401k Plan data: NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT PLAN plan

NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT PLAN 401k Plan overview

Plan Name	NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT PLAN
Plan identification number	001

NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
Participant-directed brokerage accounts provided as an investment option under the plan.
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.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

NORTH COUNTRY HEALTH SYSTEM, INC. has sponsored the creation of one or more 401k plans.

Company Name: NORTH COUNTRY HEALTH SYSTEM, INC.

Employer identification number (EIN): 030185556

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01
001 2021-01-01
001 2020-01-01
001 2019-01-01
001 2018-01-01
001 2017-01-01 WILLIAM PERKET
001 2016-01-01 WILLIAM PERKET
001 2015-01-01 WILLIAM PERKET
001 2015-01-01 WILLIAM PERKET
001 2014-01-01 WILLIAM PERKET
001 2013-01-01 WILLIAM PERKET
001 2012-01-01 WILLIAM PERKET
001 2011-01-01 WILLIAM PERKET
001 2009-01-01 WILLIAM PERKET WILLIAM PERKET 2010-10-13

Plan Statistics for NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT PLAN

401k plan membership statisitcs for NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT PLAN

Measure Date Value
2022: NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 893
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 612
Number of retired or separated participants receiving benefits 2022-01-01 23
Number of other retired or separated participants entitled to future benefits 2022-01-01 298
Total of all active and inactive participants 2022-01-01 933
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 6
Total participants 2022-01-01 939
Number of participants with account balances 2022-01-01 939
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 0
2021: NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 944
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 589
Number of retired or separated participants receiving benefits 2021-01-01 20
Number of other retired or separated participants entitled to future benefits 2021-01-01 278
Total of all active and inactive participants 2021-01-01 887
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 6
Total participants 2021-01-01 893
Number of participants with account balances 2021-01-01 893
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 949
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 570
Number of retired or separated participants receiving benefits 2020-01-01 14
Number of other retired or separated participants entitled to future benefits 2020-01-01 357
Total of all active and inactive participants 2020-01-01 941
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 3
Total participants 2020-01-01 944
Number of participants with account balances 2020-01-01 944
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 928
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 588
Number of retired or separated participants receiving benefits 2019-01-01 23
Number of other retired or separated participants entitled to future benefits 2019-01-01 334
Total of all active and inactive participants 2019-01-01 945
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 4
Total participants 2019-01-01 949
Number of participants with account balances 2019-01-01 949
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 915
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 691
Number of retired or separated participants receiving benefits 2018-01-01 24
Number of other retired or separated participants entitled to future benefits 2018-01-01 209
Total of all active and inactive participants 2018-01-01 924
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 4
Total participants 2018-01-01 928
Number of participants with account balances 2018-01-01 928
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 896
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 685
Number of retired or separated participants receiving benefits 2017-01-01 19
Number of other retired or separated participants entitled to future benefits 2017-01-01 200
Total of all active and inactive participants 2017-01-01 904
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 3
Total participants 2017-01-01 907
Number of participants with account balances 2017-01-01 892
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 837
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 662
Number of retired or separated participants receiving benefits 2016-01-01 16
Number of other retired or separated participants entitled to future benefits 2016-01-01 214
Total of all active and inactive participants 2016-01-01 892
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 4
Total participants 2016-01-01 896
Number of participants with account balances 2016-01-01 896
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 798
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 650
Number of retired or separated participants receiving benefits 2015-01-01 15
Number of other retired or separated participants entitled to future benefits 2015-01-01 170
Total of all active and inactive participants 2015-01-01 835
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 2
Total participants 2015-01-01 837
Number of participants with account balances 2015-01-01 837
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 808
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 611
Number of retired or separated participants receiving benefits 2014-01-01 13
Number of other retired or separated participants entitled to future benefits 2014-01-01 169
Total of all active and inactive participants 2014-01-01 793
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 3
Total participants 2014-01-01 796
Number of participants with account balances 2014-01-01 796
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 836
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 647
Number of retired or separated participants receiving benefits 2013-01-01 11
Number of other retired or separated participants entitled to future benefits 2013-01-01 148
Total of all active and inactive participants 2013-01-01 806
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 2
Total participants 2013-01-01 808
Number of participants with account balances 2013-01-01 790
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 792
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 692
Number of retired or separated participants receiving benefits 2012-01-01 10
Number of other retired or separated participants entitled to future benefits 2012-01-01 133
Total of all active and inactive participants 2012-01-01 835
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 1
Total participants 2012-01-01 836
Number of participants with account balances 2012-01-01 762
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 784
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 642
Number of retired or separated participants receiving benefits 2011-01-01 7
Number of other retired or separated participants entitled to future benefits 2011-01-01 142
