Civic Intelligence

Provider Services Benefits Trust

EIN 26-6672281 • 501(c)9 • North Olmsted, OH

Profile

To fund health care and workers' compensation benefits to the eligible employees of the provider services companies.

25000 Country Club Blvd No 255North Olmsted, OH 44070

n/A

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2017

Liabilities / Revenue

80th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

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

Net Margin

7th percentile

-38316%

Higher net margin than 7% of similar nonprofits.

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

Top Officer Pay

75th percentile

$0

Higher top officer pay than 75% of similar nonprofits.

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

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

Asset Growth

46th percentile

-100%

Faster asset growth than 46% of similar nonprofits.

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

Revenue Growth

100th percentile

13789%

Faster revenue growth than 100% of similar nonprofits.

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

Balance Sheet
Liabilities / AssetsScore unavailable

Assets

Down

$0

Down $2,013,658 (-100%) from 2016

Liabilities

Down

$0

Down $44,615 (-100%) from 2016

Net Assets

Down

$0

Down $1,969,043 (-100%) from 2016

Operations
Liabilities / Revenue80th percentileNet Margin7th percentile

Revenue

Up

$5,139

Up $5,102 (+13789%) from 2016

Expenses

Up

$1,974,182

Up $1,727,124 (+699%) from 2016

Net Income

Down

-$1,969,043

Down $1,722,022 (-697%) from 2016

Trend Graphs

Balance Sheet Trend

Asset Growth46th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$15M$10M$5.0M$0Assets 2010: $3,000,676Liabilities 2010: $0Net Assets 2010: $3,000,6762010Assets 2011: $6,250,395Liabilities 2011: $0Net Assets 2011: $6,250,3952011Assets 2012: $13,407,187Liabilities 2012: $0Net Assets 2012: $13,407,1872012Assets 2013: $4,010,615Liabilities 2013: $0Net Assets 2013: $4,010,6152013Assets 2014: $13,801Liabilities 2014: $0Net Assets 2014: $13,8012014Assets 2015: $3,137,743Liabilities 2015: $921,679Net Assets 2015: $2,216,0642015Assets 2016: $2,013,658Liabilities 2016: $44,615Net Assets 2016: $1,969,0432016Assets 2017: $0Liabilities 2017: $0Net Assets 2017: $02017

Highlighted filing

2017

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

Operations Trend

Revenue Growth100th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$30M$20M$10M$0-$10MExpenses 2010: $15,987,1422010Expenses 2011: $17,854,5322011Expenses 2012: $26,421,5992012Revenue 2013: $19,710,275Expenses 2013: $28,885,298Net Income 2013: -$9,175,0232013Revenue 2014: $17,699,952Expenses 2014: $21,696,766Net Income 2014: -$3,996,8142014Revenue 2015: $3,130,942Expenses 2015: $928,679Net Income 2015: $2,202,2632015Revenue 2016: $37Expenses 2016: $247,058Net Income 2016: -$247,0212016Revenue 2017: $5,139Expenses 2017: $1,974,182Net Income 2017: -$1,969,0432017

Highlighted filing

2017

Revenue$5,139
Expenses$1,974,182
Net Income-$1,969,043
Open 2017 Filing

Filings

Most recent year

2017 • Form 990XML pending. An XML filing is linked for this year, but detailed extraction is still pending.

Open filing
Assets
$0
Liabilities
$0
Net assets
$0
Revenue
$5,139
Expenses
$1,974,182
Net income
-$1,969,043
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.00$0.00$0.00$0.01$1.97$1.97
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.01$0.04$1.97$0.00$0.25$0.25
2015Detailed filing. Detailed filing data is available for this year.$3.14$0.92$2.22$3.13$0.93$2.20
2014Detailed filing. Detailed filing data is available for this year.$0.01$0.00$0.01$17.7$21.7$4.00
2013Detailed filing. Detailed filing data is available for this year.$4.01$0.00$4.01$19.7$28.9$9.18
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$13.4$0.00$13.4$26.4
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.25$0.00$6.25$17.9
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.00$0.00$3.00$16.0
Latest Detailed Filing

The latest 2017 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2015 below.

