401k Plan data: TUFTS MEDICINE, INC. 403(B) RETIREMENT PLAN plan

TUFTS MEDICINE, INC. 403(B) RETIREMENT PLAN 401k Plan overview

Plan Name	TUFTS MEDICINE, INC. 403(B) RETIREMENT PLAN
Plan identification number	001

TUFTS MEDICINE, INC. 403(B) RETIREMENT 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.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

TUFTS MEDICINE has sponsored the creation of one or more 401k plans.

Company Name: TUFTS MEDICINE

Employer identification number (EIN): 472250732

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TUFTS MEDICINE, INC. 403(B) RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01
001 2021-01-01
001 2020-02-28

Plan Statistics for TUFTS MEDICINE, INC. 403(B) RETIREMENT PLAN

401k plan membership statisitcs for TUFTS MEDICINE, INC. 403(B) RETIREMENT PLAN

Measure Date Value
2022: TUFTS MEDICINE, INC. 403(B) RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 326
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 1,178
Number of retired or separated participants receiving benefits 2022-01-01 13
Number of other retired or separated participants entitled to future benefits 2022-01-01 5
Total of all active and inactive participants 2022-01-01 1,196
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 1,196
Number of participants with account balances 2022-01-01 1,127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 9
2021: TUFTS MEDICINE, INC. 403(B) RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 73
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 316
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 10
Total of all active and inactive participants 2021-01-01 326
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 326
Number of participants with account balances 2021-01-01 212
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: TUFTS MEDICINE, INC. 403(B) RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-02-28 54
Total number of active participants reported on line 7a of the Form 5500 2020-02-28 71
Number of retired or separated participants receiving benefits 2020-02-28 0
Number of other retired or separated participants entitled to future benefits 2020-02-28 2
Total of all active and inactive participants 2020-02-28 73
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-02-28 0
Total participants 2020-02-28 73
Number of participants with account balances 2020-02-28 53
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-02-28 0

Measure	Date	Value
2022: TUFTS MEDICINE, INC. 403(B) RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	326
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	1,178
Number of retired or separated participants receiving benefits	2022-01-01	13
Number of other retired or separated participants entitled to future benefits	2022-01-01	5
Total of all active and inactive participants	2022-01-01	1,196
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	1,196
Number of participants with account balances	2022-01-01	1,127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	9
2021: TUFTS MEDICINE, INC. 403(B) RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	73
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	316
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	10
Total of all active and inactive participants	2021-01-01	326
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	326
Number of participants with account balances	2021-01-01	212
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: TUFTS MEDICINE, INC. 403(B) RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-02-28	54
Total number of active participants reported on line 7a of the Form 5500	2020-02-28	71
Number of retired or separated participants receiving benefits	2020-02-28	0
Number of other retired or separated participants entitled to future benefits	2020-02-28	2
Total of all active and inactive participants	2020-02-28	73
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-02-28	0
Total participants	2020-02-28	73
Number of participants with account balances	2020-02-28	53
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-02-28	0

