401k Plan data: NANTICOKE MEMORIAL HOSPITAL RETIREMENT PLUS PLAN plan

NANTICOKE MEMORIAL HOSPITAL RETIREMENT PLUS PLAN 401k Plan overview

Plan Name	NANTICOKE MEMORIAL HOSPITAL RETIREMENT PLUS PLAN
Plan identification number	002

NANTICOKE MEMORIAL HOSPITAL RETIREMENT PLUS 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.

401k Sponsoring company profile

NANTICOKE MEMORIAL HOSPITAL, INC. has sponsored the creation of one or more 401k plans.

Company Name: NANTICOKE MEMORIAL HOSPITAL, INC.

Employer identification number (EIN): 510293888

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NANTICOKE MEMORIAL HOSPITAL RETIREMENT PLUS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2019-01-01
002 2013-01-01 BARBARA HENDRICKS BARBARA HENDRICKS 2014-10-09
002 2012-01-01 BARBARA HENDRICKS BARBARA HENDRICKS 2013-10-11
002 2011-01-01 BARBARA HENDRICKS BARBARA HENDRICKS 2012-10-11
002 2009-01-01 BARBARA HENDRICKS BARBARA HENDRICKS 2011-01-27
002 2009-01-01 BARBARA HENDRICKS BARBARA HENDRICKS 2010-10-14

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
002	2019-01-01
002	2013-01-01	BARBARA HENDRICKS	BARBARA HENDRICKS	2014-10-09
002	2012-01-01	BARBARA HENDRICKS	BARBARA HENDRICKS	2013-10-11
002	2011-01-01	BARBARA HENDRICKS	BARBARA HENDRICKS	2012-10-11
002	2009-01-01	BARBARA HENDRICKS	BARBARA HENDRICKS	2011-01-27
002	2009-01-01	BARBARA HENDRICKS	BARBARA HENDRICKS	2010-10-14

Plan Statistics for NANTICOKE MEMORIAL HOSPITAL RETIREMENT PLUS PLAN

401k plan membership statisitcs for NANTICOKE MEMORIAL HOSPITAL RETIREMENT PLUS PLAN

Measure Date Value
2019: NANTICOKE MEMORIAL HOSPITAL RETIREMENT PLUS PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 1,584
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 1,090
Number of retired or separated participants receiving benefits 2019-01-01 50
Number of other retired or separated participants entitled to future benefits 2019-01-01 491
Total of all active and inactive participants 2019-01-01 1,631
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 1,631
Number of participants with account balances 2019-01-01 1,501
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 160
2013: NANTICOKE MEMORIAL HOSPITAL RETIREMENT PLUS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1,311
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 971
Number of retired or separated participants receiving benefits 2013-01-01 2
Number of other retired or separated participants entitled to future benefits 2013-01-01 391
Total of all active and inactive participants 2013-01-01 1,364
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 13
Total participants 2013-01-01 1,377
Number of participants with account balances 2013-01-01 1,287
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 39
2012: NANTICOKE MEMORIAL HOSPITAL RETIREMENT PLUS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1,639
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1,010
Number of retired or separated participants receiving benefits 2012-01-01 2
Number of other retired or separated participants entitled to future benefits 2012-01-01 484
Total of all active and inactive participants 2012-01-01 1,496
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 11
Total participants 2012-01-01 1,507
Number of participants with account balances 2012-01-01 1,311
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 39
2011: NANTICOKE MEMORIAL HOSPITAL RETIREMENT PLUS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1,302
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 962
Number of retired or separated participants receiving benefits 2011-01-01 2
Number of other retired or separated participants entitled to future benefits 2011-01-01 666
Total of all active and inactive participants 2011-01-01 1,630
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 9
Total participants 2011-01-01 1,639
Number of participants with account balances 2011-01-01 1,310
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 32
2009: NANTICOKE MEMORIAL HOSPITAL RETIREMENT PLUS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 1,131
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 342
Number of retired or separated participants receiving benefits 2009-01-01 1
Number of other retired or separated participants entitled to future benefits 2009-01-01 795
Total of all active and inactive participants 2009-01-01 1,138
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 7
Total participants 2009-01-01 1,145
Number of participants with account balances 2009-01-01 1,007
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 2

