401k Plan data: DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC. RETIREMENT PLAN plan

DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC. RETIREMENT PLAN 401k Plan overview

Plan Name	DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC. RETIREMENT PLAN
Plan identification number	001

DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC. 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.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

DOMINICAN SISTERS FAMILY HEALTH SERVICES, INC. has sponsored the creation of one or more 401k plans.

Company Name: DOMINICAN SISTERS FAMILY HEALTH SERVICES, INC.

Employer identification number (EIN): 131740242

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC. RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2016-01-01 MARY ZAGAJESKI
001 2016-01-01 ANNMARIE COVONE 2020-01-08
001 2015-01-01 JOHN SALANDRA
001 2014-01-01 JOHN SALANDRA
001 2013-01-01 JOHN SALANDRA
001 2012-01-01 WILLIAM JELEN WILLIAM JELEN 2013-10-14
001 2011-01-01 WILLIAM JELEN
001 2010-01-01 WILLIAM JELEN
001 2009-01-01 WILLIAM JELEN

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2016-01-01	MARY ZAGAJESKI
001	2016-01-01	ANNMARIE COVONE	2020-01-08
001	2015-01-01	JOHN SALANDRA
001	2014-01-01	JOHN SALANDRA
001	2013-01-01	JOHN SALANDRA
001	2012-01-01	WILLIAM JELEN		WILLIAM JELEN	2013-10-14
001	2011-01-01	WILLIAM JELEN
001	2010-01-01	WILLIAM JELEN
001	2009-01-01	WILLIAM JELEN

Plan Statistics for DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC. RETIREMENT PLAN

401k plan membership statisitcs for DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC. RETIREMENT PLAN

Measure Date Value
2016: DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC. RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 915
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 710
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 241
Total of all active and inactive participants 2016-01-01 951
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 951
Number of participants with account balances 2016-01-01 532
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 13
2015: DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC. RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 775
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 694
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 221
Total of all active and inactive participants 2015-01-01 915
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 915
Number of participants with account balances 2015-01-01 547
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 18
2014: DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC. RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 674
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 578
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 197
Total of all active and inactive participants 2014-01-01 775
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 775
Number of participants with account balances 2014-01-01 520
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 7
2013: DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC. RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 612
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 511
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 163
Total of all active and inactive participants 2013-01-01 674
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 674
Number of participants with account balances 2013-01-01 463
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 2
2012: DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC. RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 374
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 510
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 102
Total of all active and inactive participants 2012-01-01 612
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 612
Number of participants with account balances 2012-01-01 396
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 2
2011: DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC. RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 312
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 304
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 70
Total of all active and inactive participants 2011-01-01 374
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 374
Number of participants with account balances 2011-01-01 345
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC. RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 244
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 291
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 21
Total of all active and inactive participants 2010-01-01 312
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 312
Number of participants with account balances 2010-01-01 312
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC. RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 243
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 1
Total of all active and inactive participants 2009-01-01 244
Total participants 2009-01-01 244
Number of participants with account balances 2009-01-01 226
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2016: DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC. RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	915
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	710
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	241
Total of all active and inactive participants	2016-01-01	951
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	951
Number of participants with account balances	2016-01-01	532
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	13
2015: DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC. RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	775
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	694
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	221
Total of all active and inactive participants	2015-01-01	915
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	915
Number of participants with account balances	2015-01-01	547
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	18
2014: DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC. RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	674
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	578
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	197
Total of all active and inactive participants	2014-01-01	775
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	775
Number of participants with account balances	2014-01-01	520
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	7
2013: DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC. RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	612
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	511
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	163
Total of all active and inactive participants	2013-01-01	674
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	674
Number of participants with account balances	2013-01-01	463
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	2
2012: DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC. RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	374
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	510
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	102
Total of all active and inactive participants	2012-01-01	612
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	612
Number of participants with account balances	2012-01-01	396
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	2
2011: DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC. RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	312
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	304
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	70
Total of all active and inactive participants	2011-01-01	374
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	374
Number of participants with account balances	2011-01-01	345
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC. RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	244
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	291
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	21
Total of all active and inactive participants	2010-01-01	312
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	312
Number of participants with account balances	2010-01-01	312
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC. RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	243
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	1
Total of all active and inactive participants	2009-01-01	244
Total participants	2009-01-01	244
Number of participants with account balances	2009-01-01	226
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC. RETIREMENT PLAN

