STRATEGY STUDIO / PUBLIC DATA EXPLORER

HEARTLAND HEALTH & WELLNESS FUND: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
HEARTLAND HEALTH & WELLNESS FUND (EIN 31-6041107)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-11
IRS object ID
202113159349307821
Schema version
2020v4.1
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)
Return2021-11-11T15:55:12-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN363168081PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SIKICH LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line113400 BISHOPS LANE SUITE 300AddressLine1Txt
CityBROOKFIELDCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53005ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN316041107EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HEARTLAND HEALTH & WELLNESS FUNDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHEARBusinessNameControlTxt
Phone9376651900PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line17250 POE AVENUE NO 300AddressLine1Txt
CityDAYTONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45414ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOE CHORPENNINGPersonNm
Person TitleCHAIRPERSONPersonTitleTxt
Phone9376651900PhoneNum
Signature2021-11-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJOEPersonFirstNm
Person LastCHORPENNINGPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJAMES B BOUTELLE CPAPreparerPersonNm
PTINP01794129PTIN
Phone2627549400PhoneNum
Preparation2021-11-10PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerHENRY TAYLORPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line17250 POE AVENUE NO 300AddressLine1Txt
CityDAYTONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45414ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$234,720,460GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressWWW.HEARTLANDWELLNESSFUND.COMWebsiteAddressTxt
Type Of Organization TrustYes (X)TypeOfOrganizationTrustInd
Other Organization DscEMPLOYEE BENEFIT PLANOtherOrganizationDsc
Formation1957FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionTHE PLAN PROVIDES MEDICAL, DENTAL, AND LIFE BENEFITS TO ITS MEMBERS AND DEPENDENTS.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee58TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$192,143,731PYProgramServiceRevenueAmt
CY Program Service Revenue$233,324,485CYProgramServiceRevenueAmt
PY Investment Income$548,806PYInvestmentIncomeAmt
CY Investment Income$334,985CYInvestmentIncomeAmt
PY Other Revenue$297,333PYOtherRevenueAmt
CY Other Revenue$526,038CYOtherRevenueAmt
PY Total Revenue$192,989,870PYTotalRevenueAmt
CY Total Revenue$234,185,508CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$196,470,564PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$221,408,841CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$2,547,898PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,310,295CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$11,004,046PYOtherExpensesAmt
CY Other Expenses$12,678,183CYOtherExpensesAmt
PY Total Expenses$210,022,508PYTotalExpensesAmt
CY Total Expenses$236,397,319CYTotalExpensesAmt
PY Revenues Less Expenses-$17,032,638PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$2,211,811CYRevenuesLessExpensesAmt
Total Assets BOY$33,236,475TotalAssetsBOYAmt
Total Assets EOY$39,238,218TotalAssetsEOYAmt
Total Liabilities BOY$31,448,681TotalLiabilitiesBOYAmt
Total Liabilities EOY$39,397,945TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,787,794NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$159,727NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE FOR A UNIFORM HEALTH AND WELFARE PROGRAM FOR EMPLOYEES EMPLOYED UNDER CERTAIN COLLECTIVE BARGAINING AGREEMENTS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
DescTHE PLAN PROVIDES ACCIDENT, HEALTH, VISION, PRESCRIPTION, DENTAL, LIFE, AND DEATH BENEFITS TO ITS MEMBERS AND DEPENDENTS.Desc
