401k Plan data: RECOVERCARE, LLC 401(K) PROFIT SHARING PLAN AND TRUST plan

RECOVERCARE, LLC 401(K) PROFIT SHARING PLAN AND TRUST 401k Plan overview

Plan Name	RECOVERCARE, LLC 401(K) PROFIT SHARING PLAN AND TRUST
Plan identification number	001

RECOVERCARE, LLC 401(K) PROFIT SHARING PLAN AND TRUST 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.

401k Sponsoring company profile

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

Company Name: JOERNS HEALTHCARE, LLC

Employer identification number (EIN): 223661634

NAIC Classification: 339110

Additional information about JOERNS HEALTHCARE, LLC

Jurisdiction of Incorporation: State of Delaware Division of Corporations

Incorporation Date:

Company Identification Number: 3124181

More information about JOERNS HEALTHCARE, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RECOVERCARE, LLC 401(K) PROFIT SHARING PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2017-01-01 LORRIE MAUNEY
001 2016-01-01 JOHN BARRETT
001 2015-01-01 SUZANNE DENNIS
001 2014-01-01 SUZANNE DENNIS
001 2014-01-01 SUZANNE DENNIS
001 2013-01-01 SUZANNE DENNIS
001 2012-01-01 SUZANNE DENNIS
001 2011-01-01 SUZANNE. M DENNIS
001 2009-01-01 ROBERT OWEN ROBERT OWEN 2010-10-15
001 2007-01-01 ROBERT OWEN ROBERT OWEN 2011-05-19
001 2006-01-01 ROBERT OWEN ROBERT OWEN 2011-05-19

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2017-01-01	LORRIE MAUNEY
001	2016-01-01	JOHN BARRETT
001	2015-01-01	SUZANNE DENNIS
001	2014-01-01	SUZANNE DENNIS
001	2014-01-01	SUZANNE DENNIS
001	2013-01-01	SUZANNE DENNIS
001	2012-01-01	SUZANNE DENNIS
001	2011-01-01	SUZANNE. M DENNIS
001	2009-01-01	ROBERT OWEN	ROBERT OWEN	2010-10-15
001	2007-01-01	ROBERT OWEN	ROBERT OWEN	2011-05-19
001	2006-01-01	ROBERT OWEN	ROBERT OWEN	2011-05-19

Plan Statistics for RECOVERCARE, LLC 401(K) PROFIT SHARING PLAN AND TRUST

401k plan membership statisitcs for RECOVERCARE, LLC 401(K) PROFIT SHARING PLAN AND TRUST

