CALUMET MEDICAL CENTER, INC. has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan CALUMET MEDICAL CENTER, INC. 403(B) TAX DEFERRED ANNUITY PLAN
| Measure | Date | Value |
|---|
| 2016 : CALUMET MEDICAL CENTER, INC. 403(B) TAX DEFERRED ANNUITY PLAN 2016 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2016-12-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-12-31 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-12-31 | $0 |
| Total income from all sources (including contributions) | 2016-12-31 | $197,880 |
| Total loss/gain on sale of assets | 2016-12-31 | $0 |
| Total of all expenses incurred | 2016-12-31 | $110,850 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2016-12-31 | $109,229 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2016-12-31 | $0 |
| Value of total assets at end of year | 2016-12-31 | $4,666,663 |
| Value of total assets at beginning of year | 2016-12-31 | $4,579,633 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2016-12-31 | $1,621 |
| Total interest from all sources | 2016-12-31 | $0 |
| Total dividends received (eg from common stock, registered investment company shares) | 2016-12-31 | $15,244 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2016-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2016-12-31 | $15,244 |
| Was this plan covered by a fidelity bond | 2016-12-31 | Yes |
| Value of fidelity bond cover | 2016-12-31 | $10,000,000 |
| If this is an individual account plan, was there a blackout period | 2016-12-31 | No |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2016-12-31 | $0 |
| Were there any nonexempt tranactions with any party-in-interest | 2016-12-31 | No |
| Participant contributions at end of year | 2016-12-31 | $0 |
| Participant contributions at beginning of year | 2016-12-31 | $0 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-12-31 | No |
| Value of net income/loss | 2016-12-31 | $87,030 |
| Value of net assets at end of year (total assets less liabilities) | 2016-12-31 | $4,666,663 |
| Value of net assets at beginning of year (total assets less liabilities) | 2016-12-31 | $4,579,633 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2016-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2016-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2016-12-31 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2016-12-31 | $3,820,458 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2016-12-31 | $3,700,463 |
| Interest earned on other investments | 2016-12-31 | $0 |
| Value of funds held in insurance company general accounts (unallocated contracts) at end of year | 2016-12-31 | $846,205 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2016-12-31 | $879,170 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2016-12-31 | $182,636 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2016-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2016-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2016-12-31 | No |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2016-12-31 | $109,229 |
| Contract administrator fees | 2016-12-31 | $1,621 |
| Did the plan have assets held for investment | 2016-12-31 | 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 | 2016-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2016-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2016-12-31 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2016-12-31 | Disclaimer |
| Accountancy firm name | 2016-12-31 | WIPFLI, LLP |
| Accountancy firm EIN | 2016-12-31 | 390758449 |
| Total unrealized appreciation/depreciation of assets | 2016-06-30 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-06-30 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-06-30 | $0 |
| Total income from all sources (including contributions) | 2016-06-30 | $-84,865 |
| Total loss/gain on sale of assets | 2016-06-30 | $0 |
| Total of all expenses incurred | 2016-06-30 | $647,093 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2016-06-30 | $642,821 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2016-06-30 | $0 |
| Value of total assets at end of year | 2016-06-30 | $4,579,633 |
| Value of total assets at beginning of year | 2016-06-30 | $5,311,591 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2016-06-30 | $4,272 |
| Total interest from all sources | 2016-06-30 | $0 |
| Total dividends received (eg from common stock, registered investment company shares) | 2016-06-30 | $29,546 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2016-06-30 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2016-06-30 | $29,546 |
| Was this plan covered by a fidelity bond | 2016-06-30 | Yes |
| Value of fidelity bond cover | 2016-06-30 | $10,000,000 |
| If this is an individual account plan, was there a blackout period | 2016-06-30 | No |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2016-06-30 | $0 |
| Were there any nonexempt tranactions with any party-in-interest | 2016-06-30 | No |
| Participant contributions at end of year | 2016-06-30 | $0 |
| Participant contributions at beginning of year | 2016-06-30 | $0 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-06-30 | No |
| Value of net income/loss | 2016-06-30 | $-731,958 |
| Value of net assets at end of year (total assets less liabilities) | 2016-06-30 | $4,579,633 |
| Value of net assets at beginning of year (total assets less liabilities) | 2016-06-30 | $5,311,591 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2016-06-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2016-06-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2016-06-30 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2016-06-30 | $3,700,463 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2016-06-30 | $4,271,263 |
