401k Plan data: OHIO ANESTHESIA GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST plan

OHIO ANESTHESIA GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 401k Plan overview

Plan Name	OHIO ANESTHESIA GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST
Plan identification number	001

OHIO ANESTHESIA GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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

OHIO ANESTHESIA GROUP, INC. has sponsored the creation of one or more 401k plans.

Company Name: OHIO ANESTHESIA GROUP, INC.

Employer identification number (EIN): 260347451

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

Additional information about OHIO ANESTHESIA GROUP, INC.

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division

Incorporation Date: 2007-04-19

Company Identification Number: 1694635

Legal Registered Office Address: 4665 DOUGLAS CIR., NW, STE. 10
-
CANTON
United States of America (USA)
44718

More information about OHIO ANESTHESIA GROUP, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan OHIO ANESTHESIA GROUP, INC. 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 2022-01-01
001 2021-01-01
001 2020-01-01
001 2019-01-01
001 2018-01-01
001 2018-01-01
001 2017-01-01 ALFRED MARTELLO 2018-10-11
001 2017-01-01 ALFRED MARTELLO 2020-05-27
001 2016-01-01 ALFRED MARTELLO 2017-10-16
001 2015-01-01 ALFRED MARTELLO 2016-09-08
001 2014-01-01 ALFRED MARTELLO 2015-09-28
001 2013-01-01 ALFRED MARTELLO 2014-10-14
001 2012-01-01 ALFRED MARTELLO 2013-10-15
001 2011-01-01 ALFRED MARTELLO 2012-10-15
001 2010-01-01 ALFRED MARTELLO 2011-10-17

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2022-01-01
001	2021-01-01
001	2020-01-01
001	2019-01-01
001	2018-01-01
001	2018-01-01
001	2017-01-01	ALFRED MARTELLO	2018-10-11
001	2017-01-01	ALFRED MARTELLO	2020-05-27
001	2016-01-01	ALFRED MARTELLO	2017-10-16
001	2015-01-01	ALFRED MARTELLO	2016-09-08
001	2014-01-01	ALFRED MARTELLO	2015-09-28
001	2013-01-01	ALFRED MARTELLO	2014-10-14
001	2012-01-01	ALFRED MARTELLO	2013-10-15
001	2011-01-01	ALFRED MARTELLO	2012-10-15
001	2010-01-01	ALFRED MARTELLO	2011-10-17

Plan Statistics for OHIO ANESTHESIA GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST

401k plan membership statisitcs for OHIO ANESTHESIA GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST

Measure Date Value
2022: OHIO ANESTHESIA GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2022 401k membership
Total participants, beginning-of-year 2022-01-01 147
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 115
Number of retired or separated participants receiving benefits 2022-01-01 2
Number of other retired or separated participants entitled to future benefits 2022-01-01 34
Total of all active and inactive participants 2022-01-01 151
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 151
Number of participants with account balances 2022-01-01 142
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 6
2021: OHIO ANESTHESIA GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2021 401k membership
Total participants, beginning-of-year 2021-01-01 145
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 116
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 31
Total of all active and inactive participants 2021-01-01 147
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 147
Number of participants with account balances 2021-01-01 140
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 3
2020: OHIO ANESTHESIA GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2020 401k membership
Total participants, beginning-of-year 2020-01-01 137
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 120
Number of retired or separated participants receiving benefits 2020-01-01 1
Number of other retired or separated participants entitled to future benefits 2020-01-01 24
Total of all active and inactive participants 2020-01-01 145
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 145
Number of participants with account balances 2020-01-01 126
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 1
2019: OHIO ANESTHESIA GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2019 401k membership
Total participants, beginning-of-year 2019-01-01 127
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 113
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 22
Total of all active and inactive participants 2019-01-01 135
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 135
Number of participants with account balances 2019-01-01 125
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 1
2018: OHIO ANESTHESIA GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2018 401k membership
Total participants, beginning-of-year 2018-01-01 127
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 111
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 17
Total of all active and inactive participants 2018-01-01 128
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 128
Number of participants with account balances 2018-01-01 119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 2

