401k Plan data: BOTSFORD HOSPITAL DEFINED CONTRIBUTION PLAN plan

BOTSFORD HOSPITAL DEFINED CONTRIBUTION PLAN 401k Plan overview

Plan Name	BOTSFORD HOSPITAL DEFINED CONTRIBUTION PLAN
Plan identification number	003

BOTSFORD HOSPITAL DEFINED CONTRIBUTION PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Money purchase (other than target benefit)
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.
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

BOTSFORD DEFINED CONTRIBUTION RETIREMENT PLAN has sponsored the creation of one or more 401k plans.

Company Name: BOTSFORD DEFINED CONTRIBUTION RETIREMENT PLAN

Employer identification number (EIN): 381426919

NAIC Classification: 813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Additional information about BOTSFORD DEFINED CONTRIBUTION RETIREMENT PLAN

Jurisdiction of Incorporation: Michigan Secretary of State

Incorporation Date: 0000-00-00

Company Identification Number: 796358

Legal Registered Office Address: 2000 TOWN CENTER STE 1200 SOUTHFIELD

United States of America (USA)
48075

More information about BOTSFORD DEFINED CONTRIBUTION RETIREMENT PLAN

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BOTSFORD HOSPITAL DEFINED CONTRIBUTION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2022-01-01
003 2021-01-01
003 2020-01-01
003 2019-01-01
003 2018-01-01
003 2017-01-01 CHRISTOPHER HARRISON AARON GILLINGHAM 2018-10-12
003 2016-01-01 JOHN KERNDL J PAUL CONWAY 2017-10-13
003 2015-01-01 JOHN T FOX J PAUL CONWAY 2016-10-17

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
003	2022-01-01
003	2021-01-01
003	2020-01-01
003	2019-01-01
003	2018-01-01
003	2017-01-01	CHRISTOPHER HARRISON	AARON GILLINGHAM	2018-10-12
003	2016-01-01	JOHN KERNDL	J PAUL CONWAY	2017-10-13
003	2015-01-01	JOHN T FOX	J PAUL CONWAY	2016-10-17

Plan Statistics for BOTSFORD HOSPITAL DEFINED CONTRIBUTION PLAN

401k plan membership statisitcs for BOTSFORD HOSPITAL DEFINED CONTRIBUTION PLAN

Measure Date Value
2022: BOTSFORD HOSPITAL DEFINED CONTRIBUTION PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 2,733
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 1,677
Number of retired or separated participants receiving benefits 2022-01-01 71
Number of other retired or separated participants entitled to future benefits 2022-01-01 808
Total of all active and inactive participants 2022-01-01 2,556
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 27
Total participants 2022-01-01 2,583
Number of participants with account balances 2022-01-01 2,068
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 1
2021: BOTSFORD HOSPITAL DEFINED CONTRIBUTION PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 2,919
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 1,794
Number of retired or separated participants receiving benefits 2021-01-01 62
Number of other retired or separated participants entitled to future benefits 2021-01-01 852
Total of all active and inactive participants 2021-01-01 2,708
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 25
Total participants 2021-01-01 2,733
Number of participants with account balances 2021-01-01 2,240
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 2
2020: BOTSFORD HOSPITAL DEFINED CONTRIBUTION PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 3,139
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 1,966
Number of retired or separated participants receiving benefits 2020-01-01 31
Number of other retired or separated participants entitled to future benefits 2020-01-01 901
Total of all active and inactive participants 2020-01-01 2,898
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 21
Total participants 2020-01-01 2,919
Number of participants with account balances 2020-01-01 2,407
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 11
2019: BOTSFORD HOSPITAL DEFINED CONTRIBUTION PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 3,362
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 2,370
Number of retired or separated participants receiving benefits 2019-01-01 60
Number of other retired or separated participants entitled to future benefits 2019-01-01 688
Total of all active and inactive participants 2019-01-01 3,118
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 21
Total participants 2019-01-01 3,139
Number of participants with account balances 2019-01-01 2,586
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 13
2018: BOTSFORD HOSPITAL DEFINED CONTRIBUTION PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 3,957
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 2,679
Number of retired or separated participants receiving benefits 2018-01-01 13
Number of other retired or separated participants entitled to future benefits 2018-01-01 649
Total of all active and inactive participants 2018-01-01 3,341
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 21
Total participants 2018-01-01 3,362
Number of participants with account balances 2018-01-01 2,779
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 27
2017: BOTSFORD HOSPITAL DEFINED CONTRIBUTION PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 2,862
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 1,065
Total of all active and inactive participants 2017-01-01 3,927
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 30
Total participants 2017-01-01 3,957
Number of participants with account balances 2017-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 415
2016: BOTSFORD HOSPITAL DEFINED CONTRIBUTION PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 3,388
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 8
2015: BOTSFORD HOSPITAL DEFINED CONTRIBUTION PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 3,177
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 2,432
Number of retired or separated participants receiving benefits 2015-01-01 15
Number of other retired or separated participants entitled to future benefits 2015-01-01 902
Total of all active and inactive participants 2015-01-01 3,349
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 39
Total participants 2015-01-01 3,388
Number of participants with account balances 2015-01-01 3,194
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 125

