2024-07-30T09:04:24-05:00 2023-09-30 611436956 NOVAK FRANCELLA LLC 40 MONUMENT RD 5TH FLR BALA CYNWYD PA 19004 990 2022-10-01 061268168 NATIONAL HEALTH CARE INC AND AFFILIATE VOLUNTARY EMPLOYEE BENEFIT ASSOC PLAN NATI 5167054800 20 EAST SUNRISE HIGHWAY VALLEY STREAM NY 11581 MARVIN OSTREICHER TRUSTEE 5167054800 2024-07-30 1 0 LOUIS VERZELLA CPA P00360279 6106689400 2024-07-30 2022 2024-08-08 14:25:15Z MARVIN OSTREICHER 20 EAST SUNRISE HIGHWAY VALLEY STREAM NY 11581 46204193 0 X N/A X 1989 CT VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION TO PROVIDE HEALTH BENEFITS FOR PARTICIPANTS. 2 2 0 0 0 0 0 0 36060280 46204193 0 0 0 0 36060280 46204193 0 0 42313218 48870881 0 0 0 0 0 57275 94671 42370493 48965552 -6310213 -2761359 1585757 1144072 7761664 10081338 -6175907 -8937266 VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION TO PROVIDE HEALTH BENEFITS FOR PARTICIPANTS. 0 0 THE PLAN PROVIDES HEALTH AND OTHER BENEFITS TO ALL ELIGIBLE EMPLOYEES OF RIVERSIDE HEALTH CARE CENTER AND RELATED EMPLOYERS. 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 2 2 1 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 X IRA GEFFNER 5167054800 20 EAST SUNRISE HIGHWAY VALLEY STREAM NY 11581 X MARVIN OSTREICHER TRUSTEE 2.00 X 0 0 0 BARRY BOKOW TRUSTEE 2.00 X 0 0 0 0 0 0 0 0 0 0 AETNA INC 151 FARMINGTON AVE HARTFORD CT 06156 CLAIMS ADMINISTRATOR 724604 AMWINS CONNECT ADMINISTRATORS 6 NORTH PARK DR STE 310 HUNT VALLEY MD 21030 CONTRACT ADMINISTRATION 445463 GLOBAL RX MANAGEMENT 132 UPLAND DR STE 819 HOUSTON TX 77043 PRESCRIPTION COST MANAGEMENT 156027 EXPRESS SCRIPTS 100 PARSONS POND DRIVE FRANKLIN LAKES NJ 07417 CLAIMS ADMINISTRATOR 136314 DELTA DENTAL OF NJ 148 EASTERN BLVD GLASTONBURY CT 06033 CONTRACT ADMINISTRATION 105428 5 EMPLOYER CONTRIBUTIONS 900099 36201887 36201887 EMPLOYEE CONTRIBUTIONS 900099 9735893 9735893 COBRA CONTRIBUTIONS 900099 214466 214466 OTHER INCOME 900099 51947 51947 46204193 46204193 46204193 0 0 48870881 29078 28750 23029 FEES MANDATED BY ACA 13814 48965552 372339 41877 1213418 1102195 1585757 1144072 281764 261122 7479900 9820216 7761664 10081338 X -6175907 -8937266 -6175907 -8937266 1585757 1144072 -2761359 0 X X 0 1 X 1 0 0 DUE TO PLAN SPONSOR 56154 DUE TO FACILITIES - CONTRIBUTION CREDITS 9764062 9820216 X 46204193 0 46204193 0 46204193 48965552 0 48965552 0 48965552 PART X, LINE 2: THE PLAN'S ADMINISTRATOR AND THE PLAN'S COUNSEL BELIEVE THAT THE PLAN IS CURRENTLY DESIGNED AND BEING OPERATED IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE INTERNAL REVENUE CODE. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT, MORE LIKELY THAN NOT, WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE U.S. FEDERAL, STATE, OR LOCAL TAXING AUTHORITIES. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. TYPICALLY, PLAN TAX YEARS WILL REMAIN OPEN FOR THREE YEARS; HOWEVER, THIS MAY DIFFER DEPENDING UPON THE CIRCUMSTANCES OF THE PLAN. FORM 990, PART VI, SECTION A, LINE 2 MARVIN OSTREICHER AND BARRY BOKOW HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE NATIONAL HEALTH CARE INC. AND AFFILIATE VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION PLAN'S FORM 990 IS PREPARED BY ITS INDEPENDENT PUBLIC ACCOUNTANT, WHO THEN FORWARDS A COPY TO THE TRUSTEES FOR THEIR REVIEW AND APPROVAL PRIOR TO FILING. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990. PART XII, LINE 2C: THE ORGANIZATION'S GOVERNING BODY IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT AS WELL AS SELECTION OF THE INDEPENDENT ACCOUNTANT. BELAIR CARE CENTER BETHEL HEALTH & REHAB LLC BLOOMFIELD CNTR NURSG & REHAB CAMBRIDGE EAST NORTHPORT RESIDENTIAL HEBREW HOME FOR HEALTH & REHAB LUDLOWE CENTER MAPLEVIEW MARLBOROUGH MES DIAGNOSTICS LLC MILFORD NATIONAL HEALTH CARE ASSOC NOA DIAGNOSTIC OF CT LLC NOA DIAGNOSTICS OF NY LLC PINE HEIGHTS AT BRATTLEBORO PINES AT BRISTOL PINES AT CATSKILL PINES AT GLENS FALLS PINES AT POUGHKEEPSIE PINES AT RUTLAND PINES AT UTICA PREFERRED PROFESSIONAL SVC LLC REGENCY RIVERSIDE HEALTH CARE SANDS POINT CENTER FOR HEALTH TROY CROSSINGS LLC VILLAGE CREST CENTER VK ABINGTON LLC VK AUGUSTA LLC VK BANGOR LLC VK BATH LLC VK BREWER LLC VK DOVER LLC VK EAST BRIDGEWATER LLC VK KENNEBUNK LLC VK MARLBOROUGH LLC VK NATICK LLC VK NEWBURYPORT LLC VK NORWAY LLC VK WELLESLEY LLC VK YARMOUTH LLC WATERS EDGE WESTGATE CNTR HEALTH & REHAB L 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0