Described In Section501c30DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document362IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee58EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JERRY EVANSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9376651900PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line17250 POE AVENUE SUITE 300AddressLine1Txt
CityDAYTONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45414ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndOfficerOfficerInd
KEVIN GARVEY
TRUSTEE1.0040.00Yes (X)$0$276,600$40,122
TONY HELFER
ALTERNATE TRUSTEE THRU 12/31/201.0040.00Yes (X)$0$250,337$38,719
BRYON O'NEAL
ALTERNATE TRUSTEE1.0040.00Yes (X)$0$246,619$37,613
RANDY QUICKEL
TRUSTEE1.0040.00Yes (X)$0$244,677$34,119
JERRY EVANS
ADMINISTRATOR40.00$194,230$0$26,702Yes (X)
MELISSA STEED
EMPLOYEE40.00$120,076$0$33,940Yes (X)
RICHARD MAINS JR
EMPLOYEE40.00$115,000$0$33,737Yes (X)
JOE CHORPENNING
CHAIRMAN1.00Yes (X)$0$0$0Yes (X)
HENRY TAYLOR
SECRETARY1.00Yes (X)$0$0$0Yes (X)
STEVEN SPRINGER
TRUSTEE1.00Yes (X)$0$0$0
ROB FRANCIN
TRUSTEE1.00Yes (X)$0$0$0
STEVE YANCEY
TRUSTEE1.00Yes (X)$0$0$0
BOB BLAIR
TRUSTEE1.00Yes (X)$0$0$0
DAN PEDERSEN
TRUSTEE1.00Yes (X)$0$0$0
DAVID BLITSTEIN
TRUSTEE1.00Yes (X)$0$0$0
DON SATTLER
ALTERNATE TRUSTEE1.00Yes (X)$0$0$0
GREG THOMPSON
ALTERNATE TRUSTEE THRU 12/31/201.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$429,306TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,018,233TotReportableCompRltdOrgAmt
Total Other Compensation$244,952TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K3IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
EPLAN LLC
22601 N 19TH AVE SUITE 240PHOENIXAZ85027CLAIMS REVIEW$770,804
REINHART BOERNER VAN DEUREN SC
PO BOX 2965MILWAUKEEWI532012965ATTORNEY$760,305
EUGENE STEWART
5671 WEBSTER STDAYTONOH45414PRINTING AND DESIGN SERVICES$408,275
THE SEGAL COMPANY
101 NORTH WACKER DRIVE STE 500CHICAGOIL60606ACTUARY$391,065
SLEVIN AND HART PC
1625 MASSACHUSETTS AVE NW SUITE 45WASHINGTONDC20036ATTORNEY$219,750
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EMPLOYER CONTRIBUTIONS900099$231,940,659$231,940,659
SELF-PAYMENT CONTRIBUTIONS900099$1,383,826$1,383,826
FieldValueIRS element (for citing)
Total Program Service Revenue$233,324,485TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$334,985TotalRevenueColumnAmt
Exclusion$334,985ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$534,952SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$534,952SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SHARED EXPENSE REIMBURSEMENT900099$231,642$231,642
SETTLEMENT ADJUSTMENT900099$181,434$181,434
MISCELLANEOUS900099$112,962$112,962
FieldValueIRS element (for citing)
Other Revenue Total$526,038OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$234,185,508TotalRevenueColumnAmt
Related Or Exempt Func Income$233,850,523RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$334,985ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$221,408,841TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$220,932TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,825,868TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$107,851TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$155,644TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$893,873TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$21,800TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$512,360TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,008,565TotalAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$757,876TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$232,796TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$25,191TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$45,219TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$67,328TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmt
PPO FEES AND MEDICAL RE$8,809,051
VISION SERVICE PLAN PRO$136,272
PCORI FEE$91,105
PRESCRIPTION DRUG PROGR$48,682

