401k Plan data: CENTERRE HEALTHCARE CORPORATION 401(K) PLAN plan

CENTERRE HEALTHCARE CORPORATION 401(K) PLAN 401k Plan overview

Plan Name	CENTERRE HEALTHCARE CORPORATION 401(K) PLAN
Plan identification number	101

CENTERRE HEALTHCARE CORPORATION 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.
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

CENTERRE HEALTHCARE CORPORATION has sponsored the creation of one or more 401k plans.

Company Name: CENTERRE HEALTHCARE CORPORATION

Employer identification number (EIN): 061646451

NAIC Classification: 622000
NAIC Description: Hospitals

Additional information about CENTERRE HEALTHCARE CORPORATION

Jurisdiction of Incorporation: State of Delaware Division of Corporations

Incorporation Date:

Company Identification Number: 3046271

More information about CENTERRE HEALTHCARE CORPORATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CENTERRE HEALTHCARE CORPORATION 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
101 2015-01-01 PHIL TISUE
101 2015-01-01 PHIL TISUE
101 2014-01-01 PHIL TISUE
101 2013-01-01 PHIL TISUE
101 2012-01-01 PHIL TISUE

Plan id#	Filing Submission Date	Name of Administrator
101	2015-01-01	PHIL TISUE
101	2015-01-01	PHIL TISUE
101	2014-01-01	PHIL TISUE
101	2013-01-01	PHIL TISUE
101	2012-01-01	PHIL TISUE

Plan Statistics for CENTERRE HEALTHCARE CORPORATION 401(K) PLAN

401k plan membership statisitcs for CENTERRE HEALTHCARE CORPORATION 401(K) PLAN

Measure Date Value
2015: CENTERRE HEALTHCARE CORPORATION 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 1,698
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 0
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 0
Number of participants with account balances 2015-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: CENTERRE HEALTHCARE CORPORATION 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 1,198
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 1,153
Number of retired or separated participants receiving benefits 2014-01-01 7
Number of other retired or separated participants entitled to future benefits 2014-01-01 538
Total of all active and inactive participants 2014-01-01 1,698
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 1,698
Number of participants with account balances 2014-01-01 1,526
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 1
2013: CENTERRE HEALTHCARE CORPORATION 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1,015
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 882
Number of retired or separated participants receiving benefits 2013-01-01 4
Number of other retired or separated participants entitled to future benefits 2013-01-01 312
Total of all active and inactive participants 2013-01-01 1,198
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 1,198
Number of participants with account balances 2013-01-01 1,097
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 1
2012: CENTERRE HEALTHCARE CORPORATION 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 627
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 388
Total of all active and inactive participants 2012-01-01 1,015
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 1,015
Number of participants with account balances 2012-01-01 921
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 2

Measure	Date	Value
2015: CENTERRE HEALTHCARE CORPORATION 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	1,698
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	0
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	0
Number of participants with account balances	2015-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: CENTERRE HEALTHCARE CORPORATION 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	1,198
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	1,153
Number of retired or separated participants receiving benefits	2014-01-01	7
Number of other retired or separated participants entitled to future benefits	2014-01-01	538
Total of all active and inactive participants	2014-01-01	1,698
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	1,698
Number of participants with account balances	2014-01-01	1,526
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	1
2013: CENTERRE HEALTHCARE CORPORATION 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1,015
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	882
Number of retired or separated participants receiving benefits	2013-01-01	4
Number of other retired or separated participants entitled to future benefits	2013-01-01	312
Total of all active and inactive participants	2013-01-01	1,198
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	1,198
Number of participants with account balances	2013-01-01	1,097
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	1
2012: CENTERRE HEALTHCARE CORPORATION 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	627
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	388
Total of all active and inactive participants	2012-01-01	1,015
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	1,015
Number of participants with account balances	2012-01-01	921
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	2

