Civic Intelligence

Fortune Benefit Solutions Group Health Plan Trust

990 • Fiscal year 2013 • EIN 26-6121186

Jan 01, 2013 to Dec 31, 2013 • Filed on Jul 22, 2014

Organization ProfileN/A

View Organization Page

13101 Telcom DriveRoom/Suite 10033637

(813) 707-8652

Siviq Scores

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

Liabilities / Assets

98th percentile

2.06x

Higher debt load relative to assets than 98% of similar nonprofits.

2013 filings • 501(c)9 • $10M-$25M nonprofits • Source year 2013

Liabilities / Revenue

80th percentile

0.22x

Higher debt load relative to revenue than 80% of similar nonprofits.

2013 filings • 501(c)9 • $10M-$25M nonprofits • Source year 2013

Net Margin

37th percentile

-0.4%

Higher net margin than 37% of similar nonprofits.

2013 filings • 501(c)9 • $10M-$25M nonprofits • Source year 2013

Top Officer Pay

88th percentile

$245,420

Higher top officer pay than 88% of similar nonprofits.

Top officer pay equals 1.7% of source-year revenue.

2013 filings • 501(c)9 • $10M-$25M nonprofits • Source year 2013

Asset Growth

99th percentile

251%

Faster asset growth than 99% of similar nonprofits.

2013 filings • 501(c)9 • $10M-$25M nonprofits • Annualized from 2012 to 2013

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2013

Balance Sheet
Liabilities / Assets98th percentile

Assets

Up

$1,490,224

Up $1,065,672 (+251%) from 2012

Net Assets

Down

-$1,580,285

Down $56,577 (-3.7%) from 2012

Liabilities

Up

$3,070,509

Up $1,122,249 (+58%) from 2012

Revenue And Expenses
Liabilities / Revenue80th percentileNet Margin37th percentile

Revenue

$14,188,178

No earlier filing loaded for comparison.

Expenses

Up

$14,244,755

Up $2,030,724 (+17%) from 2012

Net Income

-$56,577

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

Asset Growth99th percentile

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

$10M$5.0M$0-$5.0MAssets 2010: $284,193Liabilities 2010: $863,391Net Assets 2010: -$579,1982010Assets 2011: $617,843Liabilities 2011: $779,802Net Assets 2011: -$161,9592011Assets 2012: $424,552Liabilities 2012: $1,948,260Net Assets 2012: -$1,523,7082012Assets 2013: $1,490,224Liabilities 2013: $3,070,509Net Assets 2013: -$1,580,2852013Assets 2014: $1,424,915Liabilities 2014: $4,606,263Net Assets 2014: -$3,181,3482014Assets 2015: $3,325,383Liabilities 2015: $8,015,800Net Assets 2015: -$4,690,4172015Assets 2016: $1,329,960Liabilities 2016: $3,542,299Net Assets 2016: -$2,212,3392016Assets 2017: $184,850Liabilities 2017: $187,768Net Assets 2017: -$2,9182017

Highlighted filing

2013

Assets$1,490,224
Liabilities$3,070,509
Net Assets-$1,580,285
Open 2013 Filing

Operations Trend

Revenue GrowthScore unavailable

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

$40M$30M$20M$10M$0-$10MExpenses 2010: $8,940,6222010Expenses 2011: $6,654,7902011Expenses 2012: $12,214,0312012Revenue 2013: $14,188,178Expenses 2013: $14,244,755Net Income 2013: -$56,5772013Revenue 2014: $19,834,544Expenses 2014: $21,435,607Net Income 2014: -$1,601,0632014Revenue 2015: $31,092,622Expenses 2015: $32,601,691Net Income 2015: -$1,509,0692015Revenue 2016: $29,664,600Expenses 2016: $27,186,522Net Income 2016: $2,478,0782016Revenue 2017: $2,380,779Expenses 2017: $95,959Net Income 2017: $2,284,8202017

Highlighted filing

2013

Revenue$14,188,178
Expenses$14,244,755
Net Income-$56,577
Open 2013 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
Jul 22, 2014
Return Version
2013v3.1
Gross Receipts
$14,188,178
Mission and Program Overview

