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CHILDRENS HOSPITAL INC 403(B) TAX SHELTERED ANNUITY PLAN 401k Plan overview

Plan NameCHILDRENS HOSPITAL INC 403(B) TAX SHELTERED ANNUITY PLAN
Plan identification number 005

CHILDRENS HOSPITAL INC 403(B) TAX SHELTERED ANNUITY PLAN Benefits

401k Plan TypeDefined 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.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.

401k Sponsoring company profile

NATIONWIDE CHILDREN'S HOSPITAL, INC. has sponsored the creation of one or more 401k plans.

Company Name:NATIONWIDE CHILDREN'S HOSPITAL, INC.
Employer identification number (EIN):314379441
NAIC Classification:622000
NAIC Description: Hospitals

Additional information about NATIONWIDE CHILDREN'S HOSPITAL, INC.

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division
Incorporation Date: 1892-02-26
Company Identification Number: 8977
Legal Registered Office Address: 700 CHILDREN'S DRIVE
7TH FL-OCC
COLUMBUS
United States of America (USA)
43205

More information about NATIONWIDE CHILDREN'S HOSPITAL, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CHILDRENS HOSPITAL INC 403(B) TAX SHELTERED ANNUITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0052022-01-01RHONDA LEROY2023-10-16
0052021-01-01
0052020-01-01
0052019-01-01
0052018-01-01
0052017-01-01SUSANNE EBERSBACH SUSANNE EBERSBACH2018-10-10
0052016-01-01SUSANNE EBERSBACH SUSANNE EBERSBACH2017-10-16
0052015-01-01SUSANNE EBERSBACH SUSANNE EBERSBACH2016-10-17
0052014-01-01SUSANNE EBERSBACH SUSANNE EBERSBACH2015-10-15
0052013-01-01SUSANNE EBERSBACH
0052012-01-01JOSE BALDERRAMA JOSE BALDERRAMA2013-10-11
0052011-01-01JOSE BALDERRAMA
0052009-01-01JOSE BALDERRAMA JOSE BALDERRAMA2010-10-14

Plan Statistics for CHILDRENS HOSPITAL INC 403(B) TAX SHELTERED ANNUITY PLAN

401k plan membership statisitcs for CHILDRENS HOSPITAL INC 403(B) TAX SHELTERED ANNUITY PLAN

