were any leases to which the plan was party in default or uncollectible	2015-09-30	No
Assets. partnership/joint venture interests at end of year	2015-09-30	$0
Assets. partnership/joint venture interests at beginning of year	2015-09-30	$0
Investment advisory and management fees	2015-09-30	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-09-30	$1,267,541
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-09-30	$259,738
Value of interest in pooled separate accounts at end of year	2015-09-30	$0
Value of interest in pooled separate accounts at beginning of year	2015-09-30	$0
Interest on participant loans	2015-09-30	$1,816
Income. Interest from loans (other than to participants)	2015-09-30	$0
Interest earned on other investments	2015-09-30	$3,600
Income. Interest from US Government securities	2015-09-30	$0
Income. Interest from corporate debt instruments	2015-09-30	$0
Value of interest in master investment trust accounts at end of year	2015-09-30	$0
Value of interest in master investment trust accounts at beginning of year	2015-09-30	$0
Value of interest in common/collective trusts at end of year	2015-09-30	$0
Value of interest in common/collective trusts at beginning of year	2015-09-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-09-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-09-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-09-30	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-09-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-09-30	$207,874
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-09-30	$1,170,754
Expenses. Payments to insurance carriers foe the provision of benefits	2015-09-30	$0
Asset value of US Government securities at end of year	2015-09-30	$0
Asset value of US Government securities at beginning of year	2015-09-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-09-30	$-49,909
Net investment gain/loss from pooled separate accounts	2015-09-30	$0
Net investment gain or loss from common/collective trusts	2015-09-30	$0
Net gain/loss from 103.12 investment entities	2015-09-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-09-30	No
Was there a failure to transmit to the plan any participant contributions	2015-09-30	No
Has the plan failed to provide any benefit when due under the plan	2015-09-30	No
Assets. Invements in employer securities at end of year	2015-09-30	$0
Assets. Invements in employer securities at beginning of year	2015-09-30	$0
Assets. Value of employer real property at end of year	2015-09-30	$0
Assets. Value of employer real property at beginning of year	2015-09-30	$0
Contributions received in cash from employer	2015-09-30	$0
Employer contributions (assets) at end of year	2015-09-30	$0
Employer contributions (assets) at beginning of year	2015-09-30	$0
Income. Dividends from preferred stock	2015-09-30	$0
Income. Dividends from common stock	2015-09-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-09-30	$164,870
Asset. Corporate debt instrument preferred debt at end of year	2015-09-30	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2015-09-30	$0
Asset. Corporate debt instrument debt (other) at end of year	2015-09-30	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2015-09-30	$0
Contract administrator fees	2015-09-30	$5,287
Assets. Corporate common stocks other than exployer securities at end of year	2015-09-30	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2015-09-30	$0
Liabilities. Value of benefit claims payable at end of year	2015-09-30	$0
Liabilities. Value of benefit claims payable at beginning of year	2015-09-30	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2015-09-30	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2015-09-30	$0
Did the plan have assets held for investment	2015-09-30	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	2015-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-09-30	No
Aggregate proceeds on sale of assets	2015-09-30	$0
Aggregate carrying amount (costs) on sale of assets	2015-09-30	$0
Liabilities. Value of acquisition indebtedness at end of year	2015-09-30	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2015-09-30	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2015-09-30	Disclaimer
Accountancy firm name	2015-09-30	DINGUS, ZARECOR & ASSOCIATES PLLC
Accountancy firm EIN	2015-09-30	200079326
2014 : PARTNERS IN HEALTHCARE INC. 403B RETIREMENT PLAN 2014 401k financial data
Unrealized appreciation/depreciation of real estate assets	2014-09-30	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2014-09-30	$0
Total unrealized appreciation/depreciation of assets	2014-09-30	$0
Total transfer of assets to this plan	2014-09-30	$0
Total transfer of assets from this plan	2014-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-09-30	$0
Expenses. Interest paid	2014-09-30	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2014-09-30	$0
Total income from all sources (including contributions)	2014-09-30	$254,741
Total loss/gain on sale of assets	2014-09-30	$0
Total of all expenses incurred	2014-09-30	$145,196
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-09-30	$136,972