Total of all active and inactive participants 2011-01-01 791
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 1
Total participants 2011-01-01 792
Number of participants with account balances 2011-01-01 726
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 544
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 577
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 172
Total of all active and inactive participants 2009-01-01 749
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 1
Total participants 2009-01-01 750
Number of participants with account balances 2009-01-01 644
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2022: NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	893
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	612
Number of retired or separated participants receiving benefits	2022-01-01	23
Number of other retired or separated participants entitled to future benefits	2022-01-01	298
Total of all active and inactive participants	2022-01-01	933
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	6
Total participants	2022-01-01	939
Number of participants with account balances	2022-01-01	939
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2021: NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	944
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	589
Number of retired or separated participants receiving benefits	2021-01-01	20
Number of other retired or separated participants entitled to future benefits	2021-01-01	278
Total of all active and inactive participants	2021-01-01	887
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	6
Total participants	2021-01-01	893
Number of participants with account balances	2021-01-01	893
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	949
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	570
Number of retired or separated participants receiving benefits	2020-01-01	14
Number of other retired or separated participants entitled to future benefits	2020-01-01	357
Total of all active and inactive participants	2020-01-01	941
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	3
Total participants	2020-01-01	944
Number of participants with account balances	2020-01-01	944
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	928
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	588
Number of retired or separated participants receiving benefits	2019-01-01	23
Number of other retired or separated participants entitled to future benefits	2019-01-01	334
Total of all active and inactive participants	2019-01-01	945
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	4
Total participants	2019-01-01	949
Number of participants with account balances	2019-01-01	949
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	915
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	691
Number of retired or separated participants receiving benefits	2018-01-01	24
Number of other retired or separated participants entitled to future benefits	2018-01-01	209
Total of all active and inactive participants	2018-01-01	924
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	4
Total participants	2018-01-01	928
Number of participants with account balances	2018-01-01	928
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	896
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	685
Number of retired or separated participants receiving benefits	2017-01-01	19
Number of other retired or separated participants entitled to future benefits	2017-01-01	200
Total of all active and inactive participants	2017-01-01	904
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	3
Total participants	2017-01-01	907
Number of participants with account balances	2017-01-01	892
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	837
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	662
Number of retired or separated participants receiving benefits	2016-01-01	16
Number of other retired or separated participants entitled to future benefits	2016-01-01	214
Total of all active and inactive participants	2016-01-01	892
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	4
Total participants	2016-01-01	896
Number of participants with account balances	2016-01-01	896
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	798
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	650
Number of retired or separated participants receiving benefits	2015-01-01	15
Number of other retired or separated participants entitled to future benefits	2015-01-01	170
Total of all active and inactive participants	2015-01-01	835
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	2
Total participants	2015-01-01	837
Number of participants with account balances	2015-01-01	837
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	808
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	611
Number of retired or separated participants receiving benefits	2014-01-01	13
Number of other retired or separated participants entitled to future benefits	2014-01-01	169
Total of all active and inactive participants	2014-01-01	793
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	3
Total participants	2014-01-01	796
Number of participants with account balances	2014-01-01	796
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	836
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	647
Number of retired or separated participants receiving benefits	2013-01-01	11
Number of other retired or separated participants entitled to future benefits	2013-01-01	148
Total of all active and inactive participants	2013-01-01	806
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	2
Total participants	2013-01-01	808
Number of participants with account balances	2013-01-01	790
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	792
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	692
Number of retired or separated participants receiving benefits	2012-01-01	10
Number of other retired or separated participants entitled to future benefits	2012-01-01	133
Total of all active and inactive participants	2012-01-01	835
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	1
Total participants	2012-01-01	836
Number of participants with account balances	2012-01-01	762
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	784
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	642
Number of retired or separated participants receiving benefits	2011-01-01	7
Number of other retired or separated participants entitled to future benefits	2011-01-01	142
Total of all active and inactive participants	2011-01-01	791
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	1
Total participants	2011-01-01	792
Number of participants with account balances	2011-01-01	726
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	544
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	577
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	172
Total of all active and inactive participants	2009-01-01	749
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	1
Total participants	2009-01-01	750
Number of participants with account balances	2009-01-01	644
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT PLAN

