401k Plan data: DIALYSIS NEWCO INC. 401(K) SAVINGS PLAN plan

DIALYSIS NEWCO INC. 401(K) SAVINGS PLAN 401k Plan overview

Plan Name	DIALYSIS NEWCO INC. 401(K) SAVINGS PLAN
Plan identification number	001

DIALYSIS NEWCO INC. 401(K) SAVINGS PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.

401k Sponsoring company profile

DIALYSIS NEWCO, INC. D.B.A. DSI RENAL has sponsored the creation of one or more 401k plans.

Company Name: DIALYSIS NEWCO, INC. D.B.A. DSI RENAL

Employer identification number (EIN): 453040157

NAIC Classification: 621492
NAIC Description: Kidney Dialysis Centers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DIALYSIS NEWCO INC. 401(K) SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2016-01-01 STEPHANIE THOMAS STEPHANIE THOMAS 2016-11-07
001 2015-01-01 KATIE STEWART KATIE STEWART 2016-07-01
001 2014-01-01 KATIE STEWART KATIE STEWART 2015-08-27
001 2013-01-01 KATIE STEWART KATIE STEWART 2014-09-23
001 2012-01-01 KATIE STEWART KATIE STEWART 2013-09-16

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2016-01-01	STEPHANIE THOMAS	STEPHANIE THOMAS	2016-11-07
001	2015-01-01	KATIE STEWART	KATIE STEWART	2016-07-01
001	2014-01-01	KATIE STEWART	KATIE STEWART	2015-08-27
001	2013-01-01	KATIE STEWART	KATIE STEWART	2014-09-23
001	2012-01-01	KATIE STEWART	KATIE STEWART	2013-09-16

Plan Statistics for DIALYSIS NEWCO INC. 401(K) SAVINGS PLAN

401k plan membership statisitcs for DIALYSIS NEWCO INC. 401(K) SAVINGS PLAN

Measure Date Value
2016: DIALYSIS NEWCO INC. 401(K) SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 2,017
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 0
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 0
Total of all active and inactive participants 2016-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 0
Number of participants with account balances 2016-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: DIALYSIS NEWCO INC. 401(K) SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 1,947
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 1,920
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 169
Total of all active and inactive participants 2015-01-01 2,089
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 2,089
Number of participants with account balances 2015-01-01 1,624
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 71
2014: DIALYSIS NEWCO INC. 401(K) SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 1,710
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 1,783
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 93
Total of all active and inactive participants 2014-01-01 1,876
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 1,876
Number of participants with account balances 2014-01-01 1,440
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 56
2013: DIALYSIS NEWCO INC. 401(K) SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1,658
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 1,631
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 91
Total of all active and inactive participants 2013-01-01 1,722
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 1,722
Number of participants with account balances 2013-01-01 1,331
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 183
2012: DIALYSIS NEWCO INC. 401(K) SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1,384
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1,591
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 20
Total of all active and inactive participants 2012-01-01 1,611
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 1,611
Number of participants with account balances 2012-01-01 1,127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 100

Measure	Date	Value
2016: DIALYSIS NEWCO INC. 401(K) SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	2,017
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	0
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	0
Total of all active and inactive participants	2016-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	0
Number of participants with account balances	2016-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: DIALYSIS NEWCO INC. 401(K) SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	1,947
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	1,920
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	169
Total of all active and inactive participants	2015-01-01	2,089
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	2,089
Number of participants with account balances	2015-01-01	1,624
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	71
2014: DIALYSIS NEWCO INC. 401(K) SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	1,710
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	1,783
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	93
Total of all active and inactive participants	2014-01-01	1,876
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	1,876
Number of participants with account balances	2014-01-01	1,440
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	56
2013: DIALYSIS NEWCO INC. 401(K) SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1,658
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	1,631
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	91
Total of all active and inactive participants	2013-01-01	1,722
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	1,722
Number of participants with account balances	2013-01-01	1,331
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	183
2012: DIALYSIS NEWCO INC. 401(K) SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1,384
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1,591
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	20
Total of all active and inactive participants	2012-01-01	1,611
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	1,611
Number of participants with account balances	2012-01-01	1,127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	100

