401k Plan data: BEHAVIORAL HEALTHCARE RETIREMENT PLAN plan

BEHAVIORAL HEALTHCARE RETIREMENT PLAN 401k Plan overview

Plan Name	BEHAVIORAL HEALTHCARE RETIREMENT PLAN
Plan identification number	001

BEHAVIORAL HEALTHCARE RETIREMENT 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.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
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

ORIGINS BEHAVIORAL HEALTHCARE, LLC has sponsored the creation of one or more 401k plans.

Company Name: ORIGINS BEHAVIORAL HEALTHCARE, LLC

Employer identification number (EIN): 470960855

NAIC Classification: 621420
NAIC Description: Outpatient Mental Health and Substance Abuse Centers

Additional information about ORIGINS BEHAVIORAL HEALTHCARE, LLC

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 2014-06-20

Company Identification Number: 0802013427

Legal Registered Office Address: 1999 BRYAN ST STE 900

DALLAS
United States of America (USA)
75201

More information about ORIGINS BEHAVIORAL HEALTHCARE, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BEHAVIORAL HEALTHCARE RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2017-01-01
001 2016-01-01
001 2015-01-01
001 2014-12-15 LEAH WEBSTER

Plan Statistics for BEHAVIORAL HEALTHCARE RETIREMENT PLAN

401k plan membership statisitcs for BEHAVIORAL HEALTHCARE RETIREMENT PLAN

Measure Date Value
2017: BEHAVIORAL HEALTHCARE RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 419
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 376
Number of retired or separated participants receiving benefits 2017-01-01 10
Number of other retired or separated participants entitled to future benefits 2017-01-01 37
Total of all active and inactive participants 2017-01-01 423
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 423
Number of participants with account balances 2017-01-01 362
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: BEHAVIORAL HEALTHCARE RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 389
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 357
Number of retired or separated participants receiving benefits 2016-01-01 13
Number of other retired or separated participants entitled to future benefits 2016-01-01 27
Total of all active and inactive participants 2016-01-01 397
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 397
Number of participants with account balances 2016-01-01 338
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: BEHAVIORAL HEALTHCARE RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 204
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 277
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 40
Total of all active and inactive participants 2015-01-01 317
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 317
Number of participants with account balances 2015-01-01 250
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: BEHAVIORAL HEALTHCARE RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-12-15 207
Total number of active participants reported on line 7a of the Form 5500 2014-12-15 204
Number of retired or separated participants receiving benefits 2014-12-15 0
Number of other retired or separated participants entitled to future benefits 2014-12-15 0
Total of all active and inactive participants 2014-12-15 204
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-12-15 0
Total participants 2014-12-15 204
Number of participants with account balances 2014-12-15 146
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-12-15 0

Measure	Date	Value
2017: BEHAVIORAL HEALTHCARE RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	419
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	376
Number of retired or separated participants receiving benefits	2017-01-01	10
Number of other retired or separated participants entitled to future benefits	2017-01-01	37
Total of all active and inactive participants	2017-01-01	423
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	423
Number of participants with account balances	2017-01-01	362
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: BEHAVIORAL HEALTHCARE RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	389
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	357
Number of retired or separated participants receiving benefits	2016-01-01	13
Number of other retired or separated participants entitled to future benefits	2016-01-01	27
Total of all active and inactive participants	2016-01-01	397
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	397
Number of participants with account balances	2016-01-01	338
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: BEHAVIORAL HEALTHCARE RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	204
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	277
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	40
Total of all active and inactive participants	2015-01-01	317
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	317
Number of participants with account balances	2015-01-01	250
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: BEHAVIORAL HEALTHCARE RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-12-15	207
Total number of active participants reported on line 7a of the Form 5500	2014-12-15	204
Number of retired or separated participants receiving benefits	2014-12-15	0
Number of other retired or separated participants entitled to future benefits	2014-12-15	0
Total of all active and inactive participants	2014-12-15	204
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-12-15	0
Total participants	2014-12-15	204
Number of participants with account balances	2014-12-15	146
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-12-15	0