Measure Date Value
2017: RECOVERCARE, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2017 401k membership
Total participants, beginning-of-year 2017-01-01 982
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 0
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 0
Number of participants with account balances 2017-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: RECOVERCARE, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2016 401k membership
Total participants, beginning-of-year 2016-01-01 634
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 823
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 59
Total of all active and inactive participants 2016-01-01 882
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 882
Number of participants with account balances 2016-01-01 201
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 9
2015: RECOVERCARE, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2015 401k membership
Total participants, beginning-of-year 2015-01-01 687
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 571
Number of other retired or separated participants entitled to future benefits 2015-01-01 63
Total of all active and inactive participants 2015-01-01 634
Total participants 2015-01-01 634
Number of participants with account balances 2015-01-01 184
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: RECOVERCARE, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year 2014-01-01 724
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 629
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 58
Total of all active and inactive participants 2014-01-01 687
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 687
Number of participants with account balances 2014-01-01 173
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 1
2013: RECOVERCARE, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year 2013-01-01 831
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 636
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 86
Total of all active and inactive participants 2013-01-01 722
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 722
Number of participants with account balances 2013-01-01 224
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 5
2012: RECOVERCARE, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year 2012-01-01 267
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 742
Number of retired or separated participants receiving benefits 2012-01-01 1
Number of other retired or separated participants entitled to future benefits 2012-01-01 88
Total of all active and inactive participants 2012-01-01 831
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 831
Number of participants with account balances 2012-01-01 232
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: RECOVERCARE, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year 2011-01-01 462
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 267
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 0
Total of all active and inactive participants 2011-01-01 267
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 267
Number of participants with account balances 2011-01-01 267
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: RECOVERCARE, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year 2009-01-01 573
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 455
Number of retired or separated participants receiving benefits 2009-01-01 5
Number of other retired or separated participants entitled to future benefits 2009-01-01 45
Total of all active and inactive participants 2009-01-01 505
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 505
Number of participants with account balances 2009-01-01 146
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 13
2007: RECOVERCARE, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2007 401k membership
Total participants, beginning-of-year 2007-01-01 234
Total number of active participants reported on line 7a of the Form 5500 2007-01-01 325
Number of retired or separated participants receiving benefits 2007-01-01 0
Number of other retired or separated participants entitled to future benefits 2007-01-01 29
Total of all active and inactive participants 2007-01-01 354
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2007-01-01 0
Total participants 2007-01-01 354
Number of participants with account balances 2007-01-01 134
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2007-01-01 19
2006: RECOVERCARE, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2006 401k membership
Total participants, beginning-of-year 2006-01-01 141
Total number of active participants reported on line 7a of the Form 5500 2006-01-01 190
Number of retired or separated participants receiving benefits 2006-01-01 1
Number of other retired or separated participants entitled to future benefits 2006-01-01 19
Total of all active and inactive participants 2006-01-01 210
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2006-01-01 0
Total participants 2006-01-01 210
Number of participants with account balances 2006-01-01 94
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2006-01-01 0

Measure	Date	Value
2017: RECOVERCARE, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2017 401k membership
Total participants, beginning-of-year	2017-01-01	982
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	0
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	0
Number of participants with account balances	2017-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: RECOVERCARE, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2016 401k membership
Total participants, beginning-of-year	2016-01-01	634
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	823
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	59
Total of all active and inactive participants	2016-01-01	882
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	882
Number of participants with account balances	2016-01-01	201
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	9
2015: RECOVERCARE, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2015 401k membership
Total participants, beginning-of-year	2015-01-01	687
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	571
Number of other retired or separated participants entitled to future benefits	2015-01-01	63
Total of all active and inactive participants	2015-01-01	634
Total participants	2015-01-01	634
Number of participants with account balances	2015-01-01	184
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: RECOVERCARE, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year	2014-01-01	724
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	629
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	58
Total of all active and inactive participants	2014-01-01	687
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	687
Number of participants with account balances	2014-01-01	173
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	1
2013: RECOVERCARE, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year	2013-01-01	831
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	636
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	86
Total of all active and inactive participants	2013-01-01	722
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	722
Number of participants with account balances	2013-01-01	224
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	5
2012: RECOVERCARE, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year	2012-01-01	267
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	742
Number of retired or separated participants receiving benefits	2012-01-01	1
Number of other retired or separated participants entitled to future benefits	2012-01-01	88
Total of all active and inactive participants	2012-01-01	831
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	831
Number of participants with account balances	2012-01-01	232
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: RECOVERCARE, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year	2011-01-01	462
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	267
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	0
Total of all active and inactive participants	2011-01-01	267
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	267
Number of participants with account balances	2011-01-01	267
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: RECOVERCARE, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year	2009-01-01	573
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	455
Number of retired or separated participants receiving benefits	2009-01-01	5
Number of other retired or separated participants entitled to future benefits	2009-01-01	45
Total of all active and inactive participants	2009-01-01	505
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	505
Number of participants with account balances	2009-01-01	146
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	13
2007: RECOVERCARE, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2007 401k membership
Total participants, beginning-of-year	2007-01-01	234
Total number of active participants reported on line 7a of the Form 5500	2007-01-01	325
Number of retired or separated participants receiving benefits	2007-01-01	0
Number of other retired or separated participants entitled to future benefits	2007-01-01	29
Total of all active and inactive participants	2007-01-01	354
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2007-01-01	0
Total participants	2007-01-01	354
Number of participants with account balances	2007-01-01	134
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2007-01-01	19
2006: RECOVERCARE, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2006 401k membership
Total participants, beginning-of-year	2006-01-01	141
Total number of active participants reported on line 7a of the Form 5500	2006-01-01	190
Number of retired or separated participants receiving benefits	2006-01-01	1
Number of other retired or separated participants entitled to future benefits	2006-01-01	19
Total of all active and inactive participants	2006-01-01	210
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2006-01-01	0
Total participants	2006-01-01	210
Number of participants with account balances	2006-01-01	94
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2006-01-01	0

