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Form 5500 · Retirement plan · WATERBURY, CT

PROSPECT WATERBURY, INC.

The filing calls this plan WATERBURY HOSPITAL CASH BALANCE RETIREMENT PLAN.

PROSPECT WATERBURY, INC. of WATERBURY, CT files a Form 5500 for its retirement plan. Schedule A discloses 1 annuity or guaranteed-interest contract held by the plan, written by PRINCIPAL LIFE INSURANCE COMPANY. These are investment and funding contracts, not group health or welfare coverage. No medical, dental or life benefit is reported on this filing.

Agent of record (Schedule A)
Contract year ends
Decemberas filed for plan year 2024

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 81-2181470 · plan 005 · plan year 2024, filed Oct 13, 2025

Participants at the start of the year
994
Contracts on file
1
Contract value
$19,746,020
Plan year end
December

Plan brief

Schedule A lists 1 insurance contract held by the plan — an annuity, a guaranteed-interest account or a similar funding vehicle, with PRINCIPAL LIFE INSURANCE COMPANY.

The contracts held $19,746,020 at the end of the plan year, as reported on Schedule A.

$8,414 in agent commissions is disclosed across the contracts; S B H U LIFE AGENCY INC is the agent of record.

A Schedule A is filed for a retirement plan when plan assets sit in an insurance company contract. It reports the contract's balances and any agent commission. It does not report a health, dental or life premium, and it does not give a group renewal date.

The contract year ended in December.

Schedule A insurance contracts

CarrierContract typeCoveredYear endsContract valueCommission
PRINCIPAL LIFE INSURANCE COMPANYAnnuity / GIC995December$19,746,020$8,414

Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
PROSPECT WATERBURY, INC.
EIN 81-2181470
PRINCIPAL LIFE INSURANCE COMPANY
Contract administrator · EIN 42-0127290
$195,258
paid directly by the plan
BDO
Accounting and audit · EIN 13-5381590
$52,624
paid directly by the plan
GROOM LAW GROUP, CHARTERED
LEGAL · EIN 52-1219029
$23,319
paid directly by the plan

The plan administrator is from line 3a of the main form. The service providers are named on Schedule C of this filing. We publish company names only.

Reported to OSHA

Reported to OSHA for 2025: 1,425 employees, 22 recordable cases, 512 days away from work.

EmployeesThe company's own average for the year
1,425
Hours worked
2,140,823
Recordable cases
22
Days away from work
512

Source: OSHA Injury Tracking Application establishment data, 2025.

What the plan holds

Plan assets at year end
$21,034,562
Paid out in benefits
$1,827,316
Participants at the start of the year
994
Participants with account balances
0

Sourced from U.S. DOL EFAST2 Form 5500 · Schedule H

Who runs the plan

Independent accountantEIN 13-5381590
BDO
Audit fee
$52,624

The recordkeeper and the accountant are named on Schedule C of this filing. The opinion and the fee are from Schedule H.

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