401k Plan data: NORTH COUNTRY HEALTHCARE RETIREMENT PLAN plan

NORTH COUNTRY HEALTHCARE RETIREMENT PLAN 401k Plan overview

Plan Name	NORTH COUNTRY HEALTHCARE RETIREMENT PLAN
Plan identification number	001

NORTH COUNTRY HEALTHCARE RETIREMENT PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

NORTH COUNTRY HEALTHCARE has sponsored the creation of one or more 401k plans.

Company Name: NORTH COUNTRY HEALTHCARE

Employer identification number (EIN): 812225283

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTH COUNTRY HEALTHCARE RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01
001 2021-01-01
001 2020-01-01
001 2019-01-01
001 2018-01-01
001 2017-11-01 TONYA STCYR TONYA STCYR 2018-10-15
001 2017-11-01

Plan Statistics for NORTH COUNTRY HEALTHCARE RETIREMENT PLAN

401k plan membership statisitcs for NORTH COUNTRY HEALTHCARE RETIREMENT PLAN

Measure Date Value
2022: NORTH COUNTRY HEALTHCARE RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 2,075
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 1,015
Number of retired or separated participants receiving benefits 2022-01-01 3
Number of other retired or separated participants entitled to future benefits 2022-01-01 285
Total of all active and inactive participants 2022-01-01 1,303
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 1
Total participants 2022-01-01 1,304
Number of participants with account balances 2022-01-01 1,226
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 13
2021: NORTH COUNTRY HEALTHCARE RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 1,224
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 1,138
Number of retired or separated participants receiving benefits 2021-01-01 3
Number of other retired or separated participants entitled to future benefits 2021-01-01 162
Total of all active and inactive participants 2021-01-01 1,303
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 1
Total participants 2021-01-01 1,304
Number of participants with account balances 2021-01-01 1,155
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 12
2020: NORTH COUNTRY HEALTHCARE RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 1,503
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 1,079
Number of retired or separated participants receiving benefits 2020-01-01 6
Number of other retired or separated participants entitled to future benefits 2020-01-01 120
Total of all active and inactive participants 2020-01-01 1,205
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 1
Total participants 2020-01-01 1,206
Number of participants with account balances 2020-01-01 1,095
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 9
2019: NORTH COUNTRY HEALTHCARE RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 1,798
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 1,021
Number of retired or separated participants receiving benefits 2019-01-01 6
Number of other retired or separated participants entitled to future benefits 2019-01-01 111
Total of all active and inactive participants 2019-01-01 1,138
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 1,138
Number of participants with account balances 2019-01-01 1,009
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 52
2018: NORTH COUNTRY HEALTHCARE RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 1,711
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 1,553
Number of retired or separated participants receiving benefits 2018-01-01 7
Number of other retired or separated participants entitled to future benefits 2018-01-01 199
Total of all active and inactive participants 2018-01-01 1,759
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 1,759
Number of participants with account balances 2018-01-01 1,572
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 13
2017: NORTH COUNTRY HEALTHCARE RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-11-01 1,743
Total number of active participants reported on line 7a of the Form 5500 2017-11-01 1,478
Number of retired or separated participants receiving benefits 2017-11-01 12
Number of other retired or separated participants entitled to future benefits 2017-11-01 232
Total of all active and inactive participants 2017-11-01 1,722
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-11-01 0
Total participants 2017-11-01 1,722
Number of participants with account balances 2017-11-01 1,481
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-11-01 0