Measure Date Value
2022: CHILDRENS HOSPITAL INC 403(B) TAX SHELTERED ANNUITY PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0114,578
Total number of active participants reported on line 7a of the Form 55002022-01-0110,060
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-015,451
Total of all active and inactive participants2022-01-0115,511
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-0135
Total participants2022-01-0115,546
Number of participants with account balances2022-01-0115,305
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: CHILDRENS HOSPITAL INC 403(B) TAX SHELTERED ANNUITY PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0113,804
Total number of active participants reported on line 7a of the Form 55002021-01-019,523
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-015,039
Total of all active and inactive participants2021-01-0114,562
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-0127
Total participants2021-01-0114,589
Number of participants with account balances2021-01-0114,388
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: CHILDRENS HOSPITAL INC 403(B) TAX SHELTERED ANNUITY PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0113,023
Total number of active participants reported on line 7a of the Form 55002020-01-019,270
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-014,528
Total of all active and inactive participants2020-01-0113,798
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-0113
Total participants2020-01-0113,811
Number of participants with account balances2020-01-0113,626
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: CHILDRENS HOSPITAL INC 403(B) TAX SHELTERED ANNUITY PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0112,260
Total number of active participants reported on line 7a of the Form 55002019-01-018,683
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-014,331
Total of all active and inactive participants2019-01-0113,014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-0111
Total participants2019-01-0113,025
Number of participants with account balances2019-01-0112,856
2018: CHILDRENS HOSPITAL INC 403(B) TAX SHELTERED ANNUITY PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0111,411
Total number of active participants reported on line 7a of the Form 55002018-01-018,381
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-013,873
Total of all active and inactive participants2018-01-0112,254
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-019
Total participants2018-01-0112,263
Number of participants with account balances2018-01-0112,101
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: CHILDRENS HOSPITAL INC 403(B) TAX SHELTERED ANNUITY PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0110,581
Total number of active participants reported on line 7a of the Form 55002017-01-017,982
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-013,421
Total of all active and inactive participants2017-01-0111,403
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-019
Total participants2017-01-0111,412
Number of participants with account balances2017-01-0111,254
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: CHILDRENS HOSPITAL INC 403(B) TAX SHELTERED ANNUITY PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-019,560
Total number of active participants reported on line 7a of the Form 55002016-01-017,532
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-013,050
Total of all active and inactive participants2016-01-0110,582
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-019
Total participants2016-01-0110,591
Number of participants with account balances2016-01-0110,443
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: CHILDRENS HOSPITAL INC 403(B) TAX SHELTERED ANNUITY PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-018,612
Total number of active participants reported on line 7a of the Form 55002015-01-016,821
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-012,727
Total of all active and inactive participants2015-01-019,548
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-0113
Total participants2015-01-019,561
Number of participants with account balances2015-01-019,414
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: CHILDRENS HOSPITAL INC 403(B) TAX SHELTERED ANNUITY PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-017,908
Total number of active participants reported on line 7a of the Form 55002014-01-018,473
Number of other retired or separated participants entitled to future benefits2014-01-012,381
Total of all active and inactive participants2014-01-0110,854
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-0110
Total participants2014-01-0110,864
Number of participants with account balances2014-01-018,473
2013: CHILDRENS HOSPITAL INC 403(B) TAX SHELTERED ANNUITY PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-017,354
Total number of active participants reported on line 7a of the Form 55002013-01-016,192
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-011,860
Total of all active and inactive participants2013-01-018,052
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-0111
Total participants2013-01-018,063
Number of participants with account balances2013-01-017,794
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: CHILDRENS HOSPITAL INC 403(B) TAX SHELTERED ANNUITY PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-016,329
Total number of active participants reported on line 7a of the Form 55002012-01-015,043
Number of other retired or separated participants entitled to future benefits2012-01-01849
Total of all active and inactive participants2012-01-015,892
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-013
Total participants2012-01-015,895
Number of participants with account balances2012-01-012,983
2011: CHILDRENS HOSPITAL INC 403(B) TAX SHELTERED ANNUITY PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-015,872
Total number of active participants reported on line 7a of the Form 55002011-01-015,897
Number of other retired or separated participants entitled to future benefits2011-01-01426
Total of all active and inactive participants2011-01-016,323
Total participants2011-01-016,323
Number of participants with account balances2011-01-015,874
2009: CHILDRENS HOSPITAL INC 403(B) TAX SHELTERED ANNUITY PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-015,104
Total number of active participants reported on line 7a of the Form 55002009-01-015,062
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-01325
Total of all active and inactive participants2009-01-015,387
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-013
Total participants2009-01-015,390
Number of participants with account balances2009-01-014,993
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on CHILDRENS HOSPITAL INC 403(B) TAX SHELTERED ANNUITY PLAN

