401k Plan data: GREEN RIVER MEDICAL CENTER RETIREMENT PLAN plan

GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 401k Plan overview

Plan Name	GREEN RIVER MEDICAL CENTER RETIREMENT PLAN
Plan identification number	003

GREEN RIVER MEDICAL CENTER RETIREMENT PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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

401k Sponsoring company profile

GREEN RIVER MEDICAL CENTER INC has sponsored the creation of one or more 401k plans.

Company Name: GREEN RIVER MEDICAL CENTER INC

Employer identification number (EIN): 870409346

NAIC Classification: 621498
NAIC Description: All Other Outpatient Care Centers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GREEN RIVER MEDICAL CENTER RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2022-01-01 CAMERON WILLFORD 2023-08-04
003 2021-01-01 CAMERON WILLFORD 2022-06-26
003 2020-01-01
003 2019-01-01
003 2018-01-01
003 2017-01-01 PAULA DUNHAM
003 2016-01-01 PAULA DUNHAM
003 2015-01-01 MARY WINTERS
003 2014-01-01 MARY WINTERS
003 2013-01-01 MARY WINTERS
003 2012-01-01 MARY WINTERS
003 2011-01-01 MARY WINTERS
003 2010-01-01 MARY WINTERS

Plan Statistics for GREEN RIVER MEDICAL CENTER RETIREMENT PLAN

401k plan membership statisitcs for GREEN RIVER MEDICAL CENTER RETIREMENT PLAN

Measure Date Value
2022: GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 26
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 14
Number of retired or separated participants receiving benefits 2022-01-01 5
Number of other retired or separated participants entitled to future benefits 2022-01-01 5
Total of all active and inactive participants 2022-01-01 24
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 24
Number of participants with account balances 2022-01-01 20
2021: GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 24
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 15
Number of retired or separated participants receiving benefits 2021-01-01 4
Number of other retired or separated participants entitled to future benefits 2021-01-01 2
Total of all active and inactive participants 2021-01-01 21
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 21
Number of participants with account balances 2021-01-01 16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 26
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 18
Number of retired or separated participants receiving benefits 2020-01-01 4
Number of other retired or separated participants entitled to future benefits 2020-01-01 2
Total of all active and inactive participants 2020-01-01 24
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 24
Number of participants with account balances 2020-01-01 18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 28
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 22
Number of retired or separated participants receiving benefits 2019-01-01 1
Number of other retired or separated participants entitled to future benefits 2019-01-01 4
Total of all active and inactive participants 2019-01-01 27
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 27
Number of participants with account balances 2019-01-01 17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 23
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 15
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 6
Total of all active and inactive participants 2018-01-01 21
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 21
Number of participants with account balances 2018-01-01 12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 24
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 17
Number of retired or separated participants receiving benefits 2017-01-01 1
Number of other retired or separated participants entitled to future benefits 2017-01-01 4
Total of all active and inactive participants 2017-01-01 22
Total participants 2017-01-01 22
Number of participants with account balances 2017-01-01 15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 16
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 12
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 3
Total of all active and inactive participants 2016-01-01 15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 15
Number of participants with account balances 2016-01-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 17
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 17
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 2
Total of all active and inactive participants 2015-01-01 19
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 19
Number of participants with account balances 2015-01-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 17
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 11
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 2
Total of all active and inactive participants 2014-01-01 13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 13
Number of participants with account balances 2014-01-01 9
2013: GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 16
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 15
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 2
Total of all active and inactive participants 2013-01-01 17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 17
Number of participants with account balances 2013-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 16
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 13
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 2
Total of all active and inactive participants 2012-01-01 15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 15
Number of participants with account balances 2012-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 15
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 13
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 2
Total of all active and inactive participants 2011-01-01 15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 15
Number of participants with account balances 2011-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 13
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 2
Total of all active and inactive participants 2010-01-01 15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 15
Number of participants with account balances 2010-01-01 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0

