EMPLOYEE BENEFIT TRUST OF EASTERN PENNSYLVANIA: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- EMPLOYEE BENEFIT TRUST OF EASTERN PENNSYLVANIA (EIN 23-2251070)
- Tax period
- 2023-07-01 to 2024-06-30
- Filed
- 2025-05-15
- IRS object ID
- 202521359349303042
- Schema version
- 2023v6.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-05-15T09:33:28-04:00 | ReturnTs |
| Tax Period End | 2024-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 233022325 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ZELENKOFSKE AXELROD LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 210 TOLLGATE HILL ROAD | AddressLine1Txt |
| City | GREENSBURG | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 232251070 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EMPLOYEE BENEFIT TR OF EASTERN PA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | EMPL | BusinessNameControlTxt |
| Phone | 6105156412 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6 DANFORTH DRIVE | AddressLine1Txt |
| City | EASTON | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 180457899 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MR JON WALLITSCH | PersonNm |
| Person Title | TRUST MANAGER | PersonTitleTxt |
| Phone | 6105156412 | PhoneNum |
| Signature | 2025-05-15 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | false | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JARED C EWING | PreparerPersonNm |
| PTIN | P00596532 | PTIN |
| Phone | 7248342151 | PhoneNum |
| Preparation | 2025-05-15 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MR JON WALLITSCH | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6 DANFORTH DRIVE | AddressLine1Txt |
| City | EASTON | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 180457899 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $145,265,497 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c | Yes (X) | Organization501cInd |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1983 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | HEALTH AND WELFARE TRUST | ActivityOrMissionDesc |
| Voting Members Governing Body | 43 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 43 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $111,630,281 | PYContributionsGrantsAmt |
| CY Contributions Grants | $115,438,992 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,775,594 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,954,493 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,824,711 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,716,470 | CYInvestmentIncomeAmt |
| PY Other Revenue | $16,616,200 | PYOtherRevenueAmt |
| CY Other Revenue | $24,155,542 | CYOtherRevenueAmt |
| PY Total Revenue | $131,846,786 | PYTotalRevenueAmt |
| CY Total Revenue | $145,265,497 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | 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 | $124,372,518 | PYOtherExpensesAmt |
| CY Other Expenses | $146,510,974 | CYOtherExpensesAmt |
| PY Total Expenses | $124,372,518 | PYTotalExpensesAmt |
| CY Total Expenses | $146,510,974 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $7,474,268 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,245,477 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $101,245,704 | TotalAssetsBOYAmt |
| Total Assets EOY | $100,389,511 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $18,298,470 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $18,687,754 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $82,947,234 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $81,701,757 | NetAssetsOrFundBalancesEOYAmt |
| Mission | HEALTH AND WELFARE TRUST | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Desc | HEALTH AND WELFARE TRUST FOR PAYMENT OF MEDICAL BILLS FOR MEMBER SCHOOL DISTRICTS AND INTERMEDIATE UNITS. | Desc |
| Described In Section501c3 | false | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| 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 |
| 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 With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| 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 |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | false | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| 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 |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 43 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 43 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | 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 | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | false | ConflictOfInterestPolicyInd |
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KELLY FOX | PersonNm |
| Phone | 6105156510 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6 DANFORTH DRIVE | AddressLine1Txt |
| City | EASTON | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 180457899 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (49 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|
| DR DEAN DONAHER LEFT 122023 | ||||||
| BOARD TRUSTE | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MS MICHELLE MURPHY LEFT 122023 | ||||||
| SUPPORT TRUS | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MS VIVIAN DEMKO JOINED 22024 | ||||||
| BOARD TRUSTE | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MS CARLA HUHN JOINED 22024 | ||||||
| SUPPORT TRUS | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MR STEVE CURRAN LEFT 52024 | ||||||
| ADMIN TRUSTE | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MS JULIE GERBINO JOINED 52024 | ||||||
| ADMIN TRUSTE | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MR RYAN HINTON LEFT 92023 | ||||||
| PROF TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MS ILKA O'DONAVAN JOINED 92023 | ||||||
| BOARD TRUSTE | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MS JAMIE ACHENBACH | ||||||
| ADMIN TRUSTE | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MS STEPHANIE ARNOLD | ||||||
| ADMIN TRUSTE | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DR MICHAEL BAIRD | ||||||
| BOARD TRUSTE | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MR PETE BAIRD | ||||||
| BOARD TRUSTE | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MS REBECCA BEAR | ||||||
| BOARD TRUSTE | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MR MICHAEL BILOTTA | ||||||
| SUPPORT TRUS | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DR BRIAN BLAUM | ||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MR KENNETH BREWER | ||||||
| BOARD TRUSTE | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MS DELORES BRUCE | ||||||
| PROF TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MR JOEL BRUCH | ||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MR KENNETH BUTZ | ||||||
| BOARD TRUSTE | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MS JULIA CEPEDA | ||||||
| PROF TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MS LAURA CONNOLLY | ||||||
| BOARD TRUSTE | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MS KELLY FOX | ||||||
| TRUST SECRET | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MS MIRIAM GIOVE | ||||||
| SUPPORT TRUS | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MS ANNE GORDON | ||||||
