401k Plan data: KISHHEALTH SYSTEM EMPLOYEE RETIREMENT PLAN plan

KISHHEALTH SYSTEM EMPLOYEE RETIREMENT PLAN 401k Plan overview

Plan Name	KISHHEALTH SYSTEM EMPLOYEE RETIREMENT PLAN
Plan identification number	002

KISHHEALTH SYSTEM EMPLOYEE RETIREMENT PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
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.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

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

Company Name: KISHHEALTH SYSTEM

Employer identification number (EIN): 363649080

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan KISHHEALTH SYSTEM EMPLOYEE RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2016-01-01 KIM CHRISTIANSEN KEVIN POORTEN 2017-10-11
002 2015-01-01 MICHELE MCCLELLAND
002 2014-01-01 MICHELE MCCLELLAND
002 2013-01-01 MICHELE MCCLELLAND
002 2012-01-01 MICHELE MCCLELLAND
002 2011-01-01 MARK E. THATE MARK E. THATE 2012-10-15
002 2009-01-01 MARK THATE

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
002	2016-01-01	KIM CHRISTIANSEN	KEVIN POORTEN	2017-10-11
002	2015-01-01	MICHELE MCCLELLAND
002	2014-01-01	MICHELE MCCLELLAND
002	2013-01-01	MICHELE MCCLELLAND
002	2012-01-01	MICHELE MCCLELLAND
002	2011-01-01	MARK E. THATE	MARK E. THATE	2012-10-15
002	2009-01-01	MARK THATE

Plan Statistics for KISHHEALTH SYSTEM EMPLOYEE RETIREMENT PLAN

401k plan membership statisitcs for KISHHEALTH SYSTEM EMPLOYEE RETIREMENT PLAN

Measure Date Value
2016: KISHHEALTH SYSTEM EMPLOYEE RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 3,454
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 0
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 0
Number of participants with account balances 2016-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: KISHHEALTH SYSTEM EMPLOYEE RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 1,848
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 1,486
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 379
Total of all active and inactive participants 2015-01-01 1,865
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 5
Total participants 2015-01-01 1,870
Number of participants with account balances 2015-01-01 1,819
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 137
2014: KISHHEALTH SYSTEM EMPLOYEE RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 1,855
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 1,397
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 448
Total of all active and inactive participants 2014-01-01 1,845
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 3
Total participants 2014-01-01 1,848
Number of participants with account balances 2014-01-01 1,820
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 90
2013: KISHHEALTH SYSTEM EMPLOYEE RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1,752
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 1,405
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 406
Total of all active and inactive participants 2013-01-01 1,811
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 3
Total participants 2013-01-01 1,814
Number of participants with account balances 2013-01-01 1,782
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 81
2012: KISHHEALTH SYSTEM EMPLOYEE RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1,671
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1,391
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 317
Total of all active and inactive participants 2012-01-01 1,708
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 2
Total participants 2012-01-01 1,710
Number of participants with account balances 2012-01-01 1,680
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 29
2011: KISHHEALTH SYSTEM EMPLOYEE RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1,571
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 1,338
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 275
Total of all active and inactive participants 2011-01-01 1,613
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 3
Total participants 2011-01-01 1,616
Number of participants with account balances 2011-01-01 1,558
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: KISHHEALTH SYSTEM EMPLOYEE RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 1,446
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 1,251
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 217
Total of all active and inactive participants 2009-01-01 1,468
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 4
Total participants 2009-01-01 1,472
Number of participants with account balances 2009-01-01 1,405
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2016: KISHHEALTH SYSTEM EMPLOYEE RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	3,454
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	0
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	0
Number of participants with account balances	2016-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: KISHHEALTH SYSTEM EMPLOYEE RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	1,848
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	1,486
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	379
Total of all active and inactive participants	2015-01-01	1,865
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	5
Total participants	2015-01-01	1,870
Number of participants with account balances	2015-01-01	1,819
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	137
2014: KISHHEALTH SYSTEM EMPLOYEE RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	1,855
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	1,397
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	448
Total of all active and inactive participants	2014-01-01	1,845
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	3
Total participants	2014-01-01	1,848
Number of participants with account balances	2014-01-01	1,820
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	90
2013: KISHHEALTH SYSTEM EMPLOYEE RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1,752
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	1,405
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	406
Total of all active and inactive participants	2013-01-01	1,811
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	3
Total participants	2013-01-01	1,814
Number of participants with account balances	2013-01-01	1,782
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	81
2012: KISHHEALTH SYSTEM EMPLOYEE RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1,671
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1,391
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	317
Total of all active and inactive participants	2012-01-01	1,708
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	2
Total participants	2012-01-01	1,710
Number of participants with account balances	2012-01-01	1,680
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	29
2011: KISHHEALTH SYSTEM EMPLOYEE RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1,571
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1,338
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	275
Total of all active and inactive participants	2011-01-01	1,613
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	3
Total participants	2011-01-01	1,616
Number of participants with account balances	2011-01-01	1,558
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: KISHHEALTH SYSTEM EMPLOYEE RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	1,446
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	1,251
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	217
Total of all active and inactive participants	2009-01-01	1,468
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	4
Total participants	2009-01-01	1,472
Number of participants with account balances	2009-01-01	1,405
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on KISHHEALTH SYSTEM EMPLOYEE RETIREMENT PLAN