Financial Data on DIALYSIS NEWCO INC. 401(K) SAVINGS PLAN

Measure	Date	Value
2016 : DIALYSIS NEWCO INC. 401(K) SAVINGS PLAN 2016 401k financial data
Unrealized appreciation/depreciation of real estate assets	2016-04-01	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2016-04-01	$0
Total unrealized appreciation/depreciation of assets	2016-04-01	$0
Total transfer of assets to this plan	2016-04-01	$0
Total transfer of assets from this plan	2016-04-01	$47,506,129
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-04-01	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-04-01	$0
Total income from all sources (including contributions)	2016-04-01	$2,393,826
Total loss/gain on sale of assets	2016-04-01	$0
Total of all expenses incurred	2016-04-01	$2,723,382
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-04-01	$2,597,624
Expenses. Certain deemed distributions of participant loans	2016-04-01	$0
Value of total corrective distributions	2016-04-01	$99,251
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-04-01	$1,665,517
Value of total assets at end of year	2016-04-01	$0
Value of total assets at beginning of year	2016-04-01	$47,835,685
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-04-01	$26,507
Total income from rents	2016-04-01	$0
Total interest from all sources	2016-04-01	$9,381
Total dividends received (eg from common stock, registered investment company shares)	2016-04-01	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-04-01	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-04-01	$0
Administrative expenses professional fees incurred	2016-04-01	$13,600
Was this plan covered by a fidelity bond	2016-04-01	Yes
Value of fidelity bond cover	2016-04-01	$1,000,000
If this is an individual account plan, was there a blackout period	2016-04-01	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-04-01	$0
Were there any nonexempt tranactions with any party-in-interest	2016-04-01	No
Amount of non-exempt transactions with any party-in-interest	2016-04-01	$0
Contributions received from participants	2016-04-01	$1,654,828
Participant contributions at end of year	2016-04-01	$0
Participant contributions at beginning of year	2016-04-01	$2,210,046
Participant contributions at end of year	2016-04-01	$0
Participant contributions at beginning of year	2016-04-01	$3
Income. Received or receivable in cash from other sources (including rollovers)	2016-04-01	$10,689
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2016-04-01	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2016-04-01	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2016-04-01	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2016-04-01	$0
Other income not declared elsewhere	2016-04-01	$0
Administrative expenses (other) incurred	2016-04-01	$0
Liabilities. Value of operating payables at beginning of year	2016-04-01	$0
Total non interest bearing cash at end of year	2016-04-01	$0
Total non interest bearing cash at beginning of year	2016-04-01	$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	2016-04-01	No
Value of net income/loss	2016-04-01	$-329,556
Value of net assets at end of year (total assets less liabilities)	2016-04-01	$0
Value of net assets at beginning of year (total assets less liabilities)	2016-04-01	$47,835,685
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-04-01	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-04-01	No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year	2016-04-01	$0
Were any leases to which the plan was party in default or uncollectible	2016-04-01	No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year	2016-04-01	$0
Investment advisory and management fees	2016-04-01	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-04-01	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-04-01	$1,164,888
Value of interest in pooled separate accounts at end of year	2016-04-01	$0
Value of interest in pooled separate accounts at beginning of year	2016-04-01	$4,847,576
Interest on participant loans	2016-04-01	$9,381
Income. Interest from loans (other than to participants)	2016-04-01	$0
Interest earned on other investments	2016-04-01	$0
Income. Interest from US Government securities	2016-04-01	$0
Income. Interest from corporate debt instruments	2016-04-01	$0
Value of interest in common/collective trusts at end of year	2016-04-01	$0
Value of interest in common/collective trusts at beginning of year	2016-04-01	$37,838,747
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-04-01	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2016-04-01	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-04-01	$-7,352
Net investment gain/loss from pooled separate accounts	2016-04-01	$78,277
Net investment gain or loss from common/collective trusts	2016-04-01	$648,003
Net gain/loss from 103.12 investment entities	2016-04-01	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-04-01	No
Was there a failure to transmit to the plan any participant contributions	2016-04-01	No
Has the plan failed to provide any benefit when due under the plan	2016-04-01	No
Contributions received in cash from employer	2016-04-01	$0
Employer contributions (assets) at end of year	2016-04-01	$0
Employer contributions (assets) at beginning of year	2016-04-01	$1,774,425
Income. Dividends from preferred stock	2016-04-01	$0
Income. Dividends from common stock	2016-04-01	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-04-01	$2,597,624
Contract administrator fees	2016-04-01	$12,907
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	2016-04-01	Yes
Liabilities. Value of benefit claims payable at beginning of year	2016-04-01	$0
Did the plan have assets held for investment	2016-04-01	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	2016-04-01	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-04-01	Yes
Aggregate proceeds on sale of assets	2016-04-01	$0
Aggregate carrying amount (costs) on sale of assets	2016-04-01	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2016-04-01	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-04-01	Yes
