Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | AN OFFICER OR BOARD MEMBER REVIEWS AND SIGNS RETURN. |
| FORM 990, PART VI, SECTION C, LINE 19 | NO DOCUMENTS AVAILABLE TO THE PUBLIC |
| FORM 990, PART XII, LINE 2C: | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
| FORM 990, ITEM B - REASON FOR AMENDED RETURN | THE ORGANIZATION'S ORIGINAL RETURN IS BEING AMENDED TO INCLUDE A SIGNIFICANT ADJUSTMENT THAT WAS MADE TO THE ORGANIZATION'S BOOKS AFTER THE ORIGINAL RETURN WAS FILED. THE $598,874 ADJUSTMENT WAS MADE IN ORDER TO RECORD A RECEIVABLE FROM THE ORGANIZATION'S THIRD PARTY CLAIMS PROCESSOR FOR CLAIMS PROCESSED AND PAID INCORRECTLY BY THE CLAIMS PROCESSOR DURING THE YEAR. THE ADJUSTMENT DECREASED BENEFITS PAID TO OR FOR MEMBERS ON FORM 990, PART IX, LINE 4. IN CONNECTION WITH THIS ADJUSTMENT, THE ORGANIZATION UPDATED ITS BENEFIT OBLIGATION CALCULATION RESULTING IN A DECREASE IN THAT LIABILITY OF $50,000 (SCHEDULE D, PART X, LINE 1) AND AN OFFSETTING DECREASE IN BENEFITS PAID TO OR FOR MEMBERS. |
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