401k Plan data: HCMH DIVERSIFIED MGMT. CORP. RETIREMENT PLAN plan

HCMH DIVERSIFIED MGMT. CORP. RETIREMENT PLAN 401k Plan overview

Plan Name	HCMH DIVERSIFIED MGMT. CORP. RETIREMENT PLAN
Plan identification number	002

HCMH DIVERSIFIED MGMT. CORP. RETIREMENT 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.
Participant-directed brokerage accounts provided as an investment option under the plan.
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

HCMH DIVERSIFIED MANAGEMENT CORPORATION has sponsored the creation of one or more 401k plans.

Company Name: HCMH DIVERSIFIED MANAGEMENT CORPORATION

Employer identification number (EIN): 351640749

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HCMH DIVERSIFIED MGMT. CORP. RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2015-01-01 DEANNA MALOTT
002 2015-01-01 DEANNA MALOTT
002 2014-01-01 DEANNA MALOTT DEANNA MALOTT 2015-10-14
002 2013-01-01 DEANNA MALOTT DEANNA MALOTT 2014-10-15
002 2012-01-01 DEANNA MALOTT
002 2011-01-01 DEANNA MALOTT
002 2010-01-01 DEANNA MALOTT
002 2009-01-01 DEANNA MALOTT
002 2009-01-01 DEANNA MALOTT

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
002	2015-01-01	DEANNA MALOTT
002	2015-01-01	DEANNA MALOTT
002	2014-01-01	DEANNA MALOTT	DEANNA MALOTT	2015-10-14
002	2013-01-01	DEANNA MALOTT	DEANNA MALOTT	2014-10-15
002	2012-01-01	DEANNA MALOTT
002	2011-01-01	DEANNA MALOTT
002	2010-01-01	DEANNA MALOTT
002	2009-01-01	DEANNA MALOTT
002	2009-01-01	DEANNA MALOTT

Plan Statistics for HCMH DIVERSIFIED MGMT. CORP. RETIREMENT PLAN

401k plan membership statisitcs for HCMH DIVERSIFIED MGMT. CORP. RETIREMENT PLAN

Measure Date Value
2015: HCMH DIVERSIFIED MGMT. CORP. RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 118
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: HCMH DIVERSIFIED MGMT. CORP. RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 131
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 50
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 68
Total of all active and inactive participants 2014-01-01 118
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 118
Number of participants with account balances 2014-01-01 118
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: HCMH DIVERSIFIED MGMT. CORP. RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 139
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 54
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 77
Total of all active and inactive participants 2013-01-01 131
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 131
Number of participants with account balances 2013-01-01 130
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: HCMH DIVERSIFIED MGMT. CORP. RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 157
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 68
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 69
Total of all active and inactive participants 2012-01-01 137
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 137
Number of participants with account balances 2012-01-01 129
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 4
2011: HCMH DIVERSIFIED MGMT. CORP. RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 164
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 82
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 73
Total of all active and inactive participants 2011-01-01 155
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 155
Number of participants with account balances 2011-01-01 146
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 5
2010: HCMH DIVERSIFIED MGMT. CORP. RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 167
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 94
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 62
Total of all active and inactive participants 2010-01-01 156
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 156
Number of participants with account balances 2010-01-01 152
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 5
2009: HCMH DIVERSIFIED MGMT. CORP. RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 167
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 111
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 49
Total of all active and inactive participants 2009-01-01 160
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 160
Number of participants with account balances 2009-01-01 146
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 3

Measure	Date	Value
2015: HCMH DIVERSIFIED MGMT. CORP. RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	118
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: HCMH DIVERSIFIED MGMT. CORP. RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	131
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	50
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	68
Total of all active and inactive participants	2014-01-01	118
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	118
Number of participants with account balances	2014-01-01	118
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: HCMH DIVERSIFIED MGMT. CORP. RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	139
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	54
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	77
Total of all active and inactive participants	2013-01-01	131
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	131
Number of participants with account balances	2013-01-01	130
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: HCMH DIVERSIFIED MGMT. CORP. RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	157
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	68
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	69
Total of all active and inactive participants	2012-01-01	137
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	137
Number of participants with account balances	2012-01-01	129
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	4
2011: HCMH DIVERSIFIED MGMT. CORP. RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	164
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	82
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	73
Total of all active and inactive participants	2011-01-01	155
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	155
Number of participants with account balances	2011-01-01	146
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	5
2010: HCMH DIVERSIFIED MGMT. CORP. RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	167
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	94
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	62
Total of all active and inactive participants	2010-01-01	156
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	156
Number of participants with account balances	2010-01-01	152
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	5
2009: HCMH DIVERSIFIED MGMT. CORP. RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	167
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	111
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	49
Total of all active and inactive participants	2009-01-01	160
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	160
Number of participants with account balances	2009-01-01	146
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	3

Financial Data on HCMH DIVERSIFIED MGMT. CORP. RETIREMENT PLAN

Measure	Date	Value
2015 : HCMH DIVERSIFIED MGMT. CORP. RETIREMENT PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-11-30	$0
Total transfer of assets from this plan	2015-11-30	$5,944,414
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-11-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-11-30	$0
Total income from all sources (including contributions)	2015-11-30	$-7,301
Total loss/gain on sale of assets	2015-11-30	$0
Total of all expenses incurred	2015-11-30	$8,701,278
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-11-30	$8,691,492
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-11-30	$0
Value of total assets at end of year	2015-11-30	$0
Value of total assets at beginning of year	2015-11-30	$14,652,993
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-11-30	$9,786
Total interest from all sources	2015-11-30	$-262
Total dividends received (eg from common stock, registered investment company shares)	2015-11-30	$48,444
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-11-30	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2015-11-30	$0
Total dividends received from registered investment company shares (eg mutual funds)	2015-11-30	$48,444
Was this plan covered by a fidelity bond	2015-11-30	Yes
Value of fidelity bond cover	2015-11-30	$1,000,000
If this is an individual account plan, was there a blackout period	2015-11-30	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-11-30	$0
Were there any nonexempt tranactions with any party-in-interest	2015-11-30	No
Participant contributions at end of year	2015-11-30	$0
Participant contributions at beginning of year	2015-11-30	$43,446
Assets. Other investments not covered elsewhere at end of year	2015-11-30	$0
Assets. Other investments not covered elsewhere at beginning of year	2015-11-30	$1,163,328
Other income not declared elsewhere	2015-11-30	$-39,222
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-11-30	No
Value of net income/loss	2015-11-30	$-8,708,579
Value of net assets at end of year (total assets less liabilities)	2015-11-30	$0
Value of net assets at beginning of year (total assets less liabilities)	2015-11-30	$14,652,993
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-11-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-11-30	No
Were any leases to which the plan was party in default or uncollectible	2015-11-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-11-30	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-11-30	$12,159,375
Interest on participant loans	2015-11-30	$-262
Income. Interest from loans (other than to participants)	2015-11-30	$0
Value of interest in common/collective trusts at end of year	2015-11-30	$0
Value of interest in common/collective trusts at beginning of year	2015-11-30	$1,286,844
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-11-30	$-22,853
Net investment gain or loss from common/collective trusts	2015-11-30	$6,592
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-11-30	No
Was there a failure to transmit to the plan any participant contributions	2015-11-30	No
Has the plan failed to provide any benefit when due under the plan	2015-11-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-11-30	$8,691,492
Contract administrator fees	2015-11-30	$9,786
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	2015-11-30	Yes
Did the plan have assets held for investment	2015-11-30	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	2015-11-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-11-30	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-11-30	Yes
Opinion of an independent qualified public accountant for this plan	2015-11-30	Disclaimer
Accountancy firm name	2015-11-30	BLUE AND CO.
Accountancy firm EIN	2015-11-30	351178661
2014 : HCMH DIVERSIFIED MGMT. CORP. RETIREMENT 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	$770,304
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$680,640
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$678,059
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$0
Value of total assets at end of year	2014-12-31	$14,652,993
Value of total assets at beginning of year	2014-12-31	$14,563,329
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$2,581
Total interest from all sources	2014-12-31	$1,914
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$145,069
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$145,069
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Participant contributions at end of year	2014-12-31	$43,446
Participant contributions at beginning of year	2014-12-31	$44,533
Assets. Other investments not covered elsewhere at end of year	2014-12-31	$1,163,328
Assets. Other investments not covered elsewhere at beginning of year	2014-12-31	$1,562,826
Other income not declared elsewhere	2014-12-31	$76,582
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	$89,664
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$14,652,993
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$14,563,329
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 registered invesment companies (eg mutual funds) at end of year	2014-12-31	$12,159,375
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$11,118,259
Interest on participant loans	2014-12-31	$1,914
Value of interest in common/collective trusts at end of year	2014-12-31	$1,286,844
Value of interest in common/collective trusts at beginning of year	2014-12-31	$1,059,289
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$539,698
Net investment gain or loss from common/collective trusts	2014-12-31	$7,041
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	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Employer contributions (assets) at end of year	2014-12-31	$0
Employer contributions (assets) at beginning of year	2014-12-31	$778,422
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$678,059
Contract administrator fees	2014-12-31	$2,581
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	BLUE AND CO.
Accountancy firm EIN	2014-12-31	351178661
2013 : HCMH DIVERSIFIED MGMT. CORP. RETIREMENT 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	$3,594,298
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$1,246,082
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$1,242,250
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$1,184,156
Value of total assets at end of year	2013-12-31	$14,563,329
Value of total assets at beginning of year	2013-12-31	$12,215,113
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$3,832
Total interest from all sources	2013-12-31	$2,006
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$115,322
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2013-12-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$115,322
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$405,734
Participant contributions at end of year	2013-12-31	$44,533
Participant contributions at beginning of year	2013-12-31	$86,850
Assets. Other investments not covered elsewhere at end of year	2013-12-31	$1,562,826
Assets. Other investments not covered elsewhere at beginning of year	2013-12-31	$1,531,308
Other income not declared elsewhere	2013-12-31	$293,313
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	$2,348,216
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$14,563,329
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$12,215,113
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 registered invesment companies (eg mutual funds) at end of year	2013-12-31	$11,118,259
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$8,921,535
Interest on participant loans	2013-12-31	$2,006
Value of interest in common/collective trusts at end of year	2013-12-31	$1,059,289
Value of interest in common/collective trusts at beginning of year	2013-12-31	$846,115
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$1,990,572
Net investment gain or loss from common/collective trusts	2013-12-31	$8,929
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	No
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	$778,422
Employer contributions (assets) at end of year	2013-12-31	$778,422
Employer contributions (assets) at beginning of year	2013-12-31	$829,305
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$1,242,250
Contract administrator fees	2013-12-31	$3,832
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	BLUE AND CO.
Accountancy firm EIN	2013-12-31	351178661
2012 : HCMH DIVERSIFIED MGMT. CORP. RETIREMENT 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	$43,762
Total income from all sources (including contributions)	2012-12-31	$2,353,500
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$1,003,509
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$997,077
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$1,190,755
Value of total assets at end of year	2012-12-31	$12,215,113
Value of total assets at beginning of year	2012-12-31	$10,908,884
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$6,432
Total interest from all sources	2012-12-31	$3,652
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$128,952
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$128,952
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2012-12-31	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	$361,450
Participant contributions at end of year	2012-12-31	$86,850
Participant contributions at beginning of year	2012-12-31	$84,899
Assets. Other investments not covered elsewhere at end of year	2012-12-31	$1,531,308
Other income not declared elsewhere	2012-12-31	$138,538
Total non interest bearing cash at beginning of year	2012-12-31	$43,762
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	$1,349,991
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$12,215,113
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$10,865,122
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 registered invesment companies (eg mutual funds) at end of year	2012-12-31	$8,921,535
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$7,865,421
Interest on participant loans	2012-12-31	$3,652
Value of interest in common/collective trusts at end of year	2012-12-31	$846,115
Value of interest in common/collective trusts at beginning of year	2012-12-31	$766,136
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$44
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$44
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$1,398,842
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$880,559
Net investment gain or loss from common/collective trusts	2012-12-31	$11,044
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	$829,305
Employer contributions (assets) at end of year	2012-12-31	$829,305
Employer contributions (assets) at beginning of year	2012-12-31	$749,780
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$997,077
Contract administrator fees	2012-12-31	$6,432
Liabilities. Value of benefit claims payable at beginning of year	2012-12-31	$43,762
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	BLUE AND CO.
Accountancy firm EIN	2012-12-31	351178661
2011 : HCMH DIVERSIFIED MGMT. CORP. RETIREMENT 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	$43,762
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	$846,408
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$1,377,044
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$1,371,556
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$1,107,902
Value of total assets at end of year	2011-12-31	$10,908,884
Value of total assets at beginning of year	2011-12-31	$11,395,758
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$5,488
Total interest from all sources	2011-12-31	$3,114
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$115,516
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$115,516
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	$358,121
Participant contributions at end of year	2011-12-31	$84,899
Participant contributions at beginning of year	2011-12-31	$49,725
Participant contributions at end of year	2011-12-31	$0
Participant contributions at beginning of year	2011-12-31	$14,745
Other income not declared elsewhere	2011-12-31	$-32,593
Total non interest bearing cash at end of year	2011-12-31	$43,762
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	$-530,636
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$10,865,122
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$11,395,758
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 registered invesment companies (eg mutual funds) at end of year	2011-12-31	$7,865,421
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$8,377,135
Interest on participant loans	2011-12-31	$3,114
Value of interest in common/collective trusts at end of year	2011-12-31	$766,136
Value of interest in common/collective trusts at beginning of year	2011-12-31	$798,396
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$44
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$44
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$44
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$1,398,842
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$1,376,935
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-359,522
Net investment gain or loss from common/collective trusts	2011-12-31	$11,991
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	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$749,781
Employer contributions (assets) at end of year	2011-12-31	$749,780
Employer contributions (assets) at beginning of year	2011-12-31	$778,778
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$1,371,556
Contract administrator fees	2011-12-31	$5,488
Liabilities. Value of benefit claims payable at end of year	2011-12-31	$43,762
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	BLUE AND CO.
Accountancy firm EIN	2011-12-31	351178661
2010 : HCMH DIVERSIFIED MGMT. CORP. RETIREMENT 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	$2,410,536
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$456,480
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$452,876
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$1,163,362
Value of total assets at end of year	2010-12-31	$11,395,758
Value of total assets at beginning of year	2010-12-31	$9,441,702
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$3,604
Total interest from all sources	2010-12-31	$2,020
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$112,502
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$112,502
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$1,000,000
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	$384,584
Participant contributions at end of year	2010-12-31	$49,725
Participant contributions at beginning of year	2010-12-31	$37,550
Participant contributions at end of year	2010-12-31	$14,745
Participant contributions at beginning of year	2010-12-31	$15,320
Other income not declared elsewhere	2010-12-31	$108,502
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$1,954,056
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$11,395,758
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$9,441,702
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 registered invesment companies (eg mutual funds) at end of year	2010-12-31	$8,377,135
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$6,853,130
Interest on participant loans	2010-12-31	$2,020
Value of interest in common/collective trusts at end of year	2010-12-31	$798,396
Value of interest in common/collective trusts at beginning of year	2010-12-31	$647,587
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$44
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$12
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$12
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$1,376,935
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$1,213,934
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$1,013,653
Net investment gain or loss from common/collective trusts	2010-12-31	$10,497
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	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$778,778
Employer contributions (assets) at end of year	2010-12-31	$778,778
Employer contributions (assets) at beginning of year	2010-12-31	$674,169
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$452,876
Contract administrator fees	2010-12-31	$3,604
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	BLUE AND CO.
Accountancy firm EIN	2010-12-31	351178661
2009 : HCMH DIVERSIFIED MGMT. CORP. RETIREMENT 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 HCMH DIVERSIFIED MGMT. CORP. RETIREMENT PLAN