Opinion of an independent qualified public accountant for this plan	2016-04-01	Disclaimer
Accountancy firm name	2016-04-01	LBMC, PC
Accountancy firm EIN	2016-04-01	621199757
2015 : DIALYSIS NEWCO INC. 401(K) SAVINGS PLAN 2015 401k financial data
Unrealized appreciation/depreciation of real estate assets	2015-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2015-12-31	$0
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total transfer of assets to this plan	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$8,393,438
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$4,614,212
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$4,501,006
Expenses. Certain deemed distributions of participant loans	2015-12-31	$14,291
Value of total corrective distributions	2015-12-31	$16,075
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$9,005,901
Value of total assets at end of year	2015-12-31	$47,835,685
Value of total assets at beginning of year	2015-12-31	$44,056,459
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$82,840
Total income from rents	2015-12-31	$0
Total interest from all sources	2015-12-31	$79,715
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$1,840
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	$1,840
Administrative expenses professional fees incurred	2015-12-31	$0
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Amount of non-exempt transactions with any party-in-interest	2015-12-31	$0
Contributions received from participants	2015-12-31	$6,240,494
Participant contributions at end of year	2015-12-31	$2,210,046
Participant contributions at beginning of year	2015-12-31	$2,523,283
Participant contributions at end of year	2015-12-31	$3
Participant contributions at beginning of year	2015-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$990,982
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2015-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2015-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2015-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2015-12-31	$0
Other income not declared elsewhere	2015-12-31	$26
Administrative expenses (other) incurred	2015-12-31	$0
Liabilities. Value of operating payables at beginning of year	2015-12-31	$0
Total non interest bearing cash at end of year	2015-12-31	$0
Total non interest bearing cash at beginning of year	2015-12-31	$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	2015-12-31	No
Value of net income/loss	2015-12-31	$3,779,226
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$47,835,685
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$44,056,459
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
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year	2015-12-31	$0
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year	2015-12-31	$0
Investment advisory and management fees	2015-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$1,164,888
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$1,330,699
Value of interest in pooled separate accounts at end of year	2015-12-31	$4,847,576
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$4,218,687
Interest on participant loans	2015-12-31	$79,715
Income. Interest from loans (other than to participants)	2015-12-31	$0
Interest earned on other investments	2015-12-31	$0
Income. Interest from US Government securities	2015-12-31	$0
Income. Interest from corporate debt instruments	2015-12-31	$0
Value of interest in common/collective trusts at end of year	2015-12-31	$37,838,747
Value of interest in common/collective trusts at beginning of year	2015-12-31	$34,418,822
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2015-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-7,915
Net investment gain/loss from pooled separate accounts	2015-12-31	$-74,291
Net investment gain or loss from common/collective trusts	2015-12-31	$-611,838
Net gain/loss from 103.12 investment entities	2015-12-31	$0
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	$1,774,425
Employer contributions (assets) at end of year	2015-12-31	$1,774,425
Employer contributions (assets) at beginning of year	2015-12-31	$1,564,968
Income. Dividends from preferred stock	2015-12-31	$0
Income. Dividends from common stock	2015-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$4,501,006
Contract administrator fees	2015-12-31	$82,840
Liabilities. Value of benefit claims payable at beginning of year	2015-12-31	$0
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
Aggregate proceeds on sale of assets	2015-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2015-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2015-12-31	$0
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	LBMC, PC
Accountancy firm EIN	2015-12-31	621199757
2014 : DIALYSIS NEWCO INC. 401(K) SAVINGS PLAN 2014 401k financial data
Unrealized appreciation/depreciation of real estate assets	2014-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2014-12-31	$0
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total transfer of assets to this plan	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$10,090,803
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$3,241,633
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$3,159,429
Expenses. Certain deemed distributions of participant loans	2014-12-31	$0
Value of total corrective distributions	2014-12-31	$20,951
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$8,153,325
Value of total assets at end of year	2014-12-31	$44,056,459
Value of total assets at beginning of year	2014-12-31	$37,207,289
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$61,253
Total income from rents	2014-12-31	$0
Total interest from all sources	2014-12-31	$80,682
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$4,799
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$4,799
Administrative expenses professional fees incurred	2014-12-31	$0
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Amount of non-exempt transactions with any party-in-interest	2014-12-31	$0
Contributions received from participants	2014-12-31	$5,334,377