Jump To
Filing Snapshot
Filing Period
Jan 1, 2015 to Dec 31, 2015
Signed
Nov 4, 2016
Return Version
2015v2.1
Gross Receipts
$3,130,942
Mission and Program Overview

Mission

To fund health care and workers' compensation benefits to the eligible employees of the provider services companies.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$2$3,130,943▲ $3,130,941
Rtn Earn Endowment Incm Other Fnds$13,801$2,216,064▲ $2,202,263
Savings and Temporary Cash Investments$13,799$6,800▼ $6,999
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Total Assets$13,801$3,137,743▲ $3,123,942
Liabilities
Other Liabilities$0$921,679▲ $921,679
Total Liabilities$0$921,679▲ $921,679
Net Assets / Fund Balance
Total Net Assets Fund Balance$13,801$2,216,064▲ $2,202,263
Total Liabilities and Net Assets / Fund Balance$13,801$3,137,743▲ $3,123,942
Compensation and Service Providers
Top Officer Pay75th percentile

Board Members and Trustees

NameTitle
-Trustee
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$3,130,942
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$2,202,263

Audited Revenue Reconciliation

Revenue per Audited Statements
$3,130,942
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Total Revenue per Audited Statements
$3,130,942
Total Revenue per Form 990
$3,130,942
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$7,000
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---$921,679
Fees for Service Investment Mgmnt Fees---$7,000
Total Functional Expenses$0$0$0$928,679

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$928,679
Total Expenses per Audited Statements$928,679
Total Expenses per Form 990$928,679
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
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
Claims Payable$921,679
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Audit committee
No
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, Part VI, Section B, Line 11

“All members of the governing body review and approve the 990 before it is filed.”

Form 990, Part VI, Section C, Line 19

“The 990 is available upon request.”

Filing and Contact Details

Filer

Filer Name
Provider Services Benefits Trust
EIN
26-6672281
Phone
4407932247
Address
25000 COUNTRY CLUB BLVD NO 255, NORTH OLMSTED, OH 44070

Signing Officer

Name
John Krystowski
Title
Officer
Phone
4407932247
Signed
2016-11-04
Discuss with paid preparer
Yes

Organization Details

Principal Officer
John Krystowski
Formed
2008
Legal Domicile
Oh
Voting Board Members
1
Independent Board Members
1
Employees
0
Volunteers
0