Financial Data on RECOVERCARE, LLC 401(K) PROFIT SHARING PLAN AND TRUST

Measure	Date	Value
2017 : RECOVERCARE, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-07-31	$0
Total transfer of assets from this plan	2017-07-31	$2,944,935
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-07-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-07-31	$0
Total income from all sources (including contributions)	2017-07-31	$646,915
Total loss/gain on sale of assets	2017-07-31	$0
Total of all expenses incurred	2017-07-31	$776,340
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-07-31	$768,392
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-07-31	$358,852
Value of total assets at end of year	2017-07-31	$0
Value of total assets at beginning of year	2017-07-31	$3,074,360
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-07-31	$7,948
Total interest from all sources	2017-07-31	$2,015
Total dividends received (eg from common stock, registered investment company shares)	2017-07-31	$18,003
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-07-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2017-07-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2017-07-31	$18,003
Was this plan covered by a fidelity bond	2017-07-31	Yes
Value of fidelity bond cover	2017-07-31	$1,000,000
If this is an individual account plan, was there a blackout period	2017-07-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-07-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-07-31	No
Contributions received from participants	2017-07-31	$268,772
Participant contributions at end of year	2017-07-31	$0
Participant contributions at beginning of year	2017-07-31	$56,177
Income. Received or receivable in cash from other sources (including rollovers)	2017-07-31	$4,903
Other income not declared elsewhere	2017-07-31	$226
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-07-31	No
Value of net income/loss	2017-07-31	$-129,425
Value of net assets at end of year (total assets less liabilities)	2017-07-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2017-07-31	$3,074,360
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-07-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-07-31	No
Were any leases to which the plan was party in default or uncollectible	2017-07-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-07-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-07-31	$2,987,052
Interest on participant loans	2017-07-31	$2,015
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-07-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-07-31	$31,131
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-07-31	$267,819
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-07-31	No
Was there a failure to transmit to the plan any participant contributions	2017-07-31	Yes
Has the plan failed to provide any benefit when due under the plan	2017-07-31	No
Contributions received in cash from employer	2017-07-31	$85,177
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-07-31	$768,392
Contract administrator fees	2017-07-31	$7,948
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2017-07-31	Yes
Did the plan have assets held for investment	2017-07-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-07-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-07-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-07-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-07-31	Disclaimer
Accountancy firm name	2017-07-31	ELLIOTT GROUP CPAS, PLLC
Accountancy firm EIN	2017-07-31	454771754
2016 : RECOVERCARE, LLC 401(K) PROFIT SHARING PLAN AND TRUST 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	$515,651
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$579,047
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$532,672
Value of total corrective distributions	2016-12-31	$29,344
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$371,814
Value of total assets at end of year	2016-12-31	$3,074,360
Value of total assets at beginning of year	2016-12-31	$3,137,756
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$17,031
Total interest from all sources	2016-12-31	$2,020
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$27,184
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$27,184
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	Yes
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	$344,214
Participant contributions at end of year	2016-12-31	$56,177
Participant contributions at beginning of year	2016-12-31	$57,943
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$27,600
Other income not declared elsewhere	2016-12-31	$6,221
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	$-63,396
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$3,074,360
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$3,137,756
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$2,987,052
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$0
Value of interest in pooled separate accounts at end of year	2016-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$2,863,908
Interest on participant loans	2016-12-31	$1,771
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-12-31	$249
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$31,131
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$215,905
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$22,788
Net investment gain/loss from pooled separate accounts	2016-12-31	$85,624
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$532,672
Contract administrator fees	2016-12-31	$17,031
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2016-12-31	Yes
