401k Plan data: INDEPENDENCE HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN plan

INDEPENDENCE HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	INDEPENDENCE HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN
Plan identification number	001

INDEPENDENCE HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN 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.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
Plan sponsor(s) received services of leased employees, as defined in Code section 414(n), during the plan year.

401k Sponsoring company profile

INDEPENDENCE HEALTH SYSTEMS INC has sponsored the creation of one or more 401k plans.

Company Name: INDEPENDENCE HEALTH SYSTEMS INC

Employer identification number (EIN): 430926316

NAIC Classification: 623000
NAIC Description: Nursing and Residential Care Facilities

Additional information about INDEPENDENCE HEALTH SYSTEMS INC

Jurisdiction of Incorporation: State of Delaware Division of Corporations

Incorporation Date:

Company Identification Number: 2417851

More information about INDEPENDENCE HEALTH SYSTEMS INC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan INDEPENDENCE HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2024-01-01 SAMANTHA LOESING
001 2023-01-01
001 2023-01-01 SAMANTHA LOESING
001 2022-01-01
001 2022-01-01 SAMANTHA LOESING
001 2021-01-01
001 2021-01-01 SAMANTHA LOESING
001 2020-01-01
001 2019-01-01
001 2018-01-01 SAMANTHA LOESING 2019-06-10
001 2018-01-01
001 2017-01-01 JANEL KOENIG
001 2016-01-01 JANEL KOENIG JANEL KOENIG 2017-10-11
001 2015-01-01 AMY HALE AMY HALE 2016-10-14
001 2014-01-01 AMY HALE 2015-08-25 AMY HALE 2015-08-25
001 2013-01-01 RITA COFFEY 2014-07-28 RITA COFFEY 2014-07-28
001 2012-01-01 RITA COFFEY 2013-07-25 RITA COFFEY 2013-07-25
001 2010-01-01 RITA COFFEY

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2024-01-01	SAMANTHA LOESING
001	2023-01-01
001	2023-01-01	SAMANTHA LOESING
001	2022-01-01
001	2022-01-01	SAMANTHA LOESING
001	2021-01-01
001	2021-01-01	SAMANTHA LOESING
001	2020-01-01
001	2019-01-01
001	2018-01-01	SAMANTHA LOESING	2019-06-10
001	2018-01-01
001	2017-01-01	JANEL KOENIG
001	2016-01-01	JANEL KOENIG		JANEL KOENIG	2017-10-11
001	2015-01-01	AMY HALE		AMY HALE	2016-10-14
001	2014-01-01	AMY HALE	2015-08-25	AMY HALE	2015-08-25
001	2013-01-01	RITA COFFEY	2014-07-28	RITA COFFEY	2014-07-28
001	2012-01-01	RITA COFFEY	2013-07-25	RITA COFFEY	2013-07-25
001	2010-01-01	RITA COFFEY

Plan Statistics for INDEPENDENCE HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for INDEPENDENCE HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN

Measure Date Value
2023: INDEPENDENCE HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN 2023 401k membership
Total participants, beginning-of-year 2023-01-01 126
Total number of active participants reported on line 7a of the Form 5500 2023-01-01 110
Number of retired or separated participants receiving benefits 2023-01-01 1
Number of other retired or separated participants entitled to future benefits 2023-01-01 14
Total of all active and inactive participants 2023-01-01 125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2023-01-01 0
Total participants 2023-01-01 125
Number of participants with account balances 2023-01-01 103
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2023-01-01 14
2022: INDEPENDENCE HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 127
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 102
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 24
Total of all active and inactive participants 2022-01-01 128
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 128
Number of participants with account balances 2022-01-01 109
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 26
2021: INDEPENDENCE HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 132
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 109
Number of retired or separated participants receiving benefits 2021-01-01 3
Number of other retired or separated participants entitled to future benefits 2021-01-01 18
Total of all active and inactive participants 2021-01-01 130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 130
Number of participants with account balances 2021-01-01 104
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 12
2020: INDEPENDENCE HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 134
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 111
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 17
Total of all active and inactive participants 2020-01-01 129
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 129
Number of participants with account balances 2020-01-01 97
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 9
2019: INDEPENDENCE HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 128
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 125
Number of retired or separated participants receiving benefits 2019-01-01 1
Number of other retired or separated participants entitled to future benefits 2019-01-01 6
Total of all active and inactive participants 2019-01-01 132
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 132
Number of participants with account balances 2019-01-01 98
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 22
2018: INDEPENDENCE HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 94
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 113
Number of retired or separated participants receiving benefits 2018-01-01 1
Number of other retired or separated participants entitled to future benefits 2018-01-01 10
Total of all active and inactive participants 2018-01-01 124
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 124
Number of participants with account balances 2018-01-01 118
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 6
2017: INDEPENDENCE HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 103
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 86
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 8
Total of all active and inactive participants 2017-01-01 94
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 94
Number of participants with account balances 2017-01-01 57
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 8
2016: INDEPENDENCE HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 104
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 91
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 12
Total of all active and inactive participants 2016-01-01 103
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 103
Number of participants with account balances 2016-01-01 65
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 3
2015: INDEPENDENCE HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 131
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 91
Number of retired or separated participants receiving benefits 2015-01-01 1
Number of other retired or separated participants entitled to future benefits 2015-01-01 12
Total of all active and inactive participants 2015-01-01 104
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 104
Number of participants with account balances 2015-01-01 67
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 3
2010: INDEPENDENCE HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 84
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 70
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 15
Total of all active and inactive participants 2010-01-01 85
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 85
Number of participants with account balances 2010-01-01 47
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0

