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SIBLEY MEMORIAL HOSPITAL RETIREMENT PLAN 401k Plan overview

Plan NameSIBLEY MEMORIAL HOSPITAL RETIREMENT PLAN
Plan identification number 001

SIBLEY MEMORIAL HOSPITAL RETIREMENT PLAN Benefits

401k Plan TypeDefined Benefit Pension
Plan Features/Benefits
  • Benefits are primarily pay related
  • Covered by PBGC - Plan is covered under the PBGC insurance program (see ERISA section 4021).
  • Plan covered by PBGC that was terminated and closed out for PBGC purposes - Before the end of the plan year (or a prior plan year), (1) the plan terminated in a standard (or distress) termination and completed the distribution of plan assets in satisfaction of all benefit liabilities (or all ERISA Title IV benefits for distress termination); or (2) a trustee was appointed for a terminated plan pursuant to ERISA section 4042.
  • Frozen Plan - As of the last day of the plan year, the plan provides that no participant will get any new benefit accrual (whether because of service or compensation).
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

SIBLEY MEMORIAL HOSPITAL has sponsored the creation of one or more 401k plans.

Company Name:SIBLEY MEMORIAL HOSPITAL
Employer identification number (EIN):530196602
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SIBLEY MEMORIAL HOSPITAL RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012021-01-01INEZ STEWART2022-10-11
0012020-01-01MARIO DELGADO2021-10-14
0012020-01-01MARIO DELGADO2021-10-14
0012019-01-01MARIO DELGADO2020-10-07
0012018-01-01QUEENIE PLATER2019-10-07
0012018-01-01QUEENIE PLATER2019-10-07
0012017-01-01
0012016-01-01
0012015-01-01
0012014-01-01
0012009-01-01QUEENIE PLATER ROBERT SLOAN2010-10-13

Plan Statistics for SIBLEY MEMORIAL HOSPITAL RETIREMENT PLAN

401k plan membership statisitcs for SIBLEY MEMORIAL HOSPITAL RETIREMENT PLAN

Measure Date Value
2021: SIBLEY MEMORIAL HOSPITAL RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-010
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-010
2020: SIBLEY MEMORIAL HOSPITAL RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01584
Total number of active participants reported on line 7a of the Form 55002020-01-010
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: SIBLEY MEMORIAL HOSPITAL RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-011,211
Total number of active participants reported on line 7a of the Form 55002019-01-010
Number of retired or separated participants receiving benefits2019-01-01530
Number of other retired or separated participants entitled to future benefits2019-01-0116
Total of all active and inactive participants2019-01-01546
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-0135
Total participants2019-01-01581
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: SIBLEY MEMORIAL HOSPITAL RETIREMENT PLAN 2018 401k membership
Market value of plan assets2018-12-31113,409,534
Acturial value of plan assets2018-12-31113,409,534
Funding target for retired participants and beneficiaries receiving payment2018-12-3156,482,615
Number of terminated vested participants2018-12-31337
Fundng target for terminated vested participants2018-12-3116,013,500
Active participant vested funding target2018-12-3113,277,350
Number of active participants2018-12-31309
Total funding liabilities for active participants2018-12-3113,277,350
Total participant count2018-12-311,256
Total funding target for all participants2018-12-3185,773,465
Balance at beginning of prior year after applicable adjustments2018-12-310
Prefunding balance at beginning of prior year after applicable adjustments2018-12-3174,956
Amount remaining of prefunding balance2018-12-3174,956
Present value of excess contributions2018-12-311,199,292
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance2018-12-311,268,611
Balance of carryovers at beginning of current year2018-12-310
Balance of prefunding at beginning of current year2018-12-3182,197
Total employer contributions2018-12-31376,000
Contributions allocated toward minimum required contributions for current year adjusted to valuation date2018-12-31347,022
Remaining amount of unpaid minimum required contributions2018-12-310
Minimum required contributions for current year target normal cost2018-12-31345,800
Contributions allocatedtoward minimum required contributions for current year2018-12-31347,022
Unpaid minimum required contributions for current year2018-12-310
Total participants, beginning-of-year2018-01-011,252
Total number of active participants reported on line 7a of the Form 55002018-01-01277
Number of retired or separated participants receiving benefits2018-01-01543
Number of other retired or separated participants entitled to future benefits2018-01-01356
Total of all active and inactive participants2018-01-011,176
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-0135
Total participants2018-01-011,211
2017: SIBLEY MEMORIAL HOSPITAL RETIREMENT PLAN 2017 401k membership
Market value of plan assets2017-12-31107,881,873
Acturial value of plan assets2017-12-31107,881,873
Funding target for retired participants and beneficiaries receiving payment2017-12-3153,583,796
Number of terminated vested participants2017-12-31323
Fundng target for terminated vested participants2017-12-3113,634,256
Active participant vested funding target2017-12-3116,784,933
Number of active participants2017-12-31359
Total funding liabilities for active participants2017-12-3116,830,913
Total participant count2017-12-311,259
Total funding target for all participants2017-12-3184,048,965
Balance at beginning of prior year after applicable adjustments2017-12-310
Prefunding balance at beginning of prior year after applicable adjustments2017-12-3172,428
Carryover balanced portion elected for use to offset prior years funding requirement2017-12-310