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	ELLIOTT GROUP CPAS, PLLC
Accountancy firm EIN	2016-12-31	454771754
2015 : RECOVERCARE, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2015 401k financial data
Total income from all sources (including contributions)	2015-12-31	$280,956
Total of all expenses incurred	2015-12-31	$660,668
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$572,364
Value of total corrective distributions	2015-12-31	$63,164
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$353,724
Value of total assets at end of year	2015-12-31	$3,137,756
Value of total assets at beginning of year	2015-12-31	$3,517,468
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$25,140
Total interest from all sources	2015-12-31	$1,351
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	$275,713
Participant contributions at end of year	2015-12-31	$57,943
Participant contributions at beginning of year	2015-12-31	$16,151
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$78,011
Other income not declared elsewhere	2015-12-31	$2,152
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	$-379,712
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$3,137,756
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$3,517,468
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	$274
Value of interest in pooled separate accounts at end of year	2015-12-31	$2,863,908
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$3,254,122
Interest on participant loans	2015-12-31	$1,351
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$215,905
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$247,195
Net investment gain/loss from pooled separate accounts	2015-12-31	$-76,271
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$572,364
Contract administrator fees	2015-12-31	$24,866
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	ELLIOT GROUP CPAS PLLC
Accountancy firm EIN	2015-12-31	454771754
2014 : RECOVERCARE, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2014 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$41,603
Total income from all sources (including contributions)	2014-12-31	$468,960
Total of all expenses incurred	2014-12-31	$465,424
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$440,353
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$278,799
Value of total assets at end of year	2014-12-31	$3,517,468
Value of total assets at beginning of year	2014-12-31	$3,555,535
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$25,071
Total interest from all sources	2014-12-31	$756
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Was this plan covered by a fidelity bond	2014-12-31	No
Value of fidelity bond cover	2014-12-31	$360,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$278,799
Participant contributions at end of year	2014-12-31	$16,151
Participant contributions at beginning of year	2014-12-31	$22,596
Participant contributions at beginning of year	2014-12-31	$4,994
Other income not declared elsewhere	2014-12-31	$2,066
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	$3,536
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$3,517,468
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$3,513,932
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in pooled separate accounts at end of year	2014-12-31	$3,254,122
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$3,270,413
Interest on participant loans	2014-12-31	$756
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$247,195
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$257,348
Net investment gain/loss from pooled separate accounts	2014-12-31	$187,339
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
Employer contributions (assets) at beginning of year	2014-12-31	$184
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$440,353
Contract administrator fees	2014-12-31	$25,071
Liabilities. Value of benefit claims payable at beginning of year	2014-12-31	$41,603
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	PRICEWATERHOUSE COOPERS, LLP
Accountancy firm EIN	2014-12-31	134008324
2013 : RECOVERCARE, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$41,603
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$137,442
Total income from all sources (including contributions)	2013-12-31	$954,805
Total of all expenses incurred	2013-12-31	$950,593
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$884,326
Value of total corrective distributions	2013-12-31	$41,603
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$324,234
Value of total assets at end of year	2013-12-31	$3,555,535
Value of total assets at beginning of year	2013-12-31	$3,647,162
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$24,664
Total interest from all sources	2013-12-31	$3,396
Was this plan covered by a fidelity bond	2013-12-31	No
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	$324,050
Participant contributions at end of year	2013-12-31	$22,596
Participant contributions at beginning of year	2013-12-31	$26,357
Participant contributions at end of year	2013-12-31	$4,994
Participant contributions at beginning of year	2013-12-31	$15,491
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	$4,212
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$3,513,932
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$3,509,720
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in pooled separate accounts at end of year	2013-12-31	$3,270,413
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$3,251,568
Interest on participant loans	2013-12-31	$972