| Value of funds held in insurance company general accounts (unallocated contracts) at end of year | 2016-06-30 | $879,170 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2016-06-30 | $1,040,328 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2016-06-30 | $-114,411 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2016-06-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2016-06-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2016-06-30 | No |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2016-06-30 | $642,821 |
| Contract administrator fees | 2016-06-30 | $4,272 |
| Did the plan have assets held for investment | 2016-06-30 | 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 | 2016-06-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2016-06-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2016-06-30 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2016-06-30 | Disclaimer |
| Accountancy firm name | 2016-06-30 | WIPFLI, LLP |
| Accountancy firm EIN | 2016-06-30 | 390758449 |
| 2015 : CALUMET MEDICAL CENTER, INC. 403(B) TAX DEFERRED ANNUITY PLAN 2015 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2015-06-30 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-06-30 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-06-30 | $0 |
| Total income from all sources (including contributions) | 2015-06-30 | $336,675 |
| Total loss/gain on sale of assets | 2015-06-30 | $0 |
| Total of all expenses incurred | 2015-06-30 | $334,611 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2015-06-30 | $330,885 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2015-06-30 | $165,828 |
| Value of total assets at end of year | 2015-06-30 | $5,311,591 |
| Value of total assets at beginning of year | 2015-06-30 | $5,309,527 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2015-06-30 | $3,726 |
| Total interest from all sources | 2015-06-30 | $37,894 |
| Total dividends received (eg from common stock, registered investment company shares) | 2015-06-30 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2015-06-30 | No |
| Was this plan covered by a fidelity bond | 2015-06-30 | Yes |
| Value of fidelity bond cover | 2015-06-30 | $20,000,000 |
| If this is an individual account plan, was there a blackout period | 2015-06-30 | No |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2015-06-30 | $0 |
| Were there any nonexempt tranactions with any party-in-interest | 2015-06-30 | No |
| Contributions received from participants | 2015-06-30 | $165,828 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-06-30 | No |
| Value of net income/loss | 2015-06-30 | $2,064 |
| Value of net assets at end of year (total assets less liabilities) | 2015-06-30 | $5,311,591 |
| Value of net assets at beginning of year (total assets less liabilities) | 2015-06-30 | $5,309,527 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2015-06-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2015-06-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2015-06-30 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2015-06-30 | $4,271,263 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2015-06-30 | $4,218,461 |
| Interest earned on other investments | 2015-06-30 | $37,894 |
| Value of funds held in insurance company general accounts (unallocated contracts) at end of year | 2015-06-30 | $1,040,328 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2015-06-30 | $1,091,066 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2015-06-30 | $132,953 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2015-06-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2015-06-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2015-06-30 | No |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2015-06-30 | $330,885 |
| Contract administrator fees | 2015-06-30 | $3,726 |
| Did the plan have assets held for investment | 2015-06-30 | 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 | 2015-06-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2015-06-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2015-06-30 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2015-06-30 | Disclaimer |
| Accountancy firm name | 2015-06-30 | WIPFLI, LLP |
| Accountancy firm EIN | 2015-06-30 | 390758449 |
| 2014 : CALUMET MEDICAL CENTER, INC. 403(B) TAX DEFERRED ANNUITY PLAN 2014 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2014-06-30 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-06-30 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-06-30 | $0 |
| Total income from all sources (including contributions) | 2014-06-30 | $1,029,218 |
| Total loss/gain on sale of assets | 2014-06-30 | $0 |
| Total of all expenses incurred | 2014-06-30 | $515,648 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2014-06-30 | $511,535 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2014-06-30 | $335,227 |
| Value of total assets at end of year | 2014-06-30 | $5,309,527 |
| Value of total assets at beginning of year | 2014-06-30 | $4,795,957 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2014-06-30 | $4,113 |
| Total interest from all sources | 2014-06-30 | $41,601 |
| Total dividends received (eg from common stock, registered investment company shares) | 2014-06-30 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2014-06-30 | No |
| Was this plan covered by a fidelity bond | 2014-06-30 | Yes |
| Value of fidelity bond cover | 2014-06-30 | $20,000,000 |
| If this is an individual account plan, was there a blackout period | 2014-06-30 | No |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2014-06-30 | $0 |
| Were there any nonexempt tranactions with any party-in-interest | 2014-06-30 | No |
| Contributions received from participants | 2014-06-30 | $335,227 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-06-30 | No |
| Value of net income/loss | 2014-06-30 | $513,570 |
