401k Plan data: DIVINE SAVIOR HEALTHCARE INC SALARY SAVINGS 401K PLAN plan

DIVINE SAVIOR HEALTHCARE INC SALARY SAVINGS 401K PLAN 401k Plan overview

Plan Name	DIVINE SAVIOR HEALTHCARE INC SALARY SAVINGS 401K PLAN
Plan identification number	003

DIVINE SAVIOR HEALTHCARE INC SALARY SAVINGS 401K 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.

401k Sponsoring company profile

DIVINE SAVIOR HEALTHCARE, INC has sponsored the creation of one or more 401k plans.

Company Name: DIVINE SAVIOR HEALTHCARE, INC

Employer identification number (EIN): 390806250

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DIVINE SAVIOR HEALTHCARE INC SALARY SAVINGS 401K PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2020-01-01 MICHAEL DECKER 2021-09-27
003 2019-01-01 MARLIN NELSON 2020-07-24
003 2018-01-01
003 2017-01-01
003 2016-01-01 MARLIN NELSON
003 2015-01-01 MARLIN NELSON
003 2014-01-01 MARLIN NELSON
003 2013-01-01 MARLIN NELSON
003 2012-01-01 MARLIN NELSON
003 2011-01-01 MARLIN NELSON
003 2010-01-01 MARLIN NELSON
003 2009-01-01 MARLIN NELSON

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
003	2020-01-01	MICHAEL DECKER	2021-09-27
003	2019-01-01	MARLIN NELSON	2020-07-24
003	2018-01-01
003	2017-01-01
003	2016-01-01	MARLIN NELSON
003	2015-01-01	MARLIN NELSON
003	2014-01-01	MARLIN NELSON
003	2013-01-01	MARLIN NELSON
003	2012-01-01	MARLIN NELSON
003	2011-01-01	MARLIN NELSON
003	2010-01-01	MARLIN NELSON
003	2009-01-01	MARLIN NELSON

Plan Statistics for DIVINE SAVIOR HEALTHCARE INC SALARY SAVINGS 401K PLAN

401k plan membership statisitcs for DIVINE SAVIOR HEALTHCARE INC SALARY SAVINGS 401K PLAN