Interest earned on other investments	2013-12-31	$2,424
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$257,348
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$353,719
Net investment gain/loss from pooled separate accounts	2013-12-31	$627,175
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	$184
Employer contributions (assets) at end of year	2013-12-31	$184
Employer contributions (assets) at beginning of year	2013-12-31	$27
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$884,326
Contract administrator fees	2013-12-31	$24,664
Liabilities. Value of benefit claims payable at end of year	2013-12-31	$41,603
Liabilities. Value of benefit claims payable at beginning of year	2013-12-31	$137,442
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	CROWE HORWATH
Accountancy firm EIN	2013-12-31	350921680
2012 : RECOVERCARE, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$137,442
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$119,089
Total income from all sources (including contributions)	2012-12-31	$885,194
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$833,461
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$669,187
Value of total corrective distributions	2012-12-31	$137,442
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$472,236
Value of total assets at end of year	2012-12-31	$3,647,162
Value of total assets at beginning of year	2012-12-31	$3,577,076
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$26,832
Total interest from all sources	2012-12-31	$6,565
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
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	$462,472
Participant contributions at end of year	2012-12-31	$26,357
Participant contributions at beginning of year	2012-12-31	$42,410
Participant contributions at end of year	2012-12-31	$15,491
Participant contributions at beginning of year	2012-12-31	$33,569
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$9,737
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	$51,733
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$3,509,720
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$3,457,987
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in pooled separate accounts at end of year	2012-12-31	$3,251,568
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$2,931,784
Interest on participant loans	2012-12-31	$1,634
Interest earned on other investments	2012-12-31	$4,931
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$353,719
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$569,299
Net investment gain/loss from pooled separate accounts	2012-12-31	$406,393
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	Yes
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	$27
Employer contributions (assets) at end of year	2012-12-31	$27
Employer contributions (assets) at beginning of year	2012-12-31	$14
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$669,187
Contract administrator fees	2012-12-31	$26,832
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2012-12-31	No
Liabilities. Value of benefit claims payable at end of year	2012-12-31	$137,442
Liabilities. Value of benefit claims payable at beginning of year	2012-12-31	$119,089
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	CROWE HORWATH
Accountancy firm EIN	2012-12-31	350921680
2011 : RECOVERCARE, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total transfer of assets to this plan	2011-12-31	$1,451,490
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$79,409
Total income from all sources (including contributions)	2011-12-31	$458,508
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$574,376
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$552,519
Expenses. Certain deemed distributions of participant loans	2011-12-31	$4,470
Value of total corrective distributions	2011-12-31	$119,089
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$547,476
Value of total assets at end of year	2011-12-31	$3,575,342
Value of total assets at beginning of year	2011-12-31	$2,319,129
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$17,387
Total interest from all sources	2011-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$500,000
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	$551,614
Participant contributions at end of year	2011-12-31	$42,410
Participant contributions at beginning of year	2011-12-31	$0
Participant contributions at end of year	2011-12-31	$31,849
Participant contributions at beginning of year	2011-12-31	$50,741
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$4,748
Assets. Loans (other than to participants) at end of year	2011-12-31	$0
Assets. Loans (other than to participants) at beginning of year	2011-12-31	$18,794
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	$-115,868
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$3,575,342
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$2,239,720
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in pooled separate accounts at end of year	2011-12-31	$2,931,784
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$1,841,810
Interest on participant loans	2011-12-31	$2,373
Interest earned on other investments	2011-12-31	$9,787
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$569,299
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$398,898
Net investment gain/loss from pooled separate accounts	2011-12-31	$-88,968
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	$-8,886
Employer contributions (assets) at end of year	2011-12-31	$0
Employer contributions (assets) at beginning of year	2011-12-31	$8,886