Mission

To provide health and welfare benefits on behalf of participant members and their dependents.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$343,577$753,411▲ $409,834
Accounts Receivable$80,975$736,813▲ $655,838
Rtn Earn Endowment Incm Other Fnds$-1,523,708$-1,580,285▼ $56,577
Total Assets$424,552$1,490,224▲ $1,065,672
Liabilities
Accounts Payable and Accrued Expenses$472,760$1,862,009▲ $1,389,249
Other Liabilities$1,475,500$1,208,500▼ $267,000
Total Liabilities$1,948,260$3,070,509▲ $1,122,249
Net Assets / Fund Balance
Total Net Assets Fund Balance$-1,523,708$-1,580,285▼ $56,577
Total Liabilities and Net Assets / Fund Balance$424,552$1,490,224▲ $1,065,672
Compensation and Service Providers
Top Officer Pay88th percentile

Board Members and Trustees

NameTitle
Tom NewmanTrustee
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$14,187,438
Investment Income
$740
Other Revenue
$0
Change in Net Assets
$-56,577

Audited Revenue Reconciliation

Revenue per Audited Statements
$14,188,178
Total Revenue per Audited Statements
$14,188,178
Total Revenue per Form 990
$14,188,178
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$2,460,074
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---$11,784,681
Other Expenses---$2,403,043
Fees for Services Accounting---$43,618
Fees for Services Legal---$13,413
Total Functional Expenses$0$0$0$14,244,755

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$14,244,755
Total Expenses per Audited Statements$14,244,755
Total Expenses per Form 990$14,244,755
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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Plan Benefit Obligations$1,066,000
Note Payable - Related Party$142,500
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Audit committee
Yes
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, Page 6, Part VI, Line 11B

“A copy of the 990 was provided to the trustee for his review and approval prior to the filing of the return.”

Form 990, Page 6, Part VI, Line 19

“UPON REQUEST.”

Filing and Contact Details

Filer

EIN
26-6121186
Phone
8137078652

Signing Officer

Name
Tom Newman
Title
CEO
Phone
8137078652
Signed
2014-07-22
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Tom Newman
Formed
2007
Legal Domicile
Fl
Voting Board Members
1
Independent Board Members
1
Employees
0

Preparer

Preparer
Steven I Gordon
Phone
9544855788
Supplemental Narrative

Additional Explanations

Form 990, Page 2, Part III, Line 4D

“Provides for the payment of certain specified medical benefits for certain of its employees.”

Form 990, Part XI, Line 9

“Plan benefit obligations 0”

Financial Statement Notes

Schedule D, Page 4, Part XII, Line 4B

“Plan benefit obligations 0”

Raw XML Appendix245 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.

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IRS990/InvestmentInJointVentureInd0false
IRS990/IRPDocumentCnt00
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IRS990/LoanOutstandingInd0false
IRS990/LocalChaptersInd0false
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IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd0true
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IRS990/MoreThan5000KToIndividualsInd0false
IRS990/MoreThan5000KToOrgInd0false
IRS990/NetAssetsOrFundBalancesBOYAmt0-1523708
IRS990/NetAssetsOrFundBalancesEOYAmt0-1580285
IRS990/NondeductibleContributionsInd0false
IRS990/OfficerMailingAddressInd0false
IRS990/OperateHospitalInd0false
IRS990/Organization501cInd0X
IRS990/OrgDoesNotFollowSFAS117Ind0X
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IRS990/RelatedEntityInd0false
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IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt1142500
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IRS990ScheduleJ/EquityBasedCompArrngmInd0false
IRS990/ScheduleJRequiredInd0true
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ReturnHeader/PreparerPersonGrp/PreparerPersonNm0STEVEN I GORDON
ReturnHeader/ReturnTs02014-10-15T12:33:59-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02013-01-01
ReturnHeader/TaxPeriodEndDt02013-12-31
ReturnHeader/TaxYr02013

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2013 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$1,490,224
Liabilities
$3,070,509
Net assets
-$1,580,285
Revenue
$14,188,178
Expenses
$14,244,755
Net income
-$56,577
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2017Detailed filing. Detailed filing data is available for this year.$0.18$0.19$0.00$2.38$0.10$2.28
2016Detailed filing. Detailed filing data is available for this year.$1.33$3.54$2.21$29.7$27.2$2.48
2015Detailed filing. Detailed filing data is available for this year.$3.33$8.02$4.69$31.1$32.6$1.51
2014Detailed filing. Detailed filing data is available for this year.$1.42$4.61$3.18$19.8$21.4$1.60
2013Detailed filing. Detailed filing data is available for this year.$1.49$3.07$1.58$14.2$14.2$0.06
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.42$1.95$1.52$12.2
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.62$0.78$0.16$6.65
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.28$0.86$0.58$8.94
Peer Organizations

Similar nonprofits based on the same Siviq industry and scale cohort. 2013 filings • 501(c)9 • $10M-$25M nonprofits