401k Plan data: NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN plan

NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN 401k Plan overview

Plan Name	NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN
Plan identification number	002

NORTHWOOD DEACONESS HEALTH CENTER 401 (K) 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.
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

NORTHWOOD DEACONESS HEALTH CENTER has sponsored the creation of one or more 401k plans.

Company Name: NORTHWOOD DEACONESS HEALTH CENTER

Employer identification number (EIN): 450226472

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2022-01-01 PETE ANTONSON 2023-07-19
002 2021-01-01 PETE ANTONSON 2022-07-30
002 2020-01-01 PETE ANTONSON 2021-10-11
002 2019-01-01 PETE ANTONSON 2020-07-29
002 2018-01-01 PETE ANTONSON 2019-07-25
002 2017-01-01
002 2016-01-01 PETE ANTONSON
002 2015-01-01 PETE ANTONSON
002 2014-01-01 PETE ANTONSON
002 2013-01-01 PETE ANTONSON
002 2012-01-01 PETE ANTONSON
002 2011-01-01 PETE ANTONSON
002 2009-01-01 PETE ANTONSON

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
002	2022-01-01	PETE ANTONSON	2023-07-19
002	2021-01-01	PETE ANTONSON	2022-07-30
002	2020-01-01	PETE ANTONSON	2021-10-11
002	2019-01-01	PETE ANTONSON	2020-07-29
002	2018-01-01	PETE ANTONSON	2019-07-25
002	2017-01-01
002	2016-01-01	PETE ANTONSON
002	2015-01-01	PETE ANTONSON
002	2014-01-01	PETE ANTONSON
002	2013-01-01	PETE ANTONSON
002	2012-01-01	PETE ANTONSON
002	2011-01-01	PETE ANTONSON
002	2009-01-01	PETE ANTONSON

Plan Statistics for NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN

401k plan membership statisitcs for NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN

Measure Date Value
2022: NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 207
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 131
Number of retired or separated participants receiving benefits 2022-01-01 1
Number of other retired or separated participants entitled to future benefits 2022-01-01 41
Total of all active and inactive participants 2022-01-01 173
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 173
Number of participants with account balances 2022-01-01 166
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 1
2021: NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 214
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 168
Number of retired or separated participants receiving benefits 2021-01-01 2
Number of other retired or separated participants entitled to future benefits 2021-01-01 37
Total of all active and inactive participants 2021-01-01 207
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 207
Number of participants with account balances 2021-01-01 166
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 6
2020: NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 219
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 172
Number of retired or separated participants receiving benefits 2020-01-01 6
Number of other retired or separated participants entitled to future benefits 2020-01-01 36
Total of all active and inactive participants 2020-01-01 214
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 214
Number of participants with account balances 2020-01-01 171
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 2
2019: NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 214
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 182
Number of retired or separated participants receiving benefits 2019-01-01 3
Number of other retired or separated participants entitled to future benefits 2019-01-01 34
Total of all active and inactive participants 2019-01-01 219
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 219
Number of participants with account balances 2019-01-01 166
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 3
2018: NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 213
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 186
Number of retired or separated participants receiving benefits 2018-01-01 10
Number of other retired or separated participants entitled to future benefits 2018-01-01 18
Total of all active and inactive participants 2018-01-01 214
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 214
Number of participants with account balances 2018-01-01 160
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 1
2017: NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 189
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 179
Number of retired or separated participants receiving benefits 2017-01-01 6
Number of other retired or separated participants entitled to future benefits 2017-01-01 28
Total of all active and inactive participants 2017-01-01 213
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 213
Number of participants with account balances 2017-01-01 162
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 4
2016: NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 180
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 189
Number of retired or separated participants receiving benefits 2016-01-01 21
Number of other retired or separated participants entitled to future benefits 2016-01-01 17
Total of all active and inactive participants 2016-01-01 227
Total participants 2016-01-01 227
Number of participants with account balances 2016-01-01 167
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 2
2015: NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 224
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 180
Number of retired or separated participants receiving benefits 2015-01-01 13
Number of other retired or separated participants entitled to future benefits 2015-01-01 33
Total of all active and inactive participants 2015-01-01 226
Total participants 2015-01-01 226
Number of participants with account balances 2015-01-01 156
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 4
2014: NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 222
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 187
Number of retired or separated participants receiving benefits 2014-01-01 4
Number of other retired or separated participants entitled to future benefits 2014-01-01 33
Total of all active and inactive participants 2014-01-01 224
Total participants 2014-01-01 224
Number of participants with account balances 2014-01-01 145
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 1
2013: NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 211
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 187
Number of retired or separated participants receiving benefits 2013-01-01 4
Number of other retired or separated participants entitled to future benefits 2013-01-01 31
Total of all active and inactive participants 2013-01-01 222
Total participants 2013-01-01 222
Number of participants with account balances 2013-01-01 138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 1
2012: NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 229
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 178
Number of retired or separated participants receiving benefits 2012-01-01 5
Number of other retired or separated participants entitled to future benefits 2012-01-01 28
Total of all active and inactive participants 2012-01-01 211
Total participants 2012-01-01 211
Number of participants with account balances 2012-01-01 129
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 1
2011: NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 214
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 197
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 26
Total of all active and inactive participants 2011-01-01 228
Total participants 2011-01-01 228
Number of participants with account balances 2011-01-01 139
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 2
2009: NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 209
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 181
Number of retired or separated participants receiving benefits 2009-01-01 7
Number of other retired or separated participants entitled to future benefits 2009-01-01 28
Total of all active and inactive participants 2009-01-01 216
Total participants 2009-01-01 216
Number of participants with account balances 2009-01-01 139

