401k Plan data: MB HEALTHCARE 401(K) PROFIT SHARING PLAN plan

MB HEALTHCARE 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	MB HEALTHCARE 401(K) PROFIT SHARING PLAN
Plan identification number	001

MB HEALTHCARE 401(K) PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
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.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

GREENWICH WOODS REHABILITATION, LLC has sponsored the creation of one or more 401k plans.

Company Name: GREENWICH WOODS REHABILITATION, LLC

Employer identification number (EIN): 472351628

NAIC Classification: 623000
NAIC Description: Nursing and Residential Care Facilities

Additional information about GREENWICH WOODS REHABILITATION, LLC

Jurisdiction of Incorporation: State of Delaware Division of Corporations

Incorporation Date:

Company Identification Number: 5589138

More information about GREENWICH WOODS REHABILITATION, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MB HEALTHCARE 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01
001 2021-01-01
001 2020-01-01
001 2019-01-01
001 2018-01-01
001 2017-01-01 TAMMY CAMPANELLI TAMMY CAMPANELLI 2018-10-10
001 2016-01-01 TAMMY CAMPANELLI TAMMY CAMPANELLI 2017-10-16
001 2015-01-01 TAMMY CAMPANELLI TAMMY CAMPANELLI 2016-10-17

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01
001	2021-01-01
001	2020-01-01
001	2019-01-01
001	2018-01-01
001	2017-01-01	TAMMY CAMPANELLI	TAMMY CAMPANELLI	2018-10-10
001	2016-01-01	TAMMY CAMPANELLI	TAMMY CAMPANELLI	2017-10-16
001	2015-01-01	TAMMY CAMPANELLI	TAMMY CAMPANELLI	2016-10-17

Plan Statistics for MB HEALTHCARE 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for MB HEALTHCARE 401(K) PROFIT SHARING PLAN

Measure Date Value
2022: MB HEALTHCARE 401(K) PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 489
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 339
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 112
Total of all active and inactive participants 2022-01-01 451
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 1
Total participants 2022-01-01 452
Number of participants with account balances 2022-01-01 361
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 105
2021: MB HEALTHCARE 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 531
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 347
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 142
Total of all active and inactive participants 2021-01-01 489
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 489
Number of participants with account balances 2021-01-01 386
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 80
2020: MB HEALTHCARE 401(K) PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 793
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 471
Number of retired or separated participants receiving benefits 2020-01-01 2
Number of other retired or separated participants entitled to future benefits 2020-01-01 58
Total of all active and inactive participants 2020-01-01 531
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 531
Number of participants with account balances 2020-01-01 457
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 7
2019: MB HEALTHCARE 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 736
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 465
Number of retired or separated participants receiving benefits 2019-01-01 2
Number of other retired or separated participants entitled to future benefits 2019-01-01 59
Total of all active and inactive participants 2019-01-01 526
Total participants 2019-01-01 526
Number of participants with account balances 2019-01-01 456
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 13
2018: MB HEALTHCARE 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 695
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 550
Number of other retired or separated participants entitled to future benefits 2018-01-01 177
Total of all active and inactive participants 2018-01-01 727
Total participants 2018-01-01 727
Number of participants with account balances 2018-01-01 592
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 38
2017: MB HEALTHCARE 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 715
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 507
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 179
Total of all active and inactive participants 2017-01-01 686
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 686
Number of participants with account balances 2017-01-01 597
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 3
2016: MB HEALTHCARE 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 232
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 845
Number of other retired or separated participants entitled to future benefits 2016-01-01 39
Total of all active and inactive participants 2016-01-01 884
Total participants 2016-01-01 884
Number of participants with account balances 2016-01-01 884
2015: MB HEALTHCARE 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 232
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 215
Number of other retired or separated participants entitled to future benefits 2015-01-01 20
Total of all active and inactive participants 2015-01-01 235
Total participants 2015-01-01 235
Number of participants with account balances 2015-01-01 163
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0

