401k Plan data: NANTICOKE MEMORIAL HOSPITAL, INC. CASH BALANCE PLAN plan

NANTICOKE MEMORIAL HOSPITAL, INC. CASH BALANCE PLAN 401k Plan overview

Plan Name	NANTICOKE MEMORIAL HOSPITAL, INC. CASH BALANCE PLAN
Plan identification number	001

NANTICOKE MEMORIAL HOSPITAL, INC. CASH BALANCE PLAN Benefits

401k Plan Type

Defined Benefit Pension

Plan Features/Benefits

Benefits are primarily pay related
Cash balance or similar plan - Plan has a "cash balance" formula. For this purpose, a "cash balance" formula is a benefit formula in a defined benefit plan by whatever name (for example, personal account plan, pension equity plan, life cycle plan, cash account plan, etc.) that rather than, or in addition to, expressing the accrued benefit as a life annuity commencing at normal retirement age, defines benefits for each employee in terms more common to a defined contribution plan such as a single sum distribution amount (for example, 10 percent of final average pay times years of service, or the amount of the employee's hypothetical account balance).
Frozen Plan - As of the last day of the plan year, the plan provides that no participant will get any new benefit accrual (whether because of service or compensation).
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

NMH has sponsored the creation of one or more 401k plans.

Company Name: NMH

Employer identification number (EIN): 510069243

NAIC Classification: 622000
NAIC Description: Hospitals

Additional information about NMH

Jurisdiction of Incorporation: State of Delaware Division of Corporations

Incorporation Date:

Company Identification Number: 398126

More information about NMH

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NANTICOKE MEMORIAL HOSPITAL, INC. CASH BALANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2021-07-01 DEAN A. SWINGLE 2023-02-09 DEAN A. SWINGLE 2023-02-09
001 2020-07-01

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2021-07-01	DEAN A. SWINGLE	2023-02-09	DEAN A. SWINGLE	2023-02-09
001	2020-07-01

Plan Statistics for NANTICOKE MEMORIAL HOSPITAL, INC. CASH BALANCE PLAN

401k plan membership statisitcs for NANTICOKE MEMORIAL HOSPITAL, INC. CASH BALANCE PLAN

Measure Date Value
2022: NANTICOKE MEMORIAL HOSPITAL, INC. CASH BALANCE PLAN 2022 401k membership
Market value of plan assets 2022-06-30 20,590,689
Acturial value of plan assets 2022-06-30 20,590,689
Funding target for retired participants and beneficiaries receiving payment 2022-06-30 8,392,538
Number of terminated vested participants 2022-06-30 165
Fundng target for terminated vested participants 2022-06-30 3,755,220
Active participant vested funding target 2022-06-30 4,823,836
Number of active participants 2022-06-30 214
Total funding liabilities for active participants 2022-06-30 4,823,836
Total participant count 2022-06-30 625
Total funding target for all participants 2022-06-30 16,971,594
Balance at beginning of prior year after applicable adjustments 2022-06-30 0
Prefunding balance at beginning of prior year after applicable adjustments 2022-06-30 654,842
Carryover balanced portion elected for use to offset prior years funding requirement 2022-06-30 0
Prefunding balanced used to offset prior years funding requirement 2022-06-30 0
Amount remaining of carryover balance 2022-06-30 0
Amount remaining of prefunding balance 2022-06-30 654,842
Present value of excess contributions 2022-06-30 0
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance 2022-06-30 0
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance 2022-06-30 0
Reductions in caryover balances due to elections or deemed elections 2022-06-30 0
Reductions in prefunding balances due to elections or deemed elections 2022-06-30 0
Balance of carryovers at beginning of current year 2022-06-30 0
Balance of prefunding at beginning of current year 2022-06-30 792,817
Total employer contributions 2022-06-30 0
Total employee contributions 2022-06-30 0
Contributions allocated toward unpaid minimum require contributions from prior years 2022-06-30 0
Contributions made to avoid restrictions adjusted to valuation date 2022-06-30 0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date 2022-06-30 0
Unpaid minimum required contributions for all prior years 2022-06-30 0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years 2022-06-30 0
Remaining amount of unpaid minimum required contributions 2022-06-30 0
Minimum required contributions for current year target normal cost 2022-06-30 53,000
Net shortfall amortization installment of oustanding balance 2022-06-30 0
Waiver amortization installment 2022-06-30 0
Total funding amount beforereflecting carryover/prefunding balances 2022-06-30 0
Carryover balance elected to use to offset funding requirement 2022-06-30 0
Prefunding balance elected to use to offset funding requirement 2022-06-30 0
Additional cash requirement 2022-06-30 0
Contributions allocatedtoward minimum required contributions for current year 2022-06-30 0
Unpaid minimum required contributions for current year 2022-06-30 0
Unpaid minimum required contributions for all years 2022-06-30 0
2021: NANTICOKE MEMORIAL HOSPITAL, INC. CASH BALANCE PLAN 2021 401k membership
Total participants, beginning-of-year 2021-07-01 625
Total number of active participants reported on line 7a of the Form 5500 2021-07-01 193
Number of retired or separated participants receiving benefits 2021-07-01 214
Number of other retired or separated participants entitled to future benefits 2021-07-01 163
Total of all active and inactive participants 2021-07-01 570
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-07-01 20
Total participants 2021-07-01 590
