401k Plan data: PROMISE HOSPITAL OF SAN DIEGO 401(K) PLAN plan

PROMISE HOSPITAL OF SAN DIEGO 401(K) PLAN 401k Plan overview

Plan Name	PROMISE HOSPITAL OF SAN DIEGO 401(K) PLAN
Plan identification number	002

PROMISE HOSPITAL OF SAN DIEGO 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

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

Company Name: QUANTUM HEALTH INC.

Employer identification number (EIN): 330934298

NAIC Classification: 622000
NAIC Description: Hospitals

Additional information about QUANTUM HEALTH INC.

Jurisdiction of Incorporation: California Department of State

Incorporation Date: 2000-08-29

Company Identification Number: C2259386

Legal Registered Office Address: 2710 Gateway Oaks Dr Ste 150N

Sacramento
United States of America (USA)
95833

More information about QUANTUM HEALTH INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PROMISE HOSPITAL OF SAN DIEGO 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2015-01-01 DAVID ARMSTRONG
002 2014-01-01 DAVID ARMSTRONG
002 2013-01-01 DAVID ARMSTRONG
002 2012-01-01 DAVID ARMSTRONG
002 2011-01-01 DAVID ARMSTRONG
002 2010-01-01 DAVID ARMSTRONG
002 2009-01-01 SONNY RAMDEO

Plan id#	Filing Submission Date	Name of Administrator
002	2015-01-01	DAVID ARMSTRONG
002	2014-01-01	DAVID ARMSTRONG
002	2013-01-01	DAVID ARMSTRONG
002	2012-01-01	DAVID ARMSTRONG
002	2011-01-01	DAVID ARMSTRONG
002	2010-01-01	DAVID ARMSTRONG
002	2009-01-01	SONNY RAMDEO

Plan Statistics for PROMISE HOSPITAL OF SAN DIEGO 401(K) PLAN

401k plan membership statisitcs for PROMISE HOSPITAL OF SAN DIEGO 401(K) PLAN

Measure Date Value
2015: PROMISE HOSPITAL OF SAN DIEGO 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 283
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: PROMISE HOSPITAL OF SAN DIEGO 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 320
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 244
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 38
Total of all active and inactive participants 2014-01-01 282
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 282
Number of participants with account balances 2014-01-01 116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: PROMISE HOSPITAL OF SAN DIEGO 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 414
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 286
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 34
Total of all active and inactive participants 2013-01-01 320
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 320
Number of participants with account balances 2013-01-01 97
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: PROMISE HOSPITAL OF SAN DIEGO 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 484
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 372
Number of other retired or separated participants entitled to future benefits 2012-01-01 31
Total of all active and inactive participants 2012-01-01 403
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 403
Number of participants with account balances 2012-01-01 97
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: PROMISE HOSPITAL OF SAN DIEGO 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 496
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 446
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 28
Total of all active and inactive participants 2011-01-01 474
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 474
Number of participants with account balances 2011-01-01 108
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: PROMISE HOSPITAL OF SAN DIEGO 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 429
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 454
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 22
Total of all active and inactive participants 2010-01-01 476
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 476
Number of participants with account balances 2010-01-01 107
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: PROMISE HOSPITAL OF SAN DIEGO 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 390
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 404
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 14
Total of all active and inactive participants 2009-01-01 418
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 418
Number of participants with account balances 2009-01-01 61
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2015: PROMISE HOSPITAL OF SAN DIEGO 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	283
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: PROMISE HOSPITAL OF SAN DIEGO 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	320
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	244
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	38
Total of all active and inactive participants	2014-01-01	282
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	282
Number of participants with account balances	2014-01-01	116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: PROMISE HOSPITAL OF SAN DIEGO 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	414
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	286
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	34
Total of all active and inactive participants	2013-01-01	320
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	320
Number of participants with account balances	2013-01-01	97
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: PROMISE HOSPITAL OF SAN DIEGO 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	484
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	372
Number of other retired or separated participants entitled to future benefits	2012-01-01	31
Total of all active and inactive participants	2012-01-01	403
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	403
Number of participants with account balances	2012-01-01	97
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: PROMISE HOSPITAL OF SAN DIEGO 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	496
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	446
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	28
Total of all active and inactive participants	2011-01-01	474
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	474
Number of participants with account balances	2011-01-01	108
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: PROMISE HOSPITAL OF SAN DIEGO 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	429
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	454
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	22
Total of all active and inactive participants	2010-01-01	476
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	476
Number of participants with account balances	2010-01-01	107
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: PROMISE HOSPITAL OF SAN DIEGO 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	390
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	404
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	14
Total of all active and inactive participants	2009-01-01	418
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	418
Number of participants with account balances	2009-01-01	61
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on PROMISE HOSPITAL OF SAN DIEGO 401(K) PLAN