Measure	Date	Value
2022: BOTSFORD HOSPITAL DEFINED CONTRIBUTION PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	2,733
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	1,677
Number of retired or separated participants receiving benefits	2022-01-01	71
Number of other retired or separated participants entitled to future benefits	2022-01-01	808
Total of all active and inactive participants	2022-01-01	2,556
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	27
Total participants	2022-01-01	2,583
Number of participants with account balances	2022-01-01	2,068
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	1
2021: BOTSFORD HOSPITAL DEFINED CONTRIBUTION PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	2,919
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	1,794
Number of retired or separated participants receiving benefits	2021-01-01	62
Number of other retired or separated participants entitled to future benefits	2021-01-01	852
Total of all active and inactive participants	2021-01-01	2,708
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	25
Total participants	2021-01-01	2,733
Number of participants with account balances	2021-01-01	2,240
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	2
2020: BOTSFORD HOSPITAL DEFINED CONTRIBUTION PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	3,139
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	1,966
Number of retired or separated participants receiving benefits	2020-01-01	31
Number of other retired or separated participants entitled to future benefits	2020-01-01	901
Total of all active and inactive participants	2020-01-01	2,898
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	21
Total participants	2020-01-01	2,919
Number of participants with account balances	2020-01-01	2,407
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	11
2019: BOTSFORD HOSPITAL DEFINED CONTRIBUTION PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	3,362
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	2,370
Number of retired or separated participants receiving benefits	2019-01-01	60
Number of other retired or separated participants entitled to future benefits	2019-01-01	688
Total of all active and inactive participants	2019-01-01	3,118
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	21
Total participants	2019-01-01	3,139
Number of participants with account balances	2019-01-01	2,586
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	13
2018: BOTSFORD HOSPITAL DEFINED CONTRIBUTION PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	3,957
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	2,679
Number of retired or separated participants receiving benefits	2018-01-01	13
Number of other retired or separated participants entitled to future benefits	2018-01-01	649
Total of all active and inactive participants	2018-01-01	3,341
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	21
Total participants	2018-01-01	3,362
Number of participants with account balances	2018-01-01	2,779
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	27
2017: BOTSFORD HOSPITAL DEFINED CONTRIBUTION PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	2,862
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	1,065
Total of all active and inactive participants	2017-01-01	3,927
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	30
Total participants	2017-01-01	3,957
Number of participants with account balances	2017-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	415
2016: BOTSFORD HOSPITAL DEFINED CONTRIBUTION PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	3,388
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	8
2015: BOTSFORD HOSPITAL DEFINED CONTRIBUTION PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	3,177
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	2,432
Number of retired or separated participants receiving benefits	2015-01-01	15
Number of other retired or separated participants entitled to future benefits	2015-01-01	902
Total of all active and inactive participants	2015-01-01	3,349
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	39
Total participants	2015-01-01	3,388
Number of participants with account balances	2015-01-01	3,194
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	125

