401k Plan data: 403(B) THRIFT PLAN OF ACCREDITATION ASSOCIATION FOR AMBULATORY HEALTH CA plan

403(B) THRIFT PLAN OF ACCREDITATION ASSOCIATION FOR AMBULATORY HEALTH CA 401k Plan overview

Plan Name	403(B) THRIFT PLAN OF ACCREDITATION ASSOCIATION FOR AMBULATORY HEALTH CA
Plan identification number	002

403(B) THRIFT PLAN OF ACCREDITATION ASSOCIATION FOR AMBULATORY HEALTH CA 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.

401k Sponsoring company profile

ACCREDITATION ASSOCIATION FOR AMBUL ATORY HEALTH CARE, INC. has sponsored the creation of one or more 401k plans.

Company Name: ACCREDITATION ASSOCIATION FOR AMBUL ATORY HEALTH CARE, INC.

Employer identification number (EIN): 363016881

NAIC Classification: 621399
NAIC Description: Offices of All Other Miscellaneous Health Practitioners

Form 5500 Filing Information

Submission information for form 5500 for 401k plan 403(B) THRIFT PLAN OF ACCREDITATION ASSOCIATION FOR AMBULATORY HEALTH CA

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2017-01-01 VINAY SHAH 2018-05-10 VINAY SHAH 2018-05-10
002 2016-01-01 VINAY SHAH VINAY SHAH 2017-09-15
002 2015-01-01 VINAY SHAH VINAY 2016-07-22
002 2014-01-01 SERGIO TUMANG SERGIO TUMANG 2015-07-31
002 2013-01-01 SERGIO TUMANG SERGIO TUMANG 2014-10-14
002 2012-01-01 SERGIO TUMANG SERGIO TUMANG 2014-10-14
002 2011-01-01 SERGIO TUMANG SERGIO TUMANG 2014-10-14
002 2010-01-01 SERGIO TUMANG 2011-07-25 SERGIO TUMANG 2011-07-25

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2017-01-01	VINAY SHAH	2018-05-10	VINAY SHAH	2018-05-10
002	2016-01-01	VINAY SHAH		VINAY SHAH	2017-09-15
002	2015-01-01	VINAY SHAH		VINAY	2016-07-22
002	2014-01-01	SERGIO TUMANG		SERGIO TUMANG	2015-07-31
002	2013-01-01	SERGIO TUMANG		SERGIO TUMANG	2014-10-14
002	2012-01-01	SERGIO TUMANG		SERGIO TUMANG	2014-10-14
002	2011-01-01	SERGIO TUMANG		SERGIO TUMANG	2014-10-14
002	2010-01-01	SERGIO TUMANG	2011-07-25	SERGIO TUMANG	2011-07-25

Plan Statistics for 403(B) THRIFT PLAN OF ACCREDITATION ASSOCIATION FOR AMBULATORY HEALTH CA

401k plan membership statisitcs for 403(B) THRIFT PLAN OF ACCREDITATION ASSOCIATION FOR AMBULATORY HEALTH CA

Measure Date Value
2016: 403(B) THRIFT PLAN OF ACCREDITATION ASSOCIATION FOR AMBULATORY HEALTH CA 2016 401k membership
Total participants, beginning-of-year 2016-01-01 65
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 54
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 24
Total of all active and inactive participants 2016-01-01 78
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 78
Number of participants with account balances 2016-01-01 77
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 2
2015: 403(B) THRIFT PLAN OF ACCREDITATION ASSOCIATION FOR AMBULATORY HEALTH CA 2015 401k membership
Total participants, beginning-of-year 2015-01-01 418
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 398
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 10
Total of all active and inactive participants 2015-01-01 408
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 1
Total participants 2015-01-01 409
Number of participants with account balances 2015-01-01 65
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 4
2014: 403(B) THRIFT PLAN OF ACCREDITATION ASSOCIATION FOR AMBULATORY HEALTH CA 2014 401k membership
Total participants, beginning-of-year 2014-01-01 403
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 408
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 10
Total of all active and inactive participants 2014-01-01 418
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 418
Number of participants with account balances 2014-01-01 56
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: 403(B) THRIFT PLAN OF ACCREDITATION ASSOCIATION FOR AMBULATORY HEALTH CA 2013 401k membership
Total participants, beginning-of-year 2013-01-01 376
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 395
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 8
Total of all active and inactive participants 2013-01-01 403
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 403
Number of participants with account balances 2013-01-01 51
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: 403(B) THRIFT PLAN OF ACCREDITATION ASSOCIATION FOR AMBULATORY HEALTH CA 2012 401k membership
Total participants, beginning-of-year 2012-01-01 353
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 372
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 4
Total of all active and inactive participants 2012-01-01 376
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 376
Number of participants with account balances 2012-01-01 47
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: 403(B) THRIFT PLAN OF ACCREDITATION ASSOCIATION FOR AMBULATORY HEALTH CA 2011 401k membership
Total participants, beginning-of-year 2011-01-01 370
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 349
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 4
Total of all active and inactive participants 2011-01-01 353
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 353
Number of participants with account balances 2011-01-01 46
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0