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$552,519
Contract administrator fees	2011-12-31	$17,387
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2011-12-31	No
Liabilities. Value of benefit claims payable at end of year	2011-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2011-12-31	$79,409
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	ERNST & YOUNG
Accountancy firm EIN	2011-12-31	346565596
2010 : RECOVERCARE, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$79,409
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$79,601
Total income from all sources (including contributions)	2010-12-31	$605,420
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$581,767
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$481,564
Expenses. Certain deemed distributions of participant loans	2010-12-31	$5,631
Value of total corrective distributions	2010-12-31	$79,409
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$341,047
Value of total assets at end of year	2010-12-31	$2,315,738
Value of total assets at beginning of year	2010-12-31	$2,292,277
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$15,163
Total interest from all sources	2010-12-31	$1,167
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$0
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	$500,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$339,632
Participant contributions at end of year	2010-12-31	$46,427
Participant contributions at beginning of year	2010-12-31	$30,715
Assets. Loans (other than to participants) at end of year	2010-12-31	$18,794
Assets. Loans (other than to participants) at beginning of year	2010-12-31	$35,618
Total non interest bearing cash at end of year	2010-12-31	$2,860
Total non interest bearing cash at beginning of year	2010-12-31	$2,860
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	$23,653
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$2,236,329
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$2,212,676
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
Value of interest in pooled separate accounts at end of year	2010-12-31	$1,838,627
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$2,177,113
Interest on participant loans	2010-12-31	$1,167
Interest earned on other investments	2010-12-31	$395
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$398,898
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$35,839
Net investment gain/loss from pooled separate accounts	2010-12-31	$263,206
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
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	$1,415
Employer contributions (assets) at end of year	2010-12-31	$10,132
Employer contributions (assets) at beginning of year	2010-12-31	$10,132
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$481,564
Contract administrator fees	2010-12-31	$15,163
Liabilities. Value of benefit claims payable at end of year	2010-12-31	$79,409
Liabilities. Value of benefit claims payable at beginning of year	2010-12-31	$79,601
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	ERNST & YOUNG
Accountancy firm EIN	2010-12-31	346565596
2009 : RECOVERCARE, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2009 401k financial data
Total unrealized appreciation/depreciation of assets	2009-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2009-12-31	$79,601
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2009-12-31	$5,989
Total income from all sources (including contributions)	2009-12-31	$1,037,163
Total loss/gain on sale of assets	2009-12-31	$0
Total of all expenses incurred	2009-12-31	$276,100
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2009-12-31	$179,618
Value of total corrective distributions	2009-12-31	$79,601
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2009-12-31	$529,889
Value of total assets at end of year	2009-12-31	$2,292,277
Value of total assets at beginning of year	2009-12-31	$1,457,602
Total of administrative expenses incurred including professional, contract, advisory and management fees	2009-12-31	$16,881
Total interest from all sources	2009-12-31	$1,436
Total dividends received (eg from common stock, registered investment company shares)	2009-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2009-12-31	No
Was this plan covered by a fidelity bond	2009-12-31	Yes
Value of fidelity bond cover	2009-12-31	$500,000
If this is an individual account plan, was there a blackout period	2009-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2009-12-31	No
Contributions received from participants	2009-12-31	$527,734
Participant contributions at end of year	2009-12-31	$35,618
Participant contributions at beginning of year	2009-12-31	$12,645
Participant contributions at end of year	2009-12-31	$30,715
Participant contributions at beginning of year	2009-12-31	$4,790
Income. Received or receivable in cash from other sources (including rollovers)	2009-12-31	$797
Total non interest bearing cash at end of year	2009-12-31	$2,860
Total non interest bearing cash at beginning of year	2009-12-31	$3,223
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2009-12-31	No
Value of net income/loss	2009-12-31	$761,063
Value of net assets at end of year (total assets less liabilities)	2009-12-31	$2,212,676
Value of net assets at beginning of year (total assets less liabilities)	2009-12-31	$1,451,613
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2009-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2009-12-31	No
Were any leases to which the plan was party in default or uncollectible	2009-12-31	No
