401k Plan data: FIRST COAST CARDIOVASCULAR INS 401(K) PROFIT SHARING PLAN & TRUST plan

FIRST COAST CARDIOVASCULAR INS 401(K) PROFIT SHARING PLAN & TRUST 401k Plan overview

Plan Name	FIRST COAST CARDIOVASCULAR INS 401(K) PROFIT SHARING PLAN & TRUST
Plan identification number	001

FIRST COAST CARDIOVASCULAR INS 401(K) PROFIT SHARING PLAN & TRUST Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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

401k Sponsoring company profile

FIRST COAST CARDIOVASCULAR INSTITUTE has sponsored the creation of one or more 401k plans.

Company Name: FIRST COAST CARDIOVASCULAR INSTITUTE

Employer identification number (EIN): 470854466

NAIC Classification: 812990
NAIC Description: All Other Personal Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FIRST COAST CARDIOVASCULAR INS 401(K) PROFIT SHARING PLAN & TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01
001 2021-01-01
001 2020-01-01
001 2019-01-01
001 2018-01-01
001 2017-01-01 YAZAN KHATIB
001 2016-01-01 YAZAN KHATIB
001 2015-01-01 YAZAN KHATIB, MD 2016-07-26

Plan Statistics for FIRST COAST CARDIOVASCULAR INS 401(K) PROFIT SHARING PLAN & TRUST

401k plan membership statisitcs for FIRST COAST CARDIOVASCULAR INS 401(K) PROFIT SHARING PLAN & TRUST

Measure Date Value
2022: FIRST COAST CARDIOVASCULAR INS 401(K) PROFIT SHARING PLAN & TRUST 2022 401k membership
Total participants, beginning-of-year 2022-01-01 170
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 136
Number of other retired or separated participants entitled to future benefits 2022-01-01 35
Total of all active and inactive participants 2022-01-01 171
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 171
Number of participants with account balances 2022-01-01 137
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 6
2021: FIRST COAST CARDIOVASCULAR INS 401(K) PROFIT SHARING PLAN & TRUST 2021 401k membership
Total participants, beginning-of-year 2021-01-01 143
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 131
Number of other retired or separated participants entitled to future benefits 2021-01-01 25
Total of all active and inactive participants 2021-01-01 156
Total participants 2021-01-01 156
Number of participants with account balances 2021-01-01 120
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 5
2020: FIRST COAST CARDIOVASCULAR INS 401(K) PROFIT SHARING PLAN & TRUST 2020 401k membership
Total participants, beginning-of-year 2020-01-01 150
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 109
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 34
Total of all active and inactive participants 2020-01-01 143
Total participants 2020-01-01 143
Number of participants with account balances 2020-01-01 127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 10
2019: FIRST COAST CARDIOVASCULAR INS 401(K) PROFIT SHARING PLAN & TRUST 2019 401k membership
Total participants, beginning-of-year 2019-01-01 143
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 123
Number of other retired or separated participants entitled to future benefits 2019-01-01 16
Total of all active and inactive participants 2019-01-01 139
Total participants 2019-01-01 139
Number of participants with account balances 2019-01-01 118
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 3
2018: FIRST COAST CARDIOVASCULAR INS 401(K) PROFIT SHARING PLAN & TRUST 2018 401k membership
Total participants, beginning-of-year 2018-01-01 176
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 108
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 18
Total of all active and inactive participants 2018-01-01 126
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 126
Number of participants with account balances 2018-01-01 105
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: FIRST COAST CARDIOVASCULAR INS 401(K) PROFIT SHARING PLAN & TRUST 2017 401k membership
Total participants, beginning-of-year 2017-01-01 184
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 147
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 30
Total of all active and inactive participants 2017-01-01 177
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 177
Number of participants with account balances 2017-01-01 155
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: FIRST COAST CARDIOVASCULAR INS 401(K) PROFIT SHARING PLAN & TRUST 2016 401k membership
Total participants, beginning-of-year 2016-01-01 178
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 230
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 230
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 230
Number of participants with account balances 2016-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0