Measure Date Value
2020: DIVINE SAVIOR HEALTHCARE INC SALARY SAVINGS 401K PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 1,091
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 741
Number of retired or separated participants receiving benefits 2020-01-01 25
Number of other retired or separated participants entitled to future benefits 2020-01-01 267
Total of all active and inactive participants 2020-01-01 1,033
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 1,033
Number of participants with account balances 2020-01-01 995
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 33
2019: DIVINE SAVIOR HEALTHCARE INC SALARY SAVINGS 401K PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 1,033
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 811
Number of retired or separated participants receiving benefits 2019-01-01 24
Number of other retired or separated participants entitled to future benefits 2019-01-01 223
Total of all active and inactive participants 2019-01-01 1,058
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 1,058
Number of participants with account balances 2019-01-01 1,038
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 56
2018: DIVINE SAVIOR HEALTHCARE INC SALARY SAVINGS 401K PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 1,018
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 798
Number of retired or separated participants receiving benefits 2018-01-01 5
Number of other retired or separated participants entitled to future benefits 2018-01-01 210
Total of all active and inactive participants 2018-01-01 1,013
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 1,013
Number of participants with account balances 2018-01-01 1,007
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 61
2017: DIVINE SAVIOR HEALTHCARE INC SALARY SAVINGS 401K PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 1,012
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 824
Number of retired or separated participants receiving benefits 2017-01-01 5
Number of other retired or separated participants entitled to future benefits 2017-01-01 187
Total of all active and inactive participants 2017-01-01 1,016
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 1,016
Number of participants with account balances 2017-01-01 1,008
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 36
2016: DIVINE SAVIOR HEALTHCARE INC SALARY SAVINGS 401K PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 941
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 821
Number of retired or separated participants receiving benefits 2016-01-01 7
Number of other retired or separated participants entitled to future benefits 2016-01-01 172
Total of all active and inactive participants 2016-01-01 1,000
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 1,000
Number of participants with account balances 2016-01-01 990
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 42
2015: DIVINE SAVIOR HEALTHCARE INC SALARY SAVINGS 401K PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 886
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 758
Number of retired or separated participants receiving benefits 2015-01-01 11
Number of other retired or separated participants entitled to future benefits 2015-01-01 166
Total of all active and inactive participants 2015-01-01 935
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 935
Number of participants with account balances 2015-01-01 921
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 47
2014: DIVINE SAVIOR HEALTHCARE INC SALARY SAVINGS 401K PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 921
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 729
Number of retired or separated participants receiving benefits 2014-01-01 8
Number of other retired or separated participants entitled to future benefits 2014-01-01 140
Total of all active and inactive participants 2014-01-01 877
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 877
Number of participants with account balances 2014-01-01 859
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 41
2013: DIVINE SAVIOR HEALTHCARE INC SALARY SAVINGS 401K PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 853
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 717
Number of retired or separated participants receiving benefits 2013-01-01 13
Number of other retired or separated participants entitled to future benefits 2013-01-01 184
Total of all active and inactive participants 2013-01-01 914
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 914
Number of participants with account balances 2013-01-01 902
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 47
2012: DIVINE SAVIOR HEALTHCARE INC SALARY SAVINGS 401K PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 807
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 699
Number of retired or separated participants receiving benefits 2012-01-01 13
Number of other retired or separated participants entitled to future benefits 2012-01-01 138
Total of all active and inactive participants 2012-01-01 850
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 850
Number of participants with account balances 2012-01-01 820
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 32
2011: DIVINE SAVIOR HEALTHCARE INC SALARY SAVINGS 401K PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 746
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 671
Number of retired or separated participants receiving benefits 2011-01-01 5
Number of other retired or separated participants entitled to future benefits 2011-01-01 119
Total of all active and inactive participants 2011-01-01 795
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 795
Number of participants with account balances 2011-01-01 719
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 24
2010: DIVINE SAVIOR HEALTHCARE INC SALARY SAVINGS 401K PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 786
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 651
Number of retired or separated participants receiving benefits 2010-01-01 3
Number of other retired or separated participants entitled to future benefits 2010-01-01 86
Total of all active and inactive participants 2010-01-01 740
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 740
Number of participants with account balances 2010-01-01 674
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 32
2009: DIVINE SAVIOR HEALTHCARE INC SALARY SAVINGS 401K PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 759
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 642
Number of retired or separated participants receiving benefits 2009-01-01 4
Number of other retired or separated participants entitled to future benefits 2009-01-01 135
Total of all active and inactive participants 2009-01-01 781
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 781
Number of participants with account balances 2009-01-01 721
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 27

