Civic Intelligence

Anesthesia Benefit Trust

990EZ • Fiscal year 2017 • EIN 59-3154909

Jan 01, 2017 to Jul 14, 2017 • Filed on Oct 20, 2017

Organization ProfileN/A
851 TRAFALGAR CT Suite 200EMaitland, FL 32751

(407) 667-0505

Siviq Scores

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

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on this filing.

Source year 2017

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on this filing.

Source year 2017

Net Margin

Score unavailable

No value available

Net margin requires both revenue and expenses on this filing.

Source year 2017

Top Officer Pay

72nd percentile

$0

Higher top officer pay than 72% of similar nonprofits.

2017 filings • 501(c)9 • <$500k nonprofits • Source year 2017

Asset Growth

10th percentile

-100%

Faster asset growth than 10% of similar nonprofits.

2017 filings • 501(c)9 • <$500k nonprofits • Annualized from 2016 to 2017

Revenue Growth

5th percentile

-100%

Faster revenue growth than 5% of similar nonprofits.

2017 filings • 501(c)9 • <$500k nonprofits • Annualized from 2016 to 2017

Balance Sheet
Liabilities / AssetsScore unavailable

Assets

Down

$0

Down $632,343 (-100%) from 2016

Net Assets

Down

$0

Down $336,980 (-100%) from 2016

Liabilities

Down

$0

Down $295,363 (-100%) from 2016

Revenue And Expenses
Liabilities / RevenueScore unavailableNet MarginScore unavailable

Revenue

Down

$0

Down $4,296,054 (-100%) from 2016

Expenses

Down

$336,980

Down $4,130,798 (-92%) from 2016

Net Income

Down

-$336,980

Down $165,256 (-96%) from 2016

Historical Trend

Balance Sheet Trend

Asset Growth10th percentile

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

$800K$600K$400K$200K$0Assets 2010: $498,683Liabilities 2010: $0Net Assets 2010: $498,6832010Assets 2011: $575,469Liabilities 2011: $0Net Assets 2011: $575,4692011Assets 2012: $624,480Liabilities 2012: $0Net Assets 2012: $624,4802012Assets 2013: $381,180Liabilities 2013: $0Net Assets 2013: $381,1802013Assets 2014: $411,290Liabilities 2014: $0Net Assets 2014: $411,2902014Assets 2015: $719,206Liabilities 2015: $210,502Net Assets 2015: $508,7042015Assets 2016: $632,343Liabilities 2016: $295,363Net Assets 2016: $336,9802016Assets 2017: $0Liabilities 2017: $0Net Assets 2017: $02017

Highlighted filing

2017

Assets$0
Liabilities$0
Net Assets$0
Open 2017 Filing

Operations Trend

Revenue Growth5th percentile

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

$6.0M$4.0M$2.0M$0-$2.0MExpenses 2010: $2,201,3732010Expenses 2011: $2,736,6002011Expenses 2012: $2,279,7392012Revenue 2013: $2,030,028Expenses 2013: $2,273,328Net Income 2013: -$243,3002013Revenue 2014: $3,439,848Expenses 2014: $3,408,922Net Income 2014: $30,9262014Revenue 2015: $4,225,932Expenses 2015: $4,128,383Net Income 2015: $97,5492015Revenue 2016: $4,296,054Expenses 2016: $4,467,778Net Income 2016: -$171,7242016Revenue 2017: $0Expenses 2017: $336,980Net Income 2017: -$336,9802017

Highlighted filing

2017

Revenue$0
Expenses$336,980
Net Income-$336,980
Open 2017 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Jul 14, 2017
Signed
Oct 20, 2017
Return Version
2016v3.1
Gross Receipts
$0
Mission and Program Overview

Mission

The anesthesia benefit trust is for the sole purpose of accumulating and contributing to the trust fund to provide health benefits.

Program Services

DescriptionGrantsExpenses
TO ACCUMULATE AND CONTRIBUTE TO THE TRUST FUND TO PROVIDE HEALTH BENEFITS.-$336,980
Compensation and Service Providers
Top Officer Pay72nd percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
D KURT JONES MDPresident-$0--
ARUN V MOORJANI MDVice President-$0--
JASON ACOSTA MDDirector-$0--
KEVIN C ANGERT MDDirector-$0--
MOEED S AZAM MDDirector-$0--
BRANDON LENOX MDDirector-$0--
ROBERT K MICHAELS MDDirector-$0--
D BRIAN JAEGER MDDirector-$0--
G EDWIN WILSON MDDirector-$0--
Governance and Compliance

Governance Explanations

Form 990, Part VI, Section B, Line 11

“Controller will verify against records and original documents prior to filing”

Form 990, Part VI, Section C, Line 19

“Put notice on bulletin board that information is available. Available upon request. E-mail is sent to employees not at physical location.”