Participant contributions at end of year	2014-12-31	$2,523,283
Participant contributions at beginning of year	2014-12-31	$2,090,397
Participant contributions at end of year	2014-12-31	$0
Participant contributions at beginning of year	2014-12-31	$35
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$1,253,980
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2014-12-31	$303
Value of other receiveables (less allowance for doubtful accounts) at end of year	2014-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2014-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2014-12-31	$0
Other income not declared elsewhere	2014-12-31	$-307,649
Administrative expenses (other) incurred	2014-12-31	$0
Liabilities. Value of operating payables at beginning of year	2014-12-31	$0
Total non interest bearing cash at end of year	2014-12-31	$0
Total non interest bearing cash at beginning of year	2014-12-31	$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	2014-12-31	No
Value of net income/loss	2014-12-31	$6,849,170
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$44,056,459
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$37,207,289
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year	2014-12-31	$0
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year	2014-12-31	$0
Investment advisory and management fees	2014-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$1,330,699
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$1,105,753
Value of interest in pooled separate accounts at end of year	2014-12-31	$4,218,687
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$3,357,009
Interest on participant loans	2014-12-31	$80,682
Income. Interest from loans (other than to participants)	2014-12-31	$0
Interest earned on other investments	2014-12-31	$0
Income. Interest from US Government securities	2014-12-31	$0
Income. Interest from corporate debt instruments	2014-12-31	$0
Value of interest in common/collective trusts at end of year	2014-12-31	$34,418,822
Value of interest in common/collective trusts at beginning of year	2014-12-31	$29,265,530
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2014-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$46,434
Net investment gain/loss from pooled separate accounts	2014-12-31	$281,317
Net investment gain or loss from common/collective trusts	2014-12-31	$1,831,895
Net gain/loss from 103.12 investment entities	2014-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$1,564,968
Employer contributions (assets) at end of year	2014-12-31	$1,564,968
Employer contributions (assets) at beginning of year	2014-12-31	$1,388,565
Income. Dividends from preferred stock	2014-12-31	$0
Income. Dividends from common stock	2014-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$3,159,126
Contract administrator fees	2014-12-31	$61,253
Liabilities. Value of benefit claims payable at beginning of year	2014-12-31	$0
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Aggregate proceeds on sale of assets	2014-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2014-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2014-12-31	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	LATTIMORE, BLACK, MORGAN & CAIN PC
Accountancy firm EIN	2014-12-31	621199757
2013 : DIALYSIS NEWCO INC. 401(K) SAVINGS PLAN 2013 401k financial data
Unrealized appreciation/depreciation of real estate assets	2013-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2013-12-31	$0
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total transfer of assets to this plan	2013-12-31	$305,531
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$11,778,467
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$3,203,291
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$3,101,028
Expenses. Certain deemed distributions of participant loans	2013-12-31	$0
Value of total corrective distributions	2013-12-31	$40,415
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$6,963,247
Value of total assets at end of year	2013-12-31	$37,207,289
Value of total assets at beginning of year	2013-12-31	$28,326,582
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$61,848
Total income from rents	2013-12-31	$0
Total interest from all sources	2013-12-31	$72,691
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$7,680
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$7,680
Administrative expenses professional fees incurred	2013-12-31	$0
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Amount of non-exempt transactions with any party-in-interest	2013-12-31	$0
Contributions received from participants	2013-12-31	$4,584,229
Participant contributions at end of year	2013-12-31	$2,090,397
Participant contributions at beginning of year	2013-12-31	$1,962,373
Participant contributions at end of year	2013-12-31	$35
Participant contributions at beginning of year	2013-12-31	$2,431
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$990,453
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2013-12-31	$9,804
Value of other receiveables (less allowance for doubtful accounts) at end of year	2013-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2013-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2013-12-31	$0
Other income not declared elsewhere	2013-12-31	$2,121
Administrative expenses (other) incurred	2013-12-31	$0
Liabilities. Value of operating payables at beginning of year	2013-12-31	$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	2013-12-31	No
Value of net income/loss	2013-12-31	$8,575,176
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$37,207,289
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$28,326,582
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year	2013-12-31	$0
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year	2013-12-31	$0
Investment advisory and management fees	2013-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$1,105,753
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$980,676
Value of interest in pooled separate accounts at end of year	2013-12-31	$3,357,009
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$2,287,764
