401k Plan data: CHILDREN'S HOSPITAL 403(B) THRIFT PLAN plan

CHILDREN'S HOSPITAL 403(B) THRIFT PLAN 401k Plan overview

Plan Name	CHILDREN'S HOSPITAL 403(B) THRIFT PLAN
Plan identification number	004

CHILDREN'S HOSPITAL 403(B) THRIFT PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	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.

401k Sponsoring company profile

CHILDREN'S HOSPITAL INC has sponsored the creation of one or more 401k plans.

Company Name: CHILDREN'S HOSPITAL INC

Employer identification number (EIN): 720467503

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CHILDREN'S HOSPITAL 403(B) THRIFT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
004 2016-01-01 CHAD COURREGE COURTNEY GARRETT 2017-10-13
004 2015-01-01 CHAD COURREGE COURTNEY GARRETT 2016-10-14
004 2014-01-01 WENDY WILLIS WENDY WILLIS 2015-10-07
004 2013-01-01 DOUGLAS MITTELSTAEDT, VP OF HR DOUGLAS MITTELSTAEDT, VP OF HR 2014-10-15
004 2012-01-01 DOUGLAS MITTELSTAEDT, VP OF HR DOUGLAS MITTELSTAEDT, VP OF HR 2013-10-15
004 2011-01-01 DOUGLAS MITTELSTAEDT, VP OF HR DOUGLAS MITTELSTAEDT, VP OF HR 2012-10-10
004 2010-01-01 DOUGLAS MITTELSTAEDT, VP OF HR DOUGLAS MITTELSTAEDT, VP OF HR 2011-10-14
004 2009-01-01 DOUGLAS MITTELSTAEDT, VP OF HR DOUGLAS MITTELSTAEDT, VP OF HR 2010-10-11

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
004	2016-01-01	CHAD COURREGE	COURTNEY GARRETT	2017-10-13
004	2015-01-01	CHAD COURREGE	COURTNEY GARRETT	2016-10-14
004	2014-01-01	WENDY WILLIS	WENDY WILLIS	2015-10-07
004	2013-01-01	DOUGLAS MITTELSTAEDT, VP OF HR	DOUGLAS MITTELSTAEDT, VP OF HR	2014-10-15
004	2012-01-01	DOUGLAS MITTELSTAEDT, VP OF HR	DOUGLAS MITTELSTAEDT, VP OF HR	2013-10-15
004	2011-01-01	DOUGLAS MITTELSTAEDT, VP OF HR	DOUGLAS MITTELSTAEDT, VP OF HR	2012-10-10
004	2010-01-01	DOUGLAS MITTELSTAEDT, VP OF HR	DOUGLAS MITTELSTAEDT, VP OF HR	2011-10-14
004	2009-01-01	DOUGLAS MITTELSTAEDT, VP OF HR	DOUGLAS MITTELSTAEDT, VP OF HR	2010-10-11