Measure	Date	Value
2016 : DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC. 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	$0
Total income from all sources (including contributions)	2016-12-31	$2,389,093
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$834,475
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$814,941
Expenses. Certain deemed distributions of participant loans	2016-12-31	$19,534
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$1,753,667
Value of total assets at end of year	2016-12-31	$9,832,797
Value of total assets at beginning of year	2016-12-31	$8,278,179
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$0
Total interest from all sources	2016-12-31	$14,408
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$1,021,566
Participant contributions at end of year	2016-12-31	$174,573
Participant contributions at beginning of year	2016-12-31	$176,436
Participant contributions at end of year	2016-12-31	$2,214
Participant contributions at beginning of year	2016-12-31	$1,712
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$538,047
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	$1,554,618
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$9,832,797
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$8,278,179
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 pooled separate accounts at end of year	2016-12-31	$9,235,857
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$7,769,097
Interest on participant loans	2016-12-31	$7,780
Interest earned on other investments	2016-12-31	$6,628
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$419,697
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$330,934
Net investment gain/loss from pooled separate accounts	2016-12-31	$621,018
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$194,054
Employer contributions (assets) at end of year	2016-12-31	$456
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$814,941
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	PKF O'CONNOR DAVIES, LLP
Accountancy firm EIN	2016-12-31	271728945
2015 : DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC. RETIREMENT PLAN 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2015-12-31	$-282,754
Total unrealized appreciation/depreciation of assets	2015-12-31	$-282,754
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$1,177,335
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$1,196,627
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$1,177,065
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$1,453,884
Value of total assets at end of year	2015-12-31	$8,278,178
Value of total assets at beginning of year	2015-12-31	$8,297,470
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$19,562
Total interest from all sources	2015-12-31	$6,205
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$1,064,252
Participant contributions at end of year	2015-12-31	$176,436
Participant contributions at beginning of year	2015-12-31	$152,620
Participant contributions at end of year	2015-12-31	$1,712
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$389,632
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	$-19,292
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$8,278,178
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$8,297,470
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
Investment advisory and management fees	2015-12-31	$19,562
Value of interest in pooled separate accounts at end of year	2015-12-31	$7,769,096
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$7,494,086
Interest on participant loans	2015-12-31	$6,205
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$330,934
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$107,242
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Employer contributions (assets) at beginning of year	2015-12-31	$543,522
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$1,177,065
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	PKF O'CONNOR DAVIES, LLP
Accountancy firm EIN	2015-12-31	271728945
2014 : DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC. RETIREMENT PLAN 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2014-12-31	$194,368
Total unrealized appreciation/depreciation of assets	2014-12-31	$194,368
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$1,913,105
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$787,067
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$758,411
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$1,714,145
Value of total assets at end of year	2014-12-31	$8,297,470
Value of total assets at beginning of year	2014-12-31	$7,171,432
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$28,656
Total interest from all sources	2014-12-31	$4,592
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$1,057,566
Participant contributions at end of year	2014-12-31	$152,620
Participant contributions at beginning of year	2014-12-31	$117,612
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$113,057
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$1,126,038
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$8,297,470
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$7,171,432
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
Investment advisory and management fees	2014-12-31	$28,656
Value of interest in pooled separate accounts at end of year	2014-12-31	$7,494,086
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$6,692,956
Income. Interest from loans (other than to participants)	2014-12-31	$4,592
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$107,242
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	$543,522
Employer contributions (assets) at end of year	2014-12-31	$543,522
Employer contributions (assets) at beginning of year	2014-12-31	$360,864
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$758,411
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	O'CONNOR DAVIES, LLP
Accountancy firm EIN	2014-12-31	271728945
2013 : DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC. RETIREMENT PLAN 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2013-12-31	$706,895
Total unrealized appreciation/depreciation of assets	2013-12-31	$706,895
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$2,106,586
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$305,199
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$278,617
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$1,396,749
Value of total assets at end of year	2013-12-31	$7,171,433
Value of total assets at beginning of year	2013-12-31	$5,370,046
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$26,582
Total interest from all sources	2013-12-31	$2,942
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$1,035,884
