401k Plan data: SOUTHERN MAINE HEALTH CARE PHYSICIAN SERVICES, PA 401(K) PLAN plan

SOUTHERN MAINE HEALTH CARE PHYSICIAN SERVICES, PA 401(K) PLAN 401k Plan overview

Plan Name	SOUTHERN MAINE HEALTH CARE PHYSICIAN SERVICES, PA 401(K) PLAN
Plan identification number	001

SOUTHERN MAINE HEALTH CARE PHYSICIAN SERVICES, PA 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Participant-directed brokerage accounts provided as an investment option under the plan.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
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.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

SOUTHERN MAINE HEALTH CARE PHYSICIAN SERVICES, PA has sponsored the creation of one or more 401k plans.

Company Name: SOUTHERN MAINE HEALTH CARE PHYSICIAN SERVICES, PA

Employer identification number (EIN): 263345134

NAIC Classification: 621111
NAIC Description: Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SOUTHERN MAINE HEALTH CARE PHYSICIAN SERVICES, PA 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2017-01-01 RICHARD OLSEN
001 2016-01-01 RICHARD OLSEN
001 2015-01-01 YVONNE MCALLISTER
001 2014-01-01 YVONNE C. MCALLISTER
001 2013-01-01 YVONNE C. MCALLISTER 2014-10-06
001 2012-01-01 LORRAINE P. BOUCHARD 2013-07-08
001 2011-01-01 LORRAINE BOUCHARD 2012-10-09
001 2010-01-01 LORRAINE P. BOUCHARD 2011-09-06

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2017-01-01	RICHARD OLSEN
001	2016-01-01	RICHARD OLSEN
001	2015-01-01	YVONNE MCALLISTER
001	2014-01-01	YVONNE C. MCALLISTER
001	2013-01-01	YVONNE C. MCALLISTER	2014-10-06
001	2012-01-01	LORRAINE P. BOUCHARD	2013-07-08
001	2011-01-01	LORRAINE BOUCHARD	2012-10-09
001	2010-01-01	LORRAINE P. BOUCHARD	2011-09-06

Plan Statistics for SOUTHERN MAINE HEALTH CARE PHYSICIAN SERVICES, PA 401(K) PLAN

401k plan membership statisitcs for SOUTHERN MAINE HEALTH CARE PHYSICIAN SERVICES, PA 401(K) PLAN

Measure Date Value
2017: SOUTHERN MAINE HEALTH CARE PHYSICIAN SERVICES, PA 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 158
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 0
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 0
Number of participants with account balances 2017-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: SOUTHERN MAINE HEALTH CARE PHYSICIAN SERVICES, PA 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 144
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 136
Number of retired or separated participants receiving benefits 2016-01-01 1
Number of other retired or separated participants entitled to future benefits 2016-01-01 21
Total of all active and inactive participants 2016-01-01 158
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 158
Number of participants with account balances 2016-01-01 147
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: SOUTHERN MAINE HEALTH CARE PHYSICIAN SERVICES, PA 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 143
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 122
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 20
Total of all active and inactive participants 2015-01-01 142
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 142
Number of participants with account balances 2015-01-01 134
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: SOUTHERN MAINE HEALTH CARE PHYSICIAN SERVICES, PA 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 121
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 125
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 17
Total of all active and inactive participants 2014-01-01 142
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 142
Number of participants with account balances 2014-01-01 121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0

Measure	Date	Value
2017: SOUTHERN MAINE HEALTH CARE PHYSICIAN SERVICES, PA 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	158
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	0
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	0
Number of participants with account balances	2017-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: SOUTHERN MAINE HEALTH CARE PHYSICIAN SERVICES, PA 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	144
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	136
Number of retired or separated participants receiving benefits	2016-01-01	1
Number of other retired or separated participants entitled to future benefits	2016-01-01	21
Total of all active and inactive participants	2016-01-01	158
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	158
Number of participants with account balances	2016-01-01	147
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: SOUTHERN MAINE HEALTH CARE PHYSICIAN SERVICES, PA 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	143
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	122
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	20
Total of all active and inactive participants	2015-01-01	142
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	142
Number of participants with account balances	2015-01-01	134
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: SOUTHERN MAINE HEALTH CARE PHYSICIAN SERVICES, PA 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	121
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	125
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	17
Total of all active and inactive participants	2014-01-01	142
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	142
Number of participants with account balances	2014-01-01	121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0