Measure	Date	Value
2015 : PROMISE HOSPITAL OF SAN DIEGO 401(K) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-03-09	$0
Total transfer of assets from this plan	2015-03-09	$2,420,619
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-03-09	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-03-09	$0
Total income from all sources (including contributions)	2015-03-09	$118,274
Total loss/gain on sale of assets	2015-03-09	$0
Total of all expenses incurred	2015-03-09	$43,562
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-03-09	$38,590
Value of total corrective distributions	2015-03-09	$4,742
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-03-09	$59,779
Value of total assets at end of year	2015-03-09	$0
Value of total assets at beginning of year	2015-03-09	$2,345,907
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-03-09	$230
Total interest from all sources	2015-03-09	$1,157
Total dividends received (eg from common stock, registered investment company shares)	2015-03-09	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-03-09	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2015-03-09	$0
Was this plan covered by a fidelity bond	2015-03-09	Yes
Value of fidelity bond cover	2015-03-09	$5,000,000
If this is an individual account plan, was there a blackout period	2015-03-09	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-03-09	$0
Were there any nonexempt tranactions with any party-in-interest	2015-03-09	No
Contributions received from participants	2015-03-09	$59,779
Participant contributions at end of year	2015-03-09	$0
Participant contributions at beginning of year	2015-03-09	$44,842
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-03-09	No
Value of net income/loss	2015-03-09	$74,712
Value of net assets at end of year (total assets less liabilities)	2015-03-09	$0
Value of net assets at beginning of year (total assets less liabilities)	2015-03-09	$2,345,907
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-03-09	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-03-09	No
Were any leases to which the plan was party in default or uncollectible	2015-03-09	No
Value of interest in pooled separate accounts at end of year	2015-03-09	$0
Value of interest in pooled separate accounts at beginning of year	2015-03-09	$1,935,554
Interest on participant loans	2015-03-09	$188
Interest earned on other investments	2015-03-09	$969
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-03-09	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-03-09	$365,511
Net investment gain/loss from pooled separate accounts	2015-03-09	$57,338
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-03-09	No
Was there a failure to transmit to the plan any participant contributions	2015-03-09	Yes
Has the plan failed to provide any benefit when due under the plan	2015-03-09	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-03-09	$38,590
Contract administrator fees	2015-03-09	$230
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	2015-03-09	Yes
Did the plan have assets held for investment	2015-03-09	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	2015-03-09	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-03-09	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-03-09	Yes
Opinion of an independent qualified public accountant for this plan	2015-03-09	Disclaimer
Accountancy firm name	2015-03-09	MORRISON, BROWN, ARGIZ & FARRA LLP
Accountancy firm EIN	2015-03-09	010720052
2014 : PROMISE HOSPITAL OF SAN DIEGO 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	$418,435
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$254,005
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$251,685
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$290,172
Value of total assets at end of year	2014-12-31	$2,345,907
Value of total assets at beginning of year	2014-12-31	$2,181,477
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$2,320
Total interest from all sources	2014-12-31	$4,156
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	$5,000,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$282,589
Participant contributions at end of year	2014-12-31	$44,842
Participant contributions at beginning of year	2014-12-31	$30,183
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$7,583
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	$164,430
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$2,345,907
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$2,181,477
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	$1,935,554
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$1,785,794
Interest on participant loans	2014-12-31	$733
Interest earned on other investments	2014-12-31	$3,423
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$365,511
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$365,500
Net investment gain/loss from pooled separate accounts	2014-12-31	$124,107
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$251,685
Contract administrator fees	2014-12-31	$2,320
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	MORRISON, BROWN, ARGIZ & FARRA LLP
Accountancy firm EIN	2014-12-31	010720052
2013 : PROMISE HOSPITAL OF SAN DIEGO 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	$653,760
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$365,444
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$337,766
Expenses. Certain deemed distributions of participant loans	2013-12-31	$1,713
Value of total corrective distributions	2013-12-31	$23,725
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$332,625
Value of total assets at end of year	2013-12-31	$2,181,477
Value of total assets at beginning of year	2013-12-31	$1,893,161
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$2,240
Total interest from all sources	2013-12-31	$9,020
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	$3,000,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$332,625
Participant contributions at end of year	2013-12-31	$30,183
Participant contributions at beginning of year	2013-12-31	$42,651
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	$288,316
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$2,181,477
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$1,893,161
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	$1,785,794
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$1,197,925
Interest on participant loans	2013-12-31	$1,130
Interest earned on other investments	2013-12-31	$7,890
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$365,500
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$652,585
Net investment gain/loss from pooled separate accounts	2013-12-31	$312,115
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$337,766
Contract administrator fees	2013-12-31	$2,240
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	MARCUM LLP
Accountancy firm EIN	2013-12-31	111986323
2012 : PROMISE HOSPITAL OF SAN DIEGO 401(K) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$568,761
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$190,333
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$182,862
Value of total corrective distributions	2012-12-31	$5,466
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$430,663
Value of total assets at end of year	2012-12-31	$1,893,161
Value of total assets at beginning of year	2012-12-31	$1,514,733
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$2,005
Total interest from all sources	2012-12-31	$9,029
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	Yes
Value of fidelity bond cover	2012-12-31	$3,000,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$375,241
Participant contributions at end of year	2012-12-31	$42,651
Participant contributions at beginning of year	2012-12-31	$46,674
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$55,422
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	$378,428
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$1,893,161
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$1,514,733
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	$1,197,925
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$871,178
Interest on participant loans	2012-12-31	$1,515
Interest earned on other investments	2012-12-31	$7,514
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$652,585
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$596,881
Net investment gain/loss from pooled separate accounts	2012-12-31	$129,069
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$182,862
Contract administrator fees	2012-12-31	$2,005
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	MARCUM LLP
Accountancy firm EIN	2012-12-31	111986323
2011 : PROMISE HOSPITAL OF SAN DIEGO 401(K) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$304,863
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$206,880
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$190,637
Value of total corrective distributions	2011-12-31	$14,018
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$319,842
Value of total assets at end of year	2011-12-31	$1,514,733
Value of total assets at beginning of year	2011-12-31	$1,416,750
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$2,225
Total interest from all sources	2011-12-31	$9,349
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$319,842
Participant contributions at end of year	2011-12-31	$46,674
Participant contributions at beginning of year	2011-12-31	$19,411
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$97,983
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$1,514,733
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$1,416,750
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in pooled separate accounts at end of year	2011-12-31	$871,178
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$792,114
Interest on participant loans	2011-12-31	$924
Interest earned on other investments	2011-12-31	$8,425
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$596,881
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$605,225
Net investment gain/loss from pooled separate accounts	2011-12-31	$-24,328
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$190,637
Contract administrator fees	2011-12-31	$2,225
Did the plan have assets held for investment	2011-12-31	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	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	MARCUM, LLP
Accountancy firm EIN	2011-12-31	111986323
2010 : PROMISE HOSPITAL OF SAN DIEGO 401(K) PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$443,451
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$68,334
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$56,359
Value of total corrective distributions	2010-12-31	$10,619
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$345,410
Value of total assets at end of year	2010-12-31	$1,416,750
Value of total assets at beginning of year	2010-12-31	$1,041,633
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$1,356
Total interest from all sources	2010-12-31	$9,902
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$3,000,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$345,410
Participant contributions at end of year	2010-12-31	$19,411
Participant contributions at beginning of year	2010-12-31	$23,316
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$375,117
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$1,416,750
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$1,041,633
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in pooled separate accounts at end of year	2010-12-31	$792,114
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$534,656
Interest on participant loans	2010-12-31	$1,410
Interest earned on other investments	2010-12-31	$8,492
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$605,225
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$483,661
Net investment gain/loss from pooled separate accounts	2010-12-31	$88,139
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$56,359
Contract administrator fees	2010-12-31	$1,356
Did the plan have assets held for investment	2010-12-31	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	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	MARCUM LLP
Accountancy firm EIN	2010-12-31	111986323
2009 : PROMISE HOSPITAL OF SAN DIEGO 401(K) PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for PROMISE HOSPITAL OF SAN DIEGO 401(K) PLAN

