401k Plan data: ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN plan

ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN 401k Plan overview

Plan Name	ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN
Plan identification number	001

ADVANCE COMMUNITY HEALTH, INC. 401(K) 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.
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

ADVANCE COMMUNITY HEALTH, INC. has sponsored the creation of one or more 401k plans.

Company Name: ADVANCE COMMUNITY HEALTH, INC.

Employer identification number (EIN): 561004791

NAIC Classification: 624100
NAIC Description: Individual and Family Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-07-01
001 2021-07-01
001 2020-07-01
001 2020-07-01
001 2019-07-01
001 2018-07-01
001 2017-07-01
001 2016-07-01 PENELLA WASHINGTON
001 2015-07-01 PENELLA WASHINGTON
001 2014-07-01 PENELLA WASHINGTON
001 2013-07-01 PENELLA WASHINGTON
001 2012-07-01 PENELLA WASHINGTON
001 2011-07-01 PENELLA WASHINGTON
001 2009-07-01 PENELLA WASHINGTON PENELLA WASHINGTON 2011-01-13

Plan Statistics for ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN

401k plan membership statisitcs for ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN

Measure Date Value
2022: ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year 2022-07-01 341
Total number of active participants reported on line 7a of the Form 5500 2022-07-01 145
Number of retired or separated participants receiving benefits 2022-07-01 10
Number of other retired or separated participants entitled to future benefits 2022-07-01 215
Total of all active and inactive participants 2022-07-01 370
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-07-01 0
Total participants 2022-07-01 370
Number of participants with account balances 2022-07-01 348
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-07-01 17
2021: ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-07-01 256
Total number of active participants reported on line 7a of the Form 5500 2021-07-01 176
Number of retired or separated participants receiving benefits 2021-07-01 2
Number of other retired or separated participants entitled to future benefits 2021-07-01 145
Total of all active and inactive participants 2021-07-01 323
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-07-01 0
Total participants 2021-07-01 323
Number of participants with account balances 2021-07-01 298
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-07-01 0
2020: ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-07-01 256
Total number of active participants reported on line 7a of the Form 5500 2020-07-01 176
Number of retired or separated participants receiving benefits 2020-07-01 2
Number of other retired or separated participants entitled to future benefits 2020-07-01 145
Total of all active and inactive participants 2020-07-01 323
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-07-01 0
Total participants 2020-07-01 323
Number of participants with account balances 2020-07-01 298
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-07-01 0
2019: ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-07-01 184
Total number of active participants reported on line 7a of the Form 5500 2019-07-01 144
Number of retired or separated participants receiving benefits 2019-07-01 2
Number of other retired or separated participants entitled to future benefits 2019-07-01 110
Total of all active and inactive participants 2019-07-01 256
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-07-01 0
Total participants 2019-07-01 256
Number of participants with account balances 2019-07-01 233
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-07-01 0
2018: ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-07-01 176
Total number of active participants reported on line 7a of the Form 5500 2018-07-01 125
Number of retired or separated participants receiving benefits 2018-07-01 0
Number of other retired or separated participants entitled to future benefits 2018-07-01 86
Total of all active and inactive participants 2018-07-01 211
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-07-01 1
Total participants 2018-07-01 212
Number of participants with account balances 2018-07-01 184
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-07-01 1
2017: ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-07-01 193
Total number of active participants reported on line 7a of the Form 5500 2017-07-01 125
Number of retired or separated participants receiving benefits 2017-07-01 0
Number of other retired or separated participants entitled to future benefits 2017-07-01 50
Total of all active and inactive participants 2017-07-01 175
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-07-01 1
Total participants 2017-07-01 176
Number of participants with account balances 2017-07-01 160
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-07-01 1
2016: ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-07-01 237
Total number of active participants reported on line 7a of the Form 5500 2016-07-01 99
Number of retired or separated participants receiving benefits 2016-07-01 0
Number of other retired or separated participants entitled to future benefits 2016-07-01 89
Total of all active and inactive participants 2016-07-01 188
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-07-01 1
Total participants 2016-07-01 189
Number of participants with account balances 2016-07-01 185
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-07-01 4
2015: ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-07-01 225
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 125
Number of retired or separated participants receiving benefits 2015-07-01 0
Number of other retired or separated participants entitled to future benefits 2015-07-01 95
Total of all active and inactive participants 2015-07-01 220
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-07-01 0
Total participants 2015-07-01 220
Number of participants with account balances 2015-07-01 175
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-07-01 4
2014: ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-07-01 164
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 152
Number of retired or separated participants receiving benefits 2014-07-01 0
Number of other retired or separated participants entitled to future benefits 2014-07-01 61
Total of all active and inactive participants 2014-07-01 213
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-07-01 0
Total participants 2014-07-01 213
Number of participants with account balances 2014-07-01 145
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-07-01 3
2013: ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-07-01 146
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 91
Number of retired or separated participants receiving benefits 2013-07-01 0
Number of other retired or separated participants entitled to future benefits 2013-07-01 60
Total of all active and inactive participants 2013-07-01 151
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-07-01 0
Total participants 2013-07-01 151
Number of participants with account balances 2013-07-01 128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-07-01 1
2012: ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-07-01 141
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 83
Number of retired or separated participants receiving benefits 2012-07-01 0
Number of other retired or separated participants entitled to future benefits 2012-07-01 53
Total of all active and inactive participants 2012-07-01 136
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-07-01 0
Total participants 2012-07-01 136
Number of participants with account balances 2012-07-01 86
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-07-01 1
2011: ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 115
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 81
Number of retired or separated participants receiving benefits 2011-07-01 0
Number of other retired or separated participants entitled to future benefits 2011-07-01 49
Total of all active and inactive participants 2011-07-01 130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-07-01 0
Total participants 2011-07-01 130
Number of participants with account balances 2011-07-01 98
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-07-01 0
2009: ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-07-01 155
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 94
Number of retired or separated participants receiving benefits 2009-07-01 0
Number of other retired or separated participants entitled to future benefits 2009-07-01 55
Total of all active and inactive participants 2009-07-01 149
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-07-01 0
Total participants 2009-07-01 149
Number of participants with account balances 2009-07-01 113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-07-01 0