Measure	Date	Value
2016 : KISHHEALTH SYSTEM EMPLOYEE RETIREMENT PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total transfer of assets from this plan	2016-12-31	$101,968,411
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$18,881,123
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$10,964,882
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$10,887,064
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$10,518,099
Value of total assets at end of year	2016-12-31	$0
Value of total assets at beginning of year	2016-12-31	$94,052,170
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$77,818
Total interest from all sources	2016-12-31	$1,211,361
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$1,235,964
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2016-12-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$1,235,964
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$5,940,310
Participant contributions at end of year	2016-12-31	$0
Participant contributions at beginning of year	2016-12-31	$1,657,737
Participant contributions at end of year	2016-12-31	$0
Participant contributions at beginning of year	2016-12-31	$180,161
Assets. Other investments not covered elsewhere at end of year	2016-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2016-12-31	$101,770
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$350,396
Other income not declared elsewhere	2016-12-31	$107,137
Administrative expenses (other) incurred	2016-12-31	$56,664
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$7,916,241
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$94,052,170
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Investment advisory and management fees	2016-12-31	$21,154
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$73,259,413
Interest on participant loans	2016-12-31	$90,903
Interest earned on other investments	2016-12-31	$1,120,458
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$17,284,597
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$5,808,562
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$4,227,393
Employer contributions (assets) at end of year	2016-12-31	$0
Employer contributions (assets) at beginning of year	2016-12-31	$1,568,492
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$10,887,064
Did the plan have assets held for investment	2016-12-31	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	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	ERNST & YOUNG LLP
Accountancy firm EIN	2016-12-31	366565596
2015 : KISHHEALTH SYSTEM EMPLOYEE RETIREMENT PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$11,172,084
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$8,541,716
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$8,396,932
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$11,479,099
Value of total assets at end of year	2015-12-31	$94,052,170
Value of total assets at beginning of year	2015-12-31	$91,421,802
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$144,784
Total interest from all sources	2015-12-31	$71,722
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$1,034,749
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$1,034,749
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$5,467,942
Participant contributions at end of year	2015-12-31	$1,657,737
Participant contributions at beginning of year	2015-12-31	$1,425,001
Participant contributions at end of year	2015-12-31	$180,161
Participant contributions at beginning of year	2015-12-31	$157,564
Assets. Other investments not covered elsewhere at end of year	2015-12-31	$101,770
Assets. Other investments not covered elsewhere at beginning of year	2015-12-31	$73,130
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$2,335,132
Other income not declared elsewhere	2015-12-31	$561,008
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$2,630,368
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$94,052,170
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$91,421,802
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Investment advisory and management fees	2015-12-31	$70,000
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$73,259,413
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$70,172,844
Interest on participant loans	2015-12-31	$71,722
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$17,284,597
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$17,941,004
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-1,974,494
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$3,676,025
Employer contributions (assets) at end of year	2015-12-31	$1,568,492
Employer contributions (assets) at beginning of year	2015-12-31	$1,652,259
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$8,396,932
Contract administrator fees	2015-12-31	$74,784
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	ERNST & YOUNG LLP
Accountancy firm EIN	2015-12-31	366565596
2014 : KISHHEALTH SYSTEM EMPLOYEE RETIREMENT PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$14,275,646
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$6,049,667
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$5,968,085
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$9,441,589
Value of total assets at end of year	2014-12-31	$91,421,802
Value of total assets at beginning of year	2014-12-31	$83,195,823
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$81,582
Total interest from all sources	2014-12-31	$57,278
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$855,883
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$855,883
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$4,885,490
Participant contributions at end of year	2014-12-31	$1,425,001
Participant contributions at beginning of year	2014-12-31	$1,176,999
Participant contributions at end of year	2014-12-31	$157,564
Participant contributions at beginning of year	2014-12-31	$0
Assets. Other investments not covered elsewhere at end of year	2014-12-31	$73,130
Assets. Other investments not covered elsewhere at beginning of year	2014-12-31	$17,099
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$708,649
Other income not declared elsewhere	2014-12-31	$551,814
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$8,225,979
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$91,421,802
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$83,195,823
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Investment advisory and management fees	2014-12-31	$35,000
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$70,172,844
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$63,029,669
Interest on participant loans	2014-12-31	$57,278
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$17,941,004
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$17,428,641
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$3,369,082
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$3,847,450
Employer contributions (assets) at end of year	2014-12-31	$1,652,259
Employer contributions (assets) at beginning of year	2014-12-31	$1,543,415
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$5,968,085
Contract administrator fees	2014-12-31	$46,582
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	CLIFTONLARSONALLEN, LLP
Accountancy firm EIN	2014-12-31	410746749
2013 : KISHHEALTH SYSTEM EMPLOYEE RETIREMENT PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
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	$21,203,024
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$5,096,684
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$5,042,351
Value of total corrective distributions	2013-12-31	$684
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$7,918,370
Value of total assets at end of year	2013-12-31	$83,195,823
Value of total assets at beginning of year	2013-12-31	$67,089,483
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$53,649
Total interest from all sources	2013-12-31	$46,441
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$667,728
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	$667,728
Administrative expenses professional fees incurred	2013-12-31	$8,650
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
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	$4,326,307
Participant contributions at end of year	2013-12-31	$1,176,999
Participant contributions at beginning of year	2013-12-31	$919,860
Assets. Other investments not covered elsewhere at end of year	2013-12-31	$17,099
Assets. Other investments not covered elsewhere at beginning of year	2013-12-31	$25,362
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$177,805
Other income not declared elsewhere	2013-12-31	$421,050
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	$16,106,340
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$83,195,823
