401k Plan data: SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN plan

SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN
Plan identification number	001

SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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

SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. has sponsored the creation of one or more 401k plans.

Company Name: SPRING HILL MANOR CONVALESCENT HOSPITAL, INC.

Employer identification number (EIN): 941661411

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 GREGORY E VIXIE 2023-06-05 GREGORY E VIXIE 2023-06-05
001 2021-01-01 GREGORY VIXIE 2022-09-26
001 2020-01-01 GREGORY VIXIE 2021-05-26
001 2019-01-01 GREGORY VIXIE 2020-10-07
001 2018-01-01
001 2017-01-01
001 2016-01-01 WARREN HUTSON
001 2015-01-01 WARREN HUTSON
001 2014-01-01 WARREN HUTSON
001 2013-01-01 WARREN HUTSON
001 2012-01-01 WARREN HUTSON
001 2011-01-01 WARREN HUTSON
001 2010-01-01 WARREN HUTSON
001 2009-01-01 WARREN J. HUTSON

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01	GREGORY E VIXIE	2023-06-05	GREGORY E VIXIE	2023-06-05
001	2021-01-01	GREGORY VIXIE	2022-09-26
001	2020-01-01	GREGORY VIXIE	2021-05-26
001	2019-01-01	GREGORY VIXIE	2020-10-07
001	2018-01-01
001	2017-01-01
001	2016-01-01	WARREN HUTSON
001	2015-01-01	WARREN HUTSON
001	2014-01-01	WARREN HUTSON
001	2013-01-01	WARREN HUTSON
001	2012-01-01	WARREN HUTSON
001	2011-01-01	WARREN HUTSON
001	2010-01-01	WARREN HUTSON
001	2009-01-01	WARREN J. HUTSON

Plan Statistics for SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN

Measure Date Value
2021: SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 98
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 83
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 3
Total of all active and inactive participants 2021-01-01 86
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 86
Number of participants with account balances 2021-01-01 21
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 92
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 87
Number of retired or separated participants receiving benefits 2020-01-01 1
Number of other retired or separated participants entitled to future benefits 2020-01-01 4
Total of all active and inactive participants 2020-01-01 92
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 92
Number of participants with account balances 2020-01-01 23
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 104
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 90
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 1
Total of all active and inactive participants 2019-01-01 91
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 91
Number of participants with account balances 2019-01-01 23
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 118
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 94
Number of retired or separated participants receiving benefits 2018-01-01 1
Number of other retired or separated participants entitled to future benefits 2018-01-01 0
Total of all active and inactive participants 2018-01-01 95
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 1
Total participants 2018-01-01 96
Number of participants with account balances 2018-01-01 19
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 118
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 108
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 3
Total of all active and inactive participants 2017-01-01 111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 1
Total participants 2017-01-01 112
Number of participants with account balances 2017-01-01 22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 119
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 106
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 2
Total of all active and inactive participants 2016-01-01 108
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 1
Total participants 2016-01-01 109
Number of participants with account balances 2016-01-01 24
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 101
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 99
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 1
Total of all active and inactive participants 2015-01-01 100
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 1
Total participants 2015-01-01 101
Number of participants with account balances 2015-01-01 21
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 84
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 77
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 3
Total of all active and inactive participants 2014-01-01 80
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 80
Number of participants with account balances 2014-01-01 21
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 88
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 75
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 5
Total of all active and inactive participants 2013-01-01 80
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 80
Number of participants with account balances 2013-01-01 22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 99
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 94
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 1
Total of all active and inactive participants 2012-01-01 95
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 95
Number of participants with account balances 2012-01-01 22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 1
2011: SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 103
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 87
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 5
Total of all active and inactive participants 2011-01-01 92
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 92
Number of participants with account balances 2011-01-01 25
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 99
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 91
Number of retired or separated participants receiving benefits 2010-01-01 1
Number of other retired or separated participants entitled to future benefits 2010-01-01 7
Total of all active and inactive participants 2010-01-01 99
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 99
Number of participants with account balances 2010-01-01 30
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 2
2009: SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 88
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 80
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 6
Total of all active and inactive participants 2009-01-01 86
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 86
Number of participants with account balances 2009-01-01 30
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 1

Measure	Date	Value
2021: SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	98
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	83
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	3
Total of all active and inactive participants	2021-01-01	86
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	86
Number of participants with account balances	2021-01-01	21
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	92
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	87
Number of retired or separated participants receiving benefits	2020-01-01	1
Number of other retired or separated participants entitled to future benefits	2020-01-01	4
Total of all active and inactive participants	2020-01-01	92
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	92
Number of participants with account balances	2020-01-01	23
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	104
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	90
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	1
Total of all active and inactive participants	2019-01-01	91
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	91
Number of participants with account balances	2019-01-01	23
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	118
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	94
Number of retired or separated participants receiving benefits	2018-01-01	1
Number of other retired or separated participants entitled to future benefits	2018-01-01	0
Total of all active and inactive participants	2018-01-01	95
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	1
Total participants	2018-01-01	96
Number of participants with account balances	2018-01-01	19
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	118
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	108
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	3
Total of all active and inactive participants	2017-01-01	111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	1
Total participants	2017-01-01	112
Number of participants with account balances	2017-01-01	22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	119
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	106
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	2
Total of all active and inactive participants	2016-01-01	108
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	1
Total participants	2016-01-01	109
Number of participants with account balances	2016-01-01	24
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	101
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	99
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	1
Total of all active and inactive participants	2015-01-01	100
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	1
Total participants	2015-01-01	101
Number of participants with account balances	2015-01-01	21
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	84
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	77
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	3
Total of all active and inactive participants	2014-01-01	80
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	80
Number of participants with account balances	2014-01-01	21
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	88
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	75
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	5
Total of all active and inactive participants	2013-01-01	80
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	80
Number of participants with account balances	2013-01-01	22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	99
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	94
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	1
Total of all active and inactive participants	2012-01-01	95
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	95
Number of participants with account balances	2012-01-01	22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	1
2011: SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	103
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	87
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	5
Total of all active and inactive participants	2011-01-01	92
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	92
Number of participants with account balances	2011-01-01	25
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	99
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	91
Number of retired or separated participants receiving benefits	2010-01-01	1
Number of other retired or separated participants entitled to future benefits	2010-01-01	7
Total of all active and inactive participants	2010-01-01	99
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	99
Number of participants with account balances	2010-01-01	30
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	2
2009: SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	88
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	80
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	6
Total of all active and inactive participants	2009-01-01	86
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	86
Number of participants with account balances	2009-01-01	30
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	1

Financial Data on SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2021 : SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2021 401k financial data
Total plan liabilities at end of year	2021-12-31	$9,027
Total plan liabilities at beginning of year	2021-12-31	$40,000
Total income from all sources	2021-12-31	$157,984
Expenses. Total of all expenses incurred	2021-12-31	$122,372
Benefits paid (including direct rollovers)	2021-12-31	$112,747
Total plan assets at end of year	2021-12-31	$652,872
Total plan assets at beginning of year	2021-12-31	$648,233
Value of fidelity bond covering the plan	2021-12-31	$64,384
Total contributions received or receivable from participants	2021-12-31	$39,735
Expenses. Other expenses not covered elsewhere	2021-12-31	$0
Contributions received from other sources (not participants or employers)	2021-12-31	$0
Other income received	2021-12-31	$118,249
Noncash contributions received	2021-12-31	$0
Net income (gross income less expenses)	2021-12-31	$35,612
Net plan assets at end of year (total assets less liabilities)	2021-12-31	$643,845
Net plan assets at beginning of year (total assets less liabilities)	2021-12-31	$608,233
Total contributions received or receivable from employer(s)	2021-12-31	$0
Value of certain deemed distributions of participant loans	2021-12-31	$0
Value of corrective distributions	2021-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2021-12-31	$9,625
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
2020 : SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2020 401k financial data
Total plan liabilities at end of year	2020-12-31	$40,000
Total income from all sources	2020-12-31	$100,933
Expenses. Total of all expenses incurred	2020-12-31	$61,732
Benefits paid (including direct rollovers)	2020-12-31	$53,481
Total plan assets at end of year	2020-12-31	$648,233
Total plan assets at beginning of year	2020-12-31	$569,032
Value of fidelity bond covering the plan	2020-12-31	$60,823
Total contributions received or receivable from participants	2020-12-31	$57,872
Other income received	2020-12-31	$43,061
Net income (gross income less expenses)	2020-12-31	$39,201
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$608,233
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$569,032
Expenses. Administrative service providers (salaries,fees and commissions)	2020-12-31	$8,251
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
2019 : SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2019 401k financial data
Total plan liabilities at end of year	2019-12-31	$3,032
Total plan liabilities at beginning of year	2019-12-31	$31,517
Total income from all sources	2019-12-31	$168,377
Expenses. Total of all expenses incurred	2019-12-31	$73,368
Benefits paid (including direct rollovers)	2019-12-31	$65,264
Total plan assets at end of year	2019-12-31	$572,064
Total plan assets at beginning of year	2019-12-31	$505,540
Value of fidelity bond covering the plan	2019-12-31	$56,903
Total contributions received or receivable from participants	2019-12-31	$70,152
Expenses. Other expenses not covered elsewhere	2019-12-31	$0
Contributions received from other sources (not participants or employers)	2019-12-31	$0
Other income received	2019-12-31	$98,225
Noncash contributions received	2019-12-31	$0
Net income (gross income less expenses)	2019-12-31	$95,009
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$569,032
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$474,023
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	$4,026
Total contributions received or receivable from employer(s)	2019-12-31	$0
Value of certain deemed distributions of participant loans	2019-12-31	$0
Value of corrective distributions	2019-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$8,104
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
2018 : SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2018 401k financial data
Total plan liabilities at end of year	2018-12-31	$31,517
Total plan liabilities at beginning of year	2018-12-31	$0
Total income from all sources	2018-12-31	$-22,902
Expenses. Total of all expenses incurred	2018-12-31	$69,302
Benefits paid (including direct rollovers)	2018-12-31	$60,578
Total plan assets at end of year	2018-12-31	$505,540
Total plan assets at beginning of year	2018-12-31	$566,227
Value of fidelity bond covering the plan	2018-12-31	$47,402
Total contributions received or receivable from participants	2018-12-31	$27,800
Other income received	2018-12-31	$-50,702
Net income (gross income less expenses)	2018-12-31	$-92,204
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$474,023
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$566,227
Expenses. Administrative service providers (salaries,fees and commissions)	2018-12-31	$8,724
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
2017 : SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2017 401k financial data
Total plan liabilities at end of year	2017-12-31	$0
Total plan liabilities at beginning of year	2017-12-31	$0
Total income from all sources	2017-12-31	$99,282
Expenses. Total of all expenses incurred	2017-12-31	$63,138
Benefits paid (including direct rollovers)	2017-12-31	$54,568
Total plan assets at end of year	2017-12-31	$566,227
Total plan assets at beginning of year	2017-12-31	$530,083
Value of fidelity bond covering the plan	2017-12-31	$56,623
Total contributions received or receivable from participants	2017-12-31	$31,450
Expenses. Other expenses not covered elsewhere	2017-12-31	$0
Contributions received from other sources (not participants or employers)	2017-12-31	$0
Other income received	2017-12-31	$67,832
Noncash contributions received	2017-12-31	$0
Net income (gross income less expenses)	2017-12-31	$36,144
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$566,227
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$530,083
Total contributions received or receivable from employer(s)	2017-12-31	$0
Value of certain deemed distributions of participant loans	2017-12-31	$0
Value of corrective distributions	2017-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$8,570
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
2016 : SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2016 401k financial data
Total plan liabilities at end of year	2016-12-31	$0
Total plan liabilities at beginning of year	2016-12-31	$0
Total income from all sources	2016-12-31	$51,699
Expenses. Total of all expenses incurred	2016-12-31	$9,455
Benefits paid (including direct rollovers)	2016-12-31	$0
Total plan assets at end of year	2016-12-31	$530,083
Total plan assets at beginning of year	2016-12-31	$487,839
Value of fidelity bond covering the plan	2016-12-31	$53,008
Total contributions received or receivable from participants	2016-12-31	$34,925
Expenses. Other expenses not covered elsewhere	2016-12-31	$0
Contributions received from other sources (not participants or employers)	2016-12-31	$0
Other income received	2016-12-31	$16,774
Noncash contributions received	2016-12-31	$0
Net income (gross income less expenses)	2016-12-31	$42,244
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$530,083
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$487,839
Total contributions received or receivable from employer(s)	2016-12-31	$0
Value of certain deemed distributions of participant loans	2016-12-31	$0
Value of corrective distributions	2016-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$9,455
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
2015 : SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total plan liabilities at end of year	2015-12-31	$0
Total plan liabilities at beginning of year	2015-12-31	$0
Total income from all sources	2015-12-31	$-3,336
Expenses. Total of all expenses incurred	2015-12-31	$9,234
Benefits paid (including direct rollovers)	2015-12-31	$0
Total plan assets at end of year	2015-12-31	$487,839
Total plan assets at beginning of year	2015-12-31	$500,409
Value of fidelity bond covering the plan	2015-12-31	$48,783
Total contributions received or receivable from participants	2015-12-31	$11,660
Expenses. Other expenses not covered elsewhere	2015-12-31	$0
Contributions received from other sources (not participants or employers)	2015-12-31	$0
Other income received	2015-12-31	$-14,996
Noncash contributions received	2015-12-31	$0
Net income (gross income less expenses)	2015-12-31	$-12,570
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$487,839
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$500,409
Total contributions received or receivable from employer(s)	2015-12-31	$0
Value of certain deemed distributions of participant loans	2015-12-31	$0
Value of corrective distributions	2015-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$9,234
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
2014 : SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2014 401k financial data
Transfers to/from the plan	2014-12-31	$0
Total plan liabilities at end of year	2014-12-31	$0
Total plan liabilities at beginning of year	2014-12-31	$0
Total income from all sources	2014-12-31	$33,591
Expenses. Total of all expenses incurred	2014-12-31	$64,198
Benefits paid (including direct rollovers)	2014-12-31	$55,175
Total plan assets at end of year	2014-12-31	$500,409
Total plan assets at beginning of year	2014-12-31	$531,016
Value of fidelity bond covering the plan	2014-12-31	$50,041
Total contributions received or receivable from participants	2014-12-31	$15,795
Expenses. Other expenses not covered elsewhere	2014-12-31	$0
Contributions received from other sources (not participants or employers)	2014-12-31	$0
Other income received	2014-12-31	$17,796
Noncash contributions received	2014-12-31	$0
Net income (gross income less expenses)	2014-12-31	$-30,607
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$500,409
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$531,016
Total contributions received or receivable from employer(s)	2014-12-31	$0
Value of certain deemed distributions of participant loans	2014-12-31	$0
Value of corrective distributions	2014-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$9,023
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2013 401k financial data
Transfers to/from the plan	2013-12-31	$0
Total plan liabilities at end of year	2013-12-31	$0
Total plan liabilities at beginning of year	2013-12-31	$0
Total income from all sources	2013-12-31	$126,879
Expenses. Total of all expenses incurred	2013-12-31	$25,730
