401k Plan data: CAROLINA CARE CENTER OF CHERRYVILLE, INC. 401(K) PROFIT SHARING PLAN plan

CAROLINA CARE CENTER OF CHERRYVILLE, INC. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	CAROLINA CARE CENTER OF CHERRYVILLE, INC. 401(K) PROFIT SHARING PLAN
Plan identification number	001

CAROLINA CARE CENTER OF CHERRYVILLE, INC. 401(K) PROFIT SHARING 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.
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

CAROLINA CARE CENTER OF CHERRYVILLE, INC. has sponsored the creation of one or more 401k plans.

Company Name: CAROLINA CARE CENTER OF CHERRYVILLE, INC.

Employer identification number (EIN): 561203802

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CAROLINA CARE CENTER OF CHERRYVILLE, INC. 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2017-10-01
001 2016-10-01
001 2015-10-01 JUDY B. BEAM
001 2014-10-01 JUDY B. BEAM
001 2013-10-01
001 2012-10-01 JUDY B BEAM MICHAEL HOPPER 2014-07-15
001 2011-10-01 JUDY B BEAM MICHAEL HOPPER 2013-07-15
001 2010-10-01 JUDY BEAM JUDY BEAM 2012-07-13
001 2009-10-01 JUDY B. BEAM JUDY B. BEAM 2011-07-13
001 2008-10-01

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2017-10-01
001	2016-10-01
001	2015-10-01	JUDY B. BEAM
001	2014-10-01	JUDY B. BEAM
001	2013-10-01
001	2012-10-01	JUDY B BEAM	MICHAEL HOPPER	2014-07-15
001	2011-10-01	JUDY B BEAM	MICHAEL HOPPER	2013-07-15
001	2010-10-01	JUDY BEAM	JUDY BEAM	2012-07-13
001	2009-10-01	JUDY B. BEAM	JUDY B. BEAM	2011-07-13
001	2008-10-01

Plan Statistics for CAROLINA CARE CENTER OF CHERRYVILLE, INC. 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for CAROLINA CARE CENTER OF CHERRYVILLE, INC. 401(K) PROFIT SHARING PLAN

Measure Date Value
2016: CAROLINA CARE CENTER OF CHERRYVILLE, INC. 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-10-01 130
Total number of active participants reported on line 7a of the Form 5500 2016-10-01 0
Number of retired or separated participants receiving benefits 2016-10-01 0
Number of other retired or separated participants entitled to future benefits 2016-10-01 42
Total of all active and inactive participants 2016-10-01 42
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-10-01 0
Total participants 2016-10-01 42
Number of participants with account balances 2016-10-01 42
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-10-01 0
2015: CAROLINA CARE CENTER OF CHERRYVILLE, INC. 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-10-01 128
Total number of active participants reported on line 7a of the Form 5500 2015-10-01 115
Number of retired or separated participants receiving benefits 2015-10-01 0
Number of other retired or separated participants entitled to future benefits 2015-10-01 11
Total of all active and inactive participants 2015-10-01 126
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-10-01 0
Total participants 2015-10-01 126
Number of participants with account balances 2015-10-01 43
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-10-01 2
2014: CAROLINA CARE CENTER OF CHERRYVILLE, INC. 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-10-01 129
Total number of active participants reported on line 7a of the Form 5500 2014-10-01 107
Number of retired or separated participants receiving benefits 2014-10-01 0
Number of other retired or separated participants entitled to future benefits 2014-10-01 17
Total of all active and inactive participants 2014-10-01 124
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-10-01 0
Total participants 2014-10-01 124
Number of participants with account balances 2014-10-01 44
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-10-01 1
2013: CAROLINA CARE CENTER OF CHERRYVILLE, INC. 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-10-01 126
Total number of active participants reported on line 7a of the Form 5500 2013-10-01 109
Number of retired or separated participants receiving benefits 2013-10-01 0
Number of other retired or separated participants entitled to future benefits 2013-10-01 13
Total of all active and inactive participants 2013-10-01 122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-10-01 0
Total participants 2013-10-01 122
Number of participants with account balances 2013-10-01 40
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-10-01 0
2012: CAROLINA CARE CENTER OF CHERRYVILLE, INC. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-10-01 123
Total number of active participants reported on line 7a of the Form 5500 2012-10-01 107
Number of retired or separated participants receiving benefits 2012-10-01 0
Number of other retired or separated participants entitled to future benefits 2012-10-01 9
Total of all active and inactive participants 2012-10-01 116
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-10-01 0
Total participants 2012-10-01 116
Number of participants with account balances 2012-10-01 40
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-10-01 1