Financial Data on CENTERRE HEALTHCARE CORPORATION 401(K) PLAN

Measure	Date	Value
2015 : CENTERRE HEALTHCARE CORPORATION 401(K) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-04-30	$0
Total transfer of assets from this plan	2015-04-30	$15,500,467
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-04-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-04-30	$0
Total income from all sources (including contributions)	2015-04-30	$1,576,380
Total loss/gain on sale of assets	2015-04-30	$0
Total of all expenses incurred	2015-04-30	$766,199
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-04-30	$732,486
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-04-30	$1,090,641
Value of total assets at end of year	2015-04-30	$0
Value of total assets at beginning of year	2015-04-30	$14,690,286
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-04-30	$33,713
Total interest from all sources	2015-04-30	$9,407
Total dividends received (eg from common stock, registered investment company shares)	2015-04-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-04-30	No
Was this plan covered by a fidelity bond	2015-04-30	Yes
Value of fidelity bond cover	2015-04-30	$500,000
If this is an individual account plan, was there a blackout period	2015-04-30	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-04-30	$0
Were there any nonexempt tranactions with any party-in-interest	2015-04-30	No
Contributions received from participants	2015-04-30	$610,951
Participant contributions at end of year	2015-04-30	$0
Participant contributions at beginning of year	2015-04-30	$432,439
Participant contributions at end of year	2015-04-30	$0
Participant contributions at beginning of year	2015-04-30	$81,439
Income. Received or receivable in cash from other sources (including rollovers)	2015-04-30	$15,001
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-04-30	No
Value of net income/loss	2015-04-30	$810,181
Value of net assets at end of year (total assets less liabilities)	2015-04-30	$0
Value of net assets at beginning of year (total assets less liabilities)	2015-04-30	$14,690,286
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-04-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-04-30	No
Were any leases to which the plan was party in default or uncollectible	2015-04-30	No
Value of interest in pooled separate accounts at end of year	2015-04-30	$0
Value of interest in pooled separate accounts at beginning of year	2015-04-30	$13,469,422
Interest on participant loans	2015-04-30	$6,153
Interest earned on other investments	2015-04-30	$3,254
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-04-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-04-30	$614,596
Net investment gain/loss from pooled separate accounts	2015-04-30	$476,332
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-04-30	No
Was there a failure to transmit to the plan any participant contributions	2015-04-30	Yes
Has the plan failed to provide any benefit when due under the plan	2015-04-30	No
Contributions received in cash from employer	2015-04-30	$464,689
Employer contributions (assets) at end of year	2015-04-30	$0
Employer contributions (assets) at beginning of year	2015-04-30	$92,390
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-04-30	$732,486
Contract administrator fees	2015-04-30	$33,713
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	2015-04-30	Yes
Did the plan have assets held for investment	2015-04-30	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	2015-04-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-04-30	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-04-30	Yes
Opinion of an independent qualified public accountant for this plan	2015-04-30	Disclaimer
Accountancy firm name	2015-04-30	COULTER & JUSTUS
Accountancy firm EIN	2015-04-30	621532536
2014 : CENTERRE HEALTHCARE CORPORATION 401(K) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$4,253,581
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$825,883
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$750,072
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$3,528,985
Value of total assets at end of year	2014-12-31	$14,690,286
Value of total assets at beginning of year	2014-12-31	$11,262,588
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$75,811
Total interest from all sources	2014-12-31	$22,785
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$2,035,561
Participant contributions at end of year	2014-12-31	$432,439
Participant contributions at beginning of year	2014-12-31	$329,944
Participant contributions at end of year	2014-12-31	$81,439
Participant contributions at beginning of year	2014-12-31	$55,476
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$3,427,698
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$14,690,286
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$11,262,588
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in pooled separate accounts at end of year	2014-12-31	$13,469,422
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$10,366,059
Interest on participant loans	2014-12-31	$14,187
Interest earned on other investments	2014-12-31	$8,598
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$614,596
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$457,104
Net investment gain/loss from pooled separate accounts	2014-12-31	$701,811
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$1,493,424
Employer contributions (assets) at end of year	2014-12-31	$92,390
Employer contributions (assets) at beginning of year	2014-12-31	$54,005
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$750,072
Contract administrator fees	2014-12-31	$75,811
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	COULTER & JUSTUS
Accountancy firm EIN	2014-12-31	621532536
2013 : CENTERRE HEALTHCARE CORPORATION 401(K) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$4,159,326
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$1,147,231
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$1,076,041
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$2,512,295
Value of total assets at end of year	2013-12-31	$11,262,588
Value of total assets at beginning of year	2013-12-31	$8,250,493
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$71,190
Total interest from all sources	2013-12-31	$16,900
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$1,464,381
Participant contributions at end of year	2013-12-31	$329,944
Participant contributions at beginning of year	2013-12-31	$189,263
Participant contributions at end of year	2013-12-31	$55,476
Participant contributions at beginning of year	2013-12-31	$41,570
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$3,012,095
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$11,262,588
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$8,250,493
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in pooled separate accounts at end of year	2013-12-31	$10,366,059
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$7,674,897
Interest on participant loans	2013-12-31	$8,436
Interest earned on other investments	2013-12-31	$8,464
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$457,104
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$305,057
Net investment gain/loss from pooled separate accounts	2013-12-31	$1,630,131
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$1,047,914
Employer contributions (assets) at end of year	2013-12-31	$54,005
Employer contributions (assets) at beginning of year	2013-12-31	$39,706
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$1,076,041
Contract administrator fees	2013-12-31	$71,190
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	COULTER & JUSTUS
Accountancy firm EIN	2013-12-31	621532536
2012 : CENTERRE HEALTHCARE CORPORATION 401(K) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total transfer of assets to this plan	2012-12-31	$5,822,538
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$2,946,539
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$518,584
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$467,263
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$2,161,569
Value of total assets at end of year	2012-12-31	$8,250,493
Value of total assets at beginning of year	2012-12-31	$0
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$51,321
Total interest from all sources	2012-12-31	$11,671
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Was this plan covered by a fidelity bond	2012-12-31	No
If this is an individual account plan, was there a blackout period	2012-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$1,285,963
Participant contributions at end of year	2012-12-31	$189,263
Participant contributions at beginning of year	2012-12-31	$0
Participant contributions at end of year	2012-12-31	$41,570
Participant contributions at beginning of year	2012-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$2,427,955
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$8,250,493
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in pooled separate accounts at end of year	2012-12-31	$7,674,897
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$0
Interest on participant loans	2012-12-31	$6,339
Interest earned on other investments	2012-12-31	$5,332
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$305,057
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$0
Net investment gain/loss from pooled separate accounts	2012-12-31	$773,299
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$875,606
Employer contributions (assets) at end of year	2012-12-31	$39,706
Employer contributions (assets) at beginning of year	2012-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$467,263
Contract administrator fees	2012-12-31	$51,321
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	COULTER & JUSTUS
Accountancy firm EIN	2012-12-31	621532536

