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CHILD HEALTH SYSTEMS, INC.

Company Details

Entity Name: CHILD HEALTH SYSTEMS, INC.
Jurisdiction: FLORIDA
Filing Type: Foreign Profit Corporation
Status: Active
Date Filed: 04 Mar 1993 (32 years ago)
Last Event: SHARE EXCHANGE
Event Date Filed: 10 May 1993 (32 years ago)
Document Number: F93000001194
FEI/EIN Number 04-3149421
Address: 140 EAST MAIN STREET, STE 4, NORTON, MA 02766
Mail Address: 140 EAST MAIN STREET, STE 4, NORTON, MA 02766
Place of Formation: DELAWARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1124262126 2009-04-22 2014-02-07 8509 BENJAMIN RD, SUITE A-D, TAMPA, FL, 336341224, US 8509 BENJAMIN RD, SUITE D, TAMPA, FL, 336341224, US

Contacts

Phone +1 813-880-0220
Fax 8138800221
Phone +1 813-872-8521
Fax 8138800321

Authorized person

Name MS. HEIDI TOSTI
Role VP FINANCE & BEHAVIORAL HEALTH SERV
Phone 8138728521

Taxonomy

Taxonomy Code 103K00000X - Behavior Analyst
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 679096896
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CHILD HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN & TRUST 2023 043149421 2024-09-18 CHILD HEALTH SYSTEMS, INC. 206
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621610
Sponsor’s telephone number 8138800320
Plan sponsor’s mailing address 8509 BENJAMIN RD STE D, TAMPA, FL, 336341224
Plan sponsor’s address 8509 BENJAMIN RD STE D, TAMPA, FL, 336341224

Number of participants as of the end of the plan year

Active participants 169
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 37
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 92
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0
CHILD HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN & TRUST 2023 043149421 2024-11-26 CHILD HEALTH SYSTEMS, INC. 221
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621610
Sponsor’s telephone number 8138800320
Plan sponsor’s address 8509 BENJAMIN RD STE D, TAMPA, FL, 336341224
CHILD HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN & TRUST 2022 043149421 2023-10-10 CHILD HEALTH SYSTEMS, INC. 236
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621610
Sponsor’s telephone number 8138800320
Plan sponsor’s mailing address 8509 BENJAMIN RD STE D, TAMPA, FL, 336341224
Plan sponsor’s address 8509 BENJAMIN RD STE D, TAMPA, FL, 336341224

Number of participants as of the end of the plan year

Active participants 175
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 31
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 100
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0
CHILD HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN & TRUST 2021 043149421 2022-10-14 CHILD HEALTH SYSTEMS, INC. 273
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621610
Sponsor’s telephone number 8138800320
Plan sponsor’s mailing address 8509 BENJAMIN RD STE D, TAMPA, FL, 336341224
Plan sponsor’s address 8509 BENJAMIN RD STE D, TAMPA, FL, 336341224

Number of participants as of the end of the plan year

Active participants 204
Retired or separated participants receiving benefits 2
Other retired or separated participants entitled to future benefits 34
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 111
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0
CHILD HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN & TRUST 2020 043149421 2021-10-01 CHILD HEALTH SYSTEMS, INC. 341
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621610
Sponsor’s telephone number 8138800320
Plan sponsor’s mailing address 8509 BENJAMIN RD STE D, TAMPA, FL, 336341224
Plan sponsor’s address 8509 BENJAMIN RD STE D, TAMPA, FL, 336341224

Number of participants as of the end of the plan year

Active participants 233
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 34
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 112
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0
CHILD HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN & TRUST 2019 043149421 2020-09-08 CHILD HEALTH SYSTEMS, INC. 309
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621610
Sponsor’s telephone number 8138800320
Plan sponsor’s mailing address 8509 BENJAMIN RD STE D, TAMPA, FL, 336341224
Plan sponsor’s address 8509 BENJAMIN RD STE D, TAMPA, FL, 336341224

Number of participants as of the end of the plan year

Active participants 247
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 34
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 108
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0
CHILD HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN & TRUST 2018 043149421 2019-09-12 CHILD HEALTH SYSTEMS, INC. 337
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621610
Sponsor’s telephone number 8138800320
Plan sponsor’s mailing address 8509 BENJAMIN RD STE D, TAMPA, FL, 336341224
Plan sponsor’s address 8509 BENJAMIN RD STE D, TAMPA, FL, 336341224

Number of participants as of the end of the plan year

Active participants 265
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 25
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 101
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0
CHILD HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN & TRUST 2017 043149421 2018-10-12 CHILD HEALTH SYSTEMS, INC. 314
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621610
Sponsor’s telephone number 8138800320
Plan sponsor’s mailing address 8509 BENJAMIN RD STE D, TAMPA, FL, 336341224
Plan sponsor’s address 8509 BENJAMIN RD STE D, TAMPA, FL, 336341224

Number of participants as of the end of the plan year

Active participants 273
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 37
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 110
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0
CHILD HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN & TRUST 2016 043149421 2017-10-06 CHILD HEALTH SYSTEMS, INC. 321
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621610
Sponsor’s telephone number 8138800320
Plan sponsor’s mailing address 8509 BENJAMIN RD STE D, TAMPA, FL, 336341224
Plan sponsor’s address 8509 BENJAMIN RD STE D, TAMPA, FL, 336341224

Number of participants as of the end of the plan year

Active participants 395
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 6
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 87
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0
CHILD HEALTH SYSTEMS INC 401(K) PROFIT SHARING PLAN & TRUST 2015 043149421 2016-10-10 CHILD HEALTH SYSTEMS, INC. 301
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621610
Sponsor’s telephone number 8138800320
Plan sponsor’s mailing address 8509 BENJAMIN RD STE D, TAMPA, FL, 336341224
Plan sponsor’s address 8509 BENJAMIN RD STE D, TAMPA, FL, 336341224

Number of participants as of the end of the plan year

Active participants 259
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 17
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 84
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Agent

Name Role
TK REGISTERED AGENT, INC. Agent

Director

Name Role Address
BARRY, STEPHEN T Director 8509 BENJAMIN ROAD, TAMPA, FL 33634
ANDERSON -JAMES G- INC Director No data
NEIDER, CALVIN A Director 1445 E. PUTNAM AVENUE, OLD GREENWICH, CT 06870
BLEVINS, MATTHEW W Director 1445 E. PUTNAM AVENUE, OLD GREENWICH, CT 06870

President

Name Role Address
BARRY, STEPHEN T President 8509 BENJAMIN ROAD, TAMPA, FL 33634

Officer

Name Role Address
ANDERSON -JAMES G- INC Officer No data
NEIDER, CALVIN A Officer 1445 E. PUTNAM AVENUE, OLD GREENWICH, CT 06870
BLEVINS, MATTHEW W Officer 1445 E. PUTNAM AVENUE, OLD GREENWICH, CT 06870

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2010-01-13 TK REGISTERED AGENT, INC. No data
REGISTERED AGENT ADDRESS CHANGED 2009-04-28 101 EAST KENNEDY BOULEVARD, SUITE 2700, TAMPA, FL 33602 No data
CHANGE OF PRINCIPAL ADDRESS 2008-05-01 140 EAST MAIN STREET, STE 4, NORTON, MA 02766 No data
CHANGE OF MAILING ADDRESS 2008-05-01 140 EAST MAIN STREET, STE 4, NORTON, MA 02766 No data
SHARE EXCHANGE 1993-05-10 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-05
ANNUAL REPORT 2023-04-19
ANNUAL REPORT 2022-09-21
ANNUAL REPORT 2021-02-26
ANNUAL REPORT 2020-04-06
ANNUAL REPORT 2019-03-25
ANNUAL REPORT 2018-04-03
ANNUAL REPORT 2017-03-14
ANNUAL REPORT 2016-03-28
ANNUAL REPORT 2015-02-11

Date of last update: 03 Feb 2025

Sources: Florida Department of State