2011: CAROLINA CARE CENTER OF CHERRYVILLE, INC. 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-10-01 132
Total number of active participants reported on line 7a of the Form 5500 2011-10-01 110
Number of retired or separated participants receiving benefits 2011-10-01 0
Number of other retired or separated participants entitled to future benefits 2011-10-01 12
Total of all active and inactive participants 2011-10-01 122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-10-01 0
Total participants 2011-10-01 122
Number of participants with account balances 2011-10-01 46
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-10-01 0
2010: CAROLINA CARE CENTER OF CHERRYVILLE, INC. 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-10-01 118
Total number of active participants reported on line 7a of the Form 5500 2010-10-01 110
Number of retired or separated participants receiving benefits 2010-10-01 0
Number of other retired or separated participants entitled to future benefits 2010-10-01 13
Total of all active and inactive participants 2010-10-01 123
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-10-01 0
Total participants 2010-10-01 123
Number of participants with account balances 2010-10-01 46
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-10-01 0
2009: CAROLINA CARE CENTER OF CHERRYVILLE, INC. 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-10-01 130
Total number of active participants reported on line 7a of the Form 5500 2009-10-01 117
Number of retired or separated participants receiving benefits 2009-10-01 0
Number of other retired or separated participants entitled to future benefits 2009-10-01 10
Total of all active and inactive participants 2009-10-01 127
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-10-01 0
Total participants 2009-10-01 127
Number of participants with account balances 2009-10-01 43
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-10-01 0

Measure	Date	Value
2016: CAROLINA CARE CENTER OF CHERRYVILLE, INC. 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-10-01	130
Total number of active participants reported on line 7a of the Form 5500	2016-10-01	0
Number of retired or separated participants receiving benefits	2016-10-01	0
Number of other retired or separated participants entitled to future benefits	2016-10-01	42
Total of all active and inactive participants	2016-10-01	42
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-10-01	0
Total participants	2016-10-01	42
Number of participants with account balances	2016-10-01	42
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-10-01	0
2015: CAROLINA CARE CENTER OF CHERRYVILLE, INC. 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-10-01	128
Total number of active participants reported on line 7a of the Form 5500	2015-10-01	115
Number of retired or separated participants receiving benefits	2015-10-01	0
Number of other retired or separated participants entitled to future benefits	2015-10-01	11
Total of all active and inactive participants	2015-10-01	126
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-10-01	0
Total participants	2015-10-01	126
Number of participants with account balances	2015-10-01	43
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-10-01	2
2014: CAROLINA CARE CENTER OF CHERRYVILLE, INC. 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-10-01	129
Total number of active participants reported on line 7a of the Form 5500	2014-10-01	107
Number of retired or separated participants receiving benefits	2014-10-01	0
Number of other retired or separated participants entitled to future benefits	2014-10-01	17
Total of all active and inactive participants	2014-10-01	124
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-10-01	0
Total participants	2014-10-01	124
Number of participants with account balances	2014-10-01	44
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-10-01	1
2013: CAROLINA CARE CENTER OF CHERRYVILLE, INC. 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-10-01	126
Total number of active participants reported on line 7a of the Form 5500	2013-10-01	109
Number of retired or separated participants receiving benefits	2013-10-01	0
Number of other retired or separated participants entitled to future benefits	2013-10-01	13
Total of all active and inactive participants	2013-10-01	122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-10-01	0
Total participants	2013-10-01	122
Number of participants with account balances	2013-10-01	40
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-10-01	0
2012: CAROLINA CARE CENTER OF CHERRYVILLE, INC. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-10-01	123
Total number of active participants reported on line 7a of the Form 5500	2012-10-01	107
Number of retired or separated participants receiving benefits	2012-10-01	0
Number of other retired or separated participants entitled to future benefits	2012-10-01	9
Total of all active and inactive participants	2012-10-01	116
