Civic Intelligence

Charlotte Radiology Pa Voluntary

EIN 56-2175586 • 501(c)9 • Charlotte, NC

Profile

The charlotte radiology voluntary employee benefit trust pays health care and prescription drug claims for charlotte radiology employees and their dependents participating in the plan.

700 E Morehead StCharlotte, NC 28202

n/A

Siviq Scores

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

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2018

Liabilities / Revenue

38th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)9 • $5M-$10M nonprofits • Source year 2018

Net Margin

22nd percentile

-7.6%

Higher net margin than 22% of similar nonprofits.

501(c)9 • $5M-$10M nonprofits • Source year 2018

Top Officer Pay

51st percentile

$0

Higher top officer pay than 51% of similar nonprofits.

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

501(c)9 • $5M-$10M nonprofits • Source year 2018

Asset Growth

10th percentile

-100%

Faster asset growth than 10% of similar nonprofits.

501(c)9 • $5M-$10M nonprofits • Annualized from 2017 to 2018

Revenue Growth

64th percentile

12%

Faster revenue growth than 64% of similar nonprofits.

501(c)9 • $5M-$10M nonprofits • Annualized from 2017 to 2018

Balance Sheet
Liabilities / AssetsScore unavailable

Assets

Down

$0

Down $425,619 (-100%) from 2017

Liabilities

Down

$0

Down $171,889 (-100%) from 2017

Net Assets

Down

$0

Down $253,730 (-100%) from 2017

Operations
Liabilities / Revenue38th percentileNet Margin22nd percentile

Revenue

Up

$5,506,919

Up $598,757 (+12%) from 2017

Expenses

Down

$5,926,544

Down $228,424 (-3.7%) from 2017

Net Income

Up

-$419,625

Up $827,181 (+66%) from 2017

Trend Graphs

Balance Sheet Trend

Asset Growth10th percentile

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

$3.0M$2.0M$1.0M$0Assets 2010: $788,743Liabilities 2010: $0Net Assets 2010: $788,7432010Assets 2011: $749,157Liabilities 2011: $0Net Assets 2011: $749,1572011Assets 2012: $1,124,748Liabilities 2012: $259,718Net Assets 2012: $865,0302012Assets 2013: $1,593,667Liabilities 2013: $197,872Net Assets 2013: $1,395,7952013Assets 2014: $2,007,922Liabilities 2014: $219,916Net Assets 2014: $1,788,0062014Assets 2015: $2,745,880Liabilities 2015: $122,585Net Assets 2015: $2,623,2952015Assets 2016: $1,672,425Liabilities 2016: $177,169Net Assets 2016: $1,495,2562016Assets 2017: $425,619Liabilities 2017: $171,889Net Assets 2017: $253,7302017Assets 2018: $0Liabilities 2018: $0Net Assets 2018: $02018

Highlighted filing

2018

Assets$0
Liabilities$0
Net Assets$0
Open 2018 Filing

Operations Trend

Revenue Growth64th percentile

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

$8.0M$6.0M$4.0M$2.0M$0-$2.0MRevenue 2010: $250,000Expenses 2010: $52,763Net Income 2010: $197,2372010Revenue 2011: $3,013,840Expenses 2011: $3,053,426Net Income 2011: -$39,5862011Revenue 2012: $3,332,417Expenses 2012: $3,476,212Net Income 2012: -$143,7952012Revenue 2013: $3,698,110Expenses 2013: $2,907,627Net Income 2013: $790,4832013Revenue 2014: $5,278,213Expenses 2014: $4,863,958Net Income 2014: $414,2552014Revenue 2015: $5,881,720Expenses 2015: $5,143,762Net Income 2015: $737,9582015Revenue 2016: $4,530,943Expenses 2016: $5,604,398Net Income 2016: -$1,073,4552016Revenue 2017: $4,908,162Expenses 2017: $6,154,968Net Income 2017: -$1,246,8062017Revenue 2018: $5,506,919Expenses 2018: $5,926,544Net Income 2018: -$419,6252018

Highlighted filing

2018

Revenue$5,506,919
Expenses$5,926,544
Net Income-$419,625
Open 2018 Filing

Filings

Most recent year

2018 • Form 990XML pending. An XML filing is linked for this year, but detailed extraction is still pending.

Open filing
Assets
$0
Liabilities
$0
Net assets
$0
Revenue
$5,506,919
Expenses
$5,926,544
Net income
-$419,625
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.00$0.00$0.00$5.51$5.93$0.42
2017Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.43$0.17$0.25$4.91$6.15$1.25
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.67$0.18$1.50$4.53$5.60$1.07
2015Detailed filing. Detailed filing data is available for this year.$2.75$0.12$2.62$5.88$5.14$0.74
2014Detailed filing. Detailed filing data is available for this year.$2.01$0.22$1.79$5.28$4.86$0.41
2013Summary only. Only limited summary data is available for this year.$1.59$0.20$1.40$3.70$2.91$0.79
2012Summary only. Only limited summary data is available for this year.$1.12$0.26$0.87$3.33$3.48$0.14
2011Summary only. Only limited summary data is available for this year.$0.75$0.00$0.75$3.01$3.05$0.04
2010Summary only. Only limited summary data is available for this year.$0.79$0.00$0.79$0.25$0.05$0.20
Latest Detailed Filing

The latest 2018 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2017 below.

Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
Nov 8, 2018
Return Version
2017v2.3
Gross Receipts
$4,908,162
Mission and Program Overview

Mission

The charlotte radiology voluntary employee benefit trust pays health care and prescription drug claims for charlotte radiology employees and their dependents participating in the plan.

To pay health care and prescription drug claims for charlotte radiology employees and their dependents participating in the plan.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$1,551,375$386,061▼ $1,165,314
Cap Stk Tr Prin Current Funds$1,495,256$253,730▼ $1,241,526
Prepaid Expenses and Deferred Charges$99,250$26,713▼ $72,537
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$0$0→ $0
Total Assets$1,672,425$425,619▼ $1,246,806
Other Assets Total$21,800$12,845▼ $8,955
Liabilities
Accounts Payable and Accrued Expenses$177,169$171,889▼ $5,280
Total Liabilities$177,169$171,889▼ $5,280
Net Assets / Fund Balance
Total Net Assets Fund Balance$1,495,256$253,730▼ $1,241,526
Total Liabilities and Net Assets / Fund Balance$1,672,425$425,619▼ $1,246,806
Compensation and Service Providers
Top Officer Pay51st percentile

Board Members and Trustees

NameTitle
Robert L Mittl JrPresident
C Peter ChangTreasurer & Trustee
Robert J RaibleTrustee
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$4,907,774
Investment Income
$388
Other Revenue
$0
Change in Net Assets
$-1,246,806

Audited Revenue Reconciliation

Revenue per Audited Statements
$4,908,162
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Total Revenue per Audited Statements
$4,908,162
Total Revenue per Form 990
$4,908,162
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$335,571
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---$5,819,397
Fees for Services Management---$335,571
Total Functional Expenses$0$0$0$6,154,968

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$6,154,968
Total Expenses per Audited Statements$6,154,968
Total Expenses per Form 990$6,154,968
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$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
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Audit committee
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 8B

“Due to the small size of the board, the organization has no committees.”

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

“Board members listed in part vii are provided a copy of the 990 prior to filing.”

Form 990, Part VI, Section C, Line 19

“The organization will make its governing documents and other related policies and documents available upon request.”

Filing and Contact Details

Filer

Filer Name
Charlotte Radiology Pa Voluntary
EIN
56-2175586
Phone
7043627093
Address
700 E MOREHEAD ST, CHARLOTTE, NC 28202

Signing Officer

Name
Arl Van Moore
Title
Treasurer & Trustee
Phone
7043627093
Signed
2018-11-08
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Dr Robert L Mittl Jr
Formed
2000
Legal Domicile
Nc
Voting Board Members
2
Independent Board Members
2
Employees
0
Volunteers
0

Preparer

Firm
Cliftonlarsonallen Llp
Address
227 WEST TRADE STREET SUITE 800, CHARLOTTE, NC 28202
Preparer
John Norman
Phone
7049985200
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

“Changes in claims payable 12,280. Change in ibnr -7,000.”

Form 990, Part XII, Line 2C

“No changes for approving audited financial statements or selection of independent accountants have occurred from the prior year.”