Expenses. Certain deemed distributions of participant loans	2014-09-30	$3,565
Value of total corrective distributions	2014-09-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-09-30	$170,780
Value of total assets at end of year	2014-09-30	$1,480,021
Value of total assets at beginning of year	2014-09-30	$1,370,476
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-09-30	$4,659
Total income from rents	2014-09-30	$0
Total interest from all sources	2014-09-30	$5,868
Total dividends received (eg from common stock, registered investment company shares)	2014-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-09-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-09-30	$0
Assets. Real estate other than employer real property at end of year	2014-09-30	$0
Assets. Real estate other than employer real property at beginning of year	2014-09-30	$0
Administrative expenses professional fees incurred	2014-09-30	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2014-09-30	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2014-09-30	$0
Was this plan covered by a fidelity bond	2014-09-30	No
If this is an individual account plan, was there a blackout period	2014-09-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2014-09-30	No
Contributions received from participants	2014-09-30	$170,780
Participant contributions at end of year	2014-09-30	$49,404
Participant contributions at beginning of year	2014-09-30	$58,674
Participant contributions at end of year	2014-09-30	$125
Participant contributions at beginning of year	2014-09-30	$0
Assets. Other investments not covered elsewhere at end of year	2014-09-30	$0
Assets. Other investments not covered elsewhere at beginning of year	2014-09-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2014-09-30	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2014-09-30	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2014-09-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2014-09-30	$0
Assets. Loans (other than to participants) at end of year	2014-09-30	$0
Assets. Loans (other than to participants) at beginning of year	2014-09-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2014-09-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2014-09-30	$0
Other income not declared elsewhere	2014-09-30	$0
Administrative expenses (other) incurred	2014-09-30	$0
Liabilities. Value of operating payables at end of year	2014-09-30	$0
Liabilities. Value of operating payables at beginning of year	2014-09-30	$0
Total non interest bearing cash at end of year	2014-09-30	$0
Total non interest bearing cash at beginning of year	2014-09-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-09-30	No
Income. Non cash contributions	2014-09-30	$0
Value of net income/loss	2014-09-30	$109,545
Value of net assets at end of year (total assets less liabilities)	2014-09-30	$1,480,021
Value of net assets at beginning of year (total assets less liabilities)	2014-09-30	$1,370,476
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-09-30	No
Were any leases to which the plan was party in default or uncollectible	2014-09-30	No
Assets. partnership/joint venture interests at end of year	2014-09-30	$0
Assets. partnership/joint venture interests at beginning of year	2014-09-30	$0
Investment advisory and management fees	2014-09-30	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-09-30	$259,738
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-09-30	$325,859
Value of interest in pooled separate accounts at end of year	2014-09-30	$0
Value of interest in pooled separate accounts at beginning of year	2014-09-30	$0
Interest on participant loans	2014-09-30	$1,073
Income. Interest from loans (other than to participants)	2014-09-30	$0
Interest earned on other investments	2014-09-30	$4,795
Income. Interest from US Government securities	2014-09-30	$0
Income. Interest from corporate debt instruments	2014-09-30	$0
Value of interest in master investment trust accounts at end of year	2014-09-30	$0
Value of interest in master investment trust accounts at beginning of year	2014-09-30	$0
Value of interest in common/collective trusts at end of year	2014-09-30	$0
Value of interest in common/collective trusts at beginning of year	2014-09-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-09-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-09-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-09-30	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-09-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-09-30	$1,170,754
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-09-30	$968,186
Expenses. Payments to insurance carriers foe the provision of benefits	2014-09-30	$0
Asset value of US Government securities at end of year	2014-09-30	$0
Asset value of US Government securities at beginning of year	2014-09-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-09-30	$78,093
Net investment gain/loss from pooled separate accounts	2014-09-30	$0
Net investment gain or loss from common/collective trusts	2014-09-30	$0
Net gain/loss from 103.12 investment entities	2014-09-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-09-30	No
Was there a failure to transmit to the plan any participant contributions	2014-09-30	No