Measure	Date	Value
2016: 403(B) THRIFT PLAN OF ACCREDITATION ASSOCIATION FOR AMBULATORY HEALTH CA 2016 401k membership
Total participants, beginning-of-year	2016-01-01	65
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	54
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	24
Total of all active and inactive participants	2016-01-01	78
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	78
Number of participants with account balances	2016-01-01	77
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	2
2015: 403(B) THRIFT PLAN OF ACCREDITATION ASSOCIATION FOR AMBULATORY HEALTH CA 2015 401k membership
Total participants, beginning-of-year	2015-01-01	418
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	398
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	10
Total of all active and inactive participants	2015-01-01	408
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	1
Total participants	2015-01-01	409
Number of participants with account balances	2015-01-01	65
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	4
2014: 403(B) THRIFT PLAN OF ACCREDITATION ASSOCIATION FOR AMBULATORY HEALTH CA 2014 401k membership
Total participants, beginning-of-year	2014-01-01	403
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	408
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	10
Total of all active and inactive participants	2014-01-01	418
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	418
Number of participants with account balances	2014-01-01	56
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: 403(B) THRIFT PLAN OF ACCREDITATION ASSOCIATION FOR AMBULATORY HEALTH CA 2013 401k membership
Total participants, beginning-of-year	2013-01-01	376
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	395
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	8
Total of all active and inactive participants	2013-01-01	403
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	403
Number of participants with account balances	2013-01-01	51
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: 403(B) THRIFT PLAN OF ACCREDITATION ASSOCIATION FOR AMBULATORY HEALTH CA 2012 401k membership
Total participants, beginning-of-year	2012-01-01	353
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	372
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	4
Total of all active and inactive participants	2012-01-01	376
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	376
Number of participants with account balances	2012-01-01	47
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: 403(B) THRIFT PLAN OF ACCREDITATION ASSOCIATION FOR AMBULATORY HEALTH CA 2011 401k membership
Total participants, beginning-of-year	2011-01-01	370
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	349
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	4
Total of all active and inactive participants	2011-01-01	353
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	353
Number of participants with account balances	2011-01-01	46
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0