Measure	Date	Value
2023: INDEPENDENCE HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN 2023 401k membership
Total participants, beginning-of-year	2023-01-01	126
Total number of active participants reported on line 7a of the Form 5500	2023-01-01	110
Number of retired or separated participants receiving benefits	2023-01-01	1
Number of other retired or separated participants entitled to future benefits	2023-01-01	14
Total of all active and inactive participants	2023-01-01	125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2023-01-01	0
Total participants	2023-01-01	125
Number of participants with account balances	2023-01-01	103
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2023-01-01	14
2022: INDEPENDENCE HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	127
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	102
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	24
Total of all active and inactive participants	2022-01-01	128
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	128
Number of participants with account balances	2022-01-01	109
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	26
2021: INDEPENDENCE HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	132
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	109
Number of retired or separated participants receiving benefits	2021-01-01	3
Number of other retired or separated participants entitled to future benefits	2021-01-01	18
Total of all active and inactive participants	2021-01-01	130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	130
Number of participants with account balances	2021-01-01	104
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	12
2020: INDEPENDENCE HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	134
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	111
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	17
Total of all active and inactive participants	2020-01-01	129
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	129
Number of participants with account balances	2020-01-01	97
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	9
2019: INDEPENDENCE HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	128
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	125
Number of retired or separated participants receiving benefits	2019-01-01	1
Number of other retired or separated participants entitled to future benefits	2019-01-01	6
Total of all active and inactive participants	2019-01-01	132
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	132
Number of participants with account balances	2019-01-01	98
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	22
2018: INDEPENDENCE HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	94
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	113
Number of retired or separated participants receiving benefits	2018-01-01	1
Number of other retired or separated participants entitled to future benefits	2018-01-01	10
Total of all active and inactive participants	2018-01-01	124
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	124
Number of participants with account balances	2018-01-01	118
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	6
2017: INDEPENDENCE HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	103
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	86
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	8
Total of all active and inactive participants	2017-01-01	94
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	94
Number of participants with account balances	2017-01-01	57
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	8
2016: INDEPENDENCE HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	104
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	91
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	12
Total of all active and inactive participants	2016-01-01	103
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	103
Number of participants with account balances	2016-01-01	65
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	3
2015: INDEPENDENCE HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	131
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	91
Number of retired or separated participants receiving benefits	2015-01-01	1
Number of other retired or separated participants entitled to future benefits	2015-01-01	12
Total of all active and inactive participants	2015-01-01	104
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	104
Number of participants with account balances	2015-01-01	67
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	3
2010: INDEPENDENCE HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	84
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	70
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	15
Total of all active and inactive participants	2010-01-01	85
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	85
Number of participants with account balances	2010-01-01	47
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0

