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FORM 5500 DATA

Children's Mercy Hospital Tax-Deferred Annuity Retirement Plan

Overview

Plan Information

  • Plan Year01/01/2018 — 12/31/2018
  • Date of Plan06/12/1962
  • Net Assets as of 12/31/2018 $527,761,233
  • Plan Number2
  • Plan Type Single Employer
  • Is the plan collectively bargained? No
  • Did the plan file for an extension of time or the DFVC Program?Yes
  • Plan Funding ArrangementInsurance Trust
  • Plan Benefit ArrangementInsurance Trust

Participant Information as of 12/31/2018

  • Active (Eligible) Participants9,088
  • Retired or separated participants receiving benefits0
  • Other retired or separated participants entitled to future benefits2,092
  • Subtotal11,180
  • Deceased participants whose beneficiaries are receiving or are entitled to receive benefits12
  • Total11,192
  • Total number of participants as of 01/01/201810,244
  • Number of participants with account balances10,912
  • Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested0

Expenses

  • Total Benefit Payments$0
  • Corrective Distributions$0
  • Administrative Service Providers$0
  • Other Expenses$0
  • Total Expenses$0
  • Total Transfers$0

Sponsor Information

  • Address2401 Gillham
  • CityKansas City
  • StateMO
  • Zip64108
  • Telephone(816) 701-4378
  • EIN44-0605373
  • Industry Code622000
  • Named AdministratorDavid A Cauble
  • Named Plan SponsorDavid A Cauble

Audit Information

  • Audit StatusAudited
  • AuditorBkd LLP
  • Auditor EIN44-0160260
  • Audit Opinion Disclaimer
  • Audit TypeLimited Scope Audit

Benefits Provided Under the Plan

Code Benefit Description
2F ERISA section 404(c) Plan This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
2G Total participant-directed account plan Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
2L Code section 403(b)(1) arrangement A 403(b) plan, also known as a tax-sheltered annuity (TSA) plan, is a retirement plan for certain employees of public schools, employees of certain tax-exempt organizations, and certain ministers.
2M Code section 403(b)(7) accounts A 403(b)(7) plan is a tax-deferred retirement plan often available to employees of public schools or non-profit organizations.
2S Automatic Enrollment Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
2T Participant-directed Account Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
3D Master plan A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
3H Controlled Group Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

Questions and Answers

Question Answer Amount
During the plan year did the employer fail to transmit to the plan any participant contributions within the time period described in 29 CFT 2510.3-102? No
Were any loans by the plan or fixed income obligations due the plan in default as of the close of plan year or classified during the year as uncollectible? Disregard participant loans secured by participant's account balance. No
Were any leases to which the plan was a party in default or classified during the year as uncollectible? No
Were there any nonexempt transactions with any party-in-interest? No
Was this plan covered by a fidelity bond? Yes $3,000,000
Did the plan have a loss, whether or not reimbursed by the plan's fidelity bond, that was caused by fraud or dishonesty? No
Did the plan hold any assets whose current value was neither readily determinable on an established market nor set by an independent third party appraiser? No
Did the plan receive any noncash contributions whose value was neither readily determinable on an established market nor set by an independent third party appraiser? No
Did the plan have assets held for investment? Yes
Were any plan transactions or series of transactions in excess of 5% of the current value of plan assets? No
Were all the plan assets either distributed to participants or beneficiaries, transferred to another plan, or brought under the control of the PBGC? No
Has the plan failed to provide any benefit when due under the plan? No
If this is an individual account plan, was there a blackout period? No
If there was a blackout period, have you either provided the required notice or one of the exceptions to providing the notice applied under 29 CFR 2520.101-3? No

Financials

Income and Expense Statement

Income $27,663,019
Contributions $57,318,415
Cash Contributions $57,318,415
Cash from Employers $11,823,281
Cash from Participants $39,407,570
Others (including rollovers) $6,087,564
Noncash Contributions $0
Total Earnings on Investments $-29,926,375
Total Interest $3,519,713
Interest-Bearing Cash $0
U.S. Government Securities $0
Corporate Debt Instruments $0
Loans (other than to participants) $0
Participant Loans $0
Interest from Other Investments $3,519,713
Total Dividends $18,187,831
Preferred Stock $0
Common Stock $0
Rents $0
Net gain (loss) on sale of assets $0
Aggregate Proceeds $0
Aggregate Carrying Amount $0
Total Unrealized Appreciation (depreciation) of assets $0
Real Estate $0
Other $0
Net investment gain (loss) from common/collective trusts $0
Net investment gain (loss) from pooled separate accounts $1,046,102
Net investment gain (loss) from master trust investment accounts $0
Net investment gain (loss) from 103-12 investment entities $0
Net investment gain (loss) from registered investment companies $-52,680,021
Other Income $270,979
Expenses $32,832,154
Total Benefit Payments $32,633,295
Directly to participants or beneficiaries, including direct rollovers $31,019,910
To insurance carriers for the provision of benefits $1,613,385
Other Benefit Payment Fees $0
Corrective Distributions $0
Certain deemed distributions of participant loans $0
Interest expense $0
Total Administrative Expenses $198,859
Professional Fees $87,002
Contract Administrator Fees $0
Investment Advisory and management fees $0
Other Administrative Fees $111,857
Net Income $-5,169,135
Transfers of Assets to this Plan $0
Transfers of Assets from this Plan $0

