401k Plan data: MIDWEST HEALTH SERVICES RETIREMENT PLAN plan

MIDWEST HEALTH SERVICES RETIREMENT PLAN 401k Plan overview

Plan Name	MIDWEST HEALTH SERVICES RETIREMENT PLAN
Plan identification number	001

MIDWEST HEALTH SERVICES RETIREMENT PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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

401k Sponsoring company profile

MIDWEST HEALTH MANAGEMENT, INC. has sponsored the creation of one or more 401k plans.

Company Name: MIDWEST HEALTH MANAGEMENT, INC.

Employer identification number (EIN): 680558087

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MIDWEST HEALTH SERVICES RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2016-01-01
001 2015-01-01
001 2014-01-01 MICHAEL TRYON
001 2013-01-01 MICHAEL TRYON
001 2012-01-01 MICHAEL TRYON
001 2011-01-01 MICHAEL TRYON
001 2009-01-01 MICHAEL TRYON

Plan Statistics for MIDWEST HEALTH SERVICES RETIREMENT PLAN

401k plan membership statisitcs for MIDWEST HEALTH SERVICES RETIREMENT PLAN

Measure Date Value
2016: MIDWEST HEALTH SERVICES RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 1,311
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 1,106
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 94
Total of all active and inactive participants 2016-01-01 1,200
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 1,200
Number of participants with account balances 2016-01-01 432
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 42
2015: MIDWEST HEALTH SERVICES RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 1,289
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 1,112
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 143
Total of all active and inactive participants 2015-01-01 1,255
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 1,255
Number of participants with account balances 2015-01-01 392
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 28
2014: MIDWEST HEALTH SERVICES RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 1,146
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 1,043
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 95
Total of all active and inactive participants 2014-01-01 1,138
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 1,138
Number of participants with account balances 2014-01-01 422
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 31
2013: MIDWEST HEALTH SERVICES RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1,149
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 949
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 53
Total of all active and inactive participants 2013-01-01 1,002
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 1,002
Number of participants with account balances 2013-01-01 301
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 17
2012: MIDWEST HEALTH SERVICES RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1,059
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1,006
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 41
Total of all active and inactive participants 2012-01-01 1,047
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 1,047
Number of participants with account balances 2012-01-01 275
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 8
2011: MIDWEST HEALTH SERVICES RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 941
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 961
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 21
Total of all active and inactive participants 2011-01-01 982
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 982
Number of participants with account balances 2011-01-01 274
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 11
2009: MIDWEST HEALTH SERVICES RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 758
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 721
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 47
Total of all active and inactive participants 2009-01-01 768
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 768
Number of participants with account balances 2009-01-01 271
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 21

Measure	Date	Value
2016: MIDWEST HEALTH SERVICES RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	1,311
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	1,106
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	94
Total of all active and inactive participants	2016-01-01	1,200
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	1,200
Number of participants with account balances	2016-01-01	432
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	42
2015: MIDWEST HEALTH SERVICES RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	1,289
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	1,112
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	143
Total of all active and inactive participants	2015-01-01	1,255
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	1,255
Number of participants with account balances	2015-01-01	392
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	28
2014: MIDWEST HEALTH SERVICES RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	1,146
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	1,043
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	95
Total of all active and inactive participants	2014-01-01	1,138
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	1,138
Number of participants with account balances	2014-01-01	422
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	31
2013: MIDWEST HEALTH SERVICES RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1,149
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	949
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	53
Total of all active and inactive participants	2013-01-01	1,002
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	1,002
Number of participants with account balances	2013-01-01	301
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	17
2012: MIDWEST HEALTH SERVICES RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1,059
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1,006
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	41
Total of all active and inactive participants	2012-01-01	1,047
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	1,047
Number of participants with account balances	2012-01-01	275
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	8
2011: MIDWEST HEALTH SERVICES RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	941
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	961
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	21
Total of all active and inactive participants	2011-01-01	982
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	982
Number of participants with account balances	2011-01-01	274
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	11
2009: MIDWEST HEALTH SERVICES RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	758
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	721
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	47
Total of all active and inactive participants	2009-01-01	768
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	768
Number of participants with account balances	2009-01-01	271
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	21

