401k Plan data: BLOOMINGTON HOSPITAL, INC 403(B) RETIREMENT PLAN plan

BLOOMINGTON HOSPITAL, INC 403(B) RETIREMENT PLAN 401k Plan overview

Plan Name	BLOOMINGTON HOSPITAL, INC 403(B) RETIREMENT PLAN
Plan identification number	002

BLOOMINGTON HOSPITAL, INC 403(B) RETIREMENT 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 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
Participant-directed brokerage accounts provided as an investment option under the plan.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

INDIANA UNIVERSITY HEALTH BLOOMINGTON HOSPITAL has sponsored the creation of one or more 401k plans.

Company Name: INDIANA UNIVERSITY HEALTH BLOOMINGTON HOSPITAL

Employer identification number (EIN): 351720796

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BLOOMINGTON HOSPITAL, INC 403(B) RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2015-01-01 STEVE DECKARD
002 2014-01-01 STEVE DECKARD
002 2013-01-01 STEVE DECKARD
002 2012-01-01 STEVE DECKARD
002 2011-01-01 JAMES MYERS
002 2010-01-01 JAMES MYERS
002 2009-01-01 JAMES MYERS JAMES MYERS 2010-10-14

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
002	2015-01-01	STEVE DECKARD
002	2014-01-01	STEVE DECKARD
002	2013-01-01	STEVE DECKARD
002	2012-01-01	STEVE DECKARD
002	2011-01-01	JAMES MYERS
002	2010-01-01	JAMES MYERS
002	2009-01-01	JAMES MYERS	JAMES MYERS	2010-10-14

Plan Statistics for BLOOMINGTON HOSPITAL, INC 403(B) RETIREMENT PLAN

401k plan membership statisitcs for BLOOMINGTON HOSPITAL, INC 403(B) RETIREMENT PLAN

Measure Date Value
2015: BLOOMINGTON HOSPITAL, INC 403(B) RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 3,702
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 0
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 0
Number of participants with account balances 2015-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 11
2014: BLOOMINGTON HOSPITAL, INC 403(B) RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 3,478
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 2,480
Number of retired or separated participants receiving benefits 2014-01-01 9
Number of other retired or separated participants entitled to future benefits 2014-01-01 1,196
Total of all active and inactive participants 2014-01-01 3,685
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 17
Total participants 2014-01-01 3,702
Number of participants with account balances 2014-01-01 3,206
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 236
2013: BLOOMINGTON HOSPITAL, INC 403(B) RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 3,418
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 2,601
Number of retired or separated participants receiving benefits 2013-01-01 7
Number of other retired or separated participants entitled to future benefits 2013-01-01 858
Total of all active and inactive participants 2013-01-01 3,466
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 12
Total participants 2013-01-01 3,478
Number of participants with account balances 2013-01-01 3,385
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 196
2012: BLOOMINGTON HOSPITAL, INC 403(B) RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 3,258
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 2,825
Number of retired or separated participants receiving benefits 2012-01-01 4
Number of other retired or separated participants entitled to future benefits 2012-01-01 577
Total of all active and inactive participants 2012-01-01 3,406
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 12
Total participants 2012-01-01 3,418
Number of participants with account balances 2012-01-01 3,351
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 125
2011: BLOOMINGTON HOSPITAL, INC 403(B) RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 3,035
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 2,760
Number of retired or separated participants receiving benefits 2011-01-01 2
Number of other retired or separated participants entitled to future benefits 2011-01-01 489
Total of all active and inactive participants 2011-01-01 3,251
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 7
Total participants 2011-01-01 3,258
Number of participants with account balances 2011-01-01 3,194
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 116
2010: BLOOMINGTON HOSPITAL, INC 403(B) RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 3,139
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 2,316
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 709
Total of all active and inactive participants 2010-01-01 3,025
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 10
Total participants 2010-01-01 3,035
Number of participants with account balances 2010-01-01 3,035
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 99
2009: BLOOMINGTON HOSPITAL, INC 403(B) RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 2,911
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 2,796
Number of retired or separated participants receiving benefits 2009-01-01 1
Number of other retired or separated participants entitled to future benefits 2009-01-01 332
Total of all active and inactive participants 2009-01-01 3,129
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 10
Total participants 2009-01-01 3,139
Number of participants with account balances 2009-01-01 2,938
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 73

