401k Plan data: THOMAS JEFFERSON UNIVERSITY HOSPITALS, INC. RETIREMENT PLAN FOR SENIOR ADMINISTRATOR STAFF PLAN plan

THOMAS JEFFERSON UNIVERSITY HOSPITALS, INC. RETIREMENT PLAN FOR SENIOR ADMINISTRATOR STAFF PLAN 401k Plan overview

Plan Name	THOMAS JEFFERSON UNIVERSITY HOSPITALS, INC. RETIREMENT PLAN FOR SENIOR ADMINISTRATOR STAFF PLAN
Plan identification number	007

THOMAS JEFFERSON UNIVERSITY HOSPITALS, INC. RETIREMENT PLAN FOR SENIOR ADMINISTRATOR STAFF PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.

401k Sponsoring company profile

THOMAS JEFFERSON UNIVERSITY has sponsored the creation of one or more 401k plans.

Company Name: THOMAS JEFFERSON UNIVERSITY

Employer identification number (EIN): 231352651

NAIC Classification: 611000

Additional information about THOMAS JEFFERSON UNIVERSITY

Jurisdiction of Incorporation: State of Delaware Division of Corporations

Incorporation Date:

Company Identification Number: 2199968

More information about THOMAS JEFFERSON UNIVERSITY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THOMAS JEFFERSON UNIVERSITY HOSPITALS, INC. RETIREMENT PLAN FOR SENIOR ADMINISTRATOR STAFF PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
007 2015-01-01 JOANN PIECHOWSKI
007 2014-01-01 JOANN PIECHOWSKI JOANN PIECHOWSKI 2015-10-14

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
007	2015-01-01	JOANN PIECHOWSKI
007	2014-01-01	JOANN PIECHOWSKI		JOANN PIECHOWSKI	2015-10-14

Plan Statistics for THOMAS JEFFERSON UNIVERSITY HOSPITALS, INC. RETIREMENT PLAN FOR SENIOR ADMINISTRATOR STAFF PLAN

401k plan membership statisitcs for THOMAS JEFFERSON UNIVERSITY HOSPITALS, INC. RETIREMENT PLAN FOR SENIOR ADMINISTRATOR STAFF PLAN

Measure Date Value
2015: THOMAS JEFFERSON UNIVERSITY HOSPITALS, INC. RETIREMENT PLAN FOR SENIOR ADMINISTRATOR STAFF PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 149
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 0
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 0
Total of all active and inactive participants 2015-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 0
Number of participants with account balances 2015-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: THOMAS JEFFERSON UNIVERSITY HOSPITALS, INC. RETIREMENT PLAN FOR SENIOR ADMINISTRATOR STAFF PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 145
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 116
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 34
Total of all active and inactive participants 2014-01-01 150
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 150
Number of participants with account balances 2014-01-01 149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0

Measure	Date	Value
2015: THOMAS JEFFERSON UNIVERSITY HOSPITALS, INC. RETIREMENT PLAN FOR SENIOR ADMINISTRATOR STAFF PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	149
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	0
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	0
Total of all active and inactive participants	2015-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	0
Number of participants with account balances	2015-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: THOMAS JEFFERSON UNIVERSITY HOSPITALS, INC. RETIREMENT PLAN FOR SENIOR ADMINISTRATOR STAFF PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	145
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	116
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	34
Total of all active and inactive participants	2014-01-01	150
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	150
Number of participants with account balances	2014-01-01	149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0

Financial Data on THOMAS JEFFERSON UNIVERSITY HOSPITALS, INC. RETIREMENT PLAN FOR SENIOR ADMINISTRATOR STAFF PLAN

Measure	Date	Value
2015 : THOMAS JEFFERSON UNIVERSITY HOSPITALS, INC. RETIREMENT PLAN FOR SENIOR ADMINISTRATOR STAFF PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total transfer of assets from this plan	2015-12-31	$37,310,823
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$37,310,823
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$1,727,016
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$451,500
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$444,185
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$1,491,265
Value of total assets at end of year	2015-12-31	$37,310,823
Value of total assets at beginning of year	2015-12-31	$36,035,307
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$7,315
Total interest from all sources	2015-12-31	$260,161
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$642,973
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$642,973
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$15,000,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2015-12-31	$37,310,823
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2015-12-31	$0
Other income not declared elsewhere	2015-12-31	$26,051
Administrative expenses (other) incurred	2015-12-31	$7,315
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$1,275,516
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$36,035,307
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$28,122,298
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$27,207,525
Value of interest in pooled separate accounts at end of year	2015-12-31	$930,675
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$796,022
Interest earned on other investments	2015-12-31	$260,161
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$8,235,560
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$7,942,049
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-760,657
Net investment gain/loss from pooled separate accounts	2015-12-31	$67,223
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$1,491,265
Employer contributions (assets) at end of year	2015-12-31	$22,290
Employer contributions (assets) at beginning of year	2015-12-31	$89,711
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$444,185
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	CITRIN COOPERMAN & COMPANY, LLP
Accountancy firm EIN	2015-12-31	222428965
2014 : THOMAS JEFFERSON UNIVERSITY HOSPITALS, INC. RETIREMENT PLAN FOR SENIOR ADMINISTRATOR STAFF PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$4,457,553
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$1,200,277
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$1,196,198
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$2,205,867
Value of total assets at end of year	2014-12-31	$36,035,307
Value of total assets at beginning of year	2014-12-31	$32,778,031
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$4,079
Total interest from all sources	2014-12-31	$252,218
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$615,465
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$615,465
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$15,000,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Other income not declared elsewhere	2014-12-31	$6,152
Administrative expenses (other) incurred	2014-12-31	$4,079
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$3,257,276
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$36,035,307
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$32,778,031
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$27,207,525
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$24,466,587
Value of interest in pooled separate accounts at end of year	2014-12-31	$796,022
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$455,593
Interest earned on other investments	2014-12-31	$252,218
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$7,942,049
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$7,752,278
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$1,302,042
Net investment gain/loss from pooled separate accounts	2014-12-31	$75,809
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$2,205,867
Employer contributions (assets) at end of year	2014-12-31	$89,711
Employer contributions (assets) at beginning of year	2014-12-31	$103,573
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$1,196,198
Did the plan have assets held for investment	2014-12-31	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	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	CITRIN COOPERMAN & COMPANY, LLP
Accountancy firm EIN	2014-12-31	222428965

Form 5500 Responses for THOMAS JEFFERSON UNIVERSITY HOSPITALS, INC. RETIREMENT PLAN FOR SENIOR ADMINISTRATOR STAFF PLAN

2015: THOMAS JEFFERSON UNIVERSITY HOSPITALS, INC. RETIREMENT PLAN FOR SENIOR ADMINISTRATOR STAFF 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	Yes
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: THOMAS JEFFERSON UNIVERSITY HOSPITALS, INC. RETIREMENT PLAN FOR SENIOR ADMINISTRATOR STAFF 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 – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )

Policy contract number

101180

Policy instance

Insurance contract or identification number	101180
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )

Policy contract number

101180

Policy instance

Insurance contract or identification number	101180
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	THOMAS JEFFERSON UNIVERSITY
Employer identification number (EIN):	231352651
NAIC Classification:	611000

Jurisdiction of Incorporation:	State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number:	2199968