Measure	Date	Value
2022: ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year	2022-07-01	341
Total number of active participants reported on line 7a of the Form 5500	2022-07-01	145
Number of retired or separated participants receiving benefits	2022-07-01	10
Number of other retired or separated participants entitled to future benefits	2022-07-01	215
Total of all active and inactive participants	2022-07-01	370
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-07-01	0
Total participants	2022-07-01	370
Number of participants with account balances	2022-07-01	348
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-07-01	17
2021: ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-07-01	256
Total number of active participants reported on line 7a of the Form 5500	2021-07-01	176
Number of retired or separated participants receiving benefits	2021-07-01	2
Number of other retired or separated participants entitled to future benefits	2021-07-01	145
Total of all active and inactive participants	2021-07-01	323
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-07-01	0
Total participants	2021-07-01	323
Number of participants with account balances	2021-07-01	298
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-07-01	0
2020: ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-07-01	256
Total number of active participants reported on line 7a of the Form 5500	2020-07-01	176
Number of retired or separated participants receiving benefits	2020-07-01	2
Number of other retired or separated participants entitled to future benefits	2020-07-01	145
Total of all active and inactive participants	2020-07-01	323
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-07-01	0
Total participants	2020-07-01	323
Number of participants with account balances	2020-07-01	298
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-07-01	0
2019: ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-07-01	184
Total number of active participants reported on line 7a of the Form 5500	2019-07-01	144
Number of retired or separated participants receiving benefits	2019-07-01	2
Number of other retired or separated participants entitled to future benefits	2019-07-01	110
Total of all active and inactive participants	2019-07-01	256
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-07-01	0
Total participants	2019-07-01	256
Number of participants with account balances	2019-07-01	233
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-07-01	0
2018: ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-07-01	176
Total number of active participants reported on line 7a of the Form 5500	2018-07-01	125
Number of retired or separated participants receiving benefits	2018-07-01	0
Number of other retired or separated participants entitled to future benefits	2018-07-01	86
Total of all active and inactive participants	2018-07-01	211
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-07-01	1
Total participants	2018-07-01	212
Number of participants with account balances	2018-07-01	184
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-07-01	1
2017: ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-07-01	193
Total number of active participants reported on line 7a of the Form 5500	2017-07-01	125
Number of retired or separated participants receiving benefits	2017-07-01	0
Number of other retired or separated participants entitled to future benefits	2017-07-01	50
Total of all active and inactive participants	2017-07-01	175
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-07-01	1
Total participants	2017-07-01	176
Number of participants with account balances	2017-07-01	160
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-07-01	1
2016: ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-07-01	237
Total number of active participants reported on line 7a of the Form 5500	2016-07-01	99
Number of retired or separated participants receiving benefits	2016-07-01	0
Number of other retired or separated participants entitled to future benefits	2016-07-01	89
Total of all active and inactive participants	2016-07-01	188
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-07-01	1
Total participants	2016-07-01	189
Number of participants with account balances	2016-07-01	185
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-07-01	4
2015: ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-07-01	225
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	125
Number of retired or separated participants receiving benefits	2015-07-01	0
Number of other retired or separated participants entitled to future benefits	2015-07-01	95
Total of all active and inactive participants	2015-07-01	220
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-07-01	0
Total participants	2015-07-01	220
Number of participants with account balances	2015-07-01	175
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-07-01	4
2014: ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-07-01	164
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	152
Number of retired or separated participants receiving benefits	2014-07-01	0
Number of other retired or separated participants entitled to future benefits	2014-07-01	61
Total of all active and inactive participants	2014-07-01	213
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-07-01	0
Total participants	2014-07-01	213
Number of participants with account balances	2014-07-01	145
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-07-01	3
2013: ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-07-01	146
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	91
Number of retired or separated participants receiving benefits	2013-07-01	0
Number of other retired or separated participants entitled to future benefits	2013-07-01	60
Total of all active and inactive participants	2013-07-01	151
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-07-01	0
Total participants	2013-07-01	151
Number of participants with account balances	2013-07-01	128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-07-01	1
2012: ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-07-01	141
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	83
Number of retired or separated participants receiving benefits	2012-07-01	0
Number of other retired or separated participants entitled to future benefits	2012-07-01	53
Total of all active and inactive participants	2012-07-01	136
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-07-01	0
Total participants	2012-07-01	136
Number of participants with account balances	2012-07-01	86
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-07-01	1
2011: ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	115
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	81
Number of retired or separated participants receiving benefits	2011-07-01	0
Number of other retired or separated participants entitled to future benefits	2011-07-01	49
Total of all active and inactive participants	2011-07-01	130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-07-01	0
Total participants	2011-07-01	130
Number of participants with account balances	2011-07-01	98
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-07-01	0
2009: ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-07-01	155
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	94
Number of retired or separated participants receiving benefits	2009-07-01	0
Number of other retired or separated participants entitled to future benefits	2009-07-01	55
Total of all active and inactive participants	2009-07-01	149
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-07-01	0
Total participants	2009-07-01	149
Number of participants with account balances	2009-07-01	113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-07-01	0