Financial Data on INDEPENDENCE HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2023 : INDEPENDENCE HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN 2023 401k financial data
Total unrealized appreciation/depreciation of assets	2023-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2023-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2023-12-31	$0
Total income from all sources (including contributions)	2023-12-31	$495,493
Total loss/gain on sale of assets	2023-12-31	$0
Total of all expenses incurred	2023-12-31	$129,104
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2023-12-31	$112,047
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2023-12-31	$203,278
Value of total assets at end of year	2023-12-31	$2,005,651
Value of total assets at beginning of year	2023-12-31	$1,639,262
Total of administrative expenses incurred including professional, contract, advisory and management fees	2023-12-31	$17,057
Total interest from all sources	2023-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2023-12-31	$15,259
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2023-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2023-12-31	$15,259
Was this plan covered by a fidelity bond	2023-12-31	Yes
Value of fidelity bond cover	2023-12-31	$164,000
If this is an individual account plan, was there a blackout period	2023-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2023-12-31	No
Contributions received from participants	2023-12-31	$139,453
Income. Received or receivable in cash from other sources (including rollovers)	2023-12-31	$1,900
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2023-12-31	No
Value of net income/loss	2023-12-31	$366,389
Value of net assets at end of year (total assets less liabilities)	2023-12-31	$2,005,651
Value of net assets at beginning of year (total assets less liabilities)	2023-12-31	$1,639,262
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2023-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2023-12-31	No
Were any leases to which the plan was party in default or uncollectible	2023-12-31	No
Investment advisory and management fees	2023-12-31	$7,090
Value of interest in registered invesment companies (eg mutual funds) at end of year	2023-12-31	$2,005,651
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2023-12-31	$1,639,262
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2023-12-31	$276,956
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2023-12-31	No
Was there a failure to transmit to the plan any participant contributions	2023-12-31	No
Has the plan failed to provide any benefit when due under the plan	2023-12-31	No
Contributions received in cash from employer	2023-12-31	$61,925
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2023-12-31	$112,047
Contract administrator fees	2023-12-31	$7,031
Did the plan have assets held for investment	2023-12-31	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	2023-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2023-12-31	No
Opinion of an independent qualified public accountant for this plan	2023-12-31	Unqualified
Accountancy firm name	2023-12-31	CLIFTON, LARSON, ALLEN
Accountancy firm EIN	2023-12-31	410746749
Total unrealized appreciation/depreciation of assets	2023-01-01	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2023-01-01	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2023-01-01	$0
Total income from all sources (including contributions)	2023-01-01	$495,493
Total loss/gain on sale of assets	2023-01-01	$0
Total of all expenses incurred	2023-01-01	$129,104
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2023-01-01	$112,047
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2023-01-01	$203,278
Value of total assets at end of year	2023-01-01	$2,005,651
Value of total assets at beginning of year	2023-01-01	$1,639,262
Total of administrative expenses incurred including professional, contract, advisory and management fees	2023-01-01	$17,057
Total interest from all sources	2023-01-01	$0
Total dividends received (eg from common stock, registered investment company shares)	2023-01-01	$15,259
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2023-01-01	No
Total dividends received from registered investment company shares (eg mutual funds)	2023-01-01	$15,259
Was this plan covered by a fidelity bond	2023-01-01	Yes
Value of fidelity bond cover	2023-01-01	$164,000
If this is an individual account plan, was there a blackout period	2023-01-01	No
Were there any nonexempt tranactions with any party-in-interest	2023-01-01	No
Contributions received from participants	2023-01-01	$139,453
Income. Received or receivable in cash from other sources (including rollovers)	2023-01-01	$1,900
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2023-01-01	No
Value of net income/loss	2023-01-01	$366,389
Value of net assets at end of year (total assets less liabilities)	2023-01-01	$2,005,651
Value of net assets at beginning of year (total assets less liabilities)	2023-01-01	$1,639,262
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2023-01-01	No
Were any loans by the plan or fixed income obligations due to the plan in default	2023-01-01	No
Were any leases to which the plan was party in default or uncollectible	2023-01-01	No
Investment advisory and management fees	2023-01-01	$7,090
Value of interest in registered invesment companies (eg mutual funds) at end of year	2023-01-01	$2,005,651
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2023-01-01	$1,639,262
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2023-01-01	$276,956
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2023-01-01	No
Was there a failure to transmit to the plan any participant contributions	2023-01-01	No
Has the plan failed to provide any benefit when due under the plan	2023-01-01	No
Contributions received in cash from employer	2023-01-01	$61,925
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2023-01-01	$112,047
Contract administrator fees	2023-01-01	$7,031
Did the plan have assets held for investment	2023-01-01	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	2023-01-01	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2023-01-01	No
Opinion of an independent qualified public accountant for this plan	2023-01-01	1
Accountancy firm name	2023-01-01	CLIFTON, LARSON, ALLEN
Accountancy firm EIN	2023-01-01	410746749
2022 : INDEPENDENCE HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN 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	$-115,983
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$169,937
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$152,654
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$176,936
Value of total assets at end of year	2022-12-31	$1,639,262
Value of total assets at beginning of year	2022-12-31	$1,925,182
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$17,283
Total interest from all sources	2022-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$14,056
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	$14,056
Administrative expenses professional fees incurred	2022-12-31	$850
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$193,000
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	$128,548
Total non interest bearing cash at end of year	2022-12-31	$0
