401k Plan data: DELTA HEALTH ALLIANCE, INC. RETIREMENT PLAN plan

DELTA HEALTH ALLIANCE, INC. RETIREMENT PLAN 401k Plan overview

Plan Name	DELTA HEALTH ALLIANCE, INC. RETIREMENT PLAN
Plan identification number	003

DELTA HEALTH ALLIANCE, INC. RETIREMENT PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

DELTA HEALTH ALLIANCE, INC. has sponsored the creation of one or more 401k plans.

Company Name: DELTA HEALTH ALLIANCE, INC.

Employer identification number (EIN): 470915576

NAIC Classification: 813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DELTA HEALTH ALLIANCE, INC. RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2022-01-01
003 2021-01-01
003 2020-01-01
003 2019-01-01
003 2018-01-01
003 2017-01-01 HENRY WOMACK 2018-10-07 HENRY WOMACK 2018-10-07
003 2016-01-01 HENRY WOMACK 2017-10-02 HENRY WOMACK 2017-10-02
003 2015-01-01 HENRY WOMACK 2016-09-30 HENRY WOMACK 2016-09-30
003 2014-01-01 HENRY WOMACK 2015-10-02 HENRY WOMACK 2015-10-02
003 2013-01-01
003 2012-01-01 KIM DANG - AS PRACTITIONER 2013-09-27
003 2011-01-01 KIM DANG - AS PRACTITIONER 2012-09-16
003 2010-01-01 KIM DANG AS PRACTITIONER 2011-09-21

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
003	2022-01-01
003	2021-01-01
003	2020-01-01
003	2019-01-01
003	2018-01-01
003	2017-01-01	HENRY WOMACK	2018-10-07	HENRY WOMACK	2018-10-07
003	2016-01-01	HENRY WOMACK	2017-10-02	HENRY WOMACK	2017-10-02
003	2015-01-01	HENRY WOMACK	2016-09-30	HENRY WOMACK	2016-09-30
003	2014-01-01	HENRY WOMACK	2015-10-02	HENRY WOMACK	2015-10-02
003	2013-01-01
003	2012-01-01	KIM DANG - AS PRACTITIONER	2013-09-27
003	2011-01-01	KIM DANG - AS PRACTITIONER	2012-09-16
003	2010-01-01	KIM DANG AS PRACTITIONER	2011-09-21

Plan Statistics for DELTA HEALTH ALLIANCE, INC. RETIREMENT PLAN

401k plan membership statisitcs for DELTA HEALTH ALLIANCE, INC. RETIREMENT PLAN

Measure Date Value
2022: DELTA HEALTH ALLIANCE, INC. RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 629
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 398
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 251
Total of all active and inactive participants 2022-01-01 649
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 1
Total participants 2022-01-01 650
Number of participants with account balances 2022-01-01 649
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 0
2021: DELTA HEALTH ALLIANCE, INC. RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 483
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 386
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 217
Total of all active and inactive participants 2021-01-01 603
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 1
Total participants 2021-01-01 604
Number of participants with account balances 2021-01-01 600
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: DELTA HEALTH ALLIANCE, INC. RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 413
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 284
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 129
Total of all active and inactive participants 2020-01-01 413
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 1
Total participants 2020-01-01 414
Number of participants with account balances 2020-01-01 411
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: DELTA HEALTH ALLIANCE, INC. RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 304
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 216
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 97
Total of all active and inactive participants 2019-01-01 313
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 313
Number of participants with account balances 2019-01-01 292
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: DELTA HEALTH ALLIANCE, INC. RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 282
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 238
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 66
Total of all active and inactive participants 2018-01-01 304
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 304
Number of participants with account balances 2018-01-01 303
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0

Measure	Date	Value
2022: DELTA HEALTH ALLIANCE, INC. RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	629
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	398
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	251
Total of all active and inactive participants	2022-01-01	649
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	1
Total participants	2022-01-01	650
Number of participants with account balances	2022-01-01	649
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2021: DELTA HEALTH ALLIANCE, INC. RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	483
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	386
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	217
Total of all active and inactive participants	2021-01-01	603
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	1
Total participants	2021-01-01	604
Number of participants with account balances	2021-01-01	600
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: DELTA HEALTH ALLIANCE, INC. RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	413
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	284
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	129
Total of all active and inactive participants	2020-01-01	413
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	1
Total participants	2020-01-01	414
Number of participants with account balances	2020-01-01	411
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: DELTA HEALTH ALLIANCE, INC. RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	304
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	216
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	97
Total of all active and inactive participants	2019-01-01	313
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	313
Number of participants with account balances	2019-01-01	292
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: DELTA HEALTH ALLIANCE, INC. RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	282
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	238
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	66
Total of all active and inactive participants	2018-01-01	304
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	304
Number of participants with account balances	2018-01-01	303
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0