Financial Data on ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN

Measure	Date	Value
2023 : ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN 2023 401k financial data
Total unrealized appreciation/depreciation of assets	2023-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2023-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2023-06-30	$0
Total income from all sources (including contributions)	2023-06-30	$1,220,851
Total loss/gain on sale of assets	2023-06-30	$0
Total of all expenses incurred	2023-06-30	$1,010,152
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2023-06-30	$969,841
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2023-06-30	$721,689
Value of total assets at end of year	2023-06-30	$4,123,614
Value of total assets at beginning of year	2023-06-30	$3,912,915
Total of administrative expenses incurred including professional, contract, advisory and management fees	2023-06-30	$40,311
Total interest from all sources	2023-06-30	$0
Total dividends received (eg from common stock, registered investment company shares)	2023-06-30	$40,957
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2023-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2023-06-30	$40,957
Was this plan covered by a fidelity bond	2023-06-30	Yes
Value of fidelity bond cover	2023-06-30	$400,000
If this is an individual account plan, was there a blackout period	2023-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2023-06-30	No
Contributions received from participants	2023-06-30	$454,803
Income. Received or receivable in cash from other sources (including rollovers)	2023-06-30	$8,975
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2023-06-30	No
Value of net income/loss	2023-06-30	$210,699
Value of net assets at end of year (total assets less liabilities)	2023-06-30	$4,123,614
Value of net assets at beginning of year (total assets less liabilities)	2023-06-30	$3,912,915
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2023-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2023-06-30	No
Were any leases to which the plan was party in default or uncollectible	2023-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2023-06-30	$1,699,879
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2023-06-30	$1,854,562
Value of interest in common/collective trusts at end of year	2023-06-30	$2,363,653
Value of interest in common/collective trusts at beginning of year	2023-06-30	$1,897,011
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2023-06-30	$60,082
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2023-06-30	$49,840
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2023-06-30	$49,840
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2023-06-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2023-06-30	$111,502
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2023-06-30	$217,095
Net investment gain or loss from common/collective trusts	2023-06-30	$241,110
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2023-06-30	No
Was there a failure to transmit to the plan any participant contributions	2023-06-30	No
Has the plan failed to provide any benefit when due under the plan	2023-06-30	No
Contributions received in cash from employer	2023-06-30	$257,911
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2023-06-30	$969,841
Contract administrator fees	2023-06-30	$40,311
Did the plan have assets held for investment	2023-06-30	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	2023-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2023-06-30	No
Opinion of an independent qualified public accountant for this plan	2023-06-30	Unqualified
Accountancy firm name	2023-06-30	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2023-06-30	410746749
2022 : ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-06-30	$0
Total income from all sources (including contributions)	2022-06-30	$92,485
Total loss/gain on sale of assets	2022-06-30	$0
Total of all expenses incurred	2022-06-30	$1,150,836
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-06-30	$1,107,876
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-06-30	$750,922
Value of total assets at end of year	2022-06-30	$3,912,915
Value of total assets at beginning of year	2022-06-30	$4,971,266
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-06-30	$42,960
Total interest from all sources	2022-06-30	$0
Total dividends received (eg from common stock, registered investment company shares)	2022-06-30	$86,515
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-06-30	$86,515
Was this plan covered by a fidelity bond	2022-06-30	Yes
Value of fidelity bond cover	2022-06-30	$400,000
If this is an individual account plan, was there a blackout period	2022-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2022-06-30	No
Contributions received from participants	2022-06-30	$494,361
Income. Received or receivable in cash from other sources (including rollovers)	2022-06-30	$3,327
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-06-30	No
Value of net income/loss	2022-06-30	$-1,058,351
Value of net assets at end of year (total assets less liabilities)	2022-06-30	$3,912,915
Value of net assets at beginning of year (total assets less liabilities)	2022-06-30	$4,971,266
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-06-30	No
Were any leases to which the plan was party in default or uncollectible	2022-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-06-30	$1,854,562
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-06-30	$2,290,665
Value of interest in common/collective trusts at end of year	2022-06-30	$1,897,011
Value of interest in common/collective trusts at beginning of year	2022-06-30	$2,527,720
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2022-06-30	$49,840
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2022-06-30	$41,379
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2022-06-30	$41,379
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-06-30	$111,502
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-06-30	$111,502
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-06-30	$-372,285
Net investment gain or loss from common/collective trusts	2022-06-30	$-372,667
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-06-30	No
Was there a failure to transmit to the plan any participant contributions	2022-06-30	No
Has the plan failed to provide any benefit when due under the plan	2022-06-30	No
Contributions received in cash from employer	2022-06-30	$253,234
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-06-30	$1,107,876
Contract administrator fees	2022-06-30	$42,960
Did the plan have assets held for investment	2022-06-30	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	2022-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-06-30	No
Opinion of an independent qualified public accountant for this plan	2022-06-30	Unqualified
Accountancy firm name	2022-06-30	SHARRARD, MCGEE & CO., PA
Accountancy firm EIN	2022-06-30	561146197
2021 : ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-06-30	$0
Total income from all sources (including contributions)	2021-06-30	$1,696,556
Total loss/gain on sale of assets	2021-06-30	$0
Total of all expenses incurred	2021-06-30	$254,301
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-06-30	$217,202
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-06-30	$669,744
Value of total assets at end of year	2021-06-30	$4,971,266
Value of total assets at beginning of year	2021-06-30	$3,529,011
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-06-30	$37,099
Total interest from all sources	2021-06-30	$0
Total dividends received (eg from common stock, registered investment company shares)	2021-06-30	$85,919
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-06-30	$85,919
Was this plan covered by a fidelity bond	2021-06-30	Yes
Value of fidelity bond cover	2021-06-30	$400,000
If this is an individual account plan, was there a blackout period	2021-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2021-06-30	No
Contributions received from participants	2021-06-30	$446,125
Income. Received or receivable in cash from other sources (including rollovers)	2021-06-30	$22,502
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-06-30	No
Value of net income/loss	2021-06-30	$1,442,255
Value of net assets at end of year (total assets less liabilities)	2021-06-30	$4,971,266
Value of net assets at beginning of year (total assets less liabilities)	2021-06-30	$3,529,011
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-06-30	No
Were any leases to which the plan was party in default or uncollectible	2021-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-06-30	$2,290,665
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-06-30	$1,666,942
Value of interest in common/collective trusts at end of year	2021-06-30	$2,527,720
Value of interest in common/collective trusts at beginning of year	2021-06-30	$1,713,766
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2021-06-30	$41,379
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2021-06-30	$45,421