Measure	Date	Value
2019: NANTICOKE MEMORIAL HOSPITAL RETIREMENT PLUS PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	1,584
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	1,090
Number of retired or separated participants receiving benefits	2019-01-01	50
Number of other retired or separated participants entitled to future benefits	2019-01-01	491
Total of all active and inactive participants	2019-01-01	1,631
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	1,631
Number of participants with account balances	2019-01-01	1,501
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	160
2013: NANTICOKE MEMORIAL HOSPITAL RETIREMENT PLUS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1,311
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	971
Number of retired or separated participants receiving benefits	2013-01-01	2
Number of other retired or separated participants entitled to future benefits	2013-01-01	391
Total of all active and inactive participants	2013-01-01	1,364
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	13
Total participants	2013-01-01	1,377
Number of participants with account balances	2013-01-01	1,287
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	39
2012: NANTICOKE MEMORIAL HOSPITAL RETIREMENT PLUS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1,639
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1,010
Number of retired or separated participants receiving benefits	2012-01-01	2
Number of other retired or separated participants entitled to future benefits	2012-01-01	484
Total of all active and inactive participants	2012-01-01	1,496
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	11
Total participants	2012-01-01	1,507
Number of participants with account balances	2012-01-01	1,311
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	39
2011: NANTICOKE MEMORIAL HOSPITAL RETIREMENT PLUS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1,302
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	962
Number of retired or separated participants receiving benefits	2011-01-01	2
Number of other retired or separated participants entitled to future benefits	2011-01-01	666
Total of all active and inactive participants	2011-01-01	1,630
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	9
Total participants	2011-01-01	1,639
Number of participants with account balances	2011-01-01	1,310
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	32
2009: NANTICOKE MEMORIAL HOSPITAL RETIREMENT PLUS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	1,131
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	342
Number of retired or separated participants receiving benefits	2009-01-01	1
Number of other retired or separated participants entitled to future benefits	2009-01-01	795
Total of all active and inactive participants	2009-01-01	1,138
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	7
Total participants	2009-01-01	1,145
Number of participants with account balances	2009-01-01	1,007
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	2

