NEW ENGLAND HEALTH CARE EMPLOYEES WELFARE FUND: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: NEW ENGLAND HEALTH CARE EMPLOYEES WELFARE FUND (EIN 06-1188411)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-08-03
IRS object ID: 201242169349300804
Schema version: 2011v1.2
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
Form 990
Schedule D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-08-03T10:04:28-07:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Buckley Frame Boudreau & Co PC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	255 Route 80 - PO Box 698	AddressLine1
City	Killingworth	City
State	CT	State
ZIP Code	06419	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	061188411	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	NEW ENGLAND HEALTH CARE EMPLOYEES	BusinessNameLine1
Business Name Line2	WELFARE FUND	BusinessNameLine2

Field	Value	IRS element (for citing)
Name Control	NEWE	NameControl
Phone	8607281100	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	77 Huyshope Avenue	AddressLine1
City	Hartford	City
State	CT	State
ZIP Code	06106	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	DAVID PICKUS	Name
Title	Trustee	Title
Date Signed	2012-08-03	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Gerard J Frame CPA	Name
Phone	2032392234	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Gross Receipts	60600837	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
All Affiliates Included	false	AllAffiliatesIncluded
Organization501c	X	Organization501c
Web Site	N/A	WebSite
Type Of Organization Trust	X	TypeOfOrganizationTrust
Year Formation	1986	YearFormation
State Legal Domicile	CT	StateLegalDomicile
Activity Or Mission Description	PROVIDE HEALTH & WELFARE BENEFITS	ActivityOrMissionDescription
Nbr Voting Members Governing Body	10	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	29	TotalNbrEmployees
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Current Year	0	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	34441383	ProgramServiceRevenuePriorYear
Program Service Revenue CY	37569864	ProgramServiceRevenueCY
Investment Income Prior Year	1300204	InvestmentIncomePriorYear
Investment Income Current Year	1518303	InvestmentIncomeCurrentYear
Other Revenue Prior Year	795814	OtherRevenuePriorYear
Other Revenue Current Year	751053	OtherRevenueCurrentYear
Total Revenue Prior Year	36537401	TotalRevenuePriorYear
Total Revenue Current Year	39839220	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	31562440	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	31602220	BenefitsPaidToMembersCY
Salaries Etc Prior Year	1105030	SalariesEtcPriorYear
Salaries Etc Current Year	1141980	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	3801048	OtherExpensePriorYear
Other Expenses Current Year	3662195	OtherExpensesCurrentYear
Total Expenses Prior Year	36468518	TotalExpensesPriorYear
Total Expenses Current Year	36406395	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	68883	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	3432825	RevenuesLessExpensesCY
Total Assets BOY	41545794	TotalAssetsBOY
Total Assets EOY	48014756	TotalAssetsEOY
Total Liabilities BOY	2774521	TotalLiabilitiesBOY
Total Liabilities EOY	5862761	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	38771273	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	42151995	NetAssetsOrFundBalancesEOY
Mission Description	PROVIDE HEALTH & WELFARE BENEFITS	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Description	THE FUND PROVIDED THE FOLLOWING HEALTH & WELFARE BENEFITS TO APPROXIMATELY 6600 ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS: HEALTH, HEARING AID, VISION, DENTAL, DISABILITY, PRESCRIPTION DRUG, DEATH, SCHOLARSHIPS, ACCIDENTAL DEATH & DISMEMBERMENT, MENTAL HEALTH & SUBSTANCE ABUSE.	Description
Described In501 C3	false	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	8	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	29	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Form990-T Filed	false	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Form8886 T Filed	false	Form8886TFiled
Non Deductible Contributions	false	NonDeductibleContributions
Non Deductible Disclosure	false	NonDeductibleDisclosure
Excess Business Holdings	false	ExcessBusinessHoldings
Taxable Distributions	false	TaxableDistributions
Distribution To Donor	false	DistributionToDonor
Filed Lieu1041	false	FiledLieu1041
Licensed More Than One State	false	LicensedMoreThanOneState
Indoor Tanning Services	false	IndoorTanningServices
Form720 Filed	false	Form720Filed
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	10	NbrVotingGoverningBodyMembers
Number Independent Voting Members	10	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Policies Reference Chapters	false	PoliciesReferenceChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	false	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Written Policy Or Procedure	false	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	NE HEALTH CARE EMPLOYEES WEL	NamePerson
Telephone Number	8607281100	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	77 HUYSHOPE AVE	AddressLine1
City	HARTFORD	City
State	CT	State
ZIP Code	06106	ZIPCode

Field	Value	IRS element (for citing)
No Listed Persons Compensated	X	NoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation
DAVID PICKUS
Trustee	2.00	X	0	0	0
PETER MADDEN
Trustee	2.00	X	0	0	0
BRENDA MORRISETTE
TRUSTEE	2.00	X	0	0	0
STUART ROSENBERG
TRUSTEE	2.00	X	0	0	0
MARILYN WALSH
TRUSTEE	2.00	X	0	0	0
DAVID LUCIER
Trustee	2.00	X	0	0	0
PATRICK QUINN
Trustee	2.00	X	0	0	0
CARMEN BOUDIER
TRUSTEE	2.00	X	0	0	0
COLLEEN SCOTT
Trustee	2.00	X	0	0	0
STAN ISRAEL
Trustee	2.00	X	0	0	0
BETH GOLDSTEIN
Trustee	2.00	X	0	0	0
ALMENA THOMPSON
Trustee	2.00	X	0	0	0
SCOTT ZISKIN
Trustee	2.00	X	0	0	0