Measure	Date	Value
2015: BLOOMINGTON HOSPITAL, INC 403(B) RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	3,702
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	0
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	0
Number of participants with account balances	2015-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	11
2014: BLOOMINGTON HOSPITAL, INC 403(B) RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	3,478
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	2,480
Number of retired or separated participants receiving benefits	2014-01-01	9
Number of other retired or separated participants entitled to future benefits	2014-01-01	1,196
Total of all active and inactive participants	2014-01-01	3,685
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	17
Total participants	2014-01-01	3,702
Number of participants with account balances	2014-01-01	3,206
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	236
2013: BLOOMINGTON HOSPITAL, INC 403(B) RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	3,418
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	2,601
Number of retired or separated participants receiving benefits	2013-01-01	7
Number of other retired or separated participants entitled to future benefits	2013-01-01	858
Total of all active and inactive participants	2013-01-01	3,466
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	12
Total participants	2013-01-01	3,478
Number of participants with account balances	2013-01-01	3,385
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	196
2012: BLOOMINGTON HOSPITAL, INC 403(B) RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	3,258
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	2,825
Number of retired or separated participants receiving benefits	2012-01-01	4
Number of other retired or separated participants entitled to future benefits	2012-01-01	577
Total of all active and inactive participants	2012-01-01	3,406
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	12
Total participants	2012-01-01	3,418
Number of participants with account balances	2012-01-01	3,351
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	125
2011: BLOOMINGTON HOSPITAL, INC 403(B) RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	3,035
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	2,760
Number of retired or separated participants receiving benefits	2011-01-01	2
Number of other retired or separated participants entitled to future benefits	2011-01-01	489
Total of all active and inactive participants	2011-01-01	3,251
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	7
Total participants	2011-01-01	3,258
Number of participants with account balances	2011-01-01	3,194
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	116
2010: BLOOMINGTON HOSPITAL, INC 403(B) RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	3,139
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	2,316
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	709
Total of all active and inactive participants	2010-01-01	3,025
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	10
Total participants	2010-01-01	3,035
Number of participants with account balances	2010-01-01	3,035
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	99
2009: BLOOMINGTON HOSPITAL, INC 403(B) RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	2,911
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	2,796
Number of retired or separated participants receiving benefits	2009-01-01	1
Number of other retired or separated participants entitled to future benefits	2009-01-01	332
Total of all active and inactive participants	2009-01-01	3,129
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	10
Total participants	2009-01-01	3,139
Number of participants with account balances	2009-01-01	2,938
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	73