Financial Data on SOUTHERN MAINE HEALTH CARE PHYSICIAN SERVICES, PA 401(K) PLAN

Measure	Date	Value
2017 : SOUTHERN MAINE HEALTH CARE PHYSICIAN SERVICES, PA 401(K) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-28	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-28	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-28	$0
Total income from all sources (including contributions)	2017-12-28	$1,702,697
Total loss/gain on sale of assets	2017-12-28	$0
Total of all expenses incurred	2017-12-28	$42,266,226
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-28	$42,266,201
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-28	$50,081
Value of total assets at end of year	2017-12-28	$0
Value of total assets at beginning of year	2017-12-28	$40,563,529
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-28	$25
Total interest from all sources	2017-12-28	$3,605
Total dividends received (eg from common stock, registered investment company shares)	2017-12-28	$41,803
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-28	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2017-12-28	$0
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-28	$41,803
Was this plan covered by a fidelity bond	2017-12-28	Yes
Value of fidelity bond cover	2017-12-28	$500,000
If this is an individual account plan, was there a blackout period	2017-12-28	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-28	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-28	No
Contributions received from participants	2017-12-28	$0
Participant contributions at end of year	2017-12-28	$0
Participant contributions at beginning of year	2017-12-28	$202,857
Assets. Other investments not covered elsewhere at end of year	2017-12-28	$0
Assets. Other investments not covered elsewhere at beginning of year	2017-12-28	$8,321,369
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-28	$7,270
Other income not declared elsewhere	2017-12-28	$55,198
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-28	No
Value of net income/loss	2017-12-28	$-40,563,529
Value of net assets at end of year (total assets less liabilities)	2017-12-28	$0
Value of net assets at beginning of year (total assets less liabilities)	2017-12-28	$40,563,529
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-28	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-28	No
Were any leases to which the plan was party in default or uncollectible	2017-12-28	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-28	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-28	$32,039,303
Interest on participant loans	2017-12-28	$3,605
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-28	$1,552,010
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-28	No
Was there a failure to transmit to the plan any participant contributions	2017-12-28	No
Has the plan failed to provide any benefit when due under the plan	2017-12-28	No
Contributions received in cash from employer	2017-12-28	$42,811
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-28	$42,266,201
Contract administrator fees	2017-12-28	$25
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	2017-12-28	Yes
Did the plan have assets held for investment	2017-12-28	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-28	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-28	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-28	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-28	Disclaimer
Accountancy firm name	2017-12-28	BAKER, NEWMAN & NOYES
Accountancy firm EIN	2017-12-28	010494526
2016 : SOUTHERN MAINE HEALTH CARE PHYSICIAN SERVICES, PA 401(K) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$6,703,181
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$2,766,139
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$2,754,736
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$3,870,674
Value of total assets at end of year	2016-12-31	$40,563,529
Value of total assets at beginning of year	2016-12-31	$36,626,487
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$11,403
Total interest from all sources	2016-12-31	$7,575
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$1,069,892
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Administrative expenses professional fees incurred	2016-12-31	$11,315
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$500,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$1,925,597
Participant contributions at end of year	2016-12-31	$202,857
Participant contributions at beginning of year	2016-12-31	$155,868
Assets. Other investments not covered elsewhere at end of year	2016-12-31	$8,321,369
Assets. Other investments not covered elsewhere at beginning of year	2016-12-31	$4,597,571
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$1,189,918
Other income not declared elsewhere	2016-12-31	$122,551
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$3,937,042
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$40,563,529
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$36,626,487
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$32,039,303
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$31,873,048
Interest on participant loans	2016-12-31	$7,575
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$1,632,489
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$755,159
Income. Dividends from common stock	2016-12-31	$1,069,892
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$2,754,736
Contract administrator fees	2016-12-31	$88
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	BAKER, NEWMAN & NOYES
Accountancy firm EIN	2016-12-31	010494526
2015 : SOUTHERN MAINE HEALTH CARE PHYSICIAN SERVICES, PA 401(K) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$2,781,537
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$589,584
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$588,344
Expenses. Certain deemed distributions of participant loans	2015-12-31	$0
Value of total corrective distributions	2015-12-31	$1,144
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$2,758,096
Value of total assets at end of year	2015-12-31	$36,626,487
Value of total assets at beginning of year	2015-12-31	$34,434,534
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$96
Total interest from all sources	2015-12-31	$6,059
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$1,661,961
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$1,661,961
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$500,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$1,797,316
Participant contributions at end of year	2015-12-31	$155,868
Participant contributions at beginning of year	2015-12-31	$139,144
Assets. Other investments not covered elsewhere at end of year	2015-12-31	$4,597,571
Assets. Other investments not covered elsewhere at beginning of year	2015-12-31	$18,356
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$220,382
Other income not declared elsewhere	2015-12-31	$110,897
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Income. Non cash contributions	2015-12-31	$0
Value of net income/loss	2015-12-31	$2,191,953
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$36,626,487
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$34,434,534
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$31,873,048
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$30,390,780
Interest on participant loans	2015-12-31	$6,059
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$3,886,254
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-1,755,476
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$740,398
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$588,344
Contract administrator fees	2015-12-31	$96
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	BAKER, NEWMAN & NOYES
Accountancy firm EIN	2015-12-31	010494526
2014 : SOUTHERN MAINE HEALTH CARE PHYSICIAN SERVICES, PA 401(K) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$5,464,770
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$333,807
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$333,240
Value of total corrective distributions	2014-12-31	$452
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$3,485,687
Value of total assets at end of year	2014-12-31	$34,434,534
Value of total assets at beginning of year	2014-12-31	$29,303,571
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$115
Total interest from all sources	2014-12-31	$108,506
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$1,626,551
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$1,626,551
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$1,667,502
Participant contributions at end of year	2014-12-31	$139,144
Participant contributions at beginning of year	2014-12-31	$91,667
Assets. Other investments not covered elsewhere at end of year	2014-12-31	$18,356
Assets. Other investments not covered elsewhere at beginning of year	2014-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$1,090,405
Other income not declared elsewhere	2014-12-31	$12,579
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$5,130,963
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$34,434,534
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$29,303,571
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$30,390,780
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$26,225,631
Interest on participant loans	2014-12-31	$5,820
Interest earned on other investments	2014-12-31	$102,686
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$3,886,254
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$2,986,273
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$231,447
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$727,780
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$333,240
Contract administrator fees	2014-12-31	$115
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	BAKER, NEWMAN & NOYES
Accountancy firm EIN	2014-12-31	010494526

