401k Plan data: 401(K) RETIREMENT PLAN OF HEALTH SPEC OF DAYTON, INC. plan

401(K) RETIREMENT PLAN OF HEALTH SPEC OF DAYTON, INC. 401k Plan overview

Plan Name	401(K) RETIREMENT PLAN OF HEALTH SPEC OF DAYTON, INC.
Plan identification number	001

401(K) RETIREMENT PLAN OF HEALTH SPEC OF DAYTON, INC. Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

HSD DEFERRED 401 K has sponsored the creation of one or more 401k plans.

Company Name: HSD DEFERRED 401 K

Employer identification number (EIN): 061744704

NAIC Classification: 622000
NAIC Description: Hospitals

Additional information about HSD DEFERRED 401 K

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division

Incorporation Date: 2005-05-01

Company Identification Number: 1535881

Legal Registered Office Address: 110 N. MAIN ST.
STE 900
DAYTON
United States of America (USA)
45402

More information about HSD DEFERRED 401 K

Form 5500 Filing Information

Submission information for form 5500 for 401k plan 401(K) RETIREMENT PLAN OF HEALTH SPEC OF DAYTON, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2017-01-01 JEANNA SEVERT 2018-10-12
001 2016-01-01 JEANNA SEVERT
001 2016-01-01 JEANNA SEVERT
001 2015-01-01 JEANNA SEVERT
001 2015-01-01 JEANNA SEVERT
001 2014-01-01 JEANNA SEVERT
001 2013-01-01 JEANNA SEVERT
001 2012-01-01 JEANNA SEVERT
001 2011-01-01 JEANNA SEVERT
001 2010-01-01 JEANNA SEVERT 2011-10-11
001 2009-01-01 JEANNA SEVERT JEANNA SEVERT 2010-10-14

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2017-01-01	JEANNA SEVERT	2018-10-12
001	2016-01-01	JEANNA SEVERT
001	2016-01-01	JEANNA SEVERT
001	2015-01-01	JEANNA SEVERT
001	2015-01-01	JEANNA SEVERT
001	2014-01-01	JEANNA SEVERT
001	2013-01-01	JEANNA SEVERT
001	2012-01-01	JEANNA SEVERT
001	2011-01-01	JEANNA SEVERT
001	2010-01-01	JEANNA SEVERT	2011-10-11
001	2009-01-01	JEANNA SEVERT		JEANNA SEVERT	2010-10-14

Plan Statistics for 401(K) RETIREMENT PLAN OF HEALTH SPEC OF DAYTON, INC.

401k plan membership statisitcs for 401(K) RETIREMENT PLAN OF HEALTH SPEC OF DAYTON, INC.

