Civic Intelligence

Advanced Providers Insurance Risk Retention Group Inc

990 • Fiscal year 2020 • EIN 20-1095828

Jan 01, 2020 to Dec 31, 2020 • Filed on Nov 12, 2021

3101 N Central Ave No 400Phoenix, AZ 85012

(602) 200-6900

Siviq Scores

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

Liabilities / Assets

70th percentile

0.19x

Higher debt load relative to assets than 70% of similar nonprofits.

2020 filings • $1M-$5M nonprofits • Source year 2020

Liabilities / Revenue

93rd percentile

2.16x

Higher debt load relative to revenue than 93% of similar nonprofits.

2020 filings • $1M-$5M nonprofits • Source year 2020

Net Margin

14th percentile

-41%

Higher net margin than 14% of similar nonprofits.

2020 filings • $1M-$5M nonprofits • Source year 2020

Top Officer Pay

44th percentile

$0

Higher top officer pay than 44% of similar nonprofits.

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

2020 filings • $1M-$5M nonprofits • Source year 2020

Asset Growth

61st percentile

7.2%

Faster asset growth than 61% of similar nonprofits.

2020 filings • $1M-$5M nonprofits • Annualized from 2019 to 2020

Revenue Growth

36th percentile

-10%

Faster revenue growth than 36% of similar nonprofits.

2020 filings • $1M-$5M nonprofits • Annualized from 2019 to 2020

Assets

Up

$1,685,315

Up $113,804 (+7.2%) from 2019

Net Assets

Down

$1,362,683

Down $159,270 (-10%) from 2019

Liabilities

Up

$322,632

Up $273,074 (+551%) from 2019

Revenue

Down

$149,080

Down $16,774 (-10%) from 2019

Expenses

Up

$210,576

Up $78,147 (+59%) from 2019

Net Income

Down

-$61,496

Down $94,921 (-284%) from 2019

Historical Trend

Balance Sheet Trend

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

$2.0M$1.5M$1.0M$500K$0Assets 2011: $1,389,967Liabilities 2011: $19,671Net Assets 2011: $1,370,2962011Assets 2012: $1,594,581Liabilities 2012: $15,195Net Assets 2012: $1,579,3862012Assets 2013: $1,738,707Liabilities 2013: $206,403Net Assets 2013: $1,532,3042013Assets 2014: $1,859,727Liabilities 2014: $164,982Net Assets 2014: $1,694,7452014Assets 2015: $1,500,679Liabilities 2015: $200,095Net Assets 2015: $1,300,5842015Assets 2016: $1,478,868Liabilities 2016: $76,632Net Assets 2016: $1,402,2362016Assets 2017: $1,513,440Liabilities 2017: $78,071Net Assets 2017: $1,435,3692017Assets 2018: $1,512,056Liabilities 2018: $60,788Net Assets 2018: $1,451,2682018Assets 2019: $1,571,511Liabilities 2019: $49,558Net Assets 2019: $1,521,9532019Assets 2020: $1,685,315Liabilities 2020: $322,632Net Assets 2020: $1,362,6832020Assets 2021: $1,682,938Liabilities 2021: $258,306Net Assets 2021: $1,424,6322021Assets 2022: $1,626,164Liabilities 2022: $258,441Net Assets 2022: $1,367,7232022Assets 2023: $1,532,421Liabilities 2023: $249,212Net Assets 2023: $1,283,2092023Assets 2024: $1,506,660Liabilities 2024: $293,209Net Assets 2024: $1,213,4512024