Prefunding balanced used to offset prior years funding requirement2017-12-310
Amount remaining of prefunding balance2017-12-3172,428
Present value of excess contributions2017-12-319,343,719
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance2017-12-319,902,473
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance2017-12-310
Balance of carryovers at beginning of current year2017-12-310
Balance of prefunding at beginning of current year2017-12-3174,956
Total employer contributions2017-12-311,250,000
Contributions allocated toward unpaid minimum require contributions from prior years2017-12-310
Contributions made to avoid restrictions adjusted to valuation date2017-12-310
Contributions allocated toward minimum required contributions for current year adjusted to valuation date2017-12-311,199,292
Remaining amount of unpaid minimum required contributions2017-12-310
Minimum required contributions for current year target normal cost2017-12-31364,800
Net shortfall amortization installment of oustanding balance2017-12-310
Waiver amortization installment2017-12-310
Carryover balance elected to use to offset funding requirement2017-12-310
Prefunding balance elected to use to offset funding requirement2017-12-310
Contributions allocatedtoward minimum required contributions for current year2017-12-311,199,292
Unpaid minimum required contributions for current year2017-12-310
Unpaid minimum required contributions for all years2017-12-310
Total participants, beginning-of-year2017-01-011,255
Total number of active participants reported on line 7a of the Form 55002017-01-01309
Number of retired or separated participants receiving benefits2017-01-01569
Number of other retired or separated participants entitled to future benefits2017-01-01333
Total of all active and inactive participants2017-01-011,211
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-0141
Total participants2017-01-011,252
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: SIBLEY MEMORIAL HOSPITAL RETIREMENT PLAN 2016 401k membership
Market value of plan assets2016-12-31100,168,899
Acturial value of plan assets2016-12-31100,168,899
Funding target for retired participants and beneficiaries receiving payment2016-12-3148,594,282
Number of terminated vested participants2016-12-31353
Fundng target for terminated vested participants2016-12-3115,140,749
Active participant vested funding target2016-12-3119,101,454
Number of active participants2016-12-31395
Total funding liabilities for active participants2016-12-3119,188,337
Total participant count2016-12-311,285
Total funding target for all participants2016-12-3182,923,368
Balance at beginning of prior year after applicable adjustments2016-12-310
Prefunding balance at beginning of prior year after applicable adjustments2016-12-3172,089
Carryover balanced portion elected for use to offset prior years funding requirement2016-12-310
Prefunding balanced used to offset prior years funding requirement2016-12-310
Amount remaining of prefunding balance2016-12-3172,089
Present value of excess contributions2016-12-317,124,440
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance2016-12-317,564,730
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance2016-12-310
Reductions in caryover balances due to elections or deemed elections2016-12-310
Reductions in prefunding balances due to elections or deemed elections2016-12-310
Balance of carryovers at beginning of current year2016-12-310
Balance of prefunding at beginning of current year2016-12-3172,428
Total employer contributions2016-12-3110,000,000
Total employee contributions2016-12-310
Contributions allocated toward unpaid minimum require contributions from prior years2016-12-310
Contributions made to avoid restrictions adjusted to valuation date2016-12-310
Contributions allocated toward minimum required contributions for current year adjusted to valuation date2016-12-319,343,719
Unpaid minimum required contributions for all prior years2016-12-310
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years2016-12-310
Remaining amount of unpaid minimum required contributions2016-12-310
Minimum required contributions for current year target normal cost2016-12-31351,700
Net shortfall amortization installment of oustanding balance2016-12-310
Waiver amortization installment2016-12-310
Total funding amount beforereflecting carryover/prefunding balances2016-12-310
Carryover balance elected to use to offset funding requirement2016-12-310
Prefunding balance elected to use to offset funding requirement2016-12-310
Additional cash requirement2016-12-310
Contributions allocatedtoward minimum required contributions for current year2016-12-319,343,719
Unpaid minimum required contributions for current year2016-12-310
Unpaid minimum required contributions for all years2016-12-310
Total participants, beginning-of-year2016-01-011,282
Total number of active participants reported on line 7a of the Form 55002016-01-01359
Number of retired or separated participants receiving benefits2016-01-01536
Number of other retired or separated participants entitled to future benefits2016-01-01319
Total of all active and inactive participants2016-01-011,214
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-0141
Total participants2016-01-011,255
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: SIBLEY MEMORIAL HOSPITAL RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-011,329
Total number of active participants reported on line 7a of the Form 55002015-01-01395
Number of retired or separated participants receiving benefits2015-01-01497
Number of other retired or separated participants entitled to future benefits2015-01-01349
Total of all active and inactive participants2015-01-011,241
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-0141