Measure	Date	Value
2022 : NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT PLAN 2022 401k financial data
Total income from all sources (including contributions)	2022-12-31	$-6,625,394
Total of all expenses incurred	2022-12-31	$5,022,187
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$4,850,738
Expenses. Certain deemed distributions of participant loans	2022-12-31	$34,929
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$4,575,894
Value of total assets at end of year	2022-12-31	$57,207,644
Value of total assets at beginning of year	2022-12-31	$68,855,225
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$136,520
Total interest from all sources	2022-12-31	$134,160
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$985,838
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$985,838
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$500,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$2,462,566
Participant contributions at end of year	2022-12-31	$148,006
Participant contributions at beginning of year	2022-12-31	$233,614
Participant contributions at end of year	2022-12-31	$96,020
Participant contributions at beginning of year	2022-12-31	$0
Assets. Other investments not covered elsewhere at end of year	2022-12-31	$1,032,639
Assets. Other investments not covered elsewhere at beginning of year	2022-12-31	$1,184,709
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$157,738
Value of other receiveables (less allowance for doubtful accounts) at end of year	2022-12-31	$26,433
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2022-12-31	$1,456
Other income not declared elsewhere	2022-12-31	$-196,034
Administrative expenses (other) incurred	2022-12-31	$68,540
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-11,647,581
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$57,207,644
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$68,855,225
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Investment advisory and management fees	2022-12-31	$67,980
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$49,005,127
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$61,121,760
Interest on participant loans	2022-12-31	$4,125
Interest earned on other investments	2022-12-31	$130,035
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$6,389,920
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$6,313,686
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-12,125,252
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$1,955,590
Employer contributions (assets) at end of year	2022-12-31	$509,499
Employer contributions (assets) at beginning of year	2022-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$4,850,738
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	2022-12-31	No
Did the plan have assets held for investment	2022-12-31	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	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	FORVIS, LLP
Accountancy firm EIN	2022-12-31	440160260
2021 : NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT PLAN 2021 401k financial data
Total income from all sources (including contributions)	2021-12-31	$13,179,835
Total of all expenses incurred	2021-12-31	$4,990,311
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$4,810,207
Expenses. Certain deemed distributions of participant loans	2021-12-31	$16,101
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$4,251,438
Value of total assets at end of year	2021-12-31	$68,855,225
Value of total assets at beginning of year	2021-12-31	$60,665,701
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$164,003
Total interest from all sources	2021-12-31	$132,143
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$1,391,610
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$1,391,610
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$500,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$2,368,461
Participant contributions at end of year	2021-12-31	$233,614
Participant contributions at beginning of year	2021-12-31	$288,385
Assets. Other investments not covered elsewhere at end of year	2021-12-31	$1,184,709
Assets. Other investments not covered elsewhere at beginning of year	2021-12-31	$1,004,696
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$199,512
Value of other receiveables (less allowance for doubtful accounts) at end of year	2021-12-31	$1,456
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2021-12-31	$2,516
Administrative expenses (other) incurred	2021-12-31	$96,023
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$8,189,524
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$68,855,225
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$60,665,701
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Investment advisory and management fees	2021-12-31	$67,980
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$61,121,760
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$53,118,949
Interest on participant loans	2021-12-31	$4,145
Interest earned on other investments	2021-12-31	$127,998
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$6,313,686
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$6,251,155
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$7,404,644
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$1,683,465
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$4,810,207
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	2021-12-31	No
Did the plan have assets held for investment	2021-12-31	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	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	FORVIS, LLP
Accountancy firm EIN	2021-12-31	440160260
2020 : NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT PLAN 2020 401k financial data
Total income from all sources (including contributions)	2020-12-31	$11,756,848
Total of all expenses incurred	2020-12-31	$3,379,609
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$3,143,779
Expenses. Certain deemed distributions of participant loans	2020-12-31	$7,878
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$3,869,516
Value of total assets at end of year	2020-12-31	$60,665,701
Value of total assets at beginning of year	2020-12-31	$52,288,462
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$227,952
Total interest from all sources	2020-12-31	$135,646
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$860,316
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$860,316
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$500,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$2,184,875
Participant contributions at end of year	2020-12-31	$288,385
Participant contributions at beginning of year	2020-12-31	$221,577
Assets. Other investments not covered elsewhere at end of year	2020-12-31	$1,004,696
