401k Plan data: NORTHWESTERN MEMORIAL EMPLOYEE 403(B) PRE-TAX SAVINGS PLAN plan

NORTHWESTERN MEMORIAL EMPLOYEE 403(B) PRE-TAX SAVINGS PLAN 401k Plan overview

Plan Name	NORTHWESTERN MEMORIAL EMPLOYEE 403(B) PRE-TAX SAVINGS PLAN
Plan identification number	002

NORTHWESTERN MEMORIAL EMPLOYEE 403(B) PRE-TAX SAVINGS PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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 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.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

NORTHWESTERN MEMORIAL HOSPITAL has sponsored the creation of one or more 401k plans.

Company Name: NORTHWESTERN MEMORIAL HOSPITAL

Employer identification number (EIN): 370960170

NAIC Classification: 622000
NAIC Description: Hospitals

Additional information about NORTHWESTERN MEMORIAL HOSPITAL

Jurisdiction of Incorporation: California Department of State

Incorporation Date:

Company Identification Number: C3059159

More information about NORTHWESTERN MEMORIAL HOSPITAL

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTHWESTERN MEMORIAL EMPLOYEE 403(B) PRE-TAX SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2012-01-01 DEAN MANHEIMER
002 2011-01-01 DEAN MANHEIMER
002 2010-01-01 DEAN MANHEIMER
002 2009-01-01 DEAN MANHEIMER

Plan id#	Filing Submission Date	Name of Administrator
002	2012-01-01	DEAN MANHEIMER
002	2011-01-01	DEAN MANHEIMER
002	2010-01-01	DEAN MANHEIMER
002	2009-01-01	DEAN MANHEIMER

Plan Statistics for NORTHWESTERN MEMORIAL EMPLOYEE 403(B) PRE-TAX SAVINGS PLAN

401k plan membership statisitcs for NORTHWESTERN MEMORIAL EMPLOYEE 403(B) PRE-TAX SAVINGS PLAN

Measure Date Value
2012: NORTHWESTERN MEMORIAL EMPLOYEE 403(B) PRE-TAX SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 8,332
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 0
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 0
Number of participants with account balances 2012-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: NORTHWESTERN MEMORIAL EMPLOYEE 403(B) PRE-TAX SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 8,210
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 8,256
Number of retired or separated participants receiving benefits 2011-01-01 3
Number of other retired or separated participants entitled to future benefits 2011-01-01 72
Total of all active and inactive participants 2011-01-01 8,331
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 1
Total participants 2011-01-01 8,332
Number of participants with account balances 2011-01-01 449
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: NORTHWESTERN MEMORIAL EMPLOYEE 403(B) PRE-TAX SAVINGS PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 7,933
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 8,135
Number of retired or separated participants receiving benefits 2010-01-01 2
Number of other retired or separated participants entitled to future benefits 2010-01-01 73
Total of all active and inactive participants 2010-01-01 8,210
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 1
Total participants 2010-01-01 8,211
Number of participants with account balances 2010-01-01 486
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: NORTHWESTERN MEMORIAL EMPLOYEE 403(B) PRE-TAX SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 8,004
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 7,933
Number of retired or separated participants receiving benefits 2009-01-01 2
Number of other retired or separated participants entitled to future benefits 2009-01-01 75
Total of all active and inactive participants 2009-01-01 8,010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 1
Total participants 2009-01-01 8,011
Number of participants with account balances 2009-01-01 525
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2012: NORTHWESTERN MEMORIAL EMPLOYEE 403(B) PRE-TAX SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	8,332
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	0
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	0
Number of participants with account balances	2012-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: NORTHWESTERN MEMORIAL EMPLOYEE 403(B) PRE-TAX SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	8,210
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	8,256
Number of retired or separated participants receiving benefits	2011-01-01	3
Number of other retired or separated participants entitled to future benefits	2011-01-01	72
Total of all active and inactive participants	2011-01-01	8,331
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	1
Total participants	2011-01-01	8,332
Number of participants with account balances	2011-01-01	449
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: NORTHWESTERN MEMORIAL EMPLOYEE 403(B) PRE-TAX SAVINGS PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	7,933
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	8,135
Number of retired or separated participants receiving benefits	2010-01-01	2
Number of other retired or separated participants entitled to future benefits	2010-01-01	73
Total of all active and inactive participants	2010-01-01	8,210
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	1
Total participants	2010-01-01	8,211
Number of participants with account balances	2010-01-01	486
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: NORTHWESTERN MEMORIAL EMPLOYEE 403(B) PRE-TAX SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	8,004
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	7,933
Number of retired or separated participants receiving benefits	2009-01-01	2
Number of other retired or separated participants entitled to future benefits	2009-01-01	75
Total of all active and inactive participants	2009-01-01	8,010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	1
Total participants	2009-01-01	8,011
Number of participants with account balances	2009-01-01	525
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on NORTHWESTERN MEMORIAL EMPLOYEE 403(B) PRE-TAX SAVINGS PLAN

Measure	Date	Value
2012 : NORTHWESTERN MEMORIAL EMPLOYEE 403(B) PRE-TAX SAVINGS PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-11-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-11-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-11-30	$0
Total income from all sources (including contributions)	2012-11-30	$1,036,328
Total loss/gain on sale of assets	2012-11-30	$0
Total of all expenses incurred	2012-11-30	$11,689,440
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-11-30	$11,688,304
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-11-30	$0
Value of total assets at end of year	2012-11-30	$0
Value of total assets at beginning of year	2012-11-30	$10,653,112
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-11-30	$1,136
Total interest from all sources	2012-11-30	$1,444
Total dividends received (eg from common stock, registered investment company shares)	2012-11-30	$71,099
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-11-30	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2012-11-30	$0
Total dividends received from registered investment company shares (eg mutual funds)	2012-11-30	$71,099
Was this plan covered by a fidelity bond	2012-11-30	Yes
Value of fidelity bond cover	2012-11-30	$15,000,000
If this is an individual account plan, was there a blackout period	2012-11-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-11-30	$0
Were there any nonexempt tranactions with any party-in-interest	2012-11-30	No
Participant contributions at end of year	2012-11-30	$0
Participant contributions at beginning of year	2012-11-30	$36,657
Administrative expenses (other) incurred	2012-11-30	$1,136
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-11-30	No
Value of net income/loss	2012-11-30	$-10,653,112
Value of net assets at end of year (total assets less liabilities)	2012-11-30	$0
Value of net assets at beginning of year (total assets less liabilities)	2012-11-30	$10,653,112
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-11-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-11-30	No
Were any leases to which the plan was party in default or uncollectible	2012-11-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-11-30	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-11-30	$10,616,455
Interest on participant loans	2012-11-30	$1,444
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-11-30	$963,785
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-11-30	No
Was there a failure to transmit to the plan any participant contributions	2012-11-30	No
Has the plan failed to provide any benefit when due under the plan	2012-11-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-11-30	$11,688,304
Did the plan have assets held for investment	2012-11-30	No
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	2012-11-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-11-30	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-11-30	Yes
Opinion of an independent qualified public accountant for this plan	2012-11-30	Disclaimer
Accountancy firm name	2012-11-30	ERNST & YOUNG LLP
Accountancy firm EIN	2012-11-30	346565596
2011 : NORTHWESTERN MEMORIAL EMPLOYEE 403(B) PRE-TAX SAVINGS PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total transfer of assets to this plan	2011-12-31	$313,049
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$-280,194
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$1,498,431
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$1,497,572
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$0
Value of total assets at end of year	2011-12-31	$10,653,112
Value of total assets at beginning of year	2011-12-31	$12,118,688
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$859
Total interest from all sources	2011-12-31	$3,562
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$283,660
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$283,660
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$15,000,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Participant contributions at end of year	2011-12-31	$36,657
Participant contributions at beginning of year	2011-12-31	$64,206
Administrative expenses (other) incurred	2011-12-31	$859
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$-1,778,625
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$10,653,112
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$12,118,688
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$10,616,455
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$12,054,482
Interest on participant loans	2011-12-31	$3,562
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-567,416
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$1,497,572
Did the plan have assets held for investment	2011-12-31	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	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	ERNST & YOUNG LLP
Accountancy firm EIN	2011-12-31	346565596
2010 : NORTHWESTERN MEMORIAL EMPLOYEE 403(B) PRE-TAX SAVINGS PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$1,478,727
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$1,851,706
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$1,849,993
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$150,578
Value of total assets at end of year	2010-12-31	$12,118,688
Value of total assets at beginning of year	2010-12-31	$12,491,667
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$1,713
Total interest from all sources	2010-12-31	$6,146
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$283,929
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$283,929
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$15,000,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Participant contributions at end of year	2010-12-31	$64,206
Participant contributions at beginning of year	2010-12-31	$106,807
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$150,578
Administrative expenses (other) incurred	2010-12-31	$1,713
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$-372,979
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$12,118,688
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$12,491,667
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$12,054,482
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$12,384,860
Interest on participant loans	2010-12-31	$6,146
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$1,038,074
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$1,849,993
Did the plan have assets held for investment	2010-12-31	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	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	ERNST & YOUNG LLP
Accountancy firm EIN	2010-12-31	346565596
2009 : NORTHWESTERN MEMORIAL EMPLOYEE 403(B) PRE-TAX SAVINGS PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for NORTHWESTERN MEMORIAL EMPLOYEE 403(B) PRE-TAX SAVINGS PLAN

2012: NORTHWESTERN MEMORIAL EMPLOYEE 403(B) PRE-TAX SAVINGS PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	Yes
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: NORTHWESTERN MEMORIAL EMPLOYEE 403(B) PRE-TAX SAVINGS PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: NORTHWESTERN MEMORIAL EMPLOYEE 403(B) PRE-TAX SAVINGS PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: NORTHWESTERN MEMORIAL EMPLOYEE 403(B) PRE-TAX SAVINGS PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	NORTHWESTERN MEMORIAL HOSPITAL
Employer identification number (EIN):	370960170
NAIC Classification:	622000
NAIC Description:	Hospitals

Jurisdiction of Incorporation:	California Department of State
Incorporation Date:
Company Identification Number:	C3059159