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-10-01	0
Total participants	2012-10-01	116
Number of participants with account balances	2012-10-01	40
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-10-01	1
2011: CAROLINA CARE CENTER OF CHERRYVILLE, INC. 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-10-01	132
Total number of active participants reported on line 7a of the Form 5500	2011-10-01	110
Number of retired or separated participants receiving benefits	2011-10-01	0
Number of other retired or separated participants entitled to future benefits	2011-10-01	12
Total of all active and inactive participants	2011-10-01	122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-10-01	0
Total participants	2011-10-01	122
Number of participants with account balances	2011-10-01	46
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-10-01	0
2010: CAROLINA CARE CENTER OF CHERRYVILLE, INC. 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-10-01	118
Total number of active participants reported on line 7a of the Form 5500	2010-10-01	110
Number of retired or separated participants receiving benefits	2010-10-01	0
Number of other retired or separated participants entitled to future benefits	2010-10-01	13
Total of all active and inactive participants	2010-10-01	123
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-10-01	0
Total participants	2010-10-01	123
Number of participants with account balances	2010-10-01	46
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-10-01	0
2009: CAROLINA CARE CENTER OF CHERRYVILLE, INC. 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-10-01	130
Total number of active participants reported on line 7a of the Form 5500	2009-10-01	117
Number of retired or separated participants receiving benefits	2009-10-01	0
Number of other retired or separated participants entitled to future benefits	2009-10-01	10
Total of all active and inactive participants	2009-10-01	127
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-10-01	0
Total participants	2009-10-01	127
Number of participants with account balances	2009-10-01	43
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-10-01	0

Financial Data on CAROLINA CARE CENTER OF CHERRYVILLE, INC. 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2017 : CAROLINA CARE CENTER OF CHERRYVILLE, INC. 401(K) PROFIT SHARING PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-09-30	$1,558
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-09-30	$977
Total income from all sources (including contributions)	2017-09-30	$122,621
Total loss/gain on sale of assets	2017-09-30	$0
Total of all expenses incurred	2017-09-30	$91,738
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-09-30	$91,394
Value of total corrective distributions	2017-09-30	$344
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-09-30	$23,950
Value of total assets at end of year	2017-09-30	$987,704
Value of total assets at beginning of year	2017-09-30	$956,240
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-09-30	$0
Total interest from all sources	2017-09-30	$0
Total dividends received (eg from common stock, registered investment company shares)	2017-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-09-30	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2017-09-30	$0
Was this plan covered by a fidelity bond	2017-09-30	Yes
Value of fidelity bond cover	2017-09-30	$75,000
If this is an individual account plan, was there a blackout period	2017-09-30	No
Were there any nonexempt tranactions with any party-in-interest	2017-09-30	No
Contributions received from participants	2017-09-30	$19,451
Participant contributions at end of year	2017-09-30	$811
Participant contributions at beginning of year	2017-09-30	$1,970
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2017-09-30	$1,214
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2017-09-30	$176
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-09-30	No
Value of net income/loss	2017-09-30	$30,883
Value of net assets at end of year (total assets less liabilities)	2017-09-30	$986,146
Value of net assets at beginning of year (total assets less liabilities)	2017-09-30	$955,263
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-09-30	No
Were any leases to which the plan was party in default or uncollectible	2017-09-30	No
Value of interest in pooled separate accounts at end of year	2017-09-30	$719,378
Value of interest in pooled separate accounts at beginning of year	2017-09-30	$658,259
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-09-30	$263,190
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-09-30	$285,813
Net investment gain/loss from pooled separate accounts	2017-09-30	$98,671
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-09-30	No
Was there a failure to transmit to the plan any participant contributions	2017-09-30	No
Has the plan failed to provide any benefit when due under the plan	2017-09-30	No
Contributions received in cash from employer	2017-09-30	$4,499
Employer contributions (assets) at end of year	2017-09-30	$4,325
Employer contributions (assets) at beginning of year	2017-09-30	$10,198
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-09-30	$91,394
Liabilities. Value of benefit claims payable at end of year	2017-09-30	$344
Liabilities. Value of benefit claims payable at beginning of year	2017-09-30	$801
Did the plan have assets held for investment	2017-09-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2017-09-30	Disclaimer
Accountancy firm name	2017-09-30	BUTLER & STOWE
Accountancy firm EIN	2017-09-30	560625018
2016 : CAROLINA CARE CENTER OF CHERRYVILLE, INC. 401(K) PROFIT SHARING PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-09-30	$977
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-09-30	$922
Total income from all sources (including contributions)	2016-09-30	$119,091
Total loss/gain on sale of assets	2016-09-30	$0
Total of all expenses incurred	2016-09-30	$59,561
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-09-30	$58,583
Value of total corrective distributions	2016-09-30	$801
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-09-30	$56,269
Value of total assets at end of year	2016-09-30	$956,240
Value of total assets at beginning of year	2016-09-30	$896,655
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-09-30	$177
Total interest from all sources	2016-09-30	$0
Total dividends received (eg from common stock, registered investment company shares)	2016-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-09-30	No
Was this plan covered by a fidelity bond	2016-09-30	Yes
Value of fidelity bond cover	2016-09-30	$75,000
If this is an individual account plan, was there a blackout period	2016-09-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2016-09-30	No
Contributions received from participants	2016-09-30	$46,071
Participant contributions at end of year	2016-09-30	$1,970
Participant contributions at beginning of year	2016-09-30	$3,306
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2016-09-30	$176
Other income not declared elsewhere	2016-09-30	$45
Administrative expenses (other) incurred	2016-09-30	$177
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-09-30	No
Value of net income/loss	2016-09-30	$59,530
Value of net assets at end of year (total assets less liabilities)	2016-09-30	$955,263
Value of net assets at beginning of year (total assets less liabilities)	2016-09-30	$895,733
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-09-30	No
Were any leases to which the plan was party in default or uncollectible	2016-09-30	No
Value of interest in pooled separate accounts at end of year	2016-09-30	$658,259
Value of interest in pooled separate accounts at beginning of year	2016-09-30	$612,965
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-09-30	$285,813
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-09-30	$270,470
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-09-30	$62,777
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-09-30	No
Was there a failure to transmit to the plan any participant contributions	2016-09-30	Yes
Has the plan failed to provide any benefit when due under the plan	2016-09-30	No
Contributions received in cash from employer	2016-09-30	$10,198
Employer contributions (assets) at end of year	2016-09-30	$10,198
Employer contributions (assets) at beginning of year	2016-09-30	$9,914
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-09-30	$58,583
Liabilities. Value of benefit claims payable at end of year	2016-09-30	$801
Liabilities. Value of benefit claims payable at beginning of year	2016-09-30	$922
Did the plan have assets held for investment	2016-09-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2016-09-30	Disclaimer
Accountancy firm name	2016-09-30	BUTLER & STOWE
Accountancy firm EIN	2016-09-30	560625018
2015 : CAROLINA CARE CENTER OF CHERRYVILLE, INC. 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-09-30	$922
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-09-30	$857
Total income from all sources (including contributions)	2015-09-30	$42,825
Total loss/gain on sale of assets	2015-09-30	$0
Total of all expenses incurred	2015-09-30	$17,500
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-09-30	$16,578
Value of total corrective distributions	2015-09-30	$922
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-09-30	$58,083
Value of total assets at end of year	2015-09-30	$896,655
Value of total assets at beginning of year	2015-09-30	$871,265
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-09-30	$0
Total interest from all sources	2015-09-30	$0
Total dividends received (eg from common stock, registered investment company shares)	2015-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-09-30	No
Was this plan covered by a fidelity bond	2015-09-30	Yes
Value of fidelity bond cover	2015-09-30	$75,000
