2024-10-23T08:10:14-05:00 2023-12-31 351476702 BRADY WARE & SCHOENFELD INC 2206 CHESTER BLVD RICHMOND IN 47374 990 2023-01-01 616613201 MEDICAL PRACTICE CONSORTIUM TRUST MEDI 3174547711 322 CANAL WALK INDIANAPOLIS IN 46202 FRANCIS PRICE JR MD PRESIDENT 3174547711 2024-10-07 1 1 TRACY A HAINES CPA P00517541 7659660531 2024-10-07 2023 2024-10-15 13:58:12Z FRANCIS PRICE JR MD 322 CANAL WALK INDIANAPOLIS IN 46202 13376960 0 X WWW.INDIANAMPC.ORG X 2018 IN TO ESTABLISH ONE OR MORE EMPLOYEE WELFARE BENEFIT PLANS FOR THE MEDICAL PRACTICE CONSORTIUM EMPLOYERS. 5 5 0 5 354935 269370 0 0 10004170 10007010 189293 354935 0 0 10193463 10361945 0 0 6130175 9565360 0 0 0 0 0 2679534 3028964 8809709 12594324 1383754 -2232379 15627865 14774218 1537998 2115219 14089867 12658999 THE TRUST WAS SET UP TO ESTABLISH ONE OR MORE EMPLOYEE WELFARE BENEFIT PLANS FOR THE MEDICAL PRACTICE CONSORTIUM EMPLOYERS. 0 0 THE SOLE PURPOSE AND ACTIVITY OF THE TRUST IS TO ESTABLISH ONE OR MORE EMPLOYEE WELFARE BENEFIT PLANS FOR THE MEDICAL PRACTICE CONSORTIUM EMPLOYERS. 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 5 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 X 5 5 0 0 0 0 1 0 0 1 0 0 0 1 0 0 0 0 0 0 IN X OLIVIA HEBENSTREIT 3174547711 322 CANAL WALK INDIANAPOLIS IN 46202 X FRANCIS PRICE JR MD PRESIDENT 2.00 X X 0 0 0 STEVE FREELAND TREASURER 2.00 X X 0 0 0 MARK FLOYD MD VICE PRESIDENT 2.00 X X 0 0 0 CINDY BASINSKI MD TRUSTEE 2.00 X 0 0 0 DENNIS ERDMAN MD TRUSTEE 2.00 X 0 0 0 0 0 0 0 0 0 0 INDIANA STATE MEDICAL ASSOCIATION INSURA 322 CANAL WALK INDIANAPOLIS IN 46202 MANAGEMENT FEES 266855 LHD BENEFITS ADVISORS 250 W 96TH ST STE 350 INDIANAPOLIS IN 46260 ADVISOR 128400 2 INSURANCE PREMIUMS 900099 10007010 10007010 10007010 377875 377875 2992075 3015015 -22940 -22940 -22940 10361945 10007010 354935 0 9565360 70265 39815 69915 2419 43446 CURRENT YEAR 990-T ESTI 114915 STOP LOSS PREMIUMS 1171904 FIXED RETENTION COSTS 983564 ADMINISTRATIVE FEES 527656 5065 12594324 6133327 4481829 489692 540288 19534 18102 8985312 9733999 15627865 14774218 129989 89676 788604 927741 619405 1097802 1537998 2115219 X 0 0 0 0 14089867 12658999 14089867 12658999 15627865 14774218 X -2232379 801510 1 X X 0 0 0 0 CLAIMS PAYABLE 286802 IBNR 811000 1097802 FORM 990, PART VI, SECTION A, LINE 6 THE MEDICAL PRACTICE CONSORTIUM TRUST (THE "TRUST") WAS ESTABLISHED IN 2018 BY THE MEDICAL PRACTICE CONSORTIUM AND THE BOARD OF TRUSTEES TO PROVIDE HEALTH AND OTHER BENEFITS COVERING ALL ELIGIBLE EMPLOYEES OF PARTICIPATING MEDICAL PRACTICES LOCATED IN THE STATE OF INDIANA (EMPLOYERS). FORM 990, PART VI, SECTION A, LINE 8B THERE IS NO COMMITTEE WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS COMPLETED BY AN EXTERNAL CERTIFIED PUBLIC ACCOUNTING FIRM. THE FINANCIAL INFORMATION IS REVIEWED AND TIED BACK TO THE FINANCIAL STATEMENTS TO VERIFY ACCURACY. ALL OTHER INFORMATION IS REVIEWED FOR ACCURACY PRIOR TO SIGNING AND SUBMITTING. FORM 990 IS PROVIDED TO ALL TRUSTEES FOR REVIEW AND COMMENTS PRIOR TO SIGNING AND SUBMITTING. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: ROUNDING 1. FORM 990. PART XII, LINE 2 THERE WERE NO AUDITED FINANCIAL STATEMENTS FOR THE TRUST, HOWEVER, THERE WAS A SEPARATE PLAN AUDIT DURING 2023 FOR THE MEDICAL PRACTICE CONSORTIUM HEALTH PLAN. 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