Financial Data on BOTSFORD HOSPITAL DEFINED CONTRIBUTION PLAN

Measure	Date	Value
2022 : BOTSFORD HOSPITAL DEFINED CONTRIBUTION PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total income from all sources (including contributions)	2022-12-31	$-5,931,942
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$4,158,755
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$4,069,270
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$1,726,624
Value of total assets at end of year	2022-12-31	$41,874,558
Value of total assets at beginning of year	2022-12-31	$51,965,255
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$89,485
Total interest from all sources	2022-12-31	$45,991
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$1,531,769
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$1,531,769
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Administrative expenses (other) incurred	2022-12-31	$89,485
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-10,090,697
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$41,874,558
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$51,965,255
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$37,604,553
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$47,591,229
Interest earned on other investments	2022-12-31	$43,966
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2022-12-31	$152,821
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2022-12-31	$145,613
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2022-12-31	$145,613
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2022-12-31	$2,025
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$2,390,560
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$2,220,824
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-9,236,326
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$1,726,624
Employer contributions (assets) at end of year	2022-12-31	$1,726,624
Employer contributions (assets) at beginning of year	2022-12-31	$2,007,589
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$4,069,270
Did the plan have assets held for investment	2022-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	GEORGE JOHNSON & COMPANY
Accountancy firm EIN	2022-12-31	382029668
2021 : BOTSFORD HOSPITAL DEFINED CONTRIBUTION PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total income from all sources (including contributions)	2021-12-31	$7,876,371
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$4,603,042
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$4,501,975
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$2,105,005
Value of total assets at end of year	2021-12-31	$51,965,255
Value of total assets at beginning of year	2021-12-31	$48,691,926
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$101,067
Total interest from all sources	2021-12-31	$37,355
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$1,143,009
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$1,143,009
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2021-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2021-12-31	$0
Administrative expenses (other) incurred	2021-12-31	$101,067
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$3,273,329
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$51,965,255
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$48,691,926
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$47,591,229
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$44,048,515
Interest earned on other investments	2021-12-31	$37,341
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2021-12-31	$145,613
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2021-12-31	$79,899
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2021-12-31	$79,899
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2021-12-31	$14
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$2,220,824
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$2,222,190
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$4,591,002
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$2,105,005
Employer contributions (assets) at end of year	2021-12-31	$2,007,589
Employer contributions (assets) at beginning of year	2021-12-31	$2,341,322
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$4,501,975
Did the plan have assets held for investment	2021-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	GEORGE JOHNSON & COMPANY
Accountancy firm EIN	2021-12-31	382029668
2020 : BOTSFORD HOSPITAL DEFINED CONTRIBUTION PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total income from all sources (including contributions)	2020-12-31	$7,839,202
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$5,494,702
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$5,389,056
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$2,353,211
Value of total assets at end of year	2020-12-31	$48,691,926
Value of total assets at beginning of year	2020-12-31	$46,347,426
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$105,646
Total interest from all sources	2020-12-31	$45,073
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$873,335
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$873,335
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Administrative expenses (other) incurred	2020-12-31	$105,646
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$2,344,500
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$48,691,926
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$46,347,426
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$44,048,515
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$41,553,704
Interest earned on other investments	2020-12-31	$44,644
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2020-12-31	$79,899
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2020-12-31	$148,571
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2020-12-31	$148,571
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2020-12-31	$429
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$2,222,190
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$2,056,403
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$4,567,583
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$2,353,211
Employer contributions (assets) at end of year	2020-12-31	$2,341,322
Employer contributions (assets) at beginning of year	2020-12-31	$2,588,748
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$5,389,056
Did the plan have assets held for investment	2020-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Unqualified
Accountancy firm name	2020-12-31	GEORGE JOHNSON & COMPANY
Accountancy firm EIN	2020-12-31	382029668
2019 : BOTSFORD HOSPITAL DEFINED CONTRIBUTION PLAN 2019 401k financial data
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
Total income from all sources (including contributions)	2019-12-31	$10,288,720
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$3,916,945
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$3,803,138
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$2,755,169
Value of total assets at end of year	2019-12-31	$46,347,426
Value of total assets at beginning of year	2019-12-31	$39,975,651
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$113,807
Total interest from all sources	2019-12-31	$43,699
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$976,015
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	$976,015
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$10,000,000
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
Administrative expenses (other) incurred	2019-12-31	$113,807
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$6,371,775
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$46,347,426
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$39,975,651
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$41,553,704
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$34,831,237
Interest earned on other investments	2019-12-31	$38,749
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-12-31	$148,571
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-12-31	$39,361
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-12-31	$39,361
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-12-31	$4,950
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$2,056,403
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$2,186,097
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$6,513,837
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$2,755,169
Employer contributions (assets) at end of year	2019-12-31	$2,588,748
Employer contributions (assets) at beginning of year	2019-12-31	$2,918,956
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$3,803,138
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	GEORGE JOHNSON & COMPANY
Accountancy firm EIN	2019-12-31	382029668