| Value of net assets at end of year (total assets less liabilities) | 2014-06-30 | $5,309,527 |
| Value of net assets at beginning of year (total assets less liabilities) | 2014-06-30 | $4,795,957 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2014-06-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2014-06-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2014-06-30 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2014-06-30 | $4,218,461 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2014-06-30 | $3,505,443 |
| Interest earned on other investments | 2014-06-30 | $41,601 |
| Value of funds held in insurance company general accounts (unallocated contracts) at end of year | 2014-06-30 | $1,091,066 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2014-06-30 | $1,290,514 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2014-06-30 | $652,390 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2014-06-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2014-06-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2014-06-30 | No |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2014-06-30 | $511,535 |
| Contract administrator fees | 2014-06-30 | $4,113 |
| Did the plan have assets held for investment | 2014-06-30 | 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 | 2014-06-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2014-06-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2014-06-30 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2014-06-30 | Disclaimer |
| Accountancy firm name | 2014-06-30 | WIPFLI, LLP |
| Accountancy firm EIN | 2014-06-30 | 390758449 |
| 2013 : CALUMET MEDICAL CENTER, INC. 403(B) TAX DEFERRED ANNUITY PLAN 2013 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2013-06-30 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-06-30 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-06-30 | $0 |
| Total income from all sources (including contributions) | 2013-06-30 | $803,307 |
| Total loss/gain on sale of assets | 2013-06-30 | $0 |
| Total of all expenses incurred | 2013-06-30 | $565,787 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2013-06-30 | $561,554 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2013-06-30 | $342,108 |
| Value of total assets at end of year | 2013-06-30 | $4,795,957 |
| Value of total assets at beginning of year | 2013-06-30 | $4,558,437 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2013-06-30 | $4,233 |
| Total interest from all sources | 2013-06-30 | $44,407 |
| Total dividends received (eg from common stock, registered investment company shares) | 2013-06-30 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2013-06-30 | No |
| Was this plan covered by a fidelity bond | 2013-06-30 | Yes |
| Value of fidelity bond cover | 2013-06-30 | $15,000,000 |
| If this is an individual account plan, was there a blackout period | 2013-06-30 | No |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2013-06-30 | $0 |
| Were there any nonexempt tranactions with any party-in-interest | 2013-06-30 | No |
| Contributions received from participants | 2013-06-30 | $342,108 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-06-30 | No |
| Value of net income/loss | 2013-06-30 | $237,520 |
| Value of net assets at end of year (total assets less liabilities) | 2013-06-30 | $4,795,957 |
| Value of net assets at beginning of year (total assets less liabilities) | 2013-06-30 | $4,558,437 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2013-06-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2013-06-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2013-06-30 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2013-06-30 | $3,505,443 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2013-06-30 | $3,303,163 |
| Interest earned on other investments | 2013-06-30 | $44,407 |
| Value of funds held in insurance company general accounts (unallocated contracts) at end of year | 2013-06-30 | $1,290,514 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2013-06-30 | $1,255,274 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2013-06-30 | $416,792 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2013-06-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2013-06-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2013-06-30 | No |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2013-06-30 | $561,554 |
| Contract administrator fees | 2013-06-30 | $4,233 |
| Did the plan have assets held for investment | 2013-06-30 | 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 | 2013-06-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2013-06-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2013-06-30 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2013-06-30 | Disclaimer |
| Accountancy firm name | 2013-06-30 | WIPFLI, LLP |
| Accountancy firm EIN | 2013-06-30 | 390758449 |
| 2012 : CALUMET MEDICAL CENTER, INC. 403(B) TAX DEFERRED ANNUITY PLAN 2012 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2012-06-30 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-06-30 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-06-30 | $0 |
| Total income from all sources (including contributions) | 2012-06-30 | $353,523 |
| Total loss/gain on sale of assets | 2012-06-30 | $0 |
| Total of all expenses incurred | 2012-06-30 | $607,330 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2012-06-30 | $603,056 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2012-06-30 | $353,181 |
| Value of total assets at end of year | 2012-06-30 | $4,558,437 |
| Value of total assets at beginning of year | 2012-06-30 | $4,812,244 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2012-06-30 | $4,274 |
| Total interest from all sources | 2012-06-30 | $43,191 |
