Totals
- Total revenue
- $248,302,038
- Total expenses
- $265,727,397
- Contributions and grants received
- $0
- Grants paid
- $6,000
- Program service revenue
- $244,429,028
- Investment income
- $3,873,010
- Other revenue
- $0
- Total assets, end of year
- $227,420,148
- Total liabilities, end of year
- $53,042,614
- Net assets or fund balances, end of year
- $174,377,534
- 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: PREMIUMS
total $237,123,258 · related or exempt $237,123,258
-
2b · Program service revenue: ADMINISTRATION FEES
total $3,996,693 · related or exempt $3,996,693
-
2c · Program service revenue: EXPERIENCE RATING ADJUSTMENT
total $3,233,983 · related or exempt $3,233,983
-
2d · Program service revenue: CARRIER INVESTMENT INCOME
total $75,094 · related or exempt $75,094
-
3 · Investment income
total $4,608,031 · excluded $4,608,031
-
4 · Income from investment of tax-exempt bond proceeds
total $0
-
5 · Royalties
total $0
-
6c · Rental income or loss
real property $0 · personal property $0
-
6d · Net rental income or loss
total $0
-
7a · Gross sales of assets other than inventory
securities $84,504,809
-
7b · Less cost or other basis and sales expenses
securities $85,223,243 · other assets $16,587
-
7c · Gain or loss
securities -$718,434 · other assets -$16,587
-
7d · Net gain or loss
total -$735,021 · excluded -$735,021
-
8a · Fundraising events: gross income
$0
-
8b · Fundraising events: direct expenses
$0
-
8c · Net income from fundraising events
total $0
-
9a · Gaming: gross income
$0
-
9b · Gaming: direct expenses
$0
-
9c · Net income from gaming
total $0
-
10a · Gross sales of inventory
$0
-
10b · Cost of goods sold
$0
-
10c · Net income from sales of inventory
total $0
-
11e · Other revenue, total
$0
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $6,000
-
2 · Grants to domestic individuals
total $0
-
3 · Grants to foreign organizations and individuals
total $0
-
4 · Benefits paid to or for members
total $243,668,109
-
5 · Compensation of officers, directors and key employees
total $1,396,263
-
6 · Compensation of disqualified persons
total $0
-
7 · Other salaries and wages
total $5,427,445
-
8 · Pension plan contributions
total $988,525
-
9 · Other employee benefits
total $1,022,012
-
10 · Payroll taxes
total $458,880
-
11a · Fees: management
total $0
-
11b · Fees: legal
total $198,722
-
11c · Fees: accounting
total $227,320
-
11d · Fees: lobbying
total $0
-
11e · Fees: professional fundraising services
total $0
-
11f · Fees: investment management
total $478,193
-
11g · Fees: other
total $7,226,855
-
12 · Advertising and promotion
total $23,093
-
13 · Office expenses
total $1,257,818
-
14 · Information technology
total $1,931,997
-
15 · Royalties
total $0
-
16 · Occupancy
total $280,231
-
17 · Travel
total $66,381
-
18 · Travel or entertainment for public officials
total $0
-
19 · Conferences, conventions and meetings
total $0
-
20 · Interest
total $0
-
21 · Payments to affiliates
total $0
-
22 · Depreciation, depletion and amortization
total $460,667
-
23 · Insurance
total $163,131
-
24a · Other expenses: MISCELLANEOUS
total $352,280
-
24b · Other expenses: PCORI EXCISE TAX
total $77,552
-
24c · Other expenses: CLEARING HOUSE EXPENSE
total $15,923
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $525 · end of year $525
-
2 · Savings and temporary cash investments
beginning of year $56,417,624 · end of year $51,481,571
-
3 · Pledges and grants receivable
beginning of year $0 · end of year $0
-
4 · Accounts receivable