Assets. Other investments not covered elsewhere at beginning of year	2020-12-31	$888,924
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$124,263
Value of other receiveables (less allowance for doubtful accounts) at end of year	2020-12-31	$2,516
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2020-12-31	$2,098
Other income not declared elsewhere	2020-12-31	$0
Administrative expenses (other) incurred	2020-12-31	$159,972
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$8,377,239
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$60,665,701
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$52,288,462
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Investment advisory and management fees	2020-12-31	$67,980
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$53,118,949
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$46,627,531
Interest on participant loans	2020-12-31	$8,583
Interest earned on other investments	2020-12-31	$127,063
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$6,251,155
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$4,548,332
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$6,891,370
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$1,560,378
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$3,143,779
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	2020-12-31	No
Did the plan have assets held for investment	2020-12-31	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	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	BKD
Accountancy firm EIN	2020-12-31	440160260
2019 : NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT PLAN 2019 401k financial data
Total income from all sources (including contributions)	2019-12-31	$13,646,333
Total of all expenses incurred	2019-12-31	$6,325,874
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$6,106,369
Value of total corrective distributions	2019-12-31	$1,253
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$3,986,439
Value of total assets at end of year	2019-12-31	$52,288,462
Value of total assets at beginning of year	2019-12-31	$44,968,003
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$218,252
Total interest from all sources	2019-12-31	$114,430
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$814,808
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$814,808
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$2,213,374
Participant contributions at end of year	2019-12-31	$221,577
Participant contributions at beginning of year	2019-12-31	$228,876
Assets. Other investments not covered elsewhere at end of year	2019-12-31	$888,924
Assets. Other investments not covered elsewhere at beginning of year	2019-12-31	$699,344
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$134,054
Value of other receiveables (less allowance for doubtful accounts) at end of year	2019-12-31	$2,098
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2019-12-31	$2,199
Other income not declared elsewhere	2019-12-31	$0
Administrative expenses (other) incurred	2019-12-31	$150,272
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$7,320,459
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$52,288,462
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$44,968,003
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Investment advisory and management fees	2019-12-31	$67,980
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$46,627,531
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$39,785,502
Value of interest in pooled separate accounts at beginning of year	2019-12-31	$0
Interest on participant loans	2019-12-31	$5,437
Interest earned on other investments	2019-12-31	$108,993
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$4,548,332
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$4,252,082
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$8,730,656
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$1,639,011
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$6,106,369
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	2019-12-31	No
Did the plan have assets held for investment	2019-12-31	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	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	BKD
Accountancy firm EIN	2019-12-31	440160260
2018 : NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT PLAN 2018 401k financial data
Total income from all sources (including contributions)	2018-12-31	$2,239,992
Total of all expenses incurred	2018-12-31	$4,080,491
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$3,835,500
Expenses. Certain deemed distributions of participant loans	2018-12-31	$31,015
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$4,579,843
Value of total assets at end of year	2018-12-31	$44,968,003
Value of total assets at beginning of year	2018-12-31	$46,808,502
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$213,976
Total interest from all sources	2018-12-31	$44,740
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$877,312
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$877,312
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$500,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$2,194,920
Participant contributions at end of year	2018-12-31	$228,876
Participant contributions at beginning of year	2018-12-31	$266,053
Assets. Other investments not covered elsewhere at end of year	2018-12-31	$699,344
Assets. Other investments not covered elsewhere at beginning of year	2018-12-31	$673,867
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$672,987
Value of other receiveables (less allowance for doubtful accounts) at end of year	2018-12-31	$2,199
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2018-12-31	$2,130
Other income not declared elsewhere	2018-12-31	$0
Administrative expenses (other) incurred	2018-12-31	$145,996
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-1,840,499
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$44,968,003
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$46,808,502
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Investment advisory and management fees	2018-12-31	$67,980
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$39,785,502
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$41,582,076
Value of interest in pooled separate accounts at end of year	2018-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2018-12-31	$4,163,587
Interest on participant loans	2018-12-31	$6,414
Interest earned on other investments	2018-12-31	$38,326
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$4,252,082
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$120,789
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-3,307,042
