2011-08-11T16:35:49-07:00 2010-12-31 5500Tax Group Inc PMB 268 110 S Mary Ave Suite 2 268 Riverside CA 93444 990 2010-01-01 870427760 Union Pacific Railroad Employes Health Systems UNIO 8015954368 1040 N 2200 W Suite 200 Salt Lake City UT 84116 Rich Egan 8015954368 2011-08-11 1 Amelia Boyd CPA 8059295881 2011-08-11 2010 2016-02-24 21:20:13Z Richard Egan 1040 N 2200 W Suite 200 Salt Lake City UT 84116 174451622 0 X X 1948 UT To provide health care programs for active and retired members and their dependents of Union Pacific Railroad Company and their subsidiaries 11 11 103 0 0 0 58140642 56863100 106392220 111320253 6208756 4980820 734934 1231886 171476552 174396059 0 0 157881989 164187302 7989497 9069846 0 0 0 3468434 3315696 169339920 176572844 2136632 -2176785 84778369 84790640 40718236 42907292 44060133 41883348 To provide health care programs for active and retired members and their dependents of Union Pacific Railroad Company and their subsidiaries 0 0 0 0 0 To provide health care programs for active and retired members and their dependents of Union Pacific Railroad Company and their subsidiaries 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 X 97 0 1 103 1 1 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 CA X Union Pacific Railroad Employes Health System 8015954388 1040 N 2200 W Suite 200 Salt Lake City UT 84116 Rene Orosco A VP 0 X 0 0 0 Mike H Williams 0 X 0 0 0 Charles A Nowlin 0 X 0 0 0 M A Young 0 X 0 0 0 Steven R Hirschbein 0 X 0 0 0 Richard Draskovich 0 X 0 0 0 Harry Doucet 0 X 0 0 0 Dennis R Albers 0 X 0 0 0 Ed Weber 0 X 0 0 0 Tim Graumann 0 X 0 0 0 Cameron A Scott 0 X 0 0 0 Kevin Potts 40 X 135234 0 0 Rich Egan 40 X 126636 0 0 Dell T Butterfield 40 X X 232881 0 0 Susan Bendig 40 X 147209 0 0 Ben Johnson 40 X 132559 0 0 Angela F Neilson 40 X 127090 0 0 Barbara Pappadakis 40 X 124886 0 0 Robert Esquibel 40 X 119123 0 0 1145618 0 0 11 0 1 0 First Health 6705 Rockledge Drive Bethesda MD 20817 Administration 1040518 COM COM SYSTEMS INC 2420 ENTERPRISE RD SUITE 201 CLEARWATER FL 33763 Other services 164991 MULTIPLAN INC PO BOX 29380 NEW YORK NY 100879380 Other Services 120937 IPORT TECHNOLOGY LLC 1461 W GRANITE DRIVE LAYTON UT 84041 Consultanting 115408 HEALTHCARE INSIGHT REMIT ONE LOCKBOX 30292 NEW YORK NY 100870292 Consulting 114031 5 0 56863100 0 0 0 0 0 56863100 Union Pacific Railroad Co 900099 111320253 111320253 0 0 0 0 0 0 111320253 4980820 0 0 4980820 0 0 0 0 0 0 0 0 133824 0 55563 0 78261 0 78261 0 0 78261 0 0 0 United Healthcare Clinic 900099 128819 0 0 128819 UHC Medcohealth Pharm 446110 263720 0 0 263720 761086 0 0 761086 1153625 174396059 111320253 0 6212706 164187302 494751 4836765 1613807 1200918 923605 152413 102129 56221 71767 98921 699933 127830 Office Supplies 159638 Telephone 149726 Postage 924840 Repairs and Maintenance 602415 Miscellaneous Expenses 169863 176572844 0 0 0 2150 1950 140704 -173974 2471245 5400911 2046146 1622238 274277 339072 8822533 2852625 6229967 5969908 67670171 65397605 0 5943709 6232930 84778369 84790640 29358923 30907702 11359313 11999590 40718236 42907292 X 0 0 0 0 44060133 41883348 44060133 41883348 84778369 84790640 -2176785 0 X 0 1 1 X 0 0 435600 435600 0 5660046 895050 4764996 0 84392 58650 25742 0 2642495 1898925 743570 0 0 0 0 5969908 Deposits 650 Physicians Deferred Compensation 6232280 6232930 0 Dues Paid in Advance 5767310 Physicians Deferred Compensation 6232280 11999590 174396059 176572844 -2176785 0 0 0 0 0 0 -2176785 174396059 0 0 0 0 0 174396059 0 0 0 174396059 176572844 0 0 0 0 0 176572844 0 0 0 176572844 X X 0 0 0 Dell T Butterfield 197881 0 35000 0 0 0 0 0 0 0 232881 0 F990_P05_S00_L03b Form 990, Part V, Line 3b Form 990-T is not required because the unrelated business activity generated a loss. F990_P06_S0B_L11a Form 990, Part VI, Section B, Line 11a Senior management reviews the Form 990, Return of Organization Exempt From Income Tax, each year prior to filing. The review consists of reconciling the audited financial statements to the 990 return. The return is also forwarded to the independent auditors for review. As an ERISA plan the Board of Trustees reviews the audited financial statements. Under the direction of the Board of Trustees management reviews the reconciliation of financial statements to the Form 5500, Annual Return/Report of Employee Benefit Plan and all accompanying statements relating to the Form 5500 annually F990_P06_S0B_L12c Form 990, Part VI, Section B, Line 12c It is the policy of the Union Pacific Railroad Employes Health Systems (UPREHS) for any officers, directors, trustees, key employees, highest compensated professional and or other independent contractors to not receive compensation from any other organization(s), whether tax-exempt or taxable, that are related to UPREHS through common supervision or common control. Additionally, it is the policy of UPREHS to not allow any officers, directors, trustees key employees, highest compensated professional and/or other independent contractors to be related to each other either through family or business relationships. F990_P06_S0B_L15 Form 990, Part VI, Section B, Line 15 a) From time to time the Board of Trustee's Compensation Committee requests a third party salary survey, b) Annually the Board of Trustees reviews goal achievements and operating results of the operating Trustees. This is done at the March Board Meeting and the entire Board of Trustees votes on compensation for executives. F990_P06_S0C_L19 Form 990, Part VI, Section C, Line 19 Upon request