American Healthcare Management S 401(k) Review & Grade
Accura Healthcare Management Services 401(k) Retirement Plan
West Des Moines, IAHealth Care & Social Assistance1,604 active participantsPlan year 2024✓ Auto-enroll
Estimate from the plan's Form 5500 filing · How we grade
$0Employer $ per active participant
$579Employee $ saved per active participant
0.21%Direct admin cost, % of plan assets
$7.1MNet plan assets, end of year
–Average balance per account (account count looks misreported)
Score breakdown
- Employer generosity0.0 / 500th percentile for employer $ per participant
- Low cost13.2 / 2553th percentile for low admin cost vs. same-size plans
- Employee saving2.0 / 1513th percentile for employee $ per participant
- Plan features10 / 10Auto-enrollment, Default investment
Total score25 / 100 · Grade F
This plan vs. peers
Peers: Health Care & Social Assistance plans with 500–2,499 active participants (1,427 plans).
| Measure | Percentile |
|---|---|
| Employer $ per participant | 0th |
| Lower admin cost | 53th |
| Employee saving | 13th |
| Peers that auto-enroll | 36% |
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Red flags from the filing
No red flags were reported on this filing's compliance questions.
What to do if you're in this plan
- This plan reported $0 in employer contributions for 2024. Some employers put their money into a separate plan, so check any other plans listed below and ask HR. If there really is no company money, you still get the tax break. Compare the plan's fees and funds with an IRA before deciding where your next dollar goes.
- The filing shows total dollars, not the match formula. Ask HR for the Summary Plan Description so you know the exact match and vesting schedule.
- Fund expense ratios aren't in the filing. Look them up in your 404(a)(5) fee disclosure and favor low-cost index or target-date funds.
- The plan auto-enrolls employees. Check your default contribution rate. Defaults are often lower than what it takes to get the full match.
- Changing jobs? You can usually leave the money in the plan, move it to your new employer's plan, or roll it into an IRA. Don't cash out: you'd owe taxes and possibly a 10% penalty.
The raw numbers from the filing
| Employer contributions | $0 |
| Participant (employee) contributions | $929,424 |
| Other contributions (incl. rollovers in) | $139,301 |
| Administrative expenses paid from the plan | $13,791 |
| Benefits paid out | $866,530 |
| Net assets, start / end of year | $6.1M / $7.1M |
| Active participants, start / end of year | 1,725 / 1,483 |
| Participants with account balances | 403 |
| Auto-enrollment (feature code 2S) | Yes |
| Auditor | Forvis Mazars, LLP |
Largest service providers (Schedule C)
| Adp, Inc. | $4,698 reported compensation |
Source: DOL EFAST2 Form 5500 filing, acknowledgment ID 20251015190849NAL0002799139001, received 2025-10-15, EIN 46-0506426, plan #001, plan year 2024-01-01 to 2024-12-31. Verify at efast.dol.gov.