Measure Date Value
2016: 401(K) RETIREMENT PLAN OF HEALTH SPEC OF DAYTON, INC. 2016 401k membership
Total participants, beginning-of-year 2016-01-01 849
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 910
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 6
Total of all active and inactive participants 2016-01-01 916
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 916
Number of participants with account balances 2016-01-01 18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: 401(K) RETIREMENT PLAN OF HEALTH SPEC OF DAYTON, INC. 2015 401k membership
Total participants, beginning-of-year 2015-01-01 707
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 872
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 8
Total of all active and inactive participants 2015-01-01 880
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 880
Number of participants with account balances 2015-01-01 19
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: 401(K) RETIREMENT PLAN OF HEALTH SPEC OF DAYTON, INC. 2014 401k membership
Total participants, beginning-of-year 2014-01-01 658
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 709
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 7
Total of all active and inactive participants 2014-01-01 716
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 716
Number of participants with account balances 2014-01-01 20
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: 401(K) RETIREMENT PLAN OF HEALTH SPEC OF DAYTON, INC. 2013 401k membership
Total participants, beginning-of-year 2013-01-01 523
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 597
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 4
Total of all active and inactive participants 2013-01-01 601
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 601
Number of participants with account balances 2013-01-01 22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: 401(K) RETIREMENT PLAN OF HEALTH SPEC OF DAYTON, INC. 2012 401k membership
Total participants, beginning-of-year 2012-01-01 285
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 520
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 3
Total of all active and inactive participants 2012-01-01 523
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 523
Number of participants with account balances 2012-01-01 19
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: 401(K) RETIREMENT PLAN OF HEALTH SPEC OF DAYTON, INC. 2011 401k membership
Total participants, beginning-of-year 2011-01-01 188
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 283
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 2
Total of all active and inactive participants 2011-01-01 285
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 285
Number of participants with account balances 2011-01-01 16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: 401(K) RETIREMENT PLAN OF HEALTH SPEC OF DAYTON, INC. 2009 401k membership
Total participants, beginning-of-year 2009-01-01 63
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 88
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 0
Total of all active and inactive participants 2009-01-01 88
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 88
Number of participants with account balances 2009-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2016: 401(K) RETIREMENT PLAN OF HEALTH SPEC OF DAYTON, INC. 2016 401k membership
Total participants, beginning-of-year	2016-01-01	849
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	910
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	6
Total of all active and inactive participants	2016-01-01	916
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	916
Number of participants with account balances	2016-01-01	18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: 401(K) RETIREMENT PLAN OF HEALTH SPEC OF DAYTON, INC. 2015 401k membership
Total participants, beginning-of-year	2015-01-01	707
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	872
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	8
Total of all active and inactive participants	2015-01-01	880
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	880
Number of participants with account balances	2015-01-01	19
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: 401(K) RETIREMENT PLAN OF HEALTH SPEC OF DAYTON, INC. 2014 401k membership
Total participants, beginning-of-year	2014-01-01	658
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	709
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	7
Total of all active and inactive participants	2014-01-01	716
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	716
Number of participants with account balances	2014-01-01	20
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: 401(K) RETIREMENT PLAN OF HEALTH SPEC OF DAYTON, INC. 2013 401k membership
Total participants, beginning-of-year	2013-01-01	523
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	597
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	4
Total of all active and inactive participants	2013-01-01	601
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	601
Number of participants with account balances	2013-01-01	22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: 401(K) RETIREMENT PLAN OF HEALTH SPEC OF DAYTON, INC. 2012 401k membership
Total participants, beginning-of-year	2012-01-01	285
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	520
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	3
Total of all active and inactive participants	2012-01-01	523
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	523
Number of participants with account balances	2012-01-01	19
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: 401(K) RETIREMENT PLAN OF HEALTH SPEC OF DAYTON, INC. 2011 401k membership
Total participants, beginning-of-year	2011-01-01	188
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	283
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	2
Total of all active and inactive participants	2011-01-01	285
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	285
Number of participants with account balances	2011-01-01	16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: 401(K) RETIREMENT PLAN OF HEALTH SPEC OF DAYTON, INC. 2009 401k membership
Total participants, beginning-of-year	2009-01-01	63
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	88
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	0
Total of all active and inactive participants	2009-01-01	88
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	88
Number of participants with account balances	2009-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on 401(K) RETIREMENT PLAN OF HEALTH SPEC OF DAYTON, INC.

