COMPREHENSIVE HEALTH CARE TRUST: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
COMPREHENSIVE HEALTH CARE TRUST (EIN 31-1088984)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-14
IRS object ID
201623199349310917
Schema version
2015v2.1
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)
Return2016-11-14T17:46:41-06:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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 Begin2015-01-01TaxPeriodBeginDt

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)
PersonSCOTT YOSSPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone3303391100PhoneNum
Signature2016-11-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTIMOTHY R HARRISPreparerPersonNm
PTINP00194140PTIN
Phone6148750803PhoneNum
Preparation2016-11-14PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSCOTT YOSSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 997AddressLine1Txt
CityNEW PHILADELPHIACityNm
State AbbreviationOHStateAbbreviationCd
ZIP44663ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$5,437,803GrossReceiptsAmt
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$3,524,786PYProgramServiceRevenueAmt
CY Program Service Revenue$4,648,924CYProgramServiceRevenueAmt
PY Investment Income$590PYInvestmentIncomeAmt
CY Investment Income$272CYInvestmentIncomeAmt
CY Other Revenue$788,607CYOtherRevenueAmt
PY Total Revenue$3,525,376PYTotalRevenueAmt
CY Total Revenue$5,437,803CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$3,083,384PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$4,657,597CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$747,387PYOtherExpensesAmt
CY Other Expenses$860,995CYOtherExpensesAmt
PY Total Expenses$3,830,771PYTotalExpensesAmt
CY Total Expenses$5,518,592CYTotalExpensesAmt
PY Revenues Less Expenses-$305,395PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$80,789CYRevenuesLessExpensesAmt
Total Assets BOY$115,854TotalAssetsBOYAmt
Total Assets EOY$48,159TotalAssetsEOYAmt
Total Liabilities BOY$60,895TotalLiabilitiesBOYAmt
Total Liabilities EOY$73,989TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$54,959NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$25,830NetAssetsOrFundBalancesEOYAmt
MissionPROVIDE HEALTH AND PRESCRIPTION DRUG BENEFITS TO EMPLOYEES AND DEPENDENTS OF PARTICIPATING EMPLOYERS.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$4,657,597ExpenseAmt
Revenue$4,648,924RevenueAmt
DescHEALTH AND PRESCRIPTION DRUG BENEFITS PROVIDED TO OVER 460 EMPLOYEES AND THEIR ELIGIBLE DEPENDENTS.Desc
Total Program Service Expenses$4,657,597TotalProgramServiceExpensesAmt
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 STUDIO 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)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
GEORGE SNYDER
TRUSTEE2.00Yes (X)$0$0$0
RANDY KOCHER
TRUSTEE2.00Yes (X)$0$0$0
SCOTT YOSS
TRUSTEE6.00Yes (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$377,445CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EMPLOYER CONTRIBUTIONS$3,629,608$3,629,608
EMPLOYEE CONTRIBUTIONS$1,019,316$1,019,316
FieldValueIRS element (for citing)
Total Program Service Revenue$4,648,924TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$272TotalRevenueColumnAmt
Related Or Exempt Func Income$272RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescSTOP LOSS REIMBURSEMENTSDesc
Total Revenue Column$788,607TotalRevenueColumnAmt
Related Or Exempt Func Income$788,607RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$788,607OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,437,803TotalRevenueColumnAmt
Related Or Exempt Func Income$5,437,803RelatedOrExemptFuncIncomeAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$4,657,597TotalAmt
Program Services$4,657,597ProgramServicesAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmt
STOP LOSS INSURANCE$483,550$483,550
CLAIMS ADMINISTRATION$377,445$377,445

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$5,518,592TotalAmt
Program Services$4,657,597ProgramServicesAmt
Management And General$860,995ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$115,854BOYAmt
EOY$48,159EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$115,854BOYAmt
EOY$48,159EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$60,895BOYAmt
EOY$73,989EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$60,895BOYAmt
EOY$73,989EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$54,959BOYAmt
EOY-$25,830EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$54,959BOYAmt
EOY-$25,830EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$115,854BOYAmt
EOY$48,159EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$80,789ReconcilationRevenueExpnssAmt
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$5,437,803TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$5,437,803RevenueSubtotalAmt
Total Revenue Per Form990$5,437,803TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$5,518,592TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$5,518,592ExpensesSubtotalAmt
Total Expenses Per Form990$5,518,592TotalExpensesPerForm990Amt

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 SCOTT YOSS, TRUSTEE 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.

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.