401k Plan data: PRATT MEDICAL CENTER, LTD. 401(K) & PROFIT SHARING PLAN plan

PRATT MEDICAL CENTER, LTD. 401(K) & PROFIT SHARING PLAN 401k Plan overview

Plan Name	PRATT MEDICAL CENTER, LTD. 401(K) & PROFIT SHARING PLAN
Plan identification number	001

PRATT MEDICAL CENTER, LTD. 401(K) & PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
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.
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

PRATT MEDICAL CENTER, LTD. has sponsored the creation of one or more 401k plans.

Company Name: PRATT MEDICAL CENTER, LTD.

Employer identification number (EIN): 540896390

NAIC Classification: 621111
NAIC Description: Offices of Physicians (except Mental Health Specialists)

Additional information about PRATT MEDICAL CENTER, LTD.

Jurisdiction of Incorporation: Virginia Secretary of State

Incorporation Date: 1971-09-29

Company Identification Number: 0134258

Legal Registered Office Address: P O BOX 1460

FREDERICKSBURG
United States of America (USA)
22402

More information about PRATT MEDICAL CENTER, LTD.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PRATT MEDICAL CENTER, LTD. 401(K) & PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2017-01-01 CAROL KRISTOFIK 2018-05-30
001 2016-01-01 CAROL KRISTOFIK
001 2015-01-01 CAROL KRISTOFIK
001 2014-01-01 CAROL KRISTOFIK
001 2013-01-01 CAROL KRISTOFIK
001 2012-01-01 CAROL KRISTOFIK CAROL KRISTOFIK 2013-10-03
001 2011-01-01 ROBERT ALEXANDER ROBERT ALEXANDER 2012-08-10
001 2010-01-01 ROBERT ALEXANDER
001 2009-01-01 ROBERT ALEXANDER

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2017-01-01	CAROL KRISTOFIK	2018-05-30
001	2016-01-01	CAROL KRISTOFIK
001	2015-01-01	CAROL KRISTOFIK
001	2014-01-01	CAROL KRISTOFIK
001	2013-01-01	CAROL KRISTOFIK
001	2012-01-01	CAROL KRISTOFIK		CAROL KRISTOFIK	2013-10-03
001	2011-01-01	ROBERT ALEXANDER		ROBERT ALEXANDER	2012-08-10
001	2010-01-01	ROBERT ALEXANDER
001	2009-01-01	ROBERT ALEXANDER

Plan Statistics for PRATT MEDICAL CENTER, LTD. 401(K) & PROFIT SHARING PLAN

401k plan membership statisitcs for PRATT MEDICAL CENTER, LTD. 401(K) & PROFIT SHARING PLAN

Measure Date Value
2016: PRATT MEDICAL CENTER, LTD. 401(K) & PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 144
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 13
Number of other retired or separated participants entitled to future benefits 2016-01-01 70
Total of all active and inactive participants 2016-01-01 83
Total participants 2016-01-01 83
Number of participants with account balances 2016-01-01 83
2015: PRATT MEDICAL CENTER, LTD. 401(K) & PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 248
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 28
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 116
Total of all active and inactive participants 2015-01-01 144
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 144
Number of participants with account balances 2015-01-01 132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 1
2014: PRATT MEDICAL CENTER, LTD. 401(K) & PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 312
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 187
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 61
Total of all active and inactive participants 2014-01-01 248
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 248
Number of participants with account balances 2014-01-01 225
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 5
2013: PRATT MEDICAL CENTER, LTD. 401(K) & PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 294
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 179
Number of retired or separated participants receiving benefits 2013-01-01 3
Number of other retired or separated participants entitled to future benefits 2013-01-01 129
Total of all active and inactive participants 2013-01-01 311
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 311
Number of participants with account balances 2013-01-01 296
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 16
2012: PRATT MEDICAL CENTER, LTD. 401(K) & PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 272
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 179
Number of retired or separated participants receiving benefits 2012-01-01 6
Number of other retired or separated participants entitled to future benefits 2012-01-01 108
Total of all active and inactive participants 2012-01-01 293
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 293
Number of participants with account balances 2012-01-01 273
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 13
2011: PRATT MEDICAL CENTER, LTD. 401(K) & PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 251
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 167
Number of retired or separated participants receiving benefits 2011-01-01 5
Number of other retired or separated participants entitled to future benefits 2011-01-01 100
Total of all active and inactive participants 2011-01-01 272
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 272
Number of participants with account balances 2011-01-01 260
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 6
2010: PRATT MEDICAL CENTER, LTD. 401(K) & PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 355
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 153
Number of retired or separated participants receiving benefits 2010-01-01 3
Number of other retired or separated participants entitled to future benefits 2010-01-01 95
Total of all active and inactive participants 2010-01-01 251
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 251
Number of participants with account balances 2010-01-01 251
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 16
2009: PRATT MEDICAL CENTER, LTD. 401(K) & PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 357
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 150
Number of retired or separated participants receiving benefits 2009-01-01 4
Number of other retired or separated participants entitled to future benefits 2009-01-01 200
Total of all active and inactive participants 2009-01-01 354
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 354
Number of participants with account balances 2009-01-01 354
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 59

