Indian Health Center Of Santa Clara Valley 401(K) Plan — Form 5500 plan (Indian Health Center Of Santa Clara Valley)

Plain-English plan summary

According to public Form 5500 filings published through the U.S. Department of Labor (DOL) Employee Benefits Security Administration (EBSA) via the EFAST2 system, Indian Health Center Of Santa Clara Valley 401(K) Plan is a benefit plan reported by Indian Health Center Of Santa Clara Valley under EIN 94-2476242 and plan number 001. The latest loaded filing year is 2023. The filing reports 373 participants and $14,086,064 in end-of-year plan assets, where available in the loaded dataset.

Form 5500 plan profile · 2023

Key reported metrics

Net assets (EOY)$14.1MPlan net assets, end of year$14,086,064
Participants373Covered participants reported
Assets / participant$37.8KComputed: assets ÷ participants$37,764 (computed)
Provider compensation$77.2K2 Schedule C provider row(s)$77,193
Plan sponsor
Indian Health Center Of Santa Clara Valley
EIN
94-2476242
Plan number
001
Plan type
2
Location
San Jose, CA
Latest filing year
2023

Form 5500 filing history

Filings loaded for this plan
Filing yearParticipantsSchedulesFiling
2023373H, C20241011140041NAL0010994691001
Schedule H · 2023

Reported financial statement

Reported figures as filed, in whole dollars. Only fields the filing reports are shown; others are marked not reported.

Reported balance (end of year)$14.1M total assets
Net assets$14.1MLiabilities$0
Money in vs. money out
Total income / additions$3.9M
Total expenses$994K
Benefits paid / distributions$959.1K
Contributions
Employer$558.6K
Participant$1.3M
Full reported line items

Net assets

Total assets (EOY)
$14,086,064
Total liabilities (EOY)
$0
Net assets (EOY)
$14,086,064
Net assets (BOY)
$11,218,235

Income & contributions

Employer contributions
$558,566
Participant contributions
$1,330,207
Total contributions
$1,910,458
Total income / additions
$3,861,853

Expenses & distributions

Benefits paid
$959,101
Administrative expenses
$34,923
Total expenses
$994,024
Net increase / (decrease)
$2,867,829
Computed from reported fields

Reported ratios

Derived only from this plan's own reported figures — comparisons within the filing, not benchmarks, estimates, or national averages.

Contribution share (employer vs. participant)
Employer 30%Participant 70%
Total expenses ÷ net assets7%Computed ratio
Benefits paid ÷ total income25%Computed ratio
Provider comp. ÷ net assets1%Computed ratio

Service provider compensation (Schedule C)

Reported service provider compensation
ProviderServiceDirect comp.Indirect comp.Year
American United Life Insurance CoNONE$4,614$40,6962023
Cbiz Investment AdvisoryNONE$0$31,8832023

Related Form 5500 pages