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$67,089,483
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	$63,029,669
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$47,699,047
Interest on participant loans	2013-12-31	$46,441
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$17,428,641
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$16,928,768
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$12,149,435
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	$3,414,258
Employer contributions (assets) at end of year	2013-12-31	$1,543,415
Employer contributions (assets) at beginning of year	2013-12-31	$1,516,446
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$5,042,351
Contract administrator fees	2013-12-31	$44,999
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 : KISHHEALTH SYSTEM EMPLOYEE RETIREMENT 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	$0
Total income from all sources (including contributions)	2012-12-31	$13,524,115
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$3,593,740
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$3,552,851
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$7,745,756
Value of total assets at end of year	2012-12-31	$67,089,483
Value of total assets at beginning of year	2012-12-31	$57,159,108
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$40,889
Total interest from all sources	2012-12-31	$39,559
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$756,399
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	$756,399
Administrative expenses professional fees incurred	2012-12-31	$7,400
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$5,000,000
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	$4,181,586
Participant contributions at end of year	2012-12-31	$919,860
Participant contributions at beginning of year	2012-12-31	$723,796
Assets. Other investments not covered elsewhere at end of year	2012-12-31	$25,362
Assets. Other investments not covered elsewhere at beginning of year	2012-12-31	$24,005
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$234,081
Other income not declared elsewhere	2012-12-31	$429,620
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	$9,930,375
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$67,089,483
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$57,159,108
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	$47,699,047
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$36,922,352
Interest on participant loans	2012-12-31	$39,559
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$16,928,768
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$15,989,219
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$4,552,781
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	$3,330,089
Employer contributions (assets) at end of year	2012-12-31	$1,516,446
Employer contributions (assets) at beginning of year	2012-12-31	$3,499,736
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$3,552,851
Contract administrator fees	2012-12-31	$33,489
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 : KISHHEALTH SYSTEM EMPLOYEE RETIREMENT PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
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	$7,422,358
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$1,680,813
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$1,656,412
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$7,263,908
Value of total assets at end of year	2011-12-31	$57,159,108
Value of total assets at beginning of year	2011-12-31	$51,417,563
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$24,401
Total interest from all sources	2011-12-31	$27,076
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$515,136
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	$515,136
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$3,599,677
Participant contributions at end of year	2011-12-31	$723,796
Participant contributions at beginning of year	2011-12-31	$518,507
Assets. Other investments not covered elsewhere at end of year	2011-12-31	$24,005
Assets. Other investments not covered elsewhere at beginning of year	2011-12-31	$24,806
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$131,716
Other income not declared elsewhere	2011-12-31	$387,765
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	$5,741,545
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$57,159,108
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$51,417,563
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	$36,922,352
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$33,262,909
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$5,987,419
Interest on participant loans	2011-12-31	$27,076
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$15,989,219
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$8,503,803
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-799,515
Net gain/loss from 103.12 investment entities	2011-12-31	$27,988
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	$3,532,515
Employer contributions (assets) at end of year	2011-12-31	$3,499,736
Employer contributions (assets) at beginning of year	2011-12-31	$3,120,119
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$1,656,412
Contract administrator fees	2011-12-31	$24,401
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 : KISHHEALTH SYSTEM EMPLOYEE RETIREMENT PLAN 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2010-12-31	$0
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total transfer of assets to this plan	2010-12-31	$0
Total transfer of assets from this plan	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$11,253,622
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$1,717,638
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$1,683,438
Expenses. Certain deemed distributions of participant loans	2010-12-31	$0
Value of total corrective distributions	2010-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$6,420,139
Value of total assets at end of year	2010-12-31	$51,417,563
Value of total assets at beginning of year	2010-12-31	$41,881,579
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$34,200
Total interest from all sources	2010-12-31	$18,705
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$385,519
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	$385,519
Administrative expenses professional fees incurred	2010-12-31	$16,200
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$3,154,194
Participant contributions at end of year	2010-12-31	$518,507
Participant contributions at beginning of year	2010-12-31	$237,958
Participant contributions at end of year	2010-12-31	$0
Assets. Other investments not covered elsewhere at end of year	2010-12-31	$24,806
Assets. Other investments not covered elsewhere at beginning of year	2010-12-31	$15,875
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$134,765
Other income not declared elsewhere	2010-12-31	$95,065
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	$9,535,984
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$51,417,563
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$41,881,579
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
Investment advisory and management fees	2010-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$33,262,909
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$25,677,212
Value of interest in pooled separate accounts at end of year	2010-12-31	$5,987,419
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$13,221,992
Interest on participant loans	2010-12-31	$18,705
Value of interest in common/collective trusts at end of year	2010-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$8,503,803
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$4,037,604
Net investment gain/loss from pooled separate accounts	2010-12-31	$296,590
Net investment gain or loss from common/collective trusts	2010-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Assets. Invements in employer securities at end of year	2010-12-31	$0
Contributions received in cash from employer	2010-12-31	$3,131,180
Employer contributions (assets) at end of year	2010-12-31	$3,120,119
Employer contributions (assets) at beginning of year	2010-12-31	$2,728,542
Income. Dividends from common stock	2010-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$1,683,438
Contract administrator fees	2010-12-31	$18,000
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
Aggregate proceeds on sale of assets	2010-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2010-12-31	$0
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	CLIFTON GUNDERSON, LLP
Accountancy firm EIN	2010-12-31	370802863
2009 : KISHHEALTH SYSTEM EMPLOYEE RETIREMENT 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 KISHHEALTH SYSTEM EMPLOYEE RETIREMENT PLAN

