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CAMBRIDGE MEDICAL CENTER EMPLOYEES PENSION PLAN 401k Plan overview

Plan NameCAMBRIDGE MEDICAL CENTER EMPLOYEES PENSION PLAN
Plan identification number 006

CAMBRIDGE MEDICAL CENTER EMPLOYEES PENSION PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Money purchase (other than target benefit)
  • 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 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements 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

ALLINA HEALTH SYSTEM has sponsored the creation of one or more 401k plans.

Company Name:ALLINA HEALTH SYSTEM
Employer identification number (EIN):363261413
NAIC Classification:622000
NAIC Description: Hospitals

Additional information about ALLINA HEALTH SYSTEM

Jurisdiction of Incorporation: Michigan Department of Licensing & Regulatory Affairs
Incorporation Date:
Company Identification Number: 904432

More information about ALLINA HEALTH SYSTEM

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CAMBRIDGE MEDICAL CENTER EMPLOYEES PENSION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0062009-01-01KRISTYN MULLIN KRISTYN MULLIN2010-09-07

Plan Statistics for CAMBRIDGE MEDICAL CENTER EMPLOYEES PENSION PLAN

401k plan membership statisitcs for CAMBRIDGE MEDICAL CENTER EMPLOYEES PENSION PLAN

Measure Date Value
2009: CAMBRIDGE MEDICAL CENTER EMPLOYEES PENSION PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01182
Total number of active participants reported on line 7a of the Form 55002009-01-01128
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0145
Total of all active and inactive participants2009-01-01173
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01173
Number of participants with account balances2009-01-01173
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on CAMBRIDGE MEDICAL CENTER EMPLOYEES PENSION PLAN

Measure Date Value
2011 : CAMBRIDGE MEDICAL CENTER EMPLOYEES PENSION PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-05-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-05-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-05-31$0
Total income from all sources (including contributions)2011-05-31$118,487
Total loss/gain on sale of assets2011-05-31$0
Total of all expenses incurred2011-05-31$3,260,260
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-05-31$3,260,260
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-05-31$0
Value of total assets at end of year2011-05-31$0
Value of total assets at beginning of year2011-05-31$3,141,773
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-05-31$0
Total interest from all sources2011-05-31$15,810
Total dividends received (eg from common stock, registered investment company shares)2011-05-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-05-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2011-05-31$0
Was this plan covered by a fidelity bond2011-05-31Yes
Value of fidelity bond cover2011-05-31$10,000,000
If this is an individual account plan, was there a blackout period2011-05-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-05-31$0
Funding deficiency by the employer to the plan for this plan year2011-05-31$0
Minimum employer required contribution for this plan year2011-05-31$0
Amount contributed by the employer to the plan for this plan year2011-05-31$0
Were there any nonexempt tranactions with any party-in-interest2011-05-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-05-31No
Value of net income/loss2011-05-31$-3,141,773
Value of net assets at end of year (total assets less liabilities)2011-05-31$0
Value of net assets at beginning of year (total assets less liabilities)2011-05-31$3,141,773
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-05-31No
Were any leases to which the plan was party in default or uncollectible2011-05-31No
Value of interest in pooled separate accounts at end of year2011-05-31$0
Value of interest in pooled separate accounts at beginning of year2011-05-31$1,939,887
Interest earned on other investments2011-05-31$15,810
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-05-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-05-31$1,201,886
Net investment gain/loss from pooled separate accounts2011-05-31$102,677
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-05-31No
Was there a failure to transmit to the plan any participant contributions2011-05-31No
Has the plan failed to provide any benefit when due under the plan2011-05-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-05-31$3,260,260
Did the plan have assets held for investment2011-05-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-05-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-05-31Yes
Opinion of an independent qualified public accountant for this plan2011-05-31Disclaimer
Accountancy firm name2011-05-31LARSONALLEN LLP
Accountancy firm EIN2011-05-31410746749
2010 : CAMBRIDGE MEDICAL CENTER EMPLOYEES PENSION PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$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$270,774
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$193,937
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$193,937
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$0
Value of total assets at end of year2010-12-31$3,141,773
Value of total assets at beginning of year2010-12-31$3,064,936
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$0
Total interest from all sources2010-12-31$43,895
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2010-12-31$0
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$10,000,000
If this is an individual account plan, was there a blackout period2010-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Funding deficiency by the employer to the plan for this plan year2010-12-31$0
Minimum employer required contribution for this plan year2010-12-31$0
Amount contributed by the employer to the plan for this plan year2010-12-31$0
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$76,837
Value of net assets at end of year (total assets less liabilities)2010-12-31$3,141,773
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$3,064,936
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in pooled separate accounts at end of year2010-12-31$1,939,887
Value of interest in pooled separate accounts at beginning of year2010-12-31$1,921,811
Interest earned on other investments2010-12-31$43,895
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$1,201,886
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$1,143,125
Net investment gain/loss from pooled separate accounts2010-12-31$226,879
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$193,937
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31LARSONALLEN LLP
Accountancy firm EIN2010-12-31410746749
2009 : CAMBRIDGE MEDICAL CENTER EMPLOYEES PENSION PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0
Funding deficiency by the employer to the plan for this plan year2009-12-31$0
Minimum employer required contribution for this plan year2009-12-31$0
Amount contributed by the employer to the plan for this plan year2009-12-31$0

Form 5500 Responses for CAMBRIDGE MEDICAL CENTER EMPLOYEES PENSION PLAN

2009: CAMBRIDGE MEDICAL CENTER EMPLOYEES PENSION PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

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