beginning of year $22,340,148 · end of year $22,405,927
-
5 · Loans and receivables from officers and key people
beginning of year $0 · end of year $0
-
6 · Loans and receivables from disqualified persons
beginning of year $0 · end of year $0
-
7 · Other notes and loans receivable
beginning of year $0 · end of year $0
-
8 · Inventories for sale or use
beginning of year $0 · end of year $0
-
9 · Prepaid expenses and deferred charges
beginning of year $1,186,904 · end of year $987,083
-
10a · Land, buildings and equipment: cost or other basis
$13,606,417
-
10b · Land, buildings and equipment: accumulated depreciation
$11,440,731
-
10c · Land, buildings and equipment, net
beginning of year $1,564,026 · end of year $2,165,686
-
11 · Investments: publicly traded securities
beginning of year $130,302,519 · end of year $143,722,634
-
12 · Investments: other securities
beginning of year $0 · end of year $0
-
13 · Investments: program-related
beginning of year $0 · end of year $0
-
14 · Intangible assets
beginning of year $0 · end of year $0
-
15 · Other assets
beginning of year $2,197,283 · end of year $6,656,722
-
17 · Accounts payable and accrued expenses
beginning of year $2,613,447 · end of year $3,218,762
-
18 · Grants payable
beginning of year $0 · end of year $0
-
19 · Deferred revenue
beginning of year $0 · end of year $0
-
20 · Tax-exempt bond liabilities
beginning of year $0 · end of year $0
-
21 · Escrow or custodial account liability
beginning of year $0 · end of year $0
-
22 · Loans and payables to officers and key people
beginning of year $0 · end of year $0
-
23 · Secured mortgages and notes payable
beginning of year $0 · end of year $0
-
24 · Unsecured notes and loans payable
beginning of year $0 · end of year $0
-
25 · Other liabilities
beginning of year $57,763,321 · end of year $49,823,852
-
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 $153,632,261 · end of year $174,377,534
Mission and programs · 2023
Mission
TO SPONSOR AND ADMINISTER THE SAMBA BENEFIT PLAN ("THE PLAN") FOR ITS MEMBERSHIP IN ACCORDANCE WITH ERISA AND FEHBA. THE SAMBA BENEFIT PLAN INCLUDES HEALTH, LIFE, DISABILITY, ACCIDENT, DENTAL, VISION AND RELATED COVERAGES.
Activities or mission (Part I)
TO SPONSOR AND ADMINISTER THE SAMBA BENEFIT PLAN FOR ITS MEMBERSHIP.
-
SPONSORED HEALTH, GROUP TERM LIFE, DISABILITY, ACCIDENT, DENTAL AND VISION BENEFITS FOR APPROXIMATELY 113,760 MEMBERS.
As filed on the 2023 return.
Listed in Part VII
-
Walter E WilsonWALTER E WILSON
EXECUTIVE DIRECTOR EMERITUS
- Total calculated
- $748,870
- From this org
- $537,174
- From related orgs
- $0
- Other
- $211,696
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $494,633
- Bonus
- $0
- Other
- $42,541
- Deferred
- $203,886
- Nontaxable benefits
- $7,810
- Filer's total
- $748,870
-
Pamela CummingsPAMELA CUMMINGS
ACTING EXECUTIVE DIRECTOR
- Total calculated
- $580,855
- From this org
- $374,324
- From related orgs
- $0
- Other
- $206,531
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $309,324
- Bonus
- $65,000
- Other
- $0
- Deferred
- $189,936
- Nontaxable benefits
- $16,595
- Filer's total
- $580,855
-
Pamela LynchPAMELA LYNCH
DEPUTY EXECUTIVE DIRECTOR
- Total calculated
- $509,121
- From this org
- $286,506
- From related orgs
- $0
- Other
- $222,615
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $256,506
- Bonus
- $30,000
- Other
- $0
- Deferred
- $195,434
- Nontaxable benefits
- $27,181
- Filer's total
- $509,121
-
Laurence GrossLAURENCE GROSS
SENIOR PROGRAM ADMINISTRATOR
- Total calculated
- $337,487
- From this org
- $261,629
- From related orgs
- $0
- Other
- $75,858
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $243,129
- Bonus
- $18,500
- Other
- $0
- Deferred
- $51,727
- Nontaxable benefits
- $24,131
- Filer's total
- $337,487
-
Jerry BrownJERRY BROWN
MANAGER, IT
- Total calculated
- $331,185
- From this org
- $218,743
- From related orgs
- $0
- Other
- $112,442
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $198,743
- Bonus
- $20,000
- Other
- $0
- Deferred
- $86,811
- Nontaxable benefits
- $25,631
- Filer's total
- $331,185
-
William MartinWILLIAM MARTIN
MANAGER, IT
- Total calculated
- $325,305
- From this org
- $228,929
- From related orgs
- $0
- Other
- $96,376
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $208,929
- Bonus
- $20,000
- Other
- $0
- Deferred
- $72,245
- Nontaxable benefits
- $24,131
- Filer's total
- $325,305
-
Nayana RajapakseNAYANA RAJAPAKSE
CONTROLLER
- Total calculated
- $249,761
- From this org
- $192,497
- From related orgs
- $0
- Other
- $57,264
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $179,997
- Bonus
- $12,500
- Other
- $0
- Deferred
- $31,933
- Nontaxable benefits
- $25,331
- Filer's total
- $249,761
-
Sang WooSANG WOO
SENIOR COMPUTER PROGRAMMER
- Total calculated
- $243,283
- From this org
- $192,327
- From related orgs
- $0
- Other
- $50,956
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $182,327
- Bonus
- $10,000
- Other
- $0
- Deferred
- $33,061
- Nontaxable benefits
- $17,895
- Filer's total
- $243,283
-
William P O'HanlonWILLIAM P O'HANLON
PRESIDENT/BOARD MEMBER
- Total calculated
- $46,000
- From this org
- $46,000
- From related orgs
- $0
- Other
- $0
- Hours/week
- 4
-
Joseph R DavisJOSEPH R DAVIS
BOARD MEMBER
- Total calculated
- $24,600
- From this org
- $24,600
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1
-
David R LoeschDAVID R LOESCH
VICE PRESIDENT/BOARD MEMBER
- Total calculated
- $20,175
- From this org
- $20,175
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1
-
Kathryn DiemKATHRYN DIEM
TREASURER/BOARD MEMBER
- Total calculated
- $9,000
- From this org
- $9,000
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1
-
Charlene B ThorntonCHARLENE B THORNTON
BOARD MEMBER
- Total calculated
- $9,000
- From this org
- $9,000
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1
-
Angela ZentzANGELA ZENTZ
BOARD MEMBER
- Total calculated
- $6,000
- From this org
- $6,000
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1
-
David ErmerDAVID ERMER
SECRETARY
- 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. 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
- 3 · Independent compensation consultant
- 3 · Written employment contract
- 3 · Approval by the board or compensation committee
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)
- SCHEDULE J, PART II, COLUMN C
- RETIREMENT AND OTHER DEFERRED COMPENSATION: THE INCREASE (DECREASE) IN THE TOTAL PRESENT VALUE OF THE BENEFIT COMES PRIMARILY FROM THE INCREASE (DECREASE) IN ACCRUALS DURING THE YEAR. ADDITIONALLY, THE DISCOUNT RATE USED AT THE END OF 2022 WAS 5.00%, WHILE THE DISCOUNT RATE USED AT THE END OF 2023 WAS 4.83%. THERE WAS NO EFFECT ON THE LIABILITIES FROM DISCOUNT RATE FLUCTUATION. THESE ARE ACTUARY CALCULATIONS AND THESE AMOUNTS DO NOT REPRESENT A CASH OUTLAY.
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.
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 20 September 2024
- IRS schema version
- 2023v5.1
- Source object
- 202442749349301264
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