401k Plan data: ADVENTHEALTH CONSOLIDATED ERISA 403(B) PLAN plan

ADVENTHEALTH CONSOLIDATED ERISA 403(B) PLAN 401k Plan overview

Plan Name	ADVENTHEALTH CONSOLIDATED ERISA 403(B) PLAN
Plan identification number	002

ADVENTHEALTH CONSOLIDATED ERISA 403(B) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
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.
Participant-directed brokerage accounts provided as an investment option under the plan.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.

401k Sponsoring company profile

ADVENTHEALTH BENEFITS ADMINISTRATION COMMITTEE has sponsored the creation of one or more 401k plans.

Company Name: ADVENTHEALTH BENEFITS ADMINISTRATION COMMITTEE

Employer identification number (EIN): 592170012

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ADVENTHEALTH CONSOLIDATED ERISA 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2024-01-01 RENA FREEMAN
002 2023-01-01 RENA FREEMAN
002 2023-01-01 RENA FREEMAN
002 2022-01-01
002 2022-01-01 RENA FREEMAN
002 2021-01-01
002 2021-01-01 RENA FREEMAN
002 2020-01-01
002 2019-01-01
002 2018-01-01
002 2017-01-01 RENA FREEMAN
002 2016-01-01 RENA FREEMAN

Plan Statistics for ADVENTHEALTH CONSOLIDATED ERISA 403(B) PLAN

401k plan membership statisitcs for ADVENTHEALTH CONSOLIDATED ERISA 403(B) PLAN

Measure Date Value
2022: ADVENTHEALTH CONSOLIDATED ERISA 403(B) PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 3,013
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 2,678
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 87
Total of all active and inactive participants 2022-01-01 2,765
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 2,765
Number of participants with account balances 2022-01-01 2,678
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 0
2021: ADVENTHEALTH CONSOLIDATED ERISA 403(B) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 3,380
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 3,013
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 0
Total of all active and inactive participants 2021-01-01 3,013
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 3,013
Number of participants with account balances 2021-01-01 3,013
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: ADVENTHEALTH CONSOLIDATED ERISA 403(B) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 3,189
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 3,165
Number of retired or separated participants receiving benefits 2020-01-01 203
Number of other retired or separated participants entitled to future benefits 2020-01-01 0
Total of all active and inactive participants 2020-01-01 3,368
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 12
Total participants 2020-01-01 3,380
Number of participants with account balances 2020-01-01 3,165
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: ADVENTHEALTH CONSOLIDATED ERISA 403(B) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 2,430
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 3,189
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 0
Total of all active and inactive participants 2019-01-01 3,189
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 3,189
Number of participants with account balances 2019-01-01 3,189
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: ADVENTHEALTH CONSOLIDATED ERISA 403(B) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 3,495
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 3,229
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 0
Total of all active and inactive participants 2018-01-01 3,229
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 3,229
Number of participants with account balances 2018-01-01 3,229
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: ADVENTHEALTH CONSOLIDATED ERISA 403(B) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 3,836
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 1,787
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 1,713
Total of all active and inactive participants 2017-01-01 3,500
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 3,500
Number of participants with account balances 2017-01-01 3,500
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: ADVENTHEALTH CONSOLIDATED ERISA 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 4,150
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 2,877
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 2,877
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 2,877
Number of participants with account balances 2016-01-01 2,877
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0

Measure	Date	Value
2022: ADVENTHEALTH CONSOLIDATED ERISA 403(B) PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	3,013
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	2,678
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	87
Total of all active and inactive participants	2022-01-01	2,765
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	2,765
Number of participants with account balances	2022-01-01	2,678
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2021: ADVENTHEALTH CONSOLIDATED ERISA 403(B) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	3,380
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	3,013
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Total of all active and inactive participants	2021-01-01	3,013
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	3,013
Number of participants with account balances	2021-01-01	3,013
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: ADVENTHEALTH CONSOLIDATED ERISA 403(B) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	3,189
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	3,165
Number of retired or separated participants receiving benefits	2020-01-01	203
Number of other retired or separated participants entitled to future benefits	2020-01-01	0
Total of all active and inactive participants	2020-01-01	3,368
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	12
Total participants	2020-01-01	3,380
Number of participants with account balances	2020-01-01	3,165
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: ADVENTHEALTH CONSOLIDATED ERISA 403(B) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	2,430
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	3,189
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	0
Total of all active and inactive participants	2019-01-01	3,189
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	3,189
Number of participants with account balances	2019-01-01	3,189
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: ADVENTHEALTH CONSOLIDATED ERISA 403(B) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	3,495
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	3,229
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	0
Total of all active and inactive participants	2018-01-01	3,229
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	3,229
Number of participants with account balances	2018-01-01	3,229
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: ADVENTHEALTH CONSOLIDATED ERISA 403(B) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	3,836
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	1,787
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	1,713
Total of all active and inactive participants	2017-01-01	3,500
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	3,500
Number of participants with account balances	2017-01-01	3,500
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: ADVENTHEALTH CONSOLIDATED ERISA 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	4,150
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	2,877
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	2,877
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	2,877
Number of participants with account balances	2016-01-01	2,877
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0

