Form 990 for tax year 2023
Filed by KSB HOSPITAL VEBA HEALTH SAVINGS TRUST.
Totals
- Total revenue
- $483
- Total expenses
- $1,700,440
- Contributions and grants received
- $0
- Grants paid
- $0
- Program service revenue
- $0
- Investment income
- $483
- Other revenue
- $0
- Total assets, end of year
- $0
- Total liabilities, end of year
- $0
- Net assets or fund balances, end of year
- $0
- Program services expenses (Part IX)
- not reported
- Management and general expenses
- not reported
- Fundraising expenses
- not reported
- Program service expenses (Part III)
- not reported
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
3 · Investment income
total $483 · excluded $483
Functional expenses
Part IX, the statement of functional expenses.
-
4 · Benefits paid to or for members
total $1,699,596
-
11c · Fees: accounting
total $718
-
11f · Fees: investment management
total $126
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $191,861 · end of year $0
-
2 · Savings and temporary cash investments
beginning of year $1,508,096 · end of year $0
-
3 · Pledges and grants receivable
end of year $0
-
4 · Accounts receivable
end of year $0
-
5 · Loans and receivables from officers and key people
end of year $0
-
6 · Loans and receivables from disqualified persons
end of year $0
-
7 · Other notes and loans receivable
end of year $0
-
8 · Inventories for sale or use
end of year $0
-
9 · Prepaid expenses and deferred charges
end of year $0
-
10c · Land, buildings and equipment, net
end of year $0
-
11 · Investments: publicly traded securities
end of year $0
-
12 · Investments: other securities
end of year $0
-
13 · Investments: program-related
end of year $0
-
14 · Intangible assets
end of year $0
-
15 · Other assets
end of year $0
-
29 · Capital stock, trust principal or current funds
beginning of year $1,699,957 · end of year $0
-
30 · Paid-in or capital surplus, or land, building or equipment fund
beginning of year $0 · end of year $0
-
31 · Retained earnings, endowment or other funds
beginning of year $0 · end of year $0
Mission and programs · 2023
Mission
TO FUND REIMBURSEMENT OF MEDICAL EXPENSES UNDER A HEALTH REIMBURSEMENT ARRANGEMENT.
-
HEALTH REIMBURSEMENT ARRANGEMENT BY ORGANIZATION THAT HAD APPROXIMATELY 356 PARTICIPANTS WHO RECEIVED MEDICAL CARE IN THE AMOUNT OF $1,699,596.
As filed on the 2023 return.
Listed in Part VII
-
Matrix Trust CompanyMATRIX TRUST COMPANY
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those.
Grants on this return
No itemized grants to organizations on this return.
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
KATHERINE SHAW BETHEA HOSPITAL
501(C)(3) · HEALTH CARE · IL
Assets distributed on this return
Schedule N, as filed: what the organization did with its assets when it liquidated or dissolved, or disposed of more than a quarter of them, and who received them. A recipient with an EIN is usually a successor organization; filers also list expenses such as legal fees here.
-
KATHERINE SHAW BETHEA HOSPITAL
$1,667,896
Liquidation · KATHERINE SHAW BETHEA HOSPITAL · May 18, 2023 · 501(C)(3)
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 8 April 2026
- IRS schema version
- 2023v6.0
- Source object
- 202621149349300047
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