Form 5500 Responses for SOUTHERN MAINE HEALTH CARE PHYSICIAN SERVICES, PA 401(K) PLAN

2017: SOUTHERN MAINE HEALTH CARE PHYSICIAN SERVICES, PA 401(K) PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	Yes
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: SOUTHERN MAINE HEALTH CARE PHYSICIAN SERVICES, PA 401(K) PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: SOUTHERN MAINE HEALTH CARE PHYSICIAN SERVICES, PA 401(K) PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: SOUTHERN MAINE HEALTH CARE PHYSICIAN SERVICES, PA 401(K) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

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

Policy contract number

892874-087

Policy instance

Insurance contract or identification number	892874-087
Number of Individuals Covered	0
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-28
Total amount of commissions paid to insurance broker	USD $1,349
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 $1,349
Insurance broker organization code?	4
Insurance broker name	CAP FINANCIAL SECURITIES LLC

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

Policy contract number

892874-087

Policy instance

Insurance contract or identification number	892874-087
Number of Individuals Covered	88
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $2,233
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 $2,233
Insurance broker organization code?	4
Insurance broker name	CAPFINANCIAL SECURITIES INC

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

Policy contract number

892874-087

Policy instance

Insurance contract or identification number	892874-087
Number of Individuals Covered	85
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $6,622
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 $6,622
Insurance broker organization code?	4
Insurance broker name	CAPFINANCIAL PARTNERS, LLC

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Company Name:	SOUTHERN MAINE HEALTH CARE PHYSICIAN SERVICES, PA
Employer identification number (EIN):	263345134
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)