Civic Intelligence

Plan a Health Care Plan Trust

990 • Fiscal year 2022 • EIN 36-7742028

Nov 01, 2021 to Oct 31, 2022 • Filed on Sep 02, 2024

285 S Farnham StGalesburg, IL 61401

(309) 343-1550

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

80th percentile

0.26x

Higher debt load relative to assets than 80% of similar nonprofits.

2022 filings • 501(c)9 • $5M-$10M nonprofits • Source year 2022

Liabilities / Revenue

73rd percentile

0.14x

Higher debt load relative to revenue than 73% of similar nonprofits.

2022 filings • 501(c)9 • $5M-$10M nonprofits • Source year 2022

Net Margin

22nd percentile

-7.6%

Higher net margin than 22% of similar nonprofits.

2022 filings • 501(c)9 • $5M-$10M nonprofits • Source year 2022

Top Officer Pay

48th percentile

$0

Higher top officer pay than 48% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2022 filings • 501(c)9 • $5M-$10M nonprofits • Source year 2022

Asset Growth

36th percentile

-10%

Faster asset growth than 36% of similar nonprofits.

2022 filings • 501(c)9 • $5M-$10M nonprofits • Annualized from 2021 to 2022

Revenue Growth

23rd percentile

-15%

Faster revenue growth than 23% of similar nonprofits.

2022 filings • 501(c)9 • $5M-$10M nonprofits • Annualized from 2021 to 2022

Assets

Down

$4,134,120

Down $460,378 (-10%) from 2021

Net Assets

Down

$3,050,962

Down $642,051 (-17%) from 2021

Liabilities

Up

$1,083,158

Up $181,673 (+20%) from 2021

Revenue

Down

$7,793,117

Down $1,354,967 (-15%) from 2021

Expenses

Down

$8,383,884

Down $320,508 (-3.7%) from 2021

Net Income

Down

-$590,767

Down $1,034,459 (-233%) from 2021

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$6.0M$4.0M$2.0M$0Assets 2020: $4,319,082Liabilities 2020: $1,074,089Net Assets 2020: $3,244,9932020Assets 2021: $4,594,498Liabilities 2021: $901,485Net Assets 2021: $3,693,0132021Assets 2022: $4,134,120Liabilities 2022: $1,083,158Net Assets 2022: $3,050,9622022Assets 2023: $2,738,825Liabilities 2023: $1,905,063Net Assets 2023: $833,7622023Assets 2024: $1,738,417Liabilities 2024: $1,453,073Net Assets 2024: $285,3442024

Highlighted filing

2022

Assets$4,134,120
Liabilities$1,083,158
Net Assets$3,050,962

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$15M$10M$5.0M$0-$5.0MRevenue 2020: $10,560,336Expenses 2020: $10,866,895Net Income 2020: -$306,5592020Revenue 2021: $9,148,084Expenses 2021: $8,704,392Net Income 2021: $443,6922021Revenue 2022: $7,793,117Expenses 2022: $8,383,884Net Income 2022: -$590,7672022Revenue 2023: $7,720,479Expenses 2023: $9,951,581Net Income 2023: -$2,231,1022023Revenue 2024: $10,175,137Expenses 2024: $10,732,970Net Income 2024: -$557,8332024

Highlighted filing

2022

Revenue$7,793,117
Expenses$8,383,884
Net Income-$590,767
Jump To
Filing Snapshot
Filing Period
Nov 1, 2021 to Oct 31, 2022
Signed
Sep 2, 2024
Return Version
2021v4.2
Gross Receipts
$7,793,117
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: 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 health care facilities, inc., and florida living options, inc. 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
Rtn Earn Endowment Incm Other Fnds$3,693,013$3,050,962▼ $642,051
Investments in Publicly Traded Securities$346,797$298,497▼ $48,300
Accounts Receivable$186,962$144,697▼ $42,265
Savings and Temporary Cash Investments$10,838$2,575▼ $8,263
Cash and Non-Interest-Bearing Accounts$0$0→ $0
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Total Assets$4,594,498$4,134,120▼ $460,378
Other Assets Total$4,049,901$3,688,351▼ $361,550
Liabilities
Other Liabilities$766,759$1,055,850▲ $289,091
Accounts Payable and Accrued Expenses$134,726$27,308▼ $107,418
Total Liabilities$901,485$1,083,158▲ $181,673
Net Assets / Fund Balance
Total Net Assets Fund Balance$3,693,013$3,050,962▼ $642,051
Total Liabilities and Net Assets / Fund Balance$4,594,498$4,134,120▼ $460,378

Asset Categories

AssetBook ValueDepreciationBasis
Other Assets Org$3,688,351--
Compensation and Service Providers