2015: PROMISE HOSPITAL OF SAN DIEGO 401(K) PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	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: PROMISE HOSPITAL OF SAN DIEGO 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: PROMISE HOSPITAL OF SAN DIEGO 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: PROMISE HOSPITAL OF SAN DIEGO 401(K) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
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
2011: PROMISE HOSPITAL OF SAN DIEGO 401(K) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: PROMISE HOSPITAL OF SAN DIEGO 401(K) PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: PROMISE HOSPITAL OF SAN DIEGO 401(K) PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

802543

Policy instance

Insurance contract or identification number	802543
Number of Individuals Covered	0
Insurance policy start date	2015-01-01
Insurance policy end date	2015-03-09
Total amount of commissions paid to insurance broker	USD $779
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	1
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 $779
Insurance broker organization code?	3
Insurance broker name	LINSCO PRIVATE LEDGER CORP

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

802543

Policy instance

Insurance contract or identification number	802543
Number of Individuals Covered	282
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $5,327
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	1
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 $5,327
Insurance broker organization code?	3
Insurance broker name	LINSCO PRIVATE LEDGER CORP

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

802543

Policy instance

Insurance contract or identification number	802543
Number of Individuals Covered	320
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $5,104
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	1
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 $5,104
Insurance broker organization code?	3
Insurance broker name	LINSCO PRIVATE LEDGER CORP

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

802543

Policy instance

Insurance contract or identification number	802543
Number of Individuals Covered	403
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $4,147
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	1
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 $4,147
Insurance broker organization code?	3
Insurance broker name	LINSCO PRIVATE LEDGER CORP

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

802543

Policy instance

Insurance contract or identification number	802543
Number of Individuals Covered	474
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $2,963
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	1
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

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

802543

Policy instance

Insurance contract or identification number	802543
Number of Individuals Covered	476
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $2,954
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	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No

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Company Name:	QUANTUM HEALTH INC.
Employer identification number (EIN):	330934298
NAIC Classification:	622000
NAIC Description:	Hospitals

Jurisdiction of Incorporation:	California Department of State
Incorporation Date:	2000-08-29
Company Identification Number:	C2259386
Legal Registered Office Address:	2710 Gateway Oaks Dr Ste 150N Sacramento United States of America (USA) 95833