Financial Data on ADVENTHEALTH CONSOLIDATED ERISA 403(B) PLAN

Measure	Date	Value
2022 : ADVENTHEALTH CONSOLIDATED ERISA 403(B) PLAN 2022 401k financial data
Total income from all sources (including contributions)	2022-12-31	$-18,356,486
Total of all expenses incurred	2022-12-31	$7,851,043
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$7,754,395
Value of total assets at end of year	2022-12-31	$70,400,859
Value of total assets at beginning of year	2022-12-31	$96,608,388
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$96,648
Total interest from all sources	2022-12-31	$460,543
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$2,352,836
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$2,352,836
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Participant contributions at end of year	2022-12-31	$389,471
Participant contributions at beginning of year	2022-12-31	$558,510
Administrative expenses (other) incurred	2022-12-31	$205
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-26,207,529
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$70,400,859
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$96,608,388
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$51,239,933
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$76,741,224
Interest on participant loans	2022-12-31	$23,202
Interest earned on other investments	2022-12-31	$436,887
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2022-12-31	$34,702
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2022-12-31	$34,269
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2022-12-31	$34,269
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2022-12-31	$454
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$18,736,753
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$19,274,385
Expenses. Payments to insurance carriers foe the provision of benefits	2022-12-31	$2,292,281
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-21,169,865
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$5,462,114
Contract administrator fees	2022-12-31	$96,443
Did the plan have assets held for investment	2022-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	PKF O'CONNOR DAVIES, LLP
Accountancy firm EIN	2022-12-31	271728945
Total income from all sources (including contributions)	2022-01-01	$-18,356,486
Total of all expenses incurred	2022-01-01	$7,851,043
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-01-01	$7,754,395
Value of total assets at end of year	2022-01-01	$70,400,859
Value of total assets at beginning of year	2022-01-01	$96,608,388
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-01-01	$96,648
Total interest from all sources	2022-01-01	$460,543
Total dividends received (eg from common stock, registered investment company shares)	2022-01-01	$2,352,836
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-01-01	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-01-01	$2,352,836
Was this plan covered by a fidelity bond	2022-01-01	Yes
Value of fidelity bond cover	2022-01-01	$10,000,000
If this is an individual account plan, was there a blackout period	2022-01-01	No
Were there any nonexempt tranactions with any party-in-interest	2022-01-01	No
Participant contributions at end of year	2022-01-01	$389,471
Participant contributions at beginning of year	2022-01-01	$558,510
Administrative expenses (other) incurred	2022-01-01	$205
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-01-01	No
Value of net income/loss	2022-01-01	$-26,207,529
Value of net assets at end of year (total assets less liabilities)	2022-01-01	$70,400,859
Value of net assets at beginning of year (total assets less liabilities)	2022-01-01	$96,608,388
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-01-01	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-01-01	No
Were any leases to which the plan was party in default or uncollectible	2022-01-01	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-01-01	$51,239,933
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-01-01	$76,741,224
Interest on participant loans	2022-01-01	$23,202
Interest earned on other investments	2022-01-01	$436,887
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2022-01-01	$34,702
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2022-01-01	$454
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-01-01	$18,736,753
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-01-01	$19,274,385
Expenses. Payments to insurance carriers foe the provision of benefits	2022-01-01	$2,292,281
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-01-01	$-21,169,865
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-01-01	No
Was there a failure to transmit to the plan any participant contributions	2022-01-01	No
Has the plan failed to provide any benefit when due under the plan	2022-01-01	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-01-01	$5,462,114
Contract administrator fees	2022-01-01	$96,443
Did the plan have assets held for investment	2022-01-01	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-01-01	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-01-01	No
Opinion of an independent qualified public accountant for this plan	2022-01-01	1
Accountancy firm name	2022-01-01	PKF O'CONNOR DAVIES, LLP
Accountancy firm EIN	2022-01-01	271728945
2021 : ADVENTHEALTH CONSOLIDATED ERISA 403(B) PLAN 2021 401k financial data
Total income from all sources (including contributions)	2021-12-31	$12,193,533
Total of all expenses incurred	2021-12-31	$7,437,319
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$7,321,630
Value of total assets at end of year	2021-12-31	$96,608,388
Value of total assets at beginning of year	2021-12-31	$91,852,174
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$115,689
Total interest from all sources	2021-12-31	$481,472
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$7,949,255
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$7,949,255
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Participant contributions at end of year	2021-12-31	$558,510
Participant contributions at beginning of year	2021-12-31	$621,153
Administrative expenses (other) incurred	2021-12-31	$220
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$4,756,214
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$96,608,388
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$91,852,174
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$76,741,224
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$70,645,201
Interest on participant loans	2021-12-31	$30,465
Interest earned on other investments	2021-12-31	$451,003
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2021-12-31	$34,269
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2021-12-31	$34,285
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2021-12-31	$34,285
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2021-12-31	$4
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$19,274,385
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$20,551,535
Expenses. Payments to insurance carriers foe the provision of benefits	2021-12-31	$1,357,895
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$3,762,806
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$5,963,735
Contract administrator fees	2021-12-31	$115,469
Did the plan have assets held for investment	2021-12-31	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	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	PKF O'CONNOR DAVIES, LLP
Accountancy firm EIN	2021-12-31	271728945
2020 : ADVENTHEALTH CONSOLIDATED ERISA 403(B) PLAN 2020 401k financial data
Total income from all sources (including contributions)	2020-12-31	$17,405,715
Total of all expenses incurred	2020-12-31	$6,929,372
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$6,704,990
Expenses. Certain deemed distributions of participant loans	2020-12-31	$34,344
Value of total corrective distributions	2020-12-31	$2,182
Value of total assets at end of year	2020-12-31	$91,852,174
Value of total assets at beginning of year	2020-12-31	$81,375,831
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$187,856
Total interest from all sources	2020-12-31	$530,871
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$5,144,721
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$5,144,721
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Participant contributions at end of year	2020-12-31	$621,153
Participant contributions at beginning of year	2020-12-31	$753,913
Administrative expenses (other) incurred	2020-12-31	$220
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$10,476,343
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$91,852,174
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$81,375,831
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$70,645,201
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$60,217,091
Interest on participant loans	2020-12-31	$35,624
Interest earned on other investments	2020-12-31	$495,155
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2020-12-31	$34,285
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2020-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2020-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2020-12-31	$92
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$20,551,535
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$20,404,827
Expenses. Payments to insurance carriers foe the provision of benefits	2020-12-31	$1,802,158
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$11,730,123
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$4,902,832
Contract administrator fees	2020-12-31	$187,636
Did the plan have assets held for investment	2020-12-31	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	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	PKF O'CONNOR DAVIES, LLP
Accountancy firm EIN	2020-12-31	271728945
2019 : ADVENTHEALTH CONSOLIDATED ERISA 403(B) PLAN 2019 401k financial data
Total transfer of assets to this plan	2019-12-31	$2,872,368
Total income from all sources (including contributions)	2019-12-31	$14,370,184
Total of all expenses incurred	2019-12-31	$6,332,047
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$6,106,517
Expenses. Certain deemed distributions of participant loans	2019-12-31	$65,827
Value of total assets at end of year	2019-12-31	$81,375,831
Value of total assets at beginning of year	2019-12-31	$70,465,326
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$159,703
Total interest from all sources	2019-12-31	$568,508
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$4,209,640
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$4,209,640
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Participant contributions at end of year	2019-12-31	$753,913
Participant contributions at beginning of year	2019-12-31	$653,179
Administrative expenses (other) incurred	2019-12-31	$225
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$8,038,137
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$81,375,831
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$70,465,326
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$60,217,091
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$49,204,097
Interest on participant loans	2019-12-31	$37,533
Interest earned on other investments	2019-12-31	$530,345
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-12-31	$630
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$20,404,827
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$20,608,050
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$9,592,036
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$6,106,517
Contract administrator fees	2019-12-31	$159,478
Did the plan have assets held for investment	2019-12-31	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	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	PKF O'CONNOR DAVIES, LLP
Accountancy firm EIN	2019-12-31	271728945
2018 : ADVENTHEALTH CONSOLIDATED ERISA 403(B) PLAN 2018 401k financial data
Total income from all sources (including contributions)	2018-12-31	$-1,576,090
Total of all expenses incurred	2018-12-31	$8,277,249
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$8,202,218
Expenses. Certain deemed distributions of participant loans	2018-12-31	$47,758
Value of total assets at end of year	2018-12-31	$70,465,326
Value of total assets at beginning of year	2018-12-31	$80,318,665
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$27,273
Total interest from all sources	2018-12-31	$31,143
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$4,631,085
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$4,631,085
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Participant contributions at end of year	2018-12-31	$653,179
Participant contributions at beginning of year	2018-12-31	$725,408
Administrative expenses (other) incurred	2018-12-31	$1
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-9,853,339
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$70,465,326
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$80,318,665
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$49,204,097
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$57,825,524
Interest on participant loans	2018-12-31	$31,143
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$20,608,050
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$21,767,733
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-6,238,318
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$8,202,218
Contract administrator fees	2018-12-31	$27,272
Did the plan have assets held for investment	2018-12-31	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	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	PKF O'CONNOR DAVIES, LLP
Accountancy firm EIN	2018-12-31	271728945
2017 : ADVENTHEALTH CONSOLIDATED ERISA 403(B) PLAN 2017 401k financial data
Total income from all sources (including contributions)	2017-12-31	$11,996,196
Total of all expenses incurred	2017-12-31	$8,467,382
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$8,282,523
Expenses. Certain deemed distributions of participant loans	2017-12-31	$33,447
Value of total assets at end of year	2017-12-31	$80,318,665
Value of total assets at beginning of year	2017-12-31	$76,789,851
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$151,412
Total interest from all sources	2017-12-31	$574,701
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$3,973,238
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$3,973,238
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Participant contributions at end of year	2017-12-31	$725,408
Participant contributions at beginning of year	2017-12-31	$629,893
Administrative expenses (other) incurred	2017-12-31	$280
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$3,528,814
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$80,318,665
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$76,789,851
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$57,825,524
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$53,637,212
Interest on participant loans	2017-12-31	$31,603
Interest earned on other investments	2017-12-31	$542,633
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-12-31	$465
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$21,767,733
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$22,522,746
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$7,448,257
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$8,282,523
Contract administrator fees	2017-12-31	$151,132
Did the plan have assets held for investment	2017-12-31	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	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	PKF O'CONNOR DAVIES, LLP
Accountancy firm EIN	2017-12-31	271728945
2016 : ADVENTHEALTH CONSOLIDATED ERISA 403(B) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$3,445,330
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$10,601,984
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$10,546,103
Expenses. Certain deemed distributions of participant loans	2016-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$0
Value of total assets at end of year	2016-12-31	$76,789,851
Value of total assets at beginning of year	2016-12-31	$83,946,505
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$55,881
Total interest from all sources	2016-12-31	$549,913
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$2,872,455
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$2,872,455
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$0
Participant contributions at end of year	2016-12-31	$629,893
Participant contributions at beginning of year	2016-12-31	$602,794
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$0
Administrative expenses (other) incurred	2016-12-31	$11
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	$-7,156,654
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$76,789,851
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$83,946,505
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 end of year	2016-12-31	$53,637,212
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$59,660,654
Interest on participant loans	2016-12-31	$27,534
Interest earned on other investments	2016-12-31	$522,379
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$22,522,746
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$23,683,057
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$22,962
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	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$10,546,103
Contract administrator fees	2016-12-31	$55,870
Did the plan have assets held for investment	2016-12-31	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	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	No
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	PKF O'CONNOR DAVIES, LLP
Accountancy firm EIN	2016-12-31	271728495