Participant contributions at end of year	2013-12-31	$117,612
Participant contributions at beginning of year	2013-12-31	$61,026
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$1,801,387
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$7,171,433
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$5,370,046
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Investment advisory and management fees	2013-12-31	$26,582
Value of interest in pooled separate accounts at end of year	2013-12-31	$6,692,956
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$4,812,385
Income. Interest from loans (other than to participants)	2013-12-31	$2,942
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$360,865
Employer contributions (assets) at end of year	2013-12-31	$360,865
Employer contributions (assets) at beginning of year	2013-12-31	$496,635
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$278,617
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	KAMIL EL-DEIRY & ASSOCIATES LLC
Accountancy firm EIN	2013-12-31	800661414
2012 : DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC. RETIREMENT PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2012-12-31	$357,581
Total unrealized appreciation/depreciation of assets	2012-12-31	$357,581
Total income from all sources (including contributions)	2012-12-31	$1,951,233
Total of all expenses incurred	2012-12-31	$340,078
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$316,567
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$1,592,178
Value of total assets at end of year	2012-12-31	$5,370,046
Value of total assets at beginning of year	2012-12-31	$3,758,891
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$23,511
Total interest from all sources	2012-12-31	$1,474
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$1,064,523
Participant contributions at end of year	2012-12-31	$61,026
Participant contributions at beginning of year	2012-12-31	$12,469
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$31,020
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$1,611,155
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$5,370,046
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$3,758,891
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Investment advisory and management fees	2012-12-31	$23,511
Value of interest in pooled separate accounts at end of year	2012-12-31	$4,812,385
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$3,294,430
Income. Interest from loans (other than to participants)	2012-12-31	$1,474
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$496,635
Employer contributions (assets) at end of year	2012-12-31	$496,635
Employer contributions (assets) at beginning of year	2012-12-31	$451,992
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$316,567
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	KAMIL EL-DEIRY & ASSOCIATES LLC
Accountancy firm EIN	2012-12-31	800661414
2011 : DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC. RETIREMENT PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2011-12-31	$-97,096
Total unrealized appreciation/depreciation of assets	2011-12-31	$-97,096
Total income from all sources (including contributions)	2011-12-31	$1,459,073
Total of all expenses incurred	2011-12-31	$93,293
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$76,096
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$1,555,899
Value of total assets at end of year	2011-12-31	$3,758,891
Value of total assets at beginning of year	2011-12-31	$2,393,111
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$17,197
Total interest from all sources	2011-12-31	$270
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$1,099,180
Participant contributions at end of year	2011-12-31	$12,469
Participant contributions at beginning of year	2011-12-31	$6,233
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$4,727
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$1,365,780
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$3,758,891
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$2,393,111
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Investment advisory and management fees	2011-12-31	$17,197
Value of interest in pooled separate accounts at end of year	2011-12-31	$3,294,430
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$1,952,505
Interest on participant loans	2011-12-31	$270
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$451,992
Employer contributions (assets) at end of year	2011-12-31	$451,992
Employer contributions (assets) at beginning of year	2011-12-31	$434,373
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$76,096
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	KAMIL EL-DEIRY & ASSOCIATES LLC
Accountancy firm EIN	2011-12-31	800661414
2010 : DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC. RETIREMENT PLAN 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2010-12-31	$150,569
Total unrealized appreciation/depreciation of assets	2010-12-31	$150,569
Total income from all sources (including contributions)	2010-12-31	$1,709,037
Total of all expenses incurred	2010-12-31	$24,940
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$14,747
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$1,558,415
Value of total assets at end of year	2010-12-31	$2,393,111
Value of total assets at beginning of year	2010-12-31	$709,014
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$10,193
Total interest from all sources	2010-12-31	$53
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$1,112,613
Participant contributions at end of year	2010-12-31	$6,233
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$11,429
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$1,684,097
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$2,393,111
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$709,014
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Investment advisory and management fees	2010-12-31	$10,193
Value of interest in pooled separate accounts at end of year	2010-12-31	$1,952,505
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$262,375
Interest on participant loans	2010-12-31	$53
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$434,373
Employer contributions (assets) at end of year	2010-12-31	$434,373
Employer contributions (assets) at beginning of year	2010-12-31	$446,639
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$14,747
Did the plan have assets held for investment	2010-12-31	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	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	DEMARCO & NESI CPA'S LLC
Accountancy firm EIN	2010-12-31	272983355
2009 : DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC. RETIREMENT PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC. RETIREMENT PLAN