Plan Statistics for CHILDREN'S HOSPITAL 403(B) THRIFT PLAN

401k plan membership statisitcs for CHILDREN'S HOSPITAL 403(B) THRIFT PLAN

Measure Date Value
2016: CHILDREN'S HOSPITAL 403(B) THRIFT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 2,589
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 0
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 0
Number of participants with account balances 2016-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: CHILDREN'S HOSPITAL 403(B) THRIFT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 3,074
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 2,589
Number of retired or separated participants receiving benefits 2015-01-01 2
Number of other retired or separated participants entitled to future benefits 2015-01-01 618
Total of all active and inactive participants 2015-01-01 3,209
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 7
Total participants 2015-01-01 3,216
Number of participants with account balances 2015-01-01 2,780
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 39
2014: CHILDREN'S HOSPITAL 403(B) THRIFT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 3,026
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 2,421
Number of retired or separated participants receiving benefits 2014-01-01 1
Number of other retired or separated participants entitled to future benefits 2014-01-01 644
Total of all active and inactive participants 2014-01-01 3,066
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 9
Total participants 2014-01-01 3,075
Number of participants with account balances 2014-01-01 2,904
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 30
2013: CHILDREN'S HOSPITAL 403(B) THRIFT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 3,130
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 2,401
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 616
Total of all active and inactive participants 2013-01-01 3,017
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 9
Total participants 2013-01-01 3,026
Number of participants with account balances 2013-01-01 2,739
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 99
2012: CHILDREN'S HOSPITAL 403(B) THRIFT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 2,981
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 2,600
Number of retired or separated participants receiving benefits 2012-01-01 2
Number of other retired or separated participants entitled to future benefits 2012-01-01 513
Total of all active and inactive participants 2012-01-01 3,115
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 15
Total participants 2012-01-01 3,130
Number of participants with account balances 2012-01-01 2,816
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 45
2011: CHILDREN'S HOSPITAL 403(B) THRIFT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 3,227
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 2,496
Number of retired or separated participants receiving benefits 2011-01-01 1
Number of other retired or separated participants entitled to future benefits 2011-01-01 475
Total of all active and inactive participants 2011-01-01 2,972
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 9
Total participants 2011-01-01 2,981
Number of participants with account balances 2011-01-01 2,981
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 68
2010: CHILDREN'S HOSPITAL 403(B) THRIFT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 2,716
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 2,431
Number of retired or separated participants receiving benefits 2010-01-01 1
Number of other retired or separated participants entitled to future benefits 2010-01-01 455
Total of all active and inactive participants 2010-01-01 2,887
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 11
Total participants 2010-01-01 2,898
Number of participants with account balances 2010-01-01 2,600
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 103
2009: CHILDREN'S HOSPITAL 403(B) THRIFT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 2,731
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 2,271
Number of retired or separated participants receiving benefits 2009-01-01 7
Number of other retired or separated participants entitled to future benefits 2009-01-01 426
Total of all active and inactive participants 2009-01-01 2,704
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 12
Total participants 2009-01-01 2,716
Number of participants with account balances 2009-01-01 2,531
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 69

Measure	Date	Value
2016: CHILDREN'S HOSPITAL 403(B) THRIFT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	2,589
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	0
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	0
Number of participants with account balances	2016-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: CHILDREN'S HOSPITAL 403(B) THRIFT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	3,074
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	2,589
Number of retired or separated participants receiving benefits	2015-01-01	2
Number of other retired or separated participants entitled to future benefits	2015-01-01	618
Total of all active and inactive participants	2015-01-01	3,209
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	7
Total participants	2015-01-01	3,216
Number of participants with account balances	2015-01-01	2,780
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	39
2014: CHILDREN'S HOSPITAL 403(B) THRIFT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	3,026
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	2,421
Number of retired or separated participants receiving benefits	2014-01-01	1
Number of other retired or separated participants entitled to future benefits	2014-01-01	644
Total of all active and inactive participants	2014-01-01	3,066
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	9
Total participants	2014-01-01	3,075
Number of participants with account balances	2014-01-01	2,904
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	30
2013: CHILDREN'S HOSPITAL 403(B) THRIFT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	3,130
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	2,401
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	616
Total of all active and inactive participants	2013-01-01	3,017
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	9
Total participants	2013-01-01	3,026
Number of participants with account balances	2013-01-01	2,739
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	99
2012: CHILDREN'S HOSPITAL 403(B) THRIFT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	2,981
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	2,600
Number of retired or separated participants receiving benefits	2012-01-01	2
Number of other retired or separated participants entitled to future benefits	2012-01-01	513
Total of all active and inactive participants	2012-01-01	3,115
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	15
Total participants	2012-01-01	3,130
Number of participants with account balances	2012-01-01	2,816
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	45
2011: CHILDREN'S HOSPITAL 403(B) THRIFT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	3,227
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	2,496
Number of retired or separated participants receiving benefits	2011-01-01	1
Number of other retired or separated participants entitled to future benefits	2011-01-01	475
Total of all active and inactive participants	2011-01-01	2,972
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	9
Total participants	2011-01-01	2,981
Number of participants with account balances	2011-01-01	2,981
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	68
2010: CHILDREN'S HOSPITAL 403(B) THRIFT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	2,716
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	2,431
Number of retired or separated participants receiving benefits	2010-01-01	1
Number of other retired or separated participants entitled to future benefits	2010-01-01	455
Total of all active and inactive participants	2010-01-01	2,887
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	11
Total participants	2010-01-01	2,898
Number of participants with account balances	2010-01-01	2,600
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	103
2009: CHILDREN'S HOSPITAL 403(B) THRIFT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	2,731
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	2,271
Number of retired or separated participants receiving benefits	2009-01-01	7
Number of other retired or separated participants entitled to future benefits	2009-01-01	426
Total of all active and inactive participants	2009-01-01	2,704
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	12
Total participants	2009-01-01	2,716
Number of participants with account balances	2009-01-01	2,531
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	69

