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FLORIDA LABORERS HEALTH FUND: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
FLORIDA LABORERS HEALTH FUND (EIN 59-6369928)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-10-13
IRS object ID
201132869349300043
Schema version
2010v3.4
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)
Timestamp2011-10-13T12:22:50-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DANIELS IRWIN & AYLORBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1223 MADISON STREET SUITE 112AddressLine1
CityMADISONCity
StateTNState
ZIP Code371153660ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN596369928EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1FLORIDA LABORERS HEALTH FUNDBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCONSNameControl
Phone6158590131Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1449AddressLine1
CityGOODLETTSVILLECity
StateTNState
ZIP Code370701449ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSTEPHEN E FARNERName
TitleCHAIRMANTitle
Phone6158590131Phone
Date Signed2011-09-28DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDOUGLAS A IRWINName
Phone6158686008Phone
Date Prepared2011-10-13DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts20772855GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1971YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionTHE PROVISION OF BENEFITS TO PARTICIPANTS.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees22TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year7990563ProgramServiceRevenuePriorYear
Program Service Revenue CY8307284ProgramServiceRevenueCY
Investment Income Prior Year1161374InvestmentIncomePriorYear
Investment Income Current Year59192InvestmentIncomeCurrentYear
Other Revenue Prior Year288067OtherRevenuePriorYear
Other Revenue Current Year162294OtherRevenueCurrentYear
Total Revenue Prior Year9440004TotalRevenuePriorYear
Total Revenue Current Year8528770TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year8130224BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY6963398BenefitsPaidToMembersCY
Salaries Etc Prior Year5355SalariesEtcPriorYear
Salaries Etc Current Year5287SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1040513OtherExpensePriorYear
Other Expenses Current Year1025912OtherExpensesCurrentYear
Total Expenses Prior Year9176092TotalExpensesPriorYear
Total Expenses Current Year7994597TotalExpensesCurrentYear
Revenues Less Expenses Prior Year263912RevenuesLessExpensesPriorYear
Revenues Less Expenses CY534173RevenuesLessExpensesCY
Total Assets BOY13534962TotalAssetsBOY
Total Assets EOY13521039TotalAssetsEOY
Total Liabilities BOY2628523TotalLiabilitiesBOY
Total Liabilities EOY2080427TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY10906439NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY11440612NetAssetsOrFundBalancesEOY
Mission DescriptionTHE PROVISION OF BENEFITS TO PARTICIPANTS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
DescriptionTHE PROVISION OF HEALTH, VISION, TEMPORARY DISABILITY & DEATH BENEFITS TO PLAN PARTICIPANTS.Description
Described In501 C3falseDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquipfalseReportLandBldgEquip
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 RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
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
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096760NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees22NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSOUTHERN BENEFIT ADMINISTRATORSNamePerson
Telephone Number6158590131TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12001 CALDWELL DRIVEAddressLine1
CityGOODLETTSVILLECity
StateTNState
ZIP Code37072ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
STEPHEN E FARNER
CHAIRMAN2.00X000
H PRESTON TAYLOR
SECRETARY2.00X000
GLENN FARNER
TRUSTEE2.00X000
AL HUSTON
TRUSTEE2.00X000
TOM MATTHEWS
TRUSTEE2.00X000
JAMES ROSE
TRUSTEE2.00X000
FRANK SUAREZ
TRUSTEE2.00X000
PATRICK O'CONNELL
TRUSTEE2.00X000
FieldValueIRS element (for citing)
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SOUTHERN BENEFIT ADMINISTRATORS INC
2001 CALDWELL DRGOODLETTSVILLETN37070THIRD PARTY ADM507350
CIGNA
TWO LIBERTY PLACE 1601 CHESTNUT STPHILADELPHIAPA19192PPO370185
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EMPLOYER CONTRIBUTIONS81845538184553
EMPLOYEE CONTRIBUTIONS122731122731
FieldValueIRS element (for citing)
Total Program Service Revenue8307284TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column45498TotalRevenueColumn
Exclusion$45,498ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities12257779Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities12244085Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities13694Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column13694TotalRevenueColumn
Exclusion$13,694ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
COBRA SUBSIDY REMIBURSEMENTS7562875628
CLAIMS REFUNDS4750347503
FORMULARY REBATES2988029880

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column9283TotalRevenueColumn
Related Or Exempt Function Income9283RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue162294TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column8528770TotalRevenueColumn
Related Or Exempt Function Income8469578RelatedOrExemptFunctionIncome
Exclusion$59,192ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total6963398Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total5287Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total481600Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total17443Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total12598Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total58434Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total397879Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total13774Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total13195Total

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotal
FIDUCIARY LIABILITY INSUR21143
BANK CHARGES9662
BOND EXPENSE184

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total7994597Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY792BOY
EOY2771EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2893993BOY
EOY4704365EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY744383BOY
EOY639650EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY24435BOY
EOY27203EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY9798840BOY
EOY8093780EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY72519BOY
EOY53270EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY13534962BOY
EOY13521039EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1281660BOY
EOY980657EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1346863BOY
EOY1099770EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2628523BOY
EOY2080427EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY10906439BOY
EOY11440612EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10906439BOY
EOY11440612EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13534962BOY
EOY13521039EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses534173ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionESTIMATED FUTURE BENEFITSDescription
Amount$1,099,770Amount
FieldValueIRS element (for citing)
Total Of Amounts1099770TotalOfAmounts
Total Revenue8528770TotalRevenue
Total Expenses7994597TotalExpenses
Excess Or Deficit For Year534173ExcessOrDeficitForYear
Excess Or Deficit Per FS534173ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt8528770TotRevenueEtcAuditedFinclStmt
Revenue Subtotal8528770RevenueSubtotal
Total Revenue Per Form9908528770TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt7994597TotExpensesEtcAuditedFinclStmt
Expenses Subtotal7994597ExpensesSubtotal
Total Expenses Per Form9907994597TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RELATED PARTY INFORMATION AMONG OFFICERSFORM 990, PAGE 6, PART VI, LINE 2CONST. & CW LOCAL 1652 CONST. & CW LOCAL 1652 TRUSTEE TRUSTEE WORK FOR SAME LOCAL UNION SOUTHEAST LABORERS' DISTRICT COUNCI OHIO VALLEY & SOUTHERN STATES REGIO TRUSTEE CHAIRMAN BROTHERS
MANAGEMENT DELEGATEDFORM 990, PAGE 6, PART VI, LINE 3SOUTHERN BENEFIT ADMINISTRATORS,INC.
ELECTION OF MEMBERS AND THEIR RIGHTSFORM 990, PAGE 6, PART VI, LINE 7AUNION TRUSTEES ARE APPOINTED TO THE BOARD BY THE UNION WHILE THE MANAGEMENT TRUSTEES ARE APPOINTED BY THE EMPLOYER ASSOCIATION. UNION SUCESSOR TRUSTEES ARE SELECTED BY THE REMAINING UNION TRUSTEES WHILE MANAGEMENT SUCESSOR TRUSTEES ARE SELECTED BY THE REMAINING MANAGEMENT TRUSTEES.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTHE FORM 990 IS REVIEWED AND APPROVED BY THE ENTIRE BOARD OF TRUSTEES. IT IS THEN SIGNED AND FILED.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CCONFLICTS OF INTEREST ARE REVIEWED CONTINUALLY AND ANY ISSUES THAT ARISE ARE HANDLED AT REGULAR BOARD MEETINGS.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ATHE MEMBERS OF THE BOARD OF TRUSTEES ARE NOT COMPENSATED IN ANY WAY. A THIRD PARTY ADMINISTRATOR WAS HIRED BY THE BOARD OF TRUSTEES TO MANAGE THE FUND AND WAS SELECTED, AND ITS QUALIFICATIONS REVIEWED AND COMPENSATION DETERMINED BY COMPETITIVE COMPARISON BY THE ENTIRE BOARD OF TRUSTEES.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BTHE MEMBERS OF THE BOARD OF TRUSTEES ARE NOT COMPENSATED IN ANY WAY. A THIRD PARTY ADMINISTRATOR WAS HIRED BY THE BOARD OF TRUSTEES TO MANAGE THE FUND AND WAS SELECTED, HAD ITS QUALIFICATIONS REVIEWED AND COMPENSATION DETERMINED BY COMPETITIVE COMPARISON BY THE ENTIRE OF BOARD OF TRUSTEES.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19AVAILABLE UPON REQUEST. ALL MAILOUTS AND WRITTEN COMMUNICATIONS INCLUDE REFERENCE TO DOCUMENTS BEING AVAILABLE UPON REQUEST.