FURP.ORG / PUBLIC DATA EXPLORER

SOUTHERN OPERATORS HEALTH FUND: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
SOUTHERN OPERATORS HEALTH FUND (EIN 43-2067325)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-13
IRS object ID
201733179349301383
Schema version
2016v3.0
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)
Return2017-11-13T09:45:35-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN721396621PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CARR RIGGS & INGRAM LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13500 PIEDMONT RD SUITE 500AddressLine1Txt
CityATLANTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP30305ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN432067325EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SOUTHERN OPERATORS HEALTH FUNDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSOUTBusinessNameControlTxt
Phone6158590131PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12001 CALDWELL DRAddressLine1Txt
CityGOODELETTESVILLECityNm
State AbbreviationTNStateAbbreviationCd
ZIP37072ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTRAVIS SIMMONSPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone6158590131PhoneNum
Signature2017-11-02SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonK SHANNON CLACKPreparerPersonNm
PTINP00539736PTIN
Phone4042335486PhoneNum
Preparation2017-11-02PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address69.218.209.154IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-11-02IPDt
IP Tm14:11:48IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id3A6253DAF6A852B8B3144E973BC34C0B6B7B741BAtSubmissionCreationDeviceId
At Submission Filing Device Id3A6253DAF6A852B8B3144E973BC34C0B6B7B741BAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTRAVIS SIMMONSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12001 CALDWELL DRAddressLine1Txt
CityGOODELETTESVILLECityNm
State AbbreviationTNStateAbbreviationCd
ZIP37072ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$24,156,697GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressNAWebsiteAddressTxt
Type Of Organization TrustYes (X)TypeOfOrganizationTrustInd
Formation2005FormationYr
Legal Domicile StateTNLegalDomicileStateCd
Activity Or MissionTHE PURPOSE OF THIS FUND IS TO MAINTAIN A PLAN OF BENEFITS WHICH PROVIDES DISABILITY, HOSPITALIZATION, AND MAJOR MEDICAL BENEFITS TO ELIGIBLE PARTICIPANTS AS SPECIFIED IN THE PLAN.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$19,259,459PYProgramServiceRevenueAmt
CY Program Service Revenue$22,275,794CYProgramServiceRevenueAmt
PY Investment Income$403,132PYInvestmentIncomeAmt
CY Investment Income$368,925CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$1,511,978CYOtherRevenueAmt
PY Total Revenue$19,662,591PYTotalRevenueAmt
CY Total Revenue$24,156,697CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$16,158,065PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$19,494,402CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$811,276PYOtherExpensesAmt
CY Other Expenses$897,538CYOtherExpensesAmt
PY Total Expenses$16,969,341PYTotalExpensesAmt
CY Total Expenses$20,391,940CYTotalExpensesAmt
PY Revenues Less Expenses$2,693,250PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,764,757CYRevenuesLessExpensesAmt
Total Assets BOY$16,304,318TotalAssetsBOYAmt
Total Assets EOY$20,201,301TotalAssetsEOYAmt
Total Liabilities BOY$376,023TotalLiabilitiesBOYAmt
Total Liabilities EOY$197,825TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$15,928,295NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$20,003,476NetAssetsOrFundBalancesEOYAmt
MissionTHE PURPOSE OF THIS FUND IS TO MAINTAIN A PLAN OF BENEFITS WHICH PROVIDES DISABILITY, HOSPITALIZATION, AND MAJOR MEDICAL BENEFITS TO ELIGIBLE PARTICIPANTS AS SPECIFIED IN THE PLAN.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
DescTHE PURPOSE OF THIS FUND IS TO MAINTAIN A PLAN OF BENEFITS WHICH PROVIDES DISABILITY, HOSPITALIZATION, AND MAJOR MEDICAL BENEFITS TO ELIGIBLE PARTICIPANTS AS SPECIFIED IN THE PLAN.Desc
Described In Section501c30DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SOUTHERN BENEFIT ADMINISTRATORS INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6158590131PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12001 CALDWELL DRAddressLine1Txt
CityGOODELETTESVILLECityNm
State AbbreviationTNStateAbbreviationCd
ZIP37072ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
MITCHELL BYRD
TRUSTEE5.00Yes (X)$0$0$0