Measure	Date	Value
2022: FIRST COAST CARDIOVASCULAR INS 401(K) PROFIT SHARING PLAN & TRUST 2022 401k membership
Total participants, beginning-of-year	2022-01-01	170
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	136
Number of other retired or separated participants entitled to future benefits	2022-01-01	35
Total of all active and inactive participants	2022-01-01	171
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	171
Number of participants with account balances	2022-01-01	137
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	6
2021: FIRST COAST CARDIOVASCULAR INS 401(K) PROFIT SHARING PLAN & TRUST 2021 401k membership
Total participants, beginning-of-year	2021-01-01	143
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	131
Number of other retired or separated participants entitled to future benefits	2021-01-01	25
Total of all active and inactive participants	2021-01-01	156
Total participants	2021-01-01	156
Number of participants with account balances	2021-01-01	120
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	5
2020: FIRST COAST CARDIOVASCULAR INS 401(K) PROFIT SHARING PLAN & TRUST 2020 401k membership
Total participants, beginning-of-year	2020-01-01	150
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	109
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	34
Total of all active and inactive participants	2020-01-01	143
Total participants	2020-01-01	143
Number of participants with account balances	2020-01-01	127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	10
2019: FIRST COAST CARDIOVASCULAR INS 401(K) PROFIT SHARING PLAN & TRUST 2019 401k membership
Total participants, beginning-of-year	2019-01-01	143
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	123
Number of other retired or separated participants entitled to future benefits	2019-01-01	16
Total of all active and inactive participants	2019-01-01	139
Total participants	2019-01-01	139
Number of participants with account balances	2019-01-01	118
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	3
2018: FIRST COAST CARDIOVASCULAR INS 401(K) PROFIT SHARING PLAN & TRUST 2018 401k membership
Total participants, beginning-of-year	2018-01-01	176
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	108
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	18
Total of all active and inactive participants	2018-01-01	126
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	126
Number of participants with account balances	2018-01-01	105
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: FIRST COAST CARDIOVASCULAR INS 401(K) PROFIT SHARING PLAN & TRUST 2017 401k membership
Total participants, beginning-of-year	2017-01-01	184
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	147
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	30
Total of all active and inactive participants	2017-01-01	177
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	177
Number of participants with account balances	2017-01-01	155
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: FIRST COAST CARDIOVASCULAR INS 401(K) PROFIT SHARING PLAN & TRUST 2016 401k membership
Total participants, beginning-of-year	2016-01-01	178
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	230
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	230
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	230
Number of participants with account balances	2016-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0

Financial Data on FIRST COAST CARDIOVASCULAR INS 401(K) PROFIT SHARING PLAN & TRUST