Has the plan failed to provide any benefit when due under the plan	2014-09-30	No
Assets. Invements in employer securities at end of year	2014-09-30	$0
Assets. Invements in employer securities at beginning of year	2014-09-30	$0
Assets. Value of employer real property at end of year	2014-09-30	$0
Assets. Value of employer real property at beginning of year	2014-09-30	$0
Contributions received in cash from employer	2014-09-30	$0
Employer contributions (assets) at end of year	2014-09-30	$0
Employer contributions (assets) at beginning of year	2014-09-30	$17,757
Income. Dividends from preferred stock	2014-09-30	$0
Income. Dividends from common stock	2014-09-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-09-30	$136,972
Asset. Corporate debt instrument preferred debt at end of year	2014-09-30	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2014-09-30	$0
Asset. Corporate debt instrument debt (other) at end of year	2014-09-30	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2014-09-30	$0
Contract administrator fees	2014-09-30	$4,659
Assets. Corporate common stocks other than exployer securities at end of year	2014-09-30	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2014-09-30	$0
Liabilities. Value of benefit claims payable at end of year	2014-09-30	$0
Liabilities. Value of benefit claims payable at beginning of year	2014-09-30	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2014-09-30	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2014-09-30	$0
Did the plan have assets held for investment	2014-09-30	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	2014-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-09-30	No
Aggregate proceeds on sale of assets	2014-09-30	$0
Aggregate carrying amount (costs) on sale of assets	2014-09-30	$0
Liabilities. Value of acquisition indebtedness at end of year	2014-09-30	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2014-09-30	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2014-09-30	Disclaimer
Accountancy firm name	2014-09-30	DINGUS, ZARECOR & ASSOCIATES PLLC
Accountancy firm EIN	2014-09-30	200079326
2013 : PARTNERS IN HEALTHCARE INC. 403B RETIREMENT PLAN 2013 401k financial data
Total income from all sources (including contributions)	2013-09-30	$319,431
Total of all expenses incurred	2013-09-30	$49,025
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-09-30	$44,922
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-09-30	$171,453
Value of total assets at end of year	2013-09-30	$1,370,476
Value of total assets at beginning of year	2013-09-30	$1,100,281
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-09-30	$4,103
Total interest from all sources	2013-09-30	$7,655
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-09-30	No
Was this plan covered by a fidelity bond	2013-09-30	No
If this is an individual account plan, was there a blackout period	2013-09-30	No
Were there any nonexempt tranactions with any party-in-interest	2013-09-30	No
Contributions received from participants	2013-09-30	$153,696
Participant contributions at end of year	2013-09-30	$58,674
Participant contributions at beginning of year	2013-09-30	$62,251
Assets. Other investments not covered elsewhere at end of year	2013-09-30	$968,186
Assets. Other investments not covered elsewhere at beginning of year	2013-09-30	$842,984
Other income not declared elsewhere	2013-09-30	$140,323
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-09-30	No
Value of net income/loss	2013-09-30	$270,406
Value of net assets at end of year (total assets less liabilities)	2013-09-30	$1,370,476
Value of net assets at beginning of year (total assets less liabilities)	2013-09-30	$1,100,281
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-09-30	No
Were any leases to which the plan was party in default or uncollectible	2013-09-30	No
Interest on participant loans	2013-09-30	$2,191
Interest earned on other investments	2013-09-30	$5,464
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-09-30	$325,859
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-09-30	$195,046
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-09-30	No
Was there a failure to transmit to the plan any participant contributions	2013-09-30	No
Has the plan failed to provide any benefit when due under the plan	2013-09-30	No
Contributions received in cash from employer	2013-09-30	$17,757
Employer contributions (assets) at end of year	2013-09-30	$17,757
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-09-30	$44,922
Contract administrator fees	2013-09-30	$4,103
Did the plan have assets held for investment	2013-09-30	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	2013-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2013-09-30	Disclaimer
Accountancy firm name	2013-09-30	DINGUS, ZARECOR & ASSOCIATES PLLC
Accountancy firm EIN	2013-09-30	200079326
2012 : PARTNERS IN HEALTHCARE INC. 403B RETIREMENT PLAN 2012 401k financial data
Total income from all sources (including contributions)	2012-09-30	$287,832
Total of all expenses incurred	2012-09-30	$133,828
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-09-30	$125,429