Measure	Date	Value
2022: NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	207
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	131
Number of retired or separated participants receiving benefits	2022-01-01	1
Number of other retired or separated participants entitled to future benefits	2022-01-01	41
Total of all active and inactive participants	2022-01-01	173
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	173
Number of participants with account balances	2022-01-01	166
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	1
2021: NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	214
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	168
Number of retired or separated participants receiving benefits	2021-01-01	2
Number of other retired or separated participants entitled to future benefits	2021-01-01	37
Total of all active and inactive participants	2021-01-01	207
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	207
Number of participants with account balances	2021-01-01	166
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	6
2020: NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	219
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	172
Number of retired or separated participants receiving benefits	2020-01-01	6
Number of other retired or separated participants entitled to future benefits	2020-01-01	36
Total of all active and inactive participants	2020-01-01	214
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	214
Number of participants with account balances	2020-01-01	171
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	2
2019: NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	214
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	182
Number of retired or separated participants receiving benefits	2019-01-01	3
Number of other retired or separated participants entitled to future benefits	2019-01-01	34
Total of all active and inactive participants	2019-01-01	219
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	219
Number of participants with account balances	2019-01-01	166
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	3
2018: NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	213
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	186
Number of retired or separated participants receiving benefits	2018-01-01	10
Number of other retired or separated participants entitled to future benefits	2018-01-01	18
Total of all active and inactive participants	2018-01-01	214
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	214
Number of participants with account balances	2018-01-01	160
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	1
2017: NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	189
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	179
Number of retired or separated participants receiving benefits	2017-01-01	6
Number of other retired or separated participants entitled to future benefits	2017-01-01	28
Total of all active and inactive participants	2017-01-01	213
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	213
Number of participants with account balances	2017-01-01	162
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	4
2016: NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	180
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	189
Number of retired or separated participants receiving benefits	2016-01-01	21
Number of other retired or separated participants entitled to future benefits	2016-01-01	17
Total of all active and inactive participants	2016-01-01	227
Total participants	2016-01-01	227
Number of participants with account balances	2016-01-01	167
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	2
2015: NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	224
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	180
Number of retired or separated participants receiving benefits	2015-01-01	13
Number of other retired or separated participants entitled to future benefits	2015-01-01	33
Total of all active and inactive participants	2015-01-01	226
Total participants	2015-01-01	226
Number of participants with account balances	2015-01-01	156
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	4
2014: NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	222
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	187
Number of retired or separated participants receiving benefits	2014-01-01	4
Number of other retired or separated participants entitled to future benefits	2014-01-01	33
Total of all active and inactive participants	2014-01-01	224
Total participants	2014-01-01	224
Number of participants with account balances	2014-01-01	145
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	1
2013: NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	211
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	187
Number of retired or separated participants receiving benefits	2013-01-01	4
Number of other retired or separated participants entitled to future benefits	2013-01-01	31
Total of all active and inactive participants	2013-01-01	222
Total participants	2013-01-01	222
Number of participants with account balances	2013-01-01	138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	1
2012: NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	229
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	178
Number of retired or separated participants receiving benefits	2012-01-01	5
Number of other retired or separated participants entitled to future benefits	2012-01-01	28
Total of all active and inactive participants	2012-01-01	211
Total participants	2012-01-01	211
Number of participants with account balances	2012-01-01	129
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	1
2011: NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	214
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	197
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	26
Total of all active and inactive participants	2011-01-01	228
Total participants	2011-01-01	228
Number of participants with account balances	2011-01-01	139
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	2
2009: NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	209
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	181
Number of retired or separated participants receiving benefits	2009-01-01	7
Number of other retired or separated participants entitled to future benefits	2009-01-01	28
Total of all active and inactive participants	2009-01-01	216
Total participants	2009-01-01	216
Number of participants with account balances	2009-01-01	139

