401k Plan data: UNITY HEALTH NETWORK, LLC 401(K) PLAN plan

UNITY HEALTH NETWORK, LLC 401(K) PLAN 401k Plan overview

Plan Name	UNITY HEALTH NETWORK, LLC 401(K) PLAN
Plan identification number	002

UNITY HEALTH NETWORK, LLC 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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.
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.

401k Sponsoring company profile

UNITY HEALTH NETWORK has sponsored the creation of one or more 401k plans.

Company Name: UNITY HEALTH NETWORK

Employer identification number (EIN): 270815205

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan UNITY HEALTH NETWORK, LLC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2013-01-01 HERMAN FRIEDMAN HERMAN FRIEDMAN 2014-03-19
002 2012-01-01 HERMAN FRIEDMAN
002 2011-01-01 MICHAEL DUTTON MICHAEL DUTTON 2013-08-23
002 2010-01-01 MICHAEL DUTTON MICHAEL DUTTON 2011-07-19

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
002	2013-01-01	HERMAN FRIEDMAN	HERMAN FRIEDMAN	2014-03-19
002	2012-01-01	HERMAN FRIEDMAN
002	2011-01-01	MICHAEL DUTTON	MICHAEL DUTTON	2013-08-23
002	2010-01-01	MICHAEL DUTTON	MICHAEL DUTTON	2011-07-19

Plan Statistics for UNITY HEALTH NETWORK, LLC 401(K) PLAN

401k plan membership statisitcs for UNITY HEALTH NETWORK, LLC 401(K) PLAN

Measure Date Value
2013: UNITY HEALTH NETWORK, LLC 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 13
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 0
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 0
Number of participants with account balances 2013-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: UNITY HEALTH NETWORK, LLC 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 13
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 13
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 13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 13
Number of participants with account balances 2012-01-01 13
2011: UNITY HEALTH NETWORK, LLC 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 12
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 12
Number of retired or separated participants receiving benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 12
Total participants 2011-01-01 12
Number of participants with account balances 2011-01-01 11
2010: UNITY HEALTH NETWORK, LLC 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 12
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 12
Total participants 2010-01-01 12
Number of participants with account balances 2010-01-01 12

Measure	Date	Value
2013: UNITY HEALTH NETWORK, LLC 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	13
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	0
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	0
Number of participants with account balances	2013-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: UNITY HEALTH NETWORK, LLC 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	13
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	13
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	13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	13
Number of participants with account balances	2012-01-01	13
2011: UNITY HEALTH NETWORK, LLC 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	12
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	12
Number of retired or separated participants receiving benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	12
Total participants	2011-01-01	12
Number of participants with account balances	2011-01-01	11
2010: UNITY HEALTH NETWORK, LLC 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	12
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	12
Total participants	2010-01-01	12
Number of participants with account balances	2010-01-01	12

Financial Data on UNITY HEALTH NETWORK, LLC 401(K) PLAN

Measure	Date	Value
2013 : UNITY HEALTH NETWORK, LLC 401(K) PLAN 2013 401k financial data
Transfers to/from the plan	2013-12-31	$-5,470,911
Total income from all sources	2013-12-31	$1,124,485
Expenses. Total of all expenses incurred	2013-12-31	$0
Total plan assets at end of year	2013-12-31	$0
Total plan assets at beginning of year	2013-12-31	$4,346,426
Value of fidelity bond covering the plan	2013-12-31	$590,000
Total contributions received or receivable from participants	2013-12-31	$190,020
Contributions received from other sources (not participants or employers)	2013-12-31	$0
Other income received	2013-12-31	$934,465
Net income (gross income less expenses)	2013-12-31	$1,124,485
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$4,346,426
Total contributions received or receivable from employer(s)	2013-12-31	$0
2012 : UNITY HEALTH NETWORK, LLC 401(K) PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$1,492,661
Expenses. Total of all expenses incurred	2012-12-31	$131,659
Benefits paid (including direct rollovers)	2012-12-31	$115,218
Total plan assets at end of year	2012-12-31	$4,346,426
Total plan assets at beginning of year	2012-12-31	$2,985,424
Total contributions received or receivable from participants	2012-12-31	$239,216
Contributions received from other sources (not participants or employers)	2012-12-31	$564,194
Other income received	2012-12-31	$478,429
Net income (gross income less expenses)	2012-12-31	$1,361,002
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$4,346,426
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$2,985,424
Total contributions received or receivable from employer(s)	2012-12-31	$210,822
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$16,441
2011 : UNITY HEALTH NETWORK, LLC 401(K) PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$227,513
Expenses. Total of all expenses incurred	2011-12-31	$150,134
Benefits paid (including direct rollovers)	2011-12-31	$146,641
Total plan assets at end of year	2011-12-31	$3,499,513
Total plan assets at beginning of year	2011-12-31	$3,422,134
Total contributions received or receivable from participants	2011-12-31	$230,253
Expenses. Other expenses not covered elsewhere	2011-12-31	$0
Contributions received from other sources (not participants or employers)	2011-12-31	$21,604
Other income received	2011-12-31	$-194,477
Net income (gross income less expenses)	2011-12-31	$77,379
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$3,499,513
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$3,422,134
Assets. Value of participant loans	2011-12-31	$51,406
Total contributions received or receivable from employer(s)	2011-12-31	$170,133
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$3,493
2010 : UNITY HEALTH NETWORK, LLC 401(K) PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$3,194,492
Expenses. Total of all expenses incurred	2010-12-31	$303,862
Benefits paid (including direct rollovers)	2010-12-31	$303,862
Total plan assets at end of year	2010-12-31	$3,422,134
Total plan assets at beginning of year	2010-12-31	$531,504
Total contributions received or receivable from participants	2010-12-31	$195,463
Contributions received from other sources (not participants or employers)	2010-12-31	$2,383,852
Other income received	2010-12-31	$419,714
Net income (gross income less expenses)	2010-12-31	$2,890,630
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$3,422,134
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$531,504
Assets. Value of participant loans	2010-12-31	$70,039
Total contributions received or receivable from employer(s)	2010-12-31	$195,463

Form 5500 Responses for UNITY HEALTH NETWORK, LLC 401(K) PLAN

2013: UNITY HEALTH NETWORK, LLC 401(K) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	Yes
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: UNITY HEALTH NETWORK, LLC 401(K) 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	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
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: UNITY HEALTH NETWORK, LLC 401(K) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: UNITY HEALTH NETWORK, LLC 401(K) PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	UNITY HEALTH NETWORK
Employer identification number (EIN):	270815205
NAIC Classification:	622000
NAIC Description:	Hospitals