2018 : BOTSFORD HOSPITAL DEFINED CONTRIBUTION PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$1,114,645
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$3,229,573
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$3,108,283
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$3,141,652
Value of total assets at end of year	2018-12-31	$39,975,651
Value of total assets at beginning of year	2018-12-31	$42,090,579
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$121,290
Total interest from all sources	2018-12-31	$38,043
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$869,212
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$869,212
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Administrative expenses (other) incurred	2018-12-31	$121,290
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-2,114,928
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$39,975,651
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$42,090,579
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$34,831,237
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$36,426,296
Interest earned on other investments	2018-12-31	$38,043
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2018-12-31	$39,361
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2018-12-31	$196,856
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2018-12-31	$196,856
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$2,186,097
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$2,299,577
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-2,934,262
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$3,141,652
Employer contributions (assets) at end of year	2018-12-31	$2,918,956
Employer contributions (assets) at beginning of year	2018-12-31	$3,167,850
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$3,108,283
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2018-12-31	No
Did the plan have assets held for investment	2018-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	GEORGE JOHNSON & COMPANY
Accountancy firm EIN	2018-12-31	382029668
2017 : BOTSFORD HOSPITAL DEFINED CONTRIBUTION PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$8,330,678
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$2,989,405
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$2,876,025
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$3,202,547
Value of total assets at end of year	2017-12-31	$42,090,579
Value of total assets at beginning of year	2017-12-31	$36,749,306
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$113,380
Total interest from all sources	2017-12-31	$30,526
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$709,866
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$709,866
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Administrative expenses (other) incurred	2017-12-31	$113,380
Total non interest bearing cash at end of year	2017-12-31	$0
Total non interest bearing cash at beginning of year	2017-12-31	$33,039,300
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$5,341,273
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$42,090,579
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$36,749,306
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$36,426,296
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$0
Interest earned on other investments	2017-12-31	$31,894
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2017-12-31	$196,856
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2017-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2017-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-12-31	$-1,368
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$2,299,577
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$4,387,739
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$3,202,547
Employer contributions (assets) at end of year	2017-12-31	$3,167,850
Employer contributions (assets) at beginning of year	2017-12-31	$3,710,006
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$2,876,025
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2017-12-31	No
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	GEORGE JOHNSON & COMPANY
Accountancy firm EIN	2017-12-31	382029668
2016 : BOTSFORD HOSPITAL DEFINED CONTRIBUTION PLAN 2016 401k financial data
Total income from all sources (including contributions)	2016-12-31	$5,778,132
Total of all expenses incurred	2016-12-31	$2,622,995
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$2,617,391
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$3,757,317
Value of total assets at end of year	2016-12-31	$36,749,306
Value of total assets at beginning of year	2016-12-31	$33,594,169
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$5,604
Total interest from all sources	2016-12-31	$242
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$586,979
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$586,979
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$10,000,000
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
Funding deficiency by the employer to the plan for this plan year	2016-12-31	$0
Minimum employer required contribution for this plan year	2016-12-31	$0
Amount contributed by the employer to the plan for this plan year	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$60,544
Administrative expenses (other) incurred	2016-12-31	$5,604
Total non interest bearing cash at end of year	2016-12-31	$33,039,300
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	$3,155,137
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$36,749,306
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$33,594,169
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$27,895,949
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$2,824,006
Interest earned on other investments	2016-12-31	$242
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$62,400
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$1,397,707
Net investment gain/loss from pooled separate accounts	2016-12-31	$35,887
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	$3,696,773
Employer contributions (assets) at end of year	2016-12-31	$3,710,006
Employer contributions (assets) at beginning of year	2016-12-31	$2,811,814
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$2,617,391
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2016-12-31	No
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	PLANTE & MORAN LLP
Accountancy firm EIN	2016-12-31	381357951
2015 : BOTSFORD HOSPITAL DEFINED CONTRIBUTION PLAN 2015 401k financial data
Total income from all sources (including contributions)	2015-12-31	$3,454,584
Total of all expenses incurred	2015-12-31	$2,085,645
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$2,081,207
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$3,191,982
Value of total assets at end of year	2015-12-31	$33,594,169
Value of total assets at beginning of year	2015-12-31	$32,225,230
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$4,438
Total interest from all sources	2015-12-31	$37,111
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$543,483
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	$543,483
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$10,000,000
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
Minimum employer required contribution for this plan year	2015-12-31	$3,191,982
Amount contributed by the employer to the plan for this plan year	2015-12-31	$3,191,982
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Administrative expenses (other) incurred	2015-12-31	$4,438
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	$1,368,939
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$33,594,169
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$32,225,230
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$27,895,949
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$26,967,035
Value of interest in pooled separate accounts at end of year	2015-12-31	$2,824,006
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$2,661,226
Interest earned on other investments	2015-12-31	$37,111
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$62,400
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$53,583
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-308,475
Net investment gain/loss from pooled separate accounts	2015-12-31	$-9,517
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	$3,191,982
Employer contributions (assets) at end of year	2015-12-31	$2,811,814
Employer contributions (assets) at beginning of year	2015-12-31	$2,543,386
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$2,081,207
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2015-12-31	No
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	PLANT & MORAN LLP
Accountancy firm EIN	2015-12-31	381357951