Financial Data on NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN

Measure	Date	Value
2022 : NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$3,626
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$3,882
Total income from all sources (including contributions)	2022-12-31	$-401,949
Total of all expenses incurred	2022-12-31	$325,581
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$286,817
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$549,345
Value of total assets at end of year	2022-12-31	$5,305,332
Value of total assets at beginning of year	2022-12-31	$6,033,118
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$38,764
Total interest from all sources	2022-12-31	$3,603
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$122,655
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$122,655
Administrative expenses professional fees incurred	2022-12-31	$7,900
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$500,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$257,573
Participant contributions at end of year	2022-12-31	$58,442
Participant contributions at beginning of year	2022-12-31	$74,746
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$81,875
Other income not declared elsewhere	2022-12-31	$1,994
Administrative expenses (other) incurred	2022-12-31	$30,864
Liabilities. Value of operating payables at end of year	2022-12-31	$3,626
Liabilities. Value of operating payables at beginning of year	2022-12-31	$3,882
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-727,530
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$5,301,706
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$6,029,236
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$4,022,244
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$4,959,645
Interest on participant loans	2022-12-31	$3,603
Value of interest in common/collective trusts at end of year	2022-12-31	$854,719
Value of interest in common/collective trusts at beginning of year	2022-12-31	$632,605
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2022-12-31	$160,030
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2022-12-31	$176,330
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2022-12-31	$176,330
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-1,079,546
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$209,897
Employer contributions (assets) at end of year	2022-12-31	$209,897
Employer contributions (assets) at beginning of year	2022-12-31	$189,792
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$286,817
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2022-12-31	No
Did the plan have assets held for investment	2022-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	BRADY MARTZ & ASSOCIATES, P.C.
Accountancy firm EIN	2022-12-31	450310328
2021 : NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$3,882
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$3,823
Total income from all sources (including contributions)	2021-12-31	$1,383,931
Total of all expenses incurred	2021-12-31	$1,353,589
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$1,310,569
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$568,108
Value of total assets at end of year	2021-12-31	$6,033,118
Value of total assets at beginning of year	2021-12-31	$6,002,717
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$43,020
Total interest from all sources	2021-12-31	$4,787
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$316,424
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$316,424
Administrative expenses professional fees incurred	2021-12-31	$8,000
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$500,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$233,224
Participant contributions at end of year	2021-12-31	$74,746
Participant contributions at beginning of year	2021-12-31	$82,893
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$145,092
Administrative expenses (other) incurred	2021-12-31	$35,020
Liabilities. Value of operating payables at end of year	2021-12-31	$3,882
Liabilities. Value of operating payables at beginning of year	2021-12-31	$3,823
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$30,342
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$6,029,236
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$5,998,894
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$4,959,645
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$5,029,480
Interest on participant loans	2021-12-31	$4,787
Value of interest in common/collective trusts at end of year	2021-12-31	$632,605
Value of interest in common/collective trusts at beginning of year	2021-12-31	$516,275
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2021-12-31	$176,330
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2021-12-31	$273,296
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2021-12-31	$273,296
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$494,612
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$189,792
Employer contributions (assets) at end of year	2021-12-31	$189,792
Employer contributions (assets) at beginning of year	2021-12-31	$100,773
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$1,310,569
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2021-12-31	No
Did the plan have assets held for investment	2021-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	BRADY MARTZ & ASSOCIATES, P.C.
Accountancy firm EIN	2021-12-31	450310328
2020 : NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$3,823
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$2,701
Total income from all sources (including contributions)	2020-12-31	$1,239,637
Total of all expenses incurred	2020-12-31	$688,084
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$649,134
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$488,230
Value of total assets at end of year	2020-12-31	$6,002,717
Value of total assets at beginning of year	2020-12-31	$5,450,042
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$38,950
Total interest from all sources	2020-12-31	$7,099
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$150,766
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$150,766
Administrative expenses professional fees incurred	2020-12-31	$7,900
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	$213,350
Participant contributions at end of year	2020-12-31	$82,893
Participant contributions at beginning of year	2020-12-31	$89,210
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$90,107
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2020-12-31	$457