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2021-06-30	$45,421
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-06-30	$111,502
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-06-30	$102,882
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-06-30	$449,622
Net investment gain or loss from common/collective trusts	2021-06-30	$491,271
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-06-30	No
Was there a failure to transmit to the plan any participant contributions	2021-06-30	No
Has the plan failed to provide any benefit when due under the plan	2021-06-30	No
Contributions received in cash from employer	2021-06-30	$201,117
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-06-30	$217,202
Contract administrator fees	2021-06-30	$37,099
Did the plan have assets held for investment	2021-06-30	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	2021-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-06-30	No
Opinion of an independent qualified public accountant for this plan	2021-06-30	Disclaimer
Accountancy firm name	2021-06-30	SHARRARD, MCGEE & CO., PA
Accountancy firm EIN	2021-06-30	561146197
2020 : ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-06-30	$0
Total income from all sources (including contributions)	2020-06-30	$600,603
Total loss/gain on sale of assets	2020-06-30	$0
Total of all expenses incurred	2020-06-30	$115,598
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-06-30	$87,430
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-06-30	$512,845
Value of total assets at end of year	2020-06-30	$3,529,011
Value of total assets at beginning of year	2020-06-30	$3,044,006
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-06-30	$28,168
Total interest from all sources	2020-06-30	$169
Total dividends received (eg from common stock, registered investment company shares)	2020-06-30	$52,840
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-06-30	$52,840
Was this plan covered by a fidelity bond	2020-06-30	Yes
Value of fidelity bond cover	2020-06-30	$400,000
If this is an individual account plan, was there a blackout period	2020-06-30	Yes
Were there any nonexempt tranactions with any party-in-interest	2020-06-30	No
Contributions received from participants	2020-06-30	$329,888
Income. Received or receivable in cash from other sources (including rollovers)	2020-06-30	$23,659
Total non interest bearing cash at end of year	2020-06-30	$0
Total non interest bearing cash at beginning of year	2020-06-30	$16,879
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-06-30	No
Value of net income/loss	2020-06-30	$485,005
Value of net assets at end of year (total assets less liabilities)	2020-06-30	$3,529,011
Value of net assets at beginning of year (total assets less liabilities)	2020-06-30	$3,044,006
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-06-30	No
Were any leases to which the plan was party in default or uncollectible	2020-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-06-30	$1,666,942
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-06-30	$1,669,477
Value of interest in common/collective trusts at end of year	2020-06-30	$1,713,766
Value of interest in common/collective trusts at beginning of year	2020-06-30	$1,219,901
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2020-06-30	$45,421
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2020-06-30	$34,799
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2020-06-30	$34,799
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2020-06-30	$169
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-06-30	$102,882
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-06-30	$102,950
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-06-30	$-17,244
Net investment gain or loss from common/collective trusts	2020-06-30	$51,993
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-06-30	No
Was there a failure to transmit to the plan any participant contributions	2020-06-30	Yes
Has the plan failed to provide any benefit when due under the plan	2020-06-30	No
Contributions received in cash from employer	2020-06-30	$159,298
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-06-30	$87,430
Contract administrator fees	2020-06-30	$28,168
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2020-06-30	Yes
Did the plan have assets held for investment	2020-06-30	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	2020-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2020-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2020-06-30	Disclaimer
Accountancy firm name	2020-06-30	SHARRARD, MCGEE & CO., PA
Accountancy firm EIN	2020-06-30	561146197
2019 : ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-06-30	$0
Total income from all sources (including contributions)	2019-06-30	$599,462
Total loss/gain on sale of assets	2019-06-30	$0
Total of all expenses incurred	2019-06-30	$253,472
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-06-30	$229,209
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-06-30	$461,670
Value of total assets at end of year	2019-06-30	$3,044,006
Value of total assets at beginning of year	2019-06-30	$2,698,016
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-06-30	$24,263
Total interest from all sources	2019-06-30	$652
Total dividends received (eg from common stock, registered investment company shares)	2019-06-30	$80,892
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-06-30	$80,892
Was this plan covered by a fidelity bond	2019-06-30	Yes
Value of fidelity bond cover	2019-06-30	$400,000
If this is an individual account plan, was there a blackout period	2019-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2019-06-30	No
Contributions received from participants	2019-06-30	$322,320
Assets. Other investments not covered elsewhere at end of year	2019-06-30	$102,950
Assets. Other investments not covered elsewhere at beginning of year	2019-06-30	$98,637
Other income not declared elsewhere	2019-06-30	$4,313
Administrative expenses (other) incurred	2019-06-30	$24,263
Total non interest bearing cash at end of year	2019-06-30	$16,879
Total non interest bearing cash at beginning of year	2019-06-30	$16,599
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-06-30	No
Value of net income/loss	2019-06-30	$345,990
Value of net assets at end of year (total assets less liabilities)	2019-06-30	$3,044,006
Value of net assets at beginning of year (total assets less liabilities)	2019-06-30	$2,698,016
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-06-30	No
Were any leases to which the plan was party in default or uncollectible	2019-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-06-30	$1,669,477
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-06-30	$1,625,999
Value of interest in common/collective trusts at end of year	2019-06-30	$1,219,901
Value of interest in common/collective trusts at beginning of year	2019-06-30	$923,170
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-06-30	$34,799
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-06-30	$33,611
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-06-30	$33,611
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-06-30	$652
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-06-30	$51,935
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-06-30	No
Was there a failure to transmit to the plan any participant contributions	2019-06-30	No
Has the plan failed to provide any benefit when due under the plan	2019-06-30	No
Contributions received in cash from employer	2019-06-30	$139,350
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-06-30	$229,209
Did the plan have assets held for investment	2019-06-30	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	2019-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2019-06-30	Disclaimer
Accountancy firm name	2019-06-30	SHARRARD, MCGEE & CO., PA
Accountancy firm EIN	2019-06-30	561146197
2018 : ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-06-30	$0
Total income from all sources (including contributions)	2018-06-30	$582,401
Total loss/gain on sale of assets	2018-06-30	$0
Total of all expenses incurred	2018-06-30	$416,156
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-06-30	$388,627
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-06-30	$367,208
Value of total assets at end of year	2018-06-30	$2,698,016
Value of total assets at beginning of year	2018-06-30	$2,531,771
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-06-30	$27,529
Total interest from all sources	2018-06-30	$502
Total dividends received (eg from common stock, registered investment company shares)	2018-06-30	$43,130
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-06-30	$43,130
Was this plan covered by a fidelity bond	2018-06-30	Yes
Value of fidelity bond cover	2018-06-30	$400,000
If this is an individual account plan, was there a blackout period	2018-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2018-06-30	No
Contributions received from participants	2018-06-30	$243,694
Participant contributions at end of year	2018-06-30	$0
