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← DISTRICT 6 HEALTH PLAN

Form 990 for tax year 2022

Filed by DISTRICT 6 HEALTH PLAN.

Totals

Total revenue
$559,205
Total expenses
$407,241
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$171,698
Investment income
$387,507
Other revenue
$0
Total assets, end of year
$3,519,788
Total liabilities, end of year
$18,838
Net assets or fund balances, end of year
$3,500,950
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: EMPLOYER CONTRIBUTIONS

    total $171,698 · related or exempt $171,698

  • 3 · Investment income

    total $72,441 · excluded $72,441

  • 7a · Gross sales of assets other than inventory

    securities $1,171,434

  • 7b · Less cost or other basis and sales expenses

    securities $856,368

  • 7c · Gain or loss

    securities $315,066

  • 7d · Net gain or loss

    total $315,066 · excluded $315,066

Functional expenses

Part IX, the statement of functional expenses.

  • 4 · Benefits paid to or for members

    total $326,286

  • 11a · Fees: management

    total $42,483

  • 11b · Fees: legal

    total $1,644

  • 11c · Fees: accounting

    total $10,000

  • 11f · Fees: investment management

    total $21,479

  • 23 · Insurance

    total $5,349

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $6,998 · end of year $9,413

  • 4 · Accounts receivable

    beginning of year $14,775 · end of year $12,375

  • 9 · Prepaid expenses and deferred charges

    beginning of year $4,174 · end of year $4,121

  • 10a · Land, buildings and equipment: cost or other basis

    $5,473

  • 10b · Land, buildings and equipment: accumulated depreciation

    $5,473

  • 10c · Land, buildings and equipment, net

    beginning of year $0 · end of year $0

  • 11 · Investments: publicly traded securities

    beginning of year $3,601,759 · end of year $3,482,543

  • 15 · Other assets

    beginning of year $10,428 · end of year $11,336

  • 17 · Accounts payable and accrued expenses

    beginning of year $19,122 · end of year $18,838

  • 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 $3,619,012 · end of year $3,500,950

Mission and programs · 2022

Mission

TO PROVIDE HEALTH, PRESCRIPTION, & OTHER BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS.

  • TO PROVIDE HEALTH, PRESCRIPTION, & OTHER BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS.

As filed on the 2022 return.

Listed in Part VII

  • Larry Magarik

    INDEP FIDUCIARY

    Total calculated
    $8,760
    From this org
    $8,760
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

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.

Provenance

Return type
form_990
Tax year
2022
Filed
19 April 2024
IRS schema version
2022v5.0
Source object
202441109349301224

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