Administrative expenses (other) incurred	2020-12-31	$31,050
Liabilities. Value of operating payables at end of year	2020-12-31	$3,823
Liabilities. Value of operating payables at beginning of year	2020-12-31	$2,701
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	$551,553
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$5,998,894
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$5,447,341
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$5,029,480
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$4,902,867
Interest on participant loans	2020-12-31	$7,099
Value of interest in common/collective trusts at end of year	2020-12-31	$516,275
Value of interest in common/collective trusts at beginning of year	2020-12-31	$23,874
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2020-12-31	$273,296
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2020-12-31	$264,782
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2020-12-31	$264,782
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$593,542
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	$184,773
Employer contributions (assets) at end of year	2020-12-31	$100,773
Employer contributions (assets) at beginning of year	2020-12-31	$168,852
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$649,134
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2020-12-31	No
Did the plan have assets held for investment	2020-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	BRADY MARTZ & ASSOCIATES, P.C.
Accountancy firm EIN	2020-12-31	450310328
2019 : NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$2,701
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$6,975
Total income from all sources (including contributions)	2019-12-31	$1,357,977
Total of all expenses incurred	2019-12-31	$733,341
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$699,758
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$352,907
Value of total assets at end of year	2019-12-31	$5,450,042
Value of total assets at beginning of year	2019-12-31	$4,829,680
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$33,583
Total interest from all sources	2019-12-31	$9,400
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$195,752
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$195,752
Administrative expenses professional fees incurred	2019-12-31	$7,800
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	$184,055
Participant contributions at end of year	2019-12-31	$89,210
Participant contributions at beginning of year	2019-12-31	$45,063
Value of other receiveables (less allowance for doubtful accounts) at end of year	2019-12-31	$457
Administrative expenses (other) incurred	2019-12-31	$25,783
Liabilities. Value of operating payables at end of year	2019-12-31	$2,701
Liabilities. Value of operating payables at beginning of year	2019-12-31	$6,975
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	$624,636
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$5,447,341
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$4,822,705
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$4,902,867
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$4,359,101
Interest on participant loans	2019-12-31	$6,991
Value of interest in common/collective trusts at end of year	2019-12-31	$23,874
Value of interest in common/collective trusts at beginning of year	2019-12-31	$263,439
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-12-31	$264,782
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-12-31	$2,409
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$799,918
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	$168,852
Employer contributions (assets) at end of year	2019-12-31	$168,852
Employer contributions (assets) at beginning of year	2019-12-31	$162,077
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$699,758
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2019-12-31	No
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	BRADY MARTZ & ASSOCIATES, P.C.
Accountancy firm EIN	2019-12-31	450310328
2018 : NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$6,975
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$2,537
Total income from all sources (including contributions)	2018-12-31	$83,784
Total of all expenses incurred	2018-12-31	$299,854
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$266,771
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$350,635
Value of total assets at end of year	2018-12-31	$4,829,680
Value of total assets at beginning of year	2018-12-31	$5,041,312
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$33,083
Total interest from all sources	2018-12-31	$2,089
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$240,242
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$240,242
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	$158,094
Participant contributions at end of year	2018-12-31	$45,063
Participant contributions at beginning of year	2018-12-31	$42,680
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$30,464
Administrative expenses (other) incurred	2018-12-31	$33,083
Liabilities. Value of operating payables at end of year	2018-12-31	$6,975
Liabilities. Value of operating payables at beginning of year	2018-12-31	$2,537
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	$-216,070
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$4,822,705
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$5,038,775
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$4,359,101
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$4,564,931
Interest on participant loans	2018-12-31	$2,089
Value of interest in common/collective trusts at end of year	2018-12-31	$263,439
Value of interest in common/collective trusts at beginning of year	2018-12-31	$270,272
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-509,182
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	$162,077
Employer contributions (assets) at end of year	2018-12-31	$162,077
Employer contributions (assets) at beginning of year	2018-12-31	$163,429
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$266,771
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2018-12-31	No
Did the plan have assets held for investment	2018-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	BRADY MARTZ & ASSOCIATES, P.C.
Accountancy firm EIN	2018-12-31	450310328
2017 : NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$2,537
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$2,639
Total income from all sources (including contributions)	2017-12-31	$1,112,146
Total of all expenses incurred	2017-12-31	$417,205