Financial Data on BLOOMINGTON HOSPITAL, INC 403(B) RETIREMENT PLAN

Measure	Date	Value
2015 : BLOOMINGTON HOSPITAL, INC 403(B) RETIREMENT PLAN 2015 401k financial data
Total transfer of assets from this plan	2015-04-30	$88,408,855
Total income from all sources (including contributions)	2015-04-30	$6,715,030
Total of all expenses incurred	2015-04-30	$11,385,438
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-04-30	$11,363,200
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-04-30	$1,757
Value of total assets at end of year	2015-04-30	$0
Value of total assets at beginning of year	2015-04-30	$93,079,263
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-04-30	$22,238
Total interest from all sources	2015-04-30	$36,717
Total dividends received (eg from common stock, registered investment company shares)	2015-04-30	$1,121,088
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-04-30	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2015-04-30	$0
Total dividends received from registered investment company shares (eg mutual funds)	2015-04-30	$1,121,088
Was this plan covered by a fidelity bond	2015-04-30	Yes
Value of fidelity bond cover	2015-04-30	$5,000,000
If this is an individual account plan, was there a blackout period	2015-04-30	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-04-30	$0
Were there any nonexempt tranactions with any party-in-interest	2015-04-30	No
Income. Received or receivable in cash from other sources (including rollovers)	2015-04-30	$1,757
Administrative expenses (other) incurred	2015-04-30	$22,238
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-04-30	No
Value of net income/loss	2015-04-30	$-4,670,408
Value of net assets at end of year (total assets less liabilities)	2015-04-30	$0
Value of net assets at beginning of year (total assets less liabilities)	2015-04-30	$93,079,263
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-04-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-04-30	No
Were any leases to which the plan was party in default or uncollectible	2015-04-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-04-30	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-04-30	$85,861,219
Interest earned on other investments	2015-04-30	$36,717
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-04-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-04-30	$7,218,044
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-04-30	$5,555,468
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-04-30	No
Was there a failure to transmit to the plan any participant contributions	2015-04-30	No
Has the plan failed to provide any benefit when due under the plan	2015-04-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-04-30	$11,363,200
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2015-04-30	Yes
Did the plan have assets held for investment	2015-04-30	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	2015-04-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-04-30	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-04-30	Yes
Opinion of an independent qualified public accountant for this plan	2015-04-30	Disclaimer
Accountancy firm name	2015-04-30	BKD, LLP
Accountancy firm EIN	2015-04-30	440160260
2014 : BLOOMINGTON HOSPITAL, INC 403(B) RETIREMENT PLAN 2014 401k financial data
Total income from all sources (including contributions)	2014-12-31	$14,357,962
Total of all expenses incurred	2014-12-31	$16,710,266
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$16,658,316
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$10,666,377
Value of total assets at end of year	2014-12-31	$93,079,263
Value of total assets at beginning of year	2014-12-31	$95,431,567
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$51,950
Total interest from all sources	2014-12-31	$125,103
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$2,272,633
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$2,272,633
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$3,471,142
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$13,771
Administrative expenses (other) incurred	2014-12-31	$51,950
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$-2,352,304
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$93,079,263
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$95,431,567
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$85,861,219
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$87,859,889
Interest earned on other investments	2014-12-31	$125,103
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$7,218,044
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$7,571,678
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$1,293,849
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$7,181,464
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$16,658,316
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2014-12-31	No
Did the plan have assets held for investment	2014-12-31	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	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	BKD, LLP
Accountancy firm EIN	2014-12-31	440160260
2013 : BLOOMINGTON HOSPITAL, INC 403(B) RETIREMENT PLAN 2013 401k financial data
Total transfer of assets to this plan	2013-12-31	$29,793
Total income from all sources (including contributions)	2013-12-31	$24,138,308
Total of all expenses incurred	2013-12-31	$6,282,652
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$6,242,961
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$12,425,420
Value of total assets at end of year	2013-12-31	$95,431,567
Value of total assets at beginning of year	2013-12-31	$77,546,118
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$39,691
Total interest from all sources	2013-12-31	$127,497
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$1,628,209
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$1,628,209
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$7,136,942
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$292,763
Administrative expenses (other) incurred	2013-12-31	$39,691
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$17,855,656
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$95,431,567
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$77,546,118
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$87,859,889
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$71,042,435
Interest earned on other investments	2013-12-31	$127,497
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$7,571,678
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$6,503,683
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$9,957,182
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$4,995,715
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$6,242,961
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2013-12-31	No
Did the plan have assets held for investment	2013-12-31	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	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	BKD, LLP
Accountancy firm EIN	2013-12-31	440160260
2012 : BLOOMINGTON HOSPITAL, INC 403(B) RETIREMENT PLAN 2012 401k financial data
Total transfer of assets to this plan	2012-12-31	$219,446
Total income from all sources (including contributions)	2012-12-31	$18,954,175
Total of all expenses incurred	2012-12-31	$4,389,973
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$4,367,073
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$11,812,291
Value of total assets at end of year	2012-12-31	$77,546,118
Value of total assets at beginning of year	2012-12-31	$62,762,470
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$22,900
Total interest from all sources	2012-12-31	$121,589
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$1,193,501
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	$1,193,501
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	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	$6,801,483
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$237,451
Administrative expenses (other) incurred	2012-12-31	$22,900
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	$14,564,202
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$77,546,118
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$62,762,470
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	$71,042,435
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$57,485,960
Interest earned on other investments	2012-12-31	$121,589
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$6,503,683
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$5,276,510
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$5,826,794
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	$4,773,357
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$4,367,073
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2012-12-31	No
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	BKD, LLP
Accountancy firm EIN	2012-12-31	440160260
2011 : BLOOMINGTON HOSPITAL, INC 403(B) RETIREMENT PLAN 2011 401k financial data
Total transfer of assets to this plan	2011-12-31	$172,192
Total income from all sources (including contributions)	2011-12-31	$10,761,960
Total of all expenses incurred	2011-12-31	$3,238,768
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$3,237,961
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$11,531,932
Value of total assets at end of year	2011-12-31	$62,762,470
Value of total assets at beginning of year	2011-12-31	$55,067,086
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$807
Total interest from all sources	2011-12-31	$108,089
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$1,039,974
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	$1,039,974
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
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
Contributions received from participants	2011-12-31	$6,538,550
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$452,094
Administrative expenses (other) incurred	2011-12-31	$807
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	$7,523,192
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$62,762,470
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$55,067,086
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	$57,485,960
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$50,885,266
Interest earned on other investments	2011-12-31	$108,089
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$5,276,510
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$4,181,820
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-1,918,035
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	$4,541,288
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$3,237,961
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2011-12-31	No
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	BKD, LLP
Accountancy firm EIN	2011-12-31	440160260
2010 : BLOOMINGTON HOSPITAL, INC 403(B) RETIREMENT PLAN 2010 401k financial data
Total transfer of assets to this plan	2010-12-31	$420,900
Total income from all sources (including contributions)	2010-12-31	$16,783,738
Total of all expenses incurred	2010-12-31	$2,333,700
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$2,316,809
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$11,059,090
Value of total assets at end of year	2010-12-31	$55,067,086
Value of total assets at beginning of year	2010-12-31	$40,196,148
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$16,891
Total interest from all sources	2010-12-31	$105,652
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$769,033
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	$769,033
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
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
Contributions received from participants	2010-12-31	$6,186,678
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$204,858
Administrative expenses (other) incurred	2010-12-31	$16,891
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	$14,450,038
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$55,067,086
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$40,196,148
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	$50,885,266
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$37,178,166
Interest earned on other investments	2010-12-31	$105,652
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$4,181,820
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$3,017,982
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$4,849,963
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	$4,667,554
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$2,316,809
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2010-12-31	No
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	BKD, LLP
Accountancy firm EIN	2010-12-31	440160260
2009 : BLOOMINGTON HOSPITAL, INC 403(B) RETIREMENT 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 BLOOMINGTON HOSPITAL, INC 403(B) RETIREMENT PLAN