Measure	Date	Value
2022: MB HEALTHCARE 401(K) PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	489
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	339
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	112
Total of all active and inactive participants	2022-01-01	451
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	1
Total participants	2022-01-01	452
Number of participants with account balances	2022-01-01	361
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	105
2021: MB HEALTHCARE 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	531
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	347
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	142
Total of all active and inactive participants	2021-01-01	489
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	489
Number of participants with account balances	2021-01-01	386
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	80
2020: MB HEALTHCARE 401(K) PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	793
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	471
Number of retired or separated participants receiving benefits	2020-01-01	2
Number of other retired or separated participants entitled to future benefits	2020-01-01	58
Total of all active and inactive participants	2020-01-01	531
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	531
Number of participants with account balances	2020-01-01	457
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	7
2019: MB HEALTHCARE 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	736
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	465
Number of retired or separated participants receiving benefits	2019-01-01	2
Number of other retired or separated participants entitled to future benefits	2019-01-01	59
Total of all active and inactive participants	2019-01-01	526
Total participants	2019-01-01	526
Number of participants with account balances	2019-01-01	456
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	13
2018: MB HEALTHCARE 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	695
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	550
Number of other retired or separated participants entitled to future benefits	2018-01-01	177
Total of all active and inactive participants	2018-01-01	727
Total participants	2018-01-01	727
Number of participants with account balances	2018-01-01	592
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	38
2017: MB HEALTHCARE 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	715
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	507
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	179
Total of all active and inactive participants	2017-01-01	686
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	686
Number of participants with account balances	2017-01-01	597
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	3
2016: MB HEALTHCARE 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	232
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	845
Number of other retired or separated participants entitled to future benefits	2016-01-01	39
Total of all active and inactive participants	2016-01-01	884
Total participants	2016-01-01	884
Number of participants with account balances	2016-01-01	884
2015: MB HEALTHCARE 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	232
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	215
Number of other retired or separated participants entitled to future benefits	2015-01-01	20
Total of all active and inactive participants	2015-01-01	235
Total participants	2015-01-01	235
Number of participants with account balances	2015-01-01	163
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0

