DC Plan Investment Performance

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PERFORMANCE UPDATE  
 
CEDARS-SINAI DC PLAN  
 
Average Annual Total Returns as of 05/31/2018    (shown in percentages)  

 Variable annuities and mutual funds offered through a retirement plan are intended as long-term investments designed for retirement purposes. Money distributed from a 403(b) plan, 401(a)/(k) plan, or a 457 plan will be taxed as ordinary income in the year the money is distributed. Early withdrawals from a 403(b) plan and a 401(a)/(k) plan, if taken prior to age 59 1/2, will be subject to the IRS 10% premature distribution penalty tax, unless an exception applies. This IRS premature distribution penalty tax does not apply to 457 plans. Account values fluctuate with market conditions, and when surrendered the principal may be worth more or less than the original amount invested. 

 The performance data quoted represents past performance.  Past performance does not guarantee future results.  For month-end performance which may be lower or higher than the performance data shown please call 800-584-6001.  Investment return and principal value of an investment will fluctuate so that, when sold, an investment may be worth more or less than the original cost.  

 You should consider the investment objectives, risks and charges, and expenses of the funds carefully before investing.  The prospectus contains this and other information.  Anyone who wishes to obtain a free copy of the fund prospectuses may call their Voya representative or the number above.  Please read the prospectus carefully before investing. 

 Returns less than one year are not annualized.  Fund Inception Date is the date of inception for the underlying fund, and is the date used in calculating the periodic returns.  This date may also precede the portfolio's inclusion in the product. 


 Investment Options 1-Mo 3-Mo YTD 1-Yr 3-Yr 5-Yr10-Yr InceptFund Inception Date Gross Fund Exp %* Net Fund Exp %* 
Stability of Principal   
   Money Market 
BlackRock Liquidity Federal Trust Fund - Inst Shares - 2574 (1)(2)0.140.380.571.090.500.310.2912/03/19900.24 0.17  
The 7-day annualized yield as of 05/31/2018 is 0.00%, which more closely reflects current earnings.  (9) 
Vanguard® Treasury Money Market Fund - Investor Shares - 8408 (1)(3)0.150.400.611.180.560.340.2912/14/19920.09 0.09  
The 7-day annualized yield as of 05/31/2018 is 0.00%, which more closely reflects current earnings.  (9) 
Bonds   
   Intermediate-Term Bond 
Metropolitan West Total Return Bond Fund - Plan Class Shares - 3058 (4)0.750.79-1.14-0.051.392.125.4012/31/20020.38 0.38  
   Short-Term Bond 
JPMorgan Short Duration Bond Fund - Class R6 Shares - 3766 (5)0.340.38-0.100.160.730.841.8902/22/20050.36 0.30  
   World Bond 
AB Global Bond Fund - Class I - 3357 (6)-0.250.03-0.760.002.602.724.5803/27/19920.56 0.56  
Asset Allocation   
   Lifestyle 
Cedars-Sinai Higher Risk Allocation Portfolio - 3770 0.55-0.120.539.596.517.337.6804/17/20130.42 0.41  
Cedars-Sinai Lower Risk Portfolio - 3768 0.600.170.275.334.154.774.8704/18/20130.37 0.35  
Cedars-Sinai Medium Risk Portfolio - 3769 0.560.040.377.895.696.356.3703/28/20130.42 0.40  
Large Cap Value   
   Large Blend 
Vanguard® Institutional Index Fund - Institutional Plus - 1228 2.410.182.0114.3710.9712.979.1607/07/19970.02 0.02  
Small/Mid/Specialty   
   Mid-Cap Blend 
Vanguard® Mid-Cap Index Fund - Institutional Shares - 1197 1.781.511.6311.808.2311.849.1505/21/19980.04 0.04  
   Mid-Cap Growth 
Wells Fargo Discovery Fund - Institutional Class - 9388 (7)5.073.166.9021.2310.5612.5010.2012/31/19870.88 0.88  
   Mid-Cap Value 
AB Discovery Value Fund - Class I - 8446 3.256.322.6116.609.6411.429.8103/01/20050.86 0.86  
   Small Blend 
Vanguard® Small-Cap Index Fund - Institutional Shares - 1198 5.106.645.2218.269.8812.0310.1807/07/19970.04 0.04  
Global / International   
   Diversified Emerging Mkts 
Wells Fargo Emerging Markets Equity Fund - Inst Class - 3166 (8)-2.42-4.75-2.169.737.674.222.4409/06/19941.23 1.20  
   Foreign Large Blend 
Vanguard® Total International Stock Index Fund- Inst Shares - 9772 -1.92-1.75-1.589.945.136.071.9904/29/19960.09 0.09  
   Foreign Large Growth 
MFS® Institutional International Equity Fund - 1118 -0.98-0.35-0.318.235.076.774.3401/30/19960.71 0.71  
 The risks of investing in small company stocks may include relatively low trading volumes, a greater degree of change in earnings and greater short-term volatility. 
 Foreign investing involves special risks such as currency fluctuation and public disclosure, as well as economic and political risks. 
 Some of the Funds invest in securities guaranteed by the U.S. Government as to the timely payment of principal and interest; however, shares of the Funds are not insured nor guaranteed. 
 High yielding fixed-income securities generally are subject to greater market fluctuations and risks of loss of income and principal than are investments in lower yielding fixed-income securities. 
 Sector funds may involve greater-than average risk and are often more volatile than funds holding a diversified portfolio of stocks in many industries. Examples include: banking, biotechnology, chemicals, energy, environmental services, natural resources, precious metals, technology, telecommunications, and utilities. 
 *The Gross Expense Ratios shown do not reflect any temporary fee or expense waivers that may be in effect for a fund. The performance of a fund with a temporary fee or expense waiver would have been lower if the gross fund fees / expenses listed had been reflected. 



PERFORMANCE UPDATE  
 
CEDARS-SINAI DC PLAN  
 
Average Annual Total Returns as of 03/31/2018    (shown in percentages)  

 Variable annuities and mutual funds offered through a retirement plan are intended as long-term investments designed for retirement purposes. Money distributed from a 403(b) plan, 401(a)/(k) plan, or a 457 plan will be taxed as ordinary income in the year the money is distributed. Early withdrawals from a 403(b) plan and a 401(a)/(k) plan, if taken prior to age 59 1/2, will be subject to the IRS 10% premature distribution penalty tax, unless an exception applies. This IRS premature distribution penalty tax does not apply to 457 plans. Account values fluctuate with market conditions, and when surrendered the principal may be worth more or less than the original amount invested. 

 The performance data quoted represents past performance.  Past performance does not guarantee future results.  For month-end performance which may be lower or higher than the performance data shown please call 800-584-6001.  Investment return and principal value of an investment will fluctuate so that, when sold, an investment may be worth more or less than the original cost.  

 Returns less than one year are not annualized.  Fund Inception Date is the date of inception for the underlying fund, and is the date used in calculating the periodic returns.  This date may also precede the portfolio's inclusion in the product. 


 Investment Options 1-Mo 3-Mo YTD 1-Yr 3-Yr 5-Yr10-Yr InceptFund Inception Date Gross Fund Exp %* Net Fund Exp %* 
Stability of Principal   
   Money Market 
BlackRock Liquidity Federal Trust Fund - Inst Shares - 2574 (1)(2)0.110.310.310.930.420.250.3012/03/19900.24 0.17  
The 7-day annualized yield as of 03/31/2018 is 1.45%, which more closely reflects current earnings.  (9) 
Vanguard® Treasury Money Market Fund - Investor Shares - 8408 (1)(3)0.120.330.331.010.470.280.3012/14/19920.09 0.09  
The 7-day annualized yield as of 03/31/2018 is 1.50%, which more closely reflects current earnings.  (9) 
Bonds   
   Intermediate-Term Bond 
Metropolitan West Total Return Bond Fund - Plan Class Shares - 3058 (4)0.64-1.30-1.301.181.182.085.2612/31/20020.38 0.38  
   Short-Term Bond 
JPMorgan Short Duration Bond Fund - Class R6 Shares - 3766 (5)0.15-0.32-0.320.350.690.761.8202/22/20050.36 0.30  
   World Bond 
AB Global Bond Fund - Class I - 3357 (6)0.65-0.15-0.152.122.512.754.6503/27/19920.56 0.56  
Asset Allocation   
   Lifestyle 
Cedars-Sinai Higher Risk Allocation Portfolio - 3770 -0.91-0.27-0.2712.277.017.7804/17/20130.42 0.41  
Cedars-Sinai Lower Risk Portfolio - 3768 -0.43-0.33-0.336.974.274.9104/18/20130.37 0.35  
Cedars-Sinai Medium Risk Portfolio - 3769 -0.63-0.31-0.3110.286.036.466.4403/28/20130.42 0.40  
Large Cap Value   
   Large Blend 
Vanguard® Institutional Index Fund - Institutional Plus - 1228 -2.55-0.77-0.7713.9710.7713.309.5207/07/19970.02 0.02  
Small/Mid/Specialty   
   Mid-Cap Blend 
Vanguard® Mid-Cap Index Fund - Institutional Shares - 1197 -0.120.000.0012.347.8812.2710.1605/21/19980.04 0.04  
   Mid-Cap Growth 
Wells Fargo Discovery Fund - Institutional Class - 9388 (7)-0.393.223.2221.5410.0712.7111.9212/31/19870.88 0.88  
   Mid-Cap Value 
AB Discovery Value Fund - Class I - 8446 0.96-2.57-2.578.337.9111.2310.1103/01/20050.86 0.86  
   Small Blend 
Vanguard® Small-Cap Index Fund - Institutional Shares - 1198 1.14-0.21-0.2111.838.0711.6710.7407/07/19970.04 0.04  
Global / International   
   Diversified Emerging Mkts 
Wells Fargo Emerging Markets Equity Fund - Inst Class - 3166 (8)-0.991.701.7020.9910.094.833.9609/06/19941.23 1.20  
   Foreign Large Blend 
Vanguard® Total International Stock Index Fund- Inst Shares - 9772 -0.63-0.45-0.4517.086.956.432.8504/29/19960.09 0.09  
   Foreign Large Growth 
MFS® Institutional International Equity Fund - 1118 -1.41-1.37-1.3716.656.086.894.8901/30/19960.71 0.71  
 The risks of investing in small company stocks may include relatively low trading volumes, a greater degree of change in earnings and greater short-term volatility. 
 Foreign investing involves special risks such as currency fluctuation and public disclosure, as well as economic and political risks. 
 Some of the Funds invest in securities guaranteed by the U.S. Government as to the timely payment of principal and interest; however, shares of the Funds are not insured nor guaranteed. 
 High yielding fixed-income securities generally are subject to greater market fluctuations and risks of loss of income and principal than are investments in lower yielding fixed-income securities. 
 Sector funds may involve greater-than average risk and are often more volatile than funds holding a diversified portfolio of stocks in many industries. Examples include: banking, biotechnology, chemicals, energy, environmental services, natural resources, precious metals, technology, telecommunications, and utilities. 
 *The Gross Expense Ratios shown do not reflect any temporary fee or expense waivers that may be in effect for a fund. The performance of a fund with a temporary fee or expense waiver would have been lower if the gross fund fees / expenses listed had been reflected. 


ADDITIONAL NOTES 
(1) YOU COULD LOSE MONEY BY INVESTING IN THE FUND. ALTHOUGH THE FUND SEEKS TO PRESERVE THE VALUE OF YOUR INVESTMENT AT $1.00 PER SHARE, IT CANNOT GUARANTEE IT WILL DO SO. AN INVESTMENT IN THE FUND IS NOT INSURED OR GUARANTEED BY THE FEDERAL DEPOSIT INSURANCE CORPORATION OR ANY OTHER GOVERNMENT AGENCY. THE FUND'S SPONSOR HAS NO LEGAL OBLIGATION TO PROVIDE FINANCIAL SUPPORT TO THE FUND, AND YOU SHOULD NOT EXPECT THAT THE SPONSOR WILL PROVIDE FINANCIAL SUPPORT TO THE FUND AT ANY TIME. 
(2) BlackRock Liquidity Federal Trust Fund - Institutional Shares: BlackRock Advisors, LLC ("BlackRock"), the Fund's investment manager, has contractually agreed to waive fees and/or reimburse ordinary operating expenses in order to keep combined Management Fees and Miscellaneous/Other Expenses (excluding Dividend Expense, Interest Expense, Acquired Fund Fees and Expenses and certain other Fund expenses) from exceeding 0.17% of average daily net assets through February 28, 2019. The agreement may be terminated upon 90 days' notice by a majority of the non-interested trustees of the Trust or by a vote of a majority of the outstanding voting securities of the Fund. 

(3) Vanguard Treasury Money Market Fund - Investor Shares: Vanguard and the Fund's board have voluntarily agreed to temporarily limit certain net operating expenses in excess of the Fund's daily yield so as to maintain a zero or positive yield for the Fund. Vanguard and the Fund's board may terminate the temporary expense limitation at any time.
 

(4) Metropolitan West Total Return Bond Fund - Plan Class: Metropolitan West Asset Management, LLC (the "Adviser") has contractually agreed to reduce advisory fees and/or reimburse expenses, including distribution expenses, to limit the Fund's total annual operating expenses (excluding interest, taxes, brokerage commissions, short sale dividend expenses, acquired fund fees and expenses, and any expenses incurred in connection with any merger or reorganization or extraordinary expenses such as litigation) to 0.39%. The Adviser may recoup reduced fees and expenses within three years, subject to any applicable expense limit at the time of recoupment. This contract will remain in place until July 31, 2016. Although it does not expect to do so, the Board of Trustees is permitted to terminate that contract sooner in its discretion with written notice to the Adviser. The expense information in the table has been updated to reflect the amended operating expense limit (effective July 29, 2014) as if it had been in effect during the full fiscal year ending March 31, 2015.
 
(5) JPMorgan Short Duration Bond Fund - Class R6 Shares: The Fund's adviser and/or its affiliates have contractually agreed to waive fees and/or reimburse expenses to the extent Total Annual Fund Operating Expenses (excluding acquired fund fees and expenses other than certain money market fund fees as described below, dividend and interest expenses related to short sales, interest, taxes, expenses related to litigation and potential litigation, and extraordinary expenses) exceed 0.30% of the average daily net assets. The Fund may invest in one or more money market funds advised by the adviser or its affiliates (affiliated money market funds). The Fund's adviser, shareholder servicing agent and/or administrator have contractually agreed to waive fees and/or reimburse expenses in an amount sufficient to offset the respective net fees each collects from the affiliated money market funds on the Fund's investment in such money market funds. These waivers are in effect through 6/30/18, at which time the adviser and/or its affiliates will determine whether to renew or revise them. 

(6) AAB Global Bond Fund - Class I: In connection with the Fund's investments in AB Government Money Market  Portfolio (the "Money Market Portfolio"), the Adviser has contractually  agreed to waive its management fee from the Fund and/or reimburse other  expenses of the Fund in an amount equal to the Fund's pro rata share of the  Money Market Portfolio's effective management fee, as included in "Acquired  Fund Fees and Expenses". 

(7) Wells Fargo Discovery Fund - Institutional Class: The Manager has contractually committed through January 31, 2017, to waive fees and/or reimburse expenses to the extent necessary to cap the Fund's Total Annual Fund Operating Expenses After Fee Waiver at 0.89%. Brokerage commissions, stamp duty fees, interest, taxes, acquired fund fees and expenses, and extraordinary expenses are excluded from the cap. After this time, the cap may be increased or the commitment to maintain the cap may be terminated only with the approval of the Board of Trustees.
 

(8) Wells Fargo Emerging Markets Equity Fund - Institutional Class: The Manager has contractually committed through February 28, 2018, to waive fees and/or reimburse expenses to the extent necessary to cap the Fund's Total Annual Fund Operating Expenses After Fee Waiver at the amounts shown in the Fund's Prospectus. Brokerage commissions, stamp duty fees, interest, taxes, acquired fund fees and expenses and extraordinary expenses are excluded from the cap. After this time, the cap may be increased or the commitment to maintain the cap may be terminated only with the approval of the Board of Trustees. 

(9) The current yield reflects the deduction of all charges that are deducted from the total return quotations shown.   
 Insurance products, annuities and funding agreements issued by Voya Retirement Insurance and Annuity Company, One Orange Way Windsor, CT 06095, (VRIAC), which is solely responsible for meeting its obligations. Plan administrative services provided by VRIAC or Voya Institutional Plan Services, LLC. All companies are members of the Voya family of companies. Securities are distributed by or offered through Voya Financial Partners, LLC (member SIPC) or other broker-dealers with which it has a selling agreement. 

 The chart shows the performance for each investment option for the time periods shown. 



Creation Date: Friday, June 22, 2018