Measure	Date	Value
2022: OHIO ANESTHESIA GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2022 401k membership
Total participants, beginning-of-year	2022-01-01	147
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	115
Number of retired or separated participants receiving benefits	2022-01-01	2
Number of other retired or separated participants entitled to future benefits	2022-01-01	34
Total of all active and inactive participants	2022-01-01	151
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	151
Number of participants with account balances	2022-01-01	142
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	6
2021: OHIO ANESTHESIA GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2021 401k membership
Total participants, beginning-of-year	2021-01-01	145
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	116
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	31
Total of all active and inactive participants	2021-01-01	147
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	147
Number of participants with account balances	2021-01-01	140
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	3
2020: OHIO ANESTHESIA GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2020 401k membership
Total participants, beginning-of-year	2020-01-01	137
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	120
Number of retired or separated participants receiving benefits	2020-01-01	1
Number of other retired or separated participants entitled to future benefits	2020-01-01	24
Total of all active and inactive participants	2020-01-01	145
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	145
Number of participants with account balances	2020-01-01	126
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	1
2019: OHIO ANESTHESIA GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2019 401k membership
Total participants, beginning-of-year	2019-01-01	127
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	113
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	22
Total of all active and inactive participants	2019-01-01	135
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	135
Number of participants with account balances	2019-01-01	125
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	1
2018: OHIO ANESTHESIA GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2018 401k membership
Total participants, beginning-of-year	2018-01-01	127
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	111
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	17
Total of all active and inactive participants	2018-01-01	128
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	128
Number of participants with account balances	2018-01-01	119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	2

Financial Data on OHIO ANESTHESIA GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST

Measure	Date	Value
2022 : OHIO ANESTHESIA GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total income from all sources (including contributions)	2022-12-31	$-7,967,026
Total loss/gain on sale of assets	2022-12-31	$-1,878,328
Total of all expenses incurred	2022-12-31	$2,457,476
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$2,084,590
Expenses. Certain deemed distributions of participant loans	2022-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$3,831,013
Value of total assets at end of year	2022-12-31	$57,558,629
Value of total assets at beginning of year	2022-12-31	$67,983,131
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$372,886
Total interest from all sources	2022-12-31	$17,052
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$1,606,874
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$1,439,173
Assets. Corporate prefeered stocks other than exployer securities at end of year	2022-12-31	$24,674
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2022-12-31	$31,005
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$500,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$1,854,059
Participant contributions at end of year	2022-12-31	$83,599
Participant contributions at beginning of year	2022-12-31	$111,145
Assets. Other investments not covered elsewhere at end of year	2022-12-31	$509,570
Assets. Other investments not covered elsewhere at beginning of year	2022-12-31	$594,022
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$52,225
Other income not declared elsewhere	2022-12-31	$-2,519,008
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-10,424,502
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$57,558,629
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$67,983,131
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Investment advisory and management fees	2022-12-31	$73,724
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$42,210,873
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$49,461,121
Interest on participant loans	2022-12-31	$4,615
Income. Interest from US Government securities	2022-12-31	$5,713
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2022-12-31	$1,388,194
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2022-12-31	$1,014,799
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2022-12-31	$1,014,799
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2022-12-31	$6,724
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$857,887
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$691,834
Asset value of US Government securities at end of year	2022-12-31	$439,261
Asset value of US Government securities at beginning of year	2022-12-31	$424,928
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-9,024,629
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$1,924,729
Income. Dividends from preferred stock	2022-12-31	$1,614
Income. Dividends from common stock	2022-12-31	$166,087
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$2,084,590
Contract administrator fees	2022-12-31	$299,162
Assets. Corporate common stocks other than exployer securities at end of year	2022-12-31	$12,044,571
Assets. Corporate common stocks other than exployer securities at beginning of year	2022-12-31	$15,654,277
Did the plan have assets held for investment	2022-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Aggregate proceeds on sale of assets	2022-12-31	$16,320,818
Aggregate carrying amount (costs) on sale of assets	2022-12-31	$18,199,146
Opinion of an independent qualified public accountant for this plan	2022-12-31	Disclaimer
Accountancy firm name	2022-12-31	MEADEN & MOORE, LTD.
Accountancy firm EIN	2022-12-31	341818258
2021 : OHIO ANESTHESIA GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total income from all sources (including contributions)	2021-12-31	$12,385,717
Total loss/gain on sale of assets	2021-12-31	$194,615
Total of all expenses incurred	2021-12-31	$4,356,355
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$4,047,642
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$3,436,811
Value of total assets at end of year	2021-12-31	$67,983,131
Value of total assets at beginning of year	2021-12-31	$59,953,769
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$308,713
Total interest from all sources	2021-12-31	$26,671
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$3,512,676
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$3,375,180
Assets. Corporate prefeered stocks other than exployer securities at end of year	2021-12-31	$31,005
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2021-12-31	$31,905
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$500,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$1,671,154
Participant contributions at end of year	2021-12-31	$111,145
Participant contributions at beginning of year	2021-12-31	$149,170
Assets. Other investments not covered elsewhere at end of year	2021-12-31	$594,022
Assets. Other investments not covered elsewhere at beginning of year	2021-12-31	$437,399
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$145,798
Other income not declared elsewhere	2021-12-31	$2,127,162
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$8,029,362
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$67,983,131
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$59,953,769
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Investment advisory and management fees	2021-12-31	$43,129
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$49,461,121
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$41,719,422
Interest on participant loans	2021-12-31	$7,341
Income. Interest from US Government securities	2021-12-31	$11,000
Income. Interest from corporate debt instruments	2021-12-31	$7,568
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2021-12-31	$1,014,799
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2021-12-31	$1,421,837
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2021-12-31	$1,421,837
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2021-12-31	$762
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$691,834
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$1,861,123
Asset value of US Government securities at end of year	2021-12-31	$424,928
Asset value of US Government securities at beginning of year	2021-12-31	$615,789
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$3,087,782
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$1,619,859
Income. Dividends from preferred stock	2021-12-31	$1,614
Income. Dividends from common stock	2021-12-31	$135,882
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$4,047,642
Asset. Corporate debt instrument debt (other) at end of year	2021-12-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2021-12-31	$392,452
Contract administrator fees	2021-12-31	$265,584
Assets. Corporate common stocks other than exployer securities at end of year	2021-12-31	$15,654,277
Assets. Corporate common stocks other than exployer securities at beginning of year	2021-12-31	$13,324,672
Did the plan have assets held for investment	2021-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Aggregate proceeds on sale of assets	2021-12-31	$11,854,192
Aggregate carrying amount (costs) on sale of assets	2021-12-31	$11,659,577
Opinion of an independent qualified public accountant for this plan	2021-12-31	Disclaimer
Accountancy firm name	2021-12-31	REA & ASSOCIATES, INC.
Accountancy firm EIN	2021-12-31	341310124
2020 : OHIO ANESTHESIA GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total income from all sources (including contributions)	2020-12-31	$10,013,081
Total loss/gain on sale of assets	2020-12-31	$276,538
Total of all expenses incurred	2020-12-31	$1,957,754
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$1,757,616
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$3,552,259
Value of total assets at end of year	2020-12-31	$59,953,769
Value of total assets at beginning of year	2020-12-31	$51,898,442
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$200,138
Total interest from all sources	2020-12-31	$83,791
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$1,121,165
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$1,066,926
Assets. Corporate prefeered stocks other than exployer securities at end of year	2020-12-31	$31,905
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2020-12-31	$0
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$500,000
If this is an individual account plan, was there a blackout period	2020-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$1,513,166
Participant contributions at end of year	2020-12-31	$149,170
Participant contributions at beginning of year	2020-12-31	$197,778
Assets. Other investments not covered elsewhere at end of year	2020-12-31	$437,399
