401k Plan data: MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN plan

MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN 401k Plan overview

Plan Name	MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN
Plan identification number	004

MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.

401k Sponsoring company profile

MT. WASHINGTON PEDIATRIC HOSPITAL, INC. has sponsored the creation of one or more 401k plans.

Company Name: MT. WASHINGTON PEDIATRIC HOSPITAL, INC.

Employer identification number (EIN): 520591483

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
004 2021-07-01
004 2020-07-01
004 2019-07-01
004 2019-07-01
004 2018-07-01
004 2017-07-01
004 2016-07-01 THOMAS J. ELLIS THOMAS J. ELLIS 2018-04-17
004 2015-07-01 THOMAS J. ELLIS THOMAS J. ELLIS 2017-03-10
004 2014-07-01 THOMAS J. ELLIS THOMAS J. ELLIS 2016-03-15
004 2013-07-01 THOMAS ELLIS THOMAS ELLIS 2015-02-02
004 2012-07-01 THOMAS J ELLIS THOMAS J ELLIS 2014-04-11
004 2011-07-01 THOMAS J. ELLIS THOMAS J. ELLIS 2013-04-01
004 2010-07-01 THOMAS ELLIS
004 2009-07-01 THOMAS J. ELLIS THOMAS J. ELLIS 2011-04-15

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
004	2021-07-01
004	2020-07-01
004	2019-07-01
004	2019-07-01
004	2018-07-01
004	2017-07-01
004	2016-07-01	THOMAS J. ELLIS	THOMAS J. ELLIS	2018-04-17
004	2015-07-01	THOMAS J. ELLIS	THOMAS J. ELLIS	2017-03-10
004	2014-07-01	THOMAS J. ELLIS	THOMAS J. ELLIS	2016-03-15
004	2013-07-01	THOMAS ELLIS	THOMAS ELLIS	2015-02-02
004	2012-07-01	THOMAS J ELLIS	THOMAS J ELLIS	2014-04-11
004	2011-07-01	THOMAS J. ELLIS	THOMAS J. ELLIS	2013-04-01
004	2010-07-01	THOMAS ELLIS
004	2009-07-01	THOMAS J. ELLIS	THOMAS J. ELLIS	2011-04-15

Plan Statistics for MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN

401k plan membership statisitcs for MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN

Measure Date Value
2021: MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-07-01 935
Total number of active participants reported on line 7a of the Form 5500 2021-07-01 663
Number of retired or separated participants receiving benefits 2021-07-01 2
Number of other retired or separated participants entitled to future benefits 2021-07-01 304
Total of all active and inactive participants 2021-07-01 969
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-07-01 0
Total participants 2021-07-01 969
Number of participants with account balances 2021-07-01 969
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-07-01 34
2020: MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-07-01 935
Total number of active participants reported on line 7a of the Form 5500 2020-07-01 684
Number of retired or separated participants receiving benefits 2020-07-01 2
Number of other retired or separated participants entitled to future benefits 2020-07-01 249
Total of all active and inactive participants 2020-07-01 935
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-07-01 0
Total participants 2020-07-01 935
Number of participants with account balances 2020-07-01 935
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-07-01 19
2019: MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-07-01 865
Total number of active participants reported on line 7a of the Form 5500 2019-07-01 706
Number of retired or separated participants receiving benefits 2019-07-01 1
Number of other retired or separated participants entitled to future benefits 2019-07-01 228
Total of all active and inactive participants 2019-07-01 935
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-07-01 0
Total participants 2019-07-01 935
Number of participants with account balances 2019-07-01 935
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-07-01 20
2018: MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-07-01 847
Total number of active participants reported on line 7a of the Form 5500 2018-07-01 672
Number of retired or separated participants receiving benefits 2018-07-01 1
Number of other retired or separated participants entitled to future benefits 2018-07-01 192
Total of all active and inactive participants 2018-07-01 865
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-07-01 0
Total participants 2018-07-01 865
Number of participants with account balances 2018-07-01 865
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-07-01 0
2017: MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-07-01 642
Total number of active participants reported on line 7a of the Form 5500 2017-07-01 626
Number of retired or separated participants receiving benefits 2017-07-01 1
Number of other retired or separated participants entitled to future benefits 2017-07-01 220
Total of all active and inactive participants 2017-07-01 847
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-07-01 0
Total participants 2017-07-01 847
Number of participants with account balances 2017-07-01 781
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-07-01 0
2016: MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-07-01 618
Total number of active participants reported on line 7a of the Form 5500 2016-07-01 462
Number of retired or separated participants receiving benefits 2016-07-01 0
Number of other retired or separated participants entitled to future benefits 2016-07-01 180
Total of all active and inactive participants 2016-07-01 642
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-07-01 0
Total participants 2016-07-01 642
Number of participants with account balances 2016-07-01 642
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-07-01 0
2015: MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-07-01 779
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 423
Number of retired or separated participants receiving benefits 2015-07-01 0
Number of other retired or separated participants entitled to future benefits 2015-07-01 195
Total of all active and inactive participants 2015-07-01 618
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-07-01 0
Total participants 2015-07-01 618
Number of participants with account balances 2015-07-01 618
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-07-01 0
2014: MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-07-01 596
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 593
Number of retired or separated participants receiving benefits 2014-07-01 0
Number of other retired or separated participants entitled to future benefits 2014-07-01 186
Total of all active and inactive participants 2014-07-01 779
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-07-01 0
Total participants 2014-07-01 779
Number of participants with account balances 2014-07-01 650
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-07-01 0
2013: MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-07-01 668
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 418
Number of retired or separated participants receiving benefits 2013-07-01 0
Number of other retired or separated participants entitled to future benefits 2013-07-01 178
Total of all active and inactive participants 2013-07-01 596
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-07-01 0
Total participants 2013-07-01 596
Number of participants with account balances 2013-07-01 596
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-07-01 0
2012: MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-07-01 801
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 422
Number of retired or separated participants receiving benefits 2012-07-01 0
Number of other retired or separated participants entitled to future benefits 2012-07-01 246
Total of all active and inactive participants 2012-07-01 668
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-07-01 0
Total participants 2012-07-01 668
Number of participants with account balances 2012-07-01 668
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-07-01 0
2011: MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 839
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 564
Number of retired or separated participants receiving benefits 2011-07-01 0
Number of other retired or separated participants entitled to future benefits 2011-07-01 236
Total of all active and inactive participants 2011-07-01 800
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-07-01 1
Total participants 2011-07-01 801
Number of participants with account balances 2011-07-01 641
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-07-01 66
2010: MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN 2010 401k membership
Total participants, beginning-of-year 2010-07-01 837
Total number of active participants reported on line 7a of the Form 5500 2010-07-01 596
Number of retired or separated participants receiving benefits 2010-07-01 0
Number of other retired or separated participants entitled to future benefits 2010-07-01 242
Total of all active and inactive participants 2010-07-01 838
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-07-01 1
Total participants 2010-07-01 839
Number of participants with account balances 2010-07-01 603
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-07-01 73
2009: MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-07-01 827
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 600
Number of retired or separated participants receiving benefits 2009-07-01 0
Number of other retired or separated participants entitled to future benefits 2009-07-01 236
Total of all active and inactive participants 2009-07-01 836
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-07-01 1
Total participants 2009-07-01 837
Number of participants with account balances 2009-07-01 590
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-07-01 82

