401k Plan data: GREEN VALLEY HOSPITAL 401K PLAN plan

GREEN VALLEY HOSPITAL 401K PLAN 401k Plan overview

Plan Name	GREEN VALLEY HOSPITAL 401K PLAN
Plan identification number	001

GREEN VALLEY HOSPITAL 401K 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.
Participant-directed brokerage accounts provided as an investment option under the plan.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
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

GV HOSPITAL MANAGEMENT LLC has sponsored the creation of one or more 401k plans.

Company Name: GV HOSPITAL MANAGEMENT LLC

Employer identification number (EIN): 465098773

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GREEN VALLEY HOSPITAL 401K PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2021-01-01
001 2021-01-01
001 2019-01-01
001 2018-01-01
001 2017-01-01
001 2016-01-01 FRANCIELA P ITULE
001 2015-01-01 ERIC EKDAHL 2016-06-29

Plan Statistics for GREEN VALLEY HOSPITAL 401K PLAN

401k plan membership statisitcs for GREEN VALLEY HOSPITAL 401K PLAN

Measure Date Value
2021: GREEN VALLEY HOSPITAL 401K PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 380
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 284
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 119
Total of all active and inactive participants 2021-01-01 403
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 403
Number of participants with account balances 2021-01-01 264
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2019: GREEN VALLEY HOSPITAL 401K PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 316
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 302
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 67
Total of all active and inactive participants 2019-01-01 369
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 369
Number of participants with account balances 2019-01-01 177
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: GREEN VALLEY HOSPITAL 401K PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 356
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 246
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 66
Total of all active and inactive participants 2018-01-01 312
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 312
Number of participants with account balances 2018-01-01 153
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: GREEN VALLEY HOSPITAL 401K PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 364
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 281
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 57
Total of all active and inactive participants 2017-01-01 338
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 338
Number of participants with account balances 2017-01-01 156
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: GREEN VALLEY HOSPITAL 401K PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 336
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 317
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 39
Total of all active and inactive participants 2016-01-01 356
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 356
Number of participants with account balances 2016-01-01 161
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0

Measure	Date	Value
2021: GREEN VALLEY HOSPITAL 401K PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	380
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	284
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	119
Total of all active and inactive participants	2021-01-01	403
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	403
Number of participants with account balances	2021-01-01	264
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2019: GREEN VALLEY HOSPITAL 401K PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	316
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	302
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	67
Total of all active and inactive participants	2019-01-01	369
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	369
Number of participants with account balances	2019-01-01	177
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: GREEN VALLEY HOSPITAL 401K PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	356
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	246
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	66
Total of all active and inactive participants	2018-01-01	312
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	312
Number of participants with account balances	2018-01-01	153
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: GREEN VALLEY HOSPITAL 401K PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	364
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	281
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	57
Total of all active and inactive participants	2017-01-01	338
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	338
Number of participants with account balances	2017-01-01	156
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: GREEN VALLEY HOSPITAL 401K PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	336
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	317
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	39
Total of all active and inactive participants	2016-01-01	356
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	356
Number of participants with account balances	2016-01-01	161
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0