Highlighted filing

2020

Assets$1,685,315
Liabilities$322,632
Net Assets$1,362,683

Operations Trend

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

$600K$400K$200K$0-$200KRevenue 2011: $401,496Expenses 2011: $80,863Net Income 2011: $320,6332011Revenue 2012: $438,416Expenses 2012: $88,216Net Income 2012: $350,2002012Revenue 2013: $246,552Expenses 2013: $326,890Net Income 2013: -$80,3382013Revenue 2014: $261,879Expenses 2014: $82,376Net Income 2014: $179,5032014Revenue 2015: $237,163Expenses 2015: $295,410Net Income 2015: -$58,2472015Revenue 2016: -$24,248Expenses 2016: $96,358Net Income 2016: -$120,6062016Revenue 2017: $176,939Expenses 2017: $122,863Net Income 2017: $54,0762017Revenue 2018: $172,954Expenses 2018: $116,225Net Income 2018: $56,7292018Revenue 2019: $165,854Expenses 2019: $132,429Net Income 2019: $33,4252019Revenue 2020: $149,080Expenses 2020: $210,576Net Income 2020: -$61,4962020Revenue 2021: $106,563Expenses 2021: $83,828Net Income 2021: $22,7352021Revenue 2022: $113,021Expenses 2022: $121,491Net Income 2022: -$8,4702022Revenue 2023: $82,083Expenses 2023: $121,864Net Income 2023: -$39,7812023Revenue 2024: $123,494Expenses 2024: $222,128Net Income 2024: -$98,6342024

Highlighted filing

2020

Revenue$149,080
Expenses$210,576
Net Income-$61,496
Jump To
Filing Snapshot
Filing Period
Jan 1, 2020 to Dec 31, 2020
Signed
Nov 12, 2021
Return Version
2020v4.1
Gross Receipts
$228,110
Mission and Program Overview

Mission

To provide affordable medical malpractice insurance to medical professionals that provide home health care to the elderly

To provide affordable medical malpractice insurance to medical professionals that make house calls to elderly patients.

Balance Sheet Detail
LineBeginningEndChange
Assets
Rtn Earn Endowment Incm Other Fnds$1,510,453$1,352,683▼ $157,770
Savings and Temporary Cash Investments$1,024,525$1,116,209▲ $91,684
Investments in Publicly Traded Securities$340,229$291,697▼ $48,532
Cash and Non-Interest-Bearing Accounts$203,341$255,853▲ $52,512
Accounts Receivable$1,872$18,123▲ $16,251
Pd in Cap Srpls Land Bldg Eqp Fund$11,477$9,980▼ $1,497
Prepaid Expenses and Deferred Charges$1,544$3,433▲ $1,889
Cap Stk Tr Prin Current Funds$23$20▼ $3
Total Assets$1,571,511$1,685,315▲ $113,804
Liabilities
Accounts Payable and Accrued Expenses$40,392$152,070▲ $111,678
Other Liabilities$0$127,931▲ $127,931
Deferred Revenue$9,166$42,631▲ $33,465
Total Liabilities$49,558$322,632▲ $273,074
Net Assets / Fund Balance
Total Net Assets Fund Balance$1,521,953$1,362,683▼ $159,270
Total Liabilities and Net Assets / Fund Balance$1,571,511$1,685,315▲ $113,804
Compensation and Service Providers

Board Members and Trustees

NameTitle
Charles MarlinPresident, Treasurer, Director
Edward CaldwellDirector
Tom PlamondonDirector
Edwin Soler-valcourt MdSecretary, Director
James GordonAssistant Secretary
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$135,790
Investment Income
$13,290
Other Revenue
$0
Change in Net Assets
$-61,496
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$158,818
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---$51,758
Fees for Services Accounting---$44,515
Advertising---$9,451
Conferences and Meetings---$6,000
Other Expenses---$300
Total Functional Expenses$0$0$0$210,576
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
-Same PresidentConsulting FeesNo$54,000
-Same PresidentCommissionsNo$16,942
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
See Form 990-schedule D, Part Xiii$127,931
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Business relationship with 35% controlled entity
Yes
Business relationship with family members
No
Business relationship with organization members
Yes
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
Yes
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 1

At december 31, 2020, the company's board of directors included four individuals as listed on form 990, part vii, page 7, section a. Charles marlin, edwin soler-valcourt m.d., and tom plamondon had equal voting rights. Edward caldwell was a non-voting resident director.

Form 990, Part VI, Section A, Line 6

As an rrg, the company is owned by the member-policyholders. Policyholders are required to purchase voting common stock in the company as part of issuance of the policy.