Measure	Date	Value
2021: MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-07-01	935
Total number of active participants reported on line 7a of the Form 5500	2021-07-01	663
Number of retired or separated participants receiving benefits	2021-07-01	2
Number of other retired or separated participants entitled to future benefits	2021-07-01	304
Total of all active and inactive participants	2021-07-01	969
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-07-01	0
Total participants	2021-07-01	969
Number of participants with account balances	2021-07-01	969
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-07-01	34
2020: MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-07-01	935
Total number of active participants reported on line 7a of the Form 5500	2020-07-01	684
Number of retired or separated participants receiving benefits	2020-07-01	2
Number of other retired or separated participants entitled to future benefits	2020-07-01	249
Total of all active and inactive participants	2020-07-01	935
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-07-01	0
Total participants	2020-07-01	935
Number of participants with account balances	2020-07-01	935
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-07-01	19
2019: MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-07-01	865
Total number of active participants reported on line 7a of the Form 5500	2019-07-01	706
Number of retired or separated participants receiving benefits	2019-07-01	1
Number of other retired or separated participants entitled to future benefits	2019-07-01	228
Total of all active and inactive participants	2019-07-01	935
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-07-01	0
Total participants	2019-07-01	935
Number of participants with account balances	2019-07-01	935
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-07-01	20
2018: MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-07-01	847
Total number of active participants reported on line 7a of the Form 5500	2018-07-01	672
Number of retired or separated participants receiving benefits	2018-07-01	1
Number of other retired or separated participants entitled to future benefits	2018-07-01	192
Total of all active and inactive participants	2018-07-01	865
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-07-01	0
Total participants	2018-07-01	865
Number of participants with account balances	2018-07-01	865
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-07-01	0
2017: MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-07-01	642
Total number of active participants reported on line 7a of the Form 5500	2017-07-01	626
Number of retired or separated participants receiving benefits	2017-07-01	1
Number of other retired or separated participants entitled to future benefits	2017-07-01	220
Total of all active and inactive participants	2017-07-01	847
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-07-01	0
Total participants	2017-07-01	847
Number of participants with account balances	2017-07-01	781
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-07-01	0
2016: MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-07-01	618
Total number of active participants reported on line 7a of the Form 5500	2016-07-01	462
Number of retired or separated participants receiving benefits	2016-07-01	0
Number of other retired or separated participants entitled to future benefits	2016-07-01	180
Total of all active and inactive participants	2016-07-01	642
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-07-01	0
Total participants	2016-07-01	642
Number of participants with account balances	2016-07-01	642
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-07-01	0
2015: MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-07-01	779
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	423
Number of retired or separated participants receiving benefits	2015-07-01	0
Number of other retired or separated participants entitled to future benefits	2015-07-01	195
Total of all active and inactive participants	2015-07-01	618
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-07-01	0
Total participants	2015-07-01	618
Number of participants with account balances	2015-07-01	618
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-07-01	0
2014: MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-07-01	596
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	593
Number of retired or separated participants receiving benefits	2014-07-01	0
Number of other retired or separated participants entitled to future benefits	2014-07-01	186
Total of all active and inactive participants	2014-07-01	779
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-07-01	0
Total participants	2014-07-01	779
Number of participants with account balances	2014-07-01	650
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-07-01	0
2013: MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-07-01	668
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	418
Number of retired or separated participants receiving benefits	2013-07-01	0
Number of other retired or separated participants entitled to future benefits	2013-07-01	178
Total of all active and inactive participants	2013-07-01	596
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-07-01	0
Total participants	2013-07-01	596
Number of participants with account balances	2013-07-01	596
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-07-01	0
2012: MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-07-01	801
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	422
Number of retired or separated participants receiving benefits	2012-07-01	0
Number of other retired or separated participants entitled to future benefits	2012-07-01	246
Total of all active and inactive participants	2012-07-01	668
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-07-01	0
Total participants	2012-07-01	668
Number of participants with account balances	2012-07-01	668
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-07-01	0
2011: MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	839
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	564
Number of retired or separated participants receiving benefits	2011-07-01	0
Number of other retired or separated participants entitled to future benefits	2011-07-01	236
Total of all active and inactive participants	2011-07-01	800
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-07-01	1
Total participants	2011-07-01	801
Number of participants with account balances	2011-07-01	641
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-07-01	66
2010: MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN 2010 401k membership
Total participants, beginning-of-year	2010-07-01	837
Total number of active participants reported on line 7a of the Form 5500	2010-07-01	596
Number of retired or separated participants receiving benefits	2010-07-01	0
Number of other retired or separated participants entitled to future benefits	2010-07-01	242
Total of all active and inactive participants	2010-07-01	838
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-07-01	1
Total participants	2010-07-01	839
Number of participants with account balances	2010-07-01	603
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-07-01	73
2009: MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-07-01	827
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	600
Number of retired or separated participants receiving benefits	2009-07-01	0
Number of other retired or separated participants entitled to future benefits	2009-07-01	236
Total of all active and inactive participants	2009-07-01	836
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-07-01	1
Total participants	2009-07-01	837
Number of participants with account balances	2009-07-01	590
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-07-01	82