Total participants2015-01-011,282
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: SIBLEY MEMORIAL HOSPITAL RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-011,333
Total number of active participants reported on line 7a of the Form 55002014-01-01473
Number of retired or separated participants receiving benefits2014-01-01519
Number of other retired or separated participants entitled to future benefits2014-01-01305
Total of all active and inactive participants2014-01-011,297
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-0132
Total participants2014-01-011,329
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2009: SIBLEY MEMORIAL HOSPITAL RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-011,454
Total number of active participants reported on line 7a of the Form 55002009-01-01695
Number of retired or separated participants receiving benefits2009-01-01355
Number of other retired or separated participants entitled to future benefits2009-01-01362
Total of all active and inactive participants2009-01-011,412
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-0123
Total participants2009-01-011,435
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on SIBLEY MEMORIAL HOSPITAL RETIREMENT PLAN

Measure Date Value
2021 : SIBLEY MEMORIAL HOSPITAL RETIREMENT PLAN 2021 401k financial data
Transfers to/from the plan2021-12-31$-438,315
Total plan liabilities at beginning of year2021-12-31$173,305
Total income from all sources2021-12-31$88,584
Total plan assets at beginning of year2021-12-31$523,036
Value of fidelity bond covering the plan2021-12-31$20,000,000
Other income received2021-12-31$24
Net income (gross income less expenses)2021-12-31$88,584
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$349,731
Total contributions received or receivable from employer(s)2021-12-31$88,560
2020 : SIBLEY MEMORIAL HOSPITAL RETIREMENT PLAN 2020 401k financial data
Total transfer of assets from this plan2020-12-31$9,800,000
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$173,305
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$65,772
Total income from all sources (including contributions)2020-12-31$1,030,528
Total of all expenses incurred2020-12-31$11,871,200
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$1,352,738
Value of total assets at end of year2020-12-31$523,036
Value of total assets at beginning of year2020-12-31$11,256,175
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$10,518,462
Total interest from all sources2020-12-31$37,663
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2020-12-31$9,800,000
Administrative expenses professional fees incurred2020-12-31$56,236
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$12,000,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2020-12-31$594,987
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$42
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$49,562
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$173,305
Other income not declared elsewhere2020-12-31$992,929
Administrative expenses (other) incurred2020-12-31$9,800,000
Liabilities. Value of operating payables at end of year2020-12-31$0
Liabilities. Value of operating payables at beginning of year2020-12-31$65,772
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$-10,840,672
Value of net assets at end of year (total assets less liabilities)2020-12-31$349,731
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$11,190,403
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$25,249
Value of interest in pooled separate accounts at beginning of year2020-12-31$1,178,026
Interest earned on other investments2020-12-31$34,773
Income. Interest from US Government securities2020-12-31$2,890
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$522,994
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$10,028,587
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$10,028,587
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$-64
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31Yes
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$757,751
Contract administrator fees2020-12-31$636,977
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-12-31No
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31SB & COMPANY, LLC
Accountancy firm EIN2020-12-31202153727
2019 : SIBLEY MEMORIAL HOSPITAL RETIREMENT PLAN 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$65,772
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$65,772
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$65,902
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$65,902
Total income from all sources (including contributions)2019-12-31$13,697,990
Total income from all sources (including contributions)2019-12-31$13,697,990
Total of all expenses incurred2019-12-31$108,074,888
Total of all expenses incurred2019-12-31$108,074,888
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$107,327,806
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$107,327,806
Value of total assets at end of year2019-12-31$11,256,175
Value of total assets at end of year2019-12-31$11,256,175
Value of total assets at beginning of year2019-12-31$105,633,203
Value of total assets at beginning of year2019-12-31$105,633,203
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$747,082
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$747,082
Total interest from all sources2019-12-31$2,934,054
Total interest from all sources2019-12-31$2,934,054
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31Yes
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2019-12-31$0
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2019-12-31$0
Administrative expenses professional fees incurred2019-12-31$642,126
Administrative expenses professional fees incurred2019-12-31$642,126