Form 990, Part VI, Section A, Line 7A

Pursuant to the company's articles and bylaws, directors are elected by the shareholders on an annual basis. Also, all actions taken by the board of directors and officers for the year are ratified by the shareholders at the annual meeting.

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

The form 990 is prepared by gpw and associates, inc. (gpw), the contracted captive manager of the company. Gpw specializes in insurance company accounting and reporting. Financials and tax filings are reviewed and addressed during the annual board meeting.

Form 990, Part VI, Section B, Line 12C

The company is a captive risk retention group regulated by the arizona department of insurance and the national association of insurance commissioners (naic). Financial statements are filed with the state of arizona and the naic on a quarterly and annual basis. Governing documents and conflict of interest statements are also on file with the arizona department of insurance. Information is available to the public through the arizona department of insurance upon request and approval.

Form 990, Part VI, Section C, Line 19

Addressed under explanation for form 990, part vi, section b, line 12c

Form 990, Part VII, Section A, Line 1A

The company paid $70,942 to interstate healthcare for consulting fees and commissions. Interstate healthcare is the underwriting agency responsible for policies issued by the company that is owned by the company's president charles marlin. (also see schedule l)

Filing and Contact Details

Filer

Filer Name
Advanced Providers Insurance Risk
EIN
20-1095828
Phone
6022006900
Address
3101 N CENTRAL AVE NO 400, PHOENIX, AZ 85012
Doing Business As
Same

Signing Officer

Name
Charles Marlin
Title
President
Phone
6022006900
Signed
2021-11-12
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Charles Marlin
Formed
2004
Legal Domicile
Az
Voting Board Members
3
Independent Board Members
2
Employees
0
Volunteers
0

Preparer

Firm
Gpw and Associates Inc
Address
3101 N CENTRAL AVE, PHOENIX, AZ 85012-2749
Preparer
Aimee Andersen
Phone
6022006900
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

Effects of policyholder-stockholder additions / cancellations: net effect on capital stock account -3. Net effect on paid-in surplus account -1,497. Net effect on retained earnings account -125,931.