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-07-01 0
Market value of plan assets 2021-06-30 18,511,735
Acturial value of plan assets 2021-06-30 18,511,735
Funding target for retired participants and beneficiaries receiving payment 2021-06-30 8,404,949
Number of terminated vested participants 2021-06-30 170
Fundng target for terminated vested participants 2021-06-30 3,835,641
Active participant vested funding target 2021-06-30 5,377,394
Number of active participants 2021-06-30 236
Total funding liabilities for active participants 2021-06-30 5,377,394
Total participant count 2021-06-30 655
Total funding target for all participants 2021-06-30 17,617,984
Balance at beginning of prior year after applicable adjustments 2021-06-30 0
Prefunding balance at beginning of prior year after applicable adjustments 2021-06-30 645,546
Carryover balanced portion elected for use to offset prior years funding requirement 2021-06-30 0
Prefunding balanced used to offset prior years funding requirement 2021-06-30 0
Amount remaining of carryover balance 2021-06-30 0
Amount remaining of prefunding balance 2021-06-30 645,546
Present value of excess contributions 2021-06-30 0
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance 2021-06-30 0
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance 2021-06-30 0
Reductions in caryover balances due to elections or deemed elections 2021-06-30 0
Reductions in prefunding balances due to elections or deemed elections 2021-06-30 0
Balance of carryovers at beginning of current year 2021-06-30 0
Balance of prefunding at beginning of current year 2021-06-30 654,842
Total employer contributions 2021-06-30 0
Total employee contributions 2021-06-30 0
Contributions allocated toward unpaid minimum require contributions from prior years 2021-06-30 0
Contributions made to avoid restrictions adjusted to valuation date 2021-06-30 0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date 2021-06-30 0
Unpaid minimum required contributions for all prior years 2021-06-30 0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years 2021-06-30 0
Remaining amount of unpaid minimum required contributions 2021-06-30 0
Minimum required contributions for current year target normal cost 2021-06-30 41,000
Net shortfall amortization installment of oustanding balance 2021-06-30 0
Waiver amortization installment 2021-06-30 0
Total funding amount beforereflecting carryover/prefunding balances 2021-06-30 0
Carryover balance elected to use to offset funding requirement 2021-06-30 0
Prefunding balance elected to use to offset funding requirement 2021-06-30 0
Additional cash requirement 2021-06-30 0
Contributions allocatedtoward minimum required contributions for current year 2021-06-30 0
Unpaid minimum required contributions for current year 2021-06-30 0
Unpaid minimum required contributions for all years 2021-06-30 0
2020: NANTICOKE MEMORIAL HOSPITAL, INC. CASH BALANCE PLAN 2020 401k membership
Total participants, beginning-of-year 2020-07-01 655
Total number of active participants reported on line 7a of the Form 5500 2020-07-01 215
Number of retired or separated participants receiving benefits 2020-07-01 227
Number of other retired or separated participants entitled to future benefits 2020-07-01 163
Total of all active and inactive participants 2020-07-01 605
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-07-01 20
Total participants 2020-07-01 625
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-07-01 0