Net investment gain/loss from pooled separate accounts	2018-12-31	$45,139
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$1,711,936
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$3,835,500
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	2018-12-31	No
Did the plan have assets held for investment	2018-12-31	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	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	BKD, LLP
Accountancy firm EIN	2018-12-31	440160260
2017 : NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT PLAN 2017 401k financial data
Total income from all sources (including contributions)	2017-12-31	$10,182,544
Total of all expenses incurred	2017-12-31	$2,371,595
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$2,094,309
Expenses. Certain deemed distributions of participant loans	2017-12-31	$81,805
Value of total corrective distributions	2017-12-31	$3,367
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$3,231,582
Value of total assets at end of year	2017-12-31	$46,808,502
Value of total assets at beginning of year	2017-12-31	$38,997,553
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$192,114
Total interest from all sources	2017-12-31	$5,861
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$613,848
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$613,848
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$500,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$2,060,577
Participant contributions at end of year	2017-12-31	$266,053
Participant contributions at beginning of year	2017-12-31	$205,130
Assets. Other investments not covered elsewhere at end of year	2017-12-31	$673,867
Assets. Other investments not covered elsewhere at beginning of year	2017-12-31	$564,201
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$25,040
Value of other receiveables (less allowance for doubtful accounts) at end of year	2017-12-31	$2,130
Other income not declared elsewhere	2017-12-31	$0
Administrative expenses (other) incurred	2017-12-31	$124,959
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	$7,810,949
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$46,808,502
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$38,997,553
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
Investment advisory and management fees	2017-12-31	$67,155
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$41,582,076
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$33,481,600
Value of interest in pooled separate accounts at end of year	2017-12-31	$4,163,587
Value of interest in pooled separate accounts at beginning of year	2017-12-31	$4,663,660
Interest on participant loans	2017-12-31	$5,722
Interest earned on other investments	2017-12-31	$139
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$120,789
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$82,962
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$6,272,007
Net investment gain/loss from pooled separate accounts	2017-12-31	$59,246
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	$1,145,965
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$2,094,309
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	2017-12-31	No
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	BKD,LLP
Accountancy firm EIN	2017-12-31	440160260
2016 : NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT PLAN 2016 401k financial data
Total income from all sources (including contributions)	2016-12-31	$6,148,052
Total of all expenses incurred	2016-12-31	$3,408,709
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$3,278,159
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$3,682,681
Value of total assets at end of year	2016-12-31	$38,997,553
Value of total assets at beginning of year	2016-12-31	$36,258,210
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$130,550
Total interest from all sources	2016-12-31	$2,094
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$462,187
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$462,187
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$500,000
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
Contributions received from participants	2016-12-31	$1,850,715
Participant contributions at end of year	2016-12-31	$205,130
Participant contributions at beginning of year	2016-12-31	$210,981
Assets. Other investments not covered elsewhere at end of year	2016-12-31	$564,201
Assets. Other investments not covered elsewhere at beginning of year	2016-12-31	$482,118
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$280,019
Value of other receiveables (less allowance for doubtful accounts) at end of year	2016-12-31	$0
Administrative expenses (other) incurred	2016-12-31	$64,550
Total non interest bearing cash at end of year	2016-12-31	$0
Total non interest bearing cash at beginning of year	2016-12-31	$45,238
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	$2,739,343
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$38,997,553
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$36,258,210
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
Investment advisory and management fees	2016-12-31	$66,000
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$33,481,600
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$30,974,336
Value of interest in pooled separate accounts at end of year	2016-12-31	$4,663,660
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$4,536,087
Interest on participant loans	2016-12-31	$2,094
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$82,962
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$9,450
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$1,949,372
Net investment gain/loss from pooled separate accounts	2016-12-31	$51,718
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	$1,551,947
Employer contributions (assets) at end of year	2016-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$3,278,159
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	2016-12-31	No
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	BKD, LLP
Accountancy firm EIN	2016-12-31	440160260
2015 : NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT PLAN 2015 401k financial data
Total income from all sources (including contributions)	2015-12-31	$3,547,585
Total of all expenses incurred	2015-12-31	$4,597,509
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$4,468,231
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$3,533,620
Value of total assets at end of year	2015-12-31	$36,258,210
Value of total assets at beginning of year	2015-12-31	$37,308,134
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$129,278
Total interest from all sources	2015-12-31	$3,720
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$504,461