Financial Data on MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN

Measure	Date	Value
2022 : MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-06-30	$0
Total income from all sources (including contributions)	2022-06-30	$-2,617,268
Total loss/gain on sale of assets	2022-06-30	$0
Total of all expenses incurred	2022-06-30	$3,231,409
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-06-30	$3,197,750
Expenses. Certain deemed distributions of participant loans	2022-06-30	$-907
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-06-30	$2,708,693
Value of total assets at end of year	2022-06-30	$30,526,496
Value of total assets at beginning of year	2022-06-30	$36,375,173
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-06-30	$34,566
Total interest from all sources	2022-06-30	$94,058
Total dividends received (eg from common stock, registered investment company shares)	2022-06-30	$279,848
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-06-30	$279,848
Was this plan covered by a fidelity bond	2022-06-30	Yes
Value of fidelity bond cover	2022-06-30	$7,500,000
If this is an individual account plan, was there a blackout period	2022-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2022-06-30	No
Contributions received from participants	2022-06-30	$2,011,938
Participant contributions at end of year	2022-06-30	$172,004
Participant contributions at beginning of year	2022-06-30	$146,852
Assets. Other investments not covered elsewhere at end of year	2022-06-30	$6,704,131
Assets. Other investments not covered elsewhere at beginning of year	2022-06-30	$6,720,967
Income. Received or receivable in cash from other sources (including rollovers)	2022-06-30	$124,934
Other income not declared elsewhere	2022-06-30	$35,681
Administrative expenses (other) incurred	2022-06-30	$34,566
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-06-30	No
Value of net income/loss	2022-06-30	$-5,848,677
Value of net assets at end of year (total assets less liabilities)	2022-06-30	$30,526,496
Value of net assets at beginning of year (total assets less liabilities)	2022-06-30	$36,375,173
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-06-30	No
Were any leases to which the plan was party in default or uncollectible	2022-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-06-30	$23,376,641
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-06-30	$29,204,148
Value of interest in pooled separate accounts at end of year	2022-06-30	$273,720
Value of interest in pooled separate accounts at beginning of year	2022-06-30	$303,206
Interest on participant loans	2022-06-30	$7,702
Interest earned on other investments	2022-06-30	$86,356
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-06-30	$-5,691,876
Net investment gain/loss from pooled separate accounts	2022-06-30	$-43,672
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-06-30	No
Was there a failure to transmit to the plan any participant contributions	2022-06-30	Yes
Has the plan failed to provide any benefit when due under the plan	2022-06-30	No
Contributions received in cash from employer	2022-06-30	$571,821
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-06-30	$3,197,750
Did the plan have assets held for investment	2022-06-30	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	2022-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-06-30	No
Opinion of an independent qualified public accountant for this plan	2022-06-30	Unqualified
Accountancy firm name	2022-06-30	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2022-06-30	410746749
2021 : MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-06-30	$0
Total income from all sources (including contributions)	2021-06-30	$10,359,713
Total loss/gain on sale of assets	2021-06-30	$0
Total of all expenses incurred	2021-06-30	$1,296,519
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-06-30	$1,268,396
Expenses. Certain deemed distributions of participant loans	2021-06-30	$8,947
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-06-30	$2,550,520
Value of total assets at end of year	2021-06-30	$36,375,173
Value of total assets at beginning of year	2021-06-30	$27,311,979
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-06-30	$19,176
Total interest from all sources	2021-06-30	$103,389
Total dividends received (eg from common stock, registered investment company shares)	2021-06-30	$149,559
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-06-30	$149,559
Was this plan covered by a fidelity bond	2021-06-30	Yes
Value of fidelity bond cover	2021-06-30	$7,500,000
If this is an individual account plan, was there a blackout period	2021-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2021-06-30	No
Contributions received from participants	2021-06-30	$1,822,346
Participant contributions at end of year	2021-06-30	$146,852
Participant contributions at beginning of year	2021-06-30	$120,713
Assets. Other investments not covered elsewhere at end of year	2021-06-30	$6,720,967
Assets. Other investments not covered elsewhere at beginning of year	2021-06-30	$6,411,191
Income. Received or receivable in cash from other sources (including rollovers)	2021-06-30	$168,687
Other income not declared elsewhere	2021-06-30	$28,049
Administrative expenses (other) incurred	2021-06-30	$19,176
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-06-30	No
Value of net income/loss	2021-06-30	$9,063,194
Value of net assets at end of year (total assets less liabilities)	2021-06-30	$36,375,173
Value of net assets at beginning of year (total assets less liabilities)	2021-06-30	$27,311,979
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-06-30	No
Were any leases to which the plan was party in default or uncollectible	2021-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-06-30	$29,204,148
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-06-30	$20,549,495
Value of interest in pooled separate accounts at end of year	2021-06-30	$303,206
Value of interest in pooled separate accounts at beginning of year	2021-06-30	$230,580
Interest on participant loans	2021-06-30	$8,597
Interest earned on other investments	2021-06-30	$94,792
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-06-30	$7,473,607
Net investment gain/loss from pooled separate accounts	2021-06-30	$54,589
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-06-30	No
Was there a failure to transmit to the plan any participant contributions	2021-06-30	No
Has the plan failed to provide any benefit when due under the plan	2021-06-30	No
Contributions received in cash from employer	2021-06-30	$559,487
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-06-30	$1,268,396
Did the plan have assets held for investment	2021-06-30	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	2021-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-06-30	No
Opinion of an independent qualified public accountant for this plan	2021-06-30	Disclaimer
Accountancy firm name	2021-06-30	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2021-06-30	410746749
2020 : MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-06-30	$0
Total income from all sources (including contributions)	2020-06-30	$3,365,755
Total loss/gain on sale of assets	2020-06-30	$0
Total of all expenses incurred	2020-06-30	$1,607,517
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-06-30	$1,594,535
Expenses. Certain deemed distributions of participant loans	2020-06-30	$4,471
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-06-30	$2,418,262
Value of total assets at end of year	2020-06-30	$27,311,979
Value of total assets at beginning of year	2020-06-30	$25,553,741
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-06-30	$8,511
Total interest from all sources	2020-06-30	$118,279
Total dividends received (eg from common stock, registered investment company shares)	2020-06-30	$215,060
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-06-30	$215,060
Was this plan covered by a fidelity bond	2020-06-30	Yes
Value of fidelity bond cover	2020-06-30	$7,500,000
If this is an individual account plan, was there a blackout period	2020-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2020-06-30	No
Contributions received from participants	2020-06-30	$1,789,882
Participant contributions at end of year	2020-06-30	$120,713
Participant contributions at beginning of year	2020-06-30	$141,601