Measure	Date	Value
2020: DIVINE SAVIOR HEALTHCARE INC SALARY SAVINGS 401K PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	1,091
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	741
Number of retired or separated participants receiving benefits	2020-01-01	25
Number of other retired or separated participants entitled to future benefits	2020-01-01	267
Total of all active and inactive participants	2020-01-01	1,033
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	1,033
Number of participants with account balances	2020-01-01	995
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	33
2019: DIVINE SAVIOR HEALTHCARE INC SALARY SAVINGS 401K PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	1,033
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	811
Number of retired or separated participants receiving benefits	2019-01-01	24
Number of other retired or separated participants entitled to future benefits	2019-01-01	223
Total of all active and inactive participants	2019-01-01	1,058
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	1,058
Number of participants with account balances	2019-01-01	1,038
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	56
2018: DIVINE SAVIOR HEALTHCARE INC SALARY SAVINGS 401K PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	1,018
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	798
Number of retired or separated participants receiving benefits	2018-01-01	5
Number of other retired or separated participants entitled to future benefits	2018-01-01	210
Total of all active and inactive participants	2018-01-01	1,013
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	1,013
Number of participants with account balances	2018-01-01	1,007
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	61
2017: DIVINE SAVIOR HEALTHCARE INC SALARY SAVINGS 401K PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	1,012
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	824
Number of retired or separated participants receiving benefits	2017-01-01	5
Number of other retired or separated participants entitled to future benefits	2017-01-01	187
Total of all active and inactive participants	2017-01-01	1,016
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	1,016
Number of participants with account balances	2017-01-01	1,008
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	36
2016: DIVINE SAVIOR HEALTHCARE INC SALARY SAVINGS 401K PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	941
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	821
Number of retired or separated participants receiving benefits	2016-01-01	7
Number of other retired or separated participants entitled to future benefits	2016-01-01	172
Total of all active and inactive participants	2016-01-01	1,000
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	1,000
Number of participants with account balances	2016-01-01	990
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	42
2015: DIVINE SAVIOR HEALTHCARE INC SALARY SAVINGS 401K PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	886
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	758
Number of retired or separated participants receiving benefits	2015-01-01	11
Number of other retired or separated participants entitled to future benefits	2015-01-01	166
Total of all active and inactive participants	2015-01-01	935
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	935
Number of participants with account balances	2015-01-01	921
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	47
2014: DIVINE SAVIOR HEALTHCARE INC SALARY SAVINGS 401K PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	921
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	729
Number of retired or separated participants receiving benefits	2014-01-01	8
Number of other retired or separated participants entitled to future benefits	2014-01-01	140
Total of all active and inactive participants	2014-01-01	877
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	877
Number of participants with account balances	2014-01-01	859
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	41
2013: DIVINE SAVIOR HEALTHCARE INC SALARY SAVINGS 401K PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	853
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	717
Number of retired or separated participants receiving benefits	2013-01-01	13
Number of other retired or separated participants entitled to future benefits	2013-01-01	184
Total of all active and inactive participants	2013-01-01	914
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	914
Number of participants with account balances	2013-01-01	902
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	47
2012: DIVINE SAVIOR HEALTHCARE INC SALARY SAVINGS 401K PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	807
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	699
Number of retired or separated participants receiving benefits	2012-01-01	13
Number of other retired or separated participants entitled to future benefits	2012-01-01	138
Total of all active and inactive participants	2012-01-01	850
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	850
Number of participants with account balances	2012-01-01	820
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	32
2011: DIVINE SAVIOR HEALTHCARE INC SALARY SAVINGS 401K PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	746
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	671
Number of retired or separated participants receiving benefits	2011-01-01	5
Number of other retired or separated participants entitled to future benefits	2011-01-01	119
Total of all active and inactive participants	2011-01-01	795
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	795
Number of participants with account balances	2011-01-01	719
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	24
2010: DIVINE SAVIOR HEALTHCARE INC SALARY SAVINGS 401K PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	786
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	651
Number of retired or separated participants receiving benefits	2010-01-01	3
Number of other retired or separated participants entitled to future benefits	2010-01-01	86
Total of all active and inactive participants	2010-01-01	740
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	740
Number of participants with account balances	2010-01-01	674
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	32
2009: DIVINE SAVIOR HEALTHCARE INC SALARY SAVINGS 401K PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	759
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	642
Number of retired or separated participants receiving benefits	2009-01-01	4
Number of other retired or separated participants entitled to future benefits	2009-01-01	135
Total of all active and inactive participants	2009-01-01	781
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	781
Number of participants with account balances	2009-01-01	721
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	27