Participant contributions at beginning of year	2018-06-30	$4,476
Participant contributions at end of year	2018-06-30	$0
Participant contributions at beginning of year	2018-06-30	$10,105
Assets. Other investments not covered elsewhere at end of year	2018-06-30	$98,637
Assets. Other investments not covered elsewhere at beginning of year	2018-06-30	$90,292
Other income not declared elsewhere	2018-06-30	$3,900
Administrative expenses (other) incurred	2018-06-30	$27,529
Total non interest bearing cash at end of year	2018-06-30	$16,599
Total non interest bearing cash at beginning of year	2018-06-30	$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	2018-06-30	No
Value of net income/loss	2018-06-30	$166,245
Value of net assets at end of year (total assets less liabilities)	2018-06-30	$2,698,016
Value of net assets at beginning of year (total assets less liabilities)	2018-06-30	$2,531,771
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-06-30	No
Were any leases to which the plan was party in default or uncollectible	2018-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-06-30	$1,625,999
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-06-30	$1,633,019
Interest on participant loans	2018-06-30	$103
Value of interest in common/collective trusts at end of year	2018-06-30	$923,170
Value of interest in common/collective trusts at beginning of year	2018-06-30	$727,841
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2018-06-30	$33,611
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2018-06-30	$56,822
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2018-06-30	$56,822
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2018-06-30	$399
Expenses. Payments to insurance carriers foe the provision of benefits	2018-06-30	$1,452
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-06-30	$167,661
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-06-30	No
Was there a failure to transmit to the plan any participant contributions	2018-06-30	No
Has the plan failed to provide any benefit when due under the plan	2018-06-30	No
Contributions received in cash from employer	2018-06-30	$123,514
Employer contributions (assets) at end of year	2018-06-30	$0
Employer contributions (assets) at beginning of year	2018-06-30	$9,216
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-06-30	$387,175
Did the plan have assets held for investment	2018-06-30	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	2018-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2018-06-30	Disclaimer
Accountancy firm name	2018-06-30	SHARRARD, MCGEE & CO., PA
Accountancy firm EIN	2018-06-30	561146197
2017 : ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-06-30	$0
Total income from all sources (including contributions)	2017-06-30	$636,254
Total loss/gain on sale of assets	2017-06-30	$0
Total of all expenses incurred	2017-06-30	$842,804
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-06-30	$816,874
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-06-30	$347,878
Value of total assets at end of year	2017-06-30	$2,531,771
Value of total assets at beginning of year	2017-06-30	$2,738,321
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-06-30	$25,930
Total interest from all sources	2017-06-30	$335
Total dividends received (eg from common stock, registered investment company shares)	2017-06-30	$72,315
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-06-30	$72,315
Was this plan covered by a fidelity bond	2017-06-30	Yes
Value of fidelity bond cover	2017-06-30	$400,000
If this is an individual account plan, was there a blackout period	2017-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2017-06-30	No
Contributions received from participants	2017-06-30	$250,200
Participant contributions at end of year	2017-06-30	$4,476
Participant contributions at beginning of year	2017-06-30	$7,220
Participant contributions at end of year	2017-06-30	$10,105
Assets. Other investments not covered elsewhere at end of year	2017-06-30	$90,292
Assets. Other investments not covered elsewhere at beginning of year	2017-06-30	$90,292
Other income not declared elsewhere	2017-06-30	$-7,028
Administrative expenses (other) incurred	2017-06-30	$25,930
Total non interest bearing cash at end of year	2017-06-30	$0
Total non interest bearing cash at beginning of year	2017-06-30	$200
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-06-30	No
Value of net income/loss	2017-06-30	$-206,550
Value of net assets at end of year (total assets less liabilities)	2017-06-30	$2,531,771
Value of net assets at beginning of year (total assets less liabilities)	2017-06-30	$2,738,321
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-06-30	No
Were any leases to which the plan was party in default or uncollectible	2017-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-06-30	$1,633,019
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-06-30	$2,592,710
Interest on participant loans	2017-06-30	$224
Value of interest in common/collective trusts at end of year	2017-06-30	$727,841
Value of interest in common/collective trusts at beginning of year	2017-06-30	$47,899
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2017-06-30	$56,822
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-06-30	$111
Expenses. Payments to insurance carriers foe the provision of benefits	2017-06-30	$726
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-06-30	$222,313
Net investment gain or loss from common/collective trusts	2017-06-30	$441
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-06-30	No
Was there a failure to transmit to the plan any participant contributions	2017-06-30	No
Has the plan failed to provide any benefit when due under the plan	2017-06-30	No
Contributions received in cash from employer	2017-06-30	$97,678
Employer contributions (assets) at end of year	2017-06-30	$9,216
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-06-30	$816,148
Did the plan have assets held for investment	2017-06-30	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	2017-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2017-06-30	Disclaimer
Accountancy firm name	2017-06-30	SHARRARD, MCGEE & CO., PA
Accountancy firm EIN	2017-06-30	561146197
2016 : ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-06-30	$0
Total income from all sources (including contributions)	2016-06-30	$367,813
Total loss/gain on sale of assets	2016-06-30	$0
Total of all expenses incurred	2016-06-30	$671,853
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-06-30	$650,180
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-06-30	$323,617
Value of total assets at end of year	2016-06-30	$2,738,321
Value of total assets at beginning of year	2016-06-30	$3,042,361
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-06-30	$21,673
Total interest from all sources	2016-06-30	$372
Total dividends received (eg from common stock, registered investment company shares)	2016-06-30	$161,036
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-06-30	$161,036
Was this plan covered by a fidelity bond	2016-06-30	Yes
Value of fidelity bond cover	2016-06-30	$140,000
If this is an individual account plan, was there a blackout period	2016-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2016-06-30	No
Contributions received from participants	2016-06-30	$226,903
Participant contributions at end of year	2016-06-30	$7,220
Participant contributions at beginning of year	2016-06-30	$10,179
Assets. Other investments not covered elsewhere at end of year	2016-06-30	$90,292
Assets. Other investments not covered elsewhere at beginning of year	2016-06-30	$86,725
Other income not declared elsewhere	2016-06-30	$-458
Administrative expenses (other) incurred	2016-06-30	$21,673
Total non interest bearing cash at end of year	2016-06-30	$200
Total non interest bearing cash at beginning of year	2016-06-30	$100
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-06-30	No
Value of net income/loss	2016-06-30	$-304,040
Value of net assets at end of year (total assets less liabilities)	2016-06-30	$2,738,321
Value of net assets at beginning of year (total assets less liabilities)	2016-06-30	$3,042,361
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-06-30	No
Were any leases to which the plan was party in default or uncollectible	2016-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-06-30	$2,592,710
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-06-30	$2,870,476
Interest on participant loans	2016-06-30	$372
Value of interest in common/collective trusts at end of year	2016-06-30	$47,899
Value of interest in common/collective trusts at beginning of year	2016-06-30	$56,017
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-06-30	$-117,106
Net investment gain or loss from common/collective trusts	2016-06-30	$352
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-06-30	No
Was there a failure to transmit to the plan any participant contributions	2016-06-30	No
Has the plan failed to provide any benefit when due under the plan	2016-06-30	No
Contributions received in cash from employer	2016-06-30	$96,714
Employer contributions (assets) at beginning of year	2016-06-30	$18,864
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-06-30	$650,180
Did the plan have assets held for investment	2016-06-30	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	2016-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2016-06-30	Disclaimer
Accountancy firm name	2016-06-30	DIXON HUGHES GOODMAN, LLP
Accountancy firm EIN	2016-06-30	560747981
2015 : ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-06-30	$0
Total income from all sources (including contributions)	2015-06-30	$458,941
Total loss/gain on sale of assets	2015-06-30	$0
Total of all expenses incurred	2015-06-30	$372,148
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-06-30	$350,296
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-06-30	$343,055
Value of total assets at end of year	2015-06-30	$3,042,361
Value of total assets at beginning of year	2015-06-30	$2,955,568
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-06-30	$21,852
Total interest from all sources	2015-06-30	$496
Total dividends received (eg from common stock, registered investment company shares)	2015-06-30	$158,147
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-06-30	$158,147
Was this plan covered by a fidelity bond	2015-06-30	Yes
Value of fidelity bond cover	2015-06-30	$400,000
If this is an individual account plan, was there a blackout period	2015-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2015-06-30	No
Contributions received from participants	2015-06-30	$183,012
Participant contributions at end of year	2015-06-30	$10,179
Participant contributions at beginning of year	2015-06-30	$13,038
Assets. Other investments not covered elsewhere at end of year	2015-06-30	$86,725
Assets. Other investments not covered elsewhere at beginning of year	2015-06-30	$82,958
Income. Received or receivable in cash from other sources (including rollovers)	2015-06-30	$49,972
Other income not declared elsewhere	2015-06-30	$3,766
Administrative expenses (other) incurred	2015-06-30	$21,852
Total non interest bearing cash at end of year	2015-06-30	$100
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-06-30	No
Value of net income/loss	2015-06-30	$86,793
Value of net assets at end of year (total assets less liabilities)	2015-06-30	$3,042,361
Value of net assets at beginning of year (total assets less liabilities)	2015-06-30	$2,955,568
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-06-30	No
Were any leases to which the plan was party in default or uncollectible	2015-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-06-30	$2,870,476
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-06-30	$2,779,171
Interest on participant loans	2015-06-30	$496
Value of interest in common/collective trusts at end of year	2015-06-30	$56,017
Value of interest in common/collective trusts at beginning of year	2015-06-30	$71,169
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-06-30	$-46,959
Net investment gain or loss from common/collective trusts	2015-06-30	$436
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-06-30	No
Was there a failure to transmit to the plan any participant contributions	2015-06-30	No
Has the plan failed to provide any benefit when due under the plan	2015-06-30	No
Contributions received in cash from employer	2015-06-30	$110,071
Employer contributions (assets) at end of year	2015-06-30	$18,864
Employer contributions (assets) at beginning of year	2015-06-30	$9,232
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-06-30	$350,296
Did the plan have assets held for investment	2015-06-30	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	2015-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2015-06-30	Disclaimer
Accountancy firm name	2015-06-30	DIXON HUGHES GOODMAN, LLP
Accountancy firm EIN	2015-06-30	560747981
2014 : ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-06-30	$0
Total income from all sources (including contributions)	2014-06-30	$768,047
Total loss/gain on sale of assets	2014-06-30	$0
Total of all expenses incurred	2014-06-30	$914,893
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-06-30	$894,019
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-06-30	$316,930
Value of total assets at end of year	2014-06-30	$2,955,568
Value of total assets at beginning of year	2014-06-30	$3,102,414
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-06-30	$20,874
Total interest from all sources	2014-06-30	$642
Total dividends received (eg from common stock, registered investment company shares)	2014-06-30	$109,706
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-06-30	$109,706
Was this plan covered by a fidelity bond	2014-06-30	Yes
Value of fidelity bond cover	2014-06-30	$140,000
If this is an individual account plan, was there a blackout period	2014-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2014-06-30	No
Contributions received from participants	2014-06-30	$221,626
Participant contributions at end of year	2014-06-30	$13,038
Participant contributions at beginning of year	2014-06-30	$15,968
Assets. Other investments not covered elsewhere at end of year	2014-06-30	$82,958
Assets. Other investments not covered elsewhere at beginning of year	2014-06-30	$79,303
Income. Received or receivable in cash from other sources (including rollovers)	2014-06-30	$1,343
Administrative expenses (other) incurred	2014-06-30	$20,874
Total non interest bearing cash at beginning of year	2014-06-30	$6,102
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-06-30	No
Value of net income/loss	2014-06-30	$-146,846
Value of net assets at end of year (total assets less liabilities)	2014-06-30	$2,955,568
Value of net assets at beginning of year (total assets less liabilities)	2014-06-30	$3,102,414
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-06-30	No
Were any leases to which the plan was party in default or uncollectible	2014-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-06-30	$2,779,171
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-06-30	$2,931,737
Interest on participant loans	2014-06-30	$642
Value of interest in common/collective trusts at end of year	2014-06-30	$71,169
Value of interest in common/collective trusts at beginning of year	2014-06-30	$69,304
Expenses. Payments to insurance carriers foe the provision of benefits	2014-06-30	$726
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-06-30	$340,292
Net investment gain or loss from common/collective trusts	2014-06-30	$477
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-06-30	No
Was there a failure to transmit to the plan any participant contributions	2014-06-30	No
Has the plan failed to provide any benefit when due under the plan	2014-06-30	No
Contributions received in cash from employer	2014-06-30	$93,961
Employer contributions (assets) at end of year	2014-06-30	$9,232
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-06-30	$893,293
Did the plan have assets held for investment	2014-06-30	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	2014-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2014-06-30	Disclaimer
Accountancy firm name	2014-06-30	ANTHONY & TABB, P.A., CPA'S
Accountancy firm EIN	2014-06-30	561717577
2013 : ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-06-30	$0
Total income from all sources (including contributions)	2013-06-30	$467,221
Total loss/gain on sale of assets	2013-06-30	$0
Total of all expenses incurred	2013-06-30	$373,452
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-06-30	$342,972
Value of total corrective distributions	2013-06-30	$11,228
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-06-30	$168,792
Value of total assets at end of year	2013-06-30	$3,102,414
Value of total assets at beginning of year	2013-06-30	$3,008,645
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-06-30	$19,252
Total interest from all sources	2013-06-30	$702
Total dividends received (eg from common stock, registered investment company shares)	2013-06-30	$101,746
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-06-30	$101,746
Was this plan covered by a fidelity bond	2013-06-30	Yes
Value of fidelity bond cover	2013-06-30	$140,000
If this is an individual account plan, was there a blackout period	2013-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2013-06-30	No
Contributions received from participants	2013-06-30	$163,626
Participant contributions at end of year	2013-06-30	$15,968
Participant contributions at beginning of year	2013-06-30	$14,986
Assets. Other investments not covered elsewhere at end of year	2013-06-30	$79,303
Assets. Other investments not covered elsewhere at beginning of year	2013-06-30	$75,872
Income. Received or receivable in cash from other sources (including rollovers)	2013-06-30	$5,166
Administrative expenses (other) incurred	2013-06-30	$19,252
Total non interest bearing cash at end of year	2013-06-30	$6,102
Total non interest bearing cash at beginning of year	2013-06-30	$50
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-06-30	No
Value of net income/loss	2013-06-30	$93,769
Value of net assets at end of year (total assets less liabilities)	2013-06-30	$3,102,414
Value of net assets at beginning of year (total assets less liabilities)	2013-06-30	$3,008,645
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-06-30	No
Were any leases to which the plan was party in default or uncollectible	2013-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-06-30	$2,931,737
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-06-30	$2,817,780
Interest on participant loans	2013-06-30	$702
Value of interest in common/collective trusts at end of year	2013-06-30	$69,304
Value of interest in common/collective trusts at beginning of year	2013-06-30	$99,957
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-06-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-06-30	$194,921
Net investment gain or loss from common/collective trusts	2013-06-30	$1,060
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-06-30	No
Was there a failure to transmit to the plan any participant contributions	2013-06-30	No
Has the plan failed to provide any benefit when due under the plan	2013-06-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-06-30	$342,972
Did the plan have assets held for investment	2013-06-30	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	2013-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2013-06-30	Disclaimer
Accountancy firm name	2013-06-30	ANTHONY & TABB, P.A., CPA'S
Accountancy firm EIN	2013-06-30	561717557
2012 : ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-06-30	$0
Total income from all sources (including contributions)	2012-06-30	$165,677
Total loss/gain on sale of assets	2012-06-30	$22,780
Total of all expenses incurred	2012-06-30	$103,099
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-06-30	$84,805
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-06-30	$162,784
Value of total assets at end of year	2012-06-30	$3,008,645
Value of total assets at beginning of year	2012-06-30	$2,946,067
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-06-30	$18,294
Total interest from all sources	2012-06-30	$664
Total dividends received (eg from common stock, registered investment company shares)	2012-06-30	$78,681
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-06-30	$78,681
Was this plan covered by a fidelity bond	2012-06-30	Yes
Value of fidelity bond cover	2012-06-30	$140,000
If this is an individual account plan, was there a blackout period	2012-06-30	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2012-06-30	No
Contributions received from participants	2012-06-30	$129,747
Participant contributions at end of year	2012-06-30	$14,986
Participant contributions at beginning of year	2012-06-30	$13,505
Assets. Other investments not covered elsewhere at end of year	2012-06-30	$75,872
Assets. Other investments not covered elsewhere at beginning of year	2012-06-30	$72,441
Income. Received or receivable in cash from other sources (including rollovers)	2012-06-30	$20,425
Administrative expenses (other) incurred	2012-06-30	$18,294
Total non interest bearing cash at end of year	2012-06-30	$50
Total non interest bearing cash at beginning of year	2012-06-30	$20,424
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-06-30	No
Value of net income/loss	2012-06-30	$62,578
Value of net assets at end of year (total assets less liabilities)	2012-06-30	$3,008,645
Value of net assets at beginning of year (total assets less liabilities)	2012-06-30	$2,946,067
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-06-30	No
Were any leases to which the plan was party in default or uncollectible	2012-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-06-30	$2,817,780
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-06-30	$2,736,223
Interest on participant loans	2012-06-30	$664
Value of interest in common/collective trusts at end of year	2012-06-30	$99,957
Value of interest in common/collective trusts at beginning of year	2012-06-30	$103,474
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-06-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-06-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-06-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-06-30	$-100,772
Net investment gain or loss from common/collective trusts	2012-06-30	$1,540
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-06-30	No
Was there a failure to transmit to the plan any participant contributions	2012-06-30	Yes
Has the plan failed to provide any benefit when due under the plan	2012-06-30	No
Contributions received in cash from employer	2012-06-30	$12,612
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-06-30	$84,805
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	2012-06-30	Yes
Did the plan have assets held for investment	2012-06-30	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	2012-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-06-30	No
Aggregate proceeds on sale of assets	2012-06-30	$563,008
Aggregate carrying amount (costs) on sale of assets	2012-06-30	$540,228
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2012-06-30	Disclaimer
Accountancy firm name	2012-06-30	ANTHONY & TABB, P.A., CPA'S
Accountancy firm EIN	2012-06-30	561717557
2011 : ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-06-30	$0
Total income from all sources (including contributions)	2011-06-30	$781,627
Total loss/gain on sale of assets	2011-06-30	$19,900
Total of all expenses incurred	2011-06-30	$109,530
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-06-30	$91,203
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-06-30	$283,295
Value of total assets at end of year	2011-06-30	$2,946,067
Value of total assets at beginning of year	2011-06-30	$2,273,970
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-06-30	$18,327
Total interest from all sources	2011-06-30	$754
Total dividends received (eg from common stock, registered investment company shares)	2011-06-30	$45,591
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-06-30	$45,591
Was this plan covered by a fidelity bond	2011-06-30	Yes
Value of fidelity bond cover	2011-06-30	$240,000
If this is an individual account plan, was there a blackout period	2011-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2011-06-30	No
Contributions received from participants	2011-06-30	$177,566
Participant contributions at end of year	2011-06-30	$13,505
Participant contributions at beginning of year	2011-06-30	$22,577
Participant contributions at beginning of year	2011-06-30	$6,556
Assets. Other investments not covered elsewhere at end of year	2011-06-30	$72,441
Assets. Other investments not covered elsewhere at beginning of year	2011-06-30	$69,282
Income. Received or receivable in cash from other sources (including rollovers)	2011-06-30	$26,493
Other income not declared elsewhere	2011-06-30	$1,690
Administrative expenses (other) incurred	2011-06-30	$18,327
Total non interest bearing cash at end of year	2011-06-30	$20,424
Total non interest bearing cash at beginning of year	2011-06-30	$784
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-06-30	No
Value of net income/loss	2011-06-30	$672,097
Value of net assets at end of year (total assets less liabilities)	2011-06-30	$2,946,067
Value of net assets at beginning of year (total assets less liabilities)	2011-06-30	$2,273,970
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-06-30	No
Were any leases to which the plan was party in default or uncollectible	2011-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-06-30	$2,736,223
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-06-30	$2,052,648
Interest on participant loans	2011-06-30	$754
Value of interest in common/collective trusts at end of year	2011-06-30	$103,474
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-06-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-06-30	$119,022
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-06-30	$119,022
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-06-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-06-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-06-30	$424,563
Net investment gain or loss from common/collective trusts	2011-06-30	$5,834
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-06-30	No
Was there a failure to transmit to the plan any participant contributions	2011-06-30	No
Has the plan failed to provide any benefit when due under the plan	2011-06-30	No
Contributions received in cash from employer	2011-06-30	$79,236
Employer contributions (assets) at beginning of year	2011-06-30	$3,101
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-06-30	$91,203
Did the plan have assets held for investment	2011-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-06-30	No
Aggregate proceeds on sale of assets	2011-06-30	$533,428
Aggregate carrying amount (costs) on sale of assets	2011-06-30	$513,528
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2011-06-30	Disclaimer
Accountancy firm name	2011-06-30	ANTHONY & TABB, P.A., CPA'S
Accountancy firm EIN	2011-06-30	561717557
2010 : ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-06-30	$0