Financial Data on MB HEALTHCARE 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2022 : MB HEALTHCARE 401(K) PROFIT SHARING PLAN 2022 401k financial data
Total income from all sources (including contributions)	2022-12-31	$-455,610
Total of all expenses incurred	2022-12-31	$1,412,068
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$1,329,035
Expenses. Certain deemed distributions of participant loans	2022-12-31	$25,977
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$728,489
Value of total assets at end of year	2022-12-31	$7,404,254
Value of total assets at beginning of year	2022-12-31	$9,271,932
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$57,056
Total interest from all sources	2022-12-31	$43,507
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$139,401
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	$139,401
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$500,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$527,262
Participant contributions at end of year	2022-12-31	$281,827
Participant contributions at beginning of year	2022-12-31	$268,391
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$56,155
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	$-1,867,678
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$7,404,254
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$9,271,932
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	$5,648,903
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$7,495,118
Interest on participant loans	2022-12-31	$24,998
Interest earned on other investments	2022-12-31	$18,509
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$1,328,452
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$1,226,751
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-1,367,007
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	$145,072
Employer contributions (assets) at end of year	2022-12-31	$145,072
Employer contributions (assets) at beginning of year	2022-12-31	$281,672
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$1,329,035
Contract administrator fees	2022-12-31	$57,056
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	BONADIO & CO., LLP
Accountancy firm EIN	2022-12-31	161331146
2021 : MB HEALTHCARE 401(K) PROFIT SHARING PLAN 2021 401k financial data
Total income from all sources (including contributions)	2021-12-31	$1,711,954
Total of all expenses incurred	2021-12-31	$1,228,488
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$1,144,037
Expenses. Certain deemed distributions of participant loans	2021-12-31	$41,466
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$797,827
Value of total assets at end of year	2021-12-31	$9,271,932
Value of total assets at beginning of year	2021-12-31	$8,788,466
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$42,985
Total interest from all sources	2021-12-31	$152,716
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$500,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$476,347
Participant contributions at end of year	2021-12-31	$268,391
Participant contributions at beginning of year	2021-12-31	$377,076
Participant contributions at end of year	2021-12-31	$0
Participant contributions at beginning of year	2021-12-31	$5,219
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$39,808
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	$483,466
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$9,271,932
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$8,788,466
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	$7,495,118
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$0
Value of interest in pooled separate accounts at end of year	2021-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2021-12-31	$6,963,082
Interest on participant loans	2021-12-31	$16,975
Interest earned on other investments	2021-12-31	$18,271
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2021-12-31	$117,470
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$1,226,751
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$1,396,665
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$681,690
Net investment gain/loss from pooled separate accounts	2021-12-31	$79,721
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	$281,672
Employer contributions (assets) at end of year	2021-12-31	$281,672
Employer contributions (assets) at beginning of year	2021-12-31	$46,424
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$1,144,037
Contract administrator fees	2021-12-31	$42,985
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	BONADIO & CO., LLP
Accountancy firm EIN	2021-12-31	161331146
2020 : MB HEALTHCARE 401(K) PROFIT SHARING PLAN 2020 401k financial data
Total income from all sources (including contributions)	2020-12-31	$1,285,769
Total of all expenses incurred	2020-12-31	$510,251
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$493,526
Expenses. Certain deemed distributions of participant loans	2020-12-31	$3,337
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$488,996
Value of total assets at end of year	2020-12-31	$8,788,466
Value of total assets at beginning of year	2020-12-31	$8,012,948
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$13,388
Total interest from all sources	2020-12-31	$41,526
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$500,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$442,572
Participant contributions at end of year	2020-12-31	$377,076
Participant contributions at beginning of year	2020-12-31	$457,348
Participant contributions at end of year	2020-12-31	$5,219
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	$775,518
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$8,788,466
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$8,012,948
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
Investment advisory and management fees	2020-12-31	$3,713
Value of interest in pooled separate accounts at end of year	2020-12-31	$6,963,082
Value of interest in pooled separate accounts at beginning of year	2020-12-31	$6,510,380
Interest on participant loans	2020-12-31	$21,938
Interest earned on other investments	2020-12-31	$640
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2020-12-31	$18,948
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$1,396,665
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$994,315
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$0
Net investment gain or loss from common/collective trusts	2020-12-31	$755,247
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	Yes
Contributions received in cash from employer	2020-12-31	$46,424
Employer contributions (assets) at end of year	2020-12-31	$46,424
Employer contributions (assets) at beginning of year	2020-12-31	$50,905
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$493,526
Contract administrator fees	2020-12-31	$9,675
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
Accountancy firm name	2020-12-31	BONADIO & CO., LLP
Accountancy firm EIN	2020-12-31	161331146
2019 : MB HEALTHCARE 401(K) PROFIT SHARING PLAN 2019 401k financial data
Total income from all sources (including contributions)	2019-12-31	$1,729,508
Total of all expenses incurred	2019-12-31	$930,287
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$911,569
Expenses. Certain deemed distributions of participant loans	2019-12-31	$2,506
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$546,037
Value of total assets at end of year	2019-12-31	$8,012,948
Value of total assets at beginning of year	2019-12-31	$7,213,727
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$16,212
Total interest from all sources	2019-12-31	$39,890
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$486,919
Participant contributions at end of year	2019-12-31	$457,348
Participant contributions at beginning of year	2019-12-31	$405,680
Participant contributions at beginning of year	2019-12-31	$10,671
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$8,646
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$799,221
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$8,012,948
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$7,213,727
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
Investment advisory and management fees	2019-12-31	$16,212
Value of interest in pooled separate accounts at end of year	2019-12-31	$6,510,380
Value of interest in pooled separate accounts at beginning of year	2019-12-31	$5,888,238
Interest on participant loans	2019-12-31	$23,214
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-12-31	$16,676
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$994,315
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$858,391
Net investment gain or loss from common/collective trusts	2019-12-31	$1,143,581
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	$50,472
Employer contributions (assets) at end of year	2019-12-31	$50,905
Employer contributions (assets) at beginning of year	2019-12-31	$50,747