Preparer

Firm
Corrigan Krause
Address
2055 CROCKER RD SUITE 300, WESTLAKE, OH 44145-1964
Preparer
Thomas L Harrison CPA
Phone
4404710800
Raw XML Appendix284 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/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0TO FUND HEALTH CARE AND WORKERS' COMPENSATION BENEFITS TO THE ELIGIBLE EMPLOYEES OF THE PROVIDER SERVICES COMPANIES.
IRS990/AuditCommitteeInd00
IRS990/BenefitsToMembersGrp/TotalAmt0921679
IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt0JOHN KRYSTOWSKI
IRS990/BooksInCareOfDetail/PhoneNum04407932247
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt025000 COUNTRY CLUB BLVD 255
IRS990/BooksInCareOfDetail/USAddress/CityNm0NORTH OLMSTED
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0OH
IRS990/BooksInCareOfDetail/USAddress/ZIPCd044070
IRS990/BusinessRlnWithFamMemInd00
IRS990/BusinessRlnWithOfficerEntInd00
IRS990/BusinessRlnWithOrgMemInd00
IRS990/CapStkTrPrinCurrentFundsGrp/BOYAmt00
IRS990/CapStkTrPrinCurrentFundsGrp/EOYAmt00
IRS990/CashNonInterestBearingGrp/BOYAmt02
IRS990/CashNonInterestBearingGrp/EOYAmt03130943
IRS990/ChangeToOrgDocumentsInd00
IRS990/CntrctRcvdGreaterThan100KCnt00
IRS990/CollectionsOfArtInd00
IRS990/CompensationFromOtherSrcsInd00
IRS990/CompensationProcessCEOInd00
IRS990/CompensationProcessOtherInd00
IRS990/ConflictOfInterestPolicyInd00
IRS990/ConservationEasementsInd00
IRS990/ConsolidatedAuditFinclStmtInd00
IRS990/CreditCounselingInd00
IRS990/CYBenefitsPaidToMembersAmt0921679
IRS990/CYContributionsGrantsAmt00
IRS990/CYGrantsAndSimilarPaidAmt00
IRS990/CYInvestmentIncomeAmt00
IRS990/CYOtherExpensesAmt07000
IRS990/CYOtherRevenueAmt00
IRS990/CYProgramServiceRevenueAmt03130942
IRS990/CYRevenuesLessExpensesAmt02202263
IRS990/CYSalariesCompEmpBnftPaidAmt00
IRS990/CYTotalExpensesAmt0928679
IRS990/CYTotalFundraisingExpenseAmt00
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt03130942
IRS990/DecisionsSubjectToApprovaInd00
IRS990/DeductibleArtContributionInd00
IRS990/DeductibleNonCashContriInd00
IRS990/DelegationOfMgmtDutiesInd00
IRS990/Desc0PROVIDE BENEFITS TO ELIGIBLE EMPLOYEES OF THE PROVIDER SERVICES COMPANIES.
IRS990/DescribedInSection501c3Ind00
IRS990/DisregardedEntityInd00
IRS990/DocumentRetentionPolicyInd00
IRS990/DonorAdvisedFundInd00
IRS990/ElectionOfBoardMembersInd00
IRS990/EmployeeCnt00
IRS990/ExpenseAmt0921679
IRS990/FamilyOrBusinessRlnInd00
IRS990/FederalGrantAuditRequiredInd00
IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt07000
IRS990/ForeignActivitiesInd00
IRS990/ForeignFinancialAccountInd00
IRS990/ForeignOfficeInd00
IRS990/Form8282PropertyDisposedOfInd00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt00.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt10.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt00.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt10.00
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt0WELLS FARGO
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt1MERRILL LYNCHBANK OF AMERICA
IRS990/Form990PartVIISectionAGrp/InstitutionalTrusteeInd0X
IRS990/Form990PartVIISectionAGrp/InstitutionalTrusteeInd1X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/TitleTxt0TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt1TRUSTEE
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/FormationYr02008
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd0X
IRS990/FSAuditedInd01
IRS990/FundraisingActivitiesInd00
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt01
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossReceiptsAmt03130942
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd00
IRS990/IndependentAuditFinclStmtInd01
IRS990/IndependentVotingMemberCnt01
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InvestmentInJointVentureInd00
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LegalDomicileStateCd0OH
IRS990/LoanOutstandingInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd00
IRS990/MethodOfAccountingCashInd0X
IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0TO FUND HEALTH CARE AND WORKERS' COMPENSATION BENEFITS TO THE ELIGIBLE EMPLOYEES OF THE PROVIDER SERVICES COMPANIES.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt013801
IRS990/NetAssetsOrFundBalancesEOYAmt02216064
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd00
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501cInd0X
IRS990/OrgDoesNotFollowSFAS117Ind0X
IRS990/OtherChangesInNetAssetsAmt00
IRS990/OtherLiabilitiesGrp/BOYAmt00
IRS990/OtherLiabilitiesGrp/EOYAmt0921679
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PdInCapSrplsLandBldgEqpFundGrp/BOYAmt00
IRS990/PdInCapSrplsLandBldgEqpFundGrp/EOYAmt00
IRS990/PoliticalCampaignActyInd00
IRS990/PrincipalOfficerNm0JOHN KRYSTOWSKI
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0525100
IRS990/ProgramServiceRevenueGrp/Desc0EMPLOYER CONTRIBUTIONS
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt03130942
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt03130942
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt021688016
IRS990/PYContributionsGrantsAmt00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt0959
IRS990/PYOtherExpensesAmt08750
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt017698993
IRS990/PYRevenuesLessExpensesAmt0-3996814
IRS990/PYSalariesCompEmpBnftPaidAmt00
IRS990/PYTotalExpensesAmt021696766
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt017699952
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt02202263
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt03130942
IRS990/RtnEarnEndowmentIncmOthFndsGrp/BOYAmt013801
IRS990/RtnEarnEndowmentIncmOthFndsGrp/EOYAmt02216064
IRS990/SavingsAndTempCashInvstGrp/BOYAmt013799
IRS990/SavingsAndTempCashInvstGrp/EOYAmt06800
IRS990/ScheduleBRequiredInd00
IRS990ScheduleD/ExpensesNotReportedAmt00
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt00
IRS990ScheduleD/ExpensesSubtotalAmt0928679
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt0921679
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0CLAIMS PAYABLE
IRS990ScheduleD/RevenueNotReportedAmt00
IRS990ScheduleD/RevenueNotReportedFinclStmtAmt00
IRS990ScheduleD/RevenueSubtotalAmt03130942
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleD/TotalExpensesPerForm990Amt0928679
IRS990ScheduleD/TotalLiabilityAmt0921679
IRS990ScheduleD/TotalRevenuePerForm990Amt03130942
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt03130942
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt0928679
IRS990/ScheduleJRequiredInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0ALL MEMBERS OF THE GOVERNING BODY REVIEW AND APPROVE THE 990 BEFORE IT IS FILED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE 990 IS AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EIN0810681796
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EntityTypeTxt0C
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/LegalDomicileStateCd0OH
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt0LT CARE FACILITIES
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt0PROVIDER SERVICES HOLDINGS INC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/AddressLine1Txt025000 COUNTRY CLUB BLVD SUITE 255
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/CityNm0NORTH OLMSTED
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/StateAbbreviationCd0OH
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/ZIPCd044070
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd00
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd00
IRS990ScheduleR/PaidEmployeesSharingInd01
IRS990ScheduleR/PerformOfServicesByOtherOrgInd00
IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd00
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd00
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd00
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd01
IRS990ScheduleR/TransferFromOtherOrgInd00
IRS990ScheduleR/TransferToOtherOrgInd00
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt013801
IRS990/TotalAssetsEOYAmt03137743
IRS990/TotalAssetsGrp/BOYAmt013801
IRS990/TotalAssetsGrp/EOYAmt03137743
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/TotalAmt0928679
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt00
IRS990/TotalLiabilitiesEOYAmt0921679
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt0921679
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt013801
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt02216064
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt0921679
IRS990/TotalProgramServiceRevenueAmt03130942
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt03130942
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt03130942
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt013801
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt03137743
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TypeOfOrganizationTrustInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt025000 COUNTRY CLUB BLVD 255
IRS990/USAddress/CityNm0NORTH OLMSTED
IRS990/USAddress/StateAbbreviationCd0OH
IRS990/USAddress/ZIPCd044070
IRS990/VotingMembersGoverningBodyCnt01
IRS990/VotingMembersIndependentCnt01
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd00
ReturnHeader/BuildTS02017-02-10 21:41:12Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0JOHN KRYSTOWSKI
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0OFFICER
ReturnHeader/BusinessOfficerGrp/PhoneNum04407932247
ReturnHeader/BusinessOfficerGrp/SignatureDt02016-11-04
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0PROVIDER SERVICES BENEFITS TRUST
ReturnHeader/Filer/BusinessNameControlTxt0PROV
ReturnHeader/Filer/EIN0266672281
ReturnHeader/Filer/PhoneNum04407932247
ReturnHeader/Filer/USAddress/AddressLine1Txt025000 COUNTRY CLUB BLVD NO 255
ReturnHeader/Filer/USAddress/CityNm0NORTH OLMSTED
ReturnHeader/Filer/USAddress/StateAbbreviationCd0OH
ReturnHeader/Filer/USAddress/ZIPCd044070
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0371574855
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0CORRIGAN KRAUSE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt02055 CROCKER RD SUITE 300
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0WESTLAKE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0OH
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0441451964
ReturnHeader/PreparerPersonGrp/PhoneNum04404710800
ReturnHeader/PreparerPersonGrp/PreparationDt02016-11-04
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0THOMAS L HARRISON CPA
ReturnHeader/ReturnTs02016-11-15T13:01:25-06:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02015-01-01
ReturnHeader/TaxPeriodEndDt02015-12-31
ReturnHeader/TaxYr02015

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Peer Organizations

Similar nonprofits based on the same Siviq industry and scale cohort. 501(c)9 • <$500k nonprofits