Measure Date Value
2022 : CHILDRENS HOSPITAL INC 403(B) TAX SHELTERED ANNUITY PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$-40,770,854
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$27,445,033
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$27,445,033
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$62,077,887
Value of total assets at end of year2022-12-31$622,679,042
Value of total assets at beginning of year2022-12-31$690,894,929
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$0
Total interest from all sources2022-12-31$2,500,030
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$16,022,248
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$16,022,248
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$1,000,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$49,523,458
Participant contributions at end of year2022-12-31$4,194,989
Participant contributions at beginning of year2022-12-31$3,725,147
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$12,554,429
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-68,215,887
Value of net assets at end of year (total assets less liabilities)2022-12-31$622,679,042
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$690,894,929
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$508,156,536
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$568,618,261
Value of interest in pooled separate accounts at end of year2022-12-31$21,407,213
Value of interest in pooled separate accounts at beginning of year2022-12-31$37,679,587
Interest on participant loans2022-12-31$196,375
Interest earned on other investments2022-12-31$2,303,655
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$1,960,369
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$1,873,771
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$1,873,771
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$86,959,935
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$78,998,163
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-122,924,856
Net investment gain/loss from pooled separate accounts2022-12-31$1,553,837
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$27,445,033
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31GBQ PARTNERS
Accountancy firm EIN2022-12-31202122306
2021 : CHILDRENS HOSPITAL INC 403(B) TAX SHELTERED ANNUITY PLAN 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$67,334,796
Total unrealized appreciation/depreciation of assets2021-12-31$67,334,796
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$135,917,136
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$31,119,623
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$30,971,257
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$48,543,537
Value of total assets at end of year2021-12-31$690,894,929
Value of total assets at beginning of year2021-12-31$586,097,416
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$148,366
Total interest from all sources2021-12-31$20,038,803
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$1,000,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Participant contributions at end of year2021-12-31$3,725,147
Participant contributions at beginning of year2021-12-31$2,616,702
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$4,714,950
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$104,797,513
Value of net assets at end of year (total assets less liabilities)2021-12-31$690,894,929
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$586,097,416
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$568,618,261
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$474,494,162
Value of interest in pooled separate accounts at end of year2021-12-31$37,679,587
Value of interest in pooled separate accounts at beginning of year2021-12-31$32,286,843
Interest on participant loans2021-12-31$170,089
Interest earned on other investments2021-12-31$19,868,714
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$1,873,771
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$1,445,563
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$1,445,563
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$78,998,163
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$75,254,146
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$43,828,587
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$30,971,257
Contract administrator fees2021-12-31$148,366
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31GBQ PARTNERS
Accountancy firm EIN2021-12-31202122306
2020 : CHILDRENS HOSPITAL INC 403(B) TAX SHELTERED ANNUITY PLAN 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$64,224,182
Total unrealized appreciation/depreciation of assets2020-12-31$64,224,182
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$121,831,706
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$24,541,979
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$24,396,789
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$46,744,948
Value of total assets at end of year2020-12-31$586,097,416
Value of total assets at beginning of year2020-12-31$488,807,689
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$145,190
Total interest from all sources2020-12-31$10,862,576
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$1,000,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Participant contributions at end of year2020-12-31$2,616,702
Participant contributions at beginning of year2020-12-31$1,508,375
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$5,716,664
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$97,289,727
Value of net assets at end of year (total assets less liabilities)2020-12-31$586,097,416
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$488,807,689
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$474,494,162
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$388,753,843
Value of interest in pooled separate accounts at end of year2020-12-31$32,286,843
Value of interest in pooled separate accounts at beginning of year2020-12-31$30,851,205
Interest on participant loans2020-12-31$125,469
Interest earned on other investments2020-12-31$10,737,107
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$1,445,563
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$929,582
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$929,582
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$75,254,146
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$66,764,684
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$41,028,284
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$24,396,789
Contract administrator fees2020-12-31$145,190
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31GBQ PARTNERS
Accountancy firm EIN2020-12-31202122306
2019 : CHILDRENS HOSPITAL INC 403(B) TAX SHELTERED ANNUITY PLAN 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$71,442,901
Total unrealized appreciation/depreciation of assets2019-12-31$71,442,901
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 income from all sources (including contributions)2019-12-31$121,978,006
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$18,782,689
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$18,691,400
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$40,786,295
Value of total assets at end of year2019-12-31$488,807,689
Value of total assets at beginning of year2019-12-31$385,612,372