2016: DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC. RETIREMENT PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC. RETIREMENT PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC. RETIREMENT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC. RETIREMENT PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC. RETIREMENT PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC. RETIREMENT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC. RETIREMENT PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	Yes
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC. RETIREMENT PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	First time form 5500 has been submitted	Yes
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 78778 )

Policy contract number

630494

Policy instance

Insurance contract or identification number	630494
Number of Individuals Covered	522
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $21,984
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
Commission paid to Insurance Broker	USD $21,984
Insurance broker organization code?	3
Insurance broker name	PARK AVENUE SECURITIES

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 78778 )

Policy contract number

630494

Policy instance

Insurance contract or identification number	630494
Number of Individuals Covered	461
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $19,657
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
Commission paid to Insurance Broker	USD $19,657
Insurance broker organization code?	3
Insurance broker name	PARK AVENUE SECURITIES

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 78778 )

Policy contract number

630494

Policy instance

Insurance contract or identification number	630494
Number of Individuals Covered	395
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $15,754
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
Commission paid to Insurance Broker	USD $15,754
Insurance broker organization code?	3
Insurance broker name	PARK AVENUE SECURITIES

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 78778 )

Policy contract number

630494

Policy instance

Insurance contract or identification number	630494
Number of Individuals Covered	344
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $11,049
Commission paid to Insurance Broker	USD $11,049
Insurance broker organization code?	3
Insurance broker name	PARK AVENUE SECURITIES

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 78778 )

Policy contract number

630494

Policy instance

Insurance contract or identification number	630494
Number of Individuals Covered	314
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $7,072
Total amount of fees paid to insurance company	USD $0

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 78778 )

Policy contract number

630494

Policy instance

Insurance contract or identification number	630494
Number of Individuals Covered	322
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $14,868
Total amount of fees paid to insurance company	USD $0
Commission paid to Insurance Broker	USD $14,868
Insurance broker organization code?	3
Insurance broker name	PARK AVENUE SECURITIES

Potentially related plans

DOMINICAN SISTERS OF CHICAGO 401 K PROFIT SHARING PLAN TRUST [EIN = 510245180]

Was this data useful?

If you found the data here useful, PLEASE HELP US. We are a start-up and believe in making information freely available. By linking to us, posting on twitter, facebook and linkedin about us and generally spreading the word, you'll help us to grow. Our vision is to provide high quality data about the activities of all the companies in the world and where possible make it free to use and view. Finding and integrating data from thousands of data sources is time consuming and needs lots of effort. By simply spreading the word about us, you will help us. Please use the share buttons. It will only take a few seconds of your time. Thanks for helping

Information Disclaimer

The information provided on this website is not advice, endorsement or recommendation
The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
You are free to use the information for your own personal research on the understanding to do so is at your own risk.

See full terms and conditions

Company Name:	DOMINICAN SISTERS FAMILY HEALTH SERVICES, INC.
Employer identification number (EIN):	131740242
NAIC Classification:	813000
NAIC Description:	Religious, Grantmaking, Civic, Professional, and Similar Organizations