Assets. Other investments not covered elsewhere at end of year	2020-06-30	$6,411,191
Assets. Other investments not covered elsewhere at beginning of year	2020-06-30	$6,030,478
Income. Received or receivable in cash from other sources (including rollovers)	2020-06-30	$80,721
Other income not declared elsewhere	2020-06-30	$33,039
Administrative expenses (other) incurred	2020-06-30	$8,511
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-06-30	No
Value of net income/loss	2020-06-30	$1,758,238
Value of net assets at end of year (total assets less liabilities)	2020-06-30	$27,311,979
Value of net assets at beginning of year (total assets less liabilities)	2020-06-30	$25,553,741
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-06-30	No
Were any leases to which the plan was party in default or uncollectible	2020-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-06-30	$20,549,495
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-06-30	$19,172,715
Value of interest in pooled separate accounts at end of year	2020-06-30	$230,580
Value of interest in pooled separate accounts at beginning of year	2020-06-30	$208,947
Interest on participant loans	2020-06-30	$8,238
Interest earned on other investments	2020-06-30	$110,041
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-06-30	$577,366
Net investment gain/loss from pooled separate accounts	2020-06-30	$3,749
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-06-30	No
Was there a failure to transmit to the plan any participant contributions	2020-06-30	No
Has the plan failed to provide any benefit when due under the plan	2020-06-30	No
Contributions received in cash from employer	2020-06-30	$547,659
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-06-30	$1,594,535
Did the plan have assets held for investment	2020-06-30	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	2020-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2020-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2020-06-30	Disclaimer
Accountancy firm name	2020-06-30	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2020-06-30	410746749
2019 : MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-06-30	$0
Total income from all sources (including contributions)	2019-06-30	$3,432,457
Total loss/gain on sale of assets	2019-06-30	$0
Total of all expenses incurred	2019-06-30	$1,170,900
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-06-30	$1,137,001
Expenses. Certain deemed distributions of participant loans	2019-06-30	$28,534
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-06-30	$2,014,281
Value of total assets at end of year	2019-06-30	$25,553,741
Value of total assets at beginning of year	2019-06-30	$23,292,184
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-06-30	$5,365
Total interest from all sources	2019-06-30	$111,620
Total dividends received (eg from common stock, registered investment company shares)	2019-06-30	$206,619
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-06-30	$206,619
Was this plan covered by a fidelity bond	2019-06-30	Yes
Value of fidelity bond cover	2019-06-30	$7,500,000
If this is an individual account plan, was there a blackout period	2019-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2019-06-30	No
Contributions received from participants	2019-06-30	$1,581,613
Participant contributions at end of year	2019-06-30	$141,601
Participant contributions at beginning of year	2019-06-30	$193,686
Assets. Other investments not covered elsewhere at end of year	2019-06-30	$6,030,478
Assets. Other investments not covered elsewhere at beginning of year	2019-06-30	$5,583,816
Other income not declared elsewhere	2019-06-30	$21,372
Administrative expenses (other) incurred	2019-06-30	$5,365
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-06-30	No
Value of net income/loss	2019-06-30	$2,261,557
Value of net assets at end of year (total assets less liabilities)	2019-06-30	$25,553,741
Value of net assets at beginning of year (total assets less liabilities)	2019-06-30	$23,292,184
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-06-30	No
Were any leases to which the plan was party in default or uncollectible	2019-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-06-30	$19,172,715
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-06-30	$17,509,690
Value of interest in pooled separate accounts at end of year	2019-06-30	$208,947
Value of interest in pooled separate accounts at beginning of year	2019-06-30	$4,992
Interest on participant loans	2019-06-30	$8,105
Interest earned on other investments	2019-06-30	$103,515
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-06-30	$1,067,834
Net investment gain/loss from pooled separate accounts	2019-06-30	$10,731
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-06-30	No
Was there a failure to transmit to the plan any participant contributions	2019-06-30	No
Has the plan failed to provide any benefit when due under the plan	2019-06-30	No
Contributions received in cash from employer	2019-06-30	$432,668
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-06-30	$1,137,001
Did the plan have assets held for investment	2019-06-30	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	2019-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2019-06-30	Disclaimer
Accountancy firm name	2019-06-30	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2019-06-30	410746749
2018 : MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-06-30	$0
Total income from all sources (including contributions)	2018-06-30	$3,682,072
Total loss/gain on sale of assets	2018-06-30	$0
Total of all expenses incurred	2018-06-30	$1,294,082
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-06-30	$1,220,808
Expenses. Certain deemed distributions of participant loans	2018-06-30	$28,890
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-06-30	$1,762,483
Value of total assets at end of year	2018-06-30	$23,292,184
Value of total assets at beginning of year	2018-06-30	$20,904,194
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-06-30	$44,384
Total interest from all sources	2018-06-30	$98,553
Total dividends received (eg from common stock, registered investment company shares)	2018-06-30	$140,786
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-06-30	$140,786
Was this plan covered by a fidelity bond	2018-06-30	Yes
Value of fidelity bond cover	2018-06-30	$7,500,000
If this is an individual account plan, was there a blackout period	2018-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2018-06-30	No
Contributions received from participants	2018-06-30	$1,373,073
Participant contributions at end of year	2018-06-30	$193,686
Participant contributions at beginning of year	2018-06-30	$274,268
Assets. Other investments not covered elsewhere at end of year	2018-06-30	$5,583,816
Assets. Other investments not covered elsewhere at beginning of year	2018-06-30	$5,452,491
Income. Received or receivable in cash from other sources (including rollovers)	2018-06-30	$29,781
Other income not declared elsewhere	2018-06-30	$60,827
Administrative expenses (other) incurred	2018-06-30	$44,384
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-06-30	No
Value of net income/loss	2018-06-30	$2,387,990
Value of net assets at end of year (total assets less liabilities)	2018-06-30	$23,292,184
Value of net assets at beginning of year (total assets less liabilities)	2018-06-30	$20,904,194
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-06-30	No
Were any leases to which the plan was party in default or uncollectible	2018-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-06-30	$17,509,690
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-06-30	$15,176,880
Value of interest in pooled separate accounts at end of year	2018-06-30	$4,992
Value of interest in pooled separate accounts at beginning of year	2018-06-30	$555
Interest on participant loans	2018-06-30	$14,068
Interest earned on other investments	2018-06-30	$84,485
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-06-30	$1,619,332
Net investment gain/loss from pooled separate accounts	2018-06-30	$91
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-06-30	No
Was there a failure to transmit to the plan any participant contributions	2018-06-30	No
Has the plan failed to provide any benefit when due under the plan	2018-06-30	No
Contributions received in cash from employer	2018-06-30	$359,629