Expenses. Certain deemed distributions of participant loans	2012-09-30	$4,790
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-09-30	$147,865
Value of total assets at end of year	2012-09-30	$1,100,281
Value of total assets at beginning of year	2012-09-30	$946,277
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-09-30	$3,609
Total interest from all sources	2012-09-30	$6,807
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-09-30	No
Was this plan covered by a fidelity bond	2012-09-30	No
If this is an individual account plan, was there a blackout period	2012-09-30	No
Were there any nonexempt tranactions with any party-in-interest	2012-09-30	No
Contributions received from participants	2012-09-30	$147,865
Participant contributions at end of year	2012-09-30	$62,251
Participant contributions at beginning of year	2012-09-30	$65,696
Assets. Other investments not covered elsewhere at end of year	2012-09-30	$842,984
Other income not declared elsewhere	2012-09-30	$133,160
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-09-30	No
Value of net income/loss	2012-09-30	$154,004
Value of net assets at end of year (total assets less liabilities)	2012-09-30	$1,100,281
Value of net assets at beginning of year (total assets less liabilities)	2012-09-30	$946,277
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-09-30	No
Were any leases to which the plan was party in default or uncollectible	2012-09-30	No
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-09-30	$701,653
Interest on participant loans	2012-09-30	$2,097
Interest earned on other investments	2012-09-30	$4,710
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-09-30	$195,046
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-09-30	$178,928
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-09-30	No
Was there a failure to transmit to the plan any participant contributions	2012-09-30	Yes
Has the plan failed to provide any benefit when due under the plan	2012-09-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-09-30	$125,429
Contract administrator fees	2012-09-30	$3,609
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	2012-09-30	No
Did the plan have assets held for investment	2012-09-30	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	2012-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2012-09-30	Disclaimer
Accountancy firm name	2012-09-30	EIDE BAILLY LLP
Accountancy firm EIN	2012-09-30	450250958
2011 : PARTNERS IN HEALTHCARE INC. 403B RETIREMENT PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-09-30	$0
Total income from all sources (including contributions)	2011-09-30	$158,654
Total loss/gain on sale of assets	2011-09-30	$0
Total of all expenses incurred	2011-09-30	$43,717
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-09-30	$42,924
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-09-30	$184,626
Value of total assets at end of year	2011-09-30	$946,277
Value of total assets at beginning of year	2011-09-30	$831,340
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-09-30	$793
Total interest from all sources	2011-09-30	$7,138
Total dividends received (eg from common stock, registered investment company shares)	2011-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-09-30	No
Was this plan covered by a fidelity bond	2011-09-30	No
If this is an individual account plan, was there a blackout period	2011-09-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2011-09-30	No
Contributions received from participants	2011-09-30	$184,626
Participant contributions at end of year	2011-09-30	$65,696
Participant contributions at beginning of year	2011-09-30	$54,787
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-09-30	No
Value of net income/loss	2011-09-30	$114,937
Value of net assets at end of year (total assets less liabilities)	2011-09-30	$946,277
Value of net assets at beginning of year (total assets less liabilities)	2011-09-30	$831,340
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-09-30	No
Were any leases to which the plan was party in default or uncollectible	2011-09-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-09-30	$701,653
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-09-30	$617,084
Interest on participant loans	2011-09-30	$1,688
Interest earned on other investments	2011-09-30	$5,450
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-09-30	$178,928
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-09-30	$159,469
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-09-30	$-33,110
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-09-30	No
Was there a failure to transmit to the plan any participant contributions	2011-09-30	Yes
Has the plan failed to provide any benefit when due under the plan	2011-09-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-09-30	$42,924
Contract administrator fees	2011-09-30	$793
Did the plan have assets held for investment	2011-09-30	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	2011-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2011-09-30	Disclaimer
Accountancy firm name	2011-09-30	EIDE BAILLY LLP
Accountancy firm EIN	2011-09-30	450250958