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$10,000,000
Value of fidelity bond cover2019-12-31$10,000,000
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-12-31$603,590
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-12-31$603,590
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$49,562
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$49,562
Other income not declared elsewhere2019-12-31$4,591
Other income not declared elsewhere2019-12-31$4,591
Liabilities. Value of operating payables at end of year2019-12-31$65,772
Liabilities. Value of operating payables at end of year2019-12-31$65,772
Liabilities. Value of operating payables at beginning of year2019-12-31$65,902
Liabilities. Value of operating payables at beginning of year2019-12-31$65,902
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$-94,376,898
Value of net income/loss2019-12-31$-94,376,898
Value of net assets at end of year (total assets less liabilities)2019-12-31$11,190,403
Value of net assets at end of year (total assets less liabilities)2019-12-31$11,190,403
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$105,567,301
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$105,567,301
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$101,208,693
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$101,208,693
Value of interest in pooled separate accounts at end of year2019-12-31$1,178,026
Value of interest in pooled separate accounts at end of year2019-12-31$1,178,026
Value of interest in pooled separate accounts at beginning of year2019-12-31$965,783
Value of interest in pooled separate accounts at beginning of year2019-12-31$965,783
Interest earned on other investments2019-12-31$2,788,914
Interest earned on other investments2019-12-31$2,788,914
Income. Interest from US Government securities2019-12-31$145,140
Income. Interest from US Government securities2019-12-31$145,140
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$10,028,587
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$10,028,587
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$3,082,727
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$3,082,727
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$10,792,035
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$10,792,035
Net investment gain/loss from pooled separate accounts2019-12-31$-32,690
Net investment gain/loss from pooled separate accounts2019-12-31$-32,690
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Employer contributions (assets) at beginning of year2019-12-31$376,000
Employer contributions (assets) at beginning of year2019-12-31$376,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$106,724,216
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$106,724,216
Contract administrator fees2019-12-31$104,956
Contract administrator fees2019-12-31$104,956
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31SB & COMPANY LLC
Accountancy firm name2019-12-31SB & COMPANY LLC
Accountancy firm EIN2019-12-31202153727
Accountancy firm EIN2019-12-31202153727
2018 : SIBLEY MEMORIAL HOSPITAL RETIREMENT PLAN 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$65,902
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$22,194,581
Total income from all sources (including contributions)2018-12-31$-1,588,946
Total of all expenses incurred2018-12-31$6,209,813
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$5,699,133
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$376,000
Value of total assets at end of year2018-12-31$105,633,203
Value of total assets at beginning of year2018-12-31$135,560,641
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$510,680
Total interest from all sources2018-12-31$3,061,344
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$73,433
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2018-12-31$0
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$73,433
Administrative expenses professional fees incurred2018-12-31$452,412
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$10,000,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Other income not declared elsewhere2018-12-31$928
Liabilities. Value of operating payables at end of year2018-12-31$65,902
Liabilities. Value of operating payables at beginning of year2018-12-31$22,194,581
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-7,798,759
Value of net assets at end of year (total assets less liabilities)2018-12-31$105,567,301
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$113,366,060
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$101,208,693
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$131,521,497
Value of interest in pooled separate accounts at end of year2018-12-31$965,783
Value of interest in pooled separate accounts at beginning of year2018-12-31$930,019
Interest earned on other investments2018-12-31$2,915,411
Income. Interest from US Government securities2018-12-31$145,933
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$3,082,727
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$3,109,125
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-5,026,384
Net investment gain/loss from pooled separate accounts2018-12-31$-74,267
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$376,000
Employer contributions (assets) at end of year2018-12-31$376,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$5,699,133
Contract administrator fees2018-12-31$58,268
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31SB & COMPANY
Accountancy firm EIN2018-12-31202153727
2017 : SIBLEY MEMORIAL HOSPITAL RETIREMENT PLAN 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$22,194,581
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$65,936
Total income from all sources (including contributions)2017-12-31$11,248,596