Financial Data on MIDWEST HEALTH SERVICES RETIREMENT PLAN

Measure	Date	Value
2016 : MIDWEST HEALTH SERVICES 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	$1,531,307
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$866,401
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$795,187
Expenses. Certain deemed distributions of participant loans	2016-12-31	$1,165
Value of total corrective distributions	2016-12-31	$36,918
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$1,066,667
Value of total assets at end of year	2016-12-31	$7,364,860
Value of total assets at beginning of year	2016-12-31	$6,699,954
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$33,131
Total interest from all sources	2016-12-31	$6,133
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$22,361
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	$500,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$820,033
Participant contributions at end of year	2016-12-31	$138,065
Participant contributions at beginning of year	2016-12-31	$126,701
Participant contributions at end of year	2016-12-31	$0
Participant contributions at beginning of year	2016-12-31	$70
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$117,508
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	$664,906
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$7,364,860
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$6,699,954
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	$2,375,673
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$2,200,877
Value of interest in pooled separate accounts at end of year	2016-12-31	$4,649,604
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$4,128,787
Interest on participant loans	2016-12-31	$6,133
Value of interest in common/collective trusts at end of year	2016-12-31	$201,518
Value of interest in common/collective trusts at beginning of year	2016-12-31	$243,510
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$188,578
Net investment gain/loss from pooled separate accounts	2016-12-31	$245,558
Net investment gain or loss from common/collective trusts	2016-12-31	$2,010
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$129,126
Employer contributions (assets) at end of year	2016-12-31	$0
Employer contributions (assets) at beginning of year	2016-12-31	$9
Income. Dividends from common stock	2016-12-31	$22,361
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$795,187
Contract administrator fees	2016-12-31	$33,131
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	MAYER HOFFMAN MCCANN P.C.
Accountancy firm EIN	2016-12-31	431947695
2015 : MIDWEST HEALTH SERVICES 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	$1,038,562
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$478,165
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$423,637
Value of total corrective distributions	2015-12-31	$21,144
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$1,110,654
Value of total assets at end of year	2015-12-31	$6,699,954
Value of total assets at beginning of year	2015-12-31	$6,139,557
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$33,384
Total interest from all sources	2015-12-31	$6,182
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$21,161
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	$21,161
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$500,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$839,412
Participant contributions at end of year	2015-12-31	$126,701
Participant contributions at beginning of year	2015-12-31	$140,080
Participant contributions at end of year	2015-12-31	$70
Participant contributions at beginning of year	2015-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$141,437
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$560,397
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$6,699,954
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$6,139,557
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	$2,200,877
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$2,104,138
Value of interest in pooled separate accounts at end of year	2015-12-31	$4,128,787
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$3,628,062
Interest on participant loans	2015-12-31	$6,182
Value of interest in common/collective trusts at end of year	2015-12-31	$243,510
Value of interest in common/collective trusts at beginning of year	2015-12-31	$267,277
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-10,737
Net investment gain/loss from pooled separate accounts	2015-12-31	$-88,841
Net investment gain or loss from common/collective trusts	2015-12-31	$143
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$129,805
Employer contributions (assets) at end of year	2015-12-31	$9
Employer contributions (assets) at beginning of year	2015-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$423,637
Contract administrator fees	2015-12-31	$33,384
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	MAYER HOFFMAN MCCANN P.C.
Accountancy firm EIN	2015-12-31	431947695
2014 : MIDWEST HEALTH SERVICES 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	$1,255,084
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$270,003
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$213,079
Value of total corrective distributions	2014-12-31	$26,955
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$941,286
Value of total assets at end of year	2014-12-31	$6,139,557
Value of total assets at beginning of year	2014-12-31	$5,154,476
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$29,969
Total interest from all sources	2014-12-31	$6,785
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$17,234
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	$17,234
Administrative expenses professional fees incurred	2014-12-31	$29,969
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$733,484
Participant contributions at end of year	2014-12-31	$140,080
Participant contributions at beginning of year	2014-12-31	$120,586
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$94,523
Other income not declared elsewhere	2014-12-31	$-303
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	$985,081
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$6,139,557
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$5,154,476
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	$2,104,138
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$1,849,856
Value of interest in pooled separate accounts at end of year	2014-12-31	$3,628,062
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$2,936,690
Interest on participant loans	2014-12-31	$6,785
Value of interest in common/collective trusts at end of year	2014-12-31	$267,277
Value of interest in common/collective trusts at beginning of year	2014-12-31	$247,344
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$124,586
Net investment gain/loss from pooled separate accounts	2014-12-31	$162,221
Net investment gain or loss from common/collective trusts	2014-12-31	$3,275
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$113,279
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$213,079
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	MAYER HOFFMAN MCCAN PC
Accountancy firm EIN	2014-12-31	431947695
2013 : MIDWEST HEALTH SERVICES 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	$1,336,314
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$436,655
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$392,254
Value of total corrective distributions	2013-12-31	$19,716
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$661,399
Value of total assets at end of year	2013-12-31	$5,154,476
Value of total assets at beginning of year	2013-12-31	$4,254,817
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$24,685
Total interest from all sources	2013-12-31	$6,669
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$121,498
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	$121,498
Administrative expenses professional fees incurred	2013-12-31	$24,685
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$400,000
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	$564,300
Participant contributions at end of year	2013-12-31	$120,586
Participant contributions at beginning of year	2013-12-31	$128,215
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$9,376
Other income not declared elsewhere	2013-12-31	$43,346
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	$899,659
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$5,154,476
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$4,254,817
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	$1,849,856
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$1,489,580
