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Nonprofiteer
← INDEPENDENT CARE HEALTH BENEFIT TR

Form 990 for tax year 2025

Filed by INDEPENDENT CARE HEALTH BENEFIT TR.

Totals

Total revenue
$14,500,643
Total expenses
$11,418,136
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$9,722,608
Investment income
$91,073
Other revenue
$4,686,962
Total assets, end of year
$1,937,016
Total liabilities, end of year
$1,087,816
Net assets or fund balances, end of year
$849,200
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.

  • 2a · Program service revenue: MEDICAL PREMIUMS

    total $9,722,608 · related or exempt $9,722,608

  • 3 · Investment income

    total $91,073 · unrelated business $91,073

  • 11a · Other revenue: DEBT FORGIVENESS INCOME

    total $4,686,962 · related or exempt $4,686,962

  • 11e · Other revenue, total

    $4,686,962

Functional expenses

Part IX, the statement of functional expenses.

  • 4 · Benefits paid to or for members

    total $10,275,845

  • 11c · Fees: accounting

    total $6,000

  • 11g · Fees: other

    total $272,112

  • 23 · Insurance

    total $822,163

  • 24a · Other expenses: INCOME TAXES

    total $35,605

  • 24b · Other expenses: EXCISE TAXES

    total $3,218

  • 24c · Other expenses: BANK FEES

    total $3,193

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $509,382 · end of year $626,057

  • 2 · Savings and temporary cash investments

    beginning of year $3,145,324 · end of year $1,036,382

  • 4 · Accounts receivable

    beginning of year $19,767 · end of year $48,077

  • 15 · Other assets

    beginning of year $226,500 · end of year $226,500

  • 17 · Accounts payable and accrued expenses

    beginning of year $801,155 · end of year $441,653

  • 25 · Other liabilities

    beginning of year $5,333,125 · end of year $646,163

  • 29 · Capital stock, trust principal or current funds

    beginning of year $0 · 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 -$2,233,307 · end of year $849,200

Mission and programs · 2025

Mission

THE ORGANIZATION IS A MULTIPLE EMPLOYER WELFARE ARRANGEMENT (MEWA) WHICH PROVIDES MEDICAL AND PRESCRIPTION DRUG BENEFITS FOR ITS MEMBERS AND THEIR DEPENDENTS.

  • ALL FUNDS ARE USED FOR THE PURPOSE OF PROVIDING BENEFITS TO MEMBERS AND THEIR DEPENDENTS.

As filed on the 2025 return.

Listed in Part VII

  • L Allen Dobson Jr

    TRUSTEE

    Total calculated
    $72,000
    From this org
    $0
    From related orgs
    $72,000
    Other
    $0
    Hours/week
    0.5 + 8 related

  • Colin Felmet

    TRUSTEE

    Total calculated
    $391,620
    From this org
    $0
    From related orgs
    $339,284
    Other
    $52,336
    Hours/week
    0.5 + 39.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $260,450 related
    Bonus
    $0 + $77,600 related
    Other
    $0 + $1,234 related
    Deferred
    $0 + $17,484 related
    Nontaxable benefits
    $0 + $34,852 related
    Filer's total
    $0 + $391,620 related

  • Conrad Flick

    TRUSTEE

    Total calculated
    $121,560
    From this org
    $0
    From related orgs
    $121,560
    Other
    $0
    Hours/week
    0.5 + 12 related

  • Joseph Moose

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.5

  • Ronald Smith

    EXECUTIVE BUSINESS ADVISOR

    Total calculated
    $583,236
    From this org
    $0
    From related orgs
    $549,899
    Other
    $33,337
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    $0 + $444,181 related
    Bonus
    $0 + $103,644 related
    Other
    $0 + $2,074 related
    Deferred
    $0 + $14,194 related
    Nontaxable benefits
    $0 + $19,143 related
    Filer's total
    $0 + $583,236 related

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. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement

The filer's explanations (Part III)

PART I, LINE 3
INDEPENDENT CARE HEALTH BENEFIT TRUST DOES NOT HAVE ANY EMPLOYEES AND DOES NOT SEPARATELY ESTABLISH COMPENSATION FOR A CEO/EXECUTIVE DIRECTOR. INDIVIDUALS PERFORMING WORK FOR THE ORGANIZATION ARE EMPLOYED BY COMMUNITY CARE OF NORTH CAROLINA, INC. ("CCNC"), A RELATED ORGANIZATION.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

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.

Provenance

Return type
form_990
Tax year
2025
Filed
15 July 2026
IRS schema version
2025v4.2
Source object
202631979349300748

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