Financial Data on GREEN VALLEY HOSPITAL 401K PLAN

Measure	Date	Value
2021 : GREEN VALLEY HOSPITAL 401K PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total transfer of assets to this plan	2021-12-31	$0
Total transfer of assets from this plan	2021-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total income from all sources (including contributions)	2021-12-31	$1,163,663
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$807,349
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$778,255
Expenses. Certain deemed distributions of participant loans	2021-12-31	$5,289
Value of total corrective distributions	2021-12-31	$3,724
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$817,863
Value of total assets at end of year	2021-12-31	$3,160,310
Value of total assets at beginning of year	2021-12-31	$2,803,996
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$20,081
Total interest from all sources	2021-12-31	$5,094
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$348,478
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$348,478
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$281,000
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	$760,460
Participant contributions at end of year	2021-12-31	$58,886
Participant contributions at beginning of year	2021-12-31	$33,059
Participant contributions at end of year	2021-12-31	$28,636
Assets. Other investments not covered elsewhere at end of year	2021-12-31	$19,461
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$57,403
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2021-12-31	$6,682
Other income not declared elsewhere	2021-12-31	$1,368
Administrative expenses (other) incurred	2021-12-31	$20,081
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	$356,314
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$3,160,310
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$2,803,996
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	$3,081,963
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$2,770,937
Interest on participant loans	2021-12-31	$5,094
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$-9,140
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$778,255
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	SCHMIDT WESTERGARD & CO. PLLC
Accountancy firm EIN	2021-12-31	860271207
2019 : GREEN VALLEY HOSPITAL 401K PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total transfer of assets to this plan	2019-12-31	$0
Total transfer of assets to this plan	2019-12-31	$0
Total transfer of assets from this plan	2019-12-31	$0
Total transfer of assets from this plan	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$958,699
Total income from all sources (including contributions)	2019-12-31	$958,699
Total loss/gain on sale of assets	2019-12-31	$0
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$447,252
Total of all expenses incurred	2019-12-31	$447,252
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$434,068
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$434,068
Expenses. Certain deemed distributions of participant loans	2019-12-31	$812
Expenses. Certain deemed distributions of participant loans	2019-12-31	$812
Value of total corrective distributions	2019-12-31	$289
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$547,272
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$547,272
Value of total assets at end of year	2019-12-31	$2,347,560
Value of total assets at end of year	2019-12-31	$2,347,560
Value of total assets at beginning of year	2019-12-31	$1,836,113
Value of total assets at beginning of year	2019-12-31	$1,836,113
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$12,083
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$12,083
Total interest from all sources	2019-12-31	$5,249
Total interest from all sources	2019-12-31	$5,249
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$57,135
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$57,135
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$57,135
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$57,135
Was this plan covered by a fidelity bond	2019-12-31	Yes
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$184,000
Value of fidelity bond cover	2019-12-31	$184,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$514,273
Contributions received from participants	2019-12-31	$514,273
Participant contributions at end of year	2019-12-31	$81,148
Participant contributions at end of year	2019-12-31	$81,148
Participant contributions at beginning of year	2019-12-31	$68,632
Participant contributions at beginning of year	2019-12-31	$68,632
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$32,761
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$32,761
Administrative expenses (other) incurred	2019-12-31	$12,083
Administrative expenses (other) incurred	2019-12-31	$12,083
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
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	$511,447
Value of net income/loss	2019-12-31	$511,447
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$2,347,560
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$2,347,560
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$1,836,113
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$1,836,113
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
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 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
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$2,266,412
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$2,266,412
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$1,715,075
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$1,715,075
Interest on participant loans	2019-12-31	$5,249
Interest on participant loans	2019-12-31	$5,249
Value of interest in common/collective trusts at beginning of year	2019-12-31	$52,406
Value of interest in common/collective trusts at beginning of year	2019-12-31	$52,406
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$344,214
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$344,214
Net investment gain or loss from common/collective trusts	2019-12-31	$4,829
Net investment gain or loss from common/collective trusts	2019-12-31	$4,829
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
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	Yes
Was there a failure to transmit to the plan any participant contributions	2019-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	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	$238
Contributions received in cash from employer	2019-12-31	$238
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$434,068
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$434,068
Did the plan have assets held for investment	2019-12-31	Yes
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
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
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
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
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	SCHMIDT WESTERGARD & CO., PLLC
Accountancy firm name	2019-12-31	SCHMIDT WESTERGARD & CO., PLLC
Accountancy firm EIN	2019-12-31	860271207
Accountancy firm EIN	2019-12-31	860271207
2018 : GREEN VALLEY HOSPITAL 401K PLAN 2018 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
2017 : GREEN VALLEY HOSPITAL 401K PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total transfer of assets to this plan	2017-12-31	$0
Total transfer of assets from this plan	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	$748,209
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$383,273
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$380,313
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$491,635
Value of total assets at end of year	2017-12-31	$1,711,017
Value of total assets at beginning of year	2017-12-31	$1,346,081
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$2,960
Total interest from all sources	2017-12-31	$1,327
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$64,742
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$64,742
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$135,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$458,752
Participant contributions at end of year	2017-12-31	$45,693
Participant contributions at beginning of year	2017-12-31	$27,418
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$32,883
Administrative expenses (other) incurred	2017-12-31	$2,960
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	$364,936
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$1,711,017
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$1,346,081
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$1,628,040
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$1,300,173
Interest on participant loans	2017-12-31	$1,327
Value of interest in common/collective trusts at end of year	2017-12-31	$37,284
Value of interest in common/collective trusts at beginning of year	2017-12-31	$18,490
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$185,637
Net investment gain or loss from common/collective trusts	2017-12-31	$4,868
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$380,313
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	SCHMIDT WESTERGARD & CO., PLLC
Accountancy firm EIN	2017-12-31	860271207
2016 : GREEN VALLEY HOSPITAL 401K PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total transfer of assets to this plan	2016-12-31	$0
Total transfer of assets from this plan	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$691,937
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$74,678
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$72,617
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$605,651
Value of total assets at end of year	2016-12-31	$1,346,081
Value of total assets at beginning of year	2016-12-31	$728,822
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$2,061
Total interest from all sources	2016-12-31	$990
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$42,646
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$42,646
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$73,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$559,356
Participant contributions at end of year	2016-12-31	$27,418
Participant contributions at beginning of year	2016-12-31	$19,307
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$46,295
Administrative expenses (other) incurred	2016-12-31	$2,061
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	$617,259
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$1,346,081
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$728,822
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$1,300,173
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$699,685
Interest on participant loans	2016-12-31	$990
Value of interest in common/collective trusts at end of year	2016-12-31	$18,490
Value of interest in common/collective trusts at beginning of year	2016-12-31	$9,830
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$40,951
Net investment gain or loss from common/collective trusts	2016-12-31	$1,699
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	$72,617
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	SCHMIDT WESTERGARD & CO. , PLLC
Accountancy firm EIN	2016-12-31	860271207

Form 5500 Responses for GREEN VALLEY HOSPITAL 401K PLAN

2021: GREEN VALLEY HOSPITAL 401K 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 – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2019: GREEN VALLEY HOSPITAL 401K 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 – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: GREEN VALLEY HOSPITAL 401K 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 – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: GREEN VALLEY HOSPITAL 401K 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 – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: GREEN VALLEY HOSPITAL 401K 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 – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	GV HOSPITAL MANAGEMENT LLC
Employer identification number (EIN):	465098773
NAIC Classification:	622000
NAIC Description:	Hospitals