401k Plan data: AHMC 401K RETIREMENT SAVINGS PLAN plan

AHMC 401K RETIREMENT SAVINGS PLAN 401k Plan overview

Plan Name	AHMC 401K RETIREMENT SAVINGS PLAN
Plan identification number	001

AHMC 401K RETIREMENT SAVINGS PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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 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.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
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

ALHAMBRA HOSPITAL MEDICAL CENTER LP has sponsored the creation of one or more 401k plans.

Company Name: ALHAMBRA HOSPITAL MEDICAL CENTER LP

Employer identification number (EIN): 954693289

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AHMC 401K RETIREMENT SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2012-01-01 LINDA MARSH
001 2011-01-01 LINDA MARSH
001 2009-01-01 LINDA MARSH
001 2009-01-01 LINDA MARSH
001 2009-01-01 LINDA MARSH

Plan id#	Filing Submission Date	Name of Administrator
001	2012-01-01	LINDA MARSH
001	2011-01-01	LINDA MARSH
001	2009-01-01	LINDA MARSH
001	2009-01-01	LINDA MARSH
001	2009-01-01	LINDA MARSH

Plan Statistics for AHMC 401K RETIREMENT SAVINGS PLAN

401k plan membership statisitcs for AHMC 401K RETIREMENT SAVINGS PLAN

Measure Date Value
2012: AHMC 401K RETIREMENT SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 648
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 632
Number of retired or separated participants receiving benefits 2012-01-01 3
Number of other retired or separated participants entitled to future benefits 2012-01-01 36
Total of all active and inactive participants 2012-01-01 671
Total participants 2012-01-01 671
Number of participants with account balances 2012-01-01 359
2011: AHMC 401K RETIREMENT SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 639
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 606
Number of retired or separated participants receiving benefits 2011-01-01 3
Number of other retired or separated participants entitled to future benefits 2011-01-01 39
Total of all active and inactive participants 2011-01-01 648
Total participants 2011-01-01 648
Number of participants with account balances 2011-01-01 337
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 4
2009: AHMC 401K RETIREMENT SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 658
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 619
Number of other retired or separated participants entitled to future benefits 2009-01-01 51
Total of all active and inactive participants 2009-01-01 670
Total participants 2009-01-01 670
Number of participants with account balances 2009-01-01 307
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 2

Measure	Date	Value
2012: AHMC 401K RETIREMENT SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	648
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	632
Number of retired or separated participants receiving benefits	2012-01-01	3
Number of other retired or separated participants entitled to future benefits	2012-01-01	36
Total of all active and inactive participants	2012-01-01	671
Total participants	2012-01-01	671
Number of participants with account balances	2012-01-01	359
2011: AHMC 401K RETIREMENT SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	639
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	606
Number of retired or separated participants receiving benefits	2011-01-01	3
Number of other retired or separated participants entitled to future benefits	2011-01-01	39
Total of all active and inactive participants	2011-01-01	648
Total participants	2011-01-01	648
Number of participants with account balances	2011-01-01	337
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	4
2009: AHMC 401K RETIREMENT SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	658
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	619
Number of other retired or separated participants entitled to future benefits	2009-01-01	51
Total of all active and inactive participants	2009-01-01	670
Total participants	2009-01-01	670
Number of participants with account balances	2009-01-01	307
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	2

