Civic Intelligence

Rfms Inc Medical Benefit Plan Trust

EIN 36-7042729 • 501(c)9 • Galesburg, IL

Profile

The plan is a self-insured benefit program funded by the employers and participants within the plan. Participants in the plan are current and former employees of the following sponsors: rfms, inc., ltc support services, llc, community living options, inc., frances house, inc., unlimited development, inc., kensington of galesburg, inc., achievement unlimited, inc., pinnacle opportunities, inc., pioneer concepts, inc., residential alternatives of illinois, inc., desert healthcare facilities, inc., florida living options, inc., illini state bank and highland estates resort, llc. Plan assets are held in a voluntary employees' benefit association (veba) trust. The plan is subject to the provisions of the employee retirement income security act of 1974 (erisa), as amended.

285 South Farnham StreetGalesburg, IL 61401

n/A

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

97th percentile

1.00x

Higher debt load relative to assets than 97% of similar nonprofits.

501(c)9 • $1M-$5M nonprofits • Source year 2022

Liabilities / Revenue

100th percentile

403.67x

Higher debt load relative to revenue than 100% of similar nonprofits.

501(c)9 • $1M-$5M nonprofits • Source year 2022

Net Margin

99th percentile

100%

Higher net margin than 99% of similar nonprofits.

501(c)9 • $1M-$5M nonprofits • Source year 2022

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

36th percentile

-2.9%

Faster asset growth than 36% of similar nonprofits.

501(c)9 • $1M-$5M nonprofits • Annualized from 2020 to 2022

Revenue Growth

8th percentile

-47%

Faster revenue growth than 8% of similar nonprofits.

501(c)9 • $1M-$5M nonprofits • Annualized from 2020 to 2022

Assets

Down

$3,688,351

Down $224,925 (-5.7%) from 2020

Liabilities

Down

$3,688,351

Down $224,925 (-5.7%) from 2020

Net Assets

Flat

$0

Flat from 2020

Revenue

Down

$9,137

Down $23,188 (-72%) from 2020

Expenses

Flat

$0

Flat from 2020

Net Income

Down

$9,137

Down $23,188 (-72%) from 2020

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$6.0M$4.0M$2.0M$0-$2.0MAssets 2010: $1,424,007Liabilities 2010: $641,268Net Assets 2010: $782,7392010Assets 2011: $1,502,354Liabilities 2011: $746,210Net Assets 2011: $756,1442011Assets 2012: $1,615,199Liabilities 2012: $1,288,143Net Assets 2012: $327,0562012Assets 2013: $963,056Liabilities 2013: $1,638,118Net Assets 2013: -$675,0622013Assets 2014: $1,173,641Liabilities 2014: $935,710Net Assets 2014: $237,9312014Assets 2015: $2,725,487Liabilities 2015: $823,735Net Assets 2015: $1,901,7522015Assets 2016: $4,000,286Liabilities 2016: $753,757Net Assets 2016: $3,246,5292016Assets 2017: $3,784,110Liabilities 2017: $772,718Net Assets 2017: $3,011,3922017Assets 2019: $4,873,089Liabilities 2019: $1,372,767Net Assets 2019: $3,500,3222019Assets 2020: $3,913,276Liabilities 2020: $3,913,276Net Assets 2020: $02020Assets 2022: $3,688,351Liabilities 2022: $3,688,351Net Assets 2022: $02022

Highlighted filing

2022

Assets$3,688,351
Liabilities$3,688,351
Net Assets$0

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$15M$10M$5.0M$0-$5.0MExpenses 2010: $6,093,8782010Expenses 2011: $7,372,6032011Expenses 2012: $8,369,3662012Expenses 2013: $9,100,0622013Revenue 2014: $9,145,986Expenses 2014: $8,236,746Net Income 2014: $909,2402014Revenue 2015: $9,955,342Expenses 2015: $8,287,470Net Income 2015: $1,667,8722015Revenue 2016: $10,736,500Expenses 2016: $9,395,976Net Income 2016: $1,340,5242016Revenue 2017: $11,206,991Expenses 2017: $11,437,614Net Income 2017: -$230,6232017Revenue 2019: $11,407,288Expenses 2019: $10,946,672Net Income 2019: $460,6162019Revenue 2020: $32,325Expenses 2020: $0Net Income 2020: $32,3252020Revenue 2022: $9,137Expenses 2022: $0Net Income 2022: $9,1372022

Highlighted filing

2022

Revenue$9,137
Expenses$0
Net Income$9,137

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Nov 1, 2021 to Oct 31, 2022
Signed
Sep 11, 2023
Return Version
2021v4.2
Gross Receipts
$9,137
Mission and Program Overview

Mission

The plan is a self-insured benefit program funded by the employers and participants within the plan. Participants in the plan are current and former employees of the following sponsors: rfms, inc., ltc support services, llc, community living options, inc., frances house, inc., unlimited development, inc., kensington of galesburg, inc., achievement unlimited, inc., pinnacle opportunities, inc., pioneer concepts, inc., residential alternatives of illinois, inc., desert healthcare facilities, inc., florida living options, inc., illini state bank and highland estates resort, llc. Plan assets are held in a voluntary employees' benefit association (veba) trust. The plan is subject to the provisions of the employee retirement income security act of 1974 (erisa), as amended.

To provide medical, short-term disability & death benefits for eligible employees & dependents.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$2,549,901$2,188,351▼ $361,550
Savings and Temporary Cash Investments$1,500,000$1,500,000→ $0
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Total Assets$4,049,901$3,688,351▼ $361,550
Liabilities
Other Liabilities$4,049,901$3,688,351▼ $361,550
Total Liabilities$4,049,901$3,688,351▼ $361,550
Net Assets / Fund Balance
Total Net Assets Fund Balance$0$0→ $0
Total Liabilities and Net Assets / Fund Balance$4,049,901$3,688,351▼ $361,550
Compensation and Service Providers

Board Members and Trustees

NameTitle
Donald E FikeTrustee
Ronald WilsonTrustee
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$9,137
Other Revenue
$0
Change in Net Assets
$9,137
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$0
Other Expenses$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Plan a Health Care Plan Trust$3,688,351
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 2

Ronald wilson and donald e. Fike each are partners and/or shareholders in lb properties, inc. (an s-corporation), and edwin enterprises, llc (a partnership). Donald e. Fike owns a greater than 35% interest in both of these entities. Ronald wilson and donald e. Fike are also co-owners of north street apartments, a 14-unit apartment building . The rfms, inc. Medical benefit plan trust makes no payments to lb properties, inc., edwin enterprises, llc, or north street apartments.

Form 990, Part VI, Section A, Line 8A

The nature of the entity does not require regularly scheduled and structured meetings of the trustees. The purpose of the entity is to act as a conduit for medical benefit premiums to be used for payment of medical claims of the participants. The trustees oversee the receipt of premiums and the payment of benefits as required, and also make certain that the third party administrator fulfills its responsibilities.

Form 990, Part VI, Section A, Line 8B

The nature of the entity does not require regularly scheduled and structured meetings of the trustees. The purpose of the entity is to act as a conduit for medical benefit premiums to be used for payment of medical claims of the participants. The trustees oversee the receipt of premiums and the payment of benefits as required, and also make certain that the third party administrator fulfills its responsibilities.

Form 990, Part VI, Section B, Line 11B

Each trustee receives a paper copy of form 990 for their review and comment prior to its filing.

Form 990, Part VI, Section C, Line 18

A paper copy of form 990 is provided upon request. The organization's form 990 is also available via the guidestar.org website.

Form 990, Part VI, Section C, Line 19

The organization does not make its governing documents and financial statements available to the public except through public filing requirements.

FORM 990, PART VI, SECTION B, LINE 12A:

A conflict of interest policy is not required for this entity. The trustees receive no payments or compensation from the rfms, inc. Medical benefit plan trust. They are employed by rfms, inc. Rfms, inc. Provides administrative services to the plan free of charge.

FORM 990, PART VII, SECTION A, LINE 1A, COLUMN B:

The trustees devote a portion of the average hours per week to the related organizations listed on schedule r. However, the actual hours attributable to these related organizations is not specifically tracked. The hours reported in column b are a reasonable estimate, and each trustee normally devotes less than one hour per week to the rfms, inc. Medical benefit plan trust.

Filing and Contact Details

Filer

Filer Name
Rfms Inc Medical Benefit Plan Trust
EIN
36-7042729
Phone
3093431550
Address
285 SOUTH FARNHAM STREET, GALESBURG, IL 61401

Signing Officer

Name
Ronald Wilson
Title
Trustee
Phone
3093431550
Signed
2023-09-11
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Ronald Wilson
Formed
1988
Legal Domicile
Il
Voting Board Members
2
Independent Board Members
2
Employees
0
Volunteers
2

Preparer

Firm
Rsm US Llp
Address
117 E MAIN ST SUITE 210, GALESBURG, IL 61401
Preparer
Michael Bass
Phone
3093428026
Supplemental Narrative

Additional Explanations

FORM 990, PART V, LINE 1A:

The third party administrator for the rfms, inc. Medical benefit plan trust files joint forms 1099 for all plans under their administration.

FORM 990, PART XI, LINE 9:

Interest income associated with another nfp account -9,137.

Raw XML Appendix288 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/BooksInCareOfDetail/PhoneNum03093431550
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt0285 SOUTH FARNHAM
IRS990/BooksInCareOfDetail/USAddress/CityNm0GALESBURG
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IRS990/Desc0THE PURPOSE OF THE PLAN IS TO PROVIDE MEDICAL, SHORT-TERM DISABILITY, AND DEATH BENEFITS FOR ELIGIBLE EMPLOYEES AND THEIR DEPENDENTS THAT VOLUNTARILY ELECT TO PARTICIPATE IN THE PLAN. THE PLAN IS IN THE PROCESS OF TERMINATING.
IRS990/DescribedInSection501c3Ind00
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IRS990/FederalGrantAuditRequiredInd00
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IRS990/InfoInScheduleOPartIIIInd0X
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IRS990/InvestmentIncomeGrp/ExclusionAmt09137
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt09137
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IRS990/LoanOutstandingInd00
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IRS990/MembersOrStockholdersInd00
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd00
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IRS990/MissionDesc0THE PLAN IS A SELF-INSURED BENEFIT PROGRAM FUNDED BY THE EMPLOYERS AND PARTICIPANTS WITHIN THE PLAN. PARTICIPANTS IN THE PLAN ARE CURRENT AND FORMER EMPLOYEES OF THE FOLLOWING SPONSORS: RFMS, INC., LTC SUPPORT SERVICES, LLC, COMMUNITY LIVING OPTIONS, INC., FRANCES HOUSE, INC., UNLIMITED DEVELOPMENT, INC., ACHIEVEMENT UNLIMITED, INC., PINNACLE OPPORTUNITIES, INC., PIONEER CONCEPTS, INC., RESIDENTIAL ALTERNATIVES OF ILLINOIS, INC., DESERT HEALTHCARE FACILITIES, INC., FLORIDA LIVING OPTIONS, INC., ILLINI STATE BANK AND HIGHLAND ESTATES RESORT, LLC. PLAN ASSETS ARE HELD IN A VOLUNTARY EMPLOYEES' BENEFIT ASSOCIATION (VEBA) TRUST. THE PLAN IS SUBJECT TO THE PROVISIONS OF THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974 (ERISA), AS AMENDED.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE THIRD PARTY ADMINISTRATOR FOR THE RFMS, INC. MEDICAL BENEFIT PLAN TRUST FILES JOINT FORMS 1099 FOR ALL PLANS UNDER THEIR ADMINISTRATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1RONALD WILSON AND DONALD E. FIKE EACH ARE PARTNERS AND/OR SHAREHOLDERS IN LB PROPERTIES, INC. (AN S-CORPORATION), AND EDWIN ENTERPRISES, LLC (A PARTNERSHIP). DONALD E. FIKE OWNS A GREATER THAN 35% INTEREST IN BOTH OF THESE ENTITIES. RONALD WILSON AND DONALD E. FIKE ARE ALSO CO-OWNERS OF NORTH STREET APARTMENTS, A 14-UNIT APARTMENT BUILDING . THE RFMS, INC. MEDICAL BENEFIT PLAN TRUST MAKES NO PAYMENTS TO LB PROPERTIES, INC., EDWIN ENTERPRISES, LLC, OR NORTH STREET APARTMENTS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE NATURE OF THE ENTITY DOES NOT REQUIRE REGULARLY SCHEDULED AND STRUCTURED MEETINGS OF THE TRUSTEES. THE PURPOSE OF THE ENTITY IS TO ACT AS A CONDUIT FOR MEDICAL BENEFIT PREMIUMS TO BE USED FOR PAYMENT OF MEDICAL CLAIMS OF THE PARTICIPANTS. THE TRUSTEES OVERSEE THE RECEIPT OF PREMIUMS AND THE PAYMENT OF BENEFITS AS REQUIRED, AND ALSO MAKE CERTAIN THAT THE THIRD PARTY ADMINISTRATOR FULFILLS ITS RESPONSIBILITIES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE NATURE OF THE ENTITY DOES NOT REQUIRE REGULARLY SCHEDULED AND STRUCTURED MEETINGS OF THE TRUSTEES. THE PURPOSE OF THE ENTITY IS TO ACT AS A CONDUIT FOR MEDICAL BENEFIT PREMIUMS TO BE USED FOR PAYMENT OF MEDICAL CLAIMS OF THE PARTICIPANTS. THE TRUSTEES OVERSEE THE RECEIPT OF PREMIUMS AND THE PAYMENT OF BENEFITS AS REQUIRED, AND ALSO MAKE CERTAIN THAT THE THIRD PARTY ADMINISTRATOR FULFILLS ITS RESPONSIBILITIES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4EACH TRUSTEE RECEIVES A PAPER COPY OF FORM 990 FOR THEIR REVIEW AND COMMENT PRIOR TO ITS FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5A PAPER COPY OF FORM 990 IS PROVIDED UPON REQUEST. THE ORGANIZATION'S FORM 990 IS ALSO AVAILABLE VIA THE GUIDESTAR.ORG WEBSITE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC EXCEPT THROUGH PUBLIC FILING REQUIREMENTS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7A CONFLICT OF INTEREST POLICY IS NOT REQUIRED FOR THIS ENTITY. THE TRUSTEES RECEIVE NO PAYMENTS OR COMPENSATION FROM THE RFMS, INC. MEDICAL BENEFIT PLAN TRUST. THEY ARE EMPLOYED BY RFMS, INC. RFMS, INC. PROVIDES ADMINISTRATIVE SERVICES TO THE PLAN FREE OF CHARGE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8THE TRUSTEES DEVOTE A PORTION OF THE AVERAGE HOURS PER WEEK TO THE RELATED ORGANIZATIONS LISTED ON SCHEDULE R. HOWEVER, THE ACTUAL HOURS ATTRIBUTABLE TO THESE RELATED ORGANIZATIONS IS NOT SPECIFICALLY TRACKED. THE HOURS REPORTED IN COLUMN B ARE A REASONABLE ESTIMATE, AND EACH TRUSTEE NORMALLY DEVOTES LESS THAN ONE HOUR PER WEEK TO THE RFMS, INC. MEDICAL BENEFIT PLAN TRUST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt9INTEREST INCOME ASSOCIATED WITH ANOTHER NFP ACCOUNT -9,137.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART V, LINE 1A:
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 2
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION A, LINE 8A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION A, LINE 8B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION C, LINE 18
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7FORM 990, PART VI, SECTION B, LINE 12A:
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8FORM 990, PART VII, SECTION A, LINE 1A, COLUMN B:
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc9FORM 990, PART XI, LINE 9:
IRS990ScheduleR/AssetExchangeInd00
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IRS990ScheduleR/DivRelatedOrganizationInd00
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IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt0RFMS INC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt1LTC SUPPORT SERVICES LLC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt2HIGHLAND ESTATES RESORT LLC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt3ILLINI STATE BANK
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0COMMUNITY LIVING OPTIONS INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt1RESIDENTIAL ALTERNATIVES OF ILLINOIS INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt2UNLIMITED DEVELOPMENT INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt3FRANCES HOUSE INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt4ACHIEVEMENT UNLIMITED INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt5PINNACLE OPPORTUNITIES INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt6PIONEER CONCEPTS INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt7DESERT HEALTH CARE FACILITIES INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt8FLORIDA LIVING OPTIONS INC
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd00
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IRS990ScheduleR/PaidEmployeesSharingInd00
IRS990ScheduleR/PerformOfServicesByOtherOrgInd00
IRS990ScheduleR/PerformOfServicesForOthOrgInd00
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IRS990ScheduleR/SharingOfFacilitiesInd00
IRS990ScheduleR/SupplementalInformationDetail/ExplanationTxt0LB PROPERTIES, INC. (EIN: 37-1272792) IS THE SOLE MEMBER OF HIGHLAND ESTATES RESORT, LLC.
IRS990ScheduleR/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE R, PART IV:
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IRS990/TotalLiabilitiesGrp/EOYAmt03688351
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IRS990/TotalRevenueGrp/ExclusionAmt09137
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt09137
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IRS990/TotalVolunteersCnt02
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IRS990/TotReportableCompRltdOrgAmt00
IRS990/TypeOfOrganizationTrustInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0285 SOUTH FARNHAM STREET
IRS990/USAddress/CityNm0GALESBURG
IRS990/USAddress/StateAbbreviationCd0IL
IRS990/USAddress/ZIPCd061401
IRS990/VotingMembersGoverningBodyCnt02
IRS990/VotingMembersIndependentCnt02
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd00
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/AuthenticationAssuranceLevelCd0AAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/IdentityAssuranceLevelCd0IAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/TrustedCustomerCd03
ReturnHeader/BuildTS02023-04-26 12:10:37Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0RONALD WILSON
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0TRUSTEE
ReturnHeader/BusinessOfficerGrp/PhoneNum03093431550
ReturnHeader/BusinessOfficerGrp/SignatureDt02023-09-11
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0RFMS INC MEDICAL BENEFIT PLAN TRUST
ReturnHeader/Filer/BusinessNameControlTxt0RFMS
ReturnHeader/Filer/EIN0367042729
ReturnHeader/Filer/PhoneNum03093431550
ReturnHeader/Filer/USAddress/AddressLine1Txt0285 SOUTH FARNHAM STREET
ReturnHeader/Filer/USAddress/CityNm0GALESBURG
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ReturnHeader/Filer/USAddress/ZIPCd061401
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0420714325
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0RSM US LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0117 E MAIN ST SUITE 210
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0GALESBURG
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0IL
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd061401
ReturnHeader/PreparerPersonGrp/PhoneNum03093428026
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0MICHAEL BASS
ReturnHeader/ReturnTs02023-09-13T20:22:02-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0RONALD
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0WILSON
ReturnHeader/TaxPeriodBeginDt02021-11-01
ReturnHeader/TaxPeriodEndDt02022-10-31
ReturnHeader/TaxYr02021

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