Filing and Contact Details

Filer

Filer Name
Anesthesia Benefit Trust
EIN
59-3154909
In Care Of
% ROBERT GRABOW
Phone
4076670505
Address
851 TRAFALGAR CT Suite 200E, MAITLAND, FL 32751

Signing Officer

Name
Robert Grabow
Title
Sr VP Operations
Phone
4076670505
Signed
2017-10-20
Discuss with paid preparer
Yes

Preparer

Firm
Withumsmithbrownpc
Address
1417 EAST CONCORD STREET, ORLANDO, FL 32803-5409
Preparer
Russell Goldberg CPA
Phone
4078491569
Supplemental Narrative

Additional Explanations

Form 990EZ Part I Line 16

“Description:OPERATION WELFARE BENEFIT Amount:336980”

Raw XML Appendix164 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
IRS990EZ/ActivitiesNotPreviouslyRptInd0false
IRS990EZ/BooksInCareOfDetail/PersonNm0ROBERT GRABOW
IRS990EZ/BooksInCareOfDetail/PhoneNum04076670505
IRS990EZ/BooksInCareOfDetail/USAddress/AddressLine1Txt0851 TRAFALGAR COURT SUITE 200E
IRS990EZ/BooksInCareOfDetail/USAddress/CityNm0MAITLAND
IRS990EZ/BooksInCareOfDetail/USAddress/StateAbbreviationCd0FL
IRS990EZ/BooksInCareOfDetail/USAddress/ZIPCd032751
IRS990EZ/CashSavingsAndInvestmentsGrp/BOYAmt0540889
IRS990EZ/CashSavingsAndInvestmentsGrp/EOYAmt00
IRS990EZ/ChgMadeToOrgnzngDocNotRptInd0false
IRS990EZ/CostOfGoodsSoldAmt00
IRS990EZ/CostOrOtherBasisExpenseSaleAmt00
IRS990EZ/DonorAdvisedFndsInd0false
IRS990EZ/ExcessOrDeficitForYearAmt0-336980
IRS990EZ/FiledScheduleAInd0false
IRS990EZ/FinalReturnInd0X
IRS990EZ/ForeignFinancialAccountInd0false
IRS990EZ/ForeignOfficeInd0false
IRS990EZ/Form990TotalAssetsGrp/BOYAmt0632343
IRS990EZ/Form990TotalAssetsGrp/EOYAmt00
IRS990EZ/GainOrLossFromSaleOfAssetsAmt00
IRS990EZ/GrossProfitLossSlsOfInvntryAmt00
IRS990EZ/GrossReceiptsAmt00
IRS990EZ/InfoInScheduleOPartIInd0X
IRS990EZ/LandAndBuildingsGrp/BOYAmt00
IRS990EZ/LandAndBuildingsGrp/EOYAmt00
IRS990EZ/LoansToFromOfficersAmt00
IRS990EZ/MadeLoansToFromOfficersInd0false
IRS990EZ/MethodOfAccountingCashInd0X
IRS990EZ/NetAssetsOrFundBalancesBOYAmt0336980
IRS990EZ/NetAssetsOrFundBalancesEOYAmt00
IRS990EZ/NetAssetsOrFundBalancesGrp/BOYAmt0336980
IRS990EZ/NetAssetsOrFundBalancesGrp/EOYAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt01.0
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt11.0
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt21.0
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt31.0
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt41.0
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt51.0
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt61.0
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt71.0
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt81.0
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt30
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt40
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt60
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt70
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt80
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt30
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt40
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt60
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt70
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt80
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt30
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt40
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt60
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt70
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt80
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm0D KURT JONES MD
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm1ARUN V MOORJANI MD
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm2JASON ACOSTA MD
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm3KEVIN C ANGERT MD
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm4MOEED S AZAM MD
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm5BRANDON LENOX MD
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm6ROBERT K MICHAELS MD
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm7D BRIAN JAEGER MD
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm8G EDWIN WILSON MD
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt0PRESIDENT
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt1VICE PRESIDENT
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt2DIRECTOR
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt3DIRECTOR
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt4DIRECTOR
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt5DIRECTOR
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt6DIRECTOR
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt7DIRECTOR
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt8DIRECTOR
IRS990EZ/OperateHospitalInd0false
IRS990EZ/Organization501cInd0X
IRS990EZ/OrganizationDissolvedEtcInd0true
IRS990EZ/OrganizationHadUBIInd0false
IRS990EZ/OtherAssetsTotalDetail/BOYAmt091454
IRS990EZ/OtherAssetsTotalDetail/EOYAmt00
IRS990EZ/OtherExpensesTotalAmt0336980
IRS990EZ/PoliticalCampaignActyInd0false