Measure	Date	Value
2022 : FIRST COAST CARDIOVASCULAR INS 401(K) PROFIT SHARING PLAN & TRUST 2022 401k financial data
Total income from all sources (including contributions)	2022-12-31	$360,986
Total of all expenses incurred	2022-12-31	$77,841
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$54,663
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$778,651
Value of total assets at end of year	2022-12-31	$3,334,990
Value of total assets at beginning of year	2022-12-31	$3,051,845
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$23,178
Total interest from all sources	2022-12-31	$2,111
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$88,627
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$88,627
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$306,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$551,668
Participant contributions at end of year	2022-12-31	$0
Participant contributions at beginning of year	2022-12-31	$2,010
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$13,846
Total non interest bearing cash at end of year	2022-12-31	$34,034
Total non interest bearing cash at beginning of year	2022-12-31	$25,360
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$283,145
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$3,334,990
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$3,051,845
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$2,936,775
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$2,708,635
Value of interest in common/collective trusts at end of year	2022-12-31	$6,962
Value of interest in common/collective trusts at beginning of year	2022-12-31	$5,787
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2022-12-31	$357,219
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2022-12-31	$310,053
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2022-12-31	$310,053
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2022-12-31	$2,111
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-508,660
Net investment gain or loss from common/collective trusts	2022-12-31	$257
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$213,137
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$54,663
Contract administrator fees	2022-12-31	$23,178
Did the plan have assets held for investment	2022-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	SMOAK, DAVIS & NIXON
Accountancy firm EIN	2022-12-31	590602635
2021 : FIRST COAST CARDIOVASCULAR INS 401(K) PROFIT SHARING PLAN & TRUST 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2021-12-31	$86,174
Total unrealized appreciation/depreciation of assets	2021-12-31	$86,174
Total income from all sources (including contributions)	2021-12-31	$1,272,111
Total of all expenses incurred	2021-12-31	$323,707
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$303,351
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$920,219
Value of total assets at end of year	2021-12-31	$3,051,845
Value of total assets at beginning of year	2021-12-31	$2,103,441
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$20,356
Total interest from all sources	2021-12-31	$265
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$101,391
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$101,391
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$250,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$513,019
Participant contributions at end of year	2021-12-31	$2,010
Participant contributions at beginning of year	2021-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$331,118
Total non interest bearing cash at end of year	2021-12-31	$25,360
Total non interest bearing cash at beginning of year	2021-12-31	$16,034
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$948,404
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$3,051,845
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$2,103,441
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$2,708,635
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$1,736,341
Value of interest in common/collective trusts at end of year	2021-12-31	$5,787
Value of interest in common/collective trusts at beginning of year	2021-12-31	$6,739
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2021-12-31	$310,053
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2021-12-31	$344,327
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2021-12-31	$344,327
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2021-12-31	$265
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$163,890
Net investment gain or loss from common/collective trusts	2021-12-31	$172
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$76,082
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$303,351
Contract administrator fees	2021-12-31	$20,356
Did the plan have assets held for investment	2021-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Disclaimer
Accountancy firm name	2021-12-31	SMOAK, DAVIS & NIXON
Accountancy firm EIN	2021-12-31	590602635
2020 : FIRST COAST CARDIOVASCULAR INS 401(K) PROFIT SHARING PLAN & TRUST 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2020-12-31	$138,511
Total unrealized appreciation/depreciation of assets	2020-12-31	$138,511
Total income from all sources (including contributions)	2020-12-31	$589,078
Total of all expenses incurred	2020-12-31	$209,105
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$189,373
Value of total corrective distributions	2020-12-31	$6,553
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$422,341
Value of total assets at end of year	2020-12-31	$2,103,441
Value of total assets at beginning of year	2020-12-31	$1,723,468
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$13,179
Total interest from all sources	2020-12-31	$1,362
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$36,707
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$36,707
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$250,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$422,341
Participant contributions at end of year	2020-12-31	$0
Participant contributions at beginning of year	2020-12-31	$13,740
Total non interest bearing cash at end of year	2020-12-31	$16,034
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$379,973
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$2,103,441
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$1,723,468
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$1,736,341
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$1,372,971
Value of interest in common/collective trusts at end of year	2020-12-31	$6,739
Value of interest in common/collective trusts at beginning of year	2020-12-31	$5,166
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2020-12-31	$344,327
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2020-12-31	$331,591
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2020-12-31	$331,591
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2020-12-31	$1,362
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$-10,111
Net investment gain or loss from common/collective trusts	2020-12-31	$268
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$189,373
Contract administrator fees	2020-12-31	$13,179
Did the plan have assets held for investment	2020-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	SMOAK, DAVIS & NIXON
Accountancy firm EIN	2020-12-31	590602635
2019 : FIRST COAST CARDIOVASCULAR INS 401(K) PROFIT SHARING PLAN & TRUST 2019 401k financial data
Total income from all sources (including contributions)	2019-12-31	$698,885