Financial Statement Notes

PART X, LINE 2:

“The veba trust funding certain benefits of the plan received an exemption letter from the irs dated january 12, 2001, stating that the trust is tax-exempt under the provisions of section 501(c)9 of the irc. However, as a result of the plan's funding policy, from time to time the trust may be subject to income taxes. No federal or state income taxes have been recorded in 2017 and 2016 for unrelated business taxable income. In addition, the plan and trust are required to operate in conformity with the irc to maintain the tax-exempt status of the trust. The plan administrator believes that the plan is being operated in compliance with the applicable requirements of the irc and, therefore, believes that the related trust is tax-exempt. 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 the plan has taken an uncertain position that more likely than not would not be sustained upon examination by the irs. The plan is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress.”

Raw XML Appendix277 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.

Path#Value
IRS990/AccountantCompileOrReviewInd00
IRS990/AccountsPayableAccrExpnssGrp/BOYAmt0177169
IRS990/AccountsPayableAccrExpnssGrp/EOYAmt0171889
IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0TO PAY HEALTH CARE AND PRESCRIPTION DRUG CLAIMS FOR CHARLOTTE RADIOLOGY EMPLOYEES AND THEIR DEPENDENTS PARTICIPATING IN THE PLAN.
IRS990/AuditCommitteeInd00
IRS990/BenefitsToMembersGrp/TotalAmt05819397
IRS990/BooksInCareOfDetail/PersonNm0JENNIFER HICKS
IRS990/BooksInCareOfDetail/PhoneNum07043627093
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt0700 E MOREHEAD ST
IRS990/BooksInCareOfDetail/USAddress/CityNm0CHARLOTTE
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0NC
IRS990/BooksInCareOfDetail/USAddress/ZIPCd028202
IRS990/BusinessRlnWithFamMemInd00
IRS990/BusinessRlnWithOfficerEntInd00
IRS990/BusinessRlnWithOrgMemInd00
IRS990/CapStkTrPrinCurrentFundsGrp/BOYAmt01495256
IRS990/CapStkTrPrinCurrentFundsGrp/EOYAmt0253730
IRS990/CashNonInterestBearingGrp/BOYAmt01551375
IRS990/CashNonInterestBearingGrp/EOYAmt0386061
IRS990/ChangeToOrgDocumentsInd00
IRS990/CntrctRcvdGreaterThan100KCnt00
IRS990/CollectionsOfArtInd00
IRS990/CompensationFromOtherSrcsInd00
IRS990/CompensationProcessCEOInd00
IRS990/CompensationProcessOtherInd00
IRS990/ConflictOfInterestPolicyInd00
IRS990/ConservationEasementsInd00
IRS990/ConsolidatedAuditFinclStmtInd00
IRS990/CreditCounselingInd00
IRS990/CYBenefitsPaidToMembersAmt05819397
IRS990/CYContributionsGrantsAmt00
IRS990/CYGrantsAndSimilarPaidAmt00
IRS990/CYInvestmentIncomeAmt0388
IRS990/CYOtherExpensesAmt0335571
IRS990/CYOtherRevenueAmt00
IRS990/CYProgramServiceRevenueAmt04907774
IRS990/CYRevenuesLessExpensesAmt0-1246806
IRS990/CYSalariesCompEmpBnftPaidAmt00
IRS990/CYTotalExpensesAmt06154968
IRS990/CYTotalFundraisingExpenseAmt00
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt04908162
IRS990/DecisionsSubjectToApprovaInd00
IRS990/DeductibleArtContributionInd00
IRS990/DeductibleNonCashContriInd00
IRS990/DelegationOfMgmtDutiesInd00
IRS990/Desc0FOR THOSE EMPLOYEES PARTICIPATING IN THE PLAN THE CHARLOTTE RADIOLOGY VOLUNTARY EMPLOYEE BENEFIT TRUST PROVIDED HEALTH CARE SERVICES AND PRESCRIPTION DRUG SERVICES TO EMPLOYEES AND DEPENDENTS DURING THE 2017 YEAR.
IRS990/DescribedInSection501c3Ind00
IRS990/DisregardedEntityInd00
IRS990/DocumentRetentionPolicyInd01
IRS990/DonorAdvisedFundInd00
IRS990/ElectionOfBoardMembersInd00
IRS990/EmployeeCnt00
IRS990/FamilyOrBusinessRlnInd00
IRS990/FederalGrantAuditRequiredInd00
IRS990/FeesForServicesManagementGrp/TotalAmt0335571
IRS990/ForeignActivitiesInd00
IRS990/ForeignFinancialAccountInd00
IRS990/ForeignOfficeInd00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt00.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt10.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt20.00
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd0X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd1X
IRS990/Form990PartVIISectionAGrp/OfficerInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd1X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
IRS990/Form990PartVIISectionAGrp/PersonNm0C PETER CHANG
IRS990/Form990PartVIISectionAGrp/PersonNm1ROBERT J RAIBLE
IRS990/Form990PartVIISectionAGrp/PersonNm2ROBERT L MITTL JR