Measure	Date	Value
2016: PRATT MEDICAL CENTER, LTD. 401(K) & PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	144
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	13
Number of other retired or separated participants entitled to future benefits	2016-01-01	70
Total of all active and inactive participants	2016-01-01	83
Total participants	2016-01-01	83
Number of participants with account balances	2016-01-01	83
2015: PRATT MEDICAL CENTER, LTD. 401(K) & PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	248
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	28
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	116
Total of all active and inactive participants	2015-01-01	144
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	144
Number of participants with account balances	2015-01-01	132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	1
2014: PRATT MEDICAL CENTER, LTD. 401(K) & PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	312
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	187
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	61
Total of all active and inactive participants	2014-01-01	248
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	248
Number of participants with account balances	2014-01-01	225
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	5
2013: PRATT MEDICAL CENTER, LTD. 401(K) & PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	294
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	179
Number of retired or separated participants receiving benefits	2013-01-01	3
Number of other retired or separated participants entitled to future benefits	2013-01-01	129
Total of all active and inactive participants	2013-01-01	311
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	311
Number of participants with account balances	2013-01-01	296
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	16
2012: PRATT MEDICAL CENTER, LTD. 401(K) & PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	272
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	179
Number of retired or separated participants receiving benefits	2012-01-01	6
Number of other retired or separated participants entitled to future benefits	2012-01-01	108
Total of all active and inactive participants	2012-01-01	293
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	293
Number of participants with account balances	2012-01-01	273
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	13
2011: PRATT MEDICAL CENTER, LTD. 401(K) & PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	251
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	167
Number of retired or separated participants receiving benefits	2011-01-01	5
Number of other retired or separated participants entitled to future benefits	2011-01-01	100
Total of all active and inactive participants	2011-01-01	272
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	272
Number of participants with account balances	2011-01-01	260
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	6
2010: PRATT MEDICAL CENTER, LTD. 401(K) & PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	355
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	153
Number of retired or separated participants receiving benefits	2010-01-01	3
Number of other retired or separated participants entitled to future benefits	2010-01-01	95
Total of all active and inactive participants	2010-01-01	251
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	251
Number of participants with account balances	2010-01-01	251
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	16
2009: PRATT MEDICAL CENTER, LTD. 401(K) & PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	357
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	150
Number of retired or separated participants receiving benefits	2009-01-01	4
Number of other retired or separated participants entitled to future benefits	2009-01-01	200
Total of all active and inactive participants	2009-01-01	354
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	354
Number of participants with account balances	2009-01-01	354
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	59