Measure	Date	Value
2022: GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	26
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	14
Number of retired or separated participants receiving benefits	2022-01-01	5
Number of other retired or separated participants entitled to future benefits	2022-01-01	5
Total of all active and inactive participants	2022-01-01	24
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	24
Number of participants with account balances	2022-01-01	20
2021: GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	24
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	15
Number of retired or separated participants receiving benefits	2021-01-01	4
Number of other retired or separated participants entitled to future benefits	2021-01-01	2
Total of all active and inactive participants	2021-01-01	21
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	21
Number of participants with account balances	2021-01-01	16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	26
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	18
Number of retired or separated participants receiving benefits	2020-01-01	4
Number of other retired or separated participants entitled to future benefits	2020-01-01	2
Total of all active and inactive participants	2020-01-01	24
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	24
Number of participants with account balances	2020-01-01	18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	28
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	22
Number of retired or separated participants receiving benefits	2019-01-01	1
Number of other retired or separated participants entitled to future benefits	2019-01-01	4
Total of all active and inactive participants	2019-01-01	27
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	27
Number of participants with account balances	2019-01-01	17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	23
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	15
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	6
Total of all active and inactive participants	2018-01-01	21
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	21
Number of participants with account balances	2018-01-01	12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	24
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	17
Number of retired or separated participants receiving benefits	2017-01-01	1
Number of other retired or separated participants entitled to future benefits	2017-01-01	4
Total of all active and inactive participants	2017-01-01	22
Total participants	2017-01-01	22
Number of participants with account balances	2017-01-01	15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	16
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	12
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	3
Total of all active and inactive participants	2016-01-01	15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	15
Number of participants with account balances	2016-01-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	17
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	17
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	2
Total of all active and inactive participants	2015-01-01	19
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	19
Number of participants with account balances	2015-01-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	17
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	11
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	2
Total of all active and inactive participants	2014-01-01	13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	13
Number of participants with account balances	2014-01-01	9
2013: GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	16
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	15
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	2
Total of all active and inactive participants	2013-01-01	17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	17
Number of participants with account balances	2013-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	16
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	13
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	2
Total of all active and inactive participants	2012-01-01	15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	15
Number of participants with account balances	2012-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	15
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	13
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	2
Total of all active and inactive participants	2011-01-01	15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	15
Number of participants with account balances	2011-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	13
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	2
Total of all active and inactive participants	2010-01-01	15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	15
Number of participants with account balances	2010-01-01	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0

Financial Data on GREEN RIVER MEDICAL CENTER RETIREMENT PLAN

Measure	Date	Value
2022 : GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2022 401k financial data
Total income from all sources	2022-12-31	$-55,525
Expenses. Total of all expenses incurred	2022-12-31	$23,938
Benefits paid (including direct rollovers)	2022-12-31	$63
Total plan assets at end of year	2022-12-31	$735,295
Total plan assets at beginning of year	2022-12-31	$814,758
Value of fidelity bond covering the plan	2022-12-31	$100,000
Total contributions received or receivable from participants	2022-12-31	$37,712
Contributions received from other sources (not participants or employers)	2022-12-31	$13,592
Other income received	2022-12-31	$-139,197
Net income (gross income less expenses)	2022-12-31	$-79,463
Net plan assets at end of year (total assets less liabilities)	2022-12-31	$735,295
Net plan assets at beginning of year (total assets less liabilities)	2022-12-31	$814,758
Assets. Value of participant loans	2022-12-31	$0
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-102	2022-12-31	$7,570
Total contributions received or receivable from employer(s)	2022-12-31	$32,368
Value of certain deemed distributions of participant loans	2022-12-31	$23,875
2021 : GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2021 401k financial data
Total income from all sources	2021-12-31	$189,642
Expenses. Total of all expenses incurred	2021-12-31	$60,936
Benefits paid (including direct rollovers)	2021-12-31	$60,936
Total plan assets at end of year	2021-12-31	$814,758
Total plan assets at beginning of year	2021-12-31	$686,052
Value of fidelity bond covering the plan	2021-12-31	$100,000
Total contributions received or receivable from participants	2021-12-31	$43,344
Other income received	2021-12-31	$115,224
Net income (gross income less expenses)	2021-12-31	$128,706
Net plan assets at end of year (total assets less liabilities)	2021-12-31	$814,758
Net plan assets at beginning of year (total assets less liabilities)	2021-12-31	$686,052
Assets. Value of participant loans	2021-12-31	$23,542
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-102	2021-12-31	$10,713
Total contributions received or receivable from employer(s)	2021-12-31	$31,074
2020 : GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2020 401k financial data
Total income from all sources	2020-12-31	$168,775
Total plan assets at end of year	2020-12-31	$686,052
Total plan assets at beginning of year	2020-12-31	$517,277
Value of fidelity bond covering the plan	2020-12-31	$100,000
Total contributions received or receivable from participants	2020-12-31	$47,191
Other income received	2020-12-31	$87,792
Net income (gross income less expenses)	2020-12-31	$168,775
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$686,052
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$517,277
Assets. Value of participant loans	2020-12-31	$5,783
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-102	2020-12-31	$5,644
Total contributions received or receivable from employer(s)	2020-12-31	$33,792
2019 : GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2019 401k financial data
Total income from all sources	2019-12-31	$165,880
Expenses. Total of all expenses incurred	2019-12-31	$251,393
Benefits paid (including direct rollovers)	2019-12-31	$251,393
Total plan assets at end of year	2019-12-31	$517,277
Total plan assets at beginning of year	2019-12-31	$602,790
Value of fidelity bond covering the plan	2019-12-31	$100,000
Total contributions received or receivable from participants	2019-12-31	$37,471
Other income received	2019-12-31	$100,854
Net income (gross income less expenses)	2019-12-31	$-85,513
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$517,277
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$602,790
Assets. Value of participant loans	2019-12-31	$7,863
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-102	2019-12-31	$1,761
Total contributions received or receivable from employer(s)	2019-12-31	$27,555
2018 : GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2018 401k financial data
Total income from all sources	2018-12-31	$1,372
Expenses. Total of all expenses incurred	2018-12-31	$40,281
Benefits paid (including direct rollovers)	2018-12-31	$37,900
Total plan assets at end of year	2018-12-31	$602,790
Total plan assets at beginning of year	2018-12-31	$641,699
Value of fidelity bond covering the plan	2018-12-31	$100,000
Total contributions received or receivable from participants	2018-12-31	$31,369
Other income received	2018-12-31	$-50,774
Net income (gross income less expenses)	2018-12-31	$-38,909
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$602,790
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$641,699
Assets. Value of participant loans	2018-12-31	$12,317
Total contributions received or receivable from employer(s)	2018-12-31	$20,777
Value of certain deemed distributions of participant loans	2018-12-31	$2,381
2017 : GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2017 401k financial data
Total income from all sources	2017-12-31	$187,500
Expenses. Total of all expenses incurred	2017-12-31	$20,001
Benefits paid (including direct rollovers)	2017-12-31	$20,001
Total plan assets at end of year	2017-12-31	$641,699
Total plan assets at beginning of year	2017-12-31	$474,200
Value of fidelity bond covering the plan	2017-12-31	$100,000
Total contributions received or receivable from participants	2017-12-31	$27,766
Contributions received from other sources (not participants or employers)	2017-12-31	$56,889
Other income received	2017-12-31	$81,641
Net income (gross income less expenses)	2017-12-31	$167,499
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$641,699
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$474,200
Assets. Value of participant loans	2017-12-31	$39,700
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-102	2017-12-31	$724
Total contributions received or receivable from employer(s)	2017-12-31	$21,204
2016 : GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$95,396
Total plan assets at end of year	2016-12-31	$474,200
Total plan assets at beginning of year	2016-12-31	$378,804
Value of fidelity bond covering the plan	2016-12-31	$100,000
Total contributions received or receivable from participants	2016-12-31	$37,383
Other income received	2016-12-31	$36,578
Net income (gross income less expenses)	2016-12-31	$95,396
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$474,200
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$378,804
Assets. Value of participant loans	2016-12-31	$51,888
Total contributions received or receivable from employer(s)	2016-12-31	$21,435
2015 : GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$49,480
Total plan assets at end of year	2015-12-31	$378,804
Total plan assets at beginning of year	2015-12-31	$329,324
Value of fidelity bond covering the plan	2015-12-31	$100,000
Total contributions received or receivable from participants	2015-12-31	$33,586
Other income received	2015-12-31	$-2,800
Net income (gross income less expenses)	2015-12-31	$49,480
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$378,804
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$329,324
Assets. Value of participant loans	2015-12-31	$57,966
Total contributions received or receivable from employer(s)	2015-12-31	$18,694
2014 : GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$53,686
Expenses. Total of all expenses incurred	2014-12-31	$12,325
Benefits paid (including direct rollovers)	2014-12-31	$12,325
Total plan assets at end of year	2014-12-31	$329,324
Total plan assets at beginning of year	2014-12-31	$287,963
Total contributions received or receivable from participants	2014-12-31	$28,833
Other income received	2014-12-31	$10,275
Net income (gross income less expenses)	2014-12-31	$41,361
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$329,324
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$287,963
Assets. Value of participant loans	2014-12-31	$9,252
Total contributions received or receivable from employer(s)	2014-12-31	$14,578
2013 : GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$93,996
Total plan assets at end of year	2013-12-31	$287,963
Total plan assets at beginning of year	2013-12-31	$193,967
Total contributions received or receivable from participants	2013-12-31	$28,778
Other income received	2013-12-31	$51,208
Net income (gross income less expenses)	2013-12-31	$93,996
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$287,963
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$193,967
Assets. Value of participant loans	2013-12-31	$14,626
Total contributions received or receivable from employer(s)	2013-12-31	$14,010
2012 : GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$54,064
Total plan assets at end of year	2012-12-31	$193,967
Total plan assets at beginning of year	2012-12-31	$139,903
Total contributions received or receivable from participants	2012-12-31	$24,853
Other income received	2012-12-31	$16,952
Net income (gross income less expenses)	2012-12-31	$54,064
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$193,967
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$139,903
Assets. Value of participant loans	2012-12-31	$6,983
Total contributions received or receivable from employer(s)	2012-12-31	$12,259
2011 : GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$24,898
Total plan assets at end of year	2011-12-31	$139,903
Total plan assets at beginning of year	2011-12-31	$115,005
Total contributions received or receivable from participants	2011-12-31	$22,887
Contributions received from other sources (not participants or employers)	2011-12-31	$1,804
Other income received	2011-12-31	$-10,676
Net income (gross income less expenses)	2011-12-31	$24,898
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$139,903
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$115,005
Total contributions received or receivable from employer(s)	2011-12-31	$10,883
2010 : GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$115,005
Total plan assets at end of year	2010-12-31	$115,005
Total plan assets at beginning of year	2010-12-31	$0
Total contributions received or receivable from participants	2010-12-31	$0
Contributions received from other sources (not participants or employers)	2010-12-31	$115,082
Other income received	2010-12-31	$-77
Net income (gross income less expenses)	2010-12-31	$115,005
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$115,005
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$0
Total contributions received or receivable from employer(s)	2010-12-31	$0

Form 5500 Responses for GREEN RIVER MEDICAL CENTER RETIREMENT PLAN

2022: GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: GREEN RIVER MEDICAL CENTER RETIREMENT 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 - Trust	Yes
2015: GREEN RIVER MEDICAL CENTER RETIREMENT 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 - Trust	Yes
2014: GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	First time form 5500 has been submitted	Yes
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )

Policy contract number

642150

Policy instance

Insurance contract or identification number	642150
Number of Individuals Covered	20
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $1,006
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

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )

Policy contract number

642150

Policy instance

Insurance contract or identification number	642150
Number of Individuals Covered	16
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $947
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 $460
Insurance broker organization code?	3

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )

Policy contract number

642150

Policy instance

Insurance contract or identification number	642150
Number of Individuals Covered	18
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $800
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $400
Insurance broker organization code?	3

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )

Policy contract number

642150

Policy instance

Insurance contract or identification number	642150
Number of Individuals Covered	17
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $693
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 $293
Insurance broker organization code?	3

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )

Policy contract number

642150

Policy instance

Insurance contract or identification number	642150
Number of Individuals Covered	12
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $944
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 $472
Insurance broker organization code?	3

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )

Policy contract number

642150

Policy instance

Insurance contract or identification number	642150
Number of Individuals Covered	15
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $1,029
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 $515
Insurance broker organization code?	3
Insurance broker name	RICHARD A BREGGER

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Company Name:	GREEN RIVER MEDICAL CENTER INC
Employer identification number (EIN):	870409346
NAIC Classification:	621498
NAIC Description:	All Other Outpatient Care Centers

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
003	2022-01-01	CAMERON WILLFORD	2023-08-04
003	2021-01-01	CAMERON WILLFORD	2022-06-26
003	2020-01-01
003	2019-01-01
003	2018-01-01
003	2017-01-01	PAULA DUNHAM
003	2016-01-01	PAULA DUNHAM
003	2015-01-01	MARY WINTERS
003	2014-01-01	MARY WINTERS
003	2013-01-01	MARY WINTERS
003	2012-01-01	MARY WINTERS
003	2011-01-01	MARY WINTERS
003	2010-01-01	MARY WINTERS