Form 5500 Responses for CENTERRE HEALTHCARE CORPORATION 401(K) PLAN

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

Insurance Providers Used on plan

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )

Policy contract number

931061-244

Policy instance

Insurance contract or identification number	931061-244
Number of Individuals Covered	0
Insurance policy start date	2015-01-01
Insurance policy end date	2015-04-30
Total amount of commissions paid to insurance broker	USD $19,634
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $19,634
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	0.00
Insurance broker organization code?	3
Insurance broker name	INVEST FINANCIAL CORP INS AGENCY IN

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )

Policy contract number

931061-244

Policy instance

Insurance contract or identification number	931061-244
Number of Individuals Covered	1698
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $49,889
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $49,889
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	0.00
Insurance broker organization code?	3
Insurance broker name	INVEST FINANCIAL CORP INS AGENCY IN

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )

Policy contract number

931061-244

Policy instance

Insurance contract or identification number	931061-244
Number of Individuals Covered	1198
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $37,854
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
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
Commission paid to Insurance Broker	USD $37,854
Insurance broker organization code?	3
Insurance broker name	INVEST FINANCIAL CORP INS AGENCY IN

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )

Policy contract number

931061-244

Policy instance

Insurance contract or identification number	931061-244
Number of Individuals Covered	1015
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $27,596
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
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
Commission paid to Insurance Broker	USD $27,596
Insurance broker organization code?	3
Insurance broker name	INVEST FINANCIAL CORP INS AGENCY IN

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Company Name:	CENTERRE HEALTHCARE CORPORATION
Employer identification number (EIN):	061646451
NAIC Classification:	622000
NAIC Description:	Hospitals

Jurisdiction of Incorporation:	State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number:	3046271