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$911,569
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	BONADIO & CO., LLP
Accountancy firm EIN	2019-12-31	161331146
2018 : MB HEALTHCARE 401(K) PROFIT SHARING PLAN 2018 401k financial data
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	$262,347
Total of all expenses incurred	2018-12-31	$1,090,028
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$1,065,866
Expenses. Certain deemed distributions of participant loans	2018-12-31	$9,436
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$603,929
Value of total assets at end of year	2018-12-31	$7,213,727
Value of total assets at beginning of year	2018-12-31	$8,041,408
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$14,726
Total interest from all sources	2018-12-31	$30,669
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$0
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	$0
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$500,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$538,465
Participant contributions at end of year	2018-12-31	$405,680
Participant contributions at beginning of year	2018-12-31	$410,280
Participant contributions at end of year	2018-12-31	$10,671
Participant contributions at beginning of year	2018-12-31	$2,615
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$14,716
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	$-827,681
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$7,213,727
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$8,041,408
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
Investment advisory and management fees	2018-12-31	$14,726
Value of interest in pooled separate accounts at end of year	2018-12-31	$5,888,238
Value of interest in pooled separate accounts at beginning of year	2018-12-31	$6,863,465
Interest on participant loans	2018-12-31	$18,950
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2018-12-31	$11,719
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$858,391
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$700,656
Net investment gain or loss from common/collective trusts	2018-12-31	$-372,251
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$50,748
Employer contributions (assets) at end of year	2018-12-31	$50,747
Employer contributions (assets) at beginning of year	2018-12-31	$64,392
Income. Dividends from common stock	2018-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$1,065,866
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	BONADIO & CO., LLP
Accountancy firm EIN	2018-12-31	161331146
2017 : MB HEALTHCARE 401(K) PROFIT SHARING 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	$1,658,120
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$870,304
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$841,312
Expenses. Certain deemed distributions of participant loans	2017-12-31	$15,105
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$658,688
Value of total assets at end of year	2017-12-31	$8,041,408
Value of total assets at beginning of year	2017-12-31	$7,253,592
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$13,887
Total interest from all sources	2017-12-31	$25,601
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$500,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$591,280
Participant contributions at end of year	2017-12-31	$410,280
Participant contributions at beginning of year	2017-12-31	$387,113
Participant contributions at end of year	2017-12-31	$2,615
Participant contributions at beginning of year	2017-12-31	$9,514
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$2,826
Administrative expenses (other) incurred	2017-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$787,816
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$8,041,408
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$7,253,592
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
Investment advisory and management fees	2017-12-31	$13,887
Value of interest in pooled separate accounts at end of year	2017-12-31	$6,863,465
Value of interest in pooled separate accounts at beginning of year	2017-12-31	$6,250,111
Interest on participant loans	2017-12-31	$16,941
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	$8,660
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$700,656
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$606,854
Net investment gain/loss from pooled separate accounts	2017-12-31	$973,831
Net investment gain or loss from common/collective trusts	2017-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$64,582
Employer contributions (assets) at end of year	2017-12-31	$64,392
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$841,312
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	BONADIO & CO., LLP
Accountancy firm EIN	2017-12-31	161331146
2016 : MB HEALTHCARE 401(K) PROFIT SHARING PLAN 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2016-12-31	$0
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total transfer of assets to this plan	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$5,503,552
Total of all expenses incurred	2016-12-31	$399,684
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$366,706
Expenses. Certain deemed distributions of participant loans	2016-12-31	$13,549
Value of total corrective distributions	2016-12-31	$7,104
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$5,116,058
Value of total assets at end of year	2016-12-31	$7,253,592
Value of total assets at beginning of year	2016-12-31	$2,149,724
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$12,325
Total interest from all sources	2016-12-31	$18,741
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$500,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$625,304
Participant contributions at end of year	2016-12-31	$387,113
Participant contributions at beginning of year	2016-12-31	$192,028
Participant contributions at end of year	2016-12-31	$9,514
Participant contributions at beginning of year	2016-12-31	$9,402
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$4,490,754
Other income not declared elsewhere	2016-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$5,103,868
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$7,253,592
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$2,149,724
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	$12,325
Value of interest in pooled separate accounts at end of year	2016-12-31	$6,250,111
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$1,635,844
Interest on participant loans	2016-12-31	$12,479
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-12-31	$6,262
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$606,854
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$312,450
Net investment gain or loss from common/collective trusts	2016-12-31	$368,753
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$366,706
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	EFPR GROUP CPAS, PLLC
Accountancy firm EIN	2016-12-31	474526160
2015 : MB HEALTHCARE 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources (including contributions)	2015-12-31	$2,281,878
Total of all expenses incurred	2015-12-31	$132,154
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$125,532
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$2,371,859
Value of total assets at end of year	2015-12-31	$2,149,724
Value of total assets at beginning of year	2015-12-31	$0
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$6,622
Total interest from all sources	2015-12-31	$7,937
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Was this plan covered by a fidelity bond	2015-12-31	No
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	$507,414
Participant contributions at end of year	2015-12-31	$192,028
Participant contributions at beginning of year	2015-12-31	$0
Participant contributions at end of year	2015-12-31	$9,402
Participant contributions at beginning of year	2015-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$1,864,445
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	$2,149,724
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$2,149,724
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$0
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	$6,622
Value of interest in pooled separate accounts at end of year	2015-12-31	$1,628,021
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$0
Interest on participant loans	2015-12-31	$5,973
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$320,273
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-12-31	$1,964
Net investment gain/loss from pooled separate accounts	2015-12-31	$-97,918
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	Yes
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$125,532
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	EFPR GROUP CPAS, PLLC
Accountancy firm EIN	2015-12-31	474526160