Financial Data on 403(B) THRIFT PLAN OF ACCREDITATION ASSOCIATION FOR AMBULATORY HEALTH CA

Measure	Date	Value
2016 : 403(B) THRIFT PLAN OF ACCREDITATION ASSOCIATION FOR AMBULATORY HEALTH CA 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	$1,621,057
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$882,128
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$881,401
Expenses. Certain deemed distributions of participant loans	2016-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$1,147,940
Value of total assets at end of year	2016-12-31	$5,314,908
Value of total assets at beginning of year	2016-12-31	$4,575,979
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$727
Total interest from all sources	2016-12-31	$5,151
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
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
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$378,170
Participant contributions at end of year	2016-12-31	$33,548
Participant contributions at beginning of year	2016-12-31	$17,921
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$769,770
Other income not declared elsewhere	2016-12-31	$0
Administrative expenses (other) incurred	2016-12-31	$727
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	$738,929
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$5,314,908
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$4,575,979
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	$4,822,374
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$4,137,212
Interest on participant loans	2016-12-31	$0
Interest earned on other investments	2016-12-31	$5,151
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$446,150
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$420,846
Expenses. Payments to insurance carriers foe the provision of benefits	2016-12-31	$0
Net investment gain/loss from pooled separate accounts	2016-12-31	$467,966
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	$0
Employer contributions (assets) at end of year	2016-12-31	$12,836
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$881,401
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	DESMOND AND AHERN LTD.
Accountancy firm EIN	2016-12-31	363321958
2015 : 403(B) THRIFT PLAN OF ACCREDITATION ASSOCIATION FOR AMBULATORY HEALTH CA 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	$441,160
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$563,157
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$562,515
Expenses. Certain deemed distributions of participant loans	2015-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$479,542
Value of total assets at end of year	2015-12-31	$4,575,979
Value of total assets at beginning of year	2015-12-31	$4,697,976
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$642
Total interest from all sources	2015-12-31	$4,952
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
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
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$405,615
Participant contributions at end of year	2015-12-31	$17,921
Participant contributions at beginning of year	2015-12-31	$28,017
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$73,927
Other income not declared elsewhere	2015-12-31	$0
Administrative expenses (other) incurred	2015-12-31	$642
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$-121,997
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$4,575,979
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$4,697,976
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	$4,137,213
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$4,038,146
Interest on participant loans	2015-12-31	$0
Interest earned on other investments	2015-12-31	$4,952
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$420,845
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$631,813
Expenses. Payments to insurance carriers foe the provision of benefits	2015-12-31	$0
Net investment gain/loss from pooled separate accounts	2015-12-31	$-43,334
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	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$562,515
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	DESMOND AND AHERN LTD.
Accountancy firm EIN	2015-12-31	363321958
2014 : 403(B) THRIFT PLAN OF ACCREDITATION ASSOCIATION FOR AMBULATORY HEALTH CA 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	$1,159,310
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$50,724
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$50,138
Expenses. Certain deemed distributions of participant loans	2014-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$897,905
Value of total assets at end of year	2014-12-31	$4,697,976
Value of total assets at beginning of year	2014-12-31	$3,589,390
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$586
Total interest from all sources	2014-12-31	$6,121
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
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	$375,376
Participant contributions at end of year	2014-12-31	$28,016
Participant contributions at beginning of year	2014-12-31	$15,315
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$522,529
Other income not declared elsewhere	2014-12-31	$0
Administrative expenses (other) incurred	2014-12-31	$586
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	$1,108,586
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$4,697,976
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$3,589,390
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	$4,038,147
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$2,952,883
Interest on participant loans	2014-12-31	$0
Interest earned on other investments	2014-12-31	$6,121
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$631,813
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$621,192
Expenses. Payments to insurance carriers foe the provision of benefits	2014-12-31	$0
Net investment gain/loss from pooled separate accounts	2014-12-31	$255,284
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	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$50,138
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	DESMOND AND AHERN LTD
Accountancy firm EIN	2014-12-31	363321958
2013 : 403(B) THRIFT PLAN OF ACCREDITATION ASSOCIATION FOR AMBULATORY HEALTH CA 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$931,540
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$8,673
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$8,098
Expenses. Certain deemed distributions of participant loans	2013-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$380,984
Value of total assets at end of year	2013-12-31	$3,589,390
Value of total assets at beginning of year	2013-12-31	$2,666,523
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$575
Total interest from all sources	2013-12-31	$6,366
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$300,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$375,907
Participant contributions at end of year	2013-12-31	$15,314
Participant contributions at beginning of year	2013-12-31	$33,030
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$5,077
Other income not declared elsewhere	2013-12-31	$0
Administrative expenses (other) incurred	2013-12-31	$575
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$922,867
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$3,589,390
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$2,666,523
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$2,952,884
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$2,159,204
Interest on participant loans	2013-12-31	$0
Interest earned on other investments	2013-12-31	$6,366
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$621,192
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$474,289
Expenses. Payments to insurance carriers foe the provision of benefits	2013-12-31	$0
Net investment gain/loss from pooled separate accounts	2013-12-31	$544,190
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$8,098
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	DESMOND AND AHEAM, LTD.
Accountancy firm EIN	2013-12-31	363321958
2012 : 403(B) THRIFT PLAN OF ACCREDITATION ASSOCIATION FOR AMBULATORY HEALTH CA 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$612,119
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$52,293
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$51,666
Expenses. Certain deemed distributions of participant loans	2012-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$370,929
Value of total assets at end of year	2012-12-31	$2,666,523
Value of total assets at beginning of year	2012-12-31	$2,106,697
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$627
Total interest from all sources	2012-12-31	$7,386
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$300,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$367,716
Participant contributions at end of year	2012-12-31	$33,029
Participant contributions at beginning of year	2012-12-31	$31,695
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$3,213
Other income not declared elsewhere	2012-12-31	$0
Administrative expenses (other) incurred	2012-12-31	$627
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$559,826
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$2,666,523
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$2,106,697
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$2,159,204
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$1,711,566
Interest on participant loans	2012-12-31	$0
Interest earned on other investments	2012-12-31	$7,386
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$474,290
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$363,436
Expenses. Payments to insurance carriers foe the provision of benefits	2012-12-31	$0
Net investment gain/loss from pooled separate accounts	2012-12-31	$233,804
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$51,666
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	DESMOND AND AHERN, LTD.
Accountancy firm EIN	2012-12-31	363321958
2011 : 403(B) THRIFT PLAN OF ACCREDITATION ASSOCIATION FOR AMBULATORY HEALTH CA 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$279,998
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$57,936
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$57,288
Expenses. Certain deemed distributions of participant loans	2011-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$305,657
Value of total assets at end of year	2011-12-31	$2,106,697
Value of total assets at beginning of year	2011-12-31	$1,884,635
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$648
Total interest from all sources	2011-12-31	$7,300
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$300,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$305,657
Participant contributions at end of year	2011-12-31	$31,695
Participant contributions at beginning of year	2011-12-31	$40,479
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$0
Other income not declared elsewhere	2011-12-31	$0
Administrative expenses (other) incurred	2011-12-31	$648
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$222,062
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$2,106,697
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$1,884,635
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$1,711,566
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$1,558,045
Interest on participant loans	2011-12-31	$0
Interest earned on other investments	2011-12-31	$7,300
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$363,436
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$286,111
Expenses. Payments to insurance carriers foe the provision of benefits	2011-12-31	$0
Net investment gain/loss from pooled separate accounts	2011-12-31	$-32,959
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$57,288
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	DESMOND AND AHERN, LTD.
Accountancy firm EIN	2011-12-31	363321958

Form 5500 Responses for 403(B) THRIFT PLAN OF ACCREDITATION ASSOCIATION FOR AMBULATORY HEALTH CA

2016: 403(B) THRIFT PLAN OF ACCREDITATION ASSOCIATION FOR AMBULATORY HEALTH CA 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 benefit arrangement – Insurance	Yes
2015: 403(B) THRIFT PLAN OF ACCREDITATION ASSOCIATION FOR AMBULATORY HEALTH CA 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 benefit arrangement – Insurance	Yes
2014: 403(B) THRIFT PLAN OF ACCREDITATION ASSOCIATION FOR AMBULATORY HEALTH CA 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 benefit arrangement – Insurance	Yes
2013: 403(B) THRIFT PLAN OF ACCREDITATION ASSOCIATION FOR AMBULATORY HEALTH CA 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: 403(B) THRIFT PLAN OF ACCREDITATION ASSOCIATION FOR AMBULATORY HEALTH CA 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	Yes
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: 403(B) THRIFT PLAN OF ACCREDITATION ASSOCIATION FOR AMBULATORY HEALTH CA 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	Yes
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

057635I

Policy instance

Insurance contract or identification number	057635I
Number of Individuals Covered	65
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $3,099
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	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
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	3099
Additional information about fees paid to insurance broker	PORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?	3
Insurance broker name	CHICAGO REGIONAL OFFICE

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

057635I

Policy instance

Insurance contract or identification number	057635I
Number of Individuals Covered	56
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $578
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	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
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	578
Additional information about fees paid to insurance broker	PORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?	3
Insurance broker name	CHICAGO REGIONAL OFFICE

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

057635I

Policy instance

Insurance contract or identification number	057635I
Number of Individuals Covered	51
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $456
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	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
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	456
Additional information about fees paid to insurance broker	PORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?	3
Insurance broker name	CHICAGO REGIONAL OFFICE

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

057635I

Policy instance

Insurance contract or identification number	057635I
Number of Individuals Covered	47
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $430
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	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
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	131
Additional information about fees paid to insurance broker	PORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?	3
Insurance broker name	RAFAEL

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

057635I

Policy instance

Insurance contract or identification number	057635I
Number of Individuals Covered	46
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $941
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	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

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Company Name:	ACCREDITATION ASSOCIATION FOR AMBUL ATORY HEALTH CARE, INC.
Employer identification number (EIN):	363016881
NAIC Classification:	621399
NAIC Description:	Offices of All Other Miscellaneous Health Practitioners