Measure	Date	Value
2022: NANTICOKE MEMORIAL HOSPITAL, INC. CASH BALANCE PLAN 2022 401k membership
Market value of plan assets	2022-06-30	20,590,689
Acturial value of plan assets	2022-06-30	20,590,689
Funding target for retired participants and beneficiaries receiving payment	2022-06-30	8,392,538
Number of terminated vested participants	2022-06-30	165
Fundng target for terminated vested participants	2022-06-30	3,755,220
Active participant vested funding target	2022-06-30	4,823,836
Number of active participants	2022-06-30	214
Total funding liabilities for active participants	2022-06-30	4,823,836
Total participant count	2022-06-30	625
Total funding target for all participants	2022-06-30	16,971,594
Balance at beginning of prior year after applicable adjustments	2022-06-30	0
Prefunding balance at beginning of prior year after applicable adjustments	2022-06-30	654,842
Carryover balanced portion elected for use to offset prior years funding requirement	2022-06-30	0
Prefunding balanced used to offset prior years funding requirement	2022-06-30	0
Amount remaining of carryover balance	2022-06-30	0
Amount remaining of prefunding balance	2022-06-30	654,842
Present value of excess contributions	2022-06-30	0
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2022-06-30	0
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance	2022-06-30	0
Reductions in caryover balances due to elections or deemed elections	2022-06-30	0
Reductions in prefunding balances due to elections or deemed elections	2022-06-30	0
Balance of carryovers at beginning of current year	2022-06-30	0
Balance of prefunding at beginning of current year	2022-06-30	792,817
Total employer contributions	2022-06-30	0
Total employee contributions	2022-06-30	0
Contributions allocated toward unpaid minimum require contributions from prior years	2022-06-30	0
Contributions made to avoid restrictions adjusted to valuation date	2022-06-30	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2022-06-30	0
Unpaid minimum required contributions for all prior years	2022-06-30	0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years	2022-06-30	0
Remaining amount of unpaid minimum required contributions	2022-06-30	0
Minimum required contributions for current year target normal cost	2022-06-30	53,000
Net shortfall amortization installment of oustanding balance	2022-06-30	0
Waiver amortization installment	2022-06-30	0
Total funding amount beforereflecting carryover/prefunding balances	2022-06-30	0
Carryover balance elected to use to offset funding requirement	2022-06-30	0
Prefunding balance elected to use to offset funding requirement	2022-06-30	0
Additional cash requirement	2022-06-30	0
Contributions allocatedtoward minimum required contributions for current year	2022-06-30	0
Unpaid minimum required contributions for current year	2022-06-30	0
Unpaid minimum required contributions for all years	2022-06-30	0
2021: NANTICOKE MEMORIAL HOSPITAL, INC. CASH BALANCE PLAN 2021 401k membership
Total participants, beginning-of-year	2021-07-01	625
Total number of active participants reported on line 7a of the Form 5500	2021-07-01	193
Number of retired or separated participants receiving benefits	2021-07-01	214
Number of other retired or separated participants entitled to future benefits	2021-07-01	163
Total of all active and inactive participants	2021-07-01	570
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-07-01	20
Total participants	2021-07-01	590
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-07-01	0
Market value of plan assets	2021-06-30	18,511,735
Acturial value of plan assets	2021-06-30	18,511,735
Funding target for retired participants and beneficiaries receiving payment	2021-06-30	8,404,949
Number of terminated vested participants	2021-06-30	170
Fundng target for terminated vested participants	2021-06-30	3,835,641
Active participant vested funding target	2021-06-30	5,377,394
Number of active participants	2021-06-30	236
Total funding liabilities for active participants	2021-06-30	5,377,394
Total participant count	2021-06-30	655
Total funding target for all participants	2021-06-30	17,617,984
Balance at beginning of prior year after applicable adjustments	2021-06-30	0
Prefunding balance at beginning of prior year after applicable adjustments	2021-06-30	645,546
Carryover balanced portion elected for use to offset prior years funding requirement	2021-06-30	0
Prefunding balanced used to offset prior years funding requirement	2021-06-30	0
Amount remaining of carryover balance	2021-06-30	0
Amount remaining of prefunding balance	2021-06-30	645,546
Present value of excess contributions	2021-06-30	0
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2021-06-30	0
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance	2021-06-30	0
Reductions in caryover balances due to elections or deemed elections	2021-06-30	0
Reductions in prefunding balances due to elections or deemed elections	2021-06-30	0
Balance of carryovers at beginning of current year	2021-06-30	0
Balance of prefunding at beginning of current year	2021-06-30	654,842
Total employer contributions	2021-06-30	0
Total employee contributions	2021-06-30	0
Contributions allocated toward unpaid minimum require contributions from prior years	2021-06-30	0
Contributions made to avoid restrictions adjusted to valuation date	2021-06-30	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2021-06-30	0
Unpaid minimum required contributions for all prior years	2021-06-30	0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years	2021-06-30	0
Remaining amount of unpaid minimum required contributions	2021-06-30	0
Minimum required contributions for current year target normal cost	2021-06-30	41,000
Net shortfall amortization installment of oustanding balance	2021-06-30	0
Waiver amortization installment	2021-06-30	0
Total funding amount beforereflecting carryover/prefunding balances	2021-06-30	0
Carryover balance elected to use to offset funding requirement	2021-06-30	0
Prefunding balance elected to use to offset funding requirement	2021-06-30	0
Additional cash requirement	2021-06-30	0
Contributions allocatedtoward minimum required contributions for current year	2021-06-30	0
Unpaid minimum required contributions for current year	2021-06-30	0
Unpaid minimum required contributions for all years	2021-06-30	0
2020: NANTICOKE MEMORIAL HOSPITAL, INC. CASH BALANCE PLAN 2020 401k membership
Total participants, beginning-of-year	2020-07-01	655
Total number of active participants reported on line 7a of the Form 5500	2020-07-01	215
Number of retired or separated participants receiving benefits	2020-07-01	227
Number of other retired or separated participants entitled to future benefits	2020-07-01	163
Total of all active and inactive participants	2020-07-01	605
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-07-01	20
Total participants	2020-07-01	625
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-07-01	0