Total income from all sources (including contributions)	2019-12-31	$698,885
Total of all expenses incurred	2019-12-31	$364,412
Total of all expenses incurred	2019-12-31	$364,412
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$351,615
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$351,615
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$464,136
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$464,136
Value of total assets at end of year	2019-12-31	$1,723,468
Value of total assets at end of year	2019-12-31	$1,723,468
Value of total assets at beginning of year	2019-12-31	$1,388,995
Value of total assets at beginning of year	2019-12-31	$1,388,995
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$12,797
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$12,797
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Was this plan covered by a fidelity bond	2019-12-31	Yes
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$180,000
Value of fidelity bond cover	2019-12-31	$180,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
If this is an individual account plan, was there a blackout period	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$459,997
Contributions received from participants	2019-12-31	$459,997
Participant contributions at beginning of year	2019-12-31	$0
Participant contributions at beginning of year	2019-12-31	$0
Participant contributions at end of year	2019-12-31	$13,740
Participant contributions at end of year	2019-12-31	$13,740
Participant contributions at beginning of year	2019-12-31	$3,573
Participant contributions at beginning of year	2019-12-31	$3,573
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$3,939
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$3,939
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2019-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2019-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$334,473
Value of net income/loss	2019-12-31	$334,473
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$1,723,468
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$1,723,468
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$1,388,995
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$1,388,995
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$1,372,971
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$1,372,971
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$978,211
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$978,211
Value of interest in common/collective trusts at end of year	2019-12-31	$5,166
Value of interest in common/collective trusts at end of year	2019-12-31	$5,166
Value of interest in common/collective trusts at beginning of year	2019-12-31	$3,916
Value of interest in common/collective trusts at beginning of year	2019-12-31	$3,916
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-12-31	$331,591
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-12-31	$331,591
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-12-31	$403,295
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-12-31	$403,295
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-12-31	$403,295
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-12-31	$403,295
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$234,575
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$234,575
Net investment gain or loss from common/collective trusts	2019-12-31	$174
Net investment gain or loss from common/collective trusts	2019-12-31	$174
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$200
Contributions received in cash from employer	2019-12-31	$200
Employer contributions (assets) at beginning of year	2019-12-31	$0
Employer contributions (assets) at beginning of year	2019-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$351,615
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$351,615
Contract administrator fees	2019-12-31	$12,797
Contract administrator fees	2019-12-31	$12,797
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	SMOAK, DAVIS & NIXON LLP
Accountancy firm name	2019-12-31	SMOAK, DAVIS & NIXON LLP
Accountancy firm EIN	2019-12-31	590602635
Accountancy firm EIN	2019-12-31	590602635
2018 : FIRST COAST CARDIOVASCULAR INS 401(K) PROFIT SHARING PLAN & TRUST 2018 401k financial data
Total income from all sources (including contributions)	2018-12-31	$688,355
Total of all expenses incurred	2018-12-31	$335,821
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$321,438
Expenses. Certain deemed distributions of participant loans	2018-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$774,730
Value of total assets at end of year	2018-12-31	$1,388,995
Value of total assets at beginning of year	2018-12-31	$1,036,461
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$14,383
Total interest from all sources	2018-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$0
Administrative expenses professional fees incurred	2018-12-31	$14,383
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$120,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$470,961
Participant contributions at end of year	2018-12-31	$0
Participant contributions at beginning of year	2018-12-31	$0
Participant contributions at end of year	2018-12-31	$3,573
Participant contributions at beginning of year	2018-12-31	$23,897
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$289,252
Value of other receiveables (less allowance for doubtful accounts) at end of year	2018-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2018-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$352,534
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$1,388,995
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$1,036,461
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$978,211
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$714,293
Interest on participant loans	2018-12-31	$0
Value of interest in common/collective trusts at end of year	2018-12-31	$3,916
Value of interest in common/collective trusts at beginning of year	2018-12-31	$2,673
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2018-12-31	$403,295
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2018-12-31	$295,598
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2018-12-31	$295,598
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2018-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2018-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-86,454
Net investment gain or loss from common/collective trusts	2018-12-31	$79
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$14,517
Employer contributions (assets) at end of year	2018-12-31	$0
Employer contributions (assets) at beginning of year	2018-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$321,438
Did the plan have assets held for investment	2018-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	DIXON HUGHES GOODMAN, LLP
Accountancy firm EIN	2018-12-31	560747981
2017 : FIRST COAST CARDIOVASCULAR INS 401(K) PROFIT SHARING PLAN & TRUST 2017 401k financial data
Total income from all sources (including contributions)	2017-12-31	$617,517
Total of all expenses incurred	2017-12-31	$122,572
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$115,447
Expenses. Certain deemed distributions of participant loans	2017-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$517,815
Value of total assets at end of year	2017-12-31	$1,036,461
Value of total assets at beginning of year	2017-12-31	$541,516
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$7,125