Total non interest bearing cash at beginning of year	2022-12-31	$11,219
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	$-285,920
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$1,639,262
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$1,925,182
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	$6,798
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$1,639,262
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$1,913,963
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-306,975
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	$48,388
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$152,654
Contract administrator fees	2022-12-31	$9,635
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
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	CLIFTON, LARSON, ALLEN
Accountancy firm EIN	2022-12-31	410746749
Total unrealized appreciation/depreciation of assets	2022-01-01	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-01-01	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-01-01	$0
Total income from all sources (including contributions)	2022-01-01	$-115,983
Total loss/gain on sale of assets	2022-01-01	$0
Total of all expenses incurred	2022-01-01	$169,937
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-01-01	$152,654
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-01-01	$176,936
Value of total assets at end of year	2022-01-01	$1,639,262
Value of total assets at beginning of year	2022-01-01	$1,925,182
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-01-01	$17,283
Total interest from all sources	2022-01-01	$0
Total dividends received (eg from common stock, registered investment company shares)	2022-01-01	$14,056
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-01-01	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-01-01	$14,056
Administrative expenses professional fees incurred	2022-01-01	$850
Was this plan covered by a fidelity bond	2022-01-01	Yes
Value of fidelity bond cover	2022-01-01	$193,000
If this is an individual account plan, was there a blackout period	2022-01-01	No
Were there any nonexempt tranactions with any party-in-interest	2022-01-01	No
Contributions received from participants	2022-01-01	$128,548
Total non interest bearing cash at end of year	2022-01-01	$0
Total non interest bearing cash at beginning of year	2022-01-01	$11,219
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-01-01	No
Value of net income/loss	2022-01-01	$-285,920
Value of net assets at end of year (total assets less liabilities)	2022-01-01	$1,639,262
Value of net assets at beginning of year (total assets less liabilities)	2022-01-01	$1,925,182
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-01-01	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-01-01	No
Were any leases to which the plan was party in default or uncollectible	2022-01-01	No
Investment advisory and management fees	2022-01-01	$6,798
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-01-01	$1,639,262
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-01-01	$1,913,963
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-01-01	$-306,975
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-01-01	No
Was there a failure to transmit to the plan any participant contributions	2022-01-01	No
Has the plan failed to provide any benefit when due under the plan	2022-01-01	No
Contributions received in cash from employer	2022-01-01	$48,388
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-01-01	$152,654
Contract administrator fees	2022-01-01	$9,635
Did the plan have assets held for investment	2022-01-01	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	2022-01-01	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-01-01	No
Opinion of an independent qualified public accountant for this plan	2022-01-01	1
Accountancy firm name	2022-01-01	CLIFTON, LARSON, ALLEN
Accountancy firm EIN	2022-01-01	410746749
2021 : INDEPENDENCE HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN 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	$437,991
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$311,412
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$293,367
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$188,108
Value of total assets at end of year	2021-12-31	$1,925,182
Value of total assets at beginning of year	2021-12-31	$1,798,603
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$18,045
Total interest from all sources	2021-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$25,299
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	$25,299
Administrative expenses professional fees incurred	2021-12-31	$889
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$180,000
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	$122,140
Participant contributions at end of year	2021-12-31	$0
Participant contributions at beginning of year	2021-12-31	$22,124
Total non interest bearing cash at end of year	2021-12-31	$11,219
Total non interest bearing cash at beginning of year	2021-12-31	$48,507
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	$126,579
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$1,925,182
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$1,798,603
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	$2,206
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$1,913,963
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$1,715,915
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$224,584
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	$65,968
Employer contributions (assets) at end of year	2021-12-31	$0
Employer contributions (assets) at beginning of year	2021-12-31	$12,057
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$293,367
Contract administrator fees	2021-12-31	$14,950
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
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	KERBER, ECK & BRAECKEL LLP
Accountancy firm EIN	2021-12-31	430352985
2020 : INDEPENDENCE HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN 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	$493,802
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$146,241
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$130,805
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$261,226
Value of total assets at end of year	2020-12-31	$1,798,603
Value of total assets at beginning of year	2020-12-31	$1,451,042
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$15,436
Total interest from all sources	2020-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$13,833
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	$13,833
Administrative expenses professional fees incurred	2020-12-31	$759
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$135,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
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	$135,790
Participant contributions at end of year	2020-12-31	$22,124
Participant contributions at beginning of year	2020-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$57,504
Total non interest bearing cash at end of year	2020-12-31	$48,507
Total non interest bearing cash at beginning of year	2020-12-31	$52,264
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	$347,561