Financial Data on DIVINE SAVIOR HEALTHCARE INC SALARY SAVINGS 401K PLAN

Measure	Date	Value
2020 : DIVINE SAVIOR HEALTHCARE INC SALARY SAVINGS 401K PLAN 2020 401k financial data
Total income from all sources (including contributions)	2020-12-31	$14,809,267
Total of all expenses incurred	2020-12-31	$6,433,173
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$6,352,105
Expenses. Certain deemed distributions of participant loans	2020-12-31	$57,935
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$4,405,152
Value of total assets at end of year	2020-12-31	$70,264,731
Value of total assets at beginning of year	2020-12-31	$61,888,637
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$23,133
Total interest from all sources	2020-12-31	$103,711
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$500,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$2,887,051
Participant contributions at end of year	2020-12-31	$119,757
Participant contributions at beginning of year	2020-12-31	$178,432
Participant contributions at end of year	2020-12-31	$98,078
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$15,549
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$8,376,094
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$70,264,731
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$61,888,637
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Investment advisory and management fees	2020-12-31	$20,033
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$67,124,312
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$57,985,782
Interest on participant loans	2020-12-31	$7,624
Interest earned on other investments	2020-12-31	$96,087
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$2,870,331
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$3,724,423
Net investment gain/loss from pooled separate accounts	2020-12-31	$10,300,404
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$1,502,552
Employer contributions (assets) at end of year	2020-12-31	$52,253
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$6,352,105
Contract administrator fees	2020-12-31	$3,100
Did the plan have assets held for investment	2020-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Unqualified
Accountancy firm name	2020-12-31	WIPFLI LLP
Accountancy firm EIN	2020-12-31	390758449
2019 : DIVINE SAVIOR HEALTHCARE INC SALARY SAVINGS 401K PLAN 2019 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$12,944
Total income from all sources (including contributions)	2019-12-31	$15,925,525
Total of all expenses incurred	2019-12-31	$4,111,665
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$4,069,958
Expenses. Certain deemed distributions of participant loans	2019-12-31	$23,152
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$4,489,149
Value of total assets at end of year	2019-12-31	$61,888,637
Value of total assets at beginning of year	2019-12-31	$50,087,721
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$18,555
Total interest from all sources	2019-12-31	$145,043
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$2,831,086
Participant contributions at end of year	2019-12-31	$178,432
Participant contributions at beginning of year	2019-12-31	$197,886
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$127,411
Administrative expenses (other) incurred	2019-12-31	$1,475
Liabilities. Value of operating payables at beginning of year	2019-12-31	$12,944
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$11,813,860
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$61,888,637
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$50,074,777
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Investment advisory and management fees	2019-12-31	$17,080
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$57,985,782
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$46,069,666
Interest on participant loans	2019-12-31	$12,293
Interest earned on other investments	2019-12-31	$132,750
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$3,724,423
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$3,820,169
Net investment gain/loss from pooled separate accounts	2019-12-31	$11,291,333
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$1,530,652
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$4,069,958
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	WIPFLI, LLP
Accountancy firm EIN	2019-12-31	390758449
2018 : DIVINE SAVIOR HEALTHCARE INC SALARY SAVINGS 401K 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	$12,944
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$2,894
Total income from all sources (including contributions)	2018-12-31	$915,807
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$4,766,634
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$4,713,953
Expenses. Certain deemed distributions of participant loans	2018-12-31	$22,846
Value of total corrective distributions	2018-12-31	$12,944
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$4,388,282
Value of total assets at end of year	2018-12-31	$50,087,721
Value of total assets at beginning of year	2018-12-31	$53,928,498
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$16,891
Total interest from all sources	2018-12-31	$187,874
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
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$2,694,186
Participant contributions at end of year	2018-12-31	$197,886
Participant contributions at beginning of year	2018-12-31	$197,542
Participant contributions at beginning of year	2018-12-31	$600
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$23,661
Liabilities. Value of operating payables at end of year	2018-12-31	$12,944
Liabilities. Value of operating payables at beginning of year	2018-12-31	$2,894
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	$-3,850,827
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$50,074,777
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$53,925,604
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	$16,366
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$46,069,666
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$49,989,320
Interest on participant loans	2018-12-31	$8,269
Interest earned on other investments	2018-12-31	$179,605
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$3,820,169
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$3,741,036
Net investment gain/loss from pooled separate accounts	2018-12-31	$-3,660,349
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$1,670,435
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$4,713,953
Contract administrator fees	2018-12-31	$525
Did the plan have assets held for investment	2018-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	WIPFLI, LLP
Accountancy firm EIN	2018-12-31	390758449
2017 : DIVINE SAVIOR HEALTHCARE INC SALARY SAVINGS 401K 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	$2,894
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$42,369
Total income from all sources (including contributions)	2017-12-31	$12,549,632
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$4,033,705
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$3,979,881
Expenses. Certain deemed distributions of participant loans	2017-12-31	$30,932
Value of total corrective distributions	2017-12-31	$7,196
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$4,472,856
Value of total assets at end of year	2017-12-31	$53,928,498
Value of total assets at beginning of year	2017-12-31	$45,452,046
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$15,696
Total interest from all sources	2017-12-31	$142,794
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	$500,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$2,639,085
Participant contributions at end of year	2017-12-31	$197,542
Participant contributions at beginning of year	2017-12-31	$197,801
Participant contributions at end of year	2017-12-31	$600
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$169,822
Liabilities. Value of operating payables at end of year	2017-12-31	$2,894
Liabilities. Value of operating payables at beginning of year	2017-12-31	$42,369
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	$8,515,927
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$53,925,604
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$45,409,677
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	$15,246
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$49,989,320
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$42,629,773
Interest on participant loans	2017-12-31	$8,196
Interest earned on other investments	2017-12-31	$134,598
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$3,741,036