Value of interest in pooled separate accounts at end of year	2013-12-31	$2,936,690
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$2,396,250
Interest on participant loans	2013-12-31	$6,669
Value of interest in common/collective trusts at end of year	2013-12-31	$247,344
Value of interest in common/collective trusts at beginning of year	2013-12-31	$240,772
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$209,134
Net investment gain/loss from pooled separate accounts	2013-12-31	$300,375
Net investment gain or loss from common/collective trusts	2013-12-31	$-6,107
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$87,723
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$392,254
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	MAYER HOFFMAN MCCAN PC
Accountancy firm EIN	2013-12-31	431947695
2012 : MIDWEST HEALTH SERVICES 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	$1,099,758
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$247,201
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$220,436
Value of total corrective distributions	2012-12-31	$7,222
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$652,375
Value of total assets at end of year	2012-12-31	$4,254,817
Value of total assets at beginning of year	2012-12-31	$3,402,260
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$19,543
Total interest from all sources	2012-12-31	$5,478
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$40,315
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	$40,315
Administrative expenses professional fees incurred	2012-12-31	$19,543
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$400,000
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	$554,789
Participant contributions at end of year	2012-12-31	$128,215
Participant contributions at beginning of year	2012-12-31	$106,685
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$13,337
Other income not declared elsewhere	2012-12-31	$42,323
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	$852,557
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$4,254,817
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$3,402,260
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	$1,489,580
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$1,430,377
Value of interest in pooled separate accounts at end of year	2012-12-31	$2,396,250
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$1,770,760
Interest on participant loans	2012-12-31	$5,478
Value of interest in common/collective trusts at end of year	2012-12-31	$240,772
Value of interest in common/collective trusts at beginning of year	2012-12-31	$94,438
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$117,563
Net investment gain/loss from pooled separate accounts	2012-12-31	$233,820
Net investment gain or loss from common/collective trusts	2012-12-31	$7,884
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$84,249
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$220,436
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	MAYER HOFFMAN MCCAN PC
Accountancy firm EIN	2012-12-31	431947695
2011 : MIDWEST HEALTH SERVICES 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	$576,201
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$574,206
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$546,443
Value of total corrective distributions	2011-12-31	$10,329
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$621,612
Value of total assets at end of year	2011-12-31	$3,402,260
Value of total assets at beginning of year	2011-12-31	$3,400,265
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$17,434
Total interest from all sources	2011-12-31	$4,480
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$52,776
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	$52,776
Administrative expenses professional fees incurred	2011-12-31	$17,434
Was this plan covered by a fidelity bond	2011-12-31	No
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	$536,354
Participant contributions at end of year	2011-12-31	$106,685
Participant contributions at beginning of year	2011-12-31	$69,248
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$82
Other income not declared elsewhere	2011-12-31	$5,397
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$1,995
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$3,402,260
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$3,400,265
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	$1,430,377
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$1,691,760
Value of interest in pooled separate accounts at end of year	2011-12-31	$1,770,760
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$1,547,239
Interest on participant loans	2011-12-31	$4,480
Value of interest in common/collective trusts at end of year	2011-12-31	$94,438
Value of interest in common/collective trusts at beginning of year	2011-12-31	$92,018
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-77,627
Net investment gain/loss from pooled separate accounts	2011-12-31	$-36,243
Net investment gain or loss from common/collective trusts	2011-12-31	$5,806
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$85,176
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$546,443
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	MAYER HOFFMAN MCCAN PC
Accountancy firm EIN	2011-12-31	431947695
2010 : MIDWEST HEALTH SERVICES 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	$313
Total income from all sources (including contributions)	2010-12-31	$916,944
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$309,914
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$291,008
Value of total corrective distributions	2010-12-31	$3,689
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$553,467
Value of total assets at end of year	2010-12-31	$3,400,265
Value of total assets at beginning of year	2010-12-31	$2,793,548
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$15,217
Total interest from all sources	2010-12-31	$2,143
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$45,363
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$45,363
Administrative expenses professional fees incurred	2010-12-31	$15,217
Was this plan covered by a fidelity bond	2010-12-31	No
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$465,975
Participant contributions at end of year	2010-12-31	$69,248
Participant contributions at beginning of year	2010-12-31	$32,508
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$15,047
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2010-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2010-12-31	$313
Other income not declared elsewhere	2010-12-31	$7,819
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	$607,030
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$3,400,265
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$2,793,235
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	$1,691,760
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$1,554,552
Value of interest in pooled separate accounts at end of year	2010-12-31	$1,547,239
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$1,087,633
Interest on participant loans	2010-12-31	$2,143
Value of interest in common/collective trusts at end of year	2010-12-31	$92,018
Value of interest in common/collective trusts at beginning of year	2010-12-31	$118,855
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$141,648
Net investment gain/loss from pooled separate accounts	2010-12-31	$162,830
Net investment gain or loss from common/collective trusts	2010-12-31	$3,674
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$72,445
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$291,008
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	MAYER HOFFMAN MCCAN PC
Accountancy firm EIN	2010-12-31	431947695
2009 : MIDWEST HEALTH SERVICES 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 MIDWEST HEALTH SERVICES RETIREMENT PLAN

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

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	805729
Policy instance	1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	805729
Policy instance	1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	805729
Policy instance	1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	805729
Policy instance	1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	805729
Policy instance	1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	805729
Policy instance	1

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Company Name:	MIDWEST HEALTH MANAGEMENT, INC.
Employer identification number (EIN):	680558087
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities