401k Plan data: INDIANA UNIVERSITY HEALTH PAOLI, INC. SAVINGS AND MATCHING 403(B) PLAN plan

INDIANA UNIVERSITY HEALTH PAOLI, INC. SAVINGS AND MATCHING 403(B) PLAN 401k Plan overview

Plan Name	INDIANA UNIVERSITY HEALTH PAOLI, INC. SAVINGS AND MATCHING 403(B) PLAN
Plan identification number	002

INDIANA UNIVERSITY HEALTH PAOLI, INC. SAVINGS AND MATCHING 403(B) 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.
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.
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

INDIANA UNIVERSITY HEALTH PAOLI, INC. has sponsored the creation of one or more 401k plans.

Company Name: INDIANA UNIVERSITY HEALTH PAOLI, INC.

Employer identification number (EIN): 352090919

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan INDIANA UNIVERSITY HEALTH PAOLI, INC. SAVINGS AND MATCHING 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2015-01-01 LARRY BAILEY
002 2014-01-01 LARRY BAILEY
002 2013-01-01 LARRY BAILEY
002 2012-01-01 LARRY BAILEY
002 2011-01-01 LARRY BAILEY
002 2009-01-01 LARRY R. BAILEY
002 2009-01-01 LARRY R. BAILEY

Plan id#	Filing Submission Date	Name of Administrator
002	2015-01-01	LARRY BAILEY
002	2014-01-01	LARRY BAILEY
002	2013-01-01	LARRY BAILEY
002	2012-01-01	LARRY BAILEY
002	2011-01-01	LARRY BAILEY
002	2009-01-01	LARRY R. BAILEY
002	2009-01-01	LARRY R. BAILEY

Plan Statistics for INDIANA UNIVERSITY HEALTH PAOLI, INC. SAVINGS AND MATCHING 403(B) PLAN

401k plan membership statisitcs for INDIANA UNIVERSITY HEALTH PAOLI, INC. SAVINGS AND MATCHING 403(B) PLAN

Measure Date Value
2015: INDIANA UNIVERSITY HEALTH PAOLI, INC. SAVINGS AND MATCHING 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 226
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 0
2014: INDIANA UNIVERSITY HEALTH PAOLI, INC. SAVINGS AND MATCHING 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 316
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 192
Number of retired or separated participants receiving benefits 2014-01-01 1
Number of other retired or separated participants entitled to future benefits 2014-01-01 33
Total of all active and inactive participants 2014-01-01 226
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 226
Number of participants with account balances 2014-01-01 195
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 11
2013: INDIANA UNIVERSITY HEALTH PAOLI, INC. SAVINGS AND MATCHING 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 313
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 286
Number of retired or separated participants receiving benefits 2013-01-01 1
Number of other retired or separated participants entitled to future benefits 2013-01-01 29
Total of all active and inactive participants 2013-01-01 316
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 316
Number of participants with account balances 2013-01-01 260
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 10
2012: INDIANA UNIVERSITY HEALTH PAOLI, INC. SAVINGS AND MATCHING 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 318
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 288
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 25
Total of all active and inactive participants 2012-01-01 313
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 313
Number of participants with account balances 2012-01-01 243
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 7
2011: INDIANA UNIVERSITY HEALTH PAOLI, INC. SAVINGS AND MATCHING 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 306
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 297
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 21
Total of all active and inactive participants 2011-01-01 318
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 318
Number of participants with account balances 2011-01-01 223
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 6
2009: INDIANA UNIVERSITY HEALTH PAOLI, INC. SAVINGS AND MATCHING 403(B) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 282
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 299
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 11
Total of all active and inactive participants 2009-01-01 310
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 310
Number of participants with account balances 2009-01-01 180
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 3

Measure	Date	Value
2015: INDIANA UNIVERSITY HEALTH PAOLI, INC. SAVINGS AND MATCHING 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	226
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	0
2014: INDIANA UNIVERSITY HEALTH PAOLI, INC. SAVINGS AND MATCHING 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	316
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	192
Number of retired or separated participants receiving benefits	2014-01-01	1
Number of other retired or separated participants entitled to future benefits	2014-01-01	33
Total of all active and inactive participants	2014-01-01	226
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	226
Number of participants with account balances	2014-01-01	195
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	11
2013: INDIANA UNIVERSITY HEALTH PAOLI, INC. SAVINGS AND MATCHING 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	313
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	286
Number of retired or separated participants receiving benefits	2013-01-01	1
Number of other retired or separated participants entitled to future benefits	2013-01-01	29
Total of all active and inactive participants	2013-01-01	316
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	316
Number of participants with account balances	2013-01-01	260
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	10
2012: INDIANA UNIVERSITY HEALTH PAOLI, INC. SAVINGS AND MATCHING 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	318
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	288
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	25
Total of all active and inactive participants	2012-01-01	313
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	313
Number of participants with account balances	2012-01-01	243
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	7
2011: INDIANA UNIVERSITY HEALTH PAOLI, INC. SAVINGS AND MATCHING 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	306
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	297
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	21
Total of all active and inactive participants	2011-01-01	318
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	318
Number of participants with account balances	2011-01-01	223
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	6
2009: INDIANA UNIVERSITY HEALTH PAOLI, INC. SAVINGS AND MATCHING 403(B) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	282
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	299
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	11
Total of all active and inactive participants	2009-01-01	310
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	310
Number of participants with account balances	2009-01-01	180
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	3