If this is an individual account plan, was there a blackout period	2015-09-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2015-09-30	No
Contributions received from participants	2015-09-30	$41,688
Participant contributions at end of year	2015-09-30	$3,306
Participant contributions at beginning of year	2015-09-30	$1,586
Income. Received or receivable in cash from other sources (including rollovers)	2015-09-30	$6,481
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-09-30	No
Value of net income/loss	2015-09-30	$25,325
Value of net assets at end of year (total assets less liabilities)	2015-09-30	$895,733
Value of net assets at beginning of year (total assets less liabilities)	2015-09-30	$870,408
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-09-30	No
Were any leases to which the plan was party in default or uncollectible	2015-09-30	No
Value of interest in pooled separate accounts at end of year	2015-09-30	$612,965
Value of interest in pooled separate accounts at beginning of year	2015-09-30	$603,132
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-09-30	$270,470
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-09-30	$256,567
Net investment gain/loss from pooled separate accounts	2015-09-30	$-15,258
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-09-30	No
Was there a failure to transmit to the plan any participant contributions	2015-09-30	Yes
Has the plan failed to provide any benefit when due under the plan	2015-09-30	No
Contributions received in cash from employer	2015-09-30	$9,914
Employer contributions (assets) at end of year	2015-09-30	$9,914
Employer contributions (assets) at beginning of year	2015-09-30	$9,980
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-09-30	$16,578
Liabilities. Value of benefit claims payable at end of year	2015-09-30	$922
Liabilities. Value of benefit claims payable at beginning of year	2015-09-30	$857
Did the plan have assets held for investment	2015-09-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2015-09-30	Disclaimer
Accountancy firm name	2015-09-30	BUTLER & STOWE
Accountancy firm EIN	2015-09-30	560625018
2014 : CAROLINA CARE CENTER OF CHERRYVILLE, INC. 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-09-30	$857
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-09-30	$2,363
Total income from all sources (including contributions)	2014-09-30	$118,131
Total loss/gain on sale of assets	2014-09-30	$0
Total of all expenses incurred	2014-09-30	$105,931
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-09-30	$105,074
Value of total corrective distributions	2014-09-30	$857
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-09-30	$52,727
Value of total assets at end of year	2014-09-30	$871,265
Value of total assets at beginning of year	2014-09-30	$860,571
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-09-30	$0
Total interest from all sources	2014-09-30	$0
Total dividends received (eg from common stock, registered investment company shares)	2014-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-09-30	No
Was this plan covered by a fidelity bond	2014-09-30	Yes
Value of fidelity bond cover	2014-09-30	$75,000
If this is an individual account plan, was there a blackout period	2014-09-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2014-09-30	No
Contributions received from participants	2014-09-30	$42,480
Participant contributions at end of year	2014-09-30	$1,586
Participant contributions at beginning of year	2014-09-30	$1,849
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2014-09-30	$309
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-09-30	No
Value of net income/loss	2014-09-30	$12,200
Value of net assets at end of year (total assets less liabilities)	2014-09-30	$870,408
Value of net assets at beginning of year (total assets less liabilities)	2014-09-30	$858,208
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-09-30	No
Were any leases to which the plan was party in default or uncollectible	2014-09-30	No
Value of interest in pooled separate accounts at end of year	2014-09-30	$603,132
Value of interest in pooled separate accounts at beginning of year	2014-09-30	$530,978
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-09-30	$256,567
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-09-30	$317,224
Net investment gain/loss from pooled separate accounts	2014-09-30	$65,404
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-09-30	No
Was there a failure to transmit to the plan any participant contributions	2014-09-30	No
Has the plan failed to provide any benefit when due under the plan	2014-09-30	No
Contributions received in cash from employer	2014-09-30	$10,247
Employer contributions (assets) at end of year	2014-09-30	$9,980
Employer contributions (assets) at beginning of year	2014-09-30	$10,520
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-09-30	$105,074
Liabilities. Value of benefit claims payable at end of year	2014-09-30	$857
Liabilities. Value of benefit claims payable at beginning of year	2014-09-30	$2,054