Measure	Date	Value
2022: NORTH COUNTRY HEALTHCARE RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	2,075
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	1,015
Number of retired or separated participants receiving benefits	2022-01-01	3
Number of other retired or separated participants entitled to future benefits	2022-01-01	285
Total of all active and inactive participants	2022-01-01	1,303
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	1
Total participants	2022-01-01	1,304
Number of participants with account balances	2022-01-01	1,226
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	13
2021: NORTH COUNTRY HEALTHCARE RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	1,224
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	1,138
Number of retired or separated participants receiving benefits	2021-01-01	3
Number of other retired or separated participants entitled to future benefits	2021-01-01	162
Total of all active and inactive participants	2021-01-01	1,303
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	1
Total participants	2021-01-01	1,304
Number of participants with account balances	2021-01-01	1,155
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	12
2020: NORTH COUNTRY HEALTHCARE RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	1,503
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	1,079
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	120
Total of all active and inactive participants	2020-01-01	1,205
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	1
Total participants	2020-01-01	1,206
Number of participants with account balances	2020-01-01	1,095
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	9
2019: NORTH COUNTRY HEALTHCARE RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	1,798
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	1,021
Number of retired or separated participants receiving benefits	2019-01-01	6
Number of other retired or separated participants entitled to future benefits	2019-01-01	111
Total of all active and inactive participants	2019-01-01	1,138
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	1,138
Number of participants with account balances	2019-01-01	1,009
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	52
2018: NORTH COUNTRY HEALTHCARE RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	1,711
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	1,553
Number of retired or separated participants receiving benefits	2018-01-01	7
Number of other retired or separated participants entitled to future benefits	2018-01-01	199
Total of all active and inactive participants	2018-01-01	1,759
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	1,759
Number of participants with account balances	2018-01-01	1,572
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	13
2017: NORTH COUNTRY HEALTHCARE RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-11-01	1,743
Total number of active participants reported on line 7a of the Form 5500	2017-11-01	1,478
Number of retired or separated participants receiving benefits	2017-11-01	12
Number of other retired or separated participants entitled to future benefits	2017-11-01	232
Total of all active and inactive participants	2017-11-01	1,722
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-11-01	0
Total participants	2017-11-01	1,722
Number of participants with account balances	2017-11-01	1,481
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-11-01	0