Form 5500 Responses for ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN

2022: ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN 2022 form 5500 responses
2022-07-01	Type of plan entity	Single employer plan
2022-07-01	Submission has been amended	No
2022-07-01	This submission is the final filing	No
2022-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-07-01	Plan is a collectively bargained plan	No
2022-07-01	Plan funding arrangement – Insurance	Yes
2022-07-01	Plan funding arrangement – Trust	Yes
2022-07-01	Plan benefit arrangement – Insurance	Yes
2022-07-01	Plan benefit arrangement - Trust	Yes
2021: ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN 2021 form 5500 responses
2021-07-01	Type of plan entity	Single employer plan
2021-07-01	Submission has been amended	No
2021-07-01	This submission is the final filing	No
2021-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-07-01	Plan is a collectively bargained plan	No
2021-07-01	Plan funding arrangement – Insurance	Yes
2021-07-01	Plan funding arrangement – Trust	Yes
2021-07-01	Plan benefit arrangement – Insurance	Yes
2021-07-01	Plan benefit arrangement - Trust	Yes
2020: ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN 2020 form 5500 responses
2020-07-01	Type of plan entity	Single employer plan
2020-07-01	Submission has been amended	No
2020-07-01	This submission is the final filing	No
2020-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-07-01	Plan is a collectively bargained plan	No
2020-07-01	Plan funding arrangement – Insurance	Yes
2020-07-01	Plan funding arrangement – Trust	Yes
2020-07-01	Plan benefit arrangement – Insurance	Yes
2020-07-01	Plan benefit arrangement - Trust	Yes
2019: ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN 2019 form 5500 responses
2019-07-01	Type of plan entity	Single employer plan
2019-07-01	Submission has been amended	No
2019-07-01	This submission is the final filing	No
2019-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-07-01	Plan is a collectively bargained plan	No
2019-07-01	Plan funding arrangement – Insurance	Yes
2019-07-01	Plan funding arrangement – Trust	Yes
2019-07-01	Plan benefit arrangement – Insurance	Yes
2019-07-01	Plan benefit arrangement - Trust	Yes
2018: ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN 2018 form 5500 responses
2018-07-01	Type of plan entity	Single employer plan
2018-07-01	Submission has been amended	No
2018-07-01	This submission is the final filing	No
2018-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-07-01	Plan is a collectively bargained plan	No
2018-07-01	Plan funding arrangement – Insurance	Yes
2018-07-01	Plan funding arrangement – Trust	Yes
2018-07-01	Plan benefit arrangement – Insurance	Yes
2018-07-01	Plan benefit arrangement - Trust	Yes
2017: ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN 2017 form 5500 responses
2017-07-01	Type of plan entity	Single employer plan
2017-07-01	Submission has been amended	No
2017-07-01	This submission is the final filing	No
2017-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-07-01	Plan is a collectively bargained plan	No
2017-07-01	Plan funding arrangement – Insurance	Yes
2017-07-01	Plan funding arrangement – Trust	Yes
2017-07-01	Plan benefit arrangement – Insurance	Yes
2017-07-01	Plan benefit arrangement - Trust	Yes
2016: ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN 2016 form 5500 responses
2016-07-01	Type of plan entity	Single employer plan
2016-07-01	Submission has been amended	No
2016-07-01	This submission is the final filing	No
2016-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-07-01	Plan is a collectively bargained plan	No
2016-07-01	Plan funding arrangement – Insurance	Yes
2016-07-01	Plan funding arrangement – Trust	Yes
2016-07-01	Plan benefit arrangement – Insurance	Yes
2016-07-01	Plan benefit arrangement - Trust	Yes
2015: ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN 2015 form 5500 responses
2015-07-01	Type of plan entity	Single employer plan
2015-07-01	Submission has been amended	No
2015-07-01	This submission is the final filing	No
2015-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-07-01	Plan is a collectively bargained plan	No
2015-07-01	Plan funding arrangement – Insurance	Yes
2015-07-01	Plan funding arrangement – Trust	Yes
2015-07-01	Plan benefit arrangement – Insurance	Yes
2015-07-01	Plan benefit arrangement - Trust	Yes
2014: ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN 2014 form 5500 responses
2014-07-01	Type of plan entity	Single employer plan
2014-07-01	Submission has been amended	No
2014-07-01	This submission is the final filing	No
2014-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-07-01	Plan is a collectively bargained plan	No
2014-07-01	Plan funding arrangement – Insurance	Yes
2014-07-01	Plan funding arrangement – Trust	Yes
2014-07-01	Plan benefit arrangement – Insurance	Yes
2014-07-01	Plan benefit arrangement - Trust	Yes
2013: ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN 2013 form 5500 responses
2013-07-01	Type of plan entity	Single employer plan
2013-07-01	Submission has been amended	No
2013-07-01	This submission is the final filing	No
2013-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-07-01	Plan is a collectively bargained plan	No
2013-07-01	Plan funding arrangement – Insurance	Yes
2013-07-01	Plan funding arrangement – Trust	Yes
2013-07-01	Plan benefit arrangement – Insurance	Yes
2013-07-01	Plan benefit arrangement - Trust	Yes
2012: ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Submission has been amended	No
2012-07-01	This submission is the final filing	No
2012-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-07-01	Plan is a collectively bargained plan	No
2012-07-01	Plan funding arrangement – Insurance	Yes
2012-07-01	Plan funding arrangement – Trust	Yes
2012-07-01	Plan benefit arrangement – Insurance	Yes
2012-07-01	Plan benefit arrangement - Trust	Yes
2011: ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	Submission has been amended	No
2011-07-01	This submission is the final filing	No
2011-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-07-01	Plan is a collectively bargained plan	No
2011-07-01	Plan funding arrangement – Insurance	Yes
2011-07-01	Plan funding arrangement – Trust	Yes
2011-07-01	Plan benefit arrangement – Insurance	Yes
2011-07-01	Plan benefit arrangement - Trust	Yes
2009: ADVANCE COMMUNITY HEALTH, INC. 401(K) PLAN 2009 form 5500 responses
2009-07-01	Type of plan entity	Single employer plan
2009-07-01	Submission has been amended	No
2009-07-01	This submission is the final filing	No
2009-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-07-01	Plan is a collectively bargained plan	No
2009-07-01	Plan funding arrangement – Insurance	Yes
2009-07-01	Plan funding arrangement – Trust	Yes
2009-07-01	Plan benefit arrangement – Insurance	Yes
2009-07-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

72013425

Policy instance

Insurance contract or identification number	72013425
Number of Individuals Covered	1
Insurance policy start date	2022-07-01
Insurance policy end date	2023-06-30
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

72013425

Policy instance

Insurance contract or identification number	72013425
Number of Individuals Covered	1
Insurance policy start date	2021-07-01
Insurance policy end date	2022-06-30
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

72013425

Policy instance

Insurance contract or identification number	72013425
Number of Individuals Covered	1
Insurance policy start date	2020-07-01
Insurance policy end date	2021-06-30
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

72013425

Policy instance

Insurance contract or identification number	72013425
Number of Individuals Covered	1
Insurance policy start date	2019-07-01
Insurance policy end date	2020-06-30
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

72013425

Policy instance

Insurance contract or identification number	72013425
Number of Individuals Covered	1
Insurance policy start date	2018-07-01
Insurance policy end date	2019-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	1
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

72013425

Policy instance

Insurance contract or identification number	72013425
Number of Individuals Covered	1
Insurance policy start date	2017-07-01
Insurance policy end date	2018-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	1
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

72013425

Policy instance

Insurance contract or identification number	72013425
Number of Individuals Covered	1
Insurance policy start date	2015-07-01
Insurance policy end date	2016-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	Yes
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

72013425

Policy instance

Insurance contract or identification number	72013425
Number of Individuals Covered	1
Insurance policy start date	2014-07-01
Insurance policy end date	2015-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	Yes
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

72013425

Policy instance

Insurance contract or identification number	72013425
Number of Individuals Covered	1
Insurance policy start date	2013-07-01
Insurance policy end date	2014-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	Yes
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

72013425

Policy instance

Insurance contract or identification number	72013425
Number of Individuals Covered	1
Insurance policy start date	2012-07-01
Insurance policy end date	2013-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	Yes
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

72013425

Policy instance

Insurance contract or identification number	72013425
Number of Individuals Covered	1
Insurance policy start date	2011-07-01
Insurance policy end date	2012-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	Yes
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

04479J

Policy instance

Insurance contract or identification number	04479J
Number of Individuals Covered	1
Insurance policy start date	2010-07-01
Insurance policy end date	2011-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	Yes
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No

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Company Name:	ADVANCE COMMUNITY HEALTH, INC.
Employer identification number (EIN):	561004791
NAIC Classification:	624100
NAIC Description:	Individual and Family Services