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$504,461
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	$1,772,025
Participant contributions at end of year	2015-12-31	$210,981
Participant contributions at beginning of year	2015-12-31	$246,028
Assets. Other investments not covered elsewhere at end of year	2015-12-31	$482,118
Assets. Other investments not covered elsewhere at beginning of year	2015-12-31	$446,046
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$272,368
Administrative expenses (other) incurred	2015-12-31	$61,278
Total non interest bearing cash at end of year	2015-12-31	$45,238
Total non interest bearing cash at beginning of year	2015-12-31	$21,249
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	$-1,049,924
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$36,258,210
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$37,308,134
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
Investment advisory and management fees	2015-12-31	$68,000
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$30,974,336
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$32,124,394
Value of interest in pooled separate accounts at end of year	2015-12-31	$4,536,087
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$4,461,060
Interest on participant loans	2015-12-31	$3,720
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$9,450
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$9,357
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-544,766
Net investment gain/loss from pooled separate accounts	2015-12-31	$50,550
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	$1,489,227
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$4,468,231
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	2015-12-31	No
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	BKD, LLP
Accountancy firm EIN	2015-12-31	440160260
2014 : NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT PLAN 2014 401k financial data
Total income from all sources (including contributions)	2014-12-31	$5,670,096
Total of all expenses incurred	2014-12-31	$4,722,992
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$4,567,231
Expenses. Certain deemed distributions of participant loans	2014-12-31	$10,790
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$3,503,211
Value of total assets at end of year	2014-12-31	$37,308,134
Value of total assets at beginning of year	2014-12-31	$36,361,030
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$144,971
Total interest from all sources	2014-12-31	$2,511
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$603,153
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	$603,153
Administrative expenses professional fees incurred	2014-12-31	$12,480
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	$1,775,750
Participant contributions at end of year	2014-12-31	$246,028
Participant contributions at beginning of year	2014-12-31	$58,491
Assets. Other investments not covered elsewhere at end of year	2014-12-31	$446,046
Assets. Other investments not covered elsewhere at beginning of year	2014-12-31	$364,104
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$238,662
Other income not declared elsewhere	2014-12-31	$40,421
Administrative expenses (other) incurred	2014-12-31	$60,491
Total non interest bearing cash at end of year	2014-12-31	$21,249
Total non interest bearing cash at beginning of year	2014-12-31	$15,002
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	$947,104
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$37,308,134
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$36,361,030
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
Investment advisory and management fees	2014-12-31	$72,000
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$32,124,394
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$31,321,383
Value of interest in pooled separate accounts at end of year	2014-12-31	$4,461,060
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$4,599,982
Interest on participant loans	2014-12-31	$2,490
Interest earned on other investments	2014-12-31	$21
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$9,357
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$2,068
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$1,462,606
Net investment gain/loss from pooled separate accounts	2014-12-31	$58,194
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	$1,488,799
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$4,567,231
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	2014-12-31	No
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	BKD, LLP
Accountancy firm EIN	2014-12-31	440160260
2013 : NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT PLAN 2013 401k financial data
Total income from all sources (including contributions)	2013-12-31	$9,106,046
Total of all expenses incurred	2013-12-31	$2,801,655
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$2,709,136
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$3,721,278
Value of total assets at end of year	2013-12-31	$36,361,030
Value of total assets at beginning of year	2013-12-31	$30,056,639
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$92,519
Total interest from all sources	2013-12-31	$106
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$432,108
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$432,108
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$1,843,803
Participant contributions at end of year	2013-12-31	$58,491
Participant contributions at beginning of year	2013-12-31	$0
Assets. Other investments not covered elsewhere at end of year	2013-12-31	$364,104
Assets. Other investments not covered elsewhere at beginning of year	2013-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$325,398
Other income not declared elsewhere	2013-12-31	$28,965
Administrative expenses (other) incurred	2013-12-31	$26,519
Total non interest bearing cash at end of year	2013-12-31	$15,002
Total non interest bearing cash at beginning of year	2013-12-31	$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	2013-12-31	No
Value of net income/loss	2013-12-31	$6,304,391
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$36,361,030
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$30,056,639
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
Investment advisory and management fees	2013-12-31	$66,000
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$31,321,383
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$25,556,979
Value of interest in pooled separate accounts at end of year	2013-12-31	$4,599,982
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$4,497,684
Interest on participant loans	2013-12-31	$86
Interest earned on other investments	2013-12-31	$20