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$2,623,767
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$7,933,982
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$1,663,949
Employer contributions (assets) at beginning of year	2017-12-31	$705
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$3,979,881
Contract administrator fees	2017-12-31	$450
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	WIPFLI LLP
Accountancy firm EIN	2017-12-31	390758449
2016 : DIVINE SAVIOR HEALTHCARE INC SALARY SAVINGS 401K 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	$42,369
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$30,316
Total income from all sources (including contributions)	2016-12-31	$7,809,351
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$2,244,080
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$2,183,278
Expenses. Certain deemed distributions of participant loans	2016-12-31	$4,009
Value of total corrective distributions	2016-12-31	$42,934
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$4,294,825
Value of total assets at end of year	2016-12-31	$45,452,046
Value of total assets at beginning of year	2016-12-31	$39,874,722
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$13,859
Total interest from all sources	2016-12-31	$73,184
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	$500,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$2,543,539
Participant contributions at end of year	2016-12-31	$197,801
Participant contributions at beginning of year	2016-12-31	$144,176
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$250,227
Liabilities. Value of operating payables at end of year	2016-12-31	$42,369
Liabilities. Value of operating payables at beginning of year	2016-12-31	$30,316
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	$5,565,271
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$45,409,677
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$39,844,406
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	$13,259
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$42,629,773
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$37,921,912
Interest on participant loans	2016-12-31	$7,922
Interest earned on other investments	2016-12-31	$65,262
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$2,623,767
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$1,808,634
Net investment gain/loss from pooled separate accounts	2016-12-31	$3,441,342
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$1,501,059
Employer contributions (assets) at end of year	2016-12-31	$705
Employer contributions (assets) at beginning of year	2016-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$2,183,278
Contract administrator fees	2016-12-31	$600
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	WIPFLI LLP
Accountancy firm EIN	2016-12-31	390758449
2015 : DIVINE SAVIOR HEALTHCARE INC SALARY SAVINGS 401K 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	$30,316
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$22,632
Total income from all sources (including contributions)	2015-12-31	$3,508,971
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$4,140,345
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$4,095,956
Expenses. Certain deemed distributions of participant loans	2015-12-31	$2,054
Value of total corrective distributions	2015-12-31	$30,316
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$3,802,267
Value of total assets at end of year	2015-12-31	$39,874,722
Value of total assets at beginning of year	2015-12-31	$40,498,412
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$12,019
Total interest from all sources	2015-12-31	$57,955
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	$500,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$2,350,907
Participant contributions at end of year	2015-12-31	$144,176
Participant contributions at beginning of year	2015-12-31	$134,027
Participant contributions at beginning of year	2015-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$28,979
Other income not declared elsewhere	2015-12-31	$33,072
Liabilities. Value of operating payables at end of year	2015-12-31	$30,316
Liabilities. Value of operating payables at beginning of year	2015-12-31	$22,632
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	$-631,374
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$39,844,406
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$40,475,780
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	$11,644
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$37,921,912
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$38,535,316
Interest on participant loans	2015-12-31	$6,040
Interest earned on other investments	2015-12-31	$51,915
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$1,808,634
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$1,828,938
Net investment gain/loss from pooled separate accounts	2015-12-31	$-384,323
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$1,422,381
Employer contributions (assets) at end of year	2015-12-31	$0
Employer contributions (assets) at beginning of year	2015-12-31	$131
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$4,095,956
Contract administrator fees	2015-12-31	$375
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	WIPFLI LLP
Accountancy firm EIN	2015-12-31	390758449
2014 : DIVINE SAVIOR HEALTHCARE INC SALARY SAVINGS 401K 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	$22,632
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$16,324
Total income from all sources (including contributions)	2014-12-31	$5,682,533
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$2,010,947
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$1,968,071
Expenses. Certain deemed distributions of participant loans	2014-12-31	$10,205
Value of total corrective distributions	2014-12-31	$22,632
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$3,544,716
Value of total assets at end of year	2014-12-31	$40,498,412
Value of total assets at beginning of year	2014-12-31	$36,820,518
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$10,039
Total interest from all sources	2014-12-31	$58,699
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
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$2,000,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$2,156,992
Participant contributions at end of year	2014-12-31	$134,027
Participant contributions at beginning of year	2014-12-31	$142,762
Participant contributions at end of year	2014-12-31	$0
Participant contributions at beginning of year	2014-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$71,226
Liabilities. Value of operating payables at end of year	2014-12-31	$22,632
Liabilities. Value of operating payables at beginning of year	2014-12-31	$16,324
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	$3,671,586
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$40,475,780
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$36,804,194
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Investment advisory and management fees	2014-12-31	$9,589
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$38,535,316
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$34,948,181
Interest on participant loans	2014-12-31	$5,859
Interest earned on other investments	2014-12-31	$52,840
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$1,828,938
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$1,729,575
Net investment gain/loss from pooled separate accounts	2014-12-31	$2,079,118
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$1,316,498
Employer contributions (assets) at end of year	2014-12-31	$131
Employer contributions (assets) at beginning of year	2014-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$1,968,071
Contract administrator fees	2014-12-31	$450
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	WIPFLI, LLP
Accountancy firm EIN	2014-12-31	390758449
2013 : DIVINE SAVIOR HEALTHCARE INC SALARY SAVINGS 401K 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	$16,324
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	$9,846,574
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$1,240,411
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$1,205,102
Expenses. Certain deemed distributions of participant loans	2013-12-31	$5,349
Value of total corrective distributions	2013-12-31	$21,419
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$3,367,625
Value of total assets at end of year	2013-12-31	$36,820,518
Value of total assets at beginning of year	2013-12-31	$28,198,031
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$8,541
Total interest from all sources	2013-12-31	$54,447