Financial Data on DELTA HEALTH ALLIANCE, INC. RETIREMENT PLAN

Measure	Date	Value
2022 : DELTA HEALTH ALLIANCE, INC. RETIREMENT PLAN 2022 401k financial data
Total income from all sources (including contributions)	2022-12-31	$-253,864
Total of all expenses incurred	2022-12-31	$880,793
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$876,843
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$1,473,207
Value of total assets at end of year	2022-12-31	$9,929,533
Value of total assets at beginning of year	2022-12-31	$11,064,190
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$3,950
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$503,604
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$503,604
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$500,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$398,564
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$2,927
Administrative expenses (other) incurred	2022-12-31	$3,950
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Income. Non cash contributions	2022-12-31	$0
Value of net income/loss	2022-12-31	$-1,134,657
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$9,929,533
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$11,064,190
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$9,929,533
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$11,064,190
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-2,230,675
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$1,071,716
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$876,843
Did the plan have assets held for investment	2022-12-31	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	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	TAYLOR, POWELL, WILSON & HARTFORD,
Accountancy firm EIN	2022-12-31	640796051
2021 : DELTA HEALTH ALLIANCE, INC. RETIREMENT PLAN 2021 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total income from all sources (including contributions)	2021-12-31	$2,945,167
Total of all expenses incurred	2021-12-31	$1,439,696
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$1,437,321
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$1,581,330
Value of total assets at end of year	2021-12-31	$11,064,190
Value of total assets at beginning of year	2021-12-31	$9,558,719
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$2,375
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$552,339
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$552,339
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$500,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$443,695
Administrative expenses (other) incurred	2021-12-31	$2,375
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$1,505,471
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$11,064,190
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$9,558,719
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$11,064,190
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$9,558,719
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$811,498
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$1,137,635
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$1,437,321
Did the plan have assets held for investment	2021-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	TAYLOR, POWELL, WILSON & HARTFORD,
Accountancy firm EIN	2021-12-31	640796051
2020 : DELTA HEALTH ALLIANCE, INC. RETIREMENT PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total income from all sources (including contributions)	2020-12-31	$2,470,595
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$486,408
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$484,983
Expenses. Certain deemed distributions of participant loans	2020-12-31	$0
Value of total corrective distributions	2020-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$1,179,451
Value of total assets at end of year	2020-12-31	$9,558,719
Value of total assets at beginning of year	2020-12-31	$7,574,532
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$1,425
Total interest from all sources	2020-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$311,810
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$311,810
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$500,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$342,503
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2020-12-31	$2,990
Administrative expenses (other) incurred	2020-12-31	$1,425
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$1,984,187
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$9,558,719
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$7,574,532
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$9,558,719
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$7,574,532
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$979,334
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Assets. Invements in employer securities at beginning of year	2020-12-31	$0
Contributions received in cash from employer	2020-12-31	$836,948
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$481,993
Did the plan have assets held for investment	2020-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	TAYLOR, POWELL, WILSON & HARTFORD,
Accountancy firm EIN	2020-12-31	640796051
2019 : DELTA HEALTH ALLIANCE, INC. RETIREMENT PLAN 2019 401k financial data
Total income from all sources (including contributions)	2019-12-31	$2,291,207
Total income from all sources (including contributions)	2019-12-31	$2,291,207
Total of all expenses incurred	2019-12-31	$650,337
Total of all expenses incurred	2019-12-31	$650,337
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$649,062
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$649,062
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$1,083,431
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$1,083,431
Value of total assets at end of year	2019-12-31	$7,574,532
Value of total assets at end of year	2019-12-31	$7,574,532
Value of total assets at beginning of year	2019-12-31	$5,933,662
Value of total assets at beginning of year	2019-12-31	$5,933,662
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$1,275
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$1,275
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$295,834
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$295,834
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$295,834
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$295,834
Was this plan covered by a fidelity bond	2019-12-31	Yes
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
Value of fidelity bond cover	2019-12-31	$500,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
If this is an individual account plan, was there a blackout period	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$337,881
Contributions received from participants	2019-12-31	$337,881
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$13,519
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$13,519
Administrative expenses (other) incurred	2019-12-31	$1,275
Administrative expenses (other) incurred	2019-12-31	$1,275
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$1,640,870
Value of net income/loss	2019-12-31	$1,640,870
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$7,574,532
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$7,574,532
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$5,933,662
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$5,933,662
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$7,574,532
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$7,574,532
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$5,933,662
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$5,933,662
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$911,942
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$911,942
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$732,031
Contributions received in cash from employer	2019-12-31	$732,031
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$649,062
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$649,062
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	TAYLOR, POWELL, WILSON & HARTFORD,
Accountancy firm name	2019-12-31	TAYLOR, POWELL, WILSON & HARTFORD,
Accountancy firm EIN	2019-12-31	640796051
Accountancy firm EIN	2019-12-31	640796051
2018 : DELTA HEALTH ALLIANCE, INC. RETIREMENT PLAN 2018 401k financial data
Total transfer of assets to this plan	2018-12-31	$962,106
Total income from all sources (including contributions)	2018-12-31	$962,626
Total of all expenses incurred	2018-12-31	$955,598
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$953,523
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$1,220,303
Value of total assets at end of year	2018-12-31	$5,933,662
Value of total assets at beginning of year	2018-12-31	$4,964,528
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$2,075
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$256,516
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$256,516
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$500,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$359,018
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$44,685
Administrative expenses (other) incurred	2018-12-31	$2,075
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$7,028
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$5,933,662
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$4,964,528
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$5,933,662
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$4,964,528
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-514,193
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$816,600
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$953,523
Did the plan have assets held for investment	2018-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	TAYLOR, POWELL, WILSON & HARTFORD,
Accountancy firm EIN	2018-12-31	640796051

Form 5500 Responses for DELTA HEALTH ALLIANCE, INC. RETIREMENT PLAN

2022: DELTA HEALTH ALLIANCE, INC. RETIREMENT PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: DELTA HEALTH ALLIANCE, INC. RETIREMENT PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: DELTA HEALTH ALLIANCE, INC. RETIREMENT PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: DELTA HEALTH ALLIANCE, INC. RETIREMENT PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: DELTA HEALTH ALLIANCE, INC. RETIREMENT PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	DELTA HEALTH ALLIANCE, INC.
Employer identification number (EIN):	470915576
NAIC Classification:	813000
NAIC Description:	Religious, Grantmaking, Civic, Professional, and Similar Organizations