Form 5500 Responses for MB HEALTHCARE 401(K) PROFIT SHARING PLAN

2022: MB HEALTHCARE 401(K) PROFIT SHARING 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 benefit arrangement – Insurance	Yes
2021: MB HEALTHCARE 401(K) PROFIT SHARING 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 benefit arrangement – Insurance	Yes
2020: MB HEALTHCARE 401(K) PROFIT SHARING 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 benefit arrangement – Insurance	Yes
2019: MB HEALTHCARE 401(K) PROFIT SHARING 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 benefit arrangement – Insurance	Yes
2018: MB HEALTHCARE 401(K) PROFIT SHARING 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 benefit arrangement – Insurance	Yes
2017: MB HEALTHCARE 401(K) PROFIT SHARING 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 benefit arrangement – Insurance	Yes
2016: MB HEALTHCARE 401(K) PROFIT SHARING 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	No
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 benefit arrangement – Insurance	Yes
2015: MB HEALTHCARE 401(K) PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	First time form 5500 has been submitted	Yes
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 benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

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

Policy contract number

510796-01

Policy instance

Insurance contract or identification number	510796-01
Number of Individuals Covered	216
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

510796-01

Policy instance

Insurance contract or identification number	510796-01
Number of Individuals Covered	258
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

RM 86233 - 1

Policy instance

Insurance contract or identification number	RM 86233 - 1
Number of Individuals Covered	0
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $360
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $318
Amount paid for insurance broker fees	0
Insurance broker organization code?	4

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

RM 86233 - 1

Policy instance

Insurance contract or identification number	RM 86233 - 1
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $17,001
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

RM 86233 - 1

Policy instance

Insurance contract or identification number	RM 86233 - 1
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $16,340
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $12,650
Insurance broker organization code?	3

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

RM 86233 - 1

Policy instance

Insurance contract or identification number	RM 86233 - 1
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $17,099
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $15,393
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

RM 86233 - 1

Policy instance

Insurance contract or identification number	RM 86233 - 1
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $17,245
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $15,497
Insurance broker organization code?	3
Insurance broker name	STEPHEN L. GROSSMAN

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

RM 86233 - 1

Policy instance

Insurance contract or identification number	RM 86233 - 1
Number of Individuals Covered	232
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $29,671
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $23,085
Insurance broker organization code?	3
Insurance broker name	STEPHEN L. GROSSMAN

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MB HEALTHCARE INC. RETIREMENT PLAN [EIN = 841796628]

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Company Name:	GREENWICH WOODS REHABILITATION, LLC
Employer identification number (EIN):	472351628
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities

Jurisdiction of Incorporation:	State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number:	5589138