Financial Data on NANTICOKE MEMORIAL HOSPITAL RETIREMENT PLUS PLAN

Measure	Date	Value
2019 : NANTICOKE MEMORIAL HOSPITAL RETIREMENT PLUS PLAN 2019 401k financial data
Unrealized appreciation/depreciation of 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 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
Expenses. Interest paid	2019-12-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$15,914,302
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$3,359,975
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$3,182,019
Expenses. Certain deemed distributions of participant loans	2019-12-31	$106,524
Value of total corrective distributions	2019-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$4,921,924
Value of total assets at end of year	2019-12-31	$65,178,210
Value of total assets at beginning of year	2019-12-31	$52,623,883
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$71,432
Total income from rents	2019-12-31	$0
Total interest from all sources	2019-12-31	$217,460
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$1,897,670
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	$1,897,670
Assets. Real estate other than employer real property at end of year	2019-12-31	$0
Assets. Real estate other than employer real property at beginning of year	2019-12-31	$0
Administrative expenses professional fees incurred	2019-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2019-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2019-12-31	$0
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$1,000,000
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
Contributions received from participants	2019-12-31	$3,147,568
Participant contributions at end of year	2019-12-31	$1,314,105
Participant contributions at beginning of year	2019-12-31	$1,415,567
Participant contributions at end of year	2019-12-31	$0
Participant contributions at beginning of year	2019-12-31	$100,463
Assets. Other investments not covered elsewhere at end of year	2019-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2019-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$828,753
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	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
Assets. Loans (other than to participants) at end of year	2019-12-31	$0
Assets. Loans (other than to participants) at beginning of year	2019-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end 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	$10
Administrative expenses (other) incurred	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
Income. Non cash contributions	2019-12-31	$0
Value of net income/loss	2019-12-31	$12,554,327
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$65,178,210
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$52,623,883
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Assets. partnership/joint venture interests at end of year	2019-12-31	$0
Assets. partnership/joint venture interests at beginning of year	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	$54,196,534
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$42,917,191
Interest on participant loans	2019-12-31	$59,581
Income. Interest from loans (other than to participants)	2019-12-31	$0
Interest earned on other investments	2019-12-31	$157,879
Income. Interest from US Government securities	2019-12-31	$0
Income. Interest from corporate debt instruments	2019-12-31	$0
Value of interest in master investment trust accounts at end of year	2019-12-31	$0
Value of interest in master investment trust accounts at beginning of year	2019-12-31	$0
Value of interest in common/collective trusts at end of year	2019-12-31	$0
Value of interest in common/collective trusts at beginning of year	2019-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-12-31	$0
Assets. Value of investments in 103.12 investment entities at end of year	2019-12-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2019-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$9,210,160
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$8,154,618
Expenses. Payments to insurance carriers foe the provision of benefits	2019-12-31	$0
Asset value of US Government securities at end of year	2019-12-31	$0
Asset value of US Government securities at beginning of year	2019-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$8,877,238
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
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Assets. Invements in employer securities at end of year	2019-12-31	$0
Assets. Invements in employer securities at beginning of year	2019-12-31	$0
Assets. Value of employer real property at end of year	2019-12-31	$0
Assets. Value of employer real property at beginning of year	2019-12-31	$0
Contributions received in cash from employer	2019-12-31	$945,603
Employer contributions (assets) at end of year	2019-12-31	$457,411
Employer contributions (assets) at beginning of year	2019-12-31	$36,044
Income. Dividends from preferred 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	$3,182,019
Asset. Corporate debt instrument preferred debt at end of year	2019-12-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2019-12-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2019-12-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2019-12-31	$0
Contract administrator fees	2019-12-31	$71,432
Assets. Corporate common stocks other than exployer securities at end of year	2019-12-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2019-12-31	$0
Liabilities. Value of benefit claims payable at end of year	2019-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2019-12-31	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2019-12-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2019-12-31	$0
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Aggregate proceeds 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 end 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
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	CLIFTON LARSON ALLEN
Accountancy firm EIN	2019-12-31	410746749
2013 : NANTICOKE MEMORIAL HOSPITAL RETIREMENT PLUS PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total transfer of assets to this plan	2013-12-31	$147,532
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$105,761
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$9,557,506
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$1,742,880
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$1,708,820
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$3,367,336
Value of total assets at end of year	2013-12-31	$41,542,484
Value of total assets at beginning of year	2013-12-31	$33,474,565
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$34,060
Total interest from all sources	2013-12-31	$294,993
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$926,838
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$926,838
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$1,919,979
Participant contributions at end of year	2013-12-31	$821,641
Participant contributions at beginning of year	2013-12-31	$776,381
Assets. Other investments not covered elsewhere at end of year	2013-12-31	$184,561
Assets. Other investments not covered elsewhere at beginning of year	2013-12-31	$125,332
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$136,499
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2013-12-31	$105,761
Other income not declared elsewhere	2013-12-31	$32,542
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$7,814,626
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$41,436,723
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$33,474,565
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$30,897,069
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$23,781,575
Interest on participant loans	2013-12-31	$28,927
Interest earned on other investments	2013-12-31	$266,066
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$8,962,138
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$8,190,119
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$4,935,797
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$1,310,858
Employer contributions (assets) at end of year	2013-12-31	$677,075
Employer contributions (assets) at beginning of year	2013-12-31	$601,158
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$1,708,820
Contract administrator fees	2013-12-31	$34,060
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2013-12-31	410746749
2012 : NANTICOKE MEMORIAL HOSPITAL RETIREMENT PLUS PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$7,014
Total income from all sources (including contributions)	2012-12-31	$6,491,601
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$1,405,539
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$1,393,857
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$3,238,661
Value of total assets at end of year	2012-12-31	$33,474,565
Value of total assets at beginning of year	2012-12-31	$28,395,517
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$11,682
Total interest from all sources	2012-12-31	$266,185
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$515,921
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$515,921
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$1,922,444
Participant contributions at end of year	2012-12-31	$776,381
Participant contributions at beginning of year	2012-12-31	$750,996
Assets. Other investments not covered elsewhere at end of year	2012-12-31	$125,332
Assets. Other investments not covered elsewhere at beginning of year	2012-12-31	$280,324
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$94,528
Other income not declared elsewhere	2012-12-31	$25,333
Liabilities. Value of operating payables at end of year	2012-12-31	$0
Liabilities. Value of operating payables at beginning of year	2012-12-31	$7,014
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$5,086,062
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$33,474,565
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$28,388,503
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$23,781,575
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$18,922,804
Interest on participant loans	2012-12-31	$27,958
Interest earned on other investments	2012-12-31	$238,227
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$8,190,119
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$7,464,110
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$2,445,501
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$1,221,689
Employer contributions (assets) at end of year	2012-12-31	$601,158
Employer contributions (assets) at beginning of year	2012-12-31	$977,283
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$1,393,857
Contract administrator fees	2012-12-31	$11,682
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2012-12-31	410746749
2011 : NANTICOKE MEMORIAL HOSPITAL RETIREMENT PLUS PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total transfer of assets to this plan	2011-12-31	$894
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$7,014
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$3,503,697
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$1,635,309
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$1,616,744
Expenses. Certain deemed distributions of participant loans	2011-12-31	$13,792
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$3,580,299
Value of total assets at end of year	2011-12-31	$28,395,517
Value of total assets at beginning of year	2011-12-31	$26,519,221
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$4,773
Total interest from all sources	2011-12-31	$236,512
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$390,987
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$390,987
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$1,827,467
Participant contributions at end of year	2011-12-31	$750,996
Participant contributions at beginning of year	2011-12-31	$642,505
Assets. Other investments not covered elsewhere at end of year	2011-12-31	$280,324
Assets. Other investments not covered elsewhere at beginning of year	2011-12-31	$343,865
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$184,250
Other income not declared elsewhere	2011-12-31	$-3,416
Liabilities. Value of operating payables at end of year	2011-12-31	$7,014
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$1,868,388
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$28,388,503
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$26,519,221
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$18,922,804
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$17,957,234
Interest on participant loans	2011-12-31	$20,511
Interest earned on other investments	2011-12-31	$216,001
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$7,464,110
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$6,610,467
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-700,685
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$1,568,582
Employer contributions (assets) at end of year	2011-12-31	$977,283
Employer contributions (assets) at beginning of year	2011-12-31	$965,150
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$1,616,744
Contract administrator fees	2011-12-31	$4,773
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2011-12-31	410746749
2010 : NANTICOKE MEMORIAL HOSPITAL RETIREMENT PLUS PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total transfer of assets to this plan	2010-12-31	$481,804
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$5,891,985
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$1,550,479
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$1,484,516
Expenses. Certain deemed distributions of participant loans	2010-12-31	$14,105
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$3,298,691
Value of total assets at end of year	2010-12-31	$26,519,221
Value of total assets at beginning of year	2010-12-31	$21,695,911
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$51,858
Total interest from all sources	2010-12-31	$225,072
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$281,494
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$281,494
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$1,579,176
Participant contributions at end of year	2010-12-31	$642,505
Participant contributions at beginning of year	2010-12-31	$566,230
Assets. Other investments not covered elsewhere at end of year	2010-12-31	$343,865
Assets. Other investments not covered elsewhere at beginning of year	2010-12-31	$359,529
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$194,666
Other income not declared elsewhere	2010-12-31	$38,086
Total non interest bearing cash at beginning of year	2010-12-31	$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	2010-12-31	No
Value of net income/loss	2010-12-31	$4,341,506
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$26,519,221
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$21,695,911
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$17,957,234
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$13,378,551
Interest on participant loans	2010-12-31	$20,344
Interest earned on other investments	2010-12-31	$204,728
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$6,610,467
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$6,583,702
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$2,048,642
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$1,524,849
Employer contributions (assets) at end of year	2010-12-31	$965,150
Employer contributions (assets) at beginning of year	2010-12-31	$807,899
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$1,484,516
Contract administrator fees	2010-12-31	$51,858
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	LARSON ALLEN LLP
Accountancy firm EIN	2010-12-31	410746749
2009 : NANTICOKE MEMORIAL HOSPITAL RETIREMENT PLUS PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for NANTICOKE MEMORIAL HOSPITAL RETIREMENT PLUS PLAN