Financial Data on AHMC 401K RETIREMENT SAVINGS PLAN

Measure	Date	Value
2012 : AHMC 401K RETIREMENT SAVINGS PLAN 2012 401k financial data
Total income from all sources (including contributions)	2012-12-31	$3,936,621
Total of all expenses incurred	2012-12-31	$943,089
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$894,209
Expenses. Certain deemed distributions of participant loans	2012-12-31	$2,942
Value of total corrective distributions	2012-12-31	$32,675
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$2,286,884
Value of total assets at end of year	2012-12-31	$18,591,451
Value of total assets at beginning of year	2012-12-31	$15,597,919
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$13,263
Total interest from all sources	2012-12-31	$22,496
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$372,740
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$372,740
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
Funding deficiency by the employer to the plan for this plan year	2012-12-31	$0
Minimum employer required contribution for this plan year	2012-12-31	$0
Amount contributed by the employer to the plan for this plan year	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$1,746,470
Participant contributions at end of year	2012-12-31	$725,149
Participant contributions at beginning of year	2012-12-31	$489,889
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$5,076
Administrative expenses (other) incurred	2012-12-31	$13,263
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$2,993,532
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$18,591,451
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$15,597,919
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$14,202,271
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$11,260,596
Interest on participant loans	2012-12-31	$22,365
Value of interest in common/collective trusts at end of year	2012-12-31	$2,387,203
Value of interest in common/collective trusts at beginning of year	2012-12-31	$2,547,189
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$1,276,828
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$1,300,245
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$1,300,245
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$131
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$1,217,559
Net investment gain or loss from common/collective trusts	2012-12-31	$36,942
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$535,338
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$894,209
Did the plan have assets held for investment	2012-12-31	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	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	C. JIM CHEN ACCOUNTANCY CORP.
Accountancy firm EIN	2012-12-31	953648267
2011 : AHMC 401K RETIREMENT SAVINGS PLAN 2011 401k financial data
Total income from all sources (including contributions)	2011-12-31	$2,129,973
Total of all expenses incurred	2011-12-31	$1,003,716
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$965,587
Value of total corrective distributions	2011-12-31	$28,258
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$2,206,139
Value of total assets at end of year	2011-12-31	$15,597,919
Value of total assets at beginning of year	2011-12-31	$14,471,662
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$9,871
Total interest from all sources	2011-12-31	$19,273
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$321,530
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	$321,530
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$500,000
Funding deficiency by the employer to the plan for this plan year	2011-12-31	$0
Minimum employer required contribution for this plan year	2011-12-31	$0
Amount contributed by the employer to the plan for this plan year	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$1,642,573
Participant contributions at end of year	2011-12-31	$489,889
Participant contributions at beginning of year	2011-12-31	$444,385
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$47,649
Administrative expenses (other) incurred	2011-12-31	$9,871
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	$1,126,257
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$15,597,919
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$14,471,662
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	$11,260,596
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$10,864,957
Interest on participant loans	2011-12-31	$19,177
Value of interest in common/collective trusts at end of year	2011-12-31	$2,547,189
Value of interest in common/collective trusts at beginning of year	2011-12-31	$2,416,480
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$1,300,245
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$745,840
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$745,840
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$96
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-492,482
Net investment gain or loss from common/collective trusts	2011-12-31	$75,513
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	$515,917
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$965,587
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	C. JIM CHEN ACCOUNTANCY CORP.
Accountancy firm EIN	2011-12-31	953648267
2010 : AHMC 401K RETIREMENT SAVINGS PLAN 2010 401k financial data
Total income from all sources (including contributions)	2010-12-31	$3,344,224
Total of all expenses incurred	2010-12-31	$532,172
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$492,188
Value of total corrective distributions	2010-12-31	$34,120
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$1,946,060
Value of total assets at end of year	2010-12-31	$14,471,662
Value of total assets at beginning of year	2010-12-31	$11,659,610
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$5,864
Total interest from all sources	2010-12-31	$22,633
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$211,471
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	$211,471
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$500,000
Funding deficiency by the employer to the plan for this plan year	2010-12-31	$0
Minimum employer required contribution for this plan year	2010-12-31	$0
Amount contributed by the employer to the plan for this plan year	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$1,454,007
Participant contributions at end of year	2010-12-31	$444,385
Participant contributions at beginning of year	2010-12-31	$399,497
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$40,553
Administrative expenses (other) incurred	2010-12-31	$5,651
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	$2,812,052
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$14,471,662
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$11,659,610
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
Investment advisory and management fees	2010-12-31	$213
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$10,864,957
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$8,317,798
Interest on participant loans	2010-12-31	$21,032
Value of interest in common/collective trusts at end of year	2010-12-31	$2,416,480
Value of interest in common/collective trusts at beginning of year	2010-12-31	$2,262,467
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$745,840
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$679,848
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$679,848
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$1,601
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$1,071,838
Net investment gain or loss from common/collective trusts	2010-12-31	$92,222
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
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	$451,500
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$492,188
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	C. JIM CHEN ACCOUNTANCY CORP.
Accountancy firm EIN	2010-12-31	953648267

Form 5500 Responses for AHMC 401K RETIREMENT SAVINGS PLAN

2012: AHMC 401K RETIREMENT SAVINGS PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: AHMC 401K RETIREMENT SAVINGS PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: AHMC 401K RETIREMENT SAVINGS PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
2009-01-01	Plan is a collectively bargained plan	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	ALHAMBRA HOSPITAL MEDICAL CENTER LP
Employer identification number (EIN):	954693289
NAIC Classification:	622000
NAIC Description:	Hospitals