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NEW ENGLAND HEALTH CARE EMPLOYEES WELFARE FUND: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
NEW ENGLAND HEALTH CARE EMPLOYEES WELFARE FUND (EIN 06-1188411)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-10-14
IRS object ID
201122879349300512
Schema version
2010v3.2
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-10-14T08:13:57-07:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Buckley Frame Boudreau & Co PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1116 Washington Ave 3rd FloorAddressLine1
CityNorth HavenCity
StateCTState
ZIP Code06473ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN061188411EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1NEW ENGLAND HEALTH CARE EMPLOYEESBusinessNameLine1
Business Name Line2WELFARE FUNDBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlNEWENameControl
Phone8607281100Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line177 HUYSHOPE AVENUEAddressLine1
CityHARTFORDCity
StateCTState
ZIP Code06106ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCARMEN BOUDIERName
TitleTrusteeTitle
Date Signed2011-10-14DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameGerard J Frame CPAName
Phone2032392234Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts36537401GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1986YearFormation
State Legal DomicileCTStateLegalDomicile
Activity Or Mission DescriptionPROVIDE HEALTH & WELFARE BENEFITSActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees26TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year35827173ProgramServiceRevenuePriorYear
Program Service Revenue CY34441383ProgramServiceRevenueCY
Investment Income Prior Year1226515InvestmentIncomePriorYear
Investment Income Current Year1300204InvestmentIncomeCurrentYear
Other Revenue Prior Year894614OtherRevenuePriorYear
Other Revenue Current Year795814OtherRevenueCurrentYear
Total Revenue Prior Year37948302TotalRevenuePriorYear
Total Revenue Current Year36537401TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year30385169BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY31562440BenefitsPaidToMembersCY
Salaries Etc Prior Year1164316SalariesEtcPriorYear
Salaries Etc Current Year1105030SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3658104OtherExpensePriorYear
Other Expenses Current Year3801048OtherExpensesCurrentYear
Total Expenses Prior Year35207589TotalExpensesPriorYear
Total Expenses Current Year36468518TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2740713RevenuesLessExpensesPriorYear
Revenues Less Expenses CY68883RevenuesLessExpensesCY
Total Assets BOY39764951TotalAssetsBOY
Total Assets EOY41545794TotalAssetsEOY
Total Liabilities BOY2322184TotalLiabilitiesBOY
Total Liabilities EOY2774521TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY37442767NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY38771273NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDE HEALTH & WELFARE BENEFITSMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
DescriptionTHE 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 C3falseDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees26NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonNE HEALTH CARE EMPLOYEES WELNamePerson
Telephone Number8607281100TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line177 HUYSHOPE AVEAddressLine1
CityHARTFORDCity
StateCTState
ZIP Code06106ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
STUART ROSENBERG
TRUSTEE2.00X000
STAN ISRAEL
Trustee2.00X000
SCOTT ZISKIN
Trustee2.00X000
PETER MADDEN
Trustee2.00X000
MARILYN WALSH
TRUSTEE2.00X000
DAVID PICKUS
Trustee2.00X000
DAVID LUCIER
Trustee2.00X000
COLLEEN SCOTT
Trustee2.00X000
Christine Pane
Executive Director45.00606256062533950X
CARMEN BOUDIER
TRUSTEE2.00X000
BRENDA MORRISETTE
TRUSTEE2.00X000
BETH GOLDSTEIN
Trustee2.00X000
ALMENA THOMPSON
Trustee2.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org60625TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs60625TotalReportableCompFrmRltdOrgs
Total Other Compensation33950TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
The Law Firm of John M Creane
92 Cherry StreetMilfordCT06460Attorney173550
Milliman USA
4 Corpt Plz 250 Washington Ave ExAlbanyNY122035401Benefit consultant115810
Hines & Associates
115 East Highland AvenueElginIL60120Utilization review333447
Delta Dental
1639 Route 10ParsippanyNJ07054Dental ben process'g113679
Anthem Health Plans
370 Bassett RoadNorth HavenCT06473PPO; claim repricing2099706
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EMPLOYER CONTRIBUTIONS3369180033691800
EMPLOYEE CONTRIBUTIONS749583749583
FieldValueIRS element (for citing)
Total Program Service Revenue34441383TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1300204TotalRevenueColumn
Exclusion$1,300,204ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICARE SUBSIDY REBATE593362593362
INT. ON EMPLOYER CONTR.1955119551
BENEFITS RECOVERED182901182901
FieldValueIRS element (for citing)
Total Other Revenue795814TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column36537401TotalRevenueColumn
Related Or Exempt Function Income35237197RelatedOrExemptFunctionIncome
Exclusion$1,300,204ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total31562440Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total77600Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total741321Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total67735Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total149849Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total68525Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total173550Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total64494Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total100268Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2833635Total

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total170848Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total148495Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total64813Total

Travel Travel

FieldValueIRS element (for citing)
Total3290Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total22360Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total27376Total

Insurance Insurance

FieldValueIRS element (for citing)
Total29896Total

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotal
PROPERTY TAXES8575
Printing and Publications33297
DUES ASSESSMENT58709
DUES AND SUBSCRIPTIONS19016
BAD DEBT42426

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total36468518Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4476780BOY
EOY986898EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3925091BOY
EOY4258509EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY28024BOY
EOY28576EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis670366LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec584646LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY62233BOY
EOY85720EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY30577378BOY
EOY35555483EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY695445BOY
EOY630608EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY39764951BOY
EOY41545794EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY155809BOY
EOY114015EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2166375BOY
EOY2660506EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2322184BOY
EOY2774521EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY37442767BOY
EOY38771273EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY37442767BOY
EOY38771273EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY39764951BOY
EOY41545794EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses68883ReconcilationRevenueExpenses
Reconcilation Other Changes1259623ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis8103OtherCostOrOtherBasis
Depreciation2905Depreciation
Book Value5198BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis662263OtherCostOrOtherBasis
Depreciation581741Depreciation
Book Value80522BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings85720TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
MEDICARE SUBSIDY PAYABLE$44,990
DUE TO AFFILIATES$26,677
CLAIMS PAYABLE$803,799
CLAIMS INCURRED BUT NOT REPORTED$1,785,040
FieldValueIRS element (for citing)
Total Of Amounts2660506TotalOfAmounts
Total Revenue36537401TotalRevenue
Total Expenses36468518TotalExpenses
Excess Or Deficit For Year68883ExcessOrDeficitForYear
Net Unrealized GL On Investments1259623NetUnrealizedGLOnInvestments
Total Adjustments1259623TotalAdjustments
Excess Or Deficit Per FS1328506ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt36537401TotRevenueEtcAuditedFinclStmt
Revenue Subtotal36537401RevenueSubtotal
Total Revenue Per Form99036537401TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt36468518TotExpensesEtcAuditedFinclStmt
Expenses Subtotal36468518ExpensesSubtotal
Total Expenses Per Form99036468518TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonChristine PaneNamePerson
Base Compensation Filing Org60625BaseCompensationFilingOrg
Comp Based On Related Orgs60625CompBasedOnRelatedOrgs
Nontaxable Benefits Filing Org33950NontaxableBenefitsFilingOrg
Total Compensation Filing Org94575TotalCompensationFilingOrg
Total Compensation Related Orgs60625TotalCompensationRelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableThe 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 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsEach 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 11Form 990, Part VI, Line 11: Form 990 Review ProcessA 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.