Total of all expenses incurred2017-12-31$5,827,443
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$5,507,602
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$1,250,000
Value of total assets at end of year2017-12-31$135,560,641
Value of total assets at beginning of year2017-12-31$108,010,843
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$319,841
Total interest from all sources2017-12-31$2,304,788
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$316,457
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$316,457
Administrative expenses professional fees incurred2017-12-31$261,098
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$12,000,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Other income not declared elsewhere2017-12-31$10,423
Liabilities. Value of operating payables at end of year2017-12-31$22,194,581
Liabilities. Value of operating payables at beginning of year2017-12-31$65,936
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$5,421,153
Value of net assets at end of year (total assets less liabilities)2017-12-31$113,366,060
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$107,944,907
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$131,521,497
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$96,520,556
Value of interest in pooled separate accounts at end of year2017-12-31$930,019
Value of interest in pooled separate accounts at beginning of year2017-12-31$895,068
Interest earned on other investments2017-12-31$2,178,097
Income. Interest from US Government securities2017-12-31$126,691
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$3,109,125
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$3,095,219
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$7,387,629
Net investment gain/loss from pooled separate accounts2017-12-31$-20,701
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$1,250,000
Employer contributions (assets) at end of year2017-12-31$0
Employer contributions (assets) at beginning of year2017-12-31$7,500,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$5,507,602
Contract administrator fees2017-12-31$58,743
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31SB & COMPANY
Accountancy firm EIN2017-12-31202153727
2016 : SIBLEY MEMORIAL HOSPITAL RETIREMENT PLAN 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$65,936
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$333,742
Total income from all sources (including contributions)2016-12-31$13,095,719
Total of all expenses incurred2016-12-31$5,605,382
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$5,249,374
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$10,000,000
Value of total assets at end of year2016-12-31$108,010,843
Value of total assets at beginning of year2016-12-31$100,788,312
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$356,008
Total interest from all sources2016-12-31$1,923,401
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$432,348
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$432,348
Administrative expenses professional fees incurred2016-12-31$297,801
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$12,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Other income not declared elsewhere2016-12-31$32,931
Administrative expenses (other) incurred2016-12-31$282
Liabilities. Value of operating payables at end of year2016-12-31$65,936
Liabilities. Value of operating payables at beginning of year2016-12-31$333,742
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$7,490,337
Value of net assets at end of year (total assets less liabilities)2016-12-31$107,944,907
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$100,454,570
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$96,520,556
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$94,416,377
Value of interest in pooled separate accounts at end of year2016-12-31$895,068
Value of interest in pooled separate accounts at beginning of year2016-12-31$847,288
Interest earned on other investments2016-12-31$1,798,441
Income. Interest from US Government securities2016-12-31$124,960
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$3,095,219
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$3,024,647
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$676,327
Net investment gain/loss from pooled separate accounts2016-12-31$30,712
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$10,000,000
Employer contributions (assets) at end of year2016-12-31$7,500,000
Employer contributions (assets) at beginning of year2016-12-31$2,500,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$5,249,374
Contract administrator fees2016-12-31$57,925
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31SB AND COMPANY, LLC
Accountancy firm EIN2016-12-31202173727
2015 : SIBLEY MEMORIAL HOSPITAL RETIREMENT PLAN 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$333,742
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$65,772
Total income from all sources (including contributions)2015-12-31$7,767,266
Total of all expenses incurred2015-12-31$5,306,017
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$4,948,293
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$7,500,000
Value of total assets at end of year2015-12-31$100,788,312
Value of total assets at beginning of year2015-12-31$98,059,093
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$357,724
Total interest from all sources2015-12-31$1,861,355
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$432,403
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$432,403
Administrative expenses professional fees incurred2015-12-31$302,230
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$12,000,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Other income not declared elsewhere2015-12-31$17,537
Administrative expenses (other) incurred2015-12-31$814
Liabilities. Value of operating payables at end of year2015-12-31$333,742
Liabilities. Value of operating payables at beginning of year2015-12-31$65,772
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$2,461,249
Value of net assets at end of year (total assets less liabilities)2015-12-31$100,454,570
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$97,993,321
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$94,416,377
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$94,115,439
Value of interest in pooled separate accounts at end of year2015-12-31$847,288
Value of interest in pooled separate accounts at beginning of year2015-12-31$839,535
Interest earned on other investments2015-12-31$1,735,067
Income. Interest from US Government securities2015-12-31$126,288
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$3,024,647
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$3,104,119
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-1,932,430
Net investment gain/loss from pooled separate accounts2015-12-31$-111,599
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$7,500,000
Employer contributions (assets) at end of year2015-12-31$2,500,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$4,948,293
Contract administrator fees2015-12-31$54,680
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31SB & COMPANY, LLC
Accountancy firm EIN2015-12-31202173727
2014 : SIBLEY MEMORIAL HOSPITAL RETIREMENT PLAN 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$65,772
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$186,347
Total income from all sources (including contributions)2014-12-31$15,593,965
Total of all expenses incurred2014-12-31$5,008,877
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$4,678,677
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$5,000,000
Value of total assets at end of year2014-12-31$98,059,093
Value of total assets at beginning of year2014-12-31$87,594,580
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$330,200
Total interest from all sources2014-12-31$1,724,472
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$408,806
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$408,806
Administrative expenses professional fees incurred2014-12-31$262,731
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$12,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Administrative expenses (other) incurred2014-12-31$12,451
Liabilities. Value of operating payables at end of year2014-12-31$65,772
Liabilities. Value of operating payables at beginning of year2014-12-31$186,347
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$10,585,088
Value of net assets at end of year (total assets less liabilities)2014-12-31$97,993,321
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$87,408,233
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$94,115,439
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$83,799,755
Value of interest in pooled separate accounts at end of year2014-12-31$839,535
Value of interest in pooled separate accounts at beginning of year2014-12-31$757,272
Interest earned on other investments2014-12-31$1,588,751
Income. Interest from US Government securities2014-12-31$135,721
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$3,104,119
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$3,037,553
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$8,440,837
Net investment gain/loss from pooled separate accounts2014-12-31$19,850
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$5,000,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$4,678,677
Contract administrator fees2014-12-31$55,018
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31SB & COMPANY, LLC
Accountancy firm EIN2014-12-31202173727
2009 : SIBLEY MEMORIAL HOSPITAL RETIREMENT PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for SIBLEY MEMORIAL HOSPITAL RETIREMENT PLAN

2021: SIBLEY MEMORIAL HOSPITAL RETIREMENT PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01This submission is the final filingYes
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: SIBLEY MEMORIAL HOSPITAL RETIREMENT PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedYes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: SIBLEY MEMORIAL HOSPITAL RETIREMENT PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: SIBLEY MEMORIAL HOSPITAL RETIREMENT PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: SIBLEY MEMORIAL HOSPITAL RETIREMENT PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: SIBLEY MEMORIAL HOSPITAL RETIREMENT PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: SIBLEY MEMORIAL HOSPITAL RETIREMENT PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: SIBLEY MEMORIAL HOSPITAL RETIREMENT PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2009: SIBLEY MEMORIAL HOSPITAL RETIREMENT PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number000229
Policy instance 1
Insurance contract or identification number000229
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number000229
Policy instance 1
Insurance contract or identification number000229
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number000229
Policy instance 1
Insurance contract or identification number000229
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number000229
Policy instance 1
Insurance contract or identification number000229
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number000229
Policy instance 1
Insurance contract or identification number000229
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number000229
Policy instance 1
Insurance contract or identification number000229
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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