Board Members and Trustees

NameTitle
Ronald WilsonTrustee

Highest Paid Contractors

ContractorServicesLocationCompensation
Mutual Medical Plans INCAdministrative Services416 MAIN STREET SUITE 1025, Peoria, IL 61602$411,840
Rsm US LLPAccounting Services401 MAIN STREET SUITE 1200, Peoria, IL 61602$120,435
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$7,788,284
Investment Income
$4,833
Other Revenue
$0
Change in Net Assets
$-590,767

Audited Revenue Reconciliation

Revenue per Audited Statements
$7,793,117
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$-60,421
Total Revenue per Audited Statements
$7,732,696
Total Revenue per Form 990
$7,793,117
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$1,470,746
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Benefits to Members---$6,913,138
Insurance---$879,922
Other Expenses---$427,311
Fees for Services Accounting---$130,936
Fees for Services Legal---$31,638
Fees for Service Investment Mgmnt Fees---$939
Total Functional Expenses$0$0$0$8,383,884

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$8,383,884
Total Expenses per Form 990$8,383,884
Total Expenses per Audited Statements$8,094,793
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$-289,091
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
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
-Clo, Inc. Is the Sponsor of Plan a Health Care Plan Trust.PREMIUMS WERE PAID BY COMMUNITY LIVING OPTIONS, INC. IN THE AMOUNT OF $701,750 TO THE PLAN A HEALTH CARE PLAN TRUST FOR THE FISCAL YEAR ENDING OCTOBER 31, 2021. THE PREMIUM AMOUNT FOR COMMUNITY LIVING OPTIONS, INC. PARTICIPANTS IS THE SAME AS THAT CHARGED TO ALL OTHER PARTICIPANTS IN THE PLAN. COMMUNITY LIVING OPTIONS, INC. RECEIVES NO MONEY FROM THE PLAN A HEALTH CARE PLAN TRUST. RONALD WILSON, THE TRUSTEE OF THE PLAN A HEALTH CARE PLAN TRUST IS THE CHIEF FINANCIAL OFFICER OF COMMUNITY LIVING OPTIONS, INC. THE PLAN A HEALTH CARE PLAN TRUST TRUST PAYS NO COMPENSATION TO THE TRUSTEE OR TO COMMUNITY LIVING OPTIONS, INC.No$711,213
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Benefits Payable$1,055,850
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Audit committee
Yes
Business relationship with 35% controlled entity
Yes
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 8A

The nature of the entity does not require regularly scheduled and structured meetings with the trustee. 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 trustee oversees the receipt of premiums and the payment of benefits as required, and also makes 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 with the trustee. 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 trustee oversees the receipt of premiums and the payment of benefits as required, and also makes certain that the third party administrator fulfills its responsibilities.

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

The 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 trustee receives no payments or compensation from the plan a health care plan trust. The trustee is employed by rfms, inc. And rfms, inc., provides administrative services to the plan free of charge.

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

The trustee devotes 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 the trustee normally devotes less than one hour per week to the plan a health care plan trust.

FORM 990, PART VIII, LINE 3 AND PART V, LINE 3A:

The organization is not subject to unrelated business income tax on investment income under section 512(a)(3)(e)(iii). Substantially all of the contributions to the plan a health care plan trust are made by employers who were exempt from tax throughout the 5-taxable-year period ending with the taxable year in which the contributions are made.

Filing and Contact Details

Filer

Filer Name
Plan a Health Care Plan Trust
EIN
36-7742028
Phone
3093431550
Address
285 S FARNHAM ST, GALESBURG, IL 61401

Signing Officer

Name
Ronald Wilson
Title
Trustee
Phone
3093431550
Signed
2024-09-02
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Ronald Wilson
Formed
2019
Legal Domicile
Il
Voting Board Members
1
Independent Board Members
1
Employees
0
Volunteers
1

Preparer

Firm
Rsm US Llp
Address
6 S PATTERSON BLVD, DAYTON, OH 45402
Preparer
Karen O Crim
Phone
9372980201
Supplemental Narrative

Additional Explanations

FORM 990, PAGE 1, BOX B:

The 2021 form 990 for plan a health care plan trust is being amended for the tax period ending october 31, 2022. As a result, the following lines changed: - part vii, section b, line 1: independent contractors that received more than $100,000 of compensation from the organization. - part vii, section b, line 2: total number of independent contractors who received more than $100,000 of compensation from the organization.

FORM 990, PART V, LINE 1A:

The third party administrator for the plan a health care plan trust files joint forms 1099 for all plans under their administration.

FORM 990, PART XI, LINE 9:

Transfer of assets from rfms medical benefit plan trust (ein: 36-7042729) 9,137.

FORM 990, PART XII, LINE 2C:

The process for oversight of the audit and selection of independent accountant is that the two trustees make arrangements for the audit, however the organization does not have a seperate audit committee.

Financial Statement Notes

PART X, LINE 2:

Accounting principles generally accepted in the united states of america require plan management to evaluate tax positions taken by the plan and recognize a tax liability (or asset) if it has taken an uncertain position that more likely than not would be sustained upon examination. Management has evaluated the plan's tax positions and concluded that the plan has maintained its tax exempt status and has taken no uncertain tax positions that require adjustment to the financial statements. Therefore, no provision or liability for income taxes has been included in the financial statements. The plan is subject to routine audits by taxing jurisdictions; however there are currently no audits for any tax periods in progress.

PART XII, LINE 2D - OTHER ADJUSTMENTS:

Increases in estimated obligations for claims incurred but not reported -289,091.

Raw XML Appendix341 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/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: 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 HEALTH CARE FACILITIES, INC., AND FLORIDA LIVING OPTIONS, INC. 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.
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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF IT HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD BE SUSTAINED UPON EXAMINATION. MANAGEMENT HAS EVALUATED THE PLAN'S TAX POSITIONS AND CONCLUDED THAT THE PLAN HAS MAINTAINED ITS TAX EXEMPT STATUS AND HAS TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS. THEREFORE, NO PROVISION OR LIABILITY FOR INCOME TAXES HAS BEEN INCLUDED IN THE FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1INCREASES IN ESTIMATED OBLIGATIONS FOR CLAIMS INCURRED BUT NOT REPORTED -289,091.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1PART XII, LINE 2D - OTHER ADJUSTMENTS:
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IRS990ScheduleD/TotalLiabilityAmt01055850
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IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt07732696
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt08094793
IRS990/ScheduleJRequiredInd00
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/NameOfInterested/BusinessName/BusinessNameLine1Txt0COMMUNITY LIVING OPTIONS INC (CLO)
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/RelationshipDescriptionTxt0CLO, INC. IS THE SPONSOR OF PLAN A HEALTH CARE PLAN TRUST.
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/SharingOfRevenuesInd00
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionAmt0711213
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionDesc0PREMIUMS WERE PAID BY COMMUNITY LIVING OPTIONS, INC. IN THE AMOUNT OF $701,750 TO THE PLAN A HEALTH CARE PLAN TRUST FOR THE FISCAL YEAR ENDING OCTOBER 31, 2021. THE PREMIUM AMOUNT FOR COMMUNITY LIVING OPTIONS, INC. PARTICIPANTS IS THE SAME AS THAT CHARGED TO ALL OTHER PARTICIPANTS IN THE PLAN. COMMUNITY LIVING OPTIONS, INC. RECEIVES NO MONEY FROM THE PLAN A HEALTH CARE PLAN TRUST. RONALD WILSON, THE TRUSTEE OF THE PLAN A HEALTH CARE PLAN TRUST IS THE CHIEF FINANCIAL OFFICER OF COMMUNITY LIVING OPTIONS, INC. THE PLAN A HEALTH CARE PLAN TRUST TRUST PAYS NO COMPENSATION TO THE TRUSTEE OR TO COMMUNITY LIVING OPTIONS, INC.
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE 2021 FORM 990 FOR PLAN A HEALTH CARE PLAN TRUST IS BEING AMENDED FOR THE TAX PERIOD ENDING OCTOBER 31, 2022. AS A RESULT, THE FOLLOWING LINES CHANGED: - PART VII, SECTION B, LINE 1: INDEPENDENT CONTRACTORS THAT RECEIVED MORE THAN $100,000 OF COMPENSATION FROM THE ORGANIZATION. - PART VII, SECTION B, LINE 2: TOTAL NUMBER OF INDEPENDENT CONTRACTORS WHO RECEIVED MORE THAN $100,000 OF COMPENSATION FROM THE ORGANIZATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE THIRD PARTY ADMINISTRATOR FOR THE PLAN A HEALTH CARE PLAN TRUST FILES JOINT FORMS 1099 FOR ALL PLANS UNDER THEIR ADMINISTRATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE NATURE OF THE ENTITY DOES NOT REQUIRE REGULARLY SCHEDULED AND STRUCTURED MEETINGS WITH THE TRUSTEE. 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 TRUSTEE OVERSEES THE RECEIPT OF PREMIUMS AND THE PAYMENT OF BENEFITS AS REQUIRED, AND ALSO MAKES CERTAIN THAT THE THIRD PARTY ADMINISTRATOR FULFILLS ITS RESPONSIBILITIES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE NATURE OF THE ENTITY DOES NOT REQUIRE REGULARLY SCHEDULED AND STRUCTURED MEETINGS WITH THE TRUSTEE. 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 TRUSTEE OVERSEES THE RECEIPT OF PREMIUMS AND THE PAYMENT OF BENEFITS AS REQUIRED, AND ALSO MAKES CERTAIN THAT THE THIRD PARTY ADMINISTRATOR FULFILLS ITS RESPONSIBILITIES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE 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 TRUSTEE RECEIVES NO PAYMENTS OR COMPENSATION FROM THE PLAN A HEALTH CARE PLAN TRUST. THE TRUSTEE IS EMPLOYED BY RFMS, INC. AND RFMS, INC., PROVIDES ADMINISTRATIVE SERVICES TO THE PLAN FREE OF CHARGE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8THE TRUSTEE DEVOTES 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 THE TRUSTEE NORMALLY DEVOTES LESS THAN ONE HOUR PER WEEK TO THE PLAN A HEALTH CARE PLAN TRUST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt9THE ORGANIZATION IS NOT SUBJECT TO UNRELATED BUSINESS INCOME TAX ON INVESTMENT INCOME UNDER SECTION 512(A)(3)(E)(III). SUBSTANTIALLY ALL OF THE CONTRIBUTIONS TO THE PLAN A HEALTH CARE PLAN TRUST ARE MADE BY EMPLOYERS WHO WERE EXEMPT FROM TAX THROUGHOUT THE 5-TAXABLE-YEAR PERIOD ENDING WITH THE TAXABLE YEAR IN WHICH THE CONTRIBUTIONS ARE MADE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt10TRANSFER OF ASSETS FROM RFMS MEDICAL BENEFIT PLAN TRUST (EIN: 36-7042729) 9,137.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt11THE PROCESS FOR OVERSIGHT OF THE AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANT IS THAT THE TWO TRUSTEES MAKE ARRANGEMENTS FOR THE AUDIT, HOWEVER THE ORGANIZATION DOES NOT HAVE A SEPERATE AUDIT COMMITTEE.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PAGE 1, BOX B:
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART V, LINE 1A:
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 VIII, LINE 3 AND PART V, LINE 3A:
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc10FORM 990, PART XI, LINE 9:
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc11FORM 990, PART XII, LINE 2C:
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
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
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd00
IRS990ScheduleR/PaidEmployeesSharingInd00
IRS990ScheduleR/PerformOfServicesByOtherOrgInd00
IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd00
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd00
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd00
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd00
IRS990ScheduleR/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE R, PART IV:
IRS990ScheduleR/TransferFromOtherOrgInd01
IRS990ScheduleR/TransferToOtherOrgInd00
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt04594498
IRS990/TotalAssetsEOYAmt04134120
IRS990/TotalAssetsGrp/BOYAmt04594498
IRS990/TotalAssetsGrp/EOYAmt04134120
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/TotalAmt08383884
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt0901485
IRS990/TotalLiabilitiesEOYAmt01083158
IRS990/TotalLiabilitiesGrp/BOYAmt0901485
IRS990/TotalLiabilitiesGrp/EOYAmt01083158
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt03693013
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt03050962
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceRevenueAmt07788284
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt04833
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt07788284
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt07793117
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt01
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt04594498
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt04134120
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TypeOfOrganizationTrustInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0285 S FARNHAM ST
IRS990/USAddress/CityNm0GALESBURG
IRS990/USAddress/StateAbbreviationCd0IL
IRS990/USAddress/ZIPCd061401
IRS990/VotingMembersGoverningBodyCnt01
IRS990/VotingMembersIndependentCnt01
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd00
ReturnHeader/BuildTS02024-08-08 14:25:15Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0RONALD WILSON
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0TRUSTEE
ReturnHeader/BusinessOfficerGrp/PhoneNum03093431550
ReturnHeader/BusinessOfficerGrp/SignatureDt02024-09-02
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0PLAN A HEALTH CARE PLAN TRUST
ReturnHeader/Filer/BusinessNameControlTxt0PLAN
ReturnHeader/Filer/EIN0367742028
ReturnHeader/Filer/PhoneNum03093431550
ReturnHeader/Filer/USAddress/AddressLine1Txt0285 S FARNHAM ST
ReturnHeader/Filer/USAddress/CityNm0GALESBURG
ReturnHeader/Filer/USAddress/StateAbbreviationCd0IL
ReturnHeader/Filer/USAddress/ZIPCd061401
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0420714325
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0RSM US LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt06 S PATTERSON BLVD
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0DAYTON
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0OH
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd045402
ReturnHeader/PreparerPersonGrp/PhoneNum09372980201
ReturnHeader/PreparerPersonGrp/PreparationDt02024-09-02
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0KAREN O CRIM
ReturnHeader/ReturnTs02024-09-05T10:15:31-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02021-11-01
ReturnHeader/TaxPeriodEndDt02022-10-31
ReturnHeader/TaxYr02021

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