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CHILDREN'S HOME HEALTHCARE PLAN 401k Plan overview

Plan NameCHILDREN'S HOME HEALTHCARE PLAN
Plan identification number 003

CHILDREN'S HOME HEALTHCARE PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • 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

CHILDRENS HOSPITAL & MEDICAL CTR has sponsored the creation of one or more 401k plans.

Company Name:CHILDRENS HOSPITAL & MEDICAL CTR
Employer identification number (EIN):470379754
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CHILDREN'S HOME HEALTHCARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0032010-01-01GARY PERKINS GARY PERKINS2011-10-14
0032009-01-01GARY PERKINS GARY PERKINS2010-10-11

Plan Statistics for CHILDREN'S HOME HEALTHCARE PLAN

401k plan membership statisitcs for CHILDREN'S HOME HEALTHCARE PLAN

Measure Date Value
2010: CHILDREN'S HOME HEALTHCARE PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01109
Total number of active participants reported on line 7a of the Form 55002010-01-010
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-010
Total of all active and inactive participants2010-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-010
Number of participants with account balances2010-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
2009: CHILDREN'S HOME HEALTHCARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01143
Total number of active participants reported on line 7a of the Form 55002009-01-01105
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0134
Total of all active and inactive participants2009-01-01139
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01139
Number of participants with account balances2009-01-01110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-0110

Financial Data on CHILDREN'S HOME HEALTHCARE PLAN

Measure Date Value
2010 : CHILDREN'S HOME HEALTHCARE PLAN 2010 401k financial data
Unrealized appreciation/depreciation of real estate assets2010-12-22$0
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-22$0
Total unrealized appreciation/depreciation of assets2010-12-22$0
Total transfer of assets to this plan2010-12-22$0
Total transfer of assets from this plan2010-12-22$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-22$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-22$0
Total income from all sources (including contributions)2010-12-22$151,000
Total loss/gain on sale of assets2010-12-22$0
Total of all expenses incurred2010-12-22$1,490,278
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-22$1,489,839
Expenses. Certain deemed distributions of participant loans2010-12-22$0
Value of total corrective distributions2010-12-22$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-22$0
Value of total assets at end of year2010-12-22$0
Value of total assets at beginning of year2010-12-22$1,339,278
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-22$439
Total income from rents2010-12-22$0
Total interest from all sources2010-12-22$2,386
Total dividends received (eg from common stock, registered investment company shares)2010-12-22$642
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-22No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-22$642
Administrative expenses professional fees incurred2010-12-22$0
Was this plan covered by a fidelity bond2010-12-22Yes
Value of fidelity bond cover2010-12-22$1,000,000
If this is an individual account plan, was there a blackout period2010-12-22No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-22$0
Were there any nonexempt tranactions with any party-in-interest2010-12-22No
Amount of non-exempt transactions with any party-in-interest2010-12-22$0
Contributions received from participants2010-12-22$0
Participant contributions at end of year2010-12-22$0
Participant contributions at beginning of year2010-12-22$48,320
Participant contributions at end of year2010-12-22$0
Participant contributions at beginning of year2010-12-22$0
Income. Received or receivable in cash from other sources (including rollovers)2010-12-22$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2010-12-22$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-22$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-22$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-22$0
Other income not declared elsewhere2010-12-22$157
Administrative expenses (other) incurred2010-12-22$0
Liabilities. Value of operating payables at beginning of year2010-12-22$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-22No
Value of net income/loss2010-12-22$-1,339,278
Value of net assets at end of year (total assets less liabilities)2010-12-22$0
Value of net assets at beginning of year (total assets less liabilities)2010-12-22$1,339,278
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-22No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-22No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year2010-12-22$0
Were any leases to which the plan was party in default or uncollectible2010-12-22No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2010-12-22$0
Investment advisory and management fees2010-12-22$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-22$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-22$1,290,958
Interest on participant loans2010-12-22$2,386
Income. Interest from loans (other than to participants)2010-12-22$0
Interest earned on other investments2010-12-22$0
Income. Interest from US Government securities2010-12-22$0
Income. Interest from corporate debt instruments2010-12-22$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-22$0
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-22$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-22$147,815
Net investment gain/loss from pooled separate accounts2010-12-22$0
Net investment gain or loss from common/collective trusts2010-12-22$0
Net gain/loss from 103.12 investment entities2010-12-22$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-22No
Was there a failure to transmit to the plan any participant contributions2010-12-22No
Has the plan failed to provide any benefit when due under the plan2010-12-22No
Contributions received in cash from employer2010-12-22$0
Employer contributions (assets) at end of year2010-12-22$0
Employer contributions (assets) at beginning of year2010-12-22$0
Income. Dividends from preferred stock2010-12-22$0
Income. Dividends from common stock2010-12-22$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-22$1,489,839
Contract administrator fees2010-12-22$439
Liabilities. Value of benefit claims payable at beginning of year2010-12-22$0
Did the plan have assets held for investment2010-12-22No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-22No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-22Yes
Aggregate proceeds on sale of assets2010-12-22$0
Aggregate carrying amount (costs) on sale of assets2010-12-22$0
Liabilities. Value of acquisition indebtedness at beginning of year2010-12-22$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-22Yes
Opinion of an independent qualified public accountant for this plan2010-12-22Disclaimer
Accountancy firm name2010-12-22SEIM JOHNSON LLP
Accountancy firm EIN2010-12-22476097913
2009 : CHILDREN'S HOME HEALTHCARE 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 CHILDREN'S HOME HEALTHCARE PLAN

2010: CHILDREN'S HOME HEALTHCARE PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01This submission is the final filingYes
2010-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement - TrustYes
2009: CHILDREN'S HOME HEALTHCARE PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
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 – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

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