Financial Data on NORTH COUNTRY HEALTHCARE RETIREMENT PLAN

Measure	Date	Value
2022 : NORTH COUNTRY HEALTHCARE RETIREMENT PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total income from all sources (including contributions)	2022-12-31	$-4,341,289
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$6,629,112
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$6,497,692
Expenses. Certain deemed distributions of participant loans	2022-12-31	$17,243
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$6,776,164
Value of total assets at end of year	2022-12-31	$65,425,510
Value of total assets at beginning of year	2022-12-31	$76,395,911
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$114,177
Total interest from all sources	2022-12-31	$243,663
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$992,277
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	$992,277
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$5,000,000
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	$5,111,890
Participant contributions at end of year	2022-12-31	$673,118
Participant contributions at beginning of year	2022-12-31	$721,245
Participant contributions at beginning of year	2022-12-31	$525
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$340,197
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2022-12-31	$3,206
Other income not declared elsewhere	2022-12-31	$6,420
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	$-10,970,401
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$65,425,510
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$76,395,911
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	$52,677,971
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$65,530,426
Interest on participant loans	2022-12-31	$32,409
Interest earned on other investments	2022-12-31	$211,254
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$12,073,025
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$10,143,668
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-12,359,813
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	Yes
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	$1,324,077
Employer contributions (assets) at end of year	2022-12-31	$1,396
Employer contributions (assets) at beginning of year	2022-12-31	$47
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$6,494,486
Contract administrator fees	2022-12-31	$114,177
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	WIPFLI, LLP
Accountancy firm EIN	2022-12-31	390758449
2021 : NORTH COUNTRY HEALTHCARE RETIREMENT PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total transfer of assets to this plan	2021-12-31	$614,791
Total transfer of assets from this plan	2021-12-31	$33,839
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total income from all sources (including contributions)	2021-12-31	$15,393,850
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$6,176,032
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$6,050,140
Expenses. Certain deemed distributions of participant loans	2021-12-31	$9,580
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$7,134,945
Value of total assets at end of year	2021-12-31	$76,395,911
Value of total assets at beginning of year	2021-12-31	$66,597,141
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$116,312
Total interest from all sources	2021-12-31	$214,615
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$940,341
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	$940,341
Administrative expenses professional fees incurred	2021-12-31	$2,552
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$4,655,269
Participant contributions at end of year	2021-12-31	$721,245
Participant contributions at beginning of year	2021-12-31	$761,610
Participant contributions at end of year	2021-12-31	$525
Participant contributions at beginning of year	2021-12-31	$3,918
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$1,296,340
Other income not declared elsewhere	2021-12-31	$426
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	$9,217,818
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$76,395,911
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$66,597,141
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	$65,530,426
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$55,639,162
Interest on participant loans	2021-12-31	$36,695
Interest earned on other investments	2021-12-31	$177,920
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$10,143,668
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$10,182,954
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$7,103,523
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	Yes
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	$1,183,336
Employer contributions (assets) at end of year	2021-12-31	$47
Employer contributions (assets) at beginning of year	2021-12-31	$9,497
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$6,050,140
Contract administrator fees	2021-12-31	$113,760
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	BERRY, DUNN, MCNEIL AND PARKER, LLC
Accountancy firm EIN	2021-12-31	010523282
2020 : NORTH COUNTRY HEALTHCARE RETIREMENT PLAN 2020 401k financial data
Unrealized appreciation/depreciation of real estate assets	2020-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2020-12-31	$0
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total transfer of assets to this plan	2020-12-31	$761,287
Total transfer of assets from this plan	2020-12-31	$527,489
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total income from all sources (including contributions)	2020-12-31	$14,435,071
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$5,624,914
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$5,465,600
Expenses. Certain deemed distributions of participant loans	2020-12-31	$-6,405
Value of total corrective distributions	2020-12-31	$314
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$5,546,179
Value of total assets at end of year	2020-12-31	$66,597,141
Value of total assets at beginning of year	2020-12-31	$57,553,186
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$165,405
Total income from rents	2020-12-31	$0
Total interest from all sources	2020-12-31	$260,945
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$766,583
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	$766,583
Administrative expenses professional fees incurred	2020-12-31	$0
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Amount of non-exempt transactions with any party-in-interest	2020-12-31	$0
Contributions received from participants	2020-12-31	$4,098,995
Participant contributions at end of year	2020-12-31	$761,610
Participant contributions at beginning of year	2020-12-31	$761,383
Participant contributions at end of year	2020-12-31	$3,918
Participant contributions at beginning of year	2020-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$339,328
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2020-12-31	$4
Value of other receiveables (less allowance for doubtful accounts) at end of year	2020-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2020-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2020-12-31	$0
Other income not declared elsewhere	2020-12-31	$3,053
Administrative expenses (other) incurred	2020-12-31	$0
Liabilities. Value of operating payables at beginning of year	2020-12-31	$0
Total non interest bearing cash at end of year	2020-12-31	$0
Total non interest bearing cash at beginning of year	2020-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$8,810,157
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$66,597,141
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$57,553,186
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
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year	2020-12-31	$0
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year	2020-12-31	$0
Investment advisory and management fees	2020-12-31	$5,841
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$55,639,162
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$46,627,127
Interest on participant loans	2020-12-31	$44,990
Income. Interest from loans (other than to participants)	2020-12-31	$0
Interest earned on other investments	2020-12-31	$215,955
Income. Interest from US Government securities	2020-12-31	$0
Income. Interest from corporate debt instruments	2020-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2020-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$10,182,954
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$10,164,676
Expenses. Payments to insurance carriers foe the provision of benefits	2020-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$7,858,311
Net investment gain/loss from pooled separate accounts	2020-12-31	$0
Net investment gain or loss from common/collective trusts	2020-12-31	$0
Net gain/loss from 103.12 investment entities	2020-12-31	$0
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	Yes
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$1,107,856
Employer contributions (assets) at end of year	2020-12-31	$9,497
Employer contributions (assets) at beginning of year	2020-12-31	$0
Income. Dividends from preferred stock	2020-12-31	$0
Income. Dividends from common stock	2020-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$5,465,596