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/TitleTxt0TREASURER & TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt1TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt2PRESIDENT
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/FormationYr02000
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd0X
IRS990/FSAuditedInd01
IRS990/FundraisingActivitiesInd00
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt02
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossReceiptsAmt04908162
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd01
IRS990/IndependentAuditFinclStmtInd01
IRS990/IndependentVotingMemberCnt02
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartXIIInd0X
IRS990/InfoInScheduleOPartXIInd0X
IRS990/InvestmentIncomeGrp/ExclusionAmt0388
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt0388
IRS990/InvestmentInJointVentureInd00
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LegalDomicileStateCd0NC
IRS990/LoanOutstandingInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd00
IRS990/MethodOfAccountingCashInd0X
IRS990/MinutesOfCommitteesInd00
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0THE CHARLOTTE RADIOLOGY VOLUNTARY EMPLOYEE BENEFIT TRUST PAYS HEALTH CARE AND PRESCRIPTION DRUG CLAIMS FOR CHARLOTTE RADIOLOGY EMPLOYEES AND THEIR DEPENDENTS PARTICIPATING IN THE PLAN.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt01495256
IRS990/NetAssetsOrFundBalancesEOYAmt0253730
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd00
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501cInd0X
IRS990/OrgDoesNotFollowSFAS117Ind0X
IRS990/OtherAssetsTotalGrp/BOYAmt021800
IRS990/OtherAssetsTotalGrp/EOYAmt012845
IRS990/OtherChangesInNetAssetsAmt05280
IRS990/PartialLiquidationInd00
IRS990/PdInCapSrplsLandBldgEqpFundGrp/BOYAmt00
IRS990/PdInCapSrplsLandBldgEqpFundGrp/EOYAmt00
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt099250
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt026713
IRS990/PrincipalOfficerNm0DR ROBERT L MITTL JR
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0525100
IRS990/ProgramServiceRevenueGrp/BusinessCd1525100
IRS990/ProgramServiceRevenueGrp/Desc0HEALTH CARE PREMIUMS
IRS990/ProgramServiceRevenueGrp/Desc1CAPTIVE REFUNDS
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt04891237
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt116537
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt04891237
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt116537
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt05251243
IRS990/PYContributionsGrantsAmt00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt01535
IRS990/PYOtherExpensesAmt0353155
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt04529408
IRS990/PYRevenuesLessExpensesAmt0-1073455
IRS990/PYSalariesCompEmpBnftPaidAmt00
IRS990/PYTotalExpensesAmt05604398
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt04530943
IRS990/ReconcilationRevenueExpnssAmt0-1246806
IRS990/RelatedEntityInd00
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd00
IRS990/ReportProgramRelatedInvstInd00
IRS990/RtnEarnEndowmentIncmOthFndsGrp/BOYAmt00
IRS990/RtnEarnEndowmentIncmOthFndsGrp/EOYAmt00
IRS990/ScheduleBRequiredInd00
IRS990ScheduleD/ExpensesNotReportedAmt00
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt00
IRS990ScheduleD/ExpensesSubtotalAmt06154968
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/RevenueNotReportedAmt00
IRS990ScheduleD/RevenueNotReportedFinclStmtAmt00
IRS990ScheduleD/RevenueSubtotalAmt04908162
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0THE VEBA TRUST FUNDING CERTAIN BENEFITS OF THE PLAN RECEIVED AN EXEMPTION LETTER FROM THE IRS DATED JANUARY 12, 2001, STATING THAT THE TRUST IS TAX-EXEMPT UNDER THE PROVISIONS OF SECTION 501(C)9 OF THE IRC. HOWEVER, AS A RESULT OF THE PLAN'S FUNDING POLICY, FROM TIME TO TIME THE TRUST MAY BE SUBJECT TO INCOME TAXES. NO FEDERAL OR STATE INCOME TAXES HAVE BEEN RECORDED IN 2017 AND 2016 FOR UNRELATED BUSINESS TAXABLE INCOME. IN ADDITION, THE PLAN AND TRUST ARE REQUIRED TO OPERATE IN CONFORMITY WITH THE IRC TO MAINTAIN THE TAX-EXEMPT STATUS OF THE TRUST. THE PLAN ADMINISTRATOR BELIEVES THAT THE PLAN IS BEING OPERATED IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE IRC AND, THEREFORE, BELIEVES THAT THE RELATED TRUST IS TAX-EXEMPT. 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 THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleD/TotalExpensesPerForm990Amt06154968
IRS990ScheduleD/TotalRevenuePerForm990Amt04908162
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt04908162
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt06154968
IRS990/ScheduleJRequiredInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0DUE TO THE SMALL SIZE OF THE BOARD, THE ORGANIZATION HAS NO COMMITTEES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1BOARD MEMBERS LISTED IN PART VII ARE PROVIDED A COPY OF THE 990 PRIOR TO FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE ORGANIZATION WILL MAKE ITS GOVERNING DOCUMENTS AND OTHER RELATED POLICIES AND DOCUMENTS AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3CHANGES IN CLAIMS PAYABLE 12,280. CHANGE IN IBNR -7,000.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4NO CHANGES FOR APPROVING AUDITED FINANCIAL STATEMENTS OR SELECTION OF INDEPENDENT ACCOUNTANTS HAVE OCCURRED FROM THE PRIOR YEAR.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 8B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART XI, LINE 9:
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART XII, LINE 2C
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt01672425
IRS990/TotalAssetsEOYAmt0425619
IRS990/TotalAssetsGrp/BOYAmt01672425
IRS990/TotalAssetsGrp/EOYAmt0425619
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/TotalAmt06154968
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt0177169
IRS990/TotalLiabilitiesEOYAmt0171889
IRS990/TotalLiabilitiesGrp/BOYAmt0177169
IRS990/TotalLiabilitiesGrp/EOYAmt0171889
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt01495256
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0253730
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceRevenueAmt04907774
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt0388
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt04907774
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt04908162
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt01672425
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0425619
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TypeOfOrganizationTrustInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0700 E MOREHEAD ST
IRS990/USAddress/CityNm0CHARLOTTE
IRS990/USAddress/StateAbbreviationCd0NC
IRS990/USAddress/ZIPCd028202
IRS990/VotingMembersGoverningBodyCnt02
IRS990/VotingMembersIndependentCnt02
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd00
ReturnHeader/BuildTS02019-02-21 02:37:17Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0ARL VAN MOORE
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0TREASURER & TRUSTEE
ReturnHeader/BusinessOfficerGrp/PhoneNum07043627093
ReturnHeader/BusinessOfficerGrp/SignatureDt02018-11-08
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0CHARLOTTE RADIOLOGY PA VOLUNTARY
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0EMPLOYEE BENEFIT TRUST
ReturnHeader/Filer/BusinessNameControlTxt0CHAR
ReturnHeader/Filer/EIN0562175586
ReturnHeader/Filer/PhoneNum07043627093
ReturnHeader/Filer/USAddress/AddressLine1Txt0700 E MOREHEAD ST
ReturnHeader/Filer/USAddress/CityNm0CHARLOTTE
ReturnHeader/Filer/USAddress/StateAbbreviationCd0NC
ReturnHeader/Filer/USAddress/ZIPCd028202
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId0967DCA4FABF3D6C7AE4D014617AEEE9CE601AE20
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId005D40396C64CAAEAD6B5F0229E39251D2935E1B1
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt067.137.57.251
ReturnHeader/FilingSecurityInformation/IPDt02018-11-08
ReturnHeader/FilingSecurityInformation/IPTimezoneCd0ES
ReturnHeader/FilingSecurityInformation/IPTm019:00:33
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0410746749
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0CLIFTONLARSONALLEN LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0227 WEST TRADE STREET SUITE 800
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0CHARLOTTE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0NC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd028202
ReturnHeader/PreparerPersonGrp/PhoneNum07049985200
ReturnHeader/PreparerPersonGrp/PreparationDt02018-11-08
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0JOHN NORMAN
ReturnHeader/ReturnTs02018-11-12T16:15:09-06:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02017-01-01
ReturnHeader/TaxPeriodEndDt02017-12-31
ReturnHeader/TaxYr02017

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