401k Plan data: NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM EMPLOYEES PENSION PLAN plan

NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM EMPLOYEES PENSION PLAN 401k Plan overview

Plan Name	NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM EMPLOYEES PENSION PLAN
Plan identification number	001

NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM EMPLOYEES PENSION PLAN Benefits

401k Plan Type	Defined Benefit Pension
Plan Features/Benefits	Benefits are primarily pay related Covered by PBGC - Plan is covered under the PBGC insurance program (see ERISA section 4021). Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM has sponsored the creation of one or more 401k plans.

Company Name: NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM

Employer identification number (EIN): 382445613

NAIC Classification: 622000
NAIC Description: Hospitals

Additional information about NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM

Jurisdiction of Incorporation: Michigan Secretary of State

Incorporation Date: 0000-00-00

Company Identification Number: 711499

Legal Registered Office Address: 416 CONNABLE AVE PETOSKEY

United States of America (USA)
49770

More information about NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM EMPLOYEES PENSION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2011-01-01 CHRISTINE VANSLEMBROUCK EUGENE KAMINSKI 2012-10-12
001 2010-01-01 CHRIS VANSLEMBROUCK GENE KAMINSKI 2011-10-14
001 2009-01-01 CHRIS VANSLEMBROUCK GENE KAMINSKI 2010-10-15

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2011-01-01	CHRISTINE VANSLEMBROUCK	EUGENE KAMINSKI	2012-10-12
001	2010-01-01	CHRIS VANSLEMBROUCK	GENE KAMINSKI	2011-10-14
001	2009-01-01	CHRIS VANSLEMBROUCK	GENE KAMINSKI	2010-10-15

Plan Statistics for NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM EMPLOYEES PENSION PLAN

401k plan membership statisitcs for NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM EMPLOYEES PENSION PLAN

Measure Date Value
2011: NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM EMPLOYEES PENSION PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 2,403
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 1,347
Number of retired or separated participants receiving benefits 2011-01-01 515
Number of other retired or separated participants entitled to future benefits 2011-01-01 559
Total of all active and inactive participants 2011-01-01 2,421
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 5
Total participants 2011-01-01 2,426
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 201
2010: NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM EMPLOYEES PENSION PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 2,428
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 1,394
Number of retired or separated participants receiving benefits 2010-01-01 464
Number of other retired or separated participants entitled to future benefits 2010-01-01 522
Total of all active and inactive participants 2010-01-01 2,380
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 23
Total participants 2010-01-01 2,403
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 89
2009: NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM EMPLOYEES PENSION PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 2,358
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 1,483
Number of retired or separated participants receiving benefits 2009-01-01 439
Number of other retired or separated participants entitled to future benefits 2009-01-01 473
Total of all active and inactive participants 2009-01-01 2,395
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 26
Total participants 2009-01-01 2,421
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 42

Measure	Date	Value
2011: NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM EMPLOYEES PENSION PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	2,403
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1,347
Number of retired or separated participants receiving benefits	2011-01-01	515
Number of other retired or separated participants entitled to future benefits	2011-01-01	559
Total of all active and inactive participants	2011-01-01	2,421
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	5
Total participants	2011-01-01	2,426
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	201
2010: NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM EMPLOYEES PENSION PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	2,428
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	1,394
Number of retired or separated participants receiving benefits	2010-01-01	464
Number of other retired or separated participants entitled to future benefits	2010-01-01	522
Total of all active and inactive participants	2010-01-01	2,380
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	23
Total participants	2010-01-01	2,403
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	89
2009: NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM EMPLOYEES PENSION PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	2,358
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	1,483
Number of retired or separated participants receiving benefits	2009-01-01	439
Number of other retired or separated participants entitled to future benefits	2009-01-01	473
Total of all active and inactive participants	2009-01-01	2,395
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	26
Total participants	2009-01-01	2,421
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	42

Financial Data on NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM EMPLOYEES PENSION PLAN

Measure	Date	Value
2011 : NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM EMPLOYEES PENSION PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
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	$4,103,844
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$2,093,919
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$2,061,006
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$4,851,561
Value of total assets at end of year	2011-12-31	$75,070,825
Value of total assets at beginning of year	2011-12-31	$73,060,900
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$32,913
Total interest from all sources	2011-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$373,977
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	$373,977
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$1,000,000
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
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	$2,009,925
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$75,070,825
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$73,060,900
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	$14,684,420
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$14,441,135
Value of interest in pooled separate accounts at end of year	2011-12-31	$55,534,844
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$54,519,765
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-930,961
Net investment gain/loss from pooled separate accounts	2011-12-31	$-190,733
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
Contributions received in cash from employer	2011-12-31	$4,851,561
Employer contributions (assets) at end of year	2011-12-31	$4,851,561
Employer contributions (assets) at beginning of year	2011-12-31	$4,100,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$2,061,006
Contract administrator fees	2011-12-31	$32,913
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	PLANTE & MORAN, PLLC
Accountancy firm EIN	2011-12-31	381357951
2010 : NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM EMPLOYEES PENSION 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	$13,698,872
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$1,759,438
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$1,748,592
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$4,100,000
Value of total assets at end of year	2010-12-31	$73,060,900
Value of total assets at beginning of year	2010-12-31	$61,121,466
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$10,846
Total interest from all sources	2010-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$374,265
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	$374,265
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$1,000,000
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
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	$11,939,434
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$73,060,900
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$61,121,466
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	$14,441,135
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$13,029,164
Value of interest in pooled separate accounts at end of year	2010-12-31	$54,519,765
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$43,882,302
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$1,037,706
Net investment gain/loss from pooled separate accounts	2010-12-31	$8,186,901
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	Yes
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
Contributions received in cash from employer	2010-12-31	$4,100,000
Employer contributions (assets) at end of year	2010-12-31	$4,100,000
Employer contributions (assets) at beginning of year	2010-12-31	$4,210,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$1,748,592
Contract administrator fees	2010-12-31	$10,846
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	PLANTE & MORAN, PLLC
Accountancy firm EIN	2010-12-31	381357951
2009 : NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM EMPLOYEES PENSION 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 NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM EMPLOYEES PENSION PLAN

2011: NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM EMPLOYEES PENSION 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 – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM EMPLOYEES PENSION 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 – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM EMPLOYEES PENSION 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 – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM
Employer identification number (EIN):	382445613
NAIC Classification:	622000
NAIC Description:	Hospitals

Jurisdiction of Incorporation:	Michigan Secretary of State
Incorporation Date:	0000-00-00
Company Identification Number:	711499
Legal Registered Office Address:	416 CONNABLE AVE PETOSKEY United States of America (USA) 49770