Financial Statement Notes

Form 990-schedule D, Part X - Other Liabilities, Line 2

Stock redemption balances payable to former shareholders $127,931

Raw XML Appendix330 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/BOYAmt040392
IRS990/AccountsPayableAccrExpnssGrp/EOYAmt0152070
IRS990/AccountsReceivableGrp/BOYAmt01872
IRS990/AccountsReceivableGrp/EOYAmt018123
IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0TO PROVIDE AFFORDABLE MEDICAL MALPRACTICE INSURANCE TO MEDICAL PROFESSIONALS THAT MAKE HOUSE CALLS TO ELDERLY PATIENTS.
IRS990/AdvertisingGrp/TotalAmt09451
IRS990/AnnualDisclosureCoveredPrsnInd01
IRS990/BenefitsToMembersGrp/TotalAmt051758
IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt0GPW AND ASSOCIATES INC
IRS990/BooksInCareOfDetail/PhoneNum06022006900
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt03101 N CENTRAL AVE SUITE 400
IRS990/BooksInCareOfDetail/USAddress/CityNm0PHOENIX
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0AZ
IRS990/BooksInCareOfDetail/USAddress/ZIPCd085012
IRS990/BusinessRlnWith35CtrlEntInd01
IRS990/BusinessRlnWithFamMemInd00
IRS990/BusinessRlnWithOrgMemInd01
IRS990/CapStkTrPrinCurrentFundsGrp/BOYAmt023
IRS990/CapStkTrPrinCurrentFundsGrp/EOYAmt020
IRS990/CashNonInterestBearingGrp/BOYAmt0203341
IRS990/CashNonInterestBearingGrp/EOYAmt0255853
IRS990/ChangeToOrgDocumentsInd00
IRS990/CntrctRcvdGreaterThan100KCnt00
IRS990/CollectionsOfArtInd00
IRS990/CompensationFromOtherSrcsInd00
IRS990/CompensationProcessCEOInd00
IRS990/CompensationProcessOtherInd00
IRS990/ConferencesMeetingsGrp/TotalAmt06000
IRS990/ConflictOfInterestPolicyInd01
IRS990/ConservationEasementsInd00
IRS990/ConsolidatedAuditFinclStmtInd00
IRS990/CreditCounselingInd00
IRS990/CYBenefitsPaidToMembersAmt051758
IRS990/CYContributionsGrantsAmt00
IRS990/CYGrantsAndSimilarPaidAmt00
IRS990/CYInvestmentIncomeAmt013290
IRS990/CYOtherExpensesAmt0158818
IRS990/CYOtherRevenueAmt00
IRS990/CYProgramServiceRevenueAmt0135790
IRS990/CYRevenuesLessExpensesAmt0-61496
IRS990/CYSalariesCompEmpBnftPaidAmt00
IRS990/CYTotalExpensesAmt0210576
IRS990/CYTotalFundraisingExpenseAmt00
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt0149080
IRS990/DecisionsSubjectToApprovaInd00
IRS990/DeductibleArtContributionInd00
IRS990/DeductibleNonCashContriInd00
IRS990/DeferredRevenueGrp/BOYAmt09166
IRS990/DeferredRevenueGrp/EOYAmt042631
IRS990/DelegationOfMgmtDutiesInd00
IRS990/Desc0THE COMPANY PROVIDES MEDICAL MALPRACTICE INSURANCE AT REDUCED PREMIUM RATES TO ITS MEMBER POLICYHOLDERS WHO PROVIDE MEDICAL CARE TO GERIATRIC HOME BOUND PATIENTS. THE COMPANY CURRENTLY HAS 19 POLICIES ISSUED THAT COVER PARTICIPATING PHYSICIANS, PHYSICIAN ASSISTANTS AND NURSE PRACTITIONERS. THROUGH PARTICIPATION IN THE RRG, THE HEALTH CARE PROVIDERS ARE ABLE TO KEEP THEIR PREMIUM RATES LOW ENOUGH TO CONTINUE TO SERVE ELDERLY HOME BOUND PATIENTS.
IRS990/DescribedInSection501c3Ind00
IRS990/DisregardedEntityInd00
IRS990/DocumentRetentionPolicyInd00
IRS990/DoingBusinessAsName/BusinessNameLine1Txt0SAME
IRS990/DonorAdvisedFundInd00
IRS990/DonorRstrOrQuasiEndowmentsInd00
IRS990/ElectionOfBoardMembersInd01
IRS990/EmployeeCnt00
IRS990/ExpenseAmt0210576
IRS990/FamilyOrBusinessRlnInd00
IRS990/FederalGrantAuditRequiredInd00
IRS990/FeesForServicesAccountingGrp/TotalAmt044515
IRS990/ForeignActivitiesInd00
IRS990/ForeignFinancialAccountInd00
IRS990/ForeignOfficeInd00
IRS990/Form8282PropertyDisposedOfInd00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt00.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt10.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt20.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt30.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt40.00
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd0X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd1X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd2X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd3X
IRS990/Form990PartVIISectionAGrp/OfficerInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd1X
IRS990/Form990PartVIISectionAGrp/OfficerInd2X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt30
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt40
IRS990/Form990PartVIISectionAGrp/PersonNm0CHARLES MARLIN
IRS990/Form990PartVIISectionAGrp/PersonNm1EDWIN SOLER-VALCOURT MD
IRS990/Form990PartVIISectionAGrp/PersonNm2EDWARD CALDWELL
IRS990/Form990PartVIISectionAGrp/PersonNm3TOM PLAMONDON
IRS990/Form990PartVIISectionAGrp/PersonNm4JAMES GORDON
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt40
IRS990/Form990PartVIISectionAGrp/TitleTxt0PRESIDENT, TREASURER, DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt1SECRETARY, DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt2DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt3DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt4ASSISTANT SECRETARY
IRS990/Form990ProvidedToGvrnBodyInd00
IRS990/FormationYr02004
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedInd00
IRS990/FundraisingActivitiesInd00
IRS990/GainOrLossGrp/SecuritiesAmt0-30
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt03
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt079000
IRS990/GrossReceiptsAmt0228110
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd00
IRS990/IndependentAuditFinclStmtInd00
IRS990/IndependentVotingMemberCnt02