Financial Data on BEHAVIORAL HEALTHCARE RETIREMENT PLAN

Measure	Date	Value
2017 : BEHAVIORAL HEALTHCARE RETIREMENT PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$1,845,228
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$363,520
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$335,385
Value of total corrective distributions	2017-12-31	$1,741
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$1,457,572
Value of total assets at end of year	2017-12-31	$3,224,011
Value of total assets at beginning of year	2017-12-31	$1,742,303
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$26,394
Total interest from all sources	2017-12-31	$1,142
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$190
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$190
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$500,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$918,798
Participant contributions at end of year	2017-12-31	$37,356
Participant contributions at beginning of year	2017-12-31	$13,161
Participant contributions at end of year	2017-12-31	$22,456
Participant contributions at beginning of year	2017-12-31	$24,172
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$538,774
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2017-12-31	$441
Other income not declared elsewhere	2017-12-31	$12,851
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Income. Non cash contributions	2017-12-31	$0
Value of net income/loss	2017-12-31	$1,481,708
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$3,224,011
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$1,742,303
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$82,635
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$55,957
Value of interest in pooled separate accounts at end of year	2017-12-31	$348,437
Value of interest in pooled separate accounts at beginning of year	2017-12-31	$144,746
Interest on participant loans	2017-12-31	$1,142
Value of interest in common/collective trusts at end of year	2017-12-31	$2,733,127
Value of interest in common/collective trusts at beginning of year	2017-12-31	$1,504,267
Net investment gain/loss from pooled separate accounts	2017-12-31	$321,454
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$334,944
Contract administrator fees	2017-12-31	$26,394
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	HOLTZMAN PARTNERS LLP
Accountancy firm EIN	2017-12-31	743121060
2016 : BEHAVIORAL HEALTHCARE RETIREMENT 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	$4,898
Total income from all sources (including contributions)	2016-12-31	$1,066,104
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$341,775
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$325,806
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$974,625
Value of total assets at end of year	2016-12-31	$1,742,303
Value of total assets at beginning of year	2016-12-31	$1,022,872
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$15,969
Total interest from all sources	2016-12-31	$331
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$180
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$180
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	$743,485
Participant contributions at end of year	2016-12-31	$13,161
Participant contributions at beginning of year	2016-12-31	$964
Participant contributions at end of year	2016-12-31	$24,172
Participant contributions at beginning of year	2016-12-31	$21,828
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$230,622
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2016-12-31	$5,821
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2016-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2016-12-31	$4,898
Other income not declared elsewhere	2016-12-31	$456
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	$724,329
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$1,742,303
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$1,017,974
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	$55,957
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$39,961
Value of interest in pooled separate accounts at end of year	2016-12-31	$144,746
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$123,341
Interest on participant loans	2016-12-31	$331
Value of interest in common/collective trusts at end of year	2016-12-31	$1,504,267
Value of interest in common/collective trusts at beginning of year	2016-12-31	$836,778
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$3,040
Net investment gain/loss from pooled separate accounts	2016-12-31	$11,786
Net investment gain or loss from common/collective trusts	2016-12-31	$75,686
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	Yes
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	$518
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$319,985
Contract administrator fees	2016-12-31	$15,969
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	HOLTZMAN PARTNERS LLP
Accountancy firm EIN	2016-12-31	743121060
2015 : BEHAVIORAL HEALTHCARE RETIREMENT 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	$4,898
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	$1,063,875
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$74,773
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$67,269
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$1,091,270
Value of total assets at end of year	2015-12-31	$1,022,872
Value of total assets at beginning of year	2015-12-31	$28,872
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$7,504
Total interest from all sources	2015-12-31	$4
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$134
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	$134
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	$711,841
Participant contributions at end of year	2015-12-31	$964
Participant contributions at beginning of year	2015-12-31	$0
Participant contributions at end of year	2015-12-31	$21,828
Participant contributions at beginning of year	2015-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$379,429
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2015-12-31	$1,938
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2015-12-31	$4,898
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2015-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$989,102
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$1,017,974
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$28,872
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	$39,961
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$1,637
Value of interest in pooled separate accounts at end of year	2015-12-31	$123,341
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$2,821
Interest on participant loans	2015-12-31	$4
Value of interest in common/collective trusts at end of year	2015-12-31	$836,778
Value of interest in common/collective trusts at beginning of year	2015-12-31	$24,414
Expenses. Payments to insurance carriers foe the provision of benefits	2015-12-31	$0
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	Yes
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	$65,331
Contract administrator fees	2015-12-31	$7,504
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	HOLTZMAN PARTNERS LLP
Accountancy firm EIN	2015-12-31	743121060
2014 : BEHAVIORAL HEALTHCARE RETIREMENT 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	$28,872
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$0
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$28,872
Value of total assets at end of year	2014-12-31	$28,872
Value of total assets at beginning of year	2014-12-31	$0
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$0
Total interest from all sources	2014-12-31	$0
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	No
If this is an individual account plan, was there a blackout period	2014-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$28,872
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$28,872
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$28,872
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$0
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	$1,637
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$0
Value of interest in pooled separate accounts at end of year	2014-12-31	$2,821
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$0
Value of interest in common/collective trusts at end of year	2014-12-31	$24,414
Value of interest in common/collective trusts at beginning of year	2014-12-31	$0
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
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