Financial Data on NANTICOKE MEMORIAL HOSPITAL, INC. CASH BALANCE PLAN

Measure	Date	Value
2022 : NANTICOKE MEMORIAL HOSPITAL, INC. CASH BALANCE PLAN 2022 401k financial data
Total income from all sources (including contributions)	2022-06-30	$-1,784,954
Total of all expenses incurred	2022-06-30	$1,709,383
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-06-30	$1,651,628
Value of total assets at end of year	2022-06-30	$17,116,519
Value of total assets at beginning of year	2022-06-30	$20,610,856
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-06-30	$57,755
Total dividends received (eg from common stock, registered investment company shares)	2022-06-30	$1,081,305
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-06-30	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2022-06-30	$0
Total dividends received from registered investment company shares (eg mutual funds)	2022-06-30	$1,081,305
Administrative expenses professional fees incurred	2022-06-30	$57,755
Was this plan covered by a fidelity bond	2022-06-30	Yes
Value of fidelity bond cover	2022-06-30	$1,000,000
Were there any nonexempt tranactions with any party-in-interest	2022-06-30	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-06-30	No
Value of net income/loss	2022-06-30	$-3,494,337
Value of net assets at end of year (total assets less liabilities)	2022-06-30	$17,116,519
Value of net assets at beginning of year (total assets less liabilities)	2022-06-30	$20,610,856
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-06-30	No
Were any leases to which the plan was party in default or uncollectible	2022-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-06-30	$16,995,253
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-06-30	$20,544,846
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2022-06-30	$121,266
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2022-06-30	$66,010
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2022-06-30	$66,010
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-06-30	$-2,866,259
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-06-30	Yes
Was there a failure to transmit to the plan any participant contributions	2022-06-30	No
Has the plan failed to provide any benefit when due under the plan	2022-06-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-06-30	$1,651,628
Did the plan have assets held for investment	2022-06-30	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	2022-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-06-30	No
Opinion of an independent qualified public accountant for this plan	2022-06-30	Unqualified
Accountancy firm name	2022-06-30	CLIFTONLARSONALLEN, LLP
Accountancy firm EIN	2022-06-30	410746749
2021 : NANTICOKE MEMORIAL HOSPITAL, INC. CASH BALANCE PLAN 2021 401k financial data
Total income from all sources (including contributions)	2021-06-30	$3,787,960
Total of all expenses incurred	2021-06-30	$1,688,839
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-06-30	$1,632,936
Value of total assets at end of year	2021-06-30	$20,610,856
Value of total assets at beginning of year	2021-06-30	$18,511,735
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-06-30	$55,903
Total dividends received (eg from common stock, registered investment company shares)	2021-06-30	$502,091
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-06-30	$502,091
Administrative expenses professional fees incurred	2021-06-30	$55,903
Was this plan covered by a fidelity bond	2021-06-30	Yes
Value of fidelity bond cover	2021-06-30	$1,000,000
Were there any nonexempt tranactions with any party-in-interest	2021-06-30	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-06-30	No
Value of net income/loss	2021-06-30	$2,099,121
Value of net assets at end of year (total assets less liabilities)	2021-06-30	$20,610,856
Value of net assets at beginning of year (total assets less liabilities)	2021-06-30	$18,511,735
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-06-30	No
Were any leases to which the plan was party in default or uncollectible	2021-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-06-30	$20,544,846
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-06-30	$18,469,727
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2021-06-30	$66,010
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2021-06-30	$42,008
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2021-06-30	$42,008
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-06-30	$3,285,869
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-06-30	Yes
Was there a failure to transmit to the plan any participant contributions	2021-06-30	No
Has the plan failed to provide any benefit when due under the plan	2021-06-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-06-30	$1,632,936
Did the plan have assets held for investment	2021-06-30	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	2021-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-06-30	No
Opinion of an independent qualified public accountant for this plan	2021-06-30	Disclaimer
Accountancy firm name	2021-06-30	CLIFTONLARSONALLEN, LLP
Accountancy firm EIN	2021-06-30	410746749

Form 5500 Responses for NANTICOKE MEMORIAL HOSPITAL, INC. CASH BALANCE PLAN

2021: NANTICOKE MEMORIAL HOSPITAL, INC. CASH BALANCE PLAN 2021 form 5500 responses
2021-07-01	Type of plan entity	Single employer plan
2021-07-01	Submission has been amended	No
2021-07-01	This submission is the final filing	No
2021-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-07-01	Plan is a collectively bargained plan	No
2021-07-01	Plan funding arrangement – Trust	Yes
2021-07-01	Plan benefit arrangement - Trust	Yes
2020: NANTICOKE MEMORIAL HOSPITAL, INC. CASH BALANCE PLAN 2020 form 5500 responses
2020-07-01	Type of plan entity	Single employer plan
2020-07-01	Submission has been amended	No
2020-07-01	This submission is the final filing	No
2020-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-07-01	Plan is a collectively bargained plan	No
2020-07-01	Plan funding arrangement – Trust	Yes
2020-07-01	Plan benefit arrangement - Trust	Yes

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Company Name:	NMH
Employer identification number (EIN):	510069243
NAIC Classification:	622000
NAIC Description:	Hospitals

Jurisdiction of Incorporation:	State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number:	398126