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$28,065TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$236,397,319TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$6,848,954BOYAmt
EOY$13,037,780EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$5,360,463BOYAmt
EOY$5,155,856EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$11,611,083BOYAmt
EOY$10,663,719EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$73,630BOYAmt
EOY$69,855EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$326,763LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$128,875LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$116,344BOYAmt
EOY$197,888EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$9,226,001BOYAmt
EOY$10,113,120EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$33,236,475BOYAmt
EOY$39,238,218EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,122,175BOYAmt
EOY$9,038,958EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$155,346BOYAmt
EOY$168,071EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$28,171,160BOYAmt
EOY$30,190,916EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$31,448,681BOYAmt
EOY$39,397,945EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$1,787,794BOYAmt
EOY-$159,727EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,787,794BOYAmt
EOY-$159,727EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$33,236,475BOYAmt
EOY$39,238,218EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$2,211,811ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$264,290NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$326,763OtherCostOrOtherBasisAmt
Depreciation$128,875DepreciationAmt
Book Value$197,888BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$197,888TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
BENEFIT OBLIGATIONS CURRENTLY PAYABLE$29,962,700
UNFUNDED PENSION OBLIGATION$228,216
FieldValueIRS element (for citing)
Total Liability$30,190,916TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$234,427,998TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$264,290NetUnrealizedGainsInvstAmt
Revenue Not Reported$264,290RevenueNotReportedAmt
Revenue Subtotal$234,163,708RevenueSubtotalAmt
Investment Expenses Not Incld$21,800InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$21,800RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$234,185,508TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$234,147,019TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$234,147,019ExpensesSubtotalAmt
Investment Expenses Not Incld2$21,800InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$2,228,500OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$2,250,300ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$236,397,319TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE TRUST ESTABLISHED UNDER THE PLAN TO HOLD THE PLAN'S ASSETS IS INTENDED TO QUALIFY PURSUANT TO SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE (IRC) AND IS, THEREFORE, NOT SUBJECT TO TAX UNDER PRESENT INCOME TAX LAWS. THE TRUST HAS OBTAINED A FAVORABLE TAX DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE (IRS) AND THE TRUSTEES BELIEVE THAT THE TRUST AND THE PLAN, AS AMENDED, CONTINUES TO QUALIFY AND TO OPERATE AS DESIGNED. U.S. GAAP REQUIRES PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE PLAN HAS TAKEN AN UNCERTAIN TAX POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.
PART XII, LINE 4B - OTHER ADJUSTMENTS:INCREASE IN CURRENT YEAR'S CLAIMS PAYABLE 2,228,500.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KEVIN GARVEY
TRUSTEE$0$201,894$0$74,706$0$0$0$13,065$0$27,057$0$316,722$0$0
TONY HELFER
ALTERNATE TRUSTEE THRU 12/31/20$0$224,528$0$16,640$0$9,169$0$23,159$0$15,560$0$289,056$0$0
BRYON O'NEAL
ALTERNATE TRUSTEE$0$166,450$0$80,169$0$0$0$10,556$0$27,057$0$284,232$0$0
RANDY QUICKEL
TRUSTEE$0$234,684$0$9,993$0$0$0$0$0$34,119$0$278,796$0$0
JERRY EVANS
ADMINISTRATOR$194,230$0$0$0$0$0$17,618$0$9,084$0$220,932$0$0$0
MELISSA STEED
EMPLOYEE$120,076$0$0$0$0$0$6,883$0$27,057$0$154,016$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 GOES THROUGH A PRELIMINARY REVIEW BY THE ADMINISTRATIVE MANAGER AND ACCOUNTANT. ONCE THEY APPROVE THE FORM 990 IT IS PRESENTED TO A COMMITTEE OF TRUSTEES FOR APPROVAL PRIOR TO SIGNING AND FILING.
FORM 990, PART VI, SECTION B, LINE 12CTRUSTEES ARE EXPECTED TO FULLY DISCLOSE ANY OWNERSHIP OR OTHER FINANCIAL RELATIONSHIPS THEY HAVE WITH OTHER PARTIES THAT DEAL WITH THE PLAN.
FORM 990, PART VI, SECTION B, LINE 15ATHE ADMINISTRATIVE MANAGER'S PAY RANGE IS DETERMINED BY THE BOARD OF TRUSTEES. THE TRUSTEES HAD A SALARY STUDY PERFORMED BY THE PLAN'S CONSULTANTS. THE TRUSTEES APPROVE INCREASES IN COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19THE PLAN MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XII, LINE 2CTHE BOARD OF TRUSTEES IS RESPONSIBLE FOR THE SELECTION OF AN INDEPENDENT ACCOUNTANT TO PERFORM THE AUDIT OF THE PLAN'S FINANCIAL STATEMENTS. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1HEARTLAND BENEFIT PLAN ADMINISTRATORS LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line17250 POE AVENUE NO 300AddressLine1Txt
CityDAYTONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45414ZIPCd
FieldValueIRS element (for citing)
EIN475593281EIN
Primary ActivitiesPROVIDE MEDICAL AND LIFE BENEFITS TO ITS MEMBERSPrimaryActivitiesTxt
Legal Domicile StateOHLegalDomicileStateCd

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
BOARD OF TRUSTEES OF HEARTLAND HEALTH & WELLNESS FUND
7250 POE AVENUEDAYTONOH45414316173363PLAN SPONSOR AND PLAN ADMINISTRATOROH501(C)(9)N/A0
CHAMPAIGN RESIDENTIAL SERVICES INC
CINCINNATI AFO-CIO LABOR COUNCIL
CINCINNATI INTERFAITH WORKERS
GOOD SHEPHERD HOME
HARBOR BEHAVIORAL HEALTH
NEUSOLE FOUNDATION
UNITED FOOD AND COMMERCIAL WORKERS UNION LOCAL NO 1776KS
UNITED FOOD AND COMMERCIAL WORKERS UNION LOCAL NO 75
UNITED FOOD AND COMMERCIAL WORKERS UNION LOCAL 1059
HEARTLAND BENEFIT PLAN ADMINISTRATORS LLC
UNITED FOOD AND COMMERCIAL WORKERS UNION LOCAL 23 FCU

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (13 entries)

ALLISON STREET VENTURES LLC
CLERMONTS BEST DRIVING ACADEMY LLC
CONSOLIDATED HEALTHCARE SOLUTIONS LLC
CUNDIFF TOWN & COUNTRY TREE SERV LLC
GRAPHIC FINISHING LLC
JAS ELECTRIC LLC
MAXWELL MEDICAL LLC
MICHAEL P KELLY REALTY
PIPCO LLC
SNYDER & GAST LLC
WEBER DICKEY BELLMAN LAW
LEONARD A BLEH LLC
LAW OFFICES OF LEONARD SIGALL

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (43 entries)

AMERICAN BUSINESS TECHNOLOGIES
AVI FOOD SYSTEMS INC
BILLOW CONSTRUCTION INC
BLUE GRASS PROVISIONS
BRIDGETOWN FINER MEATS INC
BRUSH & LADDER PAINTING INC
C-FAB LLC
FRESH ENCOUNTERS - CHIEF SUPER MARKET INC
COOK & LOGOTHETIS LLC
CVS PHARMACY INC
DBM & SONS INC
DON CARTER & ASSOC INC
DR ELLEN C TORBECK DMD PSC
FROZEN SPECIALTIES INC
G&G TRANSPORTATION SERVICE INC
GR FEHR COMPANY INC
GOERGE F MOELLER LPA
GRACE FOODS INC
FRESH ENCOUNTER - GREAT SCOT INC
HILLTOP PHYSICIANS INC
JIM BITZENHOFER REFRIGERATION AND AC INC
JOHN STEHLIN & SONS CO INC
KUHL TILE & MARBLE INC
LANGEN MEATS INC
MANLEY BURKE LPA
NEWMAN & MEEKS CO LPA
ROBERT WHOLEY & CO INC
RUBLE ARTISTIC FURNITURE RESTORATION INC
RUDOLPH FOODS COMPANY INC
SEVEN HILLS COFFEE COMPANY
SILGAN CAN COMPANY
SKYHAVEN FARMS INC
SUGAR CREEK PACKING CO
THE KROGER CO
UNION EYE CARE
WASSLER MEATS INC
WE CARE FOOD STORES INC
LEE WILLIAMS MEATS INC
KISSEL BROS
MULLEN VAN HOUTEN
OUR HARVEST
FRESH ENCOUNTER - CHIEFS
SMARTCAT MARKETING SOLUTIONS
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE R, PARTS II-IVFormAndLineReferenceDesc
ExplanationIN ADDITION TO THE CONTRIBUTING EMPLOYERS REPORTED AS RELATED ORGANIZATIONS ON SCHEDULE R, PARTS II-IV, THE FUND HAD ADDITIONAL EMPLOYERS THAT HAVE NOT YET RESPONDED TO THE FUNDS EFFORT TO OBTAIN THE TAX CLASSIFICATION. THE CONTRIBUTING EMPLOYERS ARE ON FILE AT THE PLAN OFFICE.ExplanationTxt