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$383,484
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$361,613
Value of total assets at end of year	2017-12-31	$5,041,312
Value of total assets at beginning of year	2017-12-31	$4,346,473
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$33,721
Total interest from all sources	2017-12-31	$1,746
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$197,120
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$197,120
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	$145,770
Participant contributions at end of year	2017-12-31	$42,680
Participant contributions at beginning of year	2017-12-31	$22,173
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$52,414
Administrative expenses (other) incurred	2017-12-31	$33,721
Liabilities. Value of operating payables at end of year	2017-12-31	$2,537
Liabilities. Value of operating payables at beginning of year	2017-12-31	$2,639
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	$694,941
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$5,038,775
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$4,343,834
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$4,564,931
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$3,883,095
Interest on participant loans	2017-12-31	$1,746
Value of interest in common/collective trusts at end of year	2017-12-31	$270,272
Value of interest in common/collective trusts at beginning of year	2017-12-31	$285,837
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$551,667
Net investment gain or loss from common/collective trusts	2017-12-31	$0
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	$163,429
Employer contributions (assets) at end of year	2017-12-31	$163,429
Employer contributions (assets) at beginning of year	2017-12-31	$155,368
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$383,484
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2017-12-31	No
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	BRADY MARTZ & ASSOCIATES, P.C.
Accountancy firm EIN	2017-12-31	450310328
2016 : NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$2,639
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$18,252
Total income from all sources (including contributions)	2016-12-31	$631,229
Total of all expenses incurred	2016-12-31	$609,604
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$573,741
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$309,284
Value of total assets at end of year	2016-12-31	$4,346,473
Value of total assets at beginning of year	2016-12-31	$4,340,461
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$35,863
Total interest from all sources	2016-12-31	$1,094
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$125,708
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$125,708
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	$134,516
Participant contributions at end of year	2016-12-31	$22,173
Participant contributions at beginning of year	2016-12-31	$32,697
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$19,400
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2016-12-31	$15,770
Administrative expenses (other) incurred	2016-12-31	$35,863
Liabilities. Value of operating payables at end of year	2016-12-31	$2,639
Liabilities. Value of operating payables at beginning of year	2016-12-31	$2,482
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	$21,625
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$4,343,834
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$4,322,209
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$3,883,095
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$3,848,083
Interest on participant loans	2016-12-31	$1,094
Value of interest in common/collective trusts at end of year	2016-12-31	$285,837
Value of interest in common/collective trusts at beginning of year	2016-12-31	$318,932
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$195,143
Net investment gain or loss from common/collective trusts	2016-12-31	$0
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	$155,368
Employer contributions (assets) at end of year	2016-12-31	$155,368
Employer contributions (assets) at beginning of year	2016-12-31	$140,749
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$573,741
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2016-12-31	No
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	BRADY MARTZ & ASSOCIATES, P.C.
Accountancy firm EIN	2016-12-31	450310328
2015 : NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$18,252
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$2,467
Total income from all sources (including contributions)	2015-12-31	$425,694
Total of all expenses incurred	2015-12-31	$372,117
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$337,888
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$369,924
Value of total assets at end of year	2015-12-31	$4,340,461
Value of total assets at beginning of year	2015-12-31	$4,271,099
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$34,229
Total interest from all sources	2015-12-31	$1,350
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$166,973
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$166,973
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$1,000,000
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	$122,183
Participant contributions at end of year	2015-12-31	$32,697
Participant contributions at beginning of year	2015-12-31	$36,731
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$106,992
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2015-12-31	$15,770
Administrative expenses (other) incurred	2015-12-31	$34,229
Liabilities. Value of operating payables at end of year	2015-12-31	$2,482
Liabilities. Value of operating payables at beginning of year	2015-12-31	$2,467
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	$53,577
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$4,322,209
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$4,268,632
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$3,848,083
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$3,814,143
Interest on participant loans	2015-12-31	$1,350
Value of interest in common/collective trusts at end of year	2015-12-31	$318,932
Value of interest in common/collective trusts at beginning of year	2015-12-31	$298,028
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-112,084
Net investment gain or loss from common/collective trusts	2015-12-31	$-469
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	$140,749
Employer contributions (assets) at end of year	2015-12-31	$140,749