Did the plan have assets held for investment	2014-09-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2014-09-30	Disclaimer
Accountancy firm name	2014-09-30	BUTLER & STOWE
Accountancy firm EIN	2014-09-30	560625018
2013 : CAROLINA CARE CENTER OF CHERRYVILLE, INC. 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-09-30	$2,363
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-09-30	$1,129
Total income from all sources (including contributions)	2013-09-30	$137,955
Total loss/gain on sale of assets	2013-09-30	$0
Total of all expenses incurred	2013-09-30	$35,866
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-09-30	$32,892
Value of total corrective distributions	2013-09-30	$946
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-09-30	$55,962
Value of total assets at end of year	2013-09-30	$860,571
Value of total assets at beginning of year	2013-09-30	$757,248
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-09-30	$2,028
Total interest from all sources	2013-09-30	$0
Total dividends received (eg from common stock, registered investment company shares)	2013-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-09-30	No
Administrative expenses professional fees incurred	2013-09-30	$425
Was this plan covered by a fidelity bond	2013-09-30	Yes
Value of fidelity bond cover	2013-09-30	$75,000
If this is an individual account plan, was there a blackout period	2013-09-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2013-09-30	No
Contributions received from participants	2013-09-30	$45,442
Participant contributions at end of year	2013-09-30	$1,849
Participant contributions at beginning of year	2013-09-30	$3,728
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2013-09-30	$309
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2013-09-30	$22
Administrative expenses (other) incurred	2013-09-30	$272
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-09-30	No
Value of net income/loss	2013-09-30	$102,089
Value of net assets at end of year (total assets less liabilities)	2013-09-30	$858,208
Value of net assets at beginning of year (total assets less liabilities)	2013-09-30	$756,119
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-09-30	No
Were any leases to which the plan was party in default or uncollectible	2013-09-30	No
Investment advisory and management fees	2013-09-30	$1,331
Value of interest in pooled separate accounts at end of year	2013-09-30	$530,978
Value of interest in pooled separate accounts at beginning of year	2013-09-30	$438,535
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-09-30	$317,224
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-09-30	$305,039
Net investment gain/loss from pooled separate accounts	2013-09-30	$81,993
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-09-30	No
Was there a failure to transmit to the plan any participant contributions	2013-09-30	No
Has the plan failed to provide any benefit when due under the plan	2013-09-30	No
Contributions received in cash from employer	2013-09-30	$10,520
Employer contributions (assets) at end of year	2013-09-30	$10,520
Employer contributions (assets) at beginning of year	2013-09-30	$9,946
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-09-30	$32,892
Liabilities. Value of benefit claims payable at end of year	2013-09-30	$2,054
Liabilities. Value of benefit claims payable at beginning of year	2013-09-30	$1,107
Did the plan have assets held for investment	2013-09-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2013-09-30	Disclaimer
Accountancy firm name	2013-09-30	BUTLER & STOWE
Accountancy firm EIN	2013-09-30	560625018
2012 : CAROLINA CARE CENTER OF CHERRYVILLE, INC. 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-09-30	$1,129
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-09-30	$1,781
Total income from all sources (including contributions)	2012-09-30	$134,112
Total loss/gain on sale of assets	2012-09-30	$0
Total of all expenses incurred	2012-09-30	$7,686
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-09-30	$6,579
Value of total corrective distributions	2012-09-30	$1,107
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-09-30	$54,982
Value of total assets at end of year	2012-09-30	$757,248
Value of total assets at beginning of year	2012-09-30	$631,474
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-09-30	$0
Total interest from all sources	2012-09-30	$0
Total dividends received (eg from common stock, registered investment company shares)	2012-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-09-30	No
Was this plan covered by a fidelity bond	2012-09-30	Yes
Value of fidelity bond cover	2012-09-30	$75,000
If this is an individual account plan, was there a blackout period	2012-09-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2012-09-30	No
Contributions received from participants	2012-09-30	$45,036
Participant contributions at end of year	2012-09-30	$3,728
Participant contributions at beginning of year	2012-09-30	$4,104
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2012-09-30	$22
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2012-09-30	$22
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-09-30	No
Value of net income/loss	2012-09-30	$126,426
Value of net assets at end of year (total assets less liabilities)	2012-09-30	$756,119
Value of net assets at beginning of year (total assets less liabilities)	2012-09-30	$629,693
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-09-30	No
Were any leases to which the plan was party in default or uncollectible	2012-09-30	No
Value of interest in pooled separate accounts at end of year	2012-09-30	$438,535
Value of interest in pooled separate accounts at beginning of year	2012-09-30	$339,687
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-09-30	$305,039
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-09-30	$277,143
Net investment gain/loss from pooled separate accounts	2012-09-30	$79,130
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-09-30	No
Was there a failure to transmit to the plan any participant contributions	2012-09-30	No
Has the plan failed to provide any benefit when due under the plan	2012-09-30	No
Contributions received in cash from employer	2012-09-30	$9,946
Employer contributions (assets) at end of year	2012-09-30	$9,946
Employer contributions (assets) at beginning of year	2012-09-30	$10,540
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-09-30	$6,579
Liabilities. Value of benefit claims payable at end of year	2012-09-30	$1,107
Liabilities. Value of benefit claims payable at beginning of year	2012-09-30	$1,759
Did the plan have assets held for investment	2012-09-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2012-09-30	Disclaimer
Accountancy firm name	2012-09-30	BUTLER & STOWE
Accountancy firm EIN	2012-09-30	560625018
2011 : CAROLINA CARE CENTER OF CHERRYVILLE, INC. 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-09-30	$1,781
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-09-30	$745
Total income from all sources (including contributions)	2011-09-30	$60,743
Total loss/gain on sale of assets	2011-09-30	$0
Total of all expenses incurred	2011-09-30	$14,666
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-09-30	$12,907
Value of total corrective distributions	2011-09-30	$1,759
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-09-30	$64,555
Value of total assets at end of year	2011-09-30	$631,474
Value of total assets at beginning of year	2011-09-30	$584,361
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-09-30	$0
Total interest from all sources	2011-09-30	$0
Total dividends received (eg from common stock, registered investment company shares)	2011-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-09-30	No
Was this plan covered by a fidelity bond	2011-09-30	Yes
Value of fidelity bond cover	2011-09-30	$75,000
If this is an individual account plan, was there a blackout period	2011-09-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2011-09-30	No
Contributions received from participants	2011-09-30	$54,015
Participant contributions at end of year	2011-09-30	$4,104
Participant contributions at beginning of year	2011-09-30	$494
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-09-30	$90
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2011-09-30	$22
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2011-09-30	$22
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-09-30	No
Value of net income/loss	2011-09-30	$46,077
Value of net assets at end of year (total assets less liabilities)	2011-09-30	$629,693
Value of net assets at beginning of year (total assets less liabilities)	2011-09-30	$583,616
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-09-30	No
Were any leases to which the plan was party in default or uncollectible	2011-09-30	No
Value of interest in pooled separate accounts at end of year	2011-09-30	$339,687
Value of interest in pooled separate accounts at beginning of year	2011-09-30	$310,114
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-09-30	$277,143
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-09-30	$264,571
Net investment gain/loss from pooled separate accounts	2011-09-30	$-3,812
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-09-30	No
Was there a failure to transmit to the plan any participant contributions	2011-09-30	No
Has the plan failed to provide any benefit when due under the plan	2011-09-30	No
Contributions received in cash from employer	2011-09-30	$10,540
Employer contributions (assets) at end of year	2011-09-30	$10,540
Employer contributions (assets) at beginning of year	2011-09-30	$9,092
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-09-30	$12,907
Liabilities. Value of benefit claims payable at end of year	2011-09-30	$1,759
Liabilities. Value of benefit claims payable at beginning of year	2011-09-30	$723
Did the plan have assets held for investment	2011-09-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2011-09-30	Disclaimer
Accountancy firm name	2011-09-30	BUTLER & STOWE
Accountancy firm EIN	2011-09-30	560625018
2010 : CAROLINA CARE CENTER OF CHERRYVILLE, INC. 401(K) PROFIT SHARING PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-09-30	$0

Form 5500 Responses for CAROLINA CARE CENTER OF CHERRYVILLE, INC. 401(K) PROFIT SHARING PLAN

2016: CAROLINA CARE CENTER OF CHERRYVILLE, INC. 401(K) PROFIT SHARING PLAN 2016 form 5500 responses
2016-10-01	Type of plan entity	Single employer plan
2016-10-01	Submission has been amended	No
2016-10-01	This submission is the final filing	No
2016-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-10-01	Plan is a collectively bargained plan	No
2016-10-01	Plan funding arrangement – Insurance	Yes
2016-10-01	Plan funding arrangement – Trust	Yes
2016-10-01	Plan benefit arrangement - Trust	Yes
2015: CAROLINA CARE CENTER OF CHERRYVILLE, INC. 401(K) PROFIT SHARING PLAN 2015 form 5500 responses
2015-10-01	Type of plan entity	Single employer plan
2015-10-01	Submission has been amended	No
2015-10-01	This submission is the final filing	No
2015-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-10-01	Plan is a collectively bargained plan	No
2015-10-01	Plan funding arrangement – Insurance	Yes
2015-10-01	Plan funding arrangement – Trust	Yes
2015-10-01	Plan benefit arrangement - Trust	Yes
2014: CAROLINA CARE CENTER OF CHERRYVILLE, INC. 401(K) PROFIT SHARING PLAN 2014 form 5500 responses
2014-10-01	Type of plan entity	Single employer plan
2014-10-01	Submission has been amended	No
2014-10-01	This submission is the final filing	No
2014-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-10-01	Plan is a collectively bargained plan	No
2014-10-01	Plan funding arrangement – Insurance	Yes
2014-10-01	Plan funding arrangement – Trust	Yes
2014-10-01	Plan benefit arrangement - Trust	Yes
2013: CAROLINA CARE CENTER OF CHERRYVILLE, INC. 401(K) PROFIT SHARING PLAN 2013 form 5500 responses
2013-10-01	Type of plan entity	Single employer plan
2013-10-01	Submission has been amended	No
2013-10-01	This submission is the final filing	No
2013-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-10-01	Plan is a collectively bargained plan	No
2013-10-01	Plan funding arrangement – Insurance	Yes
2013-10-01	Plan funding arrangement – Trust	Yes
2013-10-01	Plan benefit arrangement - Trust	Yes
2012: CAROLINA CARE CENTER OF CHERRYVILLE, INC. 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-10-01	Type of plan entity	Single employer plan
2012-10-01	Submission has been amended	No
2012-10-01	This submission is the final filing	No
2012-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-10-01	Plan is a collectively bargained plan	No
2012-10-01	Plan funding arrangement – Insurance	Yes
2012-10-01	Plan funding arrangement – Trust	Yes
2012-10-01	Plan benefit arrangement - Trust	Yes
2011: CAROLINA CARE CENTER OF CHERRYVILLE, INC. 401(K) PROFIT SHARING PLAN 2011 form 5500 responses
2011-10-01	Type of plan entity	Single employer plan
2011-10-01	Submission has been amended	No
2011-10-01	This submission is the final filing	No
2011-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-10-01	Plan is a collectively bargained plan	No
2011-10-01	Plan funding arrangement – Insurance	Yes
2011-10-01	Plan funding arrangement – Trust	Yes
2011-10-01	Plan benefit arrangement - Trust	Yes
2010: CAROLINA CARE CENTER OF CHERRYVILLE, INC. 401(K) PROFIT SHARING PLAN 2010 form 5500 responses
2010-10-01	Type of plan entity	Single employer plan
2010-10-01	Submission has been amended	No
2010-10-01	This submission is the final filing	No
2010-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-10-01	Plan is a collectively bargained plan	No
2010-10-01	Plan funding arrangement – Insurance	Yes
2010-10-01	Plan funding arrangement – Trust	Yes
2010-10-01	Plan benefit arrangement - Trust	Yes
2009: CAROLINA CARE CENTER OF CHERRYVILLE, INC. 401(K) PROFIT SHARING PLAN 2009 form 5500 responses
2009-10-01	Type of plan entity	Single employer plan
2009-10-01	Submission has been amended	No
2009-10-01	This submission is the final filing	No
2009-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-10-01	Plan is a collectively bargained plan	No
2009-10-01	Plan funding arrangement – Insurance	Yes
2009-10-01	Plan funding arrangement – Trust	Yes
2009-10-01	Plan benefit arrangement - Trust	Yes
2008: CAROLINA CARE CENTER OF CHERRYVILLE, INC. 401(K) PROFIT SHARING PLAN 2008 form 5500 responses
2008-10-01	Type of plan entity	Single employer plan
2008-10-01	Submission has been amended	No
2008-10-01	This submission is the final filing	No
2008-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-10-01	Plan is a collectively bargained plan	No

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Company Name:	CAROLINA CARE CENTER OF CHERRYVILLE, INC.
Employer identification number (EIN):	561203802
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)