Field	Value	IRS element (for citing)
Number Individuals GT100 K	0	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
The Law Firm of John M Creane
92 Cherry Street	Milford	CT	06460	Attorney	124356
Hines & Associates
115 East Highland Avenue	Elgin	IL	60120	Utilization review	349991
Delta Dental
1639 Route 10	Parsippany	NJ	07054	Dental ben process'g	122189
Anthem Health Plans
370 Bassett Road	North Haven	CT	06473	PPO; claim repricing	2018476

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	4	NumberOfContractorsGT100K
Total Contributions	0	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EMPLOYER CONTRIBUTIONS	37026217	37026217
EMPLOYEE CONTRIBUTIONS	543647	543647

Field	Value	IRS element (for citing)
Total Program Service Revenue	37569864	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1390536	TotalRevenueColumn
Exclusion	$1,390,536	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	20889384	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	20761617	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	127767	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	127767	TotalRevenueColumn
Related Or Exempt Function Income	127767	RelatedOrExemptFunctionIncome

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICARE SUBSIDY REBATE	478981	478981
INT. ON EMPLOYER CONTR.	53445	53445
BENEFITS RECOVERED	218627	218627

Field	Value	IRS element (for citing)
Total Other Revenue	751053	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	39839220	TotalRevenueColumn
Related Or Exempt Function Income	38448684	RelatedOrExemptFunctionIncome
Exclusion	$1,390,536	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	31602220	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	113955	Total

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	732956	Total

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	66519	Total

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	155429	Total

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	73121	Total

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	124513	Total

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	62318	Total

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	104945	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	2760544	Total

Advertising Advertising

Field	Value	IRS element (for citing)
Total	0	Total

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	170395	Total

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	143413	Total

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	60899	Total

Travel Travel

Field	Value	IRS element (for citing)
Total	3854	Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	14636	Total

Interest Interest

Field	Value	IRS element (for citing)
Total	0	Total

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	29904	Total

Insurance Insurance

Field	Value	IRS element (for citing)
Total	30477	Total

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal
PROPERTY TAXES	9995
Printing and Publications	37355
DUES ASSESSMENT	54980
DUES AND SUBSCRIPTIONS	19009
BAD DEBT	34958

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	0	Total

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	36406395	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
EOY	0	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	986898	BOY
EOY	5435880	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	4258509	BOY
EOY	4734527	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
EOY	0	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	28576	BOY
EOY	27579	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	682638	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	612207	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	85720	BOY
EOY	70431	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	35555483	BOY
EOY	36602390	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	630608	BOY
EOY	1143949	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	41545794	BOY
EOY	48014756	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	114015	BOY
EOY	130439	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	2660506	BOY
EOY	5732322	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	2774521	BOY
EOY	5862761	EOY

Field	Value	IRS element (for citing)
Do Not Follow SFAS117	X	DoNotFollowSFAS117

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

Field	Value	IRS element (for citing)
BOY	38771273	BOY
EOY	42151995	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	38771273	BOY
EOY	42151995	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	41545794	BOY
EOY	48014756	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	3432825	ReconcilationRevenueExpenses
Reconcilation Other Changes	-52103	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	false	FederalGrantAuditRequired
Federal Grant Audit Performed	false	FederalGrantAuditPerformed

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	8103	OtherCostOrOtherBasis
Depreciation	4525	Depreciation
Book Value	3578	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	674535	OtherCostOrOtherBasis
Depreciation	607682	Depreciation
Book Value	66853	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	70431	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
MEDICARE SUBSIDY PAYABLE	$55,914
DUE TO BROKER	$722,197
DUE TO AFFILIATES	$10,311
CLAIMS PAYABLE	$1,510,292
CLAIMS INCURRED BUT NOT REPORTED	$3,433,608

Field	Value	IRS element (for citing)
Total Of Amounts	5732322	TotalOfAmounts
Total Revenue	39839220	TotalRevenue
Total Expenses	36406395	TotalExpenses
Excess Or Deficit For Year	3432825	ExcessOrDeficitForYear
Net Unrealized GL On Investments	-52103	NetUnrealizedGLOnInvestments
Total Adjustments	-52103	TotalAdjustments
Excess Or Deficit Per FS	3380722	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	39839220	TotRevenueEtcAuditedFinclStmt
Revenue Subtotal	39839220	RevenueSubtotal
Total Revenue Per Form990	39839220	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	36406395	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	36406395	ExpensesSubtotal
Total Expenses Per Form990	36406395	TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Form 990, Part VI, Line 19	Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	The organization's governing documents, instruments under which the organization is operated or established, and financial statements are available upon request, to participants, employers, and others in accordance with the provisions of ERISA, but are not available to the general public.
Form 990, Part VI, Line 12c	Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	Each Trustee must annually sign a statement which affirms that they a) have received a copy of the conflict of interest policy, b) has read and understands the policy, c) has agreed to comply with the policy, and d) understands that they must engage primarily in activities which accomplish one or more of the fund's tax-exempt purposes.
Form 990, Part VI, Line 11	Form 990, Part VI, Line 11: Form 990 Review Process	A copy was provided to the governing board via email or paper copy. The Form 990 was reviewed by the trustee signing the return, executive director and legal counsel prior to filing the return.