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$91,289
Total interest from all sources2019-12-31$9,748,810
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$1,000,000
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Participant contributions at end of year2019-12-31$1,508,375
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$4,638,107
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$103,195,317
Value of net assets at end of year (total assets less liabilities)2019-12-31$488,807,689
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$385,612,372
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$388,753,843
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$293,222,317
Value of interest in pooled separate accounts at end of year2019-12-31$30,851,205
Value of interest in pooled separate accounts at beginning of year2019-12-31$27,518,708
Interest on participant loans2019-12-31$27,835
Interest earned on other investments2019-12-31$9,720,975
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$929,582
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$962,106
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$962,106
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$66,764,684
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$63,909,241
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$36,148,188
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$18,691,400
Contract administrator fees2019-12-31$91,289
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31GBQ PARTNERS
Accountancy firm EIN2019-12-31202122306
2018 : CHILDRENS HOSPITAL INC 403(B) TAX SHELTERED ANNUITY PLAN 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$-29,072,815
Total unrealized appreciation/depreciation of assets2018-12-31$-29,072,815
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$17,241,633
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$15,468,288
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$15,455,647
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$37,207,542
Value of total assets at end of year2018-12-31$385,612,372
Value of total assets at beginning of year2018-12-31$383,839,027
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$12,641
Total interest from all sources2018-12-31$9,106,906
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$1,000,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$4,529,812
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$1,773,345
Value of net assets at end of year (total assets less liabilities)2018-12-31$385,612,372
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$383,839,027
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$293,222,317
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$298,187,791
Value of interest in pooled separate accounts at end of year2018-12-31$27,518,708
Value of interest in pooled separate accounts at beginning of year2018-12-31$28,125,729
Interest earned on other investments2018-12-31$9,106,906
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$962,106
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$934,328
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$934,328
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$63,909,241
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$56,591,179
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$32,677,730
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$15,455,647
Contract administrator fees2018-12-31$12,641
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31GBQ PARTNERS
Accountancy firm EIN2018-12-31202122306
2017 : CHILDRENS HOSPITAL INC 403(B) TAX SHELTERED ANNUITY PLAN 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$45,196,254
Total unrealized appreciation/depreciation of assets2017-12-31$45,196,254
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$87,218,049
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$9,675,622
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$9,669,831
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$35,318,413
Value of total assets at end of year2017-12-31$383,839,027
Value of total assets at beginning of year2017-12-31$306,296,600
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$5,791
Total interest from all sources2017-12-31$6,703,382
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$1,000,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$5,533,195
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$77,542,427
Value of net assets at end of year (total assets less liabilities)2017-12-31$383,839,027
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$306,296,600
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$298,187,791
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$233,108,605
Value of interest in pooled separate accounts at end of year2017-12-31$28,125,729
Value of interest in pooled separate accounts at beginning of year2017-12-31$24,837,156
Interest earned on other investments2017-12-31$6,703,382
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$934,328
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$1,067,095
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$1,067,095
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$56,591,179
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$47,283,744
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$29,785,218
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$9,669,831
Contract administrator fees2017-12-31$5,791
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31GBQ PARTNERS
Accountancy firm EIN2017-12-31202122306
2016 : CHILDRENS HOSPITAL INC 403(B) TAX SHELTERED ANNUITY PLAN 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$14,965,397
Total unrealized appreciation/depreciation of assets2016-12-31$14,965,397
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$50,486,572
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$10,218,931
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$10,203,762
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$30,815,406
Value of total assets at end of year2016-12-31$306,296,600
Value of total assets at beginning of year2016-12-31$266,028,959
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$15,169
Total interest from all sources2016-12-31$4,705,769
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$1,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$3,357,806
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$40,267,641
Value of net assets at end of year (total assets less liabilities)2016-12-31$306,296,600
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$266,028,959
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$233,108,605
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$197,769,503
Value of interest in pooled separate accounts at end of year2016-12-31$24,837,156
Value of interest in pooled separate accounts at beginning of year2016-12-31$23,238,077
Interest earned on other investments2016-12-31$4,705,769
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$1,067,095
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$1,039,441
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$1,039,441
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$47,283,744
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$43,981,938
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$27,457,600
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$10,203,762
Contract administrator fees2016-12-31$15,169
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31No
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31GBQ PARTNERS
Accountancy firm EIN2016-12-31202122306
2015 : CHILDRENS HOSPITAL INC 403(B) TAX SHELTERED ANNUITY PLAN 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$-2,403,680
Total unrealized appreciation/depreciation of assets2015-12-31$-2,403,680
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
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$29,049,613
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$12,232,931
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$12,215,312
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$27,678,373
Value of total assets at end of year2015-12-31$266,028,959
Value of total assets at beginning of year2015-12-31$249,212,277
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$17,619
Total interest from all sources2015-12-31$3,774,920
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$1,000,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$3,058,902
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$16,816,682
Value of net assets at end of year (total assets less liabilities)2015-12-31$266,028,959
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$249,212,277
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$197,769,503
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$184,134,054
Value of interest in pooled separate accounts at end of year2015-12-31$23,238,077
Value of interest in pooled separate accounts at beginning of year2015-12-31$23,095,997
Interest earned on other investments2015-12-31$3,774,920
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$1,039,441
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$1,183,660
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$1,183,660
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$43,981,938
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$40,798,566
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$24,619,471
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$12,215,312
Contract administrator fees2015-12-31$17,619
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31No
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31GBQ PARTNERS
Accountancy firm EIN2015-12-31202122306
2014 : CHILDRENS HOSPITAL INC 403(B) TAX SHELTERED ANNUITY PLAN 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$11,100,817
Total unrealized appreciation/depreciation of assets2014-12-31$11,100,817
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$41,794,120
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$11,696,817
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$11,686,727
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$25,879,919
Value of total assets at end of year2014-12-31$249,212,277
Value of total assets at beginning of year2014-12-31$219,114,974
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$10,090
Total interest from all sources2014-12-31$4,813,384
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$1,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$4,167,846
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$30,097,303
Value of net assets at end of year (total assets less liabilities)2014-12-31$249,212,277
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$219,114,974
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$184,134,054
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$158,640,234
Value of interest in pooled separate accounts at end of year2014-12-31$23,095,997
Value of interest in pooled separate accounts at beginning of year2014-12-31$21,453,798
Interest earned on other investments2014-12-31$4,813,384
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$1,183,660
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$1,612,053
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$1,612,053
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$40,798,566
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$37,408,889
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$21,712,073
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$11,686,727
Contract administrator fees2014-12-31$10,090
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31No
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31GBQ PARTNERS LLC
Accountancy firm EIN2014-12-31202122306
2013 : CHILDRENS HOSPITAL INC 403(B) TAX SHELTERED ANNUITY PLAN 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$7,595,577
Total unrealized appreciation/depreciation of assets2013-12-31$7,595,577
Total transfer of assets from this plan2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$54,400,641
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$6,971,480
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$6,952,148
Expenses. Certain deemed distributions of participant loans2013-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$20,983,052
Value of total assets at end of year2013-12-31$219,114,974
Value of total assets at beginning of year2013-12-31$171,685,813
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$19,332
Total interest from all sources2013-12-31$2,235,708
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$1,464,491
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$1,464,491
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$1,000,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$19,277,865
Participant contributions at end of year2013-12-31$0
Participant contributions at beginning of year2013-12-31$0
Assets. Other investments not covered elsewhere at end of year2013-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2013-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$1,705,187
Other income not declared elsewhere2013-12-31$29
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$47,429,161
Value of net assets at end of year (total assets less liabilities)2013-12-31$219,114,974
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$171,685,813
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$158,640,234
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$118,627,230
Value of interest in pooled separate accounts at end of year2013-12-31$21,453,798
Value of interest in pooled separate accounts at beginning of year2013-12-31$18,661,807
Interest earned on other investments2013-12-31$2,235,708
Value of interest in master investment trust accounts at end of year2013-12-31$0
Value of interest in master investment trust accounts at beginning of year2013-12-31$0
Value of interest in common/collective trusts at end of year2013-12-31$0
Value of interest in common/collective trusts at beginning of year2013-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$1,612,053
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$1,134,321
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$1,134,321
Assets. Value of investments in 103.12 investment entities at end of year2013-12-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2013-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$37,408,889
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$33,262,455
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$21,545,002
Net investment gain/loss from pooled separate accounts2013-12-31$576,782
Net investment gain or loss from common/collective trusts2013-12-31$0