Interest on participant loans	2013-12-31	$72,691
Income. Interest from loans (other than to participants)	2013-12-31	$0
Interest earned on other investments	2013-12-31	$0
Income. Interest from US Government securities	2013-12-31	$0
Income. Interest from corporate debt instruments	2013-12-31	$0
Value of interest in common/collective trusts at end of year	2013-12-31	$29,265,530
Value of interest in common/collective trusts at beginning of year	2013-12-31	$22,381,547
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2013-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$153,034
Net investment gain/loss from pooled separate accounts	2013-12-31	$535,050
Net investment gain or loss from common/collective trusts	2013-12-31	$4,044,644
Net gain/loss from 103.12 investment entities	2013-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$1,388,565
Employer contributions (assets) at end of year	2013-12-31	$1,388,565
Employer contributions (assets) at beginning of year	2013-12-31	$711,791
Income. Dividends from preferred stock	2013-12-31	$0
Income. Dividends from common stock	2013-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$3,091,224
Contract administrator fees	2013-12-31	$61,848
Liabilities. Value of benefit claims payable at beginning of year	2013-12-31	$0
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Aggregate proceeds on sale of assets	2013-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2013-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2013-12-31	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	LATTIMORE, BLACK, MORGAN & CAIN PC
Accountancy firm EIN	2013-12-31	621199757
2012 : DIALYSIS NEWCO INC. 401(K) SAVINGS PLAN 2012 401k financial data
Unrealized appreciation/depreciation of real estate assets	2012-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2012-12-31	$0
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total transfer of assets to this plan	2012-12-31	$25,574,813
Total transfer of assets from this plan	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$4,133,445
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$1,381,676
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$1,267,084
Expenses. Certain deemed distributions of participant loans	2012-12-31	$43,579
Value of total corrective distributions	2012-12-31	$40,565
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$3,023,671
Value of total assets at end of year	2012-12-31	$28,326,582
Value of total assets at beginning of year	2012-12-31	$0
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$30,448
Total income from rents	2012-12-31	$0
Total interest from all sources	2012-12-31	$33,424
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$7,959
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$7,959
Administrative expenses professional fees incurred	2012-12-31	$0
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2012-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Amount of non-exempt transactions with any party-in-interest	2012-12-31	$0
Contributions received from participants	2012-12-31	$2,143,811
Participant contributions at end of year	2012-12-31	$1,962,373
Participant contributions at end of year	2012-12-31	$2,431
Participant contributions at beginning of year	2012-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$168,069
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2012-12-31	$40,265
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2012-12-31	$0
Other income not declared elsewhere	2012-12-31	$0
Administrative expenses (other) incurred	2012-12-31	$0
Liabilities. Value of operating payables at beginning of year	2012-12-31	$0
Total non interest bearing cash at end of year	2012-12-31	$0
Total non interest bearing cash at beginning of year	2012-12-31	$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	2012-12-31	No
Value of net income/loss	2012-12-31	$2,751,769
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$28,326,582
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year	2012-12-31	$0
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year	2012-12-31	$0
Investment advisory and management fees	2012-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$980,676
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$0
Value of interest in pooled separate accounts at end of year	2012-12-31	$2,287,764
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$0
Interest on participant loans	2012-12-31	$33,424
Income. Interest from loans (other than to participants)	2012-12-31	$0
Interest earned on other investments	2012-12-31	$0
Income. Interest from US Government securities	2012-12-31	$0
Income. Interest from corporate debt instruments	2012-12-31	$0
Value of interest in common/collective trusts at end of year	2012-12-31	$22,381,547
Value of interest in common/collective trusts at beginning of year	2012-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2012-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$69,880
Net investment gain/loss from pooled separate accounts	2012-12-31	$184,001
Net investment gain or loss from common/collective trusts	2012-12-31	$814,510
Net gain/loss from 103.12 investment entities	2012-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$711,791
Employer contributions (assets) at end of year	2012-12-31	$711,791
Employer contributions (assets) at beginning of year	2012-12-31	$0
Income. Dividends from preferred stock	2012-12-31	$0
Income. Dividends from common stock	2012-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$1,226,819
Contract administrator fees	2012-12-31	$30,448
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2012-12-31	Yes
Liabilities. Value of benefit claims payable at beginning of year	2012-12-31	$0
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Aggregate proceeds on sale of assets	2012-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2012-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2012-12-31	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	LATTIMORE, BLACK, MORGAN & CAIN, P.
Accountancy firm EIN	2012-12-31	621199757