Form 5500 Responses for BOTSFORD HOSPITAL DEFINED CONTRIBUTION PLAN

2022: BOTSFORD HOSPITAL DEFINED CONTRIBUTION PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: BOTSFORD HOSPITAL DEFINED CONTRIBUTION PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: BOTSFORD HOSPITAL DEFINED CONTRIBUTION PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: BOTSFORD HOSPITAL DEFINED CONTRIBUTION 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
2018: BOTSFORD HOSPITAL DEFINED CONTRIBUTION PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: BOTSFORD HOSPITAL DEFINED CONTRIBUTION PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: BOTSFORD HOSPITAL DEFINED CONTRIBUTION PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
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: BOTSFORD HOSPITAL DEFINED CONTRIBUTION PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
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

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

711525 / 624197

Policy instance

Insurance contract or identification number	711525 / 624197
Number of Individuals Covered	0
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
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

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

711525 / 624197

Policy instance

Insurance contract or identification number	711525 / 624197
Number of Individuals Covered	0
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
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

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

711525 / 624197

Policy instance

Insurance contract or identification number	711525 / 624197
Number of Individuals Covered	0
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $2,589
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
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	2589
Additional information about fees paid to insurance broker	REFERRAL/SERVICE FEE
Insurance broker organization code?	3

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

711525 / 624197

Policy instance

Insurance contract or identification number	711525 / 624197
Number of Individuals Covered	0
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $5,462
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
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	5462
Additional information about fees paid to insurance broker	REFERRAL/SERVICE FEE
Insurance broker organization code?	3

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

711525 / 624197

Policy instance

Insurance contract or identification number	711525 / 624197
Number of Individuals Covered	0
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $5,468
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
Amount paid for insurance broker fees	5468
Additional information about fees paid to insurance broker	REFERRAL/SERVICE FEE
Insurance broker organization code?	3

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

711525 / 624197

Policy instance

Insurance contract or identification number	711525 / 624197
Number of Individuals Covered	0
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $3,180
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
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	3180
Additional information about fees paid to insurance broker	REFERRAL/SERVICE FEE
Insurance broker organization code?	3
Insurance broker name	FIDELITY INVESTMENTS TAX-EXEMPT

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

TT080253

Policy instance

Insurance contract or identification number	TT080253
Number of Individuals Covered	3194
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $2,797
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,797
Insurance broker organization code?	3
Insurance broker name	WELLS FARGO ADVISORS FINANCIAL

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Company Name:	BOTSFORD DEFINED CONTRIBUTION RETIREMENT PLAN
Employer identification number (EIN):	381426919
NAIC Classification:	813000
NAIC Description:	Religious, Grantmaking, Civic, Professional, and Similar Organizations

Jurisdiction of Incorporation:	Michigan Secretary of State
Incorporation Date:	0000-00-00
Company Identification Number:	796358
Legal Registered Office Address:	2000 TOWN CENTER STE 1200 SOUTHFIELD United States of America (USA) 48075