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartVIIInd0X
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartXIInd0X
IRS990/InvestmentIncomeGrp/RelatedOrExemptFuncIncomeAmt013320
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt013320
IRS990/InvestmentInJointVentureInd00
IRS990/InvestmentsPubTradedSecGrp/BOYAmt0340229
IRS990/InvestmentsPubTradedSecGrp/EOYAmt0291697
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LegalDomicileStateCd0AZ
IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt079030
IRS990/LoanOutstandingInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd01
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0THE COMPANY IS A RISK RETENTION GROUP (RRG) THAT ISSUES MEDICAL PROFESSIONAL LIABILITY INSURANCE CONTRACTS TO ITS MEMBER HEALTHCARE PROVIDERS WHO SPECIALIZE IN GERIATRIC CARE FOR HOME BOUND PATIENTS.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt01521953
IRS990/NetAssetsOrFundBalancesEOYAmt01362683
IRS990/NetGainOrLossInvestmentsGrp/RelatedOrExemptFuncIncomeAmt0-30
IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt0-30
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NetUnrlzdGainsLossesInvstAmt029657
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd00
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501cInd0X
IRS990/OrgDoesNotFollowFASB117Ind0X
IRS990/OtherChangesInNetAssetsAmt0-127431
IRS990/OtherExpensesGrp/Desc0CONSULTING FEES
IRS990/OtherExpensesGrp/Desc1STATE TAXES, LICENSES,
IRS990/OtherExpensesGrp/Desc2NON-EMPLOYEE AGENT COMM
IRS990/OtherExpensesGrp/Desc3BANK SERVICE CHARGES
IRS990/OtherExpensesGrp/TotalAmt054000
IRS990/OtherExpensesGrp/TotalAmt127610
IRS990/OtherExpensesGrp/TotalAmt216942
IRS990/OtherExpensesGrp/TotalAmt3300
IRS990/OtherLiabilitiesGrp/BOYAmt00
IRS990/OtherLiabilitiesGrp/EOYAmt0127931
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PdInCapSrplsLandBldgEqpFundGrp/BOYAmt011477
IRS990/PdInCapSrplsLandBldgEqpFundGrp/EOYAmt09980
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt01544
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt03433
IRS990/PrincipalOfficerNm0CHARLES MARLIN
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0524126
IRS990/ProgramServiceRevenueGrp/Desc0CASUALTY INSURANCE
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt0135790
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt0135790
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt017365
IRS990/PYOtherExpensesAmt0132429
IRS990/PYOtherRevenueAmt0600
IRS990/PYProgramServiceRevenueAmt0147889
IRS990/PYRevenuesLessExpensesAmt033425
IRS990/PYSalariesCompEmpBnftPaidAmt00
IRS990/PYTotalExpensesAmt0132429
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt0165854
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0-61496
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd00
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt0149080
IRS990/RtnEarnEndowmentIncmOthFndsGrp/BOYAmt01510453
IRS990/RtnEarnEndowmentIncmOthFndsGrp/EOYAmt01352683
IRS990/SavingsAndTempCashInvstGrp/BOYAmt01024525
IRS990/SavingsAndTempCashInvstGrp/EOYAmt01116209
IRS990/ScheduleBRequiredInd00
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt0127931
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0SEE FORM 990-SCHEDULE D, PART XIII
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0STOCK REDEMPTION BALANCES PAYABLE TO FORMER SHAREHOLDERS $127,931
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990-SCHEDULE D, PART X - OTHER LIABILITIES, LINE 2
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleD/TotalLiabilityAmt0127931
IRS990/ScheduleJRequiredInd00
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/NameOfInterested/BusinessName/BusinessNameLine1Txt0INTERSTATE HEALTHCARE
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/NameOfInterested/BusinessName/BusinessNameLine1Txt1INTERSTATE HEALTHCARE
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/RelationshipDescriptionTxt0SAME PRESIDENT
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/RelationshipDescriptionTxt1SAME PRESIDENT
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/SharingOfRevenuesInd00
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/SharingOfRevenuesInd10
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionAmt016942
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionAmt154000
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionDesc0COMMISSIONS
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionDesc1CONSULTING FEES
IRS990ScheduleL/SupplementalInformationDetail/ExplanationTxt0INTERSTATE HEALTHCARE PROVIDES POLICY ISSUANCE AND UNDERWRITING SERVICES FOR THE COMPANY. CHARLES MARLIN IS THE PRESIDENT AND OWNER OF INTERSTATE HEALTHCARE. THE STOCKHOLDERS OF THE COMPANY ELECTED MR. MARLIN TO THE BOARD OF DIRECTORS AND THE BOARD OF DIRECTORS SUBSEQUENTLY ELECTED MR. MARLIN PRESIDENT DUE TO HIS VAST EXPERIENCE IN THE INSURANCE INDUSTRY.
IRS990ScheduleL/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, SCHEDULE L, PART IV, LINES 1&2