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	$825
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$2,000,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$2,054,853
Participant contributions at end of year	2013-12-31	$142,762
Participant contributions at beginning of year	2013-12-31	$129,576
Participant contributions at end of year	2013-12-31	$0
Participant contributions at beginning of year	2013-12-31	$58,717
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$34,582
Liabilities. Value of operating payables at end of year	2013-12-31	$16,324
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	$8,606,163
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$36,804,194
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$28,198,031
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Investment advisory and management fees	2013-12-31	$7,716
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$34,948,181
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$26,368,120
Interest on participant loans	2013-12-31	$5,621
Interest earned on other investments	2013-12-31	$48,826
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$1,729,575
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$1,582,863
Net investment gain/loss from pooled separate accounts	2013-12-31	$6,424,502
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$1,278,190
Employer contributions (assets) at end of year	2013-12-31	$0
Employer contributions (assets) at beginning of year	2013-12-31	$58,755
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$1,205,102
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2013-12-31	No
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	WIPFLI LLP
Accountancy firm EIN	2013-12-31	390758449
2012 : DIVINE SAVIOR HEALTHCARE INC SALARY SAVINGS 401K 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	$7,396
Total income from all sources (including contributions)	2012-12-31	$6,569,104
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$2,184,940
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$2,174,702
Expenses. Certain deemed distributions of participant loans	2012-12-31	$5,954
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$3,297,953
Value of total assets at end of year	2012-12-31	$28,198,031
Value of total assets at beginning of year	2012-12-31	$23,821,263
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$4,284
Total interest from all sources	2012-12-31	$48,403
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
Administrative expenses professional fees incurred	2012-12-31	$600
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$2,225,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$1,924,931
Participant contributions at end of year	2012-12-31	$129,576
Participant contributions at beginning of year	2012-12-31	$113,434
Participant contributions at end of year	2012-12-31	$58,717
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$127,729
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	$4,384,164
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$28,198,031
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$23,813,867
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
Investment advisory and management fees	2012-12-31	$3,684
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$26,368,120
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$22,339,623
Interest on participant loans	2012-12-31	$4,558
Interest earned on other investments	2012-12-31	$43,845
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$1,582,863
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$1,366,476
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$3,222,748
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	$1,245,293
Employer contributions (assets) at end of year	2012-12-31	$58,755
Employer contributions (assets) at beginning of year	2012-12-31	$1,730
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$2,174,702
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2012-12-31	No
Liabilities. Value of benefit claims payable at beginning of year	2012-12-31	$7,396
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	WIPFLI LLP
Accountancy firm EIN	2012-12-31	390758449
2011 : DIVINE SAVIOR HEALTHCARE INC SALARY SAVINGS 401K 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	$7,396
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	$2,405,556
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$2,105,579
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$2,103,294
Expenses. Certain deemed distributions of participant loans	2011-12-31	$1,280
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$3,259,799
Value of total assets at end of year	2011-12-31	$23,821,263
Value of total assets at beginning of year	2011-12-31	$23,513,890
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$1,005
Total interest from all sources	2011-12-31	$53,942
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
Administrative expenses professional fees incurred	2011-12-31	$630
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$2,225,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$1,837,033
Participant contributions at end of year	2011-12-31	$113,434
Participant contributions at beginning of year	2011-12-31	$121,369
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$240,781
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	$299,977
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$23,813,867
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$23,513,890
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	$22,339,623
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$21,882,450
Interest on participant loans	2011-12-31	$5,249
Interest earned on other investments	2011-12-31	$48,693
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$1,366,476
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$1,508,249
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-908,185
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$1,181,985
Employer contributions (assets) at end of year	2011-12-31	$1,730
Employer contributions (assets) at beginning of year	2011-12-31	$1,822
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$2,103,294
Contract administrator fees	2011-12-31	$375
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2011-12-31	No
Liabilities. Value of benefit claims payable at end of year	2011-12-31	$7,396
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	WIPFLI, LLC
Accountancy firm EIN	2011-12-31	390758449
2010 : DIVINE SAVIOR HEALTHCARE INC SALARY SAVINGS 401K 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	$5,619,141
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$1,113,059
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$1,109,451
Expenses. Certain deemed distributions of participant loans	2010-12-31	$624
Value of total corrective distributions	2010-12-31	$1,709
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$2,902,407
Value of total assets at end of year	2010-12-31	$23,513,890
Value of total assets at beginning of year	2010-12-31	$19,007,808
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$1,275
Total interest from all sources	2010-12-31	$51,913
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	$1,250,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$1,710,560
Participant contributions at end of year	2010-12-31	$121,369
Participant contributions at beginning of year	2010-12-31	$73,041
Participant contributions at beginning of year	2010-12-31	$60,544
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$85,815
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	$4,506,082
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$23,513,890
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$19,007,808
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	$21,882,450
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$17,329,461
Interest on participant loans	2010-12-31	$4,930
Interest earned on other investments	2010-12-31	$46,983
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$1,508,249
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$1,506,539
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$2,664,821
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$1,106,032
Employer contributions (assets) at end of year	2010-12-31	$1,822
Employer contributions (assets) at beginning of year	2010-12-31	$38,223
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$1,109,451
Contract administrator fees	2010-12-31	$1,275
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2010-12-31	No
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	WIPFLI LLP
Accountancy firm EIN	2010-12-31	390758449