Assets. Other investments not covered elsewhere at beginning of year	2020-12-31	$26,589,704
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$362,238
Other income not declared elsewhere	2020-12-31	$1,984,194
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$8,055,327
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$59,953,769
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$51,898,442
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Investment advisory and management fees	2020-12-31	$92,981
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$41,719,422
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$23,922,127
Interest on participant loans	2020-12-31	$9,425
Income. Interest from US Government securities	2020-12-31	$6,025
Income. Interest from corporate debt instruments	2020-12-31	$2,289
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2020-12-31	$1,421,837
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2020-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2020-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2020-12-31	$66,052
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$1,861,123
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$1,188,833
Asset value of US Government securities at end of year	2020-12-31	$615,789
Asset value of US Government securities at beginning of year	2020-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$3,816,325
Net investment gain/loss from pooled separate accounts	2020-12-31	$-821,191
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$1,676,855
Income. Dividends from preferred stock	2020-12-31	$807
Income. Dividends from common stock	2020-12-31	$53,432
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$1,757,616
Asset. Corporate debt instrument debt (other) at end of year	2020-12-31	$392,452
Asset. Corporate debt instrument debt (other) at beginning of year	2020-12-31	$0
Contract administrator fees	2020-12-31	$107,157
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	2020-12-31	Yes
Assets. Corporate common stocks other than exployer securities at end of year	2020-12-31	$13,324,672
Assets. Corporate common stocks other than exployer securities at beginning of year	2020-12-31	$0
Did the plan have assets held for investment	2020-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Aggregate proceeds on sale of assets	2020-12-31	$5,798,150
Aggregate carrying amount (costs) on sale of assets	2020-12-31	$5,521,612
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	REA & ASSOCIATES, INC.
Accountancy firm EIN	2020-12-31	341310124
2019 : OHIO ANESTHESIA GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$13,162,490
Total income from all sources (including contributions)	2019-12-31	$13,162,490
Total loss/gain on sale of assets	2019-12-31	$0
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$2,274,320
Total of all expenses incurred	2019-12-31	$2,274,320
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$2,080,121
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$2,080,121
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$3,801,375
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$3,801,375
Value of total assets at end of year	2019-12-31	$51,898,442
Value of total assets at end of year	2019-12-31	$51,898,442
Value of total assets at beginning of year	2019-12-31	$41,010,272
Value of total assets at beginning of year	2019-12-31	$41,010,272
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$194,199
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$194,199
Total interest from all sources	2019-12-31	$11,570
Total interest from all sources	2019-12-31	$11,570
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Was this plan covered by a fidelity bond	2019-12-31	Yes
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
Value of fidelity bond cover	2019-12-31	$500,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$1,470,016
Contributions received from participants	2019-12-31	$1,470,016
Participant contributions at end of year	2019-12-31	$197,778
Participant contributions at end of year	2019-12-31	$197,778
Participant contributions at beginning of year	2019-12-31	$236,461
Participant contributions at beginning of year	2019-12-31	$236,461
Assets. Other investments not covered elsewhere at end of year	2019-12-31	$26,589,704
Assets. Other investments not covered elsewhere at end of year	2019-12-31	$26,589,704
Assets. Other investments not covered elsewhere at beginning of year	2019-12-31	$21,337,329
Assets. Other investments not covered elsewhere at beginning of year	2019-12-31	$21,337,329
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$589,747
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$589,747
Other income not declared elsewhere	2019-12-31	$5,053,553
Other income not declared elsewhere	2019-12-31	$5,053,553
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$10,888,170
Value of net income/loss	2019-12-31	$10,888,170
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$51,898,442
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$51,898,442
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$41,010,272
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$41,010,272
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$23,922,127
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$23,922,127
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$18,264,836
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$18,264,836
Interest on participant loans	2019-12-31	$11,570
Interest on participant loans	2019-12-31	$11,570
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$1,188,833
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$1,188,833
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$1,171,646
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$1,171,646
Net investment gain/loss from pooled separate accounts	2019-12-31	$4,295,992
Net investment gain/loss from pooled separate accounts	2019-12-31	$4,295,992
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$1,741,612
Contributions received in cash from employer	2019-12-31	$1,741,612
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$2,080,121
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$2,080,121
Contract administrator fees	2019-12-31	$194,199
Contract administrator fees	2019-12-31	$194,199
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	REA & ASSOCIATES, INC.
Accountancy firm name	2019-12-31	REA & ASSOCIATES, INC.
Accountancy firm EIN	2019-12-31	341310124
Accountancy firm EIN	2019-12-31	341310124
2018 : OHIO ANESTHESIA GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$2,204,147
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$2,318,346
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$2,137,517
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$4,305,878
Value of total assets at end of year	2018-12-31	$40,423,511
Value of total assets at beginning of year	2018-12-31	$40,537,710
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$180,829
Total interest from all sources	2018-12-31	$11,064
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$498,873
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$500,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$1,502,328
Participant contributions at end of year	2018-12-31	$236,461
Participant contributions at beginning of year	2018-12-31	$193,068
Assets. Other investments not covered elsewhere at end of year	2018-12-31	$21,337,329
Assets. Other investments not covered elsewhere at beginning of year	2018-12-31	$24,168,377
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$1,136,676
Other income not declared elsewhere	2018-12-31	$-967,719
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-114,199
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$40,423,511
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$40,537,710
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$18,775,506
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$19,183,200
Value of interest in pooled separate accounts at end of year	2018-12-31	$20,239,898
Value of interest in pooled separate accounts at beginning of year	2018-12-31	$20,564,184
Interest on participant loans	2018-12-31	$11,064
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$1,171,646
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$597,258
Net investment gain/loss from pooled separate accounts	2018-12-31	$-1,145,076
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$1,666,874
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$2,137,517
Contract administrator fees	2018-12-31	$180,829
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	2018-12-31	No
Did the plan have assets held for investment	2018-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	REA & ASSOCIATES, INC.
Accountancy firm EIN	2018-12-31	341310124