Net gain/loss from 103.12 investment entities2013-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$6,952,148
Contract administrator fees2013-12-31$19,332
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31GBQ PARTNERS LLC
Accountancy firm EIN2013-12-31202122306
2012 : CHILDRENS HOSPITAL INC 403(B) TAX SHELTERED ANNUITY PLAN 2012 401k financial data
Total income from all sources (including contributions)2012-12-31$36,903,393
Total of all expenses incurred2012-12-31$8,394,385
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$8,372,759
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$19,319,065
Value of total assets at end of year2012-12-31$171,685,813
Value of total assets at beginning of year2012-12-31$143,176,805
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$21,626
Total interest from all sources2012-12-31$179,251
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$2,191,714
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$2,191,714
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$1,000,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$16,900,515
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$2,418,550
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$28,509,008
Value of net assets at end of year (total assets less liabilities)2012-12-31$171,685,813
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$143,176,805
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$118,627,230
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$95,604,627
Value of interest in pooled separate accounts at end of year2012-12-31$18,661,807
Value of interest in pooled separate accounts at beginning of year2012-12-31$16,771,323
Interest earned on other investments2012-12-31$179,251
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$1,134,321
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$1,399,655
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$1,399,655
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$33,262,455
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$28,823,946
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$6,877,268
Net investment gain/loss from pooled separate accounts2012-12-31$2,170,277
Net gain/loss from 103.12 investment entities2012-12-31$6,165,818
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$0
Employer contributions (assets) at end of year2012-12-31$0
Employer contributions (assets) at beginning of year2012-12-31$577,254
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$8,372,759
Contract administrator fees2012-12-31$21,626
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31GBQ PARTNERS LLC
Accountancy firm EIN2012-12-31202122306
2011 : CHILDRENS HOSPITAL INC 403(B) TAX SHELTERED ANNUITY PLAN 2011 401k financial data
Total income from all sources (including contributions)2011-12-31$15,028,973
Total of all expenses incurred2011-12-31$4,531,429
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$4,511,219
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$16,472,646
Value of total assets at end of year2011-12-31$143,176,805
Value of total assets at beginning of year2011-12-31$132,679,261
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$20,210
Total interest from all sources2011-12-31$964,057
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$1,228,765
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$1,228,765
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$1,000,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$15,263,592
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$1,209,054
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$10,497,544
Value of net assets at end of year (total assets less liabilities)2011-12-31$143,176,805
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$132,679,261
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$95,604,627
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$90,125,948
Value of interest in pooled separate accounts at end of year2011-12-31$16,771,323
Value of interest in pooled separate accounts at beginning of year2011-12-31$16,393,024
Interest earned on other investments2011-12-31$964,057
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$1,399,655
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$1,026,585
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$1,026,585
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$28,823,946
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$25,133,704
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-3,079,282
Net investment gain/loss from pooled separate accounts2011-12-31$122,850
Net gain/loss from 103.12 investment entities2011-12-31$-680,063
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Employer contributions (assets) at end of year2011-12-31$577,254
Employer contributions (assets) at beginning of year2011-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$4,511,219
Contract administrator fees2011-12-31$20,210
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31GBQ PARTNERS LLC
Accountancy firm EIN2011-12-31202122306
2010 : CHILDRENS HOSPITAL INC 403(B) TAX SHELTERED ANNUITY PLAN 2010 401k financial data
Total income from all sources (including contributions)2010-12-31$30,076,046
Total of all expenses incurred2010-12-31$4,183,092
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$4,163,044
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$16,449,838
Value of total assets at end of year2010-12-31$132,679,261
Value of total assets at beginning of year2010-12-31$106,786,307
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$20,048
Total interest from all sources2010-12-31$821,867
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$638,710
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$638,710
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$1,000,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$14,288,236
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$2,161,602
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$25,892,954
Value of net assets at end of year (total assets less liabilities)2010-12-31$132,679,261
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$106,786,307
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$90,125,948
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$69,603,143
Value of interest in pooled separate accounts at end of year2010-12-31$16,393,024
Value of interest in pooled separate accounts at beginning of year2010-12-31$14,027,319
Interest earned on other investments2010-12-31$821,867
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$1,026,585
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$1,036,291
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$1,036,291
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$25,133,704
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$22,119,554
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$7,580,538
Net investment gain/loss from pooled separate accounts2010-12-31$4,585,093
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$4,163,044
Contract administrator fees2010-12-31$20,048
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31GBQ PARTNERS LLC
Accountancy firm EIN2010-12-31202122306
2009 : CHILDRENS HOSPITAL INC 403(B) TAX SHELTERED ANNUITY PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for CHILDRENS HOSPITAL INC 403(B) TAX SHELTERED ANNUITY PLAN