Form 5500 Responses for DIVINE SAVIOR HEALTHCARE INC SALARY SAVINGS 401K PLAN

2020: DIVINE SAVIOR HEALTHCARE INC SALARY SAVINGS 401K PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: DIVINE SAVIOR HEALTHCARE INC SALARY SAVINGS 401K PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: DIVINE SAVIOR HEALTHCARE INC SALARY SAVINGS 401K 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 – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: DIVINE SAVIOR HEALTHCARE INC SALARY SAVINGS 401K 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 – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: DIVINE SAVIOR HEALTHCARE INC SALARY SAVINGS 401K 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: DIVINE SAVIOR HEALTHCARE INC SALARY SAVINGS 401K 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: DIVINE SAVIOR HEALTHCARE INC SALARY SAVINGS 401K 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 – 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: DIVINE SAVIOR HEALTHCARE INC SALARY SAVINGS 401K PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – 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: DIVINE SAVIOR HEALTHCARE INC SALARY SAVINGS 401K PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	Yes
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: DIVINE SAVIOR HEALTHCARE INC SALARY SAVINGS 401K PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – 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
2010: DIVINE SAVIOR HEALTHCARE INC SALARY SAVINGS 401K PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: DIVINE SAVIOR HEALTHCARE INC SALARY SAVINGS 401K PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

PHR912

Policy instance

Insurance contract or identification number	PHR912
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of fees paid to insurance company	USD $29,728
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Amount paid for insurance broker fees	29728
Additional information about fees paid to insurance broker	TPA PARTNERSHIP PROGRAM
Insurance broker organization code?	3

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

PHR912

Policy instance

Insurance contract or identification number	PHR912
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $125,282
Total amount of fees paid to insurance company	USD $27,581
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Commission paid to Insurance Broker	USD $125,282
Insurance broker organization code?	3
Amount paid for insurance broker fees	27581
Additional information about fees paid to insurance broker	TPA PARTNERSHIP

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

PHR912

Policy instance

Insurance contract or identification number	PHR912
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $137,119
Total amount of fees paid to insurance company	USD $27,433
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Commission paid to Insurance Broker	USD $137,119
Insurance broker organization code?	3
Amount paid for insurance broker fees	27433
Additional information about fees paid to insurance broker	TPA PARTNERSHIP PROGRAM

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

PHR912

Policy instance

Insurance contract or identification number	PHR912
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $133,641
Total amount of fees paid to insurance company	USD $24,021
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Commission paid to Insurance Broker	USD $133,641
Insurance broker organization code?	3
Amount paid for insurance broker fees	24021
Additional information about fees paid to insurance broker	TPA PARTNERSHIP PROGRAM
Insurance broker name	BENETRAK, INC.

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

PHR912

Policy instance

Insurance contract or identification number	PHR912
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $122,073
Total amount of fees paid to insurance company	USD $20,301
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Commission paid to Insurance Broker	USD $122,073
Insurance broker organization code?	3
Amount paid for insurance broker fees	20301
Additional information about fees paid to insurance broker	TPA PARTNERSHIP PROGRAM
Insurance broker name	BENETRAK, INC.

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

PHR912

Policy instance

Insurance contract or identification number	PHR912
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $115,207
Total amount of fees paid to insurance company	USD $18,800
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Commission paid to Insurance Broker	USD $115,207
Insurance broker organization code?	3
Amount paid for insurance broker fees	18800
Additional information about fees paid to insurance broker	TPA PARTNERSHIP PROGRAM
Insurance broker name	BENETRAK, INC.

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

PHR912

Policy instance

Insurance contract or identification number	PHR912
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $95,570
Total amount of fees paid to insurance company	USD $15,226
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Commission paid to Insurance Broker	USD $95,570
Insurance broker organization code?	3
Amount paid for insurance broker fees	15226
Additional information about fees paid to insurance broker	TPA PARTNERSHIP PROGRAM
Insurance broker name	BENETRAK, INC.

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

PHR912

Policy instance

Insurance contract or identification number	PHR912
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $77,623
Total amount of fees paid to insurance company	USD $12,628
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Commission paid to Insurance Broker	USD $77,623
Insurance broker organization code?	3
Amount paid for insurance broker fees	12628
Additional information about fees paid to insurance broker	TPA PARTNERSHIP PROGRAM
Insurance broker name	BENETRAK, INC.

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

PHR912

Policy instance

Insurance contract or identification number	PHR912
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $71,991
Total amount of fees paid to insurance company	USD $11,863
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

PHR912

Policy instance

Insurance contract or identification number	PHR912
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $59,916
Total amount of fees paid to insurance company	USD $9,632
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Commission paid to Insurance Broker	USD $59,916
Insurance broker organization code?	3
Amount paid for insurance broker fees	9632
Additional information about fees paid to insurance broker	TPA PARTNERSHIP PROGRAM
Insurance broker name	BENETRAK, INC.

Potentially related plans

DIVINE SAVIOR HEALTHCARE INC SALARY SAVINGS 401K PLAN [EIN = 391328331]

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Company Name:	DIVINE SAVIOR HEALTHCARE, INC
Employer identification number (EIN):	390806250
NAIC Classification:	622000
NAIC Description:	Hospitals