401k Plan data: HORIZON FAMILY MEDICINE, P.A. 401(K) PROFIT SHARING PLAN AND TRUST AGREEMENT plan

HORIZON FAMILY MEDICINE, P.A. 401(K) PROFIT SHARING PLAN AND TRUST AGREEMENT 401k Plan overview

Plan Name	HORIZON FAMILY MEDICINE, P.A. 401(K) PROFIT SHARING PLAN AND TRUST AGREEMENT
Plan identification number	001

HORIZON FAMILY MEDICINE, P.A. 401(K) PROFIT SHARING PLAN AND TRUST AGREEMENT Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
Plan sponsor(s) received services of leased employees, as defined in Code section 414(n), during the plan year.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

HORIZON FAMILY MEDICINE, P.A. has sponsored the creation of one or more 401k plans.

Company Name: HORIZON FAMILY MEDICINE, P.A.

Employer identification number (EIN): 561347298

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HORIZON FAMILY MEDICINE, P.A. 401(K) PROFIT SHARING PLAN AND TRUST AGREEMENT

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 JOSEPH LIVERMAN JR 2023-07-12
001 2021-01-01 JOSEPH LIVERMAN JR 2022-10-14
001 2020-01-01 JOSEPH LIVERMAN 2021-07-30
001 2019-01-01 JOSEPH LIVERMAN 2020-06-25
001 2018-01-01 JOSEPH T. LIVERMAN, JR. 2019-07-08 HORIZON FAMILY MEDICINE, P.A. 2019-07-08
001 2017-01-01 JOSEPH T. LIVERMAN, JR.
001 2017-01-01
001 2016-01-01 JOSEPH T. LIVERMAN, JR. JOSEPH T. LIVERMAN, JR 2017-10-13
001 2015-01-01 JOSEPH T. LIVERMAN, JR.
001 2014-01-01 JOSEPH T. LIVERMAN, JR. 2015-05-12
001 2013-01-01 JOSEPH T. LIVERMAN, JR. 2014-05-22
001 2012-01-01 JOSEPH T. LIVERMAN, JR. 2013-06-11
001 2011-01-01 JOSEPH T LIVERMAN JR 2012-07-19
001 2010-01-01 JOSEPH T LIVERMAN JR 2011-10-07 JOSEPH T LIVERMAN JR 2011-10-07

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01	JOSEPH LIVERMAN JR	2023-07-12
001	2021-01-01	JOSEPH LIVERMAN JR	2022-10-14
001	2020-01-01	JOSEPH LIVERMAN	2021-07-30
001	2019-01-01	JOSEPH LIVERMAN	2020-06-25
001	2018-01-01	JOSEPH T. LIVERMAN, JR.	2019-07-08	HORIZON FAMILY MEDICINE, P.A.	2019-07-08
001	2017-01-01	JOSEPH T. LIVERMAN, JR.
001	2017-01-01
001	2016-01-01	JOSEPH T. LIVERMAN, JR.		JOSEPH T. LIVERMAN, JR	2017-10-13
001	2015-01-01	JOSEPH T. LIVERMAN, JR.
001	2014-01-01	JOSEPH T. LIVERMAN, JR.	2015-05-12
001	2013-01-01	JOSEPH T. LIVERMAN, JR.	2014-05-22
001	2012-01-01	JOSEPH T. LIVERMAN, JR.	2013-06-11
001	2011-01-01	JOSEPH T LIVERMAN JR	2012-07-19
001	2010-01-01	JOSEPH T LIVERMAN JR	2011-10-07	JOSEPH T LIVERMAN JR	2011-10-07

Plan Statistics for HORIZON FAMILY MEDICINE, P.A. 401(K) PROFIT SHARING PLAN AND TRUST AGREEMENT

401k plan membership statisitcs for HORIZON FAMILY MEDICINE, P.A. 401(K) PROFIT SHARING PLAN AND TRUST AGREEMENT

Measure Date Value
2017: HORIZON FAMILY MEDICINE, P.A. 401(K) PROFIT SHARING PLAN AND TRUST AGREEMENT 2017 401k membership
Total participants, beginning-of-year 2017-01-01 140
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 14
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 36
Total of all active and inactive participants 2017-01-01 50
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 50
Number of participants with account balances 2017-01-01 50
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 1
2016: HORIZON FAMILY MEDICINE, P.A. 401(K) PROFIT SHARING PLAN AND TRUST AGREEMENT 2016 401k membership
Total participants, beginning-of-year 2016-01-01 139
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 17
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 123
Total of all active and inactive participants 2016-01-01 140
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 140
Number of participants with account balances 2016-01-01 138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 1
2015: HORIZON FAMILY MEDICINE, P.A. 401(K) PROFIT SHARING PLAN AND TRUST AGREEMENT 2015 401k membership
Total participants, beginning-of-year 2015-01-01 125
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 89
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 34
Total of all active and inactive participants 2015-01-01 123
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 123
Number of participants with account balances 2015-01-01 104
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 7

Measure	Date	Value
2017: HORIZON FAMILY MEDICINE, P.A. 401(K) PROFIT SHARING PLAN AND TRUST AGREEMENT 2017 401k membership
Total participants, beginning-of-year	2017-01-01	140
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	14
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	36
Total of all active and inactive participants	2017-01-01	50
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	50
Number of participants with account balances	2017-01-01	50
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	1
2016: HORIZON FAMILY MEDICINE, P.A. 401(K) PROFIT SHARING PLAN AND TRUST AGREEMENT 2016 401k membership
Total participants, beginning-of-year	2016-01-01	139
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	17
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	123
Total of all active and inactive participants	2016-01-01	140
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	140
Number of participants with account balances	2016-01-01	138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	1
2015: HORIZON FAMILY MEDICINE, P.A. 401(K) PROFIT SHARING PLAN AND TRUST AGREEMENT 2015 401k membership
Total participants, beginning-of-year	2015-01-01	125
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	89
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	34
Total of all active and inactive participants	2015-01-01	123
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	123
Number of participants with account balances	2015-01-01	104
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	7