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-06-30	$1,220,808
Did the plan have assets held for investment	2018-06-30	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	2018-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2018-06-30	Disclaimer
Accountancy firm name	2018-06-30	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2018-06-30	410746749
2017 : MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-06-30	$0
Total income from all sources (including contributions)	2017-06-30	$3,988,145
Total loss/gain on sale of assets	2017-06-30	$0
Total of all expenses incurred	2017-06-30	$719,209
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-06-30	$695,132
Expenses. Certain deemed distributions of participant loans	2017-06-30	$17,540
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-06-30	$1,610,191
Value of total assets at end of year	2017-06-30	$20,904,194
Value of total assets at beginning of year	2017-06-30	$17,635,258
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-06-30	$6,537
Total interest from all sources	2017-06-30	$89,350
Total dividends received (eg from common stock, registered investment company shares)	2017-06-30	$140,863
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-06-30	$140,863
Was this plan covered by a fidelity bond	2017-06-30	Yes
Value of fidelity bond cover	2017-06-30	$7,500,000
If this is an individual account plan, was there a blackout period	2017-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2017-06-30	No
Contributions received from participants	2017-06-30	$1,293,529
Participant contributions at end of year	2017-06-30	$274,268
Participant contributions at beginning of year	2017-06-30	$222,271
Assets. Other investments not covered elsewhere at end of year	2017-06-30	$5,452,491
Assets. Other investments not covered elsewhere at beginning of year	2017-06-30	$5,285,380
Income. Received or receivable in cash from other sources (including rollovers)	2017-06-30	$968
Other income not declared elsewhere	2017-06-30	$25,096
Administrative expenses (other) incurred	2017-06-30	$6,537
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-06-30	No
Value of net income/loss	2017-06-30	$3,268,936
Value of net assets at end of year (total assets less liabilities)	2017-06-30	$20,904,194
Value of net assets at beginning of year (total assets less liabilities)	2017-06-30	$17,635,258
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-06-30	No
Were any leases to which the plan was party in default or uncollectible	2017-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-06-30	$15,176,880
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-06-30	$12,127,607
Value of interest in pooled separate accounts at end of year	2017-06-30	$555
Interest on participant loans	2017-06-30	$11,280
Interest earned on other investments	2017-06-30	$78,070
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-06-30	$2,122,640
Net investment gain/loss from pooled separate accounts	2017-06-30	$5
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-06-30	No
Was there a failure to transmit to the plan any participant contributions	2017-06-30	No
Has the plan failed to provide any benefit when due under the plan	2017-06-30	No
Contributions received in cash from employer	2017-06-30	$315,694
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-06-30	$695,132
Did the plan have assets held for investment	2017-06-30	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	2017-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2017-06-30	Disclaimer
Accountancy firm name	2017-06-30	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2017-06-30	410746749
2016 : MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-06-30	$0
Total income from all sources (including contributions)	2016-06-30	$1,588,043
Total loss/gain on sale of assets	2016-06-30	$0
Total of all expenses incurred	2016-06-30	$2,050,911
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-06-30	$2,056,718
Expenses. Certain deemed distributions of participant loans	2016-06-30	$-20,139
Value of total corrective distributions	2016-06-30	$4,142
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-06-30	$1,626,252
Value of total assets at end of year	2016-06-30	$17,635,258
Value of total assets at beginning of year	2016-06-30	$18,098,126
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-06-30	$10,190
Total interest from all sources	2016-06-30	$91,742
Total dividends received (eg from common stock, registered investment company shares)	2016-06-30	$113,450
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-06-30	$113,450
Was this plan covered by a fidelity bond	2016-06-30	Yes
Value of fidelity bond cover	2016-06-30	$7,500,000
If this is an individual account plan, was there a blackout period	2016-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2016-06-30	No
Contributions received from participants	2016-06-30	$1,280,100
Participant contributions at end of year	2016-06-30	$222,271
Participant contributions at beginning of year	2016-06-30	$193,821
Assets. Other investments not covered elsewhere at end of year	2016-06-30	$5,285,380
Assets. Other investments not covered elsewhere at beginning of year	2016-06-30	$5,462,953
Income. Received or receivable in cash from other sources (including rollovers)	2016-06-30	$35,494
Other income not declared elsewhere	2016-06-30	$-4,368
Administrative expenses (other) incurred	2016-06-30	$10,190
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-06-30	No
Value of net income/loss	2016-06-30	$-462,868
Value of net assets at end of year (total assets less liabilities)	2016-06-30	$17,635,258
Value of net assets at beginning of year (total assets less liabilities)	2016-06-30	$18,098,126
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-06-30	No
Were any leases to which the plan was party in default or uncollectible	2016-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-06-30	$12,127,607
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-06-30	$12,441,352
Interest on participant loans	2016-06-30	$8,980
Interest earned on other investments	2016-06-30	$82,762
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-06-30	$-239,033
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-06-30	No
Was there a failure to transmit to the plan any participant contributions	2016-06-30	No
Has the plan failed to provide any benefit when due under the plan	2016-06-30	No
Contributions received in cash from employer	2016-06-30	$310,658
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-06-30	$2,056,718
Did the plan have assets held for investment	2016-06-30	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	2016-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2016-06-30	Disclaimer
Accountancy firm name	2016-06-30	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2016-06-30	410746749
2015 : MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-06-30	$0
Total income from all sources (including contributions)	2015-06-30	$2,352,875
Total loss/gain on sale of assets	2015-06-30	$0
Total of all expenses incurred	2015-06-30	$1,941,298
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-06-30	$1,900,326
Expenses. Certain deemed distributions of participant loans	2015-06-30	$27,849
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-06-30	$1,678,322
Value of total assets at end of year	2015-06-30	$18,098,126
Value of total assets at beginning of year	2015-06-30	$17,686,549
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-06-30	$13,123
Total interest from all sources	2015-06-30	$97,626
Total dividends received (eg from common stock, registered investment company shares)	2015-06-30	$126,940
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-06-30	$126,940
Was this plan covered by a fidelity bond	2015-06-30	Yes
Value of fidelity bond cover	2015-06-30	$7,500,000
If this is an individual account plan, was there a blackout period	2015-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2015-06-30	No
Contributions received from participants	2015-06-30	$1,240,590
Participant contributions at end of year	2015-06-30	$193,821
Participant contributions at beginning of year	2015-06-30	$101,783
Assets. Other investments not covered elsewhere at end of year	2015-06-30	$5,462,953
Assets. Other investments not covered elsewhere at beginning of year	2015-06-30	$5,634,380
Income. Received or receivable in cash from other sources (including rollovers)	2015-06-30	$107,271
Other income not declared elsewhere	2015-06-30	$15,519
Administrative expenses (other) incurred	2015-06-30	$13,123
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-06-30	No
Value of net income/loss	2015-06-30	$411,577
Value of net assets at end of year (total assets less liabilities)	2015-06-30	$18,098,126
Value of net assets at beginning of year (total assets less liabilities)	2015-06-30	$17,686,549
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-06-30	No
Were any leases to which the plan was party in default or uncollectible	2015-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-06-30	$12,441,352
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-06-30	$11,950,386
Interest on participant loans	2015-06-30	$7,008
Interest earned on other investments	2015-06-30	$90,618
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-06-30	$434,468
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-06-30	No
Was there a failure to transmit to the plan any participant contributions	2015-06-30	No
Has the plan failed to provide any benefit when due under the plan	2015-06-30	No
Contributions received in cash from employer	2015-06-30	$330,461
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-06-30	$1,900,326
Did the plan have assets held for investment	2015-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2015-06-30	Disclaimer
Accountancy firm name	2015-06-30	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2015-06-30	410746749
2014 : MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-06-30	$0
Total income from all sources (including contributions)	2014-06-30	$3,351,296
Total loss/gain on sale of assets	2014-06-30	$0
Total of all expenses incurred	2014-06-30	$616,331
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-06-30	$574,382
Expenses. Certain deemed distributions of participant loans	2014-06-30	$31,622
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-06-30	$1,222,656
Value of total assets at end of year	2014-06-30	$17,686,549
Value of total assets at beginning of year	2014-06-30	$14,951,584
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-06-30	$10,327
Total interest from all sources	2014-06-30	$103,198
Total dividends received (eg from common stock, registered investment company shares)	2014-06-30	$113,215
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-06-30	$113,215
Was this plan covered by a fidelity bond	2014-06-30	Yes
Value of fidelity bond cover	2014-06-30	$7,500,000
If this is an individual account plan, was there a blackout period	2014-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2014-06-30	No
Contributions received from participants	2014-06-30	$1,176,105
Participant contributions at end of year	2014-06-30	$101,783
Participant contributions at beginning of year	2014-06-30	$88,488
Assets. Other investments not covered elsewhere at end of year	2014-06-30	$5,634,380
Assets. Other investments not covered elsewhere at beginning of year	2014-06-30	$5,365,057
Income. Received or receivable in cash from other sources (including rollovers)	2014-06-30	$46,551
Other income not declared elsewhere	2014-06-30	$20,707
Administrative expenses (other) incurred	2014-06-30	$10,327
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-06-30	No
Value of net income/loss	2014-06-30	$2,734,965
Value of net assets at end of year (total assets less liabilities)	2014-06-30	$17,686,549
Value of net assets at beginning of year (total assets less liabilities)	2014-06-30	$14,951,584
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-06-30	No
Were any leases to which the plan was party in default or uncollectible	2014-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-06-30	$11,950,386
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-06-30	$9,211,577
Interest on participant loans	2014-06-30	$4,525
Interest earned on other investments	2014-06-30	$98,673
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-06-30	$1,891,520
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-06-30	No
Was there a failure to transmit to the plan any participant contributions	2014-06-30	No
Has the plan failed to provide any benefit when due under the plan	2014-06-30	No
Contributions received in cash from employer	2014-06-30	$0
Employer contributions (assets) at beginning of year	2014-06-30	$286,462
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-06-30	$574,382
Did the plan have assets held for investment	2014-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2014-06-30	Disclaimer
Accountancy firm name	2014-06-30	CLIFTONLARSONALLEN,LLP
Accountancy firm EIN	2014-06-30	410746749
2013 : MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-06-30	$12,661
Total income from all sources (including contributions)	2013-06-30	$2,920,014
Total loss/gain on sale of assets	2013-06-30	$0
Total of all expenses incurred	2013-06-30	$1,293,154
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-06-30	$1,292,172
Expenses. Certain deemed distributions of participant loans	2013-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-06-30	$1,362,340
Value of total assets at end of year	2013-06-30	$14,951,584
Value of total assets at beginning of year	2013-06-30	$13,337,385
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-06-30	$982
Total interest from all sources	2013-06-30	$37,730
Total dividends received (eg from common stock, registered investment company shares)	2013-06-30	$1,216,218
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-06-30	$1,216,218
Was this plan covered by a fidelity bond	2013-06-30	Yes
Value of fidelity bond cover	2013-06-30	$7,500,000
If this is an individual account plan, was there a blackout period	2013-06-30	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2013-06-30	No
Contributions received from participants	2013-06-30	$1,052,180
Participant contributions at end of year	2013-06-30	$88,488
Participant contributions at beginning of year	2013-06-30	$78,483
Assets. Other investments not covered elsewhere at end of year	2013-06-30	$5,365,057
Income. Received or receivable in cash from other sources (including rollovers)	2013-06-30	$23,698
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2013-06-30	$18,092
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2013-06-30	$12,661
Other income not declared elsewhere	2013-06-30	$-23,049
Administrative expenses (other) incurred	2013-06-30	$982
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-06-30	No
Value of net income/loss	2013-06-30	$1,626,860
Value of net assets at end of year (total assets less liabilities)	2013-06-30	$14,951,584
Value of net assets at beginning of year (total assets less liabilities)	2013-06-30	$13,324,724
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-06-30	No
Were any leases to which the plan was party in default or uncollectible	2013-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-06-30	$9,211,577
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-06-30	$7,804,619
Interest on participant loans	2013-06-30	$12,433
Interest earned on other investments	2013-06-30	$25,297
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-06-30	$7,364
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-06-30	$7,364
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-06-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-06-30	$5,129,551
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-06-30	$326,775
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-06-30	No
Was there a failure to transmit to the plan any participant contributions	2013-06-30	No
Has the plan failed to provide any benefit when due under the plan	2013-06-30	No
Contributions received in cash from employer	2013-06-30	$286,462
Employer contributions (assets) at end of year	2013-06-30	$286,462
Employer contributions (assets) at beginning of year	2013-06-30	$299,276
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-06-30	$1,292,172
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	2013-06-30	Yes
Did the plan have assets held for investment	2013-06-30	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	2013-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2013-06-30	Disclaimer
Accountancy firm name	2013-06-30	CLIFTONLARSONALLEN, LLP
Accountancy firm EIN	2013-06-30	410746749
