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GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 401k Plan overview

Plan NameGREEN RIVER MEDICAL CENTER RETIREMENT PLAN
Plan identification number 003

GREEN RIVER MEDICAL CENTER RETIREMENT PLAN Benefits

401k Plan TypeDefined 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 SignedName of Company SponsorDate Sponsor Signed
0032023-01-01CAMERON WILLFORD2024-09-16
0032022-01-01CAMERON WILLFORD2023-08-04
0032021-01-01CAMERON WILLFORD2022-06-26
0032020-01-01
0032019-01-01
0032018-01-01
0032017-01-01PAULA DUNHAM
0032016-01-01PAULA DUNHAM
0032015-01-01MARY WINTERS
0032014-01-01MARY WINTERS
0032013-01-01MARY WINTERS
0032012-01-01MARY WINTERS
0032011-01-01MARY WINTERS
0032010-01-01MARY WINTERS

Financial Data on GREEN RIVER MEDICAL CENTER RETIREMENT PLAN

Measure Date Value
2025 : GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2025 401k financial data
Total expenses incurred by plan in this plan year2025-09-035805
Net assets as of the end of the plan year2025-09-03889983
Total assets as of the beginning of the plan year2025-09-03727817
Value of plan covered by a fidelity bond2025-09-03100000
Participant contributions to plan in this plan year2025-09-0331209
Other expenses paid from plan in this plan year2025-09-035805
Other income to plan in this plan year2025-09-03108069
Plan net income in this plan year2025-09-03162166
Net assets as of the end of the plan year2025-09-03889983
Net assets as of the beginning of the plan year2025-09-03727817
Employer contributions to plan in this plan year2025-09-0328693
Fees paid to broker by Benefit Provider2025-09-031208
2024 : GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2024 401k financial data
Total expenses incurred by plan in this plan year2024-09-16191279
Net assets as of the end of the plan year2024-09-16727817
Total assets as of the beginning of the plan year2024-09-16735295
Value of plan covered by a fidelity bond2024-09-16100000
Participant contributions to plan in this plan year2024-09-1631318
Other expenses paid from plan in this plan year2024-09-165211
Other income to plan in this plan year2024-09-16123391
Plan net income in this plan year2024-09-16-7478
Net assets as of the end of the plan year2024-09-16727817
Net assets as of the beginning of the plan year2024-09-16735295
Employer contributions to plan in this plan year2024-09-1629092
2022 : GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2022 401k financial data
Total income from all sources2022-12-31$-55,525
Expenses. Total of all expenses incurred2022-12-31$23,938
Benefits paid (including direct rollovers)2022-12-31$63
Total plan assets at end of year2022-12-31$735,295
Total plan assets at beginning of year2022-12-31$814,758
Value of fidelity bond covering the plan2022-12-31$100,000
Total contributions received or receivable from participants2022-12-31$37,712
Contributions received from other sources (not participants or employers)2022-12-31$13,592
Other income received2022-12-31$-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 loans2022-12-31$0
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022022-12-31$7,570
Total contributions received or receivable from employer(s)2022-12-31$32,368
Value of certain deemed distributions of participant loans2022-12-31$23,875
2021 : GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2021 401k financial data
Total income from all sources2021-12-31$189,642
Expenses. Total of all expenses incurred2021-12-31$60,936
Benefits paid (including direct rollovers)2021-12-31$60,936
Total plan assets at end of year2021-12-31$814,758
Total plan assets at beginning of year2021-12-31$686,052
Value of fidelity bond covering the plan2021-12-31$100,000
Total contributions received or receivable from participants2021-12-31$43,344
Other income received2021-12-31$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 loans2021-12-31$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 2510.3-1022021-12-31$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 sources2020-12-31$168,775
Total plan assets at end of year2020-12-31$686,052
Total plan assets at beginning of year2020-12-31$517,277
Value of fidelity bond covering the plan2020-12-31$100,000
Total contributions received or receivable from participants2020-12-31$47,191
Other income received2020-12-31$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 loans2020-12-31$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 2510.3-1022020-12-31$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 sources2019-12-31$165,880
Expenses. Total of all expenses incurred2019-12-31$251,393
Benefits paid (including direct rollovers)2019-12-31$251,393
Total plan assets at end of year2019-12-31$517,277
Total plan assets at beginning of year2019-12-31$602,790
Value of fidelity bond covering the plan2019-12-31$100,000
Total contributions received or receivable from participants2019-12-31$37,471
Other income received2019-12-31$100,854
Net income (gross income less expenses)2019-12-31$-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 loans2019-12-31$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 2510.3-1022019-12-31$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 sources2018-12-31$1,372
Expenses. Total of all expenses incurred2018-12-31$40,281
Benefits paid (including direct rollovers)2018-12-31$37,900
Total plan assets at end of year2018-12-31$602,790
Total plan assets at beginning of year2018-12-31$641,699
Value of fidelity bond covering the plan2018-12-31$100,000
Total contributions received or receivable from participants2018-12-31$31,369
Other income received2018-12-31$-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 loans2018-12-31$12,317
Total contributions received or receivable from employer(s)2018-12-31$20,777
Value of certain deemed distributions of participant loans2018-12-31$2,381
2017 : GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2017 401k financial data
Total income from all sources2017-12-31$187,500
Expenses. Total of all expenses incurred2017-12-31$20,001
Benefits paid (including direct rollovers)2017-12-31$20,001
Total plan assets at end of year2017-12-31$641,699
Total plan assets at beginning of year2017-12-31$474,200
Value of fidelity bond covering the plan2017-12-31$100,000
Total contributions received or receivable from participants2017-12-31$27,766
Contributions received from other sources (not participants or employers)2017-12-31$56,889
Other income received2017-12-31$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 loans2017-12-31$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 2510.3-1022017-12-31$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 sources2016-12-31$95,396
Total plan assets at end of year2016-12-31$474,200
Total plan assets at beginning of year2016-12-31$378,804
Value of fidelity bond covering the plan2016-12-31$100,000
Total contributions received or receivable from participants2016-12-31$37,383
Other income received2016-12-31$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 loans2016-12-31$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 sources2015-12-31$49,480
Total plan assets at end of year2015-12-31$378,804
Total plan assets at beginning of year2015-12-31$329,324
Value of fidelity bond covering the plan2015-12-31$100,000
Total contributions received or receivable from participants2015-12-31$33,586
Other income received2015-12-31$-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 loans2015-12-31$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 sources2014-12-31$53,686
Expenses. Total of all expenses incurred2014-12-31$12,325
Benefits paid (including direct rollovers)2014-12-31$12,325
Total plan assets at end of year2014-12-31$329,324
Total plan assets at beginning of year2014-12-31$287,963
Total contributions received or receivable from participants2014-12-31$28,833
Other income received2014-12-31$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 loans2014-12-31$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 sources2013-12-31$93,996
Total plan assets at end of year2013-12-31$287,963
Total plan assets at beginning of year2013-12-31$193,967
Total contributions received or receivable from participants2013-12-31$28,778
Other income received2013-12-31$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 loans2013-12-31$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 sources2012-12-31$54,064
Total plan assets at end of year2012-12-31$193,967
Total plan assets at beginning of year2012-12-31$139,903
Total contributions received or receivable from participants2012-12-31$24,853
Other income received2012-12-31$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 loans2012-12-31$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 sources2011-12-31$24,898
Total plan assets at end of year2011-12-31$139,903
Total plan assets at beginning of year2011-12-31$115,005
Total contributions received or receivable from participants2011-12-31$22,887
Contributions received from other sources (not participants or employers)2011-12-31$1,804
Other income received2011-12-31$-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 sources2010-12-31$115,005
Total plan assets at end of year2010-12-31$115,005
Total plan assets at beginning of year2010-12-31$0
Total contributions received or receivable from participants2010-12-31$0
Contributions received from other sources (not participants or employers)2010-12-31$115,082
Other income received2010-12-31$-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
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2010: GREEN RIVER MEDICAL CENTER RETIREMENT PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01First time form 5500 has been submittedYes
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62944 )
Policy contract number642150
Policy instance 1
Insurance contract or identification number642150
Number of Individuals Covered20
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $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: 62944 )
Policy contract number642150
Policy instance 1
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62944 )
Policy contract number642150
Policy instance 1
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62944 )
Policy contract number642150
Policy instance 1
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62944 )
Policy contract number642150
Policy instance 1
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62944 )
Policy contract number642150
Policy instance 1

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