Form 5500 Responses for ADVENTHEALTH CONSOLIDATED ERISA 403(B) PLAN

2022: ADVENTHEALTH CONSOLIDATED ERISA 403(B) PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: ADVENTHEALTH CONSOLIDATED ERISA 403(B) PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: ADVENTHEALTH CONSOLIDATED ERISA 403(B) PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: ADVENTHEALTH CONSOLIDATED ERISA 403(B) PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: ADVENTHEALTH CONSOLIDATED ERISA 403(B) PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: ADVENTHEALTH CONSOLIDATED ERISA 403(B) PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: ADVENTHEALTH CONSOLIDATED ERISA 403(B) PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	First time form 5500 has been submitted	Yes
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
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

Insurance Providers Used on plan

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number	VF6953, VF6034
Policy instance	3
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number	29000
Policy instance	2
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number	29000
Policy instance	1
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number	VF6953, VF6034
Policy instance	3
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number	29000
Policy instance	2
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number	29000
Policy instance	1
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number	VF6953, VF6034
Policy instance	3
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number	29000
Policy instance	2
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number	29000
Policy instance	1
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number	VF6953
Policy instance	3
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number	29000
Policy instance	2
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number	29000
Policy instance	1
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number	VF6953
Policy instance	3
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number	29000
Policy instance	2
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number	29000
Policy instance	1
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number	VF6953
Policy instance	3
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number	29000
Policy instance	2
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number	29000
Policy instance	1

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Company Name:	ADVENTHEALTH BENEFITS ADMINISTRATION COMMITTEE
Employer identification number (EIN):	592170012
NAIC Classification:	622000
NAIC Description:	Hospitals

Plan id#	Filing Submission Date	Name of Administrator
002	2024-01-01	RENA FREEMAN
002	2023-01-01	RENA FREEMAN
002	2023-01-01	RENA FREEMAN
002	2022-01-01
002	2022-01-01	RENA FREEMAN
002	2021-01-01
002	2021-01-01	RENA FREEMAN
002	2020-01-01
002	2019-01-01
002	2018-01-01
002	2017-01-01	RENA FREEMAN
002	2016-01-01	RENA FREEMAN