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0AT DECEMBER 31, 2020, THE COMPANY'S BOARD OF DIRECTORS INCLUDED FOUR INDIVIDUALS AS LISTED ON FORM 990, PART VII, PAGE 7, SECTION A. CHARLES MARLIN, EDWIN SOLER-VALCOURT M.D., AND TOM PLAMONDON HAD EQUAL VOTING RIGHTS. EDWARD CALDWELL WAS A NON-VOTING RESIDENT DIRECTOR.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1AS AN RRG, THE COMPANY IS OWNED BY THE MEMBER-POLICYHOLDERS. POLICYHOLDERS ARE REQUIRED TO PURCHASE VOTING COMMON STOCK IN THE COMPANY AS PART OF ISSUANCE OF THE POLICY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2PURSUANT TO THE COMPANY'S ARTICLES AND BYLAWS, DIRECTORS ARE ELECTED BY THE SHAREHOLDERS ON AN ANNUAL BASIS. ALSO, ALL ACTIONS TAKEN BY THE BOARD OF DIRECTORS AND OFFICERS FOR THE YEAR ARE RATIFIED BY THE SHAREHOLDERS AT THE ANNUAL MEETING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE FORM 990 IS PREPARED BY GPW AND ASSOCIATES, INC. (GPW), THE CONTRACTED CAPTIVE MANAGER OF THE COMPANY. GPW SPECIALIZES IN INSURANCE COMPANY ACCOUNTING AND REPORTING. FINANCIALS AND TAX FILINGS ARE REVIEWED AND ADDRESSED DURING THE ANNUAL BOARD MEETING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE COMPANY IS A CAPTIVE RISK RETENTION GROUP REGULATED BY THE ARIZONA DEPARTMENT OF INSURANCE AND THE NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS (NAIC). FINANCIAL STATEMENTS ARE FILED WITH THE STATE OF ARIZONA AND THE NAIC ON A QUARTERLY AND ANNUAL BASIS. GOVERNING DOCUMENTS AND CONFLICT OF INTEREST STATEMENTS ARE ALSO ON FILE WITH THE ARIZONA DEPARTMENT OF INSURANCE. INFORMATION IS AVAILABLE TO THE PUBLIC THROUGH THE ARIZONA DEPARTMENT OF INSURANCE UPON REQUEST AND APPROVAL.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5ADDRESSED UNDER EXPLANATION FOR FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6THE COMPANY PAID $70,942 TO INTERSTATE HEALTHCARE FOR CONSULTING FEES AND COMMISSIONS. INTERSTATE HEALTHCARE IS THE UNDERWRITING AGENCY RESPONSIBLE FOR POLICIES ISSUED BY THE COMPANY THAT IS OWNED BY THE COMPANY'S PRESIDENT CHARLES MARLIN. (ALSO SEE SCHEDULE L)
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7EFFECTS OF POLICYHOLDER-STOCKHOLDER ADDITIONS / CANCELLATIONS: NET EFFECT ON CAPITAL STOCK ACCOUNT -3. NET EFFECT ON PAID-IN SURPLUS ACCOUNT -1,497. NET EFFECT ON RETAINED EARNINGS ACCOUNT -125,931.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 1
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION A, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART VII, SECTION A, LINE 1A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7FORM 990, PART XI, LINE 9:
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt01571511
IRS990/TotalAssetsEOYAmt01685315
IRS990/TotalAssetsGrp/BOYAmt01571511
IRS990/TotalAssetsGrp/EOYAmt01685315
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/TotalAmt0210576
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt049558
IRS990/TotalLiabilitiesEOYAmt0322632
IRS990/TotalLiabilitiesGrp/BOYAmt049558
IRS990/TotalLiabilitiesGrp/EOYAmt0322632
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt01521953
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt01362683
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt0210576
IRS990/TotalProgramServiceRevenueAmt0135790
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0149080
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0149080
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt01571511
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt01685315
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt03101 N CENTRAL AVE NO 400
IRS990/USAddress/CityNm0PHOENIX
IRS990/USAddress/StateAbbreviationCd0AZ
IRS990/USAddress/ZIPCd085012
IRS990/VotingMembersGoverningBodyCnt03
IRS990/VotingMembersIndependentCnt02
IRS990/WebsiteAddressTxt0WWW.APIRRG.COM
IRS990/WhistleblowerPolicyInd00
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/AuthenticationAssuranceLevelCd0AAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/IdentityAssuranceLevelCd0IAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/TrustedCustomerCd00
ReturnHeader/BuildTS02022-09-23 18:48:47Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0CHARLES MARLIN
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT
ReturnHeader/BusinessOfficerGrp/PhoneNum06022006900
ReturnHeader/BusinessOfficerGrp/SignatureDt02021-11-12
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0ADVANCED PROVIDERS INSURANCE RISK
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0RETENTION GROUP INC
ReturnHeader/Filer/BusinessNameControlTxt0ADVA
ReturnHeader/Filer/EIN0201095828
ReturnHeader/Filer/PhoneNum06022006900
ReturnHeader/Filer/USAddress/AddressLine1Txt03101 N CENTRAL AVE NO 400
ReturnHeader/Filer/USAddress/CityNm0PHOENIX
ReturnHeader/Filer/USAddress/StateAbbreviationCd0AZ
ReturnHeader/Filer/USAddress/ZIPCd085012
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0860916908
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0GPW AND ASSOCIATES INC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt03101 N CENTRAL AVE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0PHOENIX
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0AZ
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0850122749
ReturnHeader/PreparerPersonGrp/PhoneNum06022006900
ReturnHeader/PreparerPersonGrp/PreparationDt02021-11-12
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0AIMEE ANDERSEN
ReturnHeader/ReturnTs02021-11-12T15:45:44-06:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0CHARLES
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0MARLIN
ReturnHeader/TaxPeriodBeginDt02020-01-01
ReturnHeader/TaxPeriodEndDt02020-12-31
ReturnHeader/TaxYr02020

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.51$0.29$1.21$0.12$0.22$0.10
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.53$0.25$1.28$0.08$0.12$0.04
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.63$0.26$1.37$0.11$0.12$0.01
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.68$0.26$1.42$0.11$0.08$0.02
2020Detailed filing. Detailed filing data is available for this year.$1.69$0.32$1.36$0.15$0.21$0.06
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.57$0.05$1.52$0.17$0.13$0.03
2018Summary only. Only limited summary data is available for this year.$1.51$0.06$1.45$0.17$0.12$0.06
2017Summary only. Only limited summary data is available for this year.$1.51$0.08$1.44$0.18$0.12$0.05
2016Summary only. Only limited summary data is available for this year.$1.48$0.08$1.40$0.02$0.10$0.12
2015Summary only. Only limited summary data is available for this year.$1.50$0.20$1.30$0.24$0.30$0.06
2014Summary only. Only limited summary data is available for this year.$1.86$0.16$1.69$0.26$0.08$0.18
2013Summary only. Only limited summary data is available for this year.$1.74$0.21$1.53$0.25$0.33$0.08
2012Summary only. Only limited summary data is available for this year.$1.59$0.02$1.58$0.44$0.09$0.35
2011Summary only. Only limited summary data is available for this year.$1.39$0.02$1.37$0.40$0.08$0.32