401k Plan data: CHILDREN'S HEALTH SYSTEM, INC. PROFIT SHARING PLAN plan

CHILDREN'S HEALTH SYSTEM, INC. PROFIT SHARING PLAN 401k Plan overview

Plan Name	CHILDREN'S HEALTH SYSTEM, INC. PROFIT SHARING PLAN
Plan identification number	003

CHILDREN'S HEALTH SYSTEM, INC. PROFIT SHARING PLAN Benefits

401k Plan Type

Defined 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.
Participant-directed brokerage accounts provided as an investment option under the plan.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

CHILDRENS HEALTH SYSTEM, INC. has sponsored the creation of one or more 401k plans.

Company Name: CHILDRENS HEALTH SYSTEM, INC.

Employer identification number (EIN): 541278830

NAIC Classification: 622000
NAIC Description: Hospitals

Additional information about CHILDRENS HEALTH SYSTEM, INC.

Jurisdiction of Incorporation: Virginia Secretary of State

Incorporation Date: 1984-06-28

Company Identification Number: 0258148

Legal Registered Office Address: 601 CHILDREN'S LANE
601 CHILDRENS LN
NORFOLK
United States of America (USA)
23507

More information about CHILDRENS HEALTH SYSTEM, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CHILDREN'S HEALTH SYSTEM, INC. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2013-01-01 KATHRYN J. ABSHIRE
003 2012-01-01 DAVID BOWERS DAVID BOWERS 2013-10-15
003 2011-01-01 DAVID BOWERS DAVID BOWERS 2012-09-10
003 2009-01-01 DAVID BOWERS DAVID BOWERS 2010-10-13

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
003	2013-01-01	KATHRYN J. ABSHIRE
003	2012-01-01	DAVID BOWERS	DAVID BOWERS	2013-10-15
003	2011-01-01	DAVID BOWERS	DAVID BOWERS	2012-09-10
003	2009-01-01	DAVID BOWERS	DAVID BOWERS	2010-10-13

Plan Statistics for CHILDREN'S HEALTH SYSTEM, INC. PROFIT SHARING PLAN

401k plan membership statisitcs for CHILDREN'S HEALTH SYSTEM, INC. PROFIT SHARING PLAN

Measure Date Value
2013: CHILDREN'S HEALTH SYSTEM, INC. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 2,981
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 0
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 0
Number of participants with account balances 2013-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: CHILDREN'S HEALTH SYSTEM, INC. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 4,271
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 2,164
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 817
Total of all active and inactive participants 2012-01-01 2,981
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 2,981
Number of participants with account balances 2012-01-01 2,727
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: CHILDREN'S HEALTH SYSTEM, INC. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 3,995
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 2,249
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 2,022
Total of all active and inactive participants 2011-01-01 4,271
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 4,271
Number of participants with account balances 2011-01-01 3,959
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: CHILDREN'S HEALTH SYSTEM, INC. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 3,707
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 2,093
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 1,741
Total of all active and inactive participants 2009-01-01 3,834
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 3,834
Number of participants with account balances 2009-01-01 3,324
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2013: CHILDREN'S HEALTH SYSTEM, INC. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	2,981
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	0
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	0
Number of participants with account balances	2013-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: CHILDREN'S HEALTH SYSTEM, INC. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	4,271
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	2,164
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	817
Total of all active and inactive participants	2012-01-01	2,981
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	2,981
Number of participants with account balances	2012-01-01	2,727
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: CHILDREN'S HEALTH SYSTEM, INC. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	3,995
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	2,249
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	2,022
Total of all active and inactive participants	2011-01-01	4,271
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	4,271
Number of participants with account balances	2011-01-01	3,959
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: CHILDREN'S HEALTH SYSTEM, INC. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	3,707
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	2,093
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	1,741
Total of all active and inactive participants	2009-01-01	3,834
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	3,834
Number of participants with account balances	2009-01-01	3,324
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on CHILDREN'S HEALTH SYSTEM, INC. PROFIT SHARING PLAN

Measure	Date	Value
2013 : CHILDREN'S HEALTH SYSTEM, INC. PROFIT SHARING PLAN 2013 401k financial data
Total transfer of assets from this plan	2013-12-31	$13,999,996
Total income from all sources (including contributions)	2013-12-31	$3,143,603
Total of all expenses incurred	2013-12-31	$2,225,478
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$2,194,798
Expenses. Certain deemed distributions of participant loans	2013-12-31	$5,740
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$1,448,600
Value of total assets at end of year	2013-12-31	$0
Value of total assets at beginning of year	2013-12-31	$13,081,871
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$24,940
Total interest from all sources	2013-12-31	$31,150
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$206,738
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2013-12-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$206,738
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$2,000,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Participant contributions at end of year	2013-12-31	$0
Participant contributions at beginning of year	2013-12-31	$212,275
Assets. Other investments not covered elsewhere at end of year	2013-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2013-12-31	$39,053
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$450,626
Other income not declared elsewhere	2013-12-31	$1,978
Administrative expenses (other) incurred	2013-12-31	$19,673
Total non interest bearing cash at end of year	2013-12-31	$0
Total non interest bearing cash at beginning of year	2013-12-31	$12,830,543
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$918,125
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$13,081,871
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Investment advisory and management fees	2013-12-31	$5,267
Interest on participant loans	2013-12-31	$12,027
Interest earned on other investments	2013-12-31	$19,123
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$1,455,137
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$997,974
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$2,194,798
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2013-12-31	No
Did the plan have assets held for investment	2013-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	KPMG, LLP
Accountancy firm EIN	2013-12-31	135565207
2012 : CHILDREN'S HEALTH SYSTEM, INC. PROFIT SHARING PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$2,174,927
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$1,207,207
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$1,193,057
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$952,619
Value of total assets at end of year	2012-12-31	$13,081,871
Value of total assets at beginning of year	2012-12-31	$12,114,151
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$14,150
Total interest from all sources	2012-12-31	$164,415
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$184,332
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$184,332
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$2,000,000
If this is an individual account plan, was there a blackout period	2012-12-31	Yes
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$0
Participant contributions at end of year	2012-12-31	$212,275
Participant contributions at beginning of year	2012-12-31	$179,186
Assets. Other investments not covered elsewhere at end of year	2012-12-31	$39,053
Assets. Other investments not covered elsewhere at beginning of year	2012-12-31	$38,641
Other income not declared elsewhere	2012-12-31	$1,925
Total non interest bearing cash at end of year	2012-12-31	$12,830,543
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$967,720
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$13,081,871
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$12,114,151
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$6,600,327
Interest on participant loans	2012-12-31	$8,231
Interest earned on other investments	2012-12-31	$156,184
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$5,295,997
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$871,636
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$952,619
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$1,193,057
Contract administrator fees	2012-12-31	$14,150
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2012-12-31	Yes
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	KPMG, LLP
Accountancy firm EIN	2012-12-31	135565207
2011 : CHILDREN'S HEALTH SYSTEM, INC. PROFIT SHARING PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$1,044,029
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$1,114,088
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$1,105,168
Expenses. Certain deemed distributions of participant loans	2011-12-31	$-3,556
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$956,763
Value of total assets at end of year	2011-12-31	$12,114,151
Value of total assets at beginning of year	2011-12-31	$12,184,210
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$12,476
Total interest from all sources	2011-12-31	$182,189
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$154,261
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$154,261
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$2,000,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Participant contributions at end of year	2011-12-31	$179,186
Participant contributions at beginning of year	2011-12-31	$160,892
Assets. Other investments not covered elsewhere at end of year	2011-12-31	$38,641
Assets. Other investments not covered elsewhere at beginning of year	2011-12-31	$45,152
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$-70,059
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$12,114,151
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$12,184,210
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$6,600,327
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$6,552,274
Interest on participant loans	2011-12-31	$9,955
Interest earned on other investments	2011-12-31	$172,234
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$5,295,997
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$5,425,892
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-249,184
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$956,763
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$1,105,168
Contract administrator fees	2011-12-31	$12,476
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	KPMG, LLP
Accountancy firm EIN	2011-12-31	135565207
2010 : CHILDREN'S HEALTH SYSTEM, INC. PROFIT SHARING PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Expenses. Interest paid	2010-12-31	$247
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2010-12-31	$247
Total income from all sources (including contributions)	2010-12-31	$2,953,784
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$844,584
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$834,617
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$1,846,681
Value of total assets at end of year	2010-12-31	$12,184,210
Value of total assets at beginning of year	2010-12-31	$10,075,010
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$9,720
Total interest from all sources	2010-12-31	$193,156
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$116,393
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$116,393
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$2,000,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Participant contributions at end of year	2010-12-31	$160,892
Participant contributions at beginning of year	2010-12-31	$149,589
Assets. Other investments not covered elsewhere at end of year	2010-12-31	$45,152
Assets. Other investments not covered elsewhere at beginning of year	2010-12-31	$27,586
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$2,109,200
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$12,184,210
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$10,075,010
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$6,552,274
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$4,577,889
Interest on participant loans	2010-12-31	$8,759
Interest earned on other investments	2010-12-31	$184,397
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$5,425,892
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$5,319,946
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$797,554
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$1,846,681
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$834,617
Contract administrator fees	2010-12-31	$9,720
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	KPMG, LLP
Accountancy firm EIN	2010-12-31	135565207

Form 5500 Responses for CHILDREN'S HEALTH SYSTEM, INC. PROFIT SHARING PLAN

2013: CHILDREN'S HEALTH SYSTEM, INC. PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	This submission is the final filing	Yes
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: CHILDREN'S HEALTH SYSTEM, INC. PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: CHILDREN'S HEALTH SYSTEM, INC. PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: CHILDREN'S HEALTH SYSTEM, INC. PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	CHILDRENS HEALTH SYSTEM, INC.
Employer identification number (EIN):	541278830
NAIC Classification:	622000
NAIC Description:	Hospitals

Jurisdiction of Incorporation:	Virginia Secretary of State
Incorporation Date:	1984-06-28
Company Identification Number:	0258148
Legal Registered Office Address:	601 CHILDREN'S LANE 601 CHILDRENS LN NORFOLK United States of America (USA) 23507