TRAVIS SIMMONS
TRUSTEE5.00Yes (X)$0$0$0
JEFFREY BRITT
TRUSTEE5.00Yes (X)$0$0$0
CLARENCE WIGGINS
TRUSTEE5.00Yes (X)$0$0$0
JASON BILLINGS
TRUSTEE5.00Yes (X)$0$0$0
DENNIS TAYLOR
TRUSTEE5.00Yes (X)$0$0$0
RYAN GUTWALD
TRUSTEE5.00Yes (X)$0$0$0
JIMMY MARSHALL
TRUSTEE5.00Yes (X)$0$0$0
MIKE MORAIN
TRUSTEE5.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EMPLOYERS CONTRIBUTIONS900099$21,145,476$21,145,476
EMPLOYEE CONTRIBUTIONS900099$1,102,458$1,102,458
EMPLOYER PENALTIES900099$27,860$27,860
FieldValueIRS element (for citing)
Total Program Service Revenue$22,275,794TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$368,925TotalRevenueColumnAmt
Exclusion$368,925ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMERGER RECEIPTSDesc
Business900099BusinessCd
Total Revenue Column$1,511,978TotalRevenueColumnAmt
Related Or Exempt Func Income$1,511,978RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,511,978OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$24,156,697TotalRevenueColumnAmt
Related Or Exempt Func Income$23,787,772RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$368,925ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$19,494,402TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$44,038TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$11,543TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$101,053TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$663,370TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$42,891TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$23,320TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$6,872TotalAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescBANK FEESDesc
Total$4,451TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$20,391,940TotalAmt
FieldValueIRS element (for citing)
Joint CostsYes (X)JointCostsInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3BOYAmt
EOY$2EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,941,093BOYAmt
EOY$4,032,784EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,581,813BOYAmt
EOY$2,306,183EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$6,799BOYAmt
EOY$15,298EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$10,774,610BOYAmt
EOY$13,847,034EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$16,304,318BOYAmt
EOY$20,201,301EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$376,023BOYAmt
EOY$197,825EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$376,023BOYAmt
EOY$197,825EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$15,928,295BOYAmt
EOY$20,003,476EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$15,928,295BOYAmt
EOY$20,003,476EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$16,304,318BOYAmt
EOY$20,201,301EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$3,764,757ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$310,424NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$24,366,068TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$310,424NetUnrealizedGainsInvstAmt
Revenue Not Reported$310,424RevenueNotReportedAmt
Revenue Subtotal$24,055,644RevenueSubtotalAmt
Investment Expenses Not Incld$101,053InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$101,053RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$24,156,697TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$20,290,887TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$20,290,887ExpensesSubtotalAmt
Investment Expenses Not Incld2$101,053InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$101,053ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$20,391,940TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationU.S. GAAP REQUIRES PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY OR ASSET IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN SPONSOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2016 THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE UNDER ASC TOPIC 740. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE PLAN SPONSOR BELIEVES THE PLAN IS NO LONGER SUBJECT TO INCOME TAX EXAMINATION FOR YEARS PRIOR TO 2009.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BFORM 990 IS AVAILABLE BY THE BOARD OF TRUSTEES AT THE FUND OFFICE.
FORM 990, PART VI, SECTION B, LINE 12CEACH OFFICER IS REQUIRED TO REVIEW THE CONFLICT OF INTEREST POLICY AND SIGN THE ANNUAL CONFLICT OF INTEREST STATEMENT.
FORM 990, PART VI, SECTION C, LINE 19A PUBLIC DISCLOSURE COPY OF FORM 990 IS AVAILABLE FOR REVIEW AT THE FUND OFFICE.