Form 5500 Responses for PARTNERS IN HEALTHCARE INC. 403B RETIREMENT PLAN

2021: PARTNERS IN HEALTHCARE INC. 403B RETIREMENT PLAN 2021 form 5500 responses
2021-10-01	Type of plan entity	Single employer plan
2021-10-01	Submission has been amended	No
2021-10-01	This submission is the final filing	No
2021-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-10-01	Plan is a collectively bargained plan	No
2021-10-01	Plan funding arrangement – Insurance	Yes
2021-10-01	Plan benefit arrangement - Trust	Yes
2020: PARTNERS IN HEALTHCARE INC. 403B RETIREMENT PLAN 2020 form 5500 responses
2020-10-01	Type of plan entity	Single employer plan
2020-10-01	Submission has been amended	No
2020-10-01	This submission is the final filing	No
2020-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-10-01	Plan is a collectively bargained plan	No
2020-10-01	Plan funding arrangement – Insurance	Yes
2020-10-01	Plan benefit arrangement - Trust	Yes
2019: PARTNERS IN HEALTHCARE INC. 403B RETIREMENT PLAN 2019 form 5500 responses
2019-10-01	Type of plan entity	Single employer plan
2019-10-01	Submission has been amended	No
2019-10-01	This submission is the final filing	No
2019-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-10-01	Plan is a collectively bargained plan	No
2019-10-01	Plan funding arrangement – Insurance	Yes
2019-10-01	Plan benefit arrangement - Trust	Yes
2018: PARTNERS IN HEALTHCARE INC. 403B RETIREMENT PLAN 2018 form 5500 responses
2018-10-01	Type of plan entity	Single employer plan
2018-10-01	Submission has been amended	No
2018-10-01	This submission is the final filing	No
2018-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-10-01	Plan is a collectively bargained plan	No
2018-10-01	Plan funding arrangement – Insurance	Yes
2018-10-01	Plan benefit arrangement - Trust	Yes
2017: PARTNERS IN HEALTHCARE INC. 403B RETIREMENT PLAN 2017 form 5500 responses
2017-10-01	Type of plan entity	Single employer plan
2017-10-01	Submission has been amended	No
2017-10-01	This submission is the final filing	No
2017-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-10-01	Plan is a collectively bargained plan	No
2017-10-01	Plan funding arrangement – Insurance	Yes
2017-10-01	Plan benefit arrangement - Trust	Yes
2016: PARTNERS IN HEALTHCARE INC. 403B RETIREMENT PLAN 2016 form 5500 responses
2016-10-01	Type of plan entity	Single employer plan
2016-10-01	Submission has been amended	Yes
2016-10-01	This submission is the final filing	No
2016-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-10-01	Plan is a collectively bargained plan	No
2016-10-01	Plan funding arrangement – Insurance	Yes
2016-10-01	Plan benefit arrangement - Trust	Yes
2015: PARTNERS IN HEALTHCARE INC. 403B RETIREMENT PLAN 2015 form 5500 responses
2015-10-01	Type of plan entity	Single employer plan
2015-10-01	Submission has been amended	Yes
2015-10-01	This submission is the final filing	No
2015-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-10-01	Plan is a collectively bargained plan	No
2015-10-01	Plan funding arrangement – Insurance	Yes
2015-10-01	Plan benefit arrangement - Trust	Yes
2014: PARTNERS IN HEALTHCARE INC. 403B RETIREMENT PLAN 2014 form 5500 responses
2014-10-01	Type of plan entity	Single employer plan
2014-10-01	Submission has been amended	No
2014-10-01	This submission is the final filing	No
2014-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-10-01	Plan is a collectively bargained plan	No
2014-10-01	Plan funding arrangement – Insurance	Yes
2014-10-01	Plan benefit arrangement - Trust	Yes
2013: PARTNERS IN HEALTHCARE INC. 403B RETIREMENT PLAN 2013 form 5500 responses
2013-10-01	Type of plan entity	Single employer plan
2013-10-01	Submission has been amended	No
2013-10-01	This submission is the final filing	No
2013-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-10-01	Plan is a collectively bargained plan	No
2013-10-01	Plan funding arrangement – Insurance	Yes
2013-10-01	Plan benefit arrangement - Trust	Yes
2012: PARTNERS IN HEALTHCARE INC. 403B RETIREMENT PLAN 2012 form 5500 responses
2012-10-01	Type of plan entity	Single employer plan
2012-10-01	Plan funding arrangement – Insurance	Yes
2012-10-01	Plan benefit arrangement – Insurance	Yes
2011: PARTNERS IN HEALTHCARE INC. 403B RETIREMENT PLAN 2011 form 5500 responses
2011-10-01	Type of plan entity	Single employer plan
2011-10-01	Plan funding arrangement – Insurance	Yes
2011-10-01	Plan benefit arrangement – Insurance	Yes
2008: PARTNERS IN HEALTHCARE INC. 403B RETIREMENT PLAN 2008 form 5500 responses
2008-10-01	Type of plan entity	Single employer plan
2008-10-01	Submission has been amended	No
2008-10-01	This submission is the final filing	No
2008-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-10-01	Plan is a collectively bargained plan	No
2008-03-23	Type of plan entity	Single employer plan
2008-03-23	First time form 5500 has been submitted	Yes
2008-03-23	Submission has been amended	No
2008-03-23	This submission is the final filing	No
2008-03-23	This return/report is a short plan year return/report (less than 12 months)	Yes
2008-03-23	Plan is a collectively bargained plan	No