| Total dividends received (eg from common stock, registered investment company shares) | 2012-06-30 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2012-06-30 | No |
| Was this plan covered by a fidelity bond | 2012-06-30 | Yes |
| Value of fidelity bond cover | 2012-06-30 | $15,000,000 |
| If this is an individual account plan, was there a blackout period | 2012-06-30 | No |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2012-06-30 | $0 |
| Were there any nonexempt tranactions with any party-in-interest | 2012-06-30 | No |
| Contributions received from participants | 2012-06-30 | $345,779 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2012-06-30 | $7,402 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-06-30 | No |
| Value of net income/loss | 2012-06-30 | $-253,807 |
| Value of net assets at end of year (total assets less liabilities) | 2012-06-30 | $4,558,437 |
| Value of net assets at beginning of year (total assets less liabilities) | 2012-06-30 | $4,812,244 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2012-06-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2012-06-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2012-06-30 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2012-06-30 | $3,303,163 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2012-06-30 | $3,529,556 |
| Interest earned on other investments | 2012-06-30 | $43,191 |
| Value of funds held in insurance company general accounts (unallocated contracts) at end of year | 2012-06-30 | $1,255,274 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2012-06-30 | $1,282,688 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2012-06-30 | $-42,849 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2012-06-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2012-06-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2012-06-30 | No |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2012-06-30 | $603,056 |
| Contract administrator fees | 2012-06-30 | $4,274 |
| Did the plan have assets held for investment | 2012-06-30 | 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 | 2012-06-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2012-06-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2012-06-30 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2012-06-30 | Disclaimer |
| Accountancy firm name | 2012-06-30 | WIPFLI, LLP |
| Accountancy firm EIN | 2012-06-30 | 390758449 |
| 2011 : CALUMET MEDICAL CENTER, INC. 403(B) TAX DEFERRED ANNUITY PLAN 2011 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2011-06-30 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-06-30 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-06-30 | $0 |
| Total income from all sources (including contributions) | 2011-06-30 | $1,231,329 |
| Total loss/gain on sale of assets | 2011-06-30 | $0 |
| Total of all expenses incurred | 2011-06-30 | $497,951 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2011-06-30 | $493,557 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2011-06-30 | $380,257 |
| Value of total assets at end of year | 2011-06-30 | $4,812,244 |
| Value of total assets at beginning of year | 2011-06-30 | $4,078,866 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2011-06-30 | $4,394 |
| Total interest from all sources | 2011-06-30 | $44,404 |
| Total dividends received (eg from common stock, registered investment company shares) | 2011-06-30 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2011-06-30 | No |
| Was this plan covered by a fidelity bond | 2011-06-30 | Yes |
| Value of fidelity bond cover | 2011-06-30 | $15,000,000 |
| If this is an individual account plan, was there a blackout period | 2011-06-30 | No |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2011-06-30 | $0 |
| Were there any nonexempt tranactions with any party-in-interest | 2011-06-30 | No |
| Contributions received from participants | 2011-06-30 | $380,257 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-06-30 | No |
| Value of net income/loss | 2011-06-30 | $733,378 |
| Value of net assets at end of year (total assets less liabilities) | 2011-06-30 | $4,812,244 |
| Value of net assets at beginning of year (total assets less liabilities) | 2011-06-30 | $4,078,866 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2011-06-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2011-06-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2011-06-30 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2011-06-30 | $3,529,556 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2011-06-30 | $2,821,030 |
| Interest earned on other investments | 2011-06-30 | $44,404 |
| Value of funds held in insurance company general accounts (unallocated contracts) at end of year | 2011-06-30 | $1,282,688 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2011-06-30 | $1,257,836 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2011-06-30 | $806,668 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2011-06-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2011-06-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2011-06-30 | No |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2011-06-30 | $493,557 |
| Contract administrator fees | 2011-06-30 | $4,394 |
| Did the plan have assets held for investment | 2011-06-30 | 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 | 2011-06-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2011-06-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2011-06-30 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2011-06-30 | Disclaimer |
| Accountancy firm name | 2011-06-30 | WIPFLI, LLP |
| Accountancy firm EIN | 2011-06-30 | 390758449 |
| 2010 : CALUMET MEDICAL CENTER, INC. 403(B) TAX DEFERRED ANNUITY PLAN 2010 401k financial data |
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| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2010-06-30 | $0 |