Financial Data on INDIANA UNIVERSITY HEALTH PAOLI, INC. SAVINGS AND MATCHING 403(B) PLAN

Measure	Date	Value
2015 : INDIANA UNIVERSITY HEALTH PAOLI, INC. SAVINGS AND MATCHING 403(B) PLAN 2015 401k financial data
Total transfer of assets from this plan	2015-04-30	$4,707,176
Total income from all sources (including contributions)	2015-04-30	$206,969
Total of all expenses incurred	2015-04-30	$1,096,411
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-04-30	$1,094,058
Value of total assets at end of year	2015-04-30	$0
Value of total assets at beginning of year	2015-04-30	$5,596,618
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-04-30	$2,353
Total interest from all sources	2015-04-30	$915
Total dividends received (eg from common stock, registered investment company shares)	2015-04-30	$12,712
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	$12,712
Was this plan covered by a fidelity bond	2015-04-30	Yes
Value of fidelity bond cover	2015-04-30	$10,000,000
If this is an individual account plan, was there a blackout period	2015-04-30	No
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
Administrative expenses (other) incurred	2015-04-30	$2,353
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	$-889,442
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	$5,596,618
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	$5,319,895
Interest earned on other investments	2015-04-30	$915
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	$276,723
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-04-30	$193,342
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	$1,094,058
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	No
Did the plan have assets held for investment	2015-04-30	No
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 : INDIANA UNIVERSITY HEALTH PAOLI, INC. SAVINGS AND MATCHING 403(B) PLAN 2014 401k financial data
Total transfer of assets to this plan	2014-12-31	$22,067
Total income from all sources (including contributions)	2014-12-31	$797,874
Total of all expenses incurred	2014-12-31	$1,035,761
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$1,030,185
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$420,504
Value of total assets at end of year	2014-12-31	$5,596,618
Value of total assets at beginning of year	2014-12-31	$5,812,438
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$5,576
Total interest from all sources	2014-12-31	$3,772
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$102,863
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	$102,863
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$10,000,000
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	$182,681
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$62,424
Administrative expenses (other) incurred	2014-12-31	$5,576
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	$-237,887
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$5,596,618
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$5,812,438
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	$5,319,895
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$5,409,214
Interest earned on other investments	2014-12-31	$3,772
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$276,723
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$403,224
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$270,735
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	$175,399
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$1,030,185
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 : INDIANA UNIVERSITY HEALTH PAOLI, INC. SAVINGS AND MATCHING 403(B) PLAN 2013 401k financial data
Total transfer of assets to this plan	2013-12-31	$13,920
Total income from all sources (including contributions)	2013-12-31	$1,416,590
Total of all expenses incurred	2013-12-31	$739,187
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$735,117
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$433,853
Value of total assets at end of year	2013-12-31	$5,812,438
Value of total assets at beginning of year	2013-12-31	$5,121,115
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$4,070
Total interest from all sources	2013-12-31	$4,406
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$79,874
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	$79,874
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$10,000,000
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	$420,811
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$13,042
Administrative expenses (other) incurred	2013-12-31	$4,070
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	$677,403
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$5,812,438
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$5,121,115
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	$5,409,214
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$4,534,665
Interest earned on other investments	2013-12-31	$4,406
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$403,224
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$408,573
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$898,457
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
Employer contributions (assets) at beginning of year	2013-12-31	$177,877
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$735,117
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 : INDIANA UNIVERSITY HEALTH PAOLI, INC. SAVINGS AND MATCHING 403(B) PLAN 2012 401k financial data
Total transfer of assets to this plan	2012-12-31	$42,032
Total income from all sources (including contributions)	2012-12-31	$1,219,817
Total of all expenses incurred	2012-12-31	$984,275
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$981,427
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$643,908
Value of total assets at end of year	2012-12-31	$5,121,115
Value of total assets at beginning of year	2012-12-31	$4,843,541
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$2,848
Total interest from all sources	2012-12-31	$6,659
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$106,697
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	$106,697
Administrative expenses professional fees incurred	2012-12-31	$2,848
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$10,000,000
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	$401,779
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$90,481
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	$235,542
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$5,121,115
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$4,843,541
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	$4,534,665
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$4,077,921
Interest earned on other investments	2012-12-31	$6,659
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$408,573
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$525,934
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$462,553
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	$151,648
Employer contributions (assets) at end of year	2012-12-31	$177,877
Employer contributions (assets) at beginning of year	2012-12-31	$239,686
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$981,427
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 : INDIANA UNIVERSITY HEALTH PAOLI, INC. SAVINGS AND MATCHING 403(B) PLAN 2011 401k financial data
Total income from all sources (including contributions)	2011-12-31	$911,421
Total of all expenses incurred	2011-12-31	$260,684
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$255,526
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$936,850
Value of total assets at end of year	2011-12-31	$4,843,541
Value of total assets at beginning of year	2011-12-31	$4,192,804
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$5,158
Total interest from all sources	2011-12-31	$9,006
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$73,653
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	$73,653
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2011-12-31	Yes
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	$408,411
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$288,753
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-12-31	$3,497
Administrative expenses (other) incurred	2011-12-31	$5,158
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	$650,737
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$4,843,541
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$4,192,804
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	$4,077,921
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$3,584,063
Interest earned on other investments	2011-12-31	$9,004
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$394,621
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$394,621
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$2
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$525,934
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-108,088
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	$239,686
Employer contributions (assets) at end of year	2011-12-31	$239,686
Employer contributions (assets) at beginning of year	2011-12-31	$210,623
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$255,526
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	Yes
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 : INDIANA UNIVERSITY HEALTH PAOLI, INC. SAVINGS AND MATCHING 403(B) PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$1,069,222
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$107,025
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$96,550
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$593,971
Value of total assets at end of year	2010-12-31	$4,192,804
Value of total assets at beginning of year	2010-12-31	$3,230,607
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$10,475
Total interest from all sources	2010-12-31	$3,120
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$89,718
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	$89,718
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$10,000,000
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	$375,228
Participant contributions at beginning of year	2010-12-31	$12,059
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$8,120
Value of other receiveables (less allowance for doubtful accounts) at end of year	2010-12-31	$3,497
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	$962,197
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$4,192,804
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$3,230,607
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	$3,584,063
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$2,719,515
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$394,621
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$319,823
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$319,823
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$3,120
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$382,413
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	$210,623
Employer contributions (assets) at end of year	2010-12-31	$210,623
Employer contributions (assets) at beginning of year	2010-12-31	$179,210
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$96,550
Contract administrator fees	2010-12-31	$10,475
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 : INDIANA UNIVERSITY HEALTH PAOLI, INC. SAVINGS AND MATCHING 403(B) 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 INDIANA UNIVERSITY HEALTH PAOLI, INC. SAVINGS AND MATCHING 403(B) PLAN