Form 5500 Responses for DIALYSIS NEWCO INC. 401(K) SAVINGS PLAN

2016: DIALYSIS NEWCO INC. 401(K) SAVINGS PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	This submission is the final filing	Yes
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2016-01-01	Plan is a collectively bargained plan	Yes
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: DIALYSIS NEWCO INC. 401(K) SAVINGS PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
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	Yes
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: DIALYSIS NEWCO INC. 401(K) SAVINGS PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	Yes
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: DIALYSIS NEWCO INC. 401(K) SAVINGS PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: DIALYSIS NEWCO INC. 401(K) SAVINGS PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	First time form 5500 has been submitted	Yes
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

807346

Policy instance

Insurance contract or identification number	807346
Number of Individuals Covered	0
Insurance policy start date	2016-01-01
Insurance policy end date	2016-04-01
Total amount of commissions paid to insurance broker	USD $3,030
Total amount of fees paid to insurance company	USD $151
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,030
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Additional information about fees paid to insurance broker	PRORATED INCENTIVE, NOT DEDUCTED FROM PLAN
Insurance broker name	KESTRA INVESTMENT SERVICES LLC

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

807346

Policy instance

Insurance contract or identification number	807346
Number of Individuals Covered	2089
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $11,593
Total amount of fees paid to insurance company	USD $975
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $11,593
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Additional information about fees paid to insurance broker	PRORATED INCENTIVE, NOT DEDUCTED FROM PLAN
Insurance broker name	NFP ADVISOR SERVICES LLC

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

807346

Policy instance

Insurance contract or identification number	807346
Number of Individuals Covered	1876
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $9,537
Total amount of fees paid to insurance company	USD $1,907
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $9,537
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Additional information about fees paid to insurance broker	PRORATED INCENTIVE, NOT DEDUCTED FROM PLAN
Insurance broker name	NFP ADVISOR SERVICES LLC

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

807346

Policy instance

Insurance contract or identification number	807346
Number of Individuals Covered	1722
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $53,150
Total amount of fees paid to insurance company	USD $16,208
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $53,150
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Additional information about fees paid to insurance broker	REFERRAL/SERVICE FEE AND PRORATED INCENTIVE, NOT DEDUCTED FROM PLAN
Insurance broker name	NFP SECURITIES INC

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

807346

Policy instance

Insurance contract or identification number	807346
Number of Individuals Covered	1611
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $78,635
Total amount of fees paid to insurance company	USD $7,720
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $78,451
Amount paid for insurance broker fees	3010
Additional information about fees paid to insurance broker	REFERRAL/SERVICE FEE
Insurance broker organization code?	3
Insurance broker name	NFP SECURITIES INC

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Company Name:	DIALYSIS NEWCO, INC. D.B.A. DSI RENAL
Employer identification number (EIN):	453040157
NAIC Classification:	621492
NAIC Description:	Kidney Dialysis Centers