Employer contributions (assets) at beginning of year	2015-12-31	$122,197
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$337,888
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2015-12-31	No
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	BRADY MARTZ & ASSOCIATES, P.C.
Accountancy firm EIN	2015-12-31	450310328
2014 : NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$2,467
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$2,203
Total income from all sources (including contributions)	2014-12-31	$1,226,727
Total of all expenses incurred	2014-12-31	$156,575
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$121,291
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$1,017,112
Value of total assets at end of year	2014-12-31	$4,271,099
Value of total assets at beginning of year	2014-12-31	$3,200,683
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$35,284
Total interest from all sources	2014-12-31	$1,532
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$190,544
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$190,544
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$1,000,000
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	$107,272
Participant contributions at end of year	2014-12-31	$36,731
Participant contributions at beginning of year	2014-12-31	$17,575
Participant contributions at end of year	2014-12-31	$0
Participant contributions at beginning of year	2014-12-31	$3,514
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$787,643
Administrative expenses (other) incurred	2014-12-31	$35,284
Liabilities. Value of operating payables at end of year	2014-12-31	$2,467
Liabilities. Value of operating payables at beginning of year	2014-12-31	$2,203
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	$1,070,152
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$4,268,632
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$3,198,480
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$3,814,143
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$2,905,268
Interest on participant loans	2014-12-31	$1,532
Value of interest in common/collective trusts at end of year	2014-12-31	$298,028
Value of interest in common/collective trusts at beginning of year	2014-12-31	$173,694
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$17,539
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	$122,197
Employer contributions (assets) at end of year	2014-12-31	$122,197
Employer contributions (assets) at beginning of year	2014-12-31	$100,632
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$121,291
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2014-12-31	No
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	BRADY MARTZ & ASSOCIATES, P.C.
Accountancy firm EIN	2014-12-31	450310328
2013 : NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$2,203
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$2,028
Total income from all sources (including contributions)	2013-12-31	$662,943
Total of all expenses incurred	2013-12-31	$146,392
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$117,754
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$191,735
Value of total assets at end of year	2013-12-31	$3,310,774
Value of total assets at beginning of year	2013-12-31	$2,794,048
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$28,638
Total interest from all sources	2013-12-31	$1,262
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$66,650
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$66,650
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$81,644
Participant contributions at end of year	2013-12-31	$17,575
Participant contributions at beginning of year	2013-12-31	$55,812
Participant contributions at end of year	2013-12-31	$3,514
Participant contributions at beginning of year	2013-12-31	$2,419
Administrative expenses (other) incurred	2013-12-31	$28,638
Liabilities. Value of operating payables at end of year	2013-12-31	$2,203
Liabilities. Value of operating payables at beginning of year	2013-12-31	$2,028
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	$516,551
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$3,308,571
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$2,792,020
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$2,905,268
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$735,941
Interest on participant loans	2013-12-31	$1,262
Value of interest in common/collective trusts at end of year	2013-12-31	$173,694
Value of interest in common/collective trusts at beginning of year	2013-12-31	$1,788,610
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$151,917
Net investment gain or loss from common/collective trusts	2013-12-31	$251,379
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	$110,091
Employer contributions (assets) at end of year	2013-12-31	$210,723
Employer contributions (assets) at beginning of year	2013-12-31	$211,266
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$117,754
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	BRADY MARTZ & ASSOCIATES, P.C.
Accountancy firm EIN	2013-12-31	450310328
2012 : NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$2,028
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$1,940
Total income from all sources (including contributions)	2012-12-31	$510,538
Total of all expenses incurred	2012-12-31	$139,364
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$112,294
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$228,220
Value of total assets at end of year	2012-12-31	$2,794,048
Value of total assets at beginning of year	2012-12-31	$2,422,786
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$27,070
Total interest from all sources	2012-12-31	$1,963
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$25,893
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$25,893
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
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	$70,316
Participant contributions at end of year	2012-12-31	$55,812
Participant contributions at beginning of year	2012-12-31	$45,835
Participant contributions at end of year	2012-12-31	$2,419
Participant contributions at beginning of year	2012-12-31	$3,567
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$58,096
Administrative expenses (other) incurred	2012-12-31	$27,070
Liabilities. Value of operating payables at end of year	2012-12-31	$2,028
Liabilities. Value of operating payables at beginning of year	2012-12-31	$1,940
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	$371,174
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$2,792,020