2015: HCMH DIVERSIFIED MGMT. CORP. RETIREMENT 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 – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: HCMH DIVERSIFIED MGMT. CORP. RETIREMENT 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: HCMH DIVERSIFIED MGMT. CORP. RETIREMENT 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: HCMH DIVERSIFIED MGMT. CORP. RETIREMENT 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: HCMH DIVERSIFIED MGMT. CORP. RETIREMENT 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: HCMH DIVERSIFIED MGMT. CORP. RETIREMENT 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: HCMH DIVERSIFIED MGMT. CORP. RETIREMENT 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

ADVANTAGE HEALTH SOLUTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 52568 )

Policy contract number

8025H000F

Policy instance

Insurance contract or identification number	8025H000F
Number of Individuals Covered	0
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	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?	Yes
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

ADVANTAGE HEALTH SOLUTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 52568 )

Policy contract number

8025H000F

Policy instance

Insurance contract or identification number	8025H000F
Number of Individuals Covered	138
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $5,887
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?	Yes
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
Commission paid to Insurance Broker	USD $5,887
Insurance broker organization code?	3
Insurance broker name	GREGORY & APPEAL

ADVANTAGE HEALTH SOLUTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 52568 )

Policy contract number

312H006

Policy instance

Insurance contract or identification number	312H006
Number of Individuals Covered	171
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $7,693
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
Commission paid to Insurance Broker	USD $7,693
Insurance broker organization code?	3
Insurance broker name	GREGORY & APPEAL

ADVANTAGE HEALTH SOLUTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 52568 )

Policy contract number

312H006

Policy instance

Insurance contract or identification number	312H006
Number of Individuals Covered	215
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $10,732
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

ADVANTAGE HEALTH SOLUTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 52568 )

Policy contract number

312H006

Policy instance

Insurance contract or identification number	312H006
Number of Individuals Covered	215
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $10,732
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
Commission paid to Insurance Broker	USD $10,732
Insurance broker organization code?	3
Insurance broker name	GREGORY & APPEAL

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Company Name:	HCMH DIVERSIFIED MANAGEMENT CORPORATION
Employer identification number (EIN):	351640749
NAIC Classification:	622000
NAIC Description:	Hospitals