| SUPPORT TRUS | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MS LISA HACKMAN | ||||||
| BOARD TRUSTE | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MS HILARY HAKIM | ||||||
| PROF TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MR WILLIAM HESSLING | ||||||
| ADMIN TRUSTE | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MR ALEX HIRSCH | ||||||
| PROF TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MR MATT ITTERLY | ||||||
| BOARD TRUSTE | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MR CHRISTOPHER JARROW | ||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MS MELISSA KALINOSKI | ||||||
| BOARD TRUSTE | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MR PAUL KERNAN | ||||||
| PROF TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MR STEPHEN MANTZ | ||||||
| PROF TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MS DENISE MCGAUGHRAN | ||||||
| PROF TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MS DEBRA MILLER | ||||||
| ADMIN TRUSTE | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MR CRAIG NEIMAN | ||||||
| ADMIN TRUSTE | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MS ROSEMARIE PAOLUCCI | ||||||
| SUPPORT TRUS | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MS JAMIE SCHISLER | ||||||
| PROF TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MR MICHAEL SIMONETTA | ||||||
| ADMIN TRUSTE | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MS ERIN SOROCHINSKI | ||||||
| SUPPORT TRUS | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MS CHARLENE STAPERT | ||||||
| SUPPORT TRUS | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MS DAWN SUTTER | ||||||
| SUPPORT TRUS | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MS KAYLA TROAST | ||||||
| PROF TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MS BRENDA VANBUSKIRK | ||||||
| ADMIN TRUSTE | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MS TAMMY VANHOUWE | ||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MR DENNIS VIRGA | ||||||
| ADMIN TRUSTE | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DR STUART WHITELEATHER | ||||||
| ADMIN TRUSTE | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DR CHRISTOPHER WOLFEL | ||||||
| TRUST CHAIRP | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MR JON WALLITSCH | ||||||
| TRUST MANAGE | 2.00 | $0 | $0 | $0 | 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/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| HIGHMARK BLUE CROSS BLUE SHIELD | |||||
| 19 N MAIN ST | WILKES BARRE | PA | 18711 | MEDICAL CLAIM | $1,835,042 |
| CAPITAL BLUE CROSS | |||||
| PO BOX 774237 | HARRISBURG | PA | 17177 | MEDICAL CLAIM | $942,773 |
| EXPRESS SCRIPTS | |||||
| 1 EXPRESS WAY | ST LOUIS | MO | 631211824 | PRESCRIP ADMIN | $714,476 |
| CONRAD SIEGEL ACTUARIES | |||||
| 501 CORPORATE CIR PO BOX 5900 | HARRISBURG | PA | 17110 | ACTUARIAL SVCS | $150,019 |
| UNITED CONCORDIA | |||||
| PO BOX 827300 | PHILADELPHIA | PA | 19182 | DENTAL ADMIN | $112,204 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Membership Dues | $115,438,992 | MembershipDuesAmt |
| Total Contributions | $115,438,992 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INDIVIDUAL PREMIUMS | Desc |
| Business | 525100 | BusinessCd |
| Total Revenue Column | $1,954,493 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,954,493 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,954,493 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,713,930 | TotalRevenueColumnAmt |
| Exclusion | $3,713,930 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $2,540 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $2,540 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,540 | TotalRevenueColumnAmt |
| Exclusion | $2,540 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|
| STOP LOSS INSURANCE | $13,211,581 | $13,211,581 |
| MEDICAL CLAIM REIMBURSEMENT | $10,897,688 | $10,897,688 |
| WELLNESS CREDITS | $46,273 | $46,273 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $24,155,542 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $145,265,497 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $26,110,035 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $3,716,470 | ExclusionAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,514 | TotalAmt |
| Program Services | $37,514 | ProgramServicesAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,494 | TotalAmt |
| Program Services | $16,494 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $103,175 | TotalAmt |
| Program Services | $103,175 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,924 | TotalAmt |
| Program Services | $21,924 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| CLAIM PAYMENTS | $129,073,193 | $129,073,193 |
| CAT POOL | $6,768,662 | $6,768,662 |
| STOP LOSS INSURANCE | $6,067,270 | $6,067,270 |
| CLAIM ADMINISTRATIVE FEES | $4,118,420 | $4,118,420 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $304,322 | TotalAmt |
| Program Services | $304,322 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $146,510,974 | TotalAmt |
| Program Services | $146,510,974 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $92,274,467 | BOYAmt |
| EOY | $88,643,431 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,851,995 | BOYAmt |
| EOY | $2,799,455 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,119,242 | BOYAmt |
| EOY | $8,946,625 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $101,245,704 | BOYAmt |
| EOY | $100,389,511 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,298,470 | BOYAmt |
| EOY | $17,625,540 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $1,062,214 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,298,470 | BOYAmt |
| EOY | $18,687,754 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,947,234 | BOYAmt |
| EOY | $81,701,757 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,947,234 | BOYAmt |
| EOY | $81,701,757 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $101,245,704 | BOYAmt |
| EOY | $100,389,511 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$1,245,477 | 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 | $145,249,003 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $145,249,003 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $16,494 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $16,494 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $145,265,497 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $146,848,390 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $146,848,390 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $16,494 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | -$353,910 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | -$337,416 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $146,510,974 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PAGE 4, PART XII, LINE 4B | FormAndLineReferenceDesc |
| Explanation | CHANGE IN CLAIMS ESTIMATED INCURRED AND NOT PAID -353,910 | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | TAX RETURN IS DISCUSSED DURING REGULAR BOARD MEETING. |
| FORM 990, PAGE 6, PART VI, LINE 19 | NO DOCUMENTS AVAILABLE TO THE PUBLIC |