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$2,420,846
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$735,941
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$610,382
Interest on participant loans	2012-12-31	$1,963
Value of interest in common/collective trusts at end of year	2012-12-31	$1,788,610
Value of interest in common/collective trusts at beginning of year	2012-12-31	$1,651,544
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$87,481
Net investment gain or loss from common/collective trusts	2012-12-31	$166,981
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	$99,808
Employer contributions (assets) at end of year	2012-12-31	$211,266
Employer contributions (assets) at beginning of year	2012-12-31	$111,458
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$112,294
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2012-12-31	No
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	BRADY MARTZ & ASSOCIATES, P.C.
Accountancy firm EIN	2012-12-31	450310328
2011 : NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$1,940
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$1,956
Total income from all sources (including contributions)	2011-12-31	$150,339
Total of all expenses incurred	2011-12-31	$126,394
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$100,210
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$203,901
Value of total assets at end of year	2011-12-31	$2,422,786
Value of total assets at beginning of year	2011-12-31	$2,398,857
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$26,184
Total interest from all sources	2011-12-31	$2,122
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$16,741
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$16,741
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$500,000
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	$92,443
Participant contributions at end of year	2011-12-31	$45,835
Participant contributions at beginning of year	2011-12-31	$55,129
Participant contributions at end of year	2011-12-31	$3,567
Participant contributions at beginning of year	2011-12-31	$3,441
Administrative expenses (other) incurred	2011-12-31	$26,184
Liabilities. Value of operating payables at end of year	2011-12-31	$1,940
Liabilities. Value of operating payables at beginning of year	2011-12-31	$1,956
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	$23,945
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$2,420,846
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$2,396,901
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	$610,382
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$390,436
Interest on participant loans	2011-12-31	$2,122
Value of interest in common/collective trusts at end of year	2011-12-31	$1,651,544
Value of interest in common/collective trusts at beginning of year	2011-12-31	$1,867,788
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-52,620
Net investment gain or loss from common/collective trusts	2011-12-31	$-19,805
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	$111,458
Employer contributions (assets) at end of year	2011-12-31	$111,458
Employer contributions (assets) at beginning of year	2011-12-31	$82,063
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$100,210
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2011-12-31	No
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	BRADY MARTZ & ASSOCIATES, P.C.
Accountancy firm EIN	2011-12-31	450310328
2010 : NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN 2010 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$1,956
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$1,873
Total income from all sources (including contributions)	2010-12-31	$444,235
Total of all expenses incurred	2010-12-31	$97,197
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$72,093
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$206,580
Value of total assets at end of year	2010-12-31	$2,398,857
Value of total assets at beginning of year	2010-12-31	$2,051,736
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$25,104
Total interest from all sources	2010-12-31	$1,821
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$12,357
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$12,357
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$500,000
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	$85,521
Participant contributions at end of year	2010-12-31	$55,129
Participant contributions at beginning of year	2010-12-31	$10,445
Participant contributions at end of year	2010-12-31	$3,441
Participant contributions at beginning of year	2010-12-31	$3,540
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$38,996
Administrative expenses (other) incurred	2010-12-31	$25,104
Liabilities. Value of operating payables at end of year	2010-12-31	$1,956
Liabilities. Value of operating payables at beginning of year	2010-12-31	$1,873
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	$347,038
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$2,396,901
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$2,049,863
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	$390,436
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$369,017
Interest on participant loans	2010-12-31	$1,721
Value of interest in common/collective trusts at end of year	2010-12-31	$1,867,788
Value of interest in common/collective trusts at beginning of year	2010-12-31	$1,485,630
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$183,104
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$183,104
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$100
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$47,387
Net investment gain or loss from common/collective trusts	2010-12-31	$176,090
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	Yes
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	$82,063
Employer contributions (assets) at end of year	2010-12-31	$82,063
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$72,093
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	BRADY MARTZ & ASSOCIATES, P.C.
Accountancy firm EIN	2010-12-31	450310328

Form 5500 Responses for NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN

2022: NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: NORTHWOOD DEACONESS HEALTH CENTER 401 (K) PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	This submission is the final filing	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	NORTHWOOD DEACONESS HEALTH CENTER
Employer identification number (EIN):	450226472
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities