Totals
- Total revenue
- $142,988,717
- Total expenses
- $144,382,628
- Contributions and grants received
- $0
- Grants paid
- $0
- Program service revenue
- $142,255,887
- Investment income
- $638,486
- Other revenue
- $94,344
- Total assets, end of year
- $37,915,677
- Total liabilities, end of year
- $16,872,525
- Net assets or fund balances, end of year
- $21,043,152
- 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: CONTRIBUTIONS - HEALTH FUNDS
total $142,253,361 · related or exempt $142,253,361
-
2b · Program service revenue: RENTAL INCOME - AFFILIATE
total $2,526 · related or exempt $2,526
-
3 · Investment income
total $677,483 · excluded $677,483
-
7a · Gross sales of assets other than inventory
securities $1,951,474
-
7b · Less cost or other basis and sales expenses
securities $1,990,471
-
7c · Gain or loss
securities -$38,997
-
7d · Net gain or loss
total -$38,997 · excluded -$38,997
-
11a · Other revenue: REFUNDS & REIMBURSEMENTS
total $94,344 · related or exempt $94,344
-
11e · Other revenue, total
$94,344
Functional expenses
Part IX, the statement of functional expenses.
-
4 · Benefits paid to or for members
total $139,412,410
-
5 · Compensation of officers, directors and key employees
total $204,497
-
7 · Other salaries and wages
total $805,049
-
8 · Pension plan contributions
total $272,349
-
9 · Other employee benefits
total $343,844
-
10 · Payroll taxes
total $85,268
-
11b · Fees: legal
total $321,491
-
11c · Fees: accounting
total $229,004
-
11f · Fees: investment management
total $38,138
-
11g · Fees: other
total $892,224
-
13 · Office expenses
total $308,819
-
14 · Information technology
total $904,224
-
16 · Occupancy
total $183,903
-
17 · Travel
total $53,371
-
19 · Conferences, conventions and meetings
total $83,031
-
22 · Depreciation, depletion and amortization
total $26,719
-
23 · Insurance
total $40,492
-
24a · Other expenses: OUTSIDE SERVICES - PAYM
total $177,795
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $161,953 · end of year $79,952
-
2 · Savings and temporary cash investments
beginning of year $2,371,837 · end of year $848,715
-
9 · Prepaid expenses and deferred charges
beginning of year $80,785 · end of year $184,708
-
10a · Land, buildings and equipment: cost or other basis
$574,016
-
10b · Land, buildings and equipment: accumulated depreciation
$419,028
-
10c · Land, buildings and equipment, net
beginning of year $102,072 · end of year $154,988
-
11 · Investments: publicly traded securities
beginning of year $19,369,335 · end of year $21,279,711
-
15 · Other assets
beginning of year $10,162,990 · end of year $15,367,603
-
17 · Accounts payable and accrued expenses
beginning of year $1,565,690 · end of year $2,133,096
-
25 · Other liabilities
beginning of year $9,580,042 · end of year $14,739,429
-
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 $21,103,240 · end of year $21,043,152
Mission and programs · 2023
Mission
PROVIDE SELF-INSURED HEALTH AND WELFARE BENEFITS TO MEMBERS COVERED UNDER COLLECTIVE BARGAINING AGREEMENTS NEGOTIATED BY TEAMSTER LOCALS.
Activities or mission (Part I)
SELF-INSURED HEALTH BENEFIT PLAN
-
THE FUND OPERATES UNDER A TRUST AGREEMENT FOR THE PURPOSEOF MAKING BENEFIT PAYMENTS TO MEMBERS OF THE TRI-STATETEAMSTERS HEALTH SERVICES & INSURANCE PLAN, THESE BENEFITS COVER HOSPITAL,SURGICAL, PRESCRIPTION DRUG, HOME HEALTH CARE AND DEATH BENEFITS FOR 11,238 ACTIVE AND RETIRED MEMBERS PLUS THEIR DEPENDENTS.
As filed on the 2023 return.