2015: BLOOMINGTON HOSPITAL, INC 403(B) RETIREMENT PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	This submission is the final filing	Yes
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: BLOOMINGTON HOSPITAL, INC 403(B) RETIREMENT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: BLOOMINGTON HOSPITAL, INC 403(B) RETIREMENT PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: BLOOMINGTON HOSPITAL, INC 403(B) RETIREMENT PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: BLOOMINGTON HOSPITAL, INC 403(B) RETIREMENT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
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: BLOOMINGTON HOSPITAL, INC 403(B) RETIREMENT PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: BLOOMINGTON HOSPITAL, INC 403(B) RETIREMENT 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 funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

TA069206

Policy instance

Insurance contract or identification number	TA069206
Number of Individuals Covered	0
Insurance policy start date	2015-01-01
Insurance policy end date	2015-04-30
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

TA069206

Policy instance

Insurance contract or identification number	TA069206
Number of Individuals Covered	3206
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

TA069206

Policy instance

Insurance contract or identification number	TA069206
Number of Individuals Covered	3385
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

TA069206

Policy instance

Insurance contract or identification number	TA069206
Number of Individuals Covered	3351
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

TA069206

Policy instance

Insurance contract or identification number	TA069206
Number of Individuals Covered	3194
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

TA069206

Policy instance

Insurance contract or identification number	TA069206
Number of Individuals Covered	3035
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	INDIANA UNIVERSITY HEALTH BLOOMINGTON HOSPITAL
Employer identification number (EIN):	351720796
NAIC Classification:	622000
NAIC Description:	Hospitals