Financial Data on CHILDREN'S HOSPITAL 403(B) THRIFT PLAN

Measure	Date	Value
2016 : CHILDREN'S HOSPITAL 403(B) THRIFT PLAN 2016 401k financial data
Total transfer of assets from this plan	2016-12-31	$211,443,368
Total income from all sources (including contributions)	2016-12-31	$25,449,990
Total of all expenses incurred	2016-12-31	$17,696,577
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$17,695,801
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$11,531,889
Value of total assets at end of year	2016-12-31	$0
Value of total assets at beginning of year	2016-12-31	$203,689,955
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$776
Total interest from all sources	2016-12-31	$453,751
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$4,525,794
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2016-12-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$4,525,794
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$1,500,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$5,854,649
Participant contributions at end of year	2016-12-31	$0
Participant contributions at beginning of year	2016-12-31	$156,520
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$403,044
Administrative expenses (other) incurred	2016-12-31	$776
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$7,753,413
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$203,689,955
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$132,776,712
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$35,434,123
Interest earned on other investments	2016-12-31	$444,988
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-12-31	$2,831,700
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-12-31	$2,831,700
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-12-31	$8,763
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$32,311,887
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$5,984,543
Net investment gain/loss from pooled separate accounts	2016-12-31	$2,954,013
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$5,274,196
Employer contributions (assets) at end of year	2016-12-31	$0
Employer contributions (assets) at beginning of year	2016-12-31	$179,013
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$17,695,801
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	2016-12-31	No
Did the plan have assets held for investment	2016-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	LAPORTE, APAC
Accountancy firm EIN	2016-12-31	721088864
2015 : CHILDREN'S HOSPITAL 403(B) THRIFT PLAN 2015 401k financial data
Total income from all sources (including contributions)	2015-12-31	$15,783,483
Total of all expenses incurred	2015-12-31	$16,984,370
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$16,983,588
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$12,346,277
Value of total assets at end of year	2015-12-31	$203,689,955
Value of total assets at beginning of year	2015-12-31	$204,890,842
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$782
Total interest from all sources	2015-12-31	$452,442
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$4,763,646
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$4,763,646
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$1,500,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$6,165,122
Participant contributions at end of year	2015-12-31	$156,520
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$563,825
Administrative expenses (other) incurred	2015-12-31	$782
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$-1,200,887
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$203,689,955
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$204,890,842
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$132,776,712
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$131,624,716
Value of interest in pooled separate accounts at end of year	2015-12-31	$35,434,123
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$36,420,881
Interest earned on other investments	2015-12-31	$444,692
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$2,831,700
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$3,571,231
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$3,571,231
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-12-31	$7,750
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$32,311,887
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$33,274,014
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-1,896,634
Net investment gain/loss from pooled separate accounts	2015-12-31	$117,752
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$5,617,330
Employer contributions (assets) at end of year	2015-12-31	$179,013
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$16,983,588
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	2015-12-31	No
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	LAPORTE, APAC
Accountancy firm EIN	2015-12-31	721088864
2014 : CHILDREN'S HOSPITAL 403(B) THRIFT PLAN 2014 401k financial data
Total income from all sources (including contributions)	2014-12-31	$28,226,982
Total of all expenses incurred	2014-12-31	$15,564,062
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$15,538,434
Value of total corrective distributions	2014-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$12,652,810
Value of total assets at end of year	2014-12-31	$204,890,842
Value of total assets at beginning of year	2014-12-31	$192,227,922
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$25,628
Total interest from all sources	2014-12-31	$473,437
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$4,827,381
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$4,827,381
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$1,500,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$5,984,889
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$356,190
Administrative expenses (other) incurred	2014-12-31	$25,628
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$12,662,920
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$204,890,842
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$192,227,922
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$131,624,716
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$120,945,165
Value of interest in pooled separate accounts at end of year	2014-12-31	$36,420,881
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$34,389,632
Interest earned on other investments	2014-12-31	$452,681
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$3,571,231
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$3,796,047
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$3,796,047
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-12-31	$20,756
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$33,274,014
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$33,097,078
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$7,655,756
Net investment gain/loss from pooled separate accounts	2014-12-31	$2,617,598
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$6,311,731
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$15,538,434
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	2014-12-31	No
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	LAPORTE, APAC
Accountancy firm EIN	2014-12-31	721088864
2013 : CHILDREN'S HOSPITAL 403(B) THRIFT PLAN 2013 401k financial data
Total income from all sources (including contributions)	2013-12-31	$46,636,097
Total of all expenses incurred	2013-12-31	$9,846,370
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$9,820,974
Value of total corrective distributions	2013-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$13,030,296
Value of total assets at end of year	2013-12-31	$192,227,922
Value of total assets at beginning of year	2013-12-31	$155,438,195
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$25,396
Total interest from all sources	2013-12-31	$574,869
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$4,436,108
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$4,436,108
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$1,500,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$5,784,304
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$1,300,020
Administrative expenses (other) incurred	2013-12-31	$25,396
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$36,789,727
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$192,227,922