2012 : MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-06-30	$12,661
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-06-30	$14,677
Total income from all sources (including contributions)	2012-06-30	$1,408,424
Total loss/gain on sale of assets	2012-06-30	$0
Total of all expenses incurred	2012-06-30	$766,119
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-06-30	$737,027
Expenses. Certain deemed distributions of participant loans	2012-06-30	$28,224
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-06-30	$1,295,005
Value of total assets at end of year	2012-06-30	$13,337,385
Value of total assets at beginning of year	2012-06-30	$12,697,096
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-06-30	$868
Total interest from all sources	2012-06-30	$1,740
Total dividends received (eg from common stock, registered investment company shares)	2012-06-30	$344,629
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-06-30	$344,629
Was this plan covered by a fidelity bond	2012-06-30	Yes
Value of fidelity bond cover	2012-06-30	$7,500,000
If this is an individual account plan, was there a blackout period	2012-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2012-06-30	No
Contributions received from participants	2012-06-30	$993,045
Participant contributions at end of year	2012-06-30	$78,483
Participant contributions at beginning of year	2012-06-30	$104,023
Income. Received or receivable in cash from other sources (including rollovers)	2012-06-30	$2,684
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-06-30	$18,092
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-06-30	$13,879
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2012-06-30	$12,661
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2012-06-30	$14,677
Other income not declared elsewhere	2012-06-30	$663
Total non interest bearing cash at end of year	2012-06-30	$0
Total non interest bearing cash at beginning of year	2012-06-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-06-30	No
Value of net income/loss	2012-06-30	$642,305
Value of net assets at end of year (total assets less liabilities)	2012-06-30	$13,324,724
Value of net assets at beginning of year (total assets less liabilities)	2012-06-30	$12,682,419
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-06-30	No
Were any leases to which the plan was party in default or uncollectible	2012-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-06-30	$7,804,619
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-06-30	$7,394,228
Interest on participant loans	2012-06-30	$1,736
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-06-30	$7,364
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-06-30	$16,586
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-06-30	$16,586
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-06-30	$4
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-06-30	$5,129,551
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-06-30	$4,901,389
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-06-30	$-259,948
Net investment gain/loss from pooled separate accounts	2012-06-30	$26,335
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-06-30	No
Was there a failure to transmit to the plan any participant contributions	2012-06-30	No
Has the plan failed to provide any benefit when due under the plan	2012-06-30	No
Contributions received in cash from employer	2012-06-30	$299,276
Employer contributions (assets) at end of year	2012-06-30	$299,276
Employer contributions (assets) at beginning of year	2012-06-30	$266,991
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-06-30	$737,027
Contract administrator fees	2012-06-30	$868
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	2012-06-30	Yes
Liabilities. Value of benefit claims payable at end of year	2012-06-30	$0
Liabilities. Value of benefit claims payable at beginning of year	2012-06-30	$0
Did the plan have assets held for investment	2012-06-30	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	2012-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2012-06-30	Disclaimer
Accountancy firm name	2012-06-30	CLIFTONLARSONALLEN, LLP
Accountancy firm EIN	2012-06-30	410746749
2011 : MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-06-30	$14,677
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-06-30	$14,771
Total income from all sources (including contributions)	2011-06-30	$2,894,139
Total loss/gain on sale of assets	2011-06-30	$0
Total of all expenses incurred	2011-06-30	$592,585
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-06-30	$506,197
Expenses. Certain deemed distributions of participant loans	2011-06-30	$85,443
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-06-30	$1,285,796
Value of total assets at end of year	2011-06-30	$12,697,096
Value of total assets at beginning of year	2011-06-30	$10,395,636
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-06-30	$945
Total interest from all sources	2011-06-30	$1,940
Total dividends received (eg from common stock, registered investment company shares)	2011-06-30	$285,455
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-06-30	$285,455
Was this plan covered by a fidelity bond	2011-06-30	Yes
Value of fidelity bond cover	2011-06-30	$7,500,000
If this is an individual account plan, was there a blackout period	2011-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2011-06-30	No
Contributions received from participants	2011-06-30	$971,413
Participant contributions at end of year	2011-06-30	$104,023
Participant contributions at beginning of year	2011-06-30	$124,583
Income. Received or receivable in cash from other sources (including rollovers)	2011-06-30	$47,652
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-06-30	$13,879
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-06-30	$14,771
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2011-06-30	$14,677
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2011-06-30	$13,841
Other income not declared elsewhere	2011-06-30	$19,433
Total non interest bearing cash at end of year	2011-06-30	$0
Total non interest bearing cash at beginning of year	2011-06-30	$4,332
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-06-30	No
Value of net income/loss	2011-06-30	$2,301,554
Value of net assets at end of year (total assets less liabilities)	2011-06-30	$12,682,419
Value of net assets at beginning of year (total assets less liabilities)	2011-06-30	$10,380,865
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-06-30	No
Were any leases to which the plan was party in default or uncollectible	2011-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-06-30	$7,394,228
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-06-30	$5,456,146
Interest on participant loans	2011-06-30	$1,938
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-06-30	$16,586
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-06-30	$6,165
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-06-30	$6,165
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-06-30	$2
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-06-30	$4,901,389
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-06-30	$4,577,775
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-06-30	$1,162,603
Net investment gain/loss from pooled separate accounts	2011-06-30	$138,912
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-06-30	No
Was there a failure to transmit to the plan any participant contributions	2011-06-30	No
Has the plan failed to provide any benefit when due under the plan	2011-06-30	No
Contributions received in cash from employer	2011-06-30	$266,731
Employer contributions (assets) at end of year	2011-06-30	$266,991
Employer contributions (assets) at beginning of year	2011-06-30	$211,864
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-06-30	$506,197
Contract administrator fees	2011-06-30	$945
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	2011-06-30	Yes
Liabilities. Value of benefit claims payable at end of year	2011-06-30	$0
Liabilities. Value of benefit claims payable at beginning of year	2011-06-30	$930
Did the plan have assets held for investment	2011-06-30	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	2011-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2011-06-30	Disclaimer
Accountancy firm name	2011-06-30	CLIFTONLARSONALLEN, LLP
Accountancy firm EIN	2011-06-30	410746749

