UNITED FOOD & COMMERCIAL WORKERS UNION-EMPLOYER HLTH & WELFARE FUND: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
UNITED FOOD & COMMERCIAL WORKERS UNION-EMPLOYER HLTH & WELFARE FUND (EIN 34-6726563)
Tax period
2015-10-01 to 2016-09-30
Filed
2017-07-12
IRS object ID
201721939349300942
Schema version
2015v3.0
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)
Return2017-07-12T13:58:18-04:00ReturnTs
Tax Period End2016-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN383349378PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CUNNINGHAM & ASSOCIATESBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line160 EAGLE VALLEY CTAddressLine1Txt
CityBROADVIEW HEIGHTSCityNm
State AbbreviationOHStateAbbreviationCd
ZIP441472982ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN346726563EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1UNITED FOOD & COMMERCIAL WORKERSBusinessNameLine1Txt
Business Name Line2UNION HEALTH & WELFARE FUNDBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlUNITBusinessNameControlTxt
Phone2162412828PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line19199 MARKET PLACE SUITE 1AddressLine1Txt
CityBROADVIEW HEIGHTSCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44147ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCARL IVKAPersonNm
Person TitleUNION TRUSTEEPersonTitleTxt
Phone2162412828PhoneNum
Signature2017-04-26SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJIM DAVISPreparerPersonNm
PTINP01353798PTIN
Phone4407171350PhoneNum
Preparation2017-07-12PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCARL IVKAPrincipalOfficerNm
Gross Receipts$153,737,003GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressN/AWebsiteAddressTxt
Type Of Organization TrustYes (X)TypeOfOrganizationTrustInd
Formation1952FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionPROVIDE HEALTH AND WELFARE BENEFITS TO PARTICIPANTSActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee37TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$114,865,590PYProgramServiceRevenueAmt
CY Program Service Revenue$117,209,132CYProgramServiceRevenueAmt
PY Investment Income$2,323,146PYInvestmentIncomeAmt
CY Investment Income$1,873,971CYInvestmentIncomeAmt
PY Other Revenue$1,983,969PYOtherRevenueAmt
CY Other Revenue$2,541,971CYOtherRevenueAmt
PY Total Revenue$119,172,705PYTotalRevenueAmt
CY Total Revenue$121,625,074CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$107,764,369PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$120,133,376CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,769,200PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,819,792CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,305,552PYOtherExpensesAmt
CY Other Expenses$2,343,302CYOtherExpensesAmt
PY Total Expenses$111,839,121PYTotalExpensesAmt
CY Total Expenses$124,296,470CYTotalExpensesAmt
PY Revenues Less Expenses$7,333,584PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$2,671,396CYRevenuesLessExpensesAmt
Total Assets BOY$64,024,852TotalAssetsBOYAmt
Total Assets EOY$69,633,598TotalAssetsEOYAmt
Total Liabilities BOY$20,044,936TotalLiabilitiesBOYAmt
Total Liabilities EOY$24,989,204TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$43,979,916NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$44,644,394NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionPROVIDE HEALTH AND WELFARE BENEFITS TO PARTICIPANTSMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
DescMEDICAL, DENTAL AND DISABILITY BENEFITS- THE FUND IN CONJUCTION WITH CONSUMERS LIFE INSURANCE COMPANY,METROHEALTH AND MEDICAL MUTUAL OF OHIO PROVIDES VARIOUS HOSPITAL, SURGICAL, MEDICAL, ACCIDENT AND SICKNESS, WEEKLY INDEMNITY, AND LIFE INSURANCE BENEFITS TO APPROXIMATELY 27,500 MEMBERS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
DescPAID PRESCRIPTION PROGRAM- THE FUND HAS CONTRACTED WITH CAREMARK TO PROVIDE A PROGRAM FOR PRESCRIPTION DRUGS. THE PROGRAM REQUIRES MEMBERS TO PAY 20- 30% TOWARDS EACH PRESCRIPTION. ALSO SOME MEMBERS RECEIVE REIMBURSEMENTS THROUGH MAJOR MEDICAL. APPROXIMATELY 23,500 MEMBERS ARE COVERED UNDER THIS PLAN.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
DescEYE CARE PROGRAM. THE FUND PROVIDES VISION BENEFITS THROUGH DIRECT REIMBURSEMENT OR WITH VARIOUS PROVIDERS. THE PROGRAM PROVIDES A FULLY PAID EYE CARE PROGRAM TO APPROXIMATELY 24,500 MEMBERS. THIS PROGRAM PROVIDES A FREE EYE EXAMINATION AND A PAIR OF GLASSES EVERY 24 MONTHS FOR ADULTS AND EVERY 12 MONTHS FOR CHILDREN.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
DescTO PROVIDE AFFORDABLE HEALTH CARE FOR ITS MEMBERSDesc
FieldValueIRS element (for citing)
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 EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
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 Document4IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee37EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
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 Members8GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
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 ApprovafalseDecisionsSubjectToApprovaInd
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
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJOHN HALKIASPersonNm
Phone2162412828PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line19199 MARKET PLACE SUITE 1AddressLine1Txt
CityBROADVIEW HTSCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44147ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
JEAN M COLARIK
EMPLOYER TRUYes (X)$0$0$0
BARB CARUSO
UNION TRUSTEYes (X)$0$0$0
MIKE MARTINO
UNION TRUSTEYes (X)$0$0$0
DAVID HICKS
EMPLOYER TRUYes (X)$0$0$0
THOMAS HEINEN
EMPLOYER TRUYes (X)$0$0$0
RAY HUBER
EMPLOYER TRUYes (X)$0$0$0
JILL ADAM
UNION TRUSTEYes (X)$0$0$0
CARL IVKA
UNION TRUSTEYes (X)$0$0$0
FieldValueIRS element (for citing)
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
LITTLER MENDELSON
1100 SUPERIOR AVECLEVELANDOH44114LEGAL FEES$362,235
MERRILL LYNCH
45 E WASHINGTON STCHAGRIN FALLSOH44022INVESTMENT$251,164
CUNNINGHAM & ASSOCIATES
60 EAGLE VALLEY COURTBROADVIEW HTSOH44147ACCOUNTING FEES$147,380
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EMPLOYER CONTRIBUTIONS525100$108,954,727$108,954,727
EMPLOYEE CONTRIBUTIONS525100$6,306,462$6,306,462
MEDICARE SUBSIDY525100$1,947,943$1,947,943
FieldValueIRS element (for citing)
Total Program Service Revenue$117,209,132TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,636,337TotalRevenueColumnAmt
Related Or Exempt Func Income$1,636,337RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$32,349,563SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$32,111,929SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$237,634SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$237,634TotalRevenueColumnAmt
Related Or Exempt Func Income$237,634RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescFORMULARY REBATESDesc
Total Revenue Column$2,541,971TotalRevenueColumnAmt
Related Or Exempt Func Income$2,541,971RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,541,971OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$121,625,074TotalRevenueColumnAmt
Related Or Exempt Func Income$121,625,074RelatedOrExemptFuncIncomeAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$120,133,376TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,156,230TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$112,852TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$457,119TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$93,591TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$366,297TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$147,380TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$261,477TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$21,720TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$535,338TotalAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$340,671TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$170,533TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$12,406TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$73,745TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$53,951TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmt
BANK CHARGES$107,939
TELEPHONE$62,199
PATIENT RESEARCH FEE TAX$55,409
RETIREMENT PLAN ADMIN$53,660

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$80,577TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$124,296,470TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$9,684,872BOYAmt
EOY$10,078,799EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,278,770BOYAmt
EOY$2,295,553EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$37,451BOYAmt
EOY$37,451EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$786,600LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$651,864LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$190,104BOYAmt
EOY$134,736EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$51,408,655BOYAmt
EOY$56,587,059EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$425,000BOYAmt
EOY$500,000EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$64,024,852BOYAmt
EOY$69,633,598EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$124,696BOYAmt
EOY$162,536EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$19,920,240BOYAmt
EOY$24,826,668EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$20,044,936BOYAmt
EOY$24,989,204EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$43,979,916BOYAmt
EOY$44,644,394EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$43,979,916BOYAmt
EOY$44,644,394EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$64,024,852BOYAmt
EOY$69,633,598EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$2,671,396ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$3,335,874NetUnrlzdGainsLossesInvstAmt
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

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$786,600OtherCostOrOtherBasisAmt
Depreciation$651,864DepreciationAmt
Book Value$134,736BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$134,736TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
ESTIMATED LIABILITY FOR IBNR$21,758,100
INSURANCE PREM AND CLAIMS PAYABLE$3,068,568
FieldValueIRS element (for citing)
Total Liability$24,826,668TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$124,960,948TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$3,335,874NetUnrealizedGainsInvstAmt
Revenue Not Reported$3,335,874RevenueNotReportedAmt
Revenue Subtotal$121,625,074RevenueSubtotalAmt
Total Revenue Per Form990$121,625,074TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$119,390,042TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$119,390,042ExpensesSubtotalAmt
Other Expenses Not Included$4,906,428OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$4,906,428ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$124,296,470TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PAGE 4, PART XII, LINE 4BFormAndLineReferenceDesc
ExplanationCHANGE IN IBNR AND CLAIMS PAYABLE 4,906,428ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 2, PART III, LINE 4DTO PROVIDE AFFORDABLE HEALTH CARE FOR ITS MEMBERS
FORM 990, PAGE 6, PART VI, LINE 11BTHE RETURN IS PREPARED BY THE FUND'S INDEPENDENT CERIFIED PUBLIC ACCOUNTANT WHICH ALSO PERFORMS AN AUDIT OF THE FUND'S BOOKS AND RECORDS. THE RETURN IS THEN PROVIDED TO THE TRUSTEES FOR REVIEW AND SIGNATURE.
FORM 990, PAGE 6, PART VI, LINE 12CTHE FUND IS SUBJECT TO ERISA AND THE TRUSTEES CONFORM TO ITS REGULATIONS. SECTION 404 AND 406 CONTAIN STRICT FIDUCIARY RULES AND CONFLICTS OF INTEREST PROHIBITIONS. THE TRUSTEES MONITOR AND ENFORCE THE FUND'S COMPLIANCE WITH ERISA. OUTSIDE PROFESSIONALS ASSIST WITH THE COMPLIANCE.
FORM 990, PAGE 6, PART VI, LINE 19DOCUMENTS, POLICIES, FINANCIAL STATEMENTS, AND TAX RETURNS ARE AVAILABLE UPON REQUEST BY WRITING THE FUND'S ADMINISTRATOR AND REQUESTING A COPY.
FORM 990, PART XI, LINE 9GAIN ON SALE OF SECURITIES 237,634 TOTAL 237,634

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