Contract administrator fees	2020-12-31	$159,564
Liabilities. Value of benefit claims payable at beginning of year	2020-12-31	$0
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
Aggregate proceeds on sale of assets	2020-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2020-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2020-12-31	$0
Opinion of an independent qualified public accountant for this plan	2020-12-31	Unqualified
Accountancy firm name	2020-12-31	BERRY, DUNN, MCNEIL AND PARKER, LLC
Accountancy firm EIN	2020-12-31	010523282
2019 : NORTH COUNTRY HEALTHCARE RETIREMENT PLAN 2019 401k financial data
Unrealized appreciation/depreciation of real estate assets	2019-12-31	$0
Unrealized appreciation/depreciation of real estate assets	2019-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2019-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2019-12-31	$0
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total transfer of assets to this plan	2019-12-31	$0
Total transfer of assets to this plan	2019-12-31	$0
Total transfer of assets from this plan	2019-12-31	$44,008,020
Total transfer of assets from this plan	2019-12-31	$44,008,020
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$24,757,764
Total income from all sources (including contributions)	2019-12-31	$24,757,764
Total loss/gain on sale of assets	2019-12-31	$0
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$7,829,788
Total of all expenses incurred	2019-12-31	$7,829,788
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$7,703,948
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$7,703,948
Expenses. Certain deemed distributions of participant loans	2019-12-31	$-1,238
Expenses. Certain deemed distributions of participant loans	2019-12-31	$-1,238
Value of total corrective distributions	2019-12-31	$1,027
Value of total corrective distributions	2019-12-31	$1,027
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$9,746,965
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$9,746,965
Value of total assets at end of year	2019-12-31	$57,553,186
Value of total assets at end of year	2019-12-31	$57,553,186
Value of total assets at beginning of year	2019-12-31	$84,633,230
Value of total assets at beginning of year	2019-12-31	$84,633,230
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$126,051
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$126,051
Total income from rents	2019-12-31	$0
Total income from rents	2019-12-31	$0
Total interest from all sources	2019-12-31	$429,101
Total interest from all sources	2019-12-31	$429,101
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$1,018,691
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$1,018,691
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
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	$1,018,691
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$1,018,691
Administrative expenses professional fees incurred	2019-12-31	$0
Administrative expenses professional fees incurred	2019-12-31	$0
Was this plan covered by a fidelity bond	2019-12-31	Yes
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$5,000,000
Value of fidelity bond cover	2019-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Amount of non-exempt transactions with any party-in-interest	2019-12-31	$0
Amount of non-exempt transactions with any party-in-interest	2019-12-31	$0
Contributions received from participants	2019-12-31	$6,240,459
Contributions received from participants	2019-12-31	$6,240,459
Participant contributions at end of year	2019-12-31	$761,383
Participant contributions at end of year	2019-12-31	$761,383
Participant contributions at beginning of year	2019-12-31	$1,244,568
Participant contributions at beginning of year	2019-12-31	$1,244,568
Participant contributions at end of year	2019-12-31	$0
Participant contributions at end of year	2019-12-31	$0
Participant contributions at beginning of year	2019-12-31	$0
Participant contributions at beginning of year	2019-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$1,771,439
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$1,771,439
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2019-12-31	$278
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2019-12-31	$278
Value of other receiveables (less allowance for doubtful accounts) at end of year	2019-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2019-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2019-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2019-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2019-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2019-12-31	$0
Other income not declared elsewhere	2019-12-31	$2,698
Other income not declared elsewhere	2019-12-31	$2,698
Administrative expenses (other) incurred	2019-12-31	$0
Administrative expenses (other) incurred	2019-12-31	$0
Liabilities. Value of operating payables at beginning of year	2019-12-31	$0
Liabilities. Value of operating payables at beginning of year	2019-12-31	$0
Total non interest bearing cash at end of year	2019-12-31	$0
Total non interest bearing cash at end of year	2019-12-31	$0
Total non interest bearing cash at beginning of year	2019-12-31	$0
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
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	$16,927,976
Value of net income/loss	2019-12-31	$16,927,976
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$57,553,186
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$57,553,186
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$84,633,230
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$84,633,230
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
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 loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year	2019-12-31	$0
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year	2019-12-31	$0
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year	2019-12-31	$0
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year	2019-12-31	$0
Investment advisory and management fees	2019-12-31	$0
Investment advisory and management fees	2019-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$46,627,127
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$46,627,127
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$67,103,974
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$67,103,974
Interest on participant loans	2019-12-31	$64,122
Interest on participant loans	2019-12-31	$64,122
Income. Interest from loans (other than to participants)	2019-12-31	$0
Income. Interest from loans (other than to participants)	2019-12-31	$0
Interest earned on other investments	2019-12-31	$364,979
Interest earned on other investments	2019-12-31	$364,979
Income. Interest from US Government securities	2019-12-31	$0
Income. Interest from US Government securities	2019-12-31	$0
Income. Interest from corporate debt instruments	2019-12-31	$0
Income. Interest from corporate debt instruments	2019-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$10,164,676
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$10,164,676
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$16,284,688
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$16,284,688
Expenses. Payments to insurance carriers foe the provision of benefits	2019-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2019-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$13,560,309
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$13,560,309
Net investment gain/loss from pooled separate accounts	2019-12-31	$0
Net investment gain/loss from pooled separate accounts	2019-12-31	$0
Net investment gain or loss from common/collective trusts	2019-12-31	$0
Net gain/loss from 103.12 investment entities	2019-12-31	$0
Net gain/loss from 103.12 investment entities	2019-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
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	Yes
Was there a failure to transmit to the plan any participant contributions	2019-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$1,735,067
Contributions received in cash from employer	2019-12-31	$1,735,067
Employer contributions (assets) at end of year	2019-12-31	$0
Employer contributions (assets) at end of year	2019-12-31	$0
Employer contributions (assets) at beginning of year	2019-12-31	$0
Employer contributions (assets) at beginning of year	2019-12-31	$0
Income. Dividends from preferred stock	2019-12-31	$0
Income. Dividends from preferred stock	2019-12-31	$0
Income. Dividends from common stock	2019-12-31	$0
Income. Dividends from common stock	2019-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$7,703,670
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$7,703,670
Contract administrator fees	2019-12-31	$126,051
Contract administrator fees	2019-12-31	$126,051
Liabilities. Value of benefit claims payable at beginning of year	2019-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2019-12-31	$0
Did the plan have assets held for investment	2019-12-31	Yes
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
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
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
Aggregate proceeds on sale of assets	2019-12-31	$0