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$2,068
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$1,976
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$4,865,012
Net investment gain/loss from pooled separate accounts	2013-12-31	$58,577
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	$1,552,077
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$2,709,136
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	2013-12-31	No
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	BKD, LLP
Accountancy firm EIN	2013-12-31	440160260
2012 : NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT PLAN 2012 401k financial data
Total income from all sources (including contributions)	2012-12-31	$6,553,298
Total of all expenses incurred	2012-12-31	$1,464,294
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$1,460,541
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$3,391,167
Value of total assets at end of year	2012-12-31	$30,056,639
Value of total assets at beginning of year	2012-12-31	$24,967,635
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$3,753
Total interest from all sources	2012-12-31	$10
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$450,199
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	$450,199
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	$1,736,713
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$155,751
Administrative expenses (other) incurred	2012-12-31	$3,753
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	$5,089,004
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$30,056,639
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$24,967,635
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	$25,556,979
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$20,034,250
Value of interest in pooled separate accounts at end of year	2012-12-31	$4,497,684
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$4,930,082
Interest earned on other investments	2012-12-31	$10
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$1,976
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$3,303
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$2,654,429
Net investment gain/loss from pooled separate accounts	2012-12-31	$57,493
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$1,498,703
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$1,460,541
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	2012-12-31	No
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	BKD, LLP
Accountancy firm EIN	2012-12-31	440160260
2011 : NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT PLAN 2011 401k financial data
Total income from all sources (including contributions)	2011-12-31	$2,218,347
Total of all expenses incurred	2011-12-31	$971,101
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$969,691
Value of total corrective distributions	2011-12-31	$1,121
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$2,831,426
Value of total assets at end of year	2011-12-31	$24,967,635
Value of total assets at beginning of year	2011-12-31	$23,720,389
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$289
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$334,298
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	$334,298
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	$1,500,043
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$23,519
Other income not declared elsewhere	2011-12-31	$10
Administrative expenses (other) incurred	2011-12-31	$289
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	$1,247,246
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$24,967,635
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$23,720,389
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	$20,034,250
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$19,224,903
Value of interest in pooled separate accounts at end of year	2011-12-31	$4,930,082
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$4,494,735
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$3,303
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$751
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-1,009,330
Net investment gain/loss from pooled separate accounts	2011-12-31	$61,943
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	$1,307,864
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$969,691
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	2011-12-31	No
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	BKD LLP
Accountancy firm EIN	2011-12-31	440160260
2010 : NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT PLAN 2010 401k financial data
Total income from all sources (including contributions)	2010-12-31	$5,143,299
Total of all expenses incurred	2010-12-31	$1,160,075
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$1,158,985
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$2,865,718
Value of total assets at end of year	2010-12-31	$23,720,389
Value of total assets at beginning of year	2010-12-31	$19,737,165
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$1,090
Total interest from all sources	2010-12-31	$1
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$327,566
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	$327,566
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	$1,554,189
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$74,875
Other income not declared elsewhere	2010-12-31	$5,277
Administrative expenses (other) incurred	2010-12-31	$1,090
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	$3,983,224
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$23,720,389
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$19,737,165
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	$19,224,903
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$15,613,624
Value of interest in pooled separate accounts at end of year	2010-12-31	$4,494,735
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$4,122,791
Interest earned on other investments	2010-12-31	$1
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$751
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$750
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$1,816,978
Net investment gain/loss from pooled separate accounts	2010-12-31	$127,759
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	$1,236,654
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$1,158,985
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	2010-12-31	No
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	BKD LLP
Accountancy firm EIN	2010-12-31	440160260
2009 : NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED 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 NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT PLAN