Value of interest in pooled separate accounts at end of year	2009-12-31	$2,177,113
Value of interest in pooled separate accounts at beginning of year	2009-12-31	$1,423,420
Interest on participant loans	2009-12-31	$1,000
Interest earned on other investments	2009-12-31	$436
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2009-12-31	$35,839
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2009-12-31	$4,750
Net investment gain/loss from pooled separate accounts	2009-12-31	$505,838
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2009-12-31	No
Was there a failure to transmit to the plan any participant contributions	2009-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2009-12-31	No
Contributions received in cash from employer	2009-12-31	$1,358
Employer contributions (assets) at end of year	2009-12-31	$10,132
Employer contributions (assets) at beginning of year	2009-12-31	$8,774
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2009-12-31	$179,618
Contract administrator fees	2009-12-31	$16,881
Liabilities. Value of benefit claims payable at end of year	2009-12-31	$79,601
Liabilities. Value of benefit claims payable at beginning of year	2009-12-31	$5,989
Did the plan have assets held for investment	2009-12-31	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	2009-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2009-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2009-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2009-12-31	Disclaimer
Accountancy firm name	2009-12-31	ERNST & YOUNG
Accountancy firm EIN	2009-12-31	346565596
2008 : RECOVERCARE, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2008 401k financial data
Total unrealized appreciation/depreciation of assets	2008-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2008-12-31	$5,989
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2008-12-31	$2,355
Total income from all sources (including contributions)	2008-12-31	$-56,027
Total loss/gain on sale of assets	2008-12-31	$0
Total of all expenses incurred	2008-12-31	$98,635
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2008-12-31	$76,369
Value of total corrective distributions	2008-12-31	$5,989
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2008-12-31	$590,861
Value of total assets at end of year	2008-12-31	$1,457,602
Value of total assets at beginning of year	2008-12-31	$1,608,630
Total of administrative expenses incurred including professional, contract, advisory and management fees	2008-12-31	$16,277
Total interest from all sources	2008-12-31	$1,290
Total dividends received (eg from common stock, registered investment company shares)	2008-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2008-12-31	No
Was this plan covered by a fidelity bond	2008-12-31	Yes
Value of fidelity bond cover	2008-12-31	$500,000
If this is an individual account plan, was there a blackout period	2008-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2008-12-31	No
Contributions received from participants	2008-12-31	$555,667
Participant contributions at end of year	2008-12-31	$12,645
Participant contributions at beginning of year	2008-12-31	$17,593
Participant contributions at end of year	2008-12-31	$4,790
Participant contributions at beginning of year	2008-12-31	$14,457
Income. Received or receivable in cash from other sources (including rollovers)	2008-12-31	$32,619
Total non interest bearing cash at end of year	2008-12-31	$3,223
Total non interest bearing cash at beginning of year	2008-12-31	$6,422
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2008-12-31	No
Value of net income/loss	2008-12-31	$-154,662
Value of net assets at end of year (total assets less liabilities)	2008-12-31	$1,451,613
Value of net assets at beginning of year (total assets less liabilities)	2008-12-31	$1,606,275
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2008-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2008-12-31	No
Were any leases to which the plan was party in default or uncollectible	2008-12-31	No
Value of interest in pooled separate accounts at end of year	2008-12-31	$1,423,420
Value of interest in pooled separate accounts at beginning of year	2008-12-31	$1,558,759
Interest on participant loans	2008-12-31	$1,181
Interest earned on other investments	2008-12-31	$109
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2008-12-31	$4,750
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2008-12-31	$2,364
Net investment gain/loss from pooled separate accounts	2008-12-31	$-648,178
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2008-12-31	No
Was there a failure to transmit to the plan any participant contributions	2008-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2008-12-31	No
Contributions received in cash from employer	2008-12-31	$2,575
Employer contributions (assets) at end of year	2008-12-31	$8,774
Employer contributions (assets) at beginning of year	2008-12-31	$9,035
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2008-12-31	$76,369
Contract administrator fees	2008-12-31	$16,277
Liabilities. Value of benefit claims payable at end of year	2008-12-31	$5,989
Liabilities. Value of benefit claims payable at beginning of year	2008-12-31	$2,355
Did the plan have assets held for investment	2008-12-31	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	2008-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2008-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2008-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2008-12-31	Disclaimer
Accountancy firm name	2008-12-31	ERNST & YOUNG
Accountancy firm EIN	2008-12-31	346565596

