401k Plan data: NIAGARA LUTHERAN HEALTH SYSTEM, INC. RETIREMENT PLAN plan

NIAGARA LUTHERAN HEALTH SYSTEM, INC. RETIREMENT PLAN 401k Plan overview

Plan Name	NIAGARA LUTHERAN HEALTH SYSTEM, INC. RETIREMENT PLAN
Plan identification number	002

NIAGARA LUTHERAN HEALTH SYSTEM, INC. RETIREMENT PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Profit-sharing Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

NIAGARA LUTHERAN HOME & REHABILITATION CENTER, INC. has sponsored the creation of one or more 401k plans.

Company Name: NIAGARA LUTHERAN HOME & REHABILITATION CENTER, INC.

Employer identification number (EIN): 160798517

NAIC Classification: 623000
NAIC Description: Nursing and Residential Care Facilities

Additional information about NIAGARA LUTHERAN HOME & REHABILITATION CENTER, INC.

Jurisdiction of Incorporation: New York Department of State

Incorporation Date: 1972-04-18

Company Identification Number: 328180

Legal Registered Office Address: 64 HAGER STREET
Erie
BUFFALO
United States of America (USA)
14208

More information about NIAGARA LUTHERAN HOME & REHABILITATION CENTER, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NIAGARA LUTHERAN HEALTH SYSTEM, INC. RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2018-01-01 LAURIE JANKOWSKI
002 2017-01-01 LAURIE JANKOWSKI
002 2016-01-01 LAURIE JANKOWSKI
002 2015-01-01 LAURIE JANKOWSKI
002 2014-01-01 LAURIE JANKOWSKI
002 2013-01-01 LAURIE JANKOWSKI
002 2012-01-01 LAURIE JANKOWSKI
002 2011-01-01 LAURIE JANKOWSKI
002 2009-01-01 LAURIE JANKOWSKI

Plan id#	Filing Submission Date	Name of Administrator
002	2018-01-01	LAURIE JANKOWSKI
002	2017-01-01	LAURIE JANKOWSKI
002	2016-01-01	LAURIE JANKOWSKI
002	2015-01-01	LAURIE JANKOWSKI
002	2014-01-01	LAURIE JANKOWSKI
002	2013-01-01	LAURIE JANKOWSKI
002	2012-01-01	LAURIE JANKOWSKI
002	2011-01-01	LAURIE JANKOWSKI
002	2009-01-01	LAURIE JANKOWSKI

Plan Statistics for NIAGARA LUTHERAN HEALTH SYSTEM, INC. RETIREMENT PLAN

401k plan membership statisitcs for NIAGARA LUTHERAN HEALTH SYSTEM, INC. RETIREMENT PLAN

Measure Date Value
2018: NIAGARA LUTHERAN HEALTH SYSTEM, INC. RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 331
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 271
Number of retired or separated participants receiving benefits 2018-01-01 1
Number of other retired or separated participants entitled to future benefits 2018-01-01 47
Total of all active and inactive participants 2018-01-01 319
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 1
Total participants 2018-01-01 320
Number of participants with account balances 2018-01-01 320
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 8
2017: NIAGARA LUTHERAN HEALTH SYSTEM, INC. RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 299
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 259
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 259
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 259
Number of participants with account balances 2017-01-01 259
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 11
2016: NIAGARA LUTHERAN HEALTH SYSTEM, INC. RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 320
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 252
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 37
Total of all active and inactive participants 2016-01-01 289
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 1
Total participants 2016-01-01 290
Number of participants with account balances 2016-01-01 287
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: NIAGARA LUTHERAN HEALTH SYSTEM, INC. RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 433
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 264
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 35
Total of all active and inactive participants 2015-01-01 299
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 1
Total participants 2015-01-01 300
Number of participants with account balances 2015-01-01 298
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 21
2014: NIAGARA LUTHERAN HEALTH SYSTEM, INC. RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 421
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 387
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 22
Total of all active and inactive participants 2014-01-01 409
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 1
Total participants 2014-01-01 410
Number of participants with account balances 2014-01-01 409
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 16
2013: NIAGARA LUTHERAN HEALTH SYSTEM, INC. RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 475
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 398
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 34
Total of all active and inactive participants 2013-01-01 432
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 1
Total participants 2013-01-01 433
Number of participants with account balances 2013-01-01 432
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 20
2012: NIAGARA LUTHERAN HEALTH SYSTEM, INC. RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 481
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 424
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 38
Total of all active and inactive participants 2012-01-01 462
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 1
Total participants 2012-01-01 463
Number of participants with account balances 2012-01-01 462
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 21
2011: NIAGARA LUTHERAN HEALTH SYSTEM, INC. RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 510
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 430
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 31
Total of all active and inactive participants 2011-01-01 461
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 1
Total participants 2011-01-01 462
Number of participants with account balances 2011-01-01 461
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 23
2009: NIAGARA LUTHERAN HEALTH SYSTEM, INC. RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 512
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 459
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 17
Total of all active and inactive participants 2009-01-01 476
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 476
Number of participants with account balances 2009-01-01 476
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 20