Form 5500 Responses for MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN

2021: MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN 2021 form 5500 responses
2021-07-01	Type of plan entity	Single employer plan
2021-07-01	Submission has been amended	No
2021-07-01	This submission is the final filing	No
2021-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-07-01	Plan is a collectively bargained plan	No
2021-07-01	Plan funding arrangement – Insurance	Yes
2021-07-01	Plan funding arrangement – Trust	Yes
2021-07-01	Plan benefit arrangement – Insurance	Yes
2021-07-01	Plan benefit arrangement - Trust	Yes
2020: MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN 2020 form 5500 responses
2020-07-01	Type of plan entity	Single employer plan
2020-07-01	Submission has been amended	No
2020-07-01	This submission is the final filing	No
2020-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-07-01	Plan is a collectively bargained plan	No
2020-07-01	Plan funding arrangement – Insurance	Yes
2020-07-01	Plan funding arrangement – Trust	Yes
2020-07-01	Plan benefit arrangement – Insurance	Yes
2020-07-01	Plan benefit arrangement - Trust	Yes
2019: MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN 2019 form 5500 responses
2019-07-01	Type of plan entity	Single employer plan
2019-07-01	Submission has been amended	No
2019-07-01	This submission is the final filing	No
2019-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-07-01	Plan is a collectively bargained plan	No
2019-07-01	Plan funding arrangement – Insurance	Yes
2019-07-01	Plan funding arrangement – Trust	Yes
2019-07-01	Plan benefit arrangement – Insurance	Yes
2019-07-01	Plan benefit arrangement - Trust	Yes
2018: MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN 2018 form 5500 responses
2018-07-01	Type of plan entity	Single employer plan
2018-07-01	Submission has been amended	No
2018-07-01	This submission is the final filing	No
2018-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-07-01	Plan is a collectively bargained plan	No
2018-07-01	Plan funding arrangement – Insurance	Yes
2018-07-01	Plan funding arrangement – Trust	Yes
2018-07-01	Plan benefit arrangement – Insurance	Yes
2018-07-01	Plan benefit arrangement - Trust	Yes
2017: MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN 2017 form 5500 responses
2017-07-01	Type of plan entity	Single employer plan
2017-07-01	Submission has been amended	No
2017-07-01	This submission is the final filing	No
2017-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-07-01	Plan is a collectively bargained plan	No
2017-07-01	Plan funding arrangement – Insurance	Yes
2017-07-01	Plan funding arrangement – Trust	Yes
2017-07-01	Plan benefit arrangement – Insurance	Yes
2017-07-01	Plan benefit arrangement - Trust	Yes
2016: MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN 2016 form 5500 responses
2016-07-01	Type of plan entity	Single employer plan
2016-07-01	Submission has been amended	No
2016-07-01	This submission is the final filing	No
2016-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-07-01	Plan is a collectively bargained plan	No
2016-07-01	Plan funding arrangement – Insurance	Yes
2016-07-01	Plan funding arrangement – Trust	Yes
2016-07-01	Plan benefit arrangement – Insurance	Yes
2016-07-01	Plan benefit arrangement - Trust	Yes
2015: MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN 2015 form 5500 responses
2015-07-01	Type of plan entity	Single employer plan
2015-07-01	Submission has been amended	No
2015-07-01	This submission is the final filing	No
2015-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-07-01	Plan is a collectively bargained plan	No
2015-07-01	Plan funding arrangement – Trust	Yes
2015-07-01	Plan benefit arrangement - Trust	Yes
2014: MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN 2014 form 5500 responses
2014-07-01	Type of plan entity	Single employer plan
2014-07-01	Submission has been amended	No
2014-07-01	This submission is the final filing	No
2014-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-07-01	Plan is a collectively bargained plan	No
2014-07-01	Plan funding arrangement – Trust	Yes
2014-07-01	Plan benefit arrangement - Trust	Yes
2013: MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN 2013 form 5500 responses
2013-07-01	Type of plan entity	Single employer plan
2013-07-01	Submission has been amended	No
2013-07-01	This submission is the final filing	No
2013-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-07-01	Plan is a collectively bargained plan	No
2013-07-01	Plan funding arrangement – Insurance	Yes
2013-07-01	Plan funding arrangement – Trust	Yes
2013-07-01	Plan benefit arrangement – Insurance	Yes
2013-07-01	Plan benefit arrangement - Trust	Yes
2012: MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Submission has been amended	No
2012-07-01	This submission is the final filing	No
2012-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-07-01	Plan is a collectively bargained plan	No
2012-07-01	Plan funding arrangement – Insurance	Yes
2012-07-01	Plan funding arrangement – Trust	Yes
2012-07-01	Plan benefit arrangement – Insurance	Yes
2012-07-01	Plan benefit arrangement - Trust	Yes
2011: MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	Submission has been amended	No
2011-07-01	This submission is the final filing	No
2011-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-07-01	Plan is a collectively bargained plan	No
2011-07-01	Plan funding arrangement – Insurance	Yes
2011-07-01	Plan funding arrangement – Trust	Yes
2011-07-01	Plan benefit arrangement – Insurance	Yes
2011-07-01	Plan benefit arrangement - Trust	Yes
2010: MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN 2010 form 5500 responses
2010-07-01	Type of plan entity	Single employer plan
2010-07-01	Submission has been amended	No
2010-07-01	This submission is the final filing	No
2010-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-07-01	Plan is a collectively bargained plan	No
2010-07-01	Plan funding arrangement – Insurance	Yes
2010-07-01	Plan funding arrangement – Trust	Yes
2010-07-01	Plan benefit arrangement – Insurance	Yes
2010-07-01	Plan benefit arrangement - Trust	Yes
2009: MT. WASHINGTON PEDIATRIC HOSPITAL 403(B) PLAN 2009 form 5500 responses
2009-07-01	Type of plan entity	Single employer plan
2009-07-01	Submission has been amended	No
2009-07-01	This submission is the final filing	No
2009-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-07-01	Plan is a collectively bargained plan	No
2009-07-01	Plan funding arrangement – Insurance	Yes
2009-07-01	Plan funding arrangement – Trust	Yes
2009-07-01	Plan benefit arrangement – Insurance	Yes
2009-07-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

074064

Policy instance

Insurance contract or identification number	074064
Number of Individuals Covered	969
Insurance policy start date	2021-07-01
Insurance policy end date	2022-06-30
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	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	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

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

074064

Policy instance

Insurance contract or identification number	074064
Number of Individuals Covered	935
Insurance policy start date	2020-07-01
Insurance policy end date	2021-06-30
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	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	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

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

074064

Policy instance

Insurance contract or identification number	074064
Number of Individuals Covered	935
Insurance policy start date	2019-07-01
Insurance policy end date	2020-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	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	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	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

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

074064

Policy instance

Insurance contract or identification number	074064
Number of Individuals Covered	865
Insurance policy start date	2018-07-01
Insurance policy end date	2019-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	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	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	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

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

074064

Policy instance

Insurance contract or identification number	074064
Number of Individuals Covered	847
Insurance policy start date	2017-07-01
Insurance policy end date	2018-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	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	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	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

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

892312007

Policy instance

Insurance contract or identification number	892312007
Number of Individuals Covered	0
Insurance policy start date	2012-07-01
Insurance policy end date	2013-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
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

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

892312007

Policy instance

Insurance contract or identification number	892312007
Number of Individuals Covered	626
Insurance policy start date	2011-07-01
Insurance policy end date	2012-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
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

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

892312007

Policy instance

Insurance contract or identification number	892312007
Number of Individuals Covered	557
Insurance policy start date	2010-07-01
Insurance policy end date	2011-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
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

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The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
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Company Name:	MT. WASHINGTON PEDIATRIC HOSPITAL, INC.
Employer identification number (EIN):	520591483
NAIC Classification:	622000
NAIC Description:	Hospitals