Form 5500 Responses for RECOVERCARE, LLC 401(K) PROFIT SHARING PLAN AND TRUST

2017: RECOVERCARE, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	Yes
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: RECOVERCARE, LLC 401(K) PROFIT SHARING PLAN AND TRUST 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: RECOVERCARE, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
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: RECOVERCARE, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	Yes
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: RECOVERCARE, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
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: RECOVERCARE, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	Yes
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: RECOVERCARE, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	Yes
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: RECOVERCARE, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
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 - Trust	Yes
2007: RECOVERCARE, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2007 form 5500 responses
2007-01-01	Type of plan entity	Single employer plan
2007-01-01	Submission has been amended	Yes
2007-01-01	This submission is the final filing	No
2007-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2007-01-01	Plan is a collectively bargained plan	No
2007-01-01	Plan funding arrangement – Insurance	Yes
2007-01-01	Plan funding arrangement – Trust	Yes
2007-01-01	Plan benefit arrangement - Trust	Yes
2006: RECOVERCARE, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2006 form 5500 responses
2006-01-01	Type of plan entity	Single employer plan
2006-01-01	Submission has been amended	Yes
2006-01-01	This submission is the final filing	No
2006-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2006-01-01	Plan is a collectively bargained plan	No
2006-01-01	Plan funding arrangement – Insurance	Yes
2006-01-01	Plan funding arrangement – Trust	Yes
2006-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )

Policy contract number

GA28263

Policy instance

Insurance contract or identification number	GA28263
Number of Individuals Covered	0
Insurance policy start date	2017-01-01
Insurance policy end date	2017-07-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )

Policy contract number

801803-000

Policy instance

Insurance contract or identification number	801803-000
Number of Individuals Covered	184
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $16,555
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $16,555
Insurance broker organization code?	3
Insurance broker name	RICHARD D UNSER, LOCKTON FINANCIAL

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )

Policy contract number

801803-000

Policy instance

Insurance contract or identification number	801803-000
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $17,856
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Number of Individuals Covered	173
Commission paid to Insurance Broker	USD $17,856
Insurance broker organization code?	3
Insurance broker name	RICHARD D UNSER, LOCKTON FINANCIAL

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )

Policy contract number

801803

Policy instance

Insurance contract or identification number	801803
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $17,352
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Commission paid to Insurance Broker	USD $17,352
Insurance broker organization code?	3
Insurance broker name	LOCKTON ADVISORS

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )

Policy contract number

801803

Policy instance

Insurance contract or identification number	801803
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $17,977
Total amount of fees paid to insurance company	USD $0
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?	Yes
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 $17,977
Insurance broker organization code?	3
Insurance broker name	LOCKTON ADVISORS

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )

Policy contract number

801803

Policy instance

Insurance contract or identification number	801803
Number of Individuals Covered	267
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $41,688
Total amount of fees paid to insurance company	USD $0
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?	Yes
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

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

25958

Policy instance

Insurance contract or identification number	GS3-820-091131
Number of Individuals Covered	1089
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $33,073
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
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
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
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

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

25958

Policy instance

Insurance contract or identification number	25958
Number of Individuals Covered	152
Insurance policy start date	2009-01-01
Insurance policy end date	2009-12-31
Total amount of commissions paid to insurance broker	USD $8,770
Total amount of fees paid to insurance company	USD $999
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 $8,770
Insurance broker organization code?	3
Amount paid for insurance broker fees	999
Additional information about fees paid to insurance broker	TPA FEES
Insurance broker name	SOUTHEASTERN EMPLOYEE BENEFIT SERV

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

25958

Policy instance

Insurance contract or identification number	25958
Number of Individuals Covered	155
Insurance policy start date	2008-01-01
Insurance policy end date	2008-12-31
Total amount of commissions paid to insurance broker	USD $8,649
Total amount of fees paid to insurance company	USD $0
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 $7,835
Insurance broker organization code?	4
Insurance broker name	SOUTHEASTERN EMPLOYEE BENEFIT SERV

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Company Name:	JOERNS HEALTHCARE, LLC
Employer identification number (EIN):	223661634
NAIC Classification:	339110

Jurisdiction of Incorporation:	State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number:	3124181