Asset and Liability Statement

12/31/2018 12/31/2017 Change YOY
Total Assets $527,761,233 $532,930,368 -0.97%
Total noninterest-bearing cash $0 $0 0.0%
Receivables $1,860,266 $272,593 582.43%
Employer Contributions $657,176 $272,593 141.08%
Participant Contributions $1,203,090 $0 0.0%
Other Contributions $0 $0 0.0%
General Investments $0 $0 0.0%
Interest-bearing cash $0 $0 0.0%
U.S. Government Securities $0 $0 0.0%
Corporate Debt Instruments $0 $0 0.0%
Preferred $0 $0 0.0%
All Other $0 $0 0.0%
Corporate Stocks $0 $0 0.0%
Preferred $0 $0 0.0%
Common $0 $0 0.0%
Partnership/joint venture interests $0 $0 0.0%
Real estate (other than employer real property) $0 $0 0.0%
Loans (other than to participants) $0 $0 0.0%
Participants Loans $0 $0 0.0%
Value of interest in common/collective trusts $0 $0 0.0%
Value of interest in pooled separate accounts $22,732,428 $22,045,532 3.12%
Value of interest in master trust investment accounts $0 $0 0.0%
Value of interest in 103-12 investment entities $0 $0 0.0%
Value of interest in registered investment companies $402,253,783 $414,651,642 -2.99%
Value of funds held in insurance co. general account $100,914,756 $95,960,601 5.16%
Other Investments $0 $0 0.0%
Employer-related Investments $0 $0 0.0%
Employer Securities $0 $0 0.0%
Employer Real Property $0 $0 0.0%
Buildings and other property used in plan operation $0 $0 0.0%
Total Liabilities $0 $0 0.0%
Benefit Claims Payable (1) $0 $0 0.0%
Operating Payables (1) $0 $0 0.0%
Acquisition Indebtedness (1) $0 $0 0.0%
Other liabilities (1) $0 $0 0.0%
Net Assets $527,761,233 $532,930,368 -0.97%

Service Providers

Persons Receiving Only Eligible Indirect Compensation

  • TIAA

Other Service Providers Receiving Direct or Indirect Compensation

Name Nature of Service Relationship to Plan Sponsor Direct Compensation Paid by Plan Indirect Compensation Paid by Plan Total Compensation
TIAA Recordkeeping and information management (computing, tabulating, data processing, etc.), Consulting (pension), Investment advisory (plan), Investment management, Participant communication, Investment management fees paid indirectly by plan, Sales loads (front end and deferred), Recordkeeping fees, Insurance mortality and expense charge NONE $111,857 $0 $111,857
Cbiz Financial Solutions, Inc. Consulting (general), Direct payment from the plan NONE $65,203 $0 $65,203
Deloitte Tax LLP Consulting (general), Direct payment from the plan NONE $11,625 $0 $11,625
Bkd, LLP Accounting (including auditing), Direct payment from the plan NONE $9,360 $0 $9,360
Total $198,045 $0 $198,045

Indirect Compensation

There are no service providers with indirect compensation listed for this plan.

Service Providers Who Fail or Refuse to Provide Information

There are no service providers who failed or refused to provide information.

Termination Information on Accountants and Enrolled Actuaries

There is no termination information for this plan.

Investments

Investments

Name of Investment Investment Manager Type of Investment Dollar Value
Tiaa Real Estate Tiaa-Cref DFE: Pooled Separate Account $22,732,428
Total $22,732,428

Insurance Information

Insurance Information

Insurance Carrier Summary Persons Covered
Tiaa-Cref 3,193
EIN 13-1624203
Industry Code 69345
Contract Number 102111
Contract Year 01/01/2018 — 12/31/2018
Value in General Account at Year End $100,914,756
Value in Separate Accounts at Year End $147,327,549
Insurance Fees and Commissions $0
Persons Receiving Commissions and Fees There are no brokers listed for this plan.
Allocated Funds
Type of Contract Unspecified
Basis of premium rates
Premiums paid to carrier $0
Premiums due but unpaid at the end of the year $0
If the carrier, service, or other organization incurred any specific costs in connection with the acquisition or retention of the contract or policy, enter amount $0
Specify the nature of the costs
Unallocated Funds
Type of Contract Guaranteed Investment
Balance at the end of the previous year $95,960,601
Additions $20,477,453
Contributions Deposited during the year $3,757,859
Dividends and credits $0
Interest credited during the year $3,519,713
Transferred from separate account $13,165,843
Other $34,038
Total of Balance and Additions $116,438,054
Deductions $15,523,298
Disbursed from fund to pay benefits or purchase annuities during the year $7,197,133
Administration charge made by carrier $0
Transferred to Separate Account $8,317,930
Other $8,235
Balance at the end of the current year $100,914,756