Measure	Date	Value
2018: NIAGARA LUTHERAN HEALTH SYSTEM, INC. RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	331
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	271
Number of retired or separated participants receiving benefits	2018-01-01	1
Number of other retired or separated participants entitled to future benefits	2018-01-01	47
Total of all active and inactive participants	2018-01-01	319
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	1
Total participants	2018-01-01	320
Number of participants with account balances	2018-01-01	320
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	8
2017: NIAGARA LUTHERAN HEALTH SYSTEM, INC. RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	299
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	259
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	259
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	259
Number of participants with account balances	2017-01-01	259
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	11
2016: NIAGARA LUTHERAN HEALTH SYSTEM, INC. RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	320
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	252
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	37
Total of all active and inactive participants	2016-01-01	289
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	1
Total participants	2016-01-01	290
Number of participants with account balances	2016-01-01	287
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: NIAGARA LUTHERAN HEALTH SYSTEM, INC. RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	433
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	264
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	35
Total of all active and inactive participants	2015-01-01	299
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	1
Total participants	2015-01-01	300
Number of participants with account balances	2015-01-01	298
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	21
2014: NIAGARA LUTHERAN HEALTH SYSTEM, INC. RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	421
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	387
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	22
Total of all active and inactive participants	2014-01-01	409
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	1
Total participants	2014-01-01	410
Number of participants with account balances	2014-01-01	409
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	16
2013: NIAGARA LUTHERAN HEALTH SYSTEM, INC. RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	475
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	398
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	34
Total of all active and inactive participants	2013-01-01	432
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	1
Total participants	2013-01-01	433
Number of participants with account balances	2013-01-01	432
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	20
2012: NIAGARA LUTHERAN HEALTH SYSTEM, INC. RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	481
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	424
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	38
Total of all active and inactive participants	2012-01-01	462
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	1
Total participants	2012-01-01	463
Number of participants with account balances	2012-01-01	462
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	21
2011: NIAGARA LUTHERAN HEALTH SYSTEM, INC. RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	510
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	430
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	31
Total of all active and inactive participants	2011-01-01	461
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	1
Total participants	2011-01-01	462
Number of participants with account balances	2011-01-01	461
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	23
2009: NIAGARA LUTHERAN HEALTH SYSTEM, INC. RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	512
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	459
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	17
Total of all active and inactive participants	2009-01-01	476
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	476
Number of participants with account balances	2009-01-01	476
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	20

Financial Data on NIAGARA LUTHERAN HEALTH SYSTEM, INC. RETIREMENT PLAN

Measure	Date	Value
2018 : NIAGARA LUTHERAN HEALTH SYSTEM, INC. RETIREMENT PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$85,853
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$188,513
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$174,497
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$218,788
Value of total assets at end of year	2018-12-31	$2,008,433
Value of total assets at beginning of year	2018-12-31	$2,111,093
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$14,016
Total interest from all sources	2018-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
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
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	$-102,660
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$2,008,433
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$2,111,093
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	$14,016
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$1,872,690
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$1,910,308
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2018-12-31	$16,174
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2018-12-31	$39,449
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2018-12-31	$39,449
Asset value of US Government securities at end of year	2018-12-31	$25,461
Asset value of US Government securities at beginning of year	2018-12-31	$27,591
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-132,935
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	Yes
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	$218,788
Employer contributions (assets) at end of year	2018-12-31	$56,342
Employer contributions (assets) at beginning of year	2018-12-31	$43,309
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$174,497
Asset. Corporate debt instrument debt (other) at end of year	2018-12-31	$37,766
Asset. Corporate debt instrument debt (other) at beginning of year	2018-12-31	$90,436
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	No
Opinion of an independent qualified public accountant for this plan	2018-12-31	Unqualified
Accountancy firm name	2018-12-31	FREED MAX CPAS, P.C.
Accountancy firm EIN	2018-12-31	454051133
2017 : NIAGARA LUTHERAN HEALTH SYSTEM, INC. RETIREMENT PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$462,394
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$173,025
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$160,558
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$205,310
Value of total assets at end of year	2017-12-31	$2,111,093
Value of total assets at beginning of year	2017-12-31	$1,821,724
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$12,467
Total interest from all sources	2017-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$211,110
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
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	$289,369
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$2,111,093
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$1,821,724
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	$12,467
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$1,910,308
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$1,677,020
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2017-12-31	$39,449
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2017-12-31	$15,448
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2017-12-31	$15,448
Asset value of US Government securities at end of year	2017-12-31	$27,591
Asset value of US Government securities at beginning of year	2017-12-31	$25,422
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$257,084
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	Yes
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	$205,310
Employer contributions (assets) at end of year	2017-12-31	$43,309
Employer contributions (assets) at beginning of year	2017-12-31	$12,914
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$160,558
Asset. Corporate debt instrument debt (other) at end of year	2017-12-31	$90,436
Asset. Corporate debt instrument debt (other) at beginning of year	2017-12-31	$90,920
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	No
Opinion of an independent qualified public accountant for this plan	2017-12-31	Unqualified
Accountancy firm name	2017-12-31	FREED MAX CPAS, P.C.
Accountancy firm EIN	2017-12-31	454051133
2016 : NIAGARA LUTHERAN HEALTH SYSTEM, INC. RETIREMENT PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$283,220
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$398,520
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$385,641
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$177,914
Value of total assets at end of year	2016-12-31	$1,821,724
Value of total assets at beginning of year	2016-12-31	$1,937,024
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$12,879
Total interest from all sources	2016-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$193,702
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
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	$-115,300
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$1,821,724
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$1,937,024
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	$12,879
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$1,677,020
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$1,666,020
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-12-31	$15,448
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-12-31	$125,958
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-12-31	$125,958
Asset value of US Government securities at end of year	2016-12-31	$25,422
Asset value of US Government securities at beginning of year	2016-12-31	$49,019
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$105,306
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	Yes
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	$177,914
Employer contributions (assets) at end of year	2016-12-31	$12,914
Employer contributions (assets) at beginning of year	2016-12-31	$3,383
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$385,641
Asset. Corporate debt instrument debt (other) at end of year	2016-12-31	$90,920
Asset. Corporate debt instrument debt (other) at beginning of year	2016-12-31	$92,644
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	No
Opinion of an independent qualified public accountant for this plan	2016-12-31	Unqualified
Accountancy firm name	2016-12-31	FREED MAXICK CPAS, P.C.
Accountancy firm EIN	2016-12-31	454051133
2015 : NIAGARA LUTHERAN HEALTH SYSTEM, INC. RETIREMENT PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$168,978
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$897,296
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$882,164
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$184,103
Value of total assets at end of year	2015-12-31	$1,937,024
Value of total assets at beginning of year	2015-12-31	$2,665,342
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$15,132
Total interest from all sources	2015-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$266,534
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
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	$-728,318
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$1,937,024
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$2,665,342
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	$15,132
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$1,666,020
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$2,377,675
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$125,958
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$39,080
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$39,080
Asset value of US Government securities at end of year	2015-12-31	$49,019
Asset value of US Government securities at beginning of year	2015-12-31	$77,729
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-15,125
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	Yes
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	$184,103
Employer contributions (assets) at end of year	2015-12-31	$3,383
Employer contributions (assets) at beginning of year	2015-12-31	$75,646
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$882,164
Asset. Corporate debt instrument debt (other) at end of year	2015-12-31	$92,644
Asset. Corporate debt instrument debt (other) at beginning of year	2015-12-31	$95,212
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	No
Opinion of an independent qualified public accountant for this plan	2015-12-31	Unqualified
Accountancy firm name	2015-12-31	FREED MAXICK CPAS, P.C.
Accountancy firm EIN	2015-12-31	454051133
2014 : NIAGARA LUTHERAN HEALTH SYSTEM, INC. RETIREMENT PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$393,533
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$469,819
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$452,324
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$255,645
Value of total assets at end of year	2014-12-31	$2,665,342
Value of total assets at beginning of year	2014-12-31	$2,741,628
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$17,495
Total interest from all sources	2014-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Administrative expenses professional fees incurred	2014-12-31	$17,495
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$274,163
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
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	$-76,286
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$2,665,342
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$2,741,628
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	$2,377,675
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$2,666,214
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$39,080
Asset value of US Government securities at end of year	2014-12-31	$77,729
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$137,888
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	Yes
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	$255,645
Employer contributions (assets) at end of year	2014-12-31	$75,646
Employer contributions (assets) at beginning of year	2014-12-31	$75,414
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$452,324
Asset. Corporate debt instrument debt (other) at end of year	2014-12-31	$95,212
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	No
Opinion of an independent qualified public accountant for this plan	2014-12-31	Unqualified
Accountancy firm name	2014-12-31	FREED MAXICK CPAS, P.C.
Accountancy firm EIN	2014-12-31	454051133
2013 : NIAGARA LUTHERAN HEALTH SYSTEM, INC. RETIREMENT PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$578,985
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$311,403
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$289,747
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$255,414
Value of total assets at end of year	2013-12-31	$2,741,628
Value of total assets at beginning of year	2013-12-31	$2,474,046
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$21,656
Total interest from all sources	2013-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Administrative expenses professional fees incurred	2013-12-31	$21,656
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$274,163
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
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	$267,582
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$2,741,628
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$2,474,046
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	$2,666,214
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$2,391,413
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$323,571
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	Yes
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	$255,414
Employer contributions (assets) at end of year	2013-12-31	$75,414
Employer contributions (assets) at beginning of year	2013-12-31	$82,633
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$289,747
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	No
Opinion of an independent qualified public accountant for this plan	2013-12-31	Unqualified
Accountancy firm name	2013-12-31	FREED MAXICK CPSS, P.C.
Accountancy firm EIN	2013-12-31	454051133
2012 : NIAGARA LUTHERAN HEALTH SYSTEM, INC. RETIREMENT PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$332,643
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$156,378
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$156,378
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$262,633
Value of total assets at end of year	2012-12-31	$2,474,046
Value of total assets at beginning of year	2012-12-31	$2,297,781
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$0
Total interest from all sources	2012-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$247,405
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
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	$176,265
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$2,474,046
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$2,297,781
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	$2,391,413
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$2,217,572
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$70,010
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$262,633
Employer contributions (assets) at end of year	2012-12-31	$82,633
Employer contributions (assets) at beginning of year	2012-12-31	$80,209
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$156,378
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	No
Opinion of an independent qualified public accountant for this plan	2012-12-31	Unqualified
Accountancy firm name	2012-12-31	FREED MAXICK CPSS, P.C.
Accountancy firm EIN	2012-12-31	454051133
2011 : NIAGARA LUTHERAN HEALTH SYSTEM, INC. RETIREMENT PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$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	$245,043
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$264,734
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$264,734
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$260,209
Value of total assets at end of year	2011-12-31	$2,297,781
Value of total assets at beginning of year	2011-12-31	$2,317,472
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$0
Total interest from all sources	2011-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$232,000
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
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	$-19,691
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$2,297,781
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$2,317,472
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	$2,217,572
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$2,234,354
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-15,166
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	Yes
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	$260,209
Employer contributions (assets) at end of year	2011-12-31	$80,209
Employer contributions (assets) at beginning of year	2011-12-31	$83,118
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$264,734
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	No
Opinion of an independent qualified public accountant for this plan	2011-12-31	Unqualified
Accountancy firm name	2011-12-31	FREED MAXICK CPAS, P.C.
Accountancy firm EIN	2011-12-31	454051133
2010 : NIAGARA LUTHERAN HEALTH SYSTEM, INC. RETIREMENT PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$547,026
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$112,121
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$112,121
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$263,118
Value of total assets at end of year	2010-12-31	$2,317,472
Value of total assets at beginning of year	2010-12-31	$1,882,567
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$0
Total interest from all sources	2010-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$232,000
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
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	$434,905
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$2,317,472
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$1,882,567
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	$2,234,354
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$1,798,419
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$283,908
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	Yes
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	$263,118
Employer contributions (assets) at end of year	2010-12-31	$83,118
Employer contributions (assets) at beginning of year	2010-12-31	$84,148
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$112,121
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	No
Opinion of an independent qualified public accountant for this plan	2010-12-31	Unqualified
Accountancy firm name	2010-12-31	FREED MAXICK & BATTAGLIA PC
Accountancy firm EIN	2010-12-31	161608956
2009 : NIAGARA LUTHERAN HEALTH SYSTEM, INC. 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 NIAGARA LUTHERAN HEALTH SYSTEM, INC. RETIREMENT PLAN