IRS990EZ/PrimaryExemptPurposeTxt0THE ANESTHESIA BENEFIT TRUST IS FOR THE SOLE PURPOSE OF ACCUMULATING AND CONTRIBUTING TO THE TRUST FUND TO PROVIDE HEALTH BENEFITS.
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt0TO ACCUMULATE AND CONTRIBUTE TO THE TRUST FUND TO PROVIDE HEALTH BENEFITS.
IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt0336980
IRS990EZ/ProhibitedTaxShelterTransInd0false
IRS990EZ/RelatedOrganizationCtrlEntInd0false
IRS990EZ/SalariesOtherCompEmplBnftAmt00
IRS990EZ/ScheduleBNotRequiredInd0X
IRS990EZ/SpecialEventsDirectExpensesAmt00
IRS990EZ/SpecialEventsNetIncomeLossAmt00
IRS990EZ/StatesWhereCopyOfReturnIsFldCd0FL
IRS990EZ/SubjectToProxyTaxInd0false
IRS990EZ/SumOfTotalLiabilitiesGrp/BOYAmt0295363
IRS990EZ/SumOfTotalLiabilitiesGrp/EOYAmt00
IRS990EZ/TanningServicesProvidedInd0false
IRS990EZ/TotalExpensesAmt0336980
IRS990EZ/TotalProgramServiceExpensesAmt0336980
IRS990EZ/TotalRevenueAmt00
IRS990EZ/TransactionWithControlEntInd0false
IRS990EZ/TypeOfOrganizationTrustInd0X
IRS990EZ/WebsiteAddressTxt0N/A
IRS990ScheduleN/AssetsDistributedInd0true
IRS990ScheduleN/BondsOutstandingInd0false
IRS990ScheduleN/DirectorOfSuccessorInd0false
IRS990ScheduleN/EmployeeOfSuccessorInd0false
IRS990ScheduleN/LiabilitiesPaidInd0true
IRS990ScheduleN/OwnerOfSuccessorInd0false
IRS990ScheduleN/ReceiveCompensationInd0false
IRS990ScheduleN/RequiredToNotifyAGInd0false
IRS990ScheduleN/SupplementalInformationDetail/ExplanationTxt0THERE WERE NO ASSETS TRANSFERRED DURING THE YEAR OR TRANSACTION EXPENSES PAID BY THE TRUST IN CONNECTION WITH ITS TERMINATION. ALL ASSETS WERE DISBURSED IN THE NORMAL COURSE OF OPERATIONS FOR MEDICAL CLAIMS PAID TO WELFARE BENEFIT PLAN PARTICIPANTS.
IRS990ScheduleN/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 1
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0CONTROLLER WILL VERIFY AGAINST RECORDS AND ORIGINAL DOCUMENTS PRIOR TO FILING
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1PUT NOTICE ON BULLETIN BOARD THAT INFORMATION IS AVAILABLE. AVAILABLE UPON REQUEST. E-MAIL IS SENT TO EMPLOYEES NOT AT PHYSICAL LOCATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2Description:OPERATION WELFARE BENEFIT Amount:336980
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990EZ PART I LINE 16
ReturnHeader/BuildTS02017-02-10 21:41:12Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0ROBERT GRABOW
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0SR VP OPERATIONS
ReturnHeader/BusinessOfficerGrp/PhoneNum04076670505
ReturnHeader/BusinessOfficerGrp/SignatureDt02017-10-20
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0ANESTHESIA BENEFIT TRUST
ReturnHeader/Filer/BusinessNameControlTxt0ANES
ReturnHeader/Filer/EIN0593154909
ReturnHeader/Filer/InCareOfNm0% ROBERT GRABOW
ReturnHeader/Filer/PhoneNum04076670505
ReturnHeader/Filer/USAddress/AddressLine1Txt0851 TRAFALGAR CT Suite 200E
ReturnHeader/Filer/USAddress/CityNm0MAITLAND
ReturnHeader/Filer/USAddress/StateAbbreviationCd0FL
ReturnHeader/Filer/USAddress/ZIPCd032751
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId0788ED973465C2B36BF7EA0893C2972485BA004B5
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId0E23E277E626A2ADA3DD35CF2AB1E74505E37E8E1
ReturnHeader/FilingSecurityInformation/FederalOriginalSubmissionId022006220172965000031
ReturnHeader/FilingSecurityInformation/FederalOriginalSubmissionIdDt02017-10-23
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt097.68.141.10
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0WITHUMSMITHBROWNPC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt01417 EAST CONCORD STREET
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0ORLANDO
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0FL
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0328035409
ReturnHeader/PreparerPersonGrp/PhoneNum04078491569
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0RUSSELL GOLDBERG CPA
ReturnHeader/ReturnTs02017-10-23T13:31:18-05:00
ReturnHeader/ReturnTypeCd0990EZ
ReturnHeader/TaxPeriodBeginDt02017-01-01
ReturnHeader/TaxPeriodEndDt02017-07-14
ReturnHeader/TaxYr02016

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2017 • Form 990EZDetailed filing. Detailed filing data is available for this year.

Open filing
Assets
$0
Liabilities
$0
Net assets
$0
Revenue
$0
Expenses
$336,980
Net income
-$336,980
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2017Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$0.00$0.34$0.34
2016Detailed filing. Detailed filing data is available for this year.$0.63$0.30$0.34$4.30$4.47$0.17
2015Detailed filing. Detailed filing data is available for this year.$0.72$0.21$0.51$4.23$4.13$0.10
2014Detailed filing. Detailed filing data is available for this year.$0.41$0.00$0.41$3.44$3.41$0.03
2013Detailed filing. Detailed filing data is available for this year.$0.38$0.00$0.38$2.03$2.27$0.24
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.62$0.00$0.62$2.28
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.58$0.00$0.58$2.74
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.50$0.00$0.50$2.20