Form 5500 Responses for BEHAVIORAL HEALTHCARE RETIREMENT PLAN

2017: BEHAVIORAL HEALTHCARE RETIREMENT PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Mulitple employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – 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: BEHAVIORAL HEALTHCARE RETIREMENT PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Mulitple 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: BEHAVIORAL HEALTHCARE RETIREMENT PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Mulitple 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: BEHAVIORAL HEALTHCARE RETIREMENT PLAN 2014 form 5500 responses
2014-12-15	Type of plan entity	Mulitple employer plan
2014-12-15	First time form 5500 has been submitted	Yes
2014-12-15	Submission has been amended	No
2014-12-15	This submission is the final filing	No
2014-12-15	This return/report is a short plan year return/report (less than 12 months)	Yes
2014-12-15	Plan is a collectively bargained plan	No
2014-12-15	Plan funding arrangement – Insurance	Yes
2014-12-15	Plan funding arrangement – Trust	Yes
2014-12-15	Plan benefit arrangement – Insurance	Yes
2014-12-15	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

715934

Policy instance

Insurance contract or identification number	715934
Number of Individuals Covered	430
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $684
Total amount of fees paid to insurance company	USD $114
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?	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 $576
Insurance broker organization code?	4
Amount paid for insurance broker fees	114
Additional information about fees paid to insurance broker	REFERRAL/SERVICE FEE
Insurance broker name	VOYA FINANCIAL ADVISORS INC

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

715934

Policy instance

Insurance contract or identification number	715934
Number of Individuals Covered	383
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $202
Total amount of fees paid to insurance company	USD $334
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	334
Additional information about fees paid to insurance broker	REFERRAL/SERVICE FEE
Insurance broker organization code?	3
Insurance broker name	VOYA FINANCIAL ADVISORS INC

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

715934

Policy instance

Insurance contract or identification number	715934
Number of Individuals Covered	330
Insurance policy start date	2014-12-15
Insurance policy end date	2014-12-31
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	ORIGINS BEHAVIORAL HEALTHCARE, LLC
Employer identification number (EIN):	470960855
NAIC Classification:	621420
NAIC Description:	Outpatient Mental Health and Substance Abuse Centers

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	2014-06-20
Company Identification Number:	0802013427
Legal Registered Office Address:	1999 BRYAN ST STE 900 DALLAS United States of America (USA) 75201