2022: NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT 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: NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	Yes
2015-01-01	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: NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT 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: NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT 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: NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
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: NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED RETIREMENT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
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
2009: NORTH COUNTRY HEALTH SYSTEM, INC. CONTRIBUTORY TAX SHELTERED 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

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

Policy contract number

TT069347

Policy instance

Insurance contract or identification number	TT069347
Number of Individuals Covered	939
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

TT069347

Policy instance

Insurance contract or identification number	TT069347
Number of Individuals Covered	939
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

TT069347

Policy instance

Insurance contract or identification number	TT069347
Number of Individuals Covered	893
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

TT069347

Policy instance

Insurance contract or identification number	TT069347
Number of Individuals Covered	893
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

TT069347

Policy instance

Insurance contract or identification number	TT069347
Number of Individuals Covered	944
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

TT069347

Policy instance

Insurance contract or identification number	TT069347
Number of Individuals Covered	944
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

TT069347

Policy instance

Insurance contract or identification number	TT069347
Number of Individuals Covered	949
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

TT069347

Policy instance

Insurance contract or identification number	TT069347
Number of Individuals Covered	949
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

TT069347

Policy instance

Insurance contract or identification number	TT069347
Number of Individuals Covered	928
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

TT069347

Policy instance

Insurance contract or identification number	TT069347
Number of Individuals Covered	928
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

TT069347

Policy instance

Insurance contract or identification number	TT069347
Number of Individuals Covered	892
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

TT069347

Policy instance

Insurance contract or identification number	TT069347
Number of Individuals Covered	837
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

TT069347

Policy instance

Insurance contract or identification number	TT069347
Number of Individuals Covered	796
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

TT069347

Policy instance

Insurance contract or identification number	TT069347
Number of Individuals Covered	790
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $1,125
Are there contracts with unallocated funds for contracts of type 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 $1,125
Insurance broker organization code?	3
Insurance broker name	CAMMACK LARHETTE BROKERAGE INC

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

TT069347

Policy instance

Insurance contract or identification number	TT069347
Number of Individuals Covered	762
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $14,459
Are there contracts with unallocated funds for contracts of type 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 $14,459
Insurance broker organization code?	3
Insurance broker name	CAMMACK LARHETTE BROKERAGE INC

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

TT069347

Policy instance

Insurance contract or identification number	TT069347
Number of Individuals Covered	726
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $14,227
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

TT069347

Policy instance

Insurance contract or identification number	TT069347
Number of Individuals Covered	690
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $12,752
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	NORTH COUNTRY HEALTH SYSTEM, INC.
Employer identification number (EIN):	030185556
NAIC Classification:	622000
NAIC Description:	Hospitals