2018: NIAGARA LUTHERAN HEALTH SYSTEM, INC. RETIREMENT PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: NIAGARA LUTHERAN HEALTH SYSTEM, INC. RETIREMENT PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: NIAGARA LUTHERAN HEALTH SYSTEM, INC. RETIREMENT PLAN 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: NIAGARA LUTHERAN HEALTH SYSTEM, INC. RETIREMENT PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	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: NIAGARA LUTHERAN HEALTH SYSTEM, INC. RETIREMENT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: NIAGARA LUTHERAN HEALTH SYSTEM, INC. RETIREMENT PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	First time form 5500 has been submitted	Yes
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: NIAGARA LUTHERAN HEALTH SYSTEM, INC. RETIREMENT PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: NIAGARA LUTHERAN HEALTH SYSTEM, INC. RETIREMENT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	Yes
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: NIAGARA LUTHERAN HEALTH SYSTEM, INC. 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 – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	NIAGARA LUTHERAN HOME & REHABILITATION CENTER, INC.
Employer identification number (EIN):	160798517
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities

Jurisdiction of Incorporation:	New York Department of State
Incorporation Date:	1972-04-18
Company Identification Number:	328180
Legal Registered Office Address:	64 HAGER STREET Erie BUFFALO United States of America (USA) 14208