COMPREHENSIVE HEALTH CARE TRUST: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
COMPREHENSIVE HEALTH CARE TRUST (EIN 31-1088984)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-10-15
IRS object ID
201832889349300238
Schema version
2017v2.3
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 ReturnHeader

FieldValueIRS element (for citing)
Return2018-10-15T11:14:59-04:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN311158488PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1HIRTH NORRIS & GARRISON LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12425 OLD STRINGTOWN ROADAddressLine1Txt
CityGROVE CITYCityNm
State AbbreviationOHStateAbbreviationCd
ZIP431232919ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN311088984EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COMPREHENSIVE HEALTH CARE TRUSTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCOMPBusinessNameControlTxt
Phone3303391100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 997AddressLine1Txt
CityNEW PHILADELPHIACityNm
State AbbreviationOHStateAbbreviationCd
ZIP44663ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJEFFREY MILLERPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone3303391100PhoneNum
Signature2018-10-12SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTIMOTHY R HARRISPreparerPersonNm
PTINP00194140PTIN
Phone6148750803PhoneNum
Preparation2018-10-12PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address204.210.169.51IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-10-15IPDt
IP Tm10:14:59IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdBC2AD155EF49E6237D71BDB69687C087139A88AAAtSubmissionCreationDeviceId
At Submission Filing Device IdF2BEB76BA111AB60702FA5B947C4390769ADF387AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2018-06-14 16:35:46ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJEFFREY MILLERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 997AddressLine1Txt
CityNEW PHILADELPHIACityNm
State AbbreviationOHStateAbbreviationCd
ZIP44663ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$5,482,774GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Type Of Organization TrustYes (X)TypeOfOrganizationTrustInd
Formation1983FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionPROVIDE HEALTH AND PRESCRIPTION DRUG BENEFITS TO EMPLOYEES AND DEPENDENTS OF PARTICIPATING EMPLOYERS.ActivityOrMissionDesc
Voting Members Governing Body3VotingMembersGoverningBodyCnt
Voting Members Independent3VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$5,323,887PYProgramServiceRevenueAmt
CY Program Service Revenue$5,201,181CYProgramServiceRevenueAmt
PY Investment Income$284PYInvestmentIncomeAmt
CY Investment Income$238CYInvestmentIncomeAmt
PY Other Revenue$250,702PYOtherRevenueAmt
CY Other Revenue$281,355CYOtherRevenueAmt
PY Total Revenue$5,574,873PYTotalRevenueAmt
CY Total Revenue$5,482,774CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$4,810,421PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$4,245,497CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$805,546PYOtherExpensesAmt
CY Other Expenses$800,917CYOtherExpensesAmt
PY Total Expenses$5,615,967PYTotalExpensesAmt
CY Total Expenses$5,046,414CYTotalExpensesAmt
PY Revenues Less Expenses-$41,094PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$436,360CYRevenuesLessExpensesAmt
Total Assets BOY$68,267TotalAssetsBOYAmt
Total Assets EOY$405,700TotalAssetsEOYAmt
Total Liabilities BOY$135,191TotalLiabilitiesBOYAmt
Total Liabilities EOY$36,264TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$66,924NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$369,436NetAssetsOrFundBalancesEOYAmt
MissionPROVIDE HEALTH AND PRESCRIPTION DRUG BENEFITS TO EMPLOYEES AND DEPENDENTS OF PARTICIPATING EMPLOYERS.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$4,245,497ExpenseAmt
Revenue$5,201,181RevenueAmt
DescHEALTH AND PRESCRIPTION DRUG BENEFITS PROVIDED TO OVER 450 EMPLOYEES AND THEIR ELIGIBLE DEPENDENTS.Desc
Total Program Service Expenses$4,245,497TotalProgramServiceExpensesAmt
Described In Section501c3falseDescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members3GoverningBodyVotingMembersCnt
Independent Voting Member3IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldOHStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MILLER PRODUCTS INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3303391100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 997AddressLine1Txt
CityNEW PHILADELPHIACityNm
State AbbreviationOHStateAbbreviationCd
ZIP44663ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (3 entries)

TitleTitleTxtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
GEORGE SNYDER
TRUSTEEYes (X)$0$0$0
RANDY KOCHER
TRUSTEEYes (X)$0$0$0
JEFFREY MILLER
TRUSTEEYes (X)$0$0$0
FieldValueIRS element (for citing)
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ANTHEM BLUE CROSS BLUE SHIELDBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 951254AddressLine1Txt
CityCLEVELANDCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44193ZIPCd
FieldValueIRS element (for citing)
Services3RD PARTY ADMINServicesDesc
Compensation$298,062CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EMPLOYER CONTRIBUTIONS$3,920,851$3,920,851
EMPLOYEE CONTRIBUTIONS$1,280,330$1,280,330
FieldValueIRS element (for citing)
Total Program Service Revenue$5,201,181TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$238TotalRevenueColumnAmt
Related Or Exempt Func Income$238RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescSTOP LOSS REIMBURSEMENTSDesc
Total Revenue Column$281,355TotalRevenueColumnAmt
Related Or Exempt Func Income$281,355RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$281,355OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,482,774TotalRevenueColumnAmt
Related Or Exempt Func Income$5,482,774RelatedOrExemptFuncIncomeAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$4,245,497TotalAmt
Program Services$4,245,497ProgramServicesAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmt
STOP LOSS INSURANCE$502,855$502,855
CLAIMS ADMINISTRATION$298,062$298,062

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$5,046,414TotalAmt
Program Services$4,245,497ProgramServicesAmt
Management And General$800,917ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$68,267BOYAmt
EOY$405,700EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$68,267BOYAmt
EOY$405,700EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$135,191BOYAmt
EOY$36,264EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$135,191BOYAmt
EOY$36,264EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY-$66,924BOYAmt
EOY$369,436EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$66,924BOYAmt
EOY$369,436EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$68,267BOYAmt
EOY$405,700EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$436,360ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Rev Etc Audited Fincl Stmt$5,482,774TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$5,482,774RevenueSubtotalAmt
Total Revenue Per Form990$5,482,774TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$5,046,414TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$5,046,414ExpensesSubtotalAmt
Total Expenses Per Form990$5,046,414TotalExpensesPerForm990Amt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 7BTHE BOARD OF DIRECTORS OF THE PLAN SPONSOR APPOINTS TRUSTEES TO GOVERN THE ORGANIZATION. ACCORDINGLY, THE ACTIONS OF THE TRUSTEES ARE SUBJECT TO PLAN SPONSOR BOARD MONITORING.
FORM 990, PAGE 6, PART VI, LINE 11BDRAFT OF 990 RETURN PROVIDED TO EMMA GECKLER, ADMINISTRATOR OF PLAN, FOR REVIEW. QUESTIONS ARE DISCUSSED AND CHANGES MADE AS NEEDED PRIOR TO FINALIZING RETURN.
FORM 990, PAGE 6, PART VI, LINE 12CTHE BOARD OF TRUSTEES WILL DISCUSS POTENTIAL CONFLICTS OF INTEREST ISSUES DURING PLAN REVIEW AND AT END OF YEAR AS PART OF PLANNING FOR SUBSEQUENT YEAR OPERATIONS. MONTHLY MONITORING OCCURS AS ACTIVITY IS REVIEWED BY THE BOARD OF TRUSTEES.
FORM 990, PAGE 6, PART VI, LINE 19THE PLAN MAKES GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICIES AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. ALL EMPLOYEES ARE REMINDED OF THIS POLICY ANNUALLY. UPON WRITTEN REQUEST GIVEN TO THE HUMAN RESOURCE DEPARTMENT, THE REQUEST IS FORWARDED TO THE DESIGNATED TRUSTEE OF THE PLAN WHO MAKES SURE DOCUMENTS ARE FORWARDED.

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