Financial Data on HORIZON FAMILY MEDICINE, P.A. 401(K) PROFIT SHARING PLAN AND TRUST AGREEMENT

Measure	Date	Value
2017 : HORIZON FAMILY MEDICINE, P.A. 401(K) PROFIT SHARING PLAN AND TRUST AGREEMENT 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$2,095,437
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$333,955
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$263,590
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$415,807
Value of total assets at end of year	2017-12-31	$11,604,016
Value of total assets at beginning of year	2017-12-31	$9,842,534
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$70,365
Total interest from all sources	2017-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$600,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$121,060
Participant contributions at end of year	2017-12-31	$73,511
Participant contributions at beginning of year	2017-12-31	$31,427
Assets. Loans (other than to participants) at end of year	2017-12-31	$0
Assets. Loans (other than to participants) at beginning of year	2017-12-31	$0
Administrative expenses (other) incurred	2017-12-31	$70,365
Total non interest bearing cash at end of year	2017-12-31	$1,620
Total non interest bearing cash at beginning of year	2017-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$1,761,482
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$11,604,016
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$9,842,534
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in common/collective trusts at end of year	2017-12-31	$11,234,138
Value of interest in common/collective trusts at beginning of year	2017-12-31	$9,547,600
Net investment gain or loss from common/collective trusts	2017-12-31	$1,679,630
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$294,747
Employer contributions (assets) at end of year	2017-12-31	$294,747
Employer contributions (assets) at beginning of year	2017-12-31	$263,507
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$263,590
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	MCMILLAN PATE & COMPANY LLP
Accountancy firm EIN	2017-12-31	561945391
2016 : HORIZON FAMILY MEDICINE, P.A. 401(K) PROFIT SHARING PLAN AND TRUST AGREEMENT 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$1,360,850
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$3,194,755
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$3,121,704
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$490,238
Value of total assets at end of year	2016-12-31	$9,842,534
Value of total assets at beginning of year	2016-12-31	$11,676,439
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$73,051
Total interest from all sources	2016-12-31	$1,299
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$0
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	$600,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$226,053
Participant contributions at end of year	2016-12-31	$31,427
Participant contributions at beginning of year	2016-12-31	$32,213
Assets. Loans (other than to participants) at end of year	2016-12-31	$0
Assets. Loans (other than to participants) at beginning of year	2016-12-31	$53,300
Administrative expenses (other) incurred	2016-12-31	$73,051
Total non interest bearing cash at beginning of year	2016-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$-1,833,905
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$9,842,534
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$11,676,439
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
Interest on participant loans	2016-12-31	$1,299
Value of interest in common/collective trusts at end of year	2016-12-31	$9,547,600
Value of interest in common/collective trusts at beginning of year	2016-12-31	$11,093,512
Net investment gain or loss from common/collective trusts	2016-12-31	$869,313
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	$264,185
Employer contributions (assets) at end of year	2016-12-31	$263,507
Employer contributions (assets) at beginning of year	2016-12-31	$497,414
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$3,121,704
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	MCMILLAN PATE & COMPANY LLP
Accountancy firm EIN	2016-12-31	561945391
2015 : HORIZON FAMILY MEDICINE, P.A. 401(K) PROFIT SHARING PLAN AND TRUST AGREEMENT 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$1,080,764
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$519,986
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$446,660
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$1,469,255
Value of total assets at end of year	2015-12-31	$11,676,439
Value of total assets at beginning of year	2015-12-31	$11,115,661
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$73,326
Total interest from all sources	2015-12-31	$3,330
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$0
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	$600,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$407,488
Participant contributions at end of year	2015-12-31	$32,213
Assets. Loans (other than to participants) at end of year	2015-12-31	$53,300
Assets. Loans (other than to participants) at beginning of year	2015-12-31	$77,664
Administrative expenses (other) incurred	2015-12-31	$73,326
Total non interest bearing cash at end of year	2015-12-31	$0
Total non interest bearing cash at beginning of year	2015-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$560,778
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$11,676,439
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$11,115,661
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
Interest on participant loans	2015-12-31	$3,330
Value of interest in common/collective trusts at end of year	2015-12-31	$11,093,512
Value of interest in common/collective trusts at beginning of year	2015-12-31	$11,037,997
Net investment gain or loss from common/collective trusts	2015-12-31	$-391,821
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	Yes
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	$1,061,767
Employer contributions (assets) at end of year	2015-12-31	$497,414
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$446,660
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	MCMILLAN PATE & COMPANY LLP
Accountancy firm EIN	2015-12-31	561945391

Form 5500 Responses for HORIZON FAMILY MEDICINE, P.A. 401(K) PROFIT SHARING PLAN AND TRUST AGREEMENT

2017: HORIZON FAMILY MEDICINE, P.A. 401(K) PROFIT SHARING PLAN AND TRUST AGREEMENT 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: HORIZON FAMILY MEDICINE, P.A. 401(K) PROFIT SHARING PLAN AND TRUST AGREEMENT 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: HORIZON FAMILY MEDICINE, P.A. 401(K) PROFIT SHARING PLAN AND TRUST AGREEMENT 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	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
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

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Company Name:	HORIZON FAMILY MEDICINE, P.A.
Employer identification number (EIN):	561347298
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)