2019: NANTICOKE MEMORIAL HOSPITAL RETIREMENT PLUS PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
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
2013: NANTICOKE MEMORIAL HOSPITAL RETIREMENT PLUS PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: NANTICOKE MEMORIAL HOSPITAL RETIREMENT PLUS PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: NANTICOKE MEMORIAL HOSPITAL RETIREMENT PLUS PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	Yes
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: NANTICOKE MEMORIAL HOSPITAL RETIREMENT PLUS PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

95854-01

Policy instance

Insurance contract or identification number	95854-01
Number of Individuals Covered	414
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

METLIFE INVESTORS (National Association of Insurance Commissioners NAIC id number: 80950 )

Policy contract number

025382

Policy instance

Insurance contract or identification number	025382
Number of Individuals Covered	1
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
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: 65675 )

Policy contract number

GP26145

Policy instance

Insurance contract or identification number	GP26145
Number of Individuals Covered	2
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $540
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $540
Insurance broker organization code?	4

HORACE MANN LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 64513 )

Policy contract number

07058

Policy instance

Insurance contract or identification number	07058
Number of Individuals Covered	2
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	NANTICOKE MEMORIAL HOSPITAL, INC.
Employer identification number (EIN):	510293888
NAIC Classification:	622000
NAIC Description:	Hospitals