IBEW LOCAL 102 WELFARE FUND: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- IBEW LOCAL 102 WELFARE FUND (EIN 22-6487222)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-10-20
- IRS object ID
- 201412939349300721
- Schema version
- 2013v3.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-10-20T20:46:39-07:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHAUGHNESSY GIELLA CPA PC | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 420 ROUTE 46 EAST SUITE 4 | AddressLine1 |
| City | FAIRFIELD | City |
| State | NJ | State |
| ZIP Code | 07004 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 226487222 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | IBEW LOCAL 102 WELFARE FUND | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | IBEW | BusinessNameControlTxt |
| Phone | 9738871718 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 5355 | AddressLine1 |
| City | PARSIPPANY | City |
| State | NJ | State |
| ZIP Code | 07054 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BERNARD CORRIGAN | PersonNm |
| Person Title | TRUSTEE | PersonTitleTxt |
| Phone | 9738871718 | PhoneNum |
| Signature | 2014-10-20 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHAEL GIELLA | PreparerPersonNm |
| Phone | 9738820228 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | BERNARD CORRIGAN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 5355 | AddressLine1 |
| City | PARSIPPANY | City |
| State | NJ | State |
| ZIP Code | 07054 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $69,805,967 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c | Yes (X) | Organization501cInd |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Trust | Yes (X) | TypeOfOrganizationTrustInd |
| Formation | 1991 | FormationYr |
| Legal Domicile State | NJ | LegalDomicileStateCd |
| Activity Or Mission | WELFARE FUND - HEALTH/MEDICAL BENEFITS | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $41,758,167 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $44,974,055 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,561,948 | PYInvestmentIncomeAmt |
| CY Investment Income | $5,166,690 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,327,715 | PYOtherRevenueAmt |
| CY Other Revenue | -$3,808,015 | CYOtherRevenueAmt |
| PY Total Revenue | $46,647,830 | PYTotalRevenueAmt |
| CY Total Revenue | $46,332,730 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $39,814,741 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $38,813,687 | CYBenefitsPaidToMembersAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,452,425 | PYOtherExpensesAmt |
| CY Other Expenses | $2,692,626 | CYOtherExpensesAmt |
| PY Total Expenses | $42,267,166 | PYTotalExpensesAmt |
| CY Total Expenses | $41,506,313 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $4,380,664 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $4,826,417 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $95,876,752 | TotalAssetsBOYAmt |
| Total Assets EOY | $101,626,779 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,699,662 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,623,272 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $94,177,090 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $99,003,507 | NetAssetsOrFundBalancesEOYAmt |
| Mission | WELFARE FUND - HEALTH/MEDICAL BENEFITS | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $41,506,313 | ExpenseAmt |
| Desc | PROVIDING HEALTH & MEDICAL BENEFITS TO THE PARTICIPANTS | Desc |
| Total Program Service Expenses | $41,506,313 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | false | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 64 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | false | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | IE SHAFFER PLAN ADMINISTRATORS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6098836688 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 830 BEAR TAVERN ROAD | AddressLine1 |
| City | WEST TRENTON | City |
| State | NJ | State |
| ZIP Code | 08628 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|
| JAMES ESTABROOK | ||
| TRUSTEE | 1.00 | Yes (X) |
| PATRICK DELLE CAVA | ||
| TRUSTEE | 1.00 | Yes (X) |
| GARY PFARR | ||
| TRUSTEE | 1.00 | Yes (X) |
| BERNIE CORRIGAN | ||
| TRUSTEE | 1.00 | Yes (X) |
| LOUIS VITO | ||
| TRUSTEE | 1.00 | Yes (X) |
| BILL ROSSI | ||
| TRUSTEE | 1.00 | Yes (X) |
| ROBERT WILLIAMSON III | ||
| TRUSTEE | 1.00 | Yes (X) |
| ROBERT RENALDI | ||
| TRUSTEE | 1.00 | Yes (X) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| HORIZON BC BS | |||||
| 3 PENN PLAZA EAST | NEWARK | NJ | 07105 | CONTRACT ADMINISTRATOR | $624,214 |
| GLOBAL PHARMACEUTICAL BENEFITS LLC | |||||
| 222 LAFAYETTE STREET | NEWARK | NJ | 07105 | CONTRACT ADMINISTRATOR | $168,098 |
| FABIAN & BYRN LLC | |||||
| 204 EAGLE ROCK AVE | ROSELAND | NJ | 07068 | CLAIMS PROCESSING | $444,545 |
| IE SHAFFER CO | |||||
| 830 BEAR TAVERN ROAD | WEST TRENTON | NJ | 08628 | THIRD PARTY ADMINISTRATOR | $345,786 |
| PREMIER HEALYHCARE EXCHANGE INC | |||||
| 2 CROSSROADS DRIVE | BEDMINSTER | NJ | 07921 | CLAIMS REVIEW | $531,803 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt |
|---|---|---|
| EMPLOYER & PARTICIPANT CONTRIBUTIONS | 525100 | $44,030,664 |
| MEDICARE DRUG SUBSIDY | 525100 | $590,982 |
| STOP LOSS INSURANCE REIMBURSEMENT | 525100 | $334,342 |
| OTHER | 525100 | $18,067 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $44,974,055 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,795,599 | TotalRevenueColumnAmt |
| Exclusion | $2,795,599 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $25,844,328 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $23,473,237 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,371,091 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,371,091 | TotalRevenueColumnAmt |
| Exclusion | $2,371,091 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | UNREALIZED APPRECIATION OF INVESTMENTS | Desc |
| Business | 525100 | BusinessCd |
| Total Revenue Column | -$3,808,015 | TotalRevenueColumnAmt |
| Exclusion | -$3,808,015 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | -$3,808,015 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $46,332,730 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $44,974,055 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $1,358,675 | ExclusionAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,813,687 | TotalAmt |
| Program Services | $38,813,687 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,567 | TotalAmt |
| Program Services | $21,567 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,350 | TotalAmt |
| Program Services | $28,350 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $179,415 | TotalAmt |
| Program Services | $179,415 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $767 | TotalAmt |
| Program Services | $767 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| ACTUARY | $4,000 | $4,000 | $0 | $0 |
| PRINTING & POSTAGE | $8,325 | $8,325 | $0 | $0 |
| CONTRACT ADMINISTRATOR FEES | $2,336,769 | $2,336,769 | $0 | $0 |
| INSURANCE | $7,268 | $7,268 | $0 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $106,165 | TotalAmt |
| Program Services | $106,165 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,506,313 | TotalAmt |
| Program Services | $41,506,313 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,867,551 | BOYAmt |
| EOY | $8,226,136 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,014,492 | BOYAmt |
| EOY | $4,957,848 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $84,544,709 | BOYAmt |
| EOY | $87,725,498 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $450,000 | BOYAmt |
| EOY | $717,297 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $95,876,752 | BOYAmt |
| EOY | $101,626,779 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,699,662 | BOYAmt |
| EOY | $2,623,272 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,699,662 | BOYAmt |
| EOY | $2,623,272 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $94,177,090 | BOYAmt |
| EOY | $99,003,507 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $94,177,090 | BOYAmt |
| EOY | $99,003,507 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $95,876,752 | BOYAmt |
| EOY | $101,626,779 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $4,826,417 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Rev Etc Audited Fincl Stmt | $46,153,315 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $46,153,315 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $179,415 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $179,415 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $46,332,730 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $40,551,053 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $1,396,117 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $1,396,117 | ExpensesNotReportedAmt |
| Expenses Subtotal | $39,154,936 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $179,415 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $2,171,962 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $2,351,377 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $41,506,313 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Pt XII Line 2d | ACCRUED HEALTH CLAIMS 12/31/12 INCLUDED IN BENEFIT OBLIGATIONS STATEMENT |
| Pt XII Line 4b | ACCRUED HEALTH CLAIMS 12/31/13 INCLUDED IN BENEFIT OBLIGATIONS STATEMENT |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Pt VI, Line 3 | THE ORGANIZATION UTILIZES THE SERVICES OF I.E. SHAFFER, |
| Pt VI, Line 3 | A THIRD PARTY ADMINISTRATOR, AND FABIAN & BYRN, LLC, |
| Pt VI, Line 3 | A CLAIMS ADMINISTRATOR. |
| Pt VI, Line 11b | A COPY OF THE FORM 990 IS PROVIDED TO EACH TRUSTEE AT A MEETING |
| Pt VI, Line 11b | PRIOR TO THE FILING DATE, WHERE QUESTIONS THAT A TRUSTEE HAS |
| Pt VI, Line 11b | ARE ADDRESSED. |
| Pt VI, Line 12c | THE ORGANIZATION HAS A REGULARLY SCHEDULED QUARTERLY |
| Pt VI, Line 12c | MEETING WHERE IT MONITORS COMPLIANCE WITH THE POLICY. |
| Pt VI, Line 15a | NO COMPENSATION - EMPLOYEE BENEFIT PLAN |
| Pt VI, Line 19 | THE DOCUMENTS ARE AVAILABLE TO PARTICIPANTS AND THE PUBLIC UPON REQUEST |
| Form 990, Part IX, Line 24f | COLLECTION FEES - LEGAL 36166. 36166. 0. 0. COLLECTION FEES REIMB-102 PENSION/SURETY 17486. 17486. 0. 0. DISCOUNT CLAIM FEES 12184. 12184. 0. 0. PATIENT CENTERED OUTCOME FEE 6890. 6890. 0. 0. PAYROLL AUDIT FEES 33439. 33439. 0. 0. |
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