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$155,438,195
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$120,945,165
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$91,570,643
Value of interest in pooled separate accounts at end of year	2013-12-31	$34,389,632
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$28,818,941
Interest earned on other investments	2013-12-31	$558,065
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$3,796,047
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$3,629,741
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$3,629,741
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-31	$16,804
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$33,097,078
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$31,418,870
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$21,366,677
Net investment gain/loss from pooled separate accounts	2013-12-31	$7,228,147
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$5,945,972
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$9,820,974
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2013-12-31	No
Did the plan have assets held for investment	2013-12-31	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	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	LAPORTE, APAC
Accountancy firm EIN	2013-12-31	721088864
2012 : CHILDREN'S HOSPITAL 403(B) THRIFT PLAN 2012 401k financial data
Total income from all sources (including contributions)	2012-12-31	$29,256,479
Total of all expenses incurred	2012-12-31	$8,989,598
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$8,950,789
Value of total corrective distributions	2012-12-31	$15,162
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$13,389,520
Value of total assets at end of year	2012-12-31	$155,438,195
Value of total assets at beginning of year	2012-12-31	$135,171,314
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$23,647
Total interest from all sources	2012-12-31	$657,201
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$1,768,228
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$1,768,228
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$1,500,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$5,603,992
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$1,373,687
Administrative expenses (other) incurred	2012-12-31	$23,647
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$20,266,881
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$155,438,195
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$135,171,314
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$91,570,643
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$74,842,359
Value of interest in pooled separate accounts at end of year	2012-12-31	$28,818,941
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$25,934,272
Interest earned on other investments	2012-12-31	$643,321
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$3,629,741
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$2,726,822
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$2,726,822
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$13,880
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$31,418,870
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$31,667,861
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$9,829,021
Net investment gain/loss from pooled separate accounts	2012-12-31	$3,612,509
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$6,411,841
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$8,950,789
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2012-12-31	No
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	LAPORTE, APAC
Accountancy firm EIN	2012-12-31	721088864
2011 : CHILDREN'S HOSPITAL 403(B) THRIFT PLAN 2011 401k financial data
Total income from all sources (including contributions)	2011-12-31	$14,722,009
Total of all expenses incurred	2011-12-31	$5,423,450
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$5,335,741
Value of total corrective distributions	2011-12-31	$65,637
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$14,637,648
Value of total assets at end of year	2011-12-31	$135,171,314
Value of total assets at beginning of year	2011-12-31	$125,872,755
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$22,072
Total interest from all sources	2011-12-31	$729,968
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$1,492,785
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$1,492,785
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$1,500,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$5,386,908
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$695,393
Administrative expenses (other) incurred	2011-12-31	$22,072
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$9,298,559
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$135,171,314
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$125,872,755
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$74,842,359
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$70,589,907
Value of interest in pooled separate accounts at end of year	2011-12-31	$25,934,272
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$25,999,956
Interest earned on other investments	2011-12-31	$697,098
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$2,726,822
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$32,870
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$31,667,861
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$29,282,892
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-787,878
Net investment gain/loss from pooled separate accounts	2011-12-31	$-1,350,514
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$8,555,347
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$5,335,741
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	2011-12-31	No
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	LAPORTE, APAC
Accountancy firm EIN	2011-12-31	721088864
2010 : CHILDREN'S HOSPITAL 403(B) THRIFT PLAN 2010 401k financial data
Total income from all sources (including contributions)	2010-12-31	$23,795,206
Total of all expenses incurred	2010-12-31	$3,506,839
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$3,426,555
Value of total corrective distributions	2010-12-31	$58,689
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$10,902,649
Value of total assets at end of year	2010-12-31	$125,872,755
Value of total assets at beginning of year	2010-12-31	$105,584,388
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$21,595
Total interest from all sources	2010-12-31	$786,613
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$691,488
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$691,488
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$4,959,586
Participant contributions at end of year	2010-12-31	$0
Participant contributions at beginning of year	2010-12-31	$194,563
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$590,414
Administrative expenses (other) incurred	2010-12-31	$21,595
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$20,288,367
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$125,872,755
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$105,584,388
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$70,589,907
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$58,074,034
Value of interest in pooled separate accounts at end of year	2010-12-31	$25,999,956
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$22,012,427
Interest earned on other investments	2010-12-31	$775,895
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$10,718
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$29,282,892
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$25,089,948
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$6,489,069
Net investment gain/loss from pooled separate accounts	2010-12-31	$4,925,387
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$5,352,649
Employer contributions (assets) at end of year	2010-12-31	$0
Employer contributions (assets) at beginning of year	2010-12-31	$213,416
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$3,426,555
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	2010-12-31	No
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	LAPORTE SEHRT ROMIG HAND
Accountancy firm EIN	2010-12-31	721088864
2009 : CHILDREN'S HOSPITAL 403(B) THRIFT PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for CHILDREN'S HOSPITAL 403(B) THRIFT PLAN