Total interest from all sources	2017-12-31	$921
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$0
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$120,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$454,247
Participant contributions at end of year	2017-12-31	$0
Participant contributions at end of year	2017-12-31	$23,897
Participant contributions at beginning of year	2017-12-31	$1,571
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$63,568
Value of other receiveables (less allowance for doubtful accounts) at end of year	2017-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$494,945
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$1,036,461
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$541,516
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Investment advisory and management fees	2017-12-31	$2,750
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$714,293
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$528,110
Interest on participant loans	2017-12-31	$0
Value of interest in common/collective trusts at end of year	2017-12-31	$2,673
Value of interest in common/collective trusts at beginning of year	2017-12-31	$11,835
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2017-12-31	$295,598
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-12-31	$921
Expenses. Payments to insurance carriers foe the provision of benefits	2017-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$98,761
Net investment gain or loss from common/collective trusts	2017-12-31	$20
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$0
Employer contributions (assets) at end of year	2017-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$115,447
Contract administrator fees	2017-12-31	$4,375
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	No
Opinion of an independent qualified public accountant for this plan	2017-12-31	Unqualified
Accountancy firm name	2017-12-31	DIXON HUGHES GOODMAN, LLP
Accountancy firm EIN	2017-12-31	560747981
2016 : FIRST COAST CARDIOVASCULAR INS 401(K) PROFIT SHARING PLAN & TRUST 2016 401k financial data
Unrealized appreciation/depreciation of real estate assets	2016-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2016-12-31	$0
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total transfer of assets to this plan	2016-12-31	$0
Total transfer of assets from this plan	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Expenses. Interest paid	2016-12-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$491,133
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$11,846
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$9,410
Expenses. Certain deemed distributions of participant loans	2016-12-31	$0
Value of total corrective distributions	2016-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$460,309
Value of total assets at end of year	2016-12-31	$541,516
Value of total assets at beginning of year	2016-12-31	$62,229
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$2,436
Total income from rents	2016-12-31	$0
Total interest from all sources	2016-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$18,962
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$18,962
Assets. Real estate other than employer real property at beginning of year	2016-12-31	$0
Administrative expenses professional fees incurred	2016-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2016-12-31	$0
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$20,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$380,727
Participant contributions at beginning of year	2016-12-31	$0
Participant contributions at end of year	2016-12-31	$1,571
Participant contributions at beginning of year	2016-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2016-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$79,582
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2016-12-31	$0
Assets. Loans (other than to participants) at beginning of year	2016-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2016-12-31	$0
Other income not declared elsewhere	2016-12-31	$0
Administrative expenses (other) incurred	2016-12-31	$0
Liabilities. Value of operating payables at beginning of year	2016-12-31	$0
Total non interest bearing cash at beginning of year	2016-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$479,287
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$541,516
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$62,229
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Assets. partnership/joint venture interests at beginning of year	2016-12-31	$0
Investment advisory and management fees	2016-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$528,110
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$60,087
Interest on participant loans	2016-12-31	$0
Income. Interest from loans (other than to participants)	2016-12-31	$0
Interest earned on other investments	2016-12-31	$0
Income. Interest from US Government securities	2016-12-31	$0
Income. Interest from corporate debt instruments	2016-12-31	$0
Value of interest in master investment trust accounts at beginning of year	2016-12-31	$0
Value of interest in common/collective trusts at end of year	2016-12-31	$11,835
Value of interest in common/collective trusts at beginning of year	2016-12-31	$2,142
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-12-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2016-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2016-12-31	$0
Asset value of US Government securities at beginning of year	2016-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$11,862
Net investment gain/loss from pooled separate accounts	2016-12-31	$0
Net investment gain or loss from common/collective trusts	2016-12-31	$0
Net gain/loss from 103.12 investment entities	2016-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Assets. Invements in employer securities at beginning of year	2016-12-31	$0
Assets. Value of employer real property at beginning of year	2016-12-31	$0
Contributions received in cash from employer	2016-12-31	$0
Employer contributions (assets) at beginning of year	2016-12-31	$0
Income. Dividends from preferred stock	2016-12-31	$0
Income. Dividends from common stock	2016-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$9,410
Asset. Corporate debt instrument preferred debt at beginning of year	2016-12-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2016-12-31	$0
Contract administrator fees	2016-12-31	$2,436
Assets. Corporate common stocks other than exployer securities at beginning of year	2016-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2016-12-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2016-12-31	$0
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Aggregate proceeds on sale of assets	2016-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2016-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2016-12-31	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	No
Opinion of an independent qualified public accountant for this plan	2016-12-31	Unqualified
Accountancy firm name	2016-12-31	DIXON HUGHES GOODMAN, LLP
Accountancy firm EIN	2016-12-31	560747981

Form 5500 Responses for FIRST COAST CARDIOVASCULAR INS 401(K) PROFIT SHARING PLAN & TRUST

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

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Company Name:	FIRST COAST CARDIOVASCULAR INSTITUTE
Employer identification number (EIN):	470854466
NAIC Classification:	812990
NAIC Description:	All Other Personal Services