BALL STATE UNIVERSITY HEALTH CARE PLAN: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: BALL STATE UNIVERSITY HEALTH CARE PLAN (EIN 35-6494459)
Tax period: 2010-07-01 to 2011-06-30
Filed: 2009-10-15
IRS object ID: 201123139349301712
Schema version: 2010v3.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2009-10-15T15:15:33+05:00	Timestamp
Tax Period End Date	2011-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THOMSON REUTERS (TAX & ACCOUNTING)	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	2 EASTON OVAL SUITE 425	AddressLine1
City	COLUMBUS	City
State	OH	State
ZIP Code	43219	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	356494459	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	BALL STATE UNIVERSITY HEALTH CARE PLAN	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	BALL	NameControl
Phone	3172851033	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	340 S CLEVELAND AVE BLDG 350	AddressLine1
City	WESTERVILLE	City
State	OH	State
ZIP Code	43081	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	JPMORGAN CHASE BANK	Name
Title	TRUSTEE	Title
Phone	3172851033	Phone
Date Signed	2011-09-22	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	VICKIE L WOOD CPA	Name
Phone	6144185007	Phone
Date Prepared	2011-09-22	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	SAME AS C ABOVE	NameOfPrincipalOfficerPerson
Gross Receipts	38160572	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	N/A	WebSite
Type Of Organization Trust	X	TypeOfOrganizationTrust
Year Formation	1988	YearFormation
State Legal Domicile	IN	StateLegalDomicile
Activity Or Mission Description	TO PROVIDE FUNDING FOR CERTAIN MEDICAL BENEFITS.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	0	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	0	NbrIndependentVotingMembers
Total Nbr Employees	0	TotalNbrEmployees
Total Gross UBI	703042	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Current Year	0	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	1500000	ProgramServiceRevenuePriorYear
Program Service Revenue CY	2000000	ProgramServiceRevenueCY
Investment Income Prior Year	-428349	InvestmentIncomePriorYear
Investment Income Current Year	703042	InvestmentIncomeCurrentYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	1071651	TotalRevenuePriorYear
Total Revenue Current Year	2703042	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	43352	SalariesEtcPriorYear
Salaries Etc Current Year	47786	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	197968	OtherExpensePriorYear
Other Expenses Current Year	240250	OtherExpensesCurrentYear
Total Expenses Prior Year	241320	TotalExpensesPriorYear
Total Expenses Current Year	288036	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	830331	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	2415006	RevenuesLessExpensesCY
Total Assets BOY	32409052	TotalAssetsBOY
Total Assets EOY	37182866	TotalAssetsEOY
Total Liabilities BOY	0	TotalLiabilitiesBOY
Total Liabilities EOY	0	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	32409052	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	37182866	NetAssetsOrFundBalancesEOY
Mission Description	TO PROVIDE FUNDING FOR CERTAIN MEDICAL BENEFITS.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Description	TO PROVIDE FUNDING FOR CERTAIN MEDICAL BENEFITS TO ELIGIBLE EMPLOYEES AND THEIR SPOUSES.	Description
Described In501 C3	false	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	false	PoliticalActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	false	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	false	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	0	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	0	NumberOfEmployees
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	0	NbrVotingGoverningBodyMembers
Number Independent Voting Members	0	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	false	ConflictOfInterestPolicy
Whistleblower Policy	false	WhistleblowerPolicy
Document Retention Policy	false	DocumentRetentionPolicy
Compensation Process CEO	false	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RANDALL HOWARD	BusinessNameLine1
Business Name Line2	BALL STATE UNIVERSIT	BusinessNameLine2

Field	Value	IRS element (for citing)
Telephone Number	3172851033	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2000 W UNIVERSITY AVE	AddressLine1
City	MUNCIE	City
State	IN	State
ZIP Code	47306	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	JPMORGAN CHASE BANK NA	BusinessNameLine1

Field	Value	IRS element (for citing)
Title	TRUSTEE	Title
Average Hours Per Week	2	AverageHoursPerWeek
Institutional Trustee	X	InstitutionalTrustee
Reportable Comp From Organization	47786	ReportableCompFromOrganization
Reportable Comp From Related Orgs	0	ReportableCompFromRelatedOrgs
Other Compensation	0	OtherCompensation

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	47786	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	0	TotalOtherCompensation
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	EMPLOYER SUPPORT	Description
Business Code	900099	BusinessCode
Total Revenue Column	2000000	TotalRevenueColumn
Related Or Exempt Function Income	2000000	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	2000000	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	3473728	TotalRevenueColumn
Unrelated Business Revenue	3473728	UnrelatedBusinessRevenue

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	32686844	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	35457530	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	-2770686	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-2770686	TotalRevenueColumn
Unrelated Business Revenue	-2770686	UnrelatedBusinessRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2703042	TotalRevenueColumn
Related Or Exempt Function Income	2000000	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	703042	UnrelatedBusinessRevenue

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	47786	Total
Program Services	47786	ProgramServices

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	190113	Total
Program Services	190113	ProgramServices

Interest Interest

Field	Value	IRS element (for citing)
Total	1	Total
Management And General	1	ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescription
FOREIGN TAXES PAID
FOREIGN ASSET FEES

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	50136	Total
Program Services	50136	ProgramServices

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	288036	Total
Program Services	288035	ProgramServices
Management And General	1	ManagementAndGeneral
Fundraising	0	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	4140724	BOY
EOY	934391	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	28268328	BOY
EOY	36248475	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	32409052	BOY
EOY	37182866	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Field	Value	IRS element (for citing)
Do Not Follow SFAS117	X	DoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

Field	Value	IRS element (for citing)
BOY	32409052	BOY
EOY	37182866	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	32409052	BOY
EOY	37182866	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	32409052	BOY
EOY	37182866	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	2415006	ReconcilationRevenueExpenses
Reconcilation Other Changes	2358808	ReconcilationOtherChanges
Method Of Accounting Cash	X	MethodOfAccountingCash
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	false	FSAudited
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
FORM 990, PAGE 6, PART VI, LINE 11-DESCRIPTION OF PROCESS FOR REVIEW	COMPLYING WITH INTERNAL POLICIES AND PROCEDURES OF THE TRUSTEE, PREPARATION, REVIEW, AND FILING OF FORM 990 TO SATISFY THE TRUSTEES DUTY OF CARE.
DESCRIPTION FOR MAKING DOCUMENTS PUBLIC	SUBJECT TO OPEN INSPECTION AND FREEDOM OF INFORMATION ACT.	FORM 990, PAGE 6, PART VI, LINE 19
EXPLANATION FOR FORM 990, PART XI, LINE 5	COST BASIS ADJUSTMENTS