Measure	Date	Value
2016 : 401(K) RETIREMENT PLAN OF HEALTH SPEC OF DAYTON, INC. 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total transfer of assets to this plan	2016-12-31	$0
Total transfer of assets from this plan	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$47,188
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$43,081
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$42,557
Expenses. Certain deemed distributions of participant loans	2016-12-31	$30
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$40,243
Value of total assets at end of year	2016-12-31	$190,207
Value of total assets at beginning of year	2016-12-31	$186,100
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$494
Total interest from all sources	2016-12-31	$127
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$3,981
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	$3,981
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$19,000
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	$40,243
Participant contributions at end of year	2016-12-31	$5,762
Participant contributions at beginning of year	2016-12-31	$997
Participant contributions at end of year	2016-12-31	$1,182
Participant contributions at beginning of year	2016-12-31	$1,172
Other income not declared elsewhere	2016-12-31	$316
Administrative expenses (other) incurred	2016-12-31	$494
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	$4,107
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$190,207
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$186,100
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$94,885
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$97,468
Interest on participant loans	2016-12-31	$127
Value of interest in common/collective trusts at end of year	2016-12-31	$88,378
Value of interest in common/collective trusts at beginning of year	2016-12-31	$86,463
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$1,070
Net investment gain or loss from common/collective trusts	2016-12-31	$1,451
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$42,557
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	CLARK SCHAEFER HACKETT & CO
Accountancy firm EIN	2016-12-31	310800053
2015 : 401(K) RETIREMENT PLAN OF HEALTH SPEC OF DAYTON, INC. 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total transfer of assets to this plan	2015-12-31	$0
Total transfer of assets from this plan	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$17,766
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$52,660
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$52,195
Expenses. Certain deemed distributions of participant loans	2015-12-31	$29
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$21,399
Value of total assets at end of year	2015-12-31	$186,100
Value of total assets at beginning of year	2015-12-31	$220,994
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$436
Total interest from all sources	2015-12-31	$109
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$4,560
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	$4,560
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$23,000
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	$21,399
Participant contributions at end of year	2015-12-31	$997
Participant contributions at beginning of year	2015-12-31	$2,669
Participant contributions at end of year	2015-12-31	$1,172
Other income not declared elsewhere	2015-12-31	$361
Administrative expenses (other) incurred	2015-12-31	$436
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	$-34,894
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$186,100
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$220,994
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$97,468
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$136,471
Interest on participant loans	2015-12-31	$109
Value of interest in common/collective trusts at end of year	2015-12-31	$86,463
Value of interest in common/collective trusts at beginning of year	2015-12-31	$81,854
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-8,696
Net investment gain or loss from common/collective trusts	2015-12-31	$33
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$52,195
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	CLARK SCHAEFER HACKETT & CO
Accountancy firm EIN	2015-12-31	310800053
2014 : 401(K) RETIREMENT PLAN OF HEALTH SPEC OF DAYTON, INC. 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total transfer of assets to this plan	2014-12-31	$-25,607
Total transfer of assets from this plan	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$51,221
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$54,203
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$53,600
Expenses. Certain deemed distributions of participant loans	2014-12-31	$28
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$39,353
Value of total assets at end of year	2014-12-31	$220,994
Value of total assets at beginning of year	2014-12-31	$249,583
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$575
Total interest from all sources	2014-12-31	$163
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$4,452
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	$4,452
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$25,000
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	$39,353
Participant contributions at end of year	2014-12-31	$2,669
Participant contributions at beginning of year	2014-12-31	$4,150
Other income not declared elsewhere	2014-12-31	$430
Administrative expenses (other) incurred	2014-12-31	$575
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	$-2,982
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$220,994
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$249,583
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$136,471
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$150,609
Interest on participant loans	2014-12-31	$163
Value of interest in common/collective trusts at end of year	2014-12-31	$81,854
Value of interest in common/collective trusts at beginning of year	2014-12-31	$94,824
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$2,799
Net investment gain or loss from common/collective trusts	2014-12-31	$4,024
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$53,600
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	PLANTE AND MORAN, PLLC
Accountancy firm EIN	2014-12-31	381357951
2013 : 401(K) RETIREMENT PLAN OF HEALTH SPEC OF DAYTON, INC. 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$71,354
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$3,406
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$2,876
Expenses. Certain deemed distributions of participant loans	2013-12-31	$27