Form 5500 Responses for OHIO ANESTHESIA GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST

2022: OHIO ANESTHESIA GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: OHIO ANESTHESIA GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: OHIO ANESTHESIA GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: OHIO ANESTHESIA GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: OHIO ANESTHESIA GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

R00210

Policy instance

Insurance contract or identification number	R00210
Number of Individuals Covered	10
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
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?	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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

R00210

Policy instance

Insurance contract or identification number	R00210
Number of Individuals Covered	10
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
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?	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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

817029

Policy instance

Insurance contract or identification number	817029
Number of Individuals Covered	0
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $5,982
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	5982
Additional information about fees paid to insurance broker	TPA PARTNERSHIP PROGRAM
Insurance broker organization code?	5

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

R00210

Policy instance

Insurance contract or identification number	R00210
Number of Individuals Covered	15
Insurance policy start date	2020-07-01
Insurance policy end date	2020-12-31
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?	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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

817029

Policy instance

Insurance contract or identification number	817029
Number of Individuals Covered	101
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $10,942
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	10942
Additional information about fees paid to insurance broker	TPA PARTNERSHIP PROGRAM
Insurance broker organization code?	5

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

817029

Policy instance

Insurance contract or identification number	817029
Number of Individuals Covered	94
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $9,381
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	9381
Additional information about fees paid to insurance broker	TPA PARTNERSHIP PROGRAM
Insurance broker organization code?	5

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Company Name:	OHIO ANESTHESIA GROUP, INC.
Employer identification number (EIN):	260347451
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Jurisdiction of Incorporation:	Ohio Secretary of State Business Services Division
Incorporation Date:	2007-04-19
Company Identification Number:	1694635
Legal Registered Office Address:	4665 DOUGLAS CIR., NW, STE. 10 - CANTON United States of America (USA) 44718