2016: CHILDREN'S HOSPITAL 403(B) THRIFT PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	This submission is the final filing	Yes
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: CHILDREN'S HOSPITAL 403(B) THRIFT PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: CHILDREN'S HOSPITAL 403(B) THRIFT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: CHILDREN'S HOSPITAL 403(B) THRIFT PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: CHILDREN'S HOSPITAL 403(B) THRIFT PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: CHILDREN'S HOSPITAL 403(B) THRIFT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: CHILDREN'S HOSPITAL 403(B) THRIFT PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: CHILDREN'S HOSPITAL 403(B) THRIFT PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	This submission is the final filing	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )

Policy contract number

406845

Policy instance

Insurance contract or identification number	406845
Number of Individuals Covered	320
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

007488-C

Policy instance

Insurance contract or identification number	007488-C
Number of Individuals Covered	1105
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $15,542
Contracts With Unallocated Funds Deposit Administration	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	15542
Additional information about fees paid to insurance broker	PORTION IF INCENTIVE COMP. PROGRAM
Insurance broker organization code?	3
Insurance broker name	NEW ORLEANS REGIONAL OFFICE

TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )

Policy contract number

334193

Policy instance

Insurance contract or identification number	334193
Number of Individuals Covered	318
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
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 guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

007488-C

Policy instance

Insurance contract or identification number	007488-C
Number of Individuals Covered	1127
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $7,084
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	7084
Additional information about fees paid to insurance broker	PORTION OF INCENTIVE COMP PROGRAM
Insurance broker organization code?	3
Insurance broker name	NEW ORLEANS REGIONAL OFFICE

TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )

Policy contract number

334193

Policy instance

Insurance contract or identification number	334193
Number of Individuals Covered	328
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
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 guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

007488-C

Policy instance

Insurance contract or identification number	007488-C
Number of Individuals Covered	1089
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $6,119
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	6119
Additional information about fees paid to insurance broker	INCENTIVE COMPENSATION
Insurance broker organization code?	3
Insurance broker name	NEW ORLEANS REGIONAL OFFICE

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

007488-C

Policy instance

Insurance contract or identification number	007488-C
Number of Individuals Covered	1184
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $1,922
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 guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	953
Additional information about fees paid to insurance broker	PORTION OF INCENTIVE COMP PROGRAM
Insurance broker organization code?	3
Insurance broker name	ROBERT JONES

TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )

Policy contract number

334193

Policy instance

Insurance contract or identification number	334193
Number of Individuals Covered	376
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
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 guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )

Policy contract number

334193

Policy instance

Insurance contract or identification number	334193
Number of Individuals Covered	384
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
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 guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

007488-C

Policy instance

Insurance contract or identification number	007488-C
Number of Individuals Covered	1229
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $3,331
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 guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )

Policy contract number

334193

Policy instance

Insurance contract or identification number	334193
Number of Individuals Covered	388
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
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 guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

007488-C

Policy instance

Insurance contract or identification number	007488-C
Number of Individuals Covered	1325
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $7,048
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 guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	3020
Additional information about fees paid to insurance broker	COMPENSATION
Insurance broker organization code?	3
Insurance broker name	DENNIS J. LIVERETT

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Company Name:	CHILDREN'S HOSPITAL INC
Employer identification number (EIN):	720467503
NAIC Classification:	622000
NAIC Description:	Hospitals