Financial Data on TUFTS MEDICINE, INC. 403(B) RETIREMENT PLAN

Measure	Date	Value
2022 : TUFTS MEDICINE, INC. 403(B) RETIREMENT PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total transfer of assets to this plan	2022-12-31	$47,791,437
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	$7,922,718
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$1,231,004
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$1,204,144
Expenses. Certain deemed distributions of participant loans	2022-12-31	$14,950
Value of total corrective distributions	2022-12-31	$6,668
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$8,769,009
Value of total assets at end of year	2022-12-31	$58,832,082
Value of total assets at beginning of year	2022-12-31	$4,348,931
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$5,242
Total interest from all sources	2022-12-31	$11,680
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$1,540,812
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$1,540,812
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$500,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$4,886,305
Participant contributions at end of year	2022-12-31	$693,572
Participant contributions at beginning of year	2022-12-31	$96,200
Participant contributions at end of year	2022-12-31	$114,608
Participant contributions at beginning of year	2022-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$2,600,510
Administrative expenses (other) incurred	2022-12-31	$5,242
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$6,691,714
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$58,832,082
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$4,348,931
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$52,289,061
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$4,202,692
Interest on participant loans	2022-12-31	$11,680
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2022-12-31	$1,350,698
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2022-12-31	$50,039
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2022-12-31	$50,039
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$4,234,244
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-2,398,783
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$1,282,194
Employer contributions (assets) at end of year	2022-12-31	$149,899
Employer contributions (assets) at beginning of year	2022-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$1,204,144
Did the plan have assets held for investment	2022-12-31	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	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	MAYER HOFFMAN MCCANN PC
Accountancy firm EIN	2022-12-31	431947695
2021 : TUFTS MEDICINE, INC. 403(B) RETIREMENT PLAN 2021 401k financial data
Transfers to/from the plan	2021-12-31	$0
Total plan liabilities at end of year	2021-12-31	$0
Total plan liabilities at beginning of year	2021-12-31	$0
Total income from all sources	2021-12-31	$3,800,290
Expenses. Total of all expenses incurred	2021-12-31	$63,441
Benefits paid (including direct rollovers)	2021-12-31	$62,063
Total plan assets at end of year	2021-12-31	$4,348,931
Total plan assets at beginning of year	2021-12-31	$612,082
Value of fidelity bond covering the plan	2021-12-31	$500,000
Assets. Value of tangible personal property	2021-12-31	$0
Total contributions received or receivable from participants	2021-12-31	$1,693,137
Assets. Value of loans (other than to participants)	2021-12-31	$0
Expenses. Other expenses not covered elsewhere	2021-12-31	$0
Contributions received from other sources (not participants or employers)	2021-12-31	$1,510,599
Other income received	2021-12-31	$224,387
Noncash contributions received	2021-12-31	$0
Net income (gross income less expenses)	2021-12-31	$3,736,849
Net plan assets at end of year (total assets less liabilities)	2021-12-31	$4,348,931
Net plan assets at beginning of year (total assets less liabilities)	2021-12-31	$612,082
Assets. Value of participant loans	2021-12-31	$96,200
Assets. Value of assets in partnership/joint-venture interests	2021-12-31	$0
Assets. Value of real-estate (other than employer real property)	2021-12-31	$0
Assets. Value of employer securities	2021-12-31	$0
Assets. Value of employer real property	2021-12-31	$0
Total contributions received or receivable from employer(s)	2021-12-31	$372,167
Value of certain deemed distributions of participant loans	2021-12-31	$0
Value of corrective distributions	2021-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2021-12-31	$1,378
2020 : TUFTS MEDICINE, INC. 403(B) RETIREMENT PLAN 2020 401k financial data
Transfers to/from the plan	2020-12-31	$0
Total plan liabilities at end of year	2020-12-31	$0
Total plan liabilities at beginning of year	2020-12-31	$0
Total income from all sources	2020-12-31	$635,660
Expenses. Total of all expenses incurred	2020-12-31	$23,578
Benefits paid (including direct rollovers)	2020-12-31	$23,455
Total plan assets at end of year	2020-12-31	$612,082
Total plan assets at beginning of year	2020-12-31	$0
Value of fidelity bond covering the plan	2020-12-31	$500,000
Assets. Value of tangible personal property	2020-12-31	$0
Total contributions received or receivable from participants	2020-12-31	$413,944
Assets. Value of loans (other than to participants)	2020-12-31	$0
Expenses. Other expenses not covered elsewhere	2020-12-31	$0
Contributions received from other sources (not participants or employers)	2020-12-31	$0
Other income received	2020-12-31	$97,974
Noncash contributions received	2020-12-31	$0
Net income (gross income less expenses)	2020-12-31	$612,082
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$612,082
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$0
Assets. Value of participant loans	2020-12-31	$0
Assets. Value of assets in partnership/joint-venture interests	2020-12-31	$0
Assets. Value of real-estate (other than employer real property)	2020-12-31	$0
Assets. Value of employer securities	2020-12-31	$0
Assets. Value of employer real property	2020-12-31	$0
Total contributions received or receivable from employer(s)	2020-12-31	$123,742
Value of certain deemed distributions of participant loans	2020-12-31	$0
Value of corrective distributions	2020-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2020-12-31	$123

Form 5500 Responses for TUFTS MEDICINE, INC. 403(B) RETIREMENT PLAN

2022: TUFTS MEDICINE, INC. 403(B) RETIREMENT PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: TUFTS MEDICINE, INC. 403(B) RETIREMENT PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: TUFTS MEDICINE, INC. 403(B) RETIREMENT PLAN 2020 form 5500 responses
2020-02-28	Type of plan entity	Single employer plan
2020-02-28	First time form 5500 has been submitted	Yes
2020-02-28	Submission has been amended	No
2020-02-28	This submission is the final filing	No
2020-02-28	This return/report is a short plan year return/report (less than 12 months)	Yes
2020-02-28	Plan is a collectively bargained plan	No
2020-02-28	Plan funding arrangement – Trust	Yes
2020-02-28	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )

Policy contract number

44740

Policy instance

Insurance contract or identification number	44740
Number of Individuals Covered	173
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $246
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	1
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $246
Insurance broker organization code?	3

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Company Name:	TUFTS MEDICINE
Employer identification number (EIN):	472250732
NAIC Classification:	622000
NAIC Description:	Hospitals