Insurance Providers Used on plan

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

Policy contract number

510326-01

Policy instance

Insurance contract or identification number	510326-01
Number of Individuals Covered	9
Insurance policy start date	2021-10-01
Insurance policy end date	2022-09-30
Total amount of commissions paid to insurance broker	USD $302
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
Commission paid to Insurance Broker	USD $302
Insurance broker organization code?	3

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

Policy contract number

510326-01

Policy instance

Insurance contract or identification number	510326-01
Number of Individuals Covered	4
Insurance policy start date	2020-10-01
Insurance policy end date	2021-09-30
Total amount of commissions paid to insurance broker	USD $7
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
Commission paid to Insurance Broker	USD $7
Insurance broker organization code?	3

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

54865

Policy instance

Insurance contract or identification number	54865
Number of Individuals Covered	3
Insurance policy start date	2019-10-01
Insurance policy end date	2020-09-30
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare 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

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G62303

Policy instance

Insurance contract or identification number	G62303
Number of Individuals Covered	160
Insurance policy start date	2019-10-01
Insurance policy end date	2020-09-30
Total amount of commissions paid to insurance broker	USD $15,406
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 $15,406
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	N/A
Insurance broker organization code?	3

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

54865

Policy instance

Insurance contract or identification number	54865
Number of Individuals Covered	3
Insurance policy start date	2018-10-01
Insurance policy end date	2019-09-30
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare 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

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G62303

Policy instance

Insurance contract or identification number	G62303
Number of Individuals Covered	142
Insurance policy start date	2018-10-01
Insurance policy end date	2019-09-30
Total amount of commissions paid to insurance broker	USD $14,646
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 $14,646
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	N/A
Insurance broker organization code?	3

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

54865

Policy instance

Insurance contract or identification number	54865
Number of Individuals Covered	3
Insurance policy start date	2017-10-01
Insurance policy end date	2018-09-30
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare 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

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G62303

Policy instance

Insurance contract or identification number	G62303
Number of Individuals Covered	134
Insurance policy start date	2017-10-01
Insurance policy end date	2018-09-30
Total amount of commissions paid to insurance broker	USD $12,456
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

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

54865

Policy instance

Insurance contract or identification number	54865
Number of Individuals Covered	31
Insurance policy start date	2014-10-01
Insurance policy end date	2015-09-30
Total amount of commissions paid to insurance broker	USD $22
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?	No
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 $22
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	N/A
Insurance broker organization code?	3
Insurance broker name	ERIK D SHOTWELL

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G62303

Policy instance

Insurance contract or identification number	G62303
Number of Individuals Covered	100
Insurance policy start date	2014-10-01
Insurance policy end date	2015-09-30
Total amount of commissions paid to insurance broker	USD $6,555
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 $6,555
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	N/A
Insurance broker organization code?	3
Insurance broker name	NORTHWESTERN MUTUAL INVESTMENT

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

54865

Policy instance

Insurance contract or identification number	54865
Number of Individuals Covered	34
Insurance policy start date	2013-10-01
Insurance policy end date	2014-09-30
Total amount of commissions paid to insurance broker	USD $0
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?	No
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

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G62303

Policy instance

Insurance contract or identification number	G62303
Number of Individuals Covered	94
Insurance policy start date	2013-10-01
Insurance policy end date	2014-09-30
Total amount of commissions paid to insurance broker	USD $1,884
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 $1,884
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	N/A
Insurance broker organization code?	3
Insurance broker name	NORTHWESTERN MUTUAL INVESTMENT

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

54865

Policy instance

Insurance contract or identification number	54865
Number of Individuals Covered	83
Insurance policy start date	2012-10-01
Insurance policy end date	2013-09-30
Total amount of commissions paid to insurance broker	USD $2,706
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,519
Insurance broker organization code?	3
Insurance broker name	RICHARD WILSON

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

54865

Policy instance

Insurance contract or identification number	54865
Number of Individuals Covered	77
Insurance policy start date	2011-10-01
Insurance policy end date	2012-09-30
Total amount of commissions paid to insurance broker	USD $1,860
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

54865

Policy instance

Insurance contract or identification number	54865
Number of Individuals Covered	79
Insurance policy start date	2010-10-01
Insurance policy end date	2011-09-30
Total amount of commissions paid to insurance broker	USD $2,512
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?	No
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:	NORTH CANYON MEDICAL CENTER
Employer identification number (EIN):	261938641
NAIC Classification:	622000
NAIC Description:	Hospitals