Aggregate proceeds on sale of assets	2019-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2019-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2019-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2019-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2019-12-31	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
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
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	BERRY DUNN MCNEIL & PARKER, LLC
Accountancy firm name	2019-12-31	BERRY DUNN MCNEIL & PARKER, LLC
Accountancy firm EIN	2019-12-31	010523282
Accountancy firm EIN	2019-12-31	010523282
2018 : NORTH COUNTRY HEALTHCARE RETIREMENT PLAN 2018 401k financial data
Unrealized appreciation/depreciation of real estate assets	2018-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2018-12-31	$0
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total transfer of assets to this plan	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$6,265,796
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$5,931,160
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$5,790,575
Expenses. Certain deemed distributions of participant loans	2018-12-31	$8,610
Value of total corrective distributions	2018-12-31	$11,863
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$10,076,554
Value of total assets at end of year	2018-12-31	$84,633,230
Value of total assets at beginning of year	2018-12-31	$84,298,594
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$120,112
Total income from rents	2018-12-31	$0
Total interest from all sources	2018-12-31	$414,383
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$1,474,368
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	$1,474,368
Administrative expenses professional fees incurred	2018-12-31	$0
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Amount of non-exempt transactions with any party-in-interest	2018-12-31	$0
Contributions received from participants	2018-12-31	$5,753,335
Participant contributions at end of year	2018-12-31	$1,244,568
Participant contributions at beginning of year	2018-12-31	$1,420,237
Participant contributions at end of year	2018-12-31	$0
Participant contributions at beginning of year	2018-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$2,686,844
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2018-12-31	$6,507
Value of other receiveables (less allowance for doubtful accounts) at end of year	2018-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2018-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2018-12-31	$0
Other income not declared elsewhere	2018-12-31	$1,630
Administrative expenses (other) incurred	2018-12-31	$0
Liabilities. Value of operating payables at beginning of year	2018-12-31	$0
Total non interest bearing cash at end of year	2018-12-31	$0
Total non interest bearing cash at beginning of year	2018-12-31	$0
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	$334,636
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$84,633,230
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$84,298,594
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
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year	2018-12-31	$0
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year	2018-12-31	$0
Investment advisory and management fees	2018-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$67,103,974
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$67,569,769
Interest on participant loans	2018-12-31	$65,149
Income. Interest from loans (other than to participants)	2018-12-31	$0
Interest earned on other investments	2018-12-31	$349,234
Income. Interest from US Government securities	2018-12-31	$0
Income. Interest from corporate debt instruments	2018-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2018-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$16,284,688
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$15,308,588
Expenses. Payments to insurance carriers foe the provision of benefits	2018-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-5,701,139
Net investment gain/loss from pooled separate accounts	2018-12-31	$0
Net investment gain or loss from common/collective trusts	2018-12-31	$0
Net gain/loss from 103.12 investment entities	2018-12-31	$0
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	Yes
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$1,636,375
Employer contributions (assets) at end of year	2018-12-31	$0
Employer contributions (assets) at beginning of year	2018-12-31	$0
Income. Dividends from preferred stock	2018-12-31	$0
Income. Dividends from common stock	2018-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$5,784,068
Contract administrator fees	2018-12-31	$120,112
Liabilities. Value of benefit claims payable at beginning of year	2018-12-31	$0
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
Aggregate proceeds on sale of assets	2018-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2018-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2018-12-31	$0
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	TAWNEY, PLLC
Accountancy firm EIN	2018-12-31	046458549
2017 : NORTH COUNTRY HEALTHCARE RETIREMENT PLAN 2017 401k financial data
Unrealized appreciation/depreciation of real estate assets	2017-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2017-12-31	$0
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total transfer of assets to this plan	2017-12-31	$82,005,639
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Expenses. Interest paid	2017-12-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$2,972,583
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$677,596
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$610,096
Expenses. Certain deemed distributions of participant loans	2017-12-31	$47,618
Value of total corrective distributions	2017-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$1,242,150
Value of total assets at end of year	2017-12-31	$84,300,626
Value of total assets at beginning of year	2017-12-31	$0
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$19,882
Total income from rents	2017-12-31	$0
Total interest from all sources	2017-12-31	$70,181
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$839,534
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	$839,534
Administrative expenses professional fees incurred	2017-12-31	$0
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2017-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Amount of non-exempt transactions with any party-in-interest	2017-12-31	$0
Contributions received from participants	2017-12-31	$921,772
Participant contributions at end of year	2017-12-31	$1,420,237
Participant contributions at end of year	2017-12-31	$1,064
Participant contributions at beginning of year	2017-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$59,668
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2017-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2017-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2017-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2017-12-31	$0
Other income not declared elsewhere	2017-12-31	$0
Administrative expenses (other) incurred	2017-12-31	$0
Liabilities. Value of operating payables at beginning of year	2017-12-31	$0
Total non interest bearing cash at end of year	2017-12-31	$0
Total non interest bearing cash at beginning of year	2017-12-31	$0
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
Income. Non cash contributions	2017-12-31	$0
Value of net income/loss	2017-12-31	$2,294,987
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$84,300,626
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$0
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
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year	2017-12-31	$0
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year	2017-12-31	$0
Investment advisory and management fees	2017-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$67,569,769
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$0
Interest on participant loans	2017-12-31	$11,795
Income. Interest from loans (other than to participants)	2017-12-31	$0
Interest earned on other investments	2017-12-31	$58,386
Income. Interest from US Government securities	2017-12-31	$0
Income. Interest from corporate debt instruments	2017-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$15,308,588
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2017-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$820,718
Net investment gain/loss from pooled separate accounts	2017-12-31	$0
Net investment gain or loss from common/collective trusts	2017-12-31	$0
Net gain/loss from 103.12 investment entities	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	$260,710
Employer contributions (assets) at end of year	2017-12-31	$968
Employer contributions (assets) at beginning of year	2017-12-31	$0
Income. Dividends from preferred stock	2017-12-31	$0
Income. Dividends from common stock	2017-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$610,096
Contract administrator fees	2017-12-31	$19,882
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	Yes
Liabilities. Value of benefit claims payable at beginning of year	2017-12-31	$0
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
Aggregate proceeds on sale of assets	2017-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2017-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2017-12-31	$0