2016: KISHHEALTH SYSTEM EMPLOYEE RETIREMENT PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	Yes
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: KISHHEALTH SYSTEM EMPLOYEE RETIREMENT PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: KISHHEALTH SYSTEM EMPLOYEE RETIREMENT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: KISHHEALTH SYSTEM EMPLOYEE RETIREMENT 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: KISHHEALTH SYSTEM EMPLOYEE RETIREMENT 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 - Trust	Yes
2011: KISHHEALTH SYSTEM EMPLOYEE RETIREMENT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: KISHHEALTH SYSTEM EMPLOYEE RETIREMENT PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )

Policy contract number

GA28046

Policy instance

Insurance contract or identification number	GA28046
Number of Individuals Covered	1819
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	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

NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )

Policy contract number

GA28046

Policy instance

Insurance contract or identification number	GA28046
Number of Individuals Covered	1820
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	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

NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )

Policy contract number

GA28046

Policy instance

Insurance contract or identification number	GA28046
Number of Individuals Covered	1782
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	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

NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )

Policy contract number

GA28046

Policy instance

Insurance contract or identification number	GA28046
Number of Individuals Covered	1680
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	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

NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )

Policy contract number

31505

Policy instance

Insurance contract or identification number	31505
Number of Individuals Covered	0
Insurance policy start date	2011-01-01
Insurance policy end date	2011-05-13
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	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

NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )

Policy contract number

GA28046

Policy instance

Insurance contract or identification number	GA28046
Number of Individuals Covered	1558
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	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

NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )

Policy contract number

31505

Policy instance

Insurance contract or identification number	31505
Number of Individuals Covered	1466
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	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

NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )

Policy contract number

GA28046

Policy instance

Insurance contract or identification number	GA28046
Number of Individuals Covered	1466
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	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:	KISHHEALTH SYSTEM
Employer identification number (EIN):	363649080
NAIC Classification:	622000
NAIC Description:	Hospitals