Financial Data on PRATT MEDICAL CENTER, LTD. 401(K) & PROFIT SHARING PLAN

Measure	Date	Value
2016 : PRATT MEDICAL CENTER, LTD. 401(K) & PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources (including contributions)	2016-12-31	$921,042
Total of all expenses incurred	2016-12-31	$4,198,753
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$4,182,336
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$591,467
Value of total assets at end of year	2016-12-31	$5,476,141
Value of total assets at beginning of year	2016-12-31	$8,753,852
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$16,417
Total interest from all sources	2016-12-31	$1,841
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Participant contributions at end of year	2016-12-31	$18,330
Participant contributions at beginning of year	2016-12-31	$64,254
Other income not declared elsewhere	2016-12-31	$24,520
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$-3,277,711
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$5,476,141
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$8,753,852
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest in pooled separate accounts at end of year	2016-12-31	$4,060,529
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$6,919,238
Interest on participant loans	2016-12-31	$1,841
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$1,397,282
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$1,770,360
Net investment gain/loss from pooled separate accounts	2016-12-31	$303,214
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$591,467
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$4,182,336
Contract administrator fees	2016-12-31	$16,417
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	PBMARES, LLP
Accountancy firm EIN	2016-12-31	540737372
2015 : PRATT MEDICAL CENTER, LTD. 401(K) & PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources (including contributions)	2015-12-31	$814,941
Total of all expenses incurred	2015-12-31	$5,169,573
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$5,157,304
Value of total corrective distributions	2015-12-31	$3,401
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$725,353
Value of total assets at end of year	2015-12-31	$8,753,852
Value of total assets at beginning of year	2015-12-31	$13,108,484
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$8,868
Total interest from all sources	2015-12-31	$11,395
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$500,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$359,569
Participant contributions at end of year	2015-12-31	$64,254
Participant contributions at beginning of year	2015-12-31	$330,770
Other income not declared elsewhere	2015-12-31	$34,044
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$-4,354,632
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$8,753,852
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$13,108,484
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in pooled separate accounts at end of year	2015-12-31	$6,919,238
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$10,375,878
Interest on participant loans	2015-12-31	$11,395
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$1,770,360
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$2,401,836
Net investment gain/loss from pooled separate accounts	2015-12-31	$44,149
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$365,784
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$5,157,304
Contract administrator fees	2015-12-31	$8,868
Did the plan have assets held for investment	2015-12-31	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	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	PBMARES, LLP
Accountancy firm EIN	2015-12-31	540737372
2014 : PRATT MEDICAL CENTER, LTD. 401(K) & PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources (including contributions)	2014-12-31	$1,267,843
Total of all expenses incurred	2014-12-31	$1,650,312
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$1,638,322
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$551,728
Value of total assets at end of year	2014-12-31	$13,108,484
Value of total assets at beginning of year	2014-12-31	$13,490,953
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$11,990
Total interest from all sources	2014-12-31	$14,422
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$518,325
Participant contributions at end of year	2014-12-31	$330,770
Participant contributions at beginning of year	2014-12-31	$336,983
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$33,359
Other income not declared elsewhere	2014-12-31	$36,872
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	$-382,469
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$13,108,484
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$13,490,953
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	$10,375,878
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$10,218,709
Interest on participant loans	2014-12-31	$14,422
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$2,401,836
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$2,562,977
Net investment gain/loss from pooled separate accounts	2014-12-31	$664,821
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
Contributions received in cash from employer	2014-12-31	$44
Employer contributions (assets) at beginning of year	2014-12-31	$372,284
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$1,638,322
Contract administrator fees	2014-12-31	$11,990
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	PBMARES, LLP
Accountancy firm EIN	2014-12-31	540737372
2013 : PRATT MEDICAL CENTER, LTD. 401(K) & PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources (including contributions)	2013-12-31	$3,003,449
Total of all expenses incurred	2013-12-31	$832,755
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$792,771
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$1,082,798
Value of total assets at end of year	2013-12-31	$13,490,953
Value of total assets at beginning of year	2013-12-31	$11,320,259
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$39,984
Total interest from all sources	2013-12-31	$18,664
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	$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	$550,637
Participant contributions at end of year	2013-12-31	$336,983
Participant contributions at beginning of year	2013-12-31	$451,479
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$159,877
Other income not declared elsewhere	2013-12-31	$41,330
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	$2,170,694
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$13,490,953
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$11,320,259
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in pooled separate accounts at end of year	2013-12-31	$10,218,709
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$7,487,863
Interest on participant loans	2013-12-31	$18,664
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$2,562,977
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$2,837,973
Net investment gain/loss from pooled separate accounts	2013-12-31	$1,860,657
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	$372,284
Employer contributions (assets) at end of year	2013-12-31	$372,284
Employer contributions (assets) at beginning of year	2013-12-31	$542,944
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$792,771
Contract administrator fees	2013-12-31	$39,984
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	Yes
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	PBMARES, LLP
Accountancy firm EIN	2013-12-31	540737372
2012 : PRATT MEDICAL CENTER, LTD. 401(K) & PROFIT SHARING 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	$2,139,861
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$759,508
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$724,634
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$1,183,514
Value of total assets at end of year	2012-12-31	$11,320,259
Value of total assets at beginning of year	2012-12-31	$9,939,906
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$34,874
Total interest from all sources	2012-12-31	$15,699
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	$500,000
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	$579,058
Participant contributions at end of year	2012-12-31	$451,479
Participant contributions at beginning of year	2012-12-31	$293,630
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$61,445
Other income not declared elsewhere	2012-12-31	$45,444
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	$1,380,353
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$11,320,259
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$9,939,906
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in pooled separate accounts at end of year	2012-12-31	$7,487,863
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$6,712,805
Interest on participant loans	2012-12-31	$15,699
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$2,837,973
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$2,379,957
Net investment gain/loss from pooled separate accounts	2012-12-31	$895,204
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	$543,011
Employer contributions (assets) at end of year	2012-12-31	$542,944
Employer contributions (assets) at beginning of year	2012-12-31	$553,514
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$724,634
Contract administrator fees	2012-12-31	$34,874
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	PBMARES, LLP
Accountancy firm EIN	2012-12-31	540737372
2011 : PRATT MEDICAL CENTER, LTD. 401(K) & PROFIT SHARING 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	$876,200
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$824,827
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$776,019
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$1,084,562
Value of total assets at end of year	2011-12-31	$9,939,906
Value of total assets at beginning of year	2011-12-31	$9,888,533
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$48,808
Total interest from all sources	2011-12-31	$15,552
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	$451,792
Participant contributions at end of year	2011-12-31	$293,630
Participant contributions at beginning of year	2011-12-31	$333,618
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$79,256
Other income not declared elsewhere	2011-12-31	$49,781
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	$51,373
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$9,939,906
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$9,888,533
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	$6,712,805
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$7,242,592
Interest on participant loans	2011-12-31	$15,552
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$2,379,957
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$1,882,776
Net investment gain/loss from pooled separate accounts	2011-12-31	$-273,695
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	$553,514
Employer contributions (assets) at end of year	2011-12-31	$553,514
Employer contributions (assets) at beginning of year	2011-12-31	$429,547
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$776,019
Contract administrator fees	2011-12-31	$48,808
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	PBHG, LLP
Accountancy firm EIN	2011-12-31	540737372
2010 : PRATT MEDICAL CENTER, LTD. 401(K) & PROFIT SHARING 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	$2,360,248
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$2,723,988
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$2,676,168
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$1,203,567
Value of total assets at end of year	2010-12-31	$9,888,533
Value of total assets at beginning of year	2010-12-31	$10,252,273
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$47,820
Total interest from all sources	2010-12-31	$10,560
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	$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	$447,113
Participant contributions at end of year	2010-12-31	$333,618
Participant contributions at beginning of year	2010-12-31	$340,319
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$355,475
Other income not declared elsewhere	2010-12-31	$54,022
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	$-363,740
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$9,888,533
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$10,252,273
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	$7,242,592
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$7,539,006
Interest on participant loans	2010-12-31	$10,560
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$1,882,776
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$1,784,832
Net investment gain/loss from pooled separate accounts	2010-12-31	$1,092,099
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	$400,979
Employer contributions (assets) at end of year	2010-12-31	$429,547
Employer contributions (assets) at beginning of year	2010-12-31	$588,116
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$2,676,168
Contract administrator fees	2010-12-31	$47,820
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	PBHG, LLP
Accountancy firm EIN	2010-12-31	540737372
2009 : PRATT MEDICAL CENTER, LTD. 401(K) & PROFIT SHARING 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 PRATT MEDICAL CENTER, LTD. 401(K) & PROFIT SHARING PLAN

2016: PRATT MEDICAL CENTER, LTD. 401(K) & PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: PRATT MEDICAL CENTER, LTD. 401(K) & PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
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: PRATT MEDICAL CENTER, LTD. 401(K) & PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
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: PRATT MEDICAL CENTER, LTD. 401(K) & PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
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: PRATT MEDICAL CENTER, LTD. 401(K) & PROFIT SHARING 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: PRATT MEDICAL CENTER, LTD. 401(K) & PROFIT SHARING 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: PRATT MEDICAL CENTER, LTD. 401(K) & PROFIT SHARING 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: PRATT MEDICAL CENTER, LTD. 401(K) & PROFIT SHARING 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

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

Policy contract number

991557

Policy instance

Insurance contract or identification number	991557
Number of Individuals Covered	132
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $28,681
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $28,681
Insurance broker organization code?	3
Insurance broker name	RAYMOND JAMES INSURANCE GROUP INC

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

Policy contract number

991557

Policy instance

Insurance contract or identification number	991557
Number of Individuals Covered	225
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $41,025
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,824
Insurance broker organization code?	3
Insurance broker name	BARBOUR S BUSSELLS

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

Policy contract number

991557

Policy instance

Insurance contract or identification number	991557
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $63,066
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Commission paid to Insurance Broker	USD $63,066
Insurance broker organization code?	3
Insurance broker name	JOHN HUDSON GARRETT

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

Policy contract number

991557

Policy instance

Insurance contract or identification number	991557
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $54,270
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Commission paid to Insurance Broker	USD $54,270
Insurance broker organization code?	3
Insurance broker name	JOHN HUDSON GARRETT

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

Policy contract number

991557

Policy instance

Insurance contract or identification number	991557
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $51,415
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No

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

Policy contract number

991557

Policy instance

Insurance contract or identification number	991557
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $48,914
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No

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Company Name:	PRATT MEDICAL CENTER, LTD.
Employer identification number (EIN):	540896390
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Jurisdiction of Incorporation:	Virginia Secretary of State
Incorporation Date:	1971-09-29
Company Identification Number:	0134258
Legal Registered Office Address:	P O BOX 1460 FREDERICKSBURG United States of America (USA) 22402