2015: INDIANA UNIVERSITY HEALTH PAOLI, INC. SAVINGS AND MATCHING 403(B) 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: INDIANA UNIVERSITY HEALTH PAOLI, INC. SAVINGS AND MATCHING 403(B) 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: INDIANA UNIVERSITY HEALTH PAOLI, INC. SAVINGS AND MATCHING 403(B) 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: INDIANA UNIVERSITY HEALTH PAOLI, INC. SAVINGS AND MATCHING 403(B) 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: INDIANA UNIVERSITY HEALTH PAOLI, INC. SAVINGS AND MATCHING 403(B) 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
2009: INDIANA UNIVERSITY HEALTH PAOLI, INC. SAVINGS AND MATCHING 403(B) 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	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 – Trust	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

TA069409

Policy instance

Insurance contract or identification number	TA069409
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

TA069409

Policy instance

Insurance contract or identification number	TA069409
Number of Individuals Covered	195
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

TA069409

Policy instance

Insurance contract or identification number	TA069409
Number of Individuals Covered	260
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

TA069409

Policy instance

Insurance contract or identification number	TA069409
Number of Individuals Covered	243
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

TA069409

Policy instance

Insurance contract or identification number	TA069409
Number of Individuals Covered	223
Insurance policy start date	2011-02-01
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

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Company Name:	INDIANA UNIVERSITY HEALTH PAOLI, INC.
Employer identification number (EIN):	352090919
NAIC Classification:	622000
NAIC Description:	Hospitals