Form 5500 Responses for NORTH COUNTRY HEALTHCARE RETIREMENT PLAN

2022: NORTH COUNTRY HEALTHCARE RETIREMENT PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	Yes
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: NORTH COUNTRY HEALTHCARE RETIREMENT PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: NORTH COUNTRY HEALTHCARE RETIREMENT PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: NORTH COUNTRY HEALTHCARE RETIREMENT PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: NORTH COUNTRY HEALTHCARE RETIREMENT PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: NORTH COUNTRY HEALTHCARE RETIREMENT PLAN 2017 form 5500 responses
2017-11-01	Type of plan entity	Single employer plan
2017-11-01	First time form 5500 has been submitted	Yes
2017-11-01	Submission has been amended	Yes
2017-11-01	This submission is the final filing	No
2017-11-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2017-11-01	Plan is a collectively bargained plan	No
2017-11-01	Plan funding arrangement – Insurance	Yes
2017-11-01	Plan funding arrangement – Trust	Yes
2017-11-01	Plan benefit arrangement – Insurance	Yes
2017-11-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

895124+007

Policy instance

Insurance contract or identification number	895124+007
Number of Individuals Covered	1304
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

895124+007

Policy instance

Insurance contract or identification number	895124+007
Number of Individuals Covered	1304
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

895124+007

Policy instance

Insurance contract or identification number	895124+007
Number of Individuals Covered	1206
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

895124+007

Policy instance

Insurance contract or identification number	895124+007
Number of Individuals Covered	1138
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

895124+007

Policy instance

Insurance contract or identification number	895124+007
Number of Individuals Covered	1759
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

895124+007

Policy instance

Insurance contract or identification number	895124+007
Number of Individuals Covered	1722
Insurance policy start date	2017-11-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	NORTH COUNTRY HEALTHCARE
Employer identification number (EIN):	812225283
NAIC Classification:	622000
NAIC Description:	Hospitals