2022: CHILDRENS HOSPITAL INC 403(B) TAX SHELTERED ANNUITY PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: CHILDRENS HOSPITAL INC 403(B) TAX SHELTERED ANNUITY PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: CHILDRENS HOSPITAL INC 403(B) TAX SHELTERED ANNUITY PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: CHILDRENS HOSPITAL INC 403(B) TAX SHELTERED ANNUITY PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: CHILDRENS HOSPITAL INC 403(B) TAX SHELTERED ANNUITY PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: CHILDRENS HOSPITAL INC 403(B) TAX SHELTERED ANNUITY PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: CHILDRENS HOSPITAL INC 403(B) TAX SHELTERED ANNUITY PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: CHILDRENS HOSPITAL INC 403(B) TAX SHELTERED ANNUITY PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: CHILDRENS HOSPITAL INC 403(B) TAX SHELTERED ANNUITY PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: CHILDRENS HOSPITAL INC 403(B) TAX SHELTERED ANNUITY PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: CHILDRENS HOSPITAL INC 403(B) TAX SHELTERED ANNUITY PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: CHILDRENS HOSPITAL INC 403(B) TAX SHELTERED ANNUITY PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: CHILDRENS HOSPITAL INC 403(B) TAX SHELTERED ANNUITY PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVE1103
Policy instance 2
Insurance contract or identification numberVE1103
Number of Individuals Covered253
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $19,866
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,729
Insurance broker organization code?3
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number405903
Policy instance 1
Insurance contract or identification number405903
Number of Individuals Covered3428
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVE1103
Policy instance 2
Insurance contract or identification numberVE1103
Number of Individuals Covered272
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $22,086
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
Commission paid to Insurance BrokerUSD $108
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerALLOCATED NON-CASH COMP
Insurance broker organization code?3
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number405903
Policy instance 1
Insurance contract or identification number405903
Number of Individuals Covered3363
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVE1103
Policy instance 2
Insurance contract or identification numberVE1103
Number of Individuals Covered284
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $19,382
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
Commission paid to Insurance BrokerUSD $88
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerALLOCATED NON-CASH COMP
Insurance broker organization code?3
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number405903
Policy instance 1
Insurance contract or identification number405903
Number of Individuals Covered3404
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 number405903
Policy instance 1
Insurance contract or identification number405903
Number of Individuals Covered3496
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVE1103
Policy instance 2
Insurance contract or identification numberVE1103
Number of Individuals Covered297
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $19,961
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
Commission paid to Insurance BrokerUSD $35
Insurance broker organization code?3
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number02635
Policy instance 3
Insurance contract or identification number02635
Number of Individuals Covered119
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $1,784
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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 planNo
Contracts With Unallocated Funds Deposit Administration1
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?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
Commission paid to Insurance BrokerUSD $1,064
Insurance broker organization code?3
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVE1103
Policy instance 3
Insurance contract or identification numberVE1103
Number of Individuals Covered322
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $21,002
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
Commission paid to Insurance BrokerUSD $810
Insurance broker organization code?3
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number02635
Policy instance 2
Insurance contract or identification number02635
Number of Individuals Covered130
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $2,099
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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 planNo
Contracts With Unallocated Funds Deposit Administration1
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?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
Commission paid to Insurance BrokerUSD $25
Insurance broker organization code?3
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number405903
Policy instance 1
Insurance contract or identification number405903
Number of Individuals Covered3582
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVE1103
Policy instance 3
Insurance contract or identification numberVE1103
Number of Individuals Covered341
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $20,502
Total amount of fees paid to insurance companyUSD $5,514
Are there contracts with allocated funds for individual policies?0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
Commission paid to Insurance BrokerUSD $163
Insurance broker organization code?3
Amount paid for insurance broker fees129
Additional information about fees paid to insurance brokerSUPPLEMENTAL CASH
Insurance broker nameDONNIE BELL
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number02635
Policy instance 2
Insurance contract or identification number02635
Number of Individuals Covered139
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $2,046
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
Commission paid to Insurance BrokerUSD $71
Insurance broker organization code?3
Insurance broker nameMARTIN J ROESCH
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number405903
Policy instance 1
Insurance contract or identification number405903
Number of Individuals Covered3508
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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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