Listed in Part VII
-
Dennis McGuireDENNIS MCGUIRE
EMPLOYER CO-CHAIRMAN & TRU
- Total calculated
- $26,100
- From this org
- $24,000
- From related orgs
- $2,100
- Other
- $0
- Hours/week
- 4 + 2 related
-
Thomas BayusikTHOMAS BAYUSIK
UNION TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 4 related
-
Salvatore AbateSALVATORE ABATE
UNION TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 4 related
-
Timothy CaseyTIMOTHY CASEY
EMPLOYER TRUSTEE
- Total calculated
- $13,300
- From this org
- $0
- From related orgs
- $13,300
- Other
- $0
- Hours/week
- 1 + 2 related
-
Forrest HarveyFORREST HARVEY
EMPLOYER TRUSTEE
- Total calculated
- $7,700
- From this org
- $0
- From related orgs
- $7,700
- Other
- $0
- Hours/week
- 1 + 2 related
-
Edwin RooneyEDWIN ROONEY
UNION TRUSTEE
- Total calculated
- $9,100
- From this org
- $0
- From related orgs
- $9,100
- Other
- $0
- Hours/week
- 1 + 4 related
-
Robert DigirolamoROBERT DIGIROLAMO
UNION TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 4 related
-
George WiesendangerGEORGE WIESENDANGER
EMPLOYER TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 4 related
-
Frank RossiFRANK ROSSI
UNION TRUSTEE
- Total calculated
- $9,800
- From this org
- $0
- From related orgs
- $9,800
- Other
- $0
- Hours/week
- 1 + 4 related
-
Bryan Donovan JrBRYAN DONOVAN JR
UNION TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 4 related
-
Robert Sullivan JrROBERT SULLIVAN JR
EMPLOYER TRUSTEE
- Total calculated
- $4,900
- From this org
- $0
- From related orgs
- $4,900
- Other
- $0
- Hours/week
- 1 + 2 related
-
Lawrence KeefeLAWRENCE KEEFE
EMPLOYER TRUSTEE
- Total calculated
- $9,800
- From this org
- $0
- From related orgs
- $9,800
- Other
- $0
- Hours/week
- 1 + 2 related
-
Bevan SweetBEVAN SWEET
UNION CO-CHAIRMAN
- Total calculated
- $0
- Hours/week
- 1 + 4 related
-
Craig MitchellCRAIG MITCHELL
UNION TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 4 related
-
Nicholas ReutNICHOLAS REUT
EMPLOYER TRUSTEE
- Total calculated
- $13,300
- From this org
- $0
- From related orgs
- $13,300
- Other
- $0
- Hours/week
- 1 + 2 related
-
Roark LevineROARK LEVINE
EMPLOYER TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
Scott BlaisSCOTT BLAIS
EMPLOYER TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
Anthony LeporeANTHONY LEPORE
UNION TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 4 related
-
Paul AyoubPAUL AYOUB
EMPLOYER TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
Glenn BarksdaleGLENN BARKSDALE
UNION TRUSTEE
- Total calculated
- $6,794
- From this org
- $0
- From related orgs
- $6,794
- Other
- $0
- Hours/week
- 1 + 4 related
-
James StackJAMES STACK
EMPLOYER TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
Robert ZiobrowskiROBERT ZIOBROWSKI
UNION TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 4 related
-
Arthur BellARTHUR BELL
UNION TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 4 related
-
Joe SamolisJOE SAMOLIS
(FORMER) EMPLOYER TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Sharon AgnelloSHARON AGNELLO
EXECUTIVE DIRECTOR
- Total calculated
- $228,579
- From this org
- $175,695
- From related orgs
- $0
- Other
- $52,884
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $175,695
- Bonus
- $0
- Other
- $0
- Deferred
- $24,684
- Nontaxable benefits
- $28,200
- Filer's total
- $228,579
-
Susan KostekSUSAN KOSTEK
(FORMER) IT DIRECTOR
- Total calculated
- $168,279
- From this org
- $115,395
- From related orgs
- $0
- Other
- $52,884
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $115,395
- Bonus
- $0
- Other
- $0
- Deferred
- $24,684
- Nontaxable benefits
- $28,200
- Filer's total
- $168,279
-
Erin FlavinERIN FLAVIN
CLAIMS ADMINISTRATOR
- Total calculated
- $170,143
- From this org
- $117,259
- From related orgs
- $0
- Other
- $52,884
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $117,259
- Bonus
- $0
- Other
- $0
- Deferred
- $24,684
- Nontaxable benefits
- $28,200
- Filer's total
- $170,143
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 · 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)
- PART I, LINE 3
- THE CO-CHAIRMEN REVIEW AND ADJUST THE COMPENSATION OF THE EXECUTIVE DIRECTOR AND OTHER HIGHLY COMPENSATED EMPLOYEES ON AN ANNUAL BASIS.
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.
-
IBT TEAMSTERS LOCAL 191 HEALTH SERVICE & INSURANCE PLAN
501C-9 · AFFILIATED SELF INSURED HEALTH PLAN · CT
-
TEAMSTERS LOCAL 404 HEALTH SERVICE & INSURANCE PLAN
501C-9 · AFFILIATED SELF INSURED HEALTH PLAN · MA
-
TRANSPORTATION LOCAL 443 HEALTH SERVICE & INSURANCE PLAN
501C-9 · AFFILIATED SELF INSURED HEALTH PLAN · CT
-
GENERAL TEAMSTERS LOCAL 493 HEALTH SERVICE & INSURANCE PLAN
501C-9 · AFFILIATED SELF INSURED HEALTH PLAN · CT
-
TEAMSTERS LOCAL 671A HEALTH SERVICE & INSURANCE PLAN
501C-9 · AFFILIATED SELF INSURED HEALTH PLAN · CT
-
TEAMSTERS LOCAL 677 HEALTH SERVICE & INSURANCE PLAN
501C-9 · AFFILIATED SELF INSURED HEALTH PLAN · CT
-
TEAMSTERS LOCAL 1035 HEALTH SERVICE & INSURANCE PLAN
501C-9 · AFFILIATED SELF INSURED HEALTH PLAN · CT
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 6 May 2025
- IRS schema version
- 2023v6.0
- Source object
- 202511299349302656
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