Benefits paid (including direct rollovers)	2013-12-31	$17,000
Total plan assets at end of year	2013-12-31	$531,016
Total plan assets at beginning of year	2013-12-31	$429,867
Value of fidelity bond covering the plan	2013-12-31	$53,102
Total contributions received or receivable from participants	2013-12-31	$22,565
Expenses. Other expenses not covered elsewhere	2013-12-31	$0
Contributions received from other sources (not participants or employers)	2013-12-31	$0
Other income received	2013-12-31	$102,057
Noncash contributions received	2013-12-31	$0
Net income (gross income less expenses)	2013-12-31	$101,149
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$531,016
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$429,867
Total contributions received or receivable from employer(s)	2013-12-31	$2,257
Value of certain deemed distributions of participant loans	2013-12-31	$0
Value of corrective distributions	2013-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$8,730
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2012 401k financial data
Transfers to/from the plan	2012-12-31	$0
Total plan liabilities at end of year	2012-12-31	$0
Total plan liabilities at beginning of year	2012-12-31	$0
Total income from all sources	2012-12-31	$71,766
Expenses. Total of all expenses incurred	2012-12-31	$21,729
Benefits paid (including direct rollovers)	2012-12-31	$13,784
Total plan assets at end of year	2012-12-31	$429,867
Total plan assets at beginning of year	2012-12-31	$379,830
Value of fidelity bond covering the plan	2012-12-31	$37,983
Total contributions received or receivable from participants	2012-12-31	$30,795
Expenses. Other expenses not covered elsewhere	2012-12-31	$0
Contributions received from other sources (not participants or employers)	2012-12-31	$0
Other income received	2012-12-31	$34,471
Noncash contributions received	2012-12-31	$0
Net income (gross income less expenses)	2012-12-31	$50,037
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$429,867
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$379,830
Total contributions received or receivable from employer(s)	2012-12-31	$6,500
Value of certain deemed distributions of participant loans	2012-12-31	$0
Value of corrective distributions	2012-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$7,945
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2011 401k financial data
Transfers to/from the plan	2011-12-31	$0
Total plan liabilities at end of year	2011-12-31	$0
Total plan liabilities at beginning of year	2011-12-31	$0
Total income from all sources	2011-12-31	$20,742
Expenses. Total of all expenses incurred	2011-12-31	$50,449
Benefits paid (including direct rollovers)	2011-12-31	$42,592
Total plan assets at end of year	2011-12-31	$379,830
Total plan assets at beginning of year	2011-12-31	$409,537
Value of fidelity bond covering the plan	2011-12-31	$40,954
Total contributions received or receivable from participants	2011-12-31	$33,790
Expenses. Other expenses not covered elsewhere	2011-12-31	$0
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$-16,298
Noncash contributions received	2011-12-31	$0
Net income (gross income less expenses)	2011-12-31	$-29,707
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$379,830
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$409,537
Total contributions received or receivable from employer(s)	2011-12-31	$3,250
Value of certain deemed distributions of participant loans	2011-12-31	$0
Value of corrective distributions	2011-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$7,857
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2010 401k financial data
Transfers to/from the plan	2010-12-31	$0
Total plan liabilities at end of year	2010-12-31	$0
Total plan liabilities at beginning of year	2010-12-31	$0
Total income from all sources	2010-12-31	$86,878
Expenses. Total of all expenses incurred	2010-12-31	$62,885
Benefits paid (including direct rollovers)	2010-12-31	$55,820
Total plan assets at end of year	2010-12-31	$409,537
Total plan assets at beginning of year	2010-12-31	$385,544
Value of fidelity bond covering the plan	2010-12-31	$38,554
Total contributions received or receivable from participants	2010-12-31	$41,640
Expenses. Other expenses not covered elsewhere	2010-12-31	$7,065
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$34,238
Noncash contributions received	2010-12-31	$0
Net income (gross income less expenses)	2010-12-31	$23,993
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$409,537
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$385,544
Total contributions received or receivable from employer(s)	2010-12-31	$11,000
Value of certain deemed distributions of participant loans	2010-12-31	$0
Value of corrective distributions	2010-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
2009 : SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN

2021: SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	Yes
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: SPRING HILL MANOR CONVALESCENT HOSPITAL, INC. 401(K) PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	SPRING HILL MANOR CONVALESCENT HOSPITAL, INC.
Employer identification number (EIN):	941661411
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities