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INDIANA UNIVERSITY HEALTH WEST HOSPITAL 401(K) PLAN 401k Plan overview

Plan NameINDIANA UNIVERSITY HEALTH WEST HOSPITAL 401(K) PLAN
Plan identification number 001

INDIANA UNIVERSITY HEALTH WEST HOSPITAL 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • 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.
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • 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.
  • Plan sponsor(s) received services of leased employees, as defined in Code section 414(n), during the plan year.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

INDIANA UNIVERSITY HEALTH WEST HOSPITAL, INC. has sponsored the creation of one or more 401k plans.

Company Name:INDIANA UNIVERSITY HEALTH WEST HOSPITAL, INC.
Employer identification number (EIN):351814660
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan INDIANA UNIVERSITY HEALTH WEST HOSPITAL 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012013-01-01LANA FUNKHOUSER JUDITH COLEMAN2014-08-04
0012012-01-01LANA FUNKHOUSER JUDITH COLEMAN2013-07-31

Plan Statistics for INDIANA UNIVERSITY HEALTH WEST HOSPITAL 401(K) PLAN

401k plan membership statisitcs for INDIANA UNIVERSITY HEALTH WEST HOSPITAL 401(K) PLAN

Measure Date Value
2013: INDIANA UNIVERSITY HEALTH WEST HOSPITAL 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-011,306
Total number of active participants reported on line 7a of the Form 55002013-01-010
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-010
Number of participants with account balances2013-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-0147
2012: INDIANA UNIVERSITY HEALTH WEST HOSPITAL 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-011,177
Total number of active participants reported on line 7a of the Form 55002012-01-011,176
Number of retired or separated participants receiving benefits2012-01-0114
Number of other retired or separated participants entitled to future benefits2012-01-01116
Total of all active and inactive participants2012-01-011,306
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-011,306
Number of participants with account balances2012-01-011,122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-0127

Financial Data on INDIANA UNIVERSITY HEALTH WEST HOSPITAL 401(K) PLAN

Measure Date Value
2013 : INDIANA UNIVERSITY HEALTH WEST HOSPITAL 401(K) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total transfer of assets from this plan2013-12-31$26,330,946
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$7,835,221
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$2,181,864
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$2,129,416
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$4,029,800
Value of total assets at end of year2013-12-31$0
Value of total assets at beginning of year2013-12-31$20,677,589
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$52,448
Total interest from all sources2013-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$562,817
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2013-12-31$0
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$562,817
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$20,000,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$2,169,515
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$60,328
Administrative expenses (other) incurred2013-12-31$28,921
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$5,653,357
Value of net assets at end of year (total assets less liabilities)2013-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$20,677,589
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$23,527
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$15,907,001
Value of interest in master investment trust accounts at end of year2013-12-31$0
Value of interest in master investment trust accounts at beginning of year2013-12-31$1,362,044
Value of interest in common/collective trusts at end of year2013-12-31$0
Value of interest in common/collective trusts at beginning of year2013-12-31$2,997,610
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$2,333,837
Net investment gain or loss from common/collective trusts2013-12-31$921,608
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$1,799,957
Employer contributions (assets) at end of year2013-12-31$0
Employer contributions (assets) at beginning of year2013-12-31$410,934
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$2,129,416
Did the plan have assets held for investment2013-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31ERNST & YOUNG LLP
Accountancy firm EIN2013-12-31346565596
2012 : INDIANA UNIVERSITY HEALTH WEST HOSPITAL 401(K) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total income from all sources (including contributions)2012-12-31$6,134,806
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$1,227,626
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$1,178,016
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$3,749,802
Value of total assets at end of year2012-12-31$20,677,589
Value of total assets at beginning of year2012-12-31$15,770,409
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$49,610
Total interest from all sources2012-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$513,066
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$513,066
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$20,000,000
If this is an individual account plan, was there a blackout period2012-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$1,987,631
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$106,010
Administrative expenses (other) incurred2012-12-31$34,034
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$4,907,180
Value of net assets at end of year (total assets less liabilities)2012-12-31$20,677,589
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$15,770,409
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$15,576
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$15,907,001
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$12,338,896
Value of interest in master investment trust accounts at end of year2012-12-31$1,362,044
Value of interest in master investment trust accounts at beginning of year2012-12-31$992,874
Value of interest in common/collective trusts at end of year2012-12-31$2,997,610
Value of interest in common/collective trusts at beginning of year2012-12-31$2,033,922
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$1,482,979
Net investment gain or loss from common/collective trusts2012-12-31$344,802
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$1,656,161
Employer contributions (assets) at end of year2012-12-31$410,934
Employer contributions (assets) at beginning of year2012-12-31$404,717
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$1,178,016
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31ERNST & YOUNG LLP
Accountancy firm EIN2012-12-31346565596

Form 5500 Responses for INDIANA UNIVERSITY HEALTH WEST HOSPITAL 401(K) PLAN

2013: INDIANA UNIVERSITY HEALTH WEST HOSPITAL 401(K) PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingYes
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: INDIANA UNIVERSITY HEALTH WEST HOSPITAL 401(K) PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes

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