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$40,413
Value of total assets at end of year	2013-12-31	$249,583
Value of total assets at beginning of year	2013-12-31	$181,635
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$503
Total interest from all sources	2013-12-31	$48
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$3,524
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	$3,524
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$19,000
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	$40,413
Participant contributions at end of year	2013-12-31	$4,150
Participant contributions at beginning of year	2013-12-31	$1,083
Other income not declared elsewhere	2013-12-31	$373
Administrative expenses (other) incurred	2013-12-31	$503
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	$67,948
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$249,583
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$181,635
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$150,609
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$103,427
Interest on participant loans	2013-12-31	$48
Value of interest in common/collective trusts at end of year	2013-12-31	$94,824
Value of interest in common/collective trusts at beginning of year	2013-12-31	$77,125
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$18,737
Net investment gain or loss from common/collective trusts	2013-12-31	$8,259
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$2,876
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	PLANTE AND MORAN, PLLC
Accountancy firm EIN	2013-12-31	381357951
2012 : 401(K) RETIREMENT PLAN OF HEALTH SPEC OF DAYTON, INC. 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$51,328
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$502
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$194
Expenses. Certain deemed distributions of participant loans	2012-12-31	$26
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$33,567
Value of total assets at end of year	2012-12-31	$181,635
Value of total assets at beginning of year	2012-12-31	$130,809
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$282
Total interest from all sources	2012-12-31	$99
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$1,982
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	$1,982
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$14,000
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	$33,567
Participant contributions at end of year	2012-12-31	$1,083
Participant contributions at beginning of year	2012-12-31	$2,315
Other income not declared elsewhere	2012-12-31	$282
Administrative expenses (other) incurred	2012-12-31	$282
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	$50,826
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$181,635
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$130,809
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	$103,427
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$66,874
Interest on participant loans	2012-12-31	$99
Value of interest in common/collective trusts at end of year	2012-12-31	$77,125
Value of interest in common/collective trusts at beginning of year	2012-12-31	$61,620
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$11,809
Net investment gain or loss from common/collective trusts	2012-12-31	$3,589
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$194
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	PLANTE AND MORAN, PLLC
Accountancy firm EIN	2012-12-31	381357951
2011 : 401(K) RETIREMENT PLAN OF HEALTH SPEC OF DAYTON, INC. 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$28,514
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$20,633
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$19,642
Expenses. Certain deemed distributions of participant loans	2011-12-31	$606
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$30,219
Value of total assets at end of year	2011-12-31	$130,809
Value of total assets at beginning of year	2011-12-31	$122,928
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$385
Total interest from all sources	2011-12-31	$58
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$1,837
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	$1,837
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$100,000
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	$30,219
Participant contributions at end of year	2011-12-31	$2,315
Participant contributions at beginning of year	2011-12-31	$1,680
Other income not declared elsewhere	2011-12-31	$255
Administrative expenses (other) incurred	2011-12-31	$385
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	$7,881
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$130,809
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$122,928
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	$66,874
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$68,589
Interest on participant loans	2011-12-31	$58
Value of interest in common/collective trusts at end of year	2011-12-31	$61,620
Value of interest in common/collective trusts at beginning of year	2011-12-31	$52,659
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-5,011
Net investment gain or loss from common/collective trusts	2011-12-31	$1,156
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$19,642
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	PLANTE AND MORAN, PLLC
Accountancy firm EIN	2011-12-31	381357951

Form 5500 Responses for 401(K) RETIREMENT PLAN OF HEALTH SPEC OF DAYTON, INC.

2016: 401(K) RETIREMENT PLAN OF HEALTH SPEC OF DAYTON, INC. 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: 401(K) RETIREMENT PLAN OF HEALTH SPEC OF DAYTON, INC. 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: 401(K) RETIREMENT PLAN OF HEALTH SPEC OF DAYTON, INC. 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: 401(K) RETIREMENT PLAN OF HEALTH SPEC OF DAYTON, INC. 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: 401(K) RETIREMENT PLAN OF HEALTH SPEC OF DAYTON, INC. 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: 401(K) RETIREMENT PLAN OF HEALTH SPEC OF DAYTON, INC. 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: 401(K) RETIREMENT PLAN OF HEALTH SPEC OF DAYTON, INC. 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 – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	HSD DEFERRED 401 K
Employer identification number (EIN):	061744704
NAIC Classification:	622000
NAIC Description:	Hospitals

Jurisdiction of Incorporation:	Ohio Secretary of State Business Services Division
Incorporation Date:	2005-05-01
Company Identification Number:	1535881
Legal Registered Office Address:	110 N. MAIN ST. STE 900 DAYTON United States of America (USA) 45402