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$1,798,603
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$1,451,042
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	$7,059
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$1,715,915
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$1,398,778
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$218,743
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	$67,932
Employer contributions (assets) at end of year	2020-12-31	$12,057
Employer contributions (assets) at beginning of year	2020-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$130,805
Contract administrator fees	2020-12-31	$7,618
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
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	KERBER, ECK & BRAECKEL LLP
Accountancy firm EIN	2020-12-31	430352985
2019 : INDEPENDENCE HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN 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	$475,624
Total income from all sources (including contributions)	2019-12-31	$475,624
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	$159,781
Total of all expenses incurred	2019-12-31	$159,781
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$141,882
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$141,882
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$214,363
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$214,363
Value of total assets at end of year	2019-12-31	$1,451,042
Value of total assets at end of year	2019-12-31	$1,451,042
Value of total assets at beginning of year	2019-12-31	$1,135,199
Value of total assets at beginning of year	2019-12-31	$1,135,199
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$17,899
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$17,899
Total interest from all sources	2019-12-31	$0
Total interest from all sources	2019-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$10,498
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$10,498
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
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$10,498
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$10,498
Administrative expenses professional fees incurred	2019-12-31	$750
Administrative expenses professional fees incurred	2019-12-31	$750
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	$114,000
Value of fidelity bond cover	2019-12-31	$114,000
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	$128,823
Contributions received from participants	2019-12-31	$128,823
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$26,581
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$26,581
Total non interest bearing cash at end of year	2019-12-31	$52,264
Total non interest bearing cash at end of year	2019-12-31	$52,264
Total non interest bearing cash at beginning of year	2019-12-31	$293
Total non interest bearing cash at beginning of year	2019-12-31	$293
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	$315,843
Value of net income/loss	2019-12-31	$315,843
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$1,451,042
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$1,451,042
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$1,135,199
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$1,135,199
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
Investment advisory and management fees	2019-12-31	$6,221
Investment advisory and management fees	2019-12-31	$6,221
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$1,398,778
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$1,398,778
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$1,134,906
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$1,134,906
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$250,763
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$250,763
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	$58,959
Contributions received in cash from employer	2019-12-31	$58,959
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$141,882
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$141,882
Contract administrator fees	2019-12-31	$10,928
Contract administrator fees	2019-12-31	$10,928
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	KERBER, ECK & BRAECKEL LLP
Accountancy firm name	2019-12-31	KERBER, ECK & BRAECKEL LLP
Accountancy firm EIN	2019-12-31	430352985
Accountancy firm EIN	2019-12-31	430352985
2018 : INDEPENDENCE HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN 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	$106,448
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$294,603
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$279,496
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$170,950
Value of total assets at end of year	2018-12-31	$1,135,199
Value of total assets at beginning of year	2018-12-31	$1,323,354
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$15,107
Total interest from all sources	2018-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$11,799
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	$11,799
Administrative expenses professional fees incurred	2018-12-31	$750
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$133,000
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	$99,162
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$30,000
Total non interest bearing cash at end of year	2018-12-31	$293
Total non interest bearing cash at beginning of year	2018-12-31	$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	2018-12-31	No
Value of net income/loss	2018-12-31	$-188,155
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$1,135,199
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$1,323,354
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
Investment advisory and management fees	2018-12-31	$9,172
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$1,134,906
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$1,323,160
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-76,301
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	$41,788
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$279,496
Contract administrator fees	2018-12-31	$5,185
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	KERBER, ECK & BRAECKEL LLP
Accountancy firm EIN	2018-12-31	430352985
2017 : INDEPENDENCE HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$320,098
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$233,266
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$217,033
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$153,300
Value of total assets at end of year	2017-12-31	$1,323,354
Value of total assets at beginning of year	2017-12-31	$1,236,522
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$16,233
Total interest from all sources	2017-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$9,473
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$9,473
Administrative expenses professional fees incurred	2017-12-31	$563
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$124,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$90,314
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$27,852
Total non interest bearing cash at end of year	2017-12-31	$194
Total non interest bearing cash at beginning of year	2017-12-31	$24
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$86,832
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$1,323,354
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$1,236,522
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Investment advisory and management fees	2017-12-31	$9,627
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$1,323,160
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$1,236,498
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$157,325
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$35,134
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$217,033
Contract administrator fees	2017-12-31	$6,043
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	2017-12-31	No
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	KERBER, ECK & BRAECKEL LLP
Accountancy firm EIN	2017-12-31	430352985
2016 : INDEPENDENCE HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources (including contributions)	2016-12-31	$229,577
Total of all expenses incurred	2016-12-31	$102,898
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$88,294
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$137,212
Value of total assets at end of year	2016-12-31	$1,236,522
Value of total assets at beginning of year	2016-12-31	$1,109,843
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$14,604
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$6,974
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	$6,974
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$123,653
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	$93,700
Other income not declared elsewhere	2016-12-31	$201
Total non interest bearing cash at end of year	2016-12-31	$24
Total non interest bearing cash at beginning of year	2016-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$126,679
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$1,236,522
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$1,109,843
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
Investment advisory and management fees	2016-12-31	$8,435
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$1,236,498
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$1,109,843
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$85,190
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$43,512
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$88,294
Contract administrator fees	2016-12-31	$6,169
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	KERBER, ECK & BRACKEL LLP
Accountancy firm EIN	2016-12-31	430352985
2015 : INDEPENDENCE HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources (including contributions)	2015-12-31	$141,236
Total of all expenses incurred	2015-12-31	$84,677
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$75,454
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$135,876
Value of total assets at end of year	2015-12-31	$1,109,843
Value of total assets at beginning of year	2015-12-31	$1,053,284
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$9,223
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$2,940
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$2,940
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$110,984
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	$92,963
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$853
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	$56,559
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$1,109,843
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$1,053,284
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$1,109,843
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$1,053,284
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$2,420
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$42,060
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$75,454
Contract administrator fees	2015-12-31	$9,223
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	KERBER, ECK & BRACKEL LLP
Accountancy firm EIN	2015-12-31	430352985
2010 : INDEPENDENCE HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$163,662
Expenses. Total of all expenses incurred	2010-12-31	$26,929
Benefits paid (including direct rollovers)	2010-12-31	$25,614
Total plan assets at end of year	2010-12-31	$763,761
Total plan assets at beginning of year	2010-12-31	$627,028
Value of fidelity bond covering the plan	2010-12-31	$75,000
Total contributions received or receivable from participants	2010-12-31	$62,250
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$80,753
Net income (gross income less expenses)	2010-12-31	$136,733
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$763,761
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$627,028
Total contributions received or receivable from employer(s)	2010-12-31	$20,659
Value of certain deemed distributions of participant loans	2010-12-31	$0
Value of corrective distributions	2010-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$1,315

Form 5500 Responses for INDEPENDENCE HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN

2023: INDEPENDENCE HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	Submission has been amended	No
2023-01-01	This submission is the final filing	No
2023-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2023-01-01	Plan is a collectively bargained plan	No
2023-01-01	Plan funding arrangement – Trust	Yes
2023-01-01	Plan benefit arrangement - Trust	Yes
2022: INDEPENDENCE HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN 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 – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: INDEPENDENCE HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN 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 – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: INDEPENDENCE HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN 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 – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: INDEPENDENCE HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN 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 – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: INDEPENDENCE HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	Yes
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 – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: INDEPENDENCE HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN 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	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: INDEPENDENCE HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: INDEPENDENCE HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2010: INDEPENDENCE HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )
Policy contract number	936128
Policy instance	1

Potentially related plans

INDEPENDENCE HEALTHCARE PC MEDOVA LIFESTYLE HEALTH PLAN [EIN = 920167575]

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Company Name:	INDEPENDENCE HEALTH SYSTEMS INC
Employer identification number (EIN):	430926316
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities

Jurisdiction of Incorporation:	State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number:	2417851