Civic Intelligence

Cooperative Group Benefit Trust

990 • Fiscal year 2015 • EIN 31-1306485

Jan 01, 2015 to Dec 31, 2015 • Filed on Nov 14, 2016

4789 Rings RoadDublin, OH 43017

(614) 766-5800

Siviq Scores

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

Liabilities / Assets

73rd percentile

0.25x

Higher debt load relative to assets than 73% of similar nonprofits.

2015 filings • 501(c)9 • $25M-$50M nonprofits • Source year 2015

Liabilities / Revenue

63rd percentile

0.12x

Higher debt load relative to revenue than 63% of similar nonprofits.

2015 filings • 501(c)9 • $25M-$50M nonprofits • Source year 2015

Net Margin

73rd percentile

13%

Higher net margin than 73% of similar nonprofits.

2015 filings • 501(c)9 • $25M-$50M nonprofits • Source year 2015

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.

2015 filings • 501(c)9 • $25M-$50M nonprofits • Source year 2015

Asset Growth

90th percentile

29%

Faster asset growth than 90% of similar nonprofits.

2015 filings • 501(c)9 • $25M-$50M nonprofits • Annualized from 2014 to 2015

Revenue Growth

18th percentile

-8.3%

Faster revenue growth than 18% of similar nonprofits.

2015 filings • 501(c)9 • $25M-$50M nonprofits • Annualized from 2014 to 2015

Assets

Up

$13,808,964

Up $3,102,061 (+29%) from 2014

Net Assets

Up

$10,379,795

Up $3,791,765 (+58%) from 2014

Liabilities

Down

$3,429,169

Down $689,704 (-17%) from 2014

Revenue

Down

$29,690,642

Down $2,698,025 (-8.3%) from 2014

Expenses

Down

$25,898,877

Down $2,447,919 (-8.6%) from 2014

Net Income

Down

$3,791,765

Down $250,106 (-6.2%) from 2014

Historical Trend

Balance Sheet Trend

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

$20M$15M$10M$5.0M$0Assets 2012: $6,269,890Liabilities 2012: $2,680,304Net Assets 2012: $3,589,5862012Assets 2013: $7,469,388Liabilities 2013: $4,923,229Net Assets 2013: $2,546,1592013Assets 2014: $10,706,903Liabilities 2014: $4,118,873Net Assets 2014: $6,588,0302014Assets 2015: $13,808,964Liabilities 2015: $3,429,169Net Assets 2015: $10,379,7952015Assets 2016: $15,160,945Liabilities 2016: $3,535,346Net Assets 2016: $11,625,5992016Assets 2017: $15,042,439Liabilities 2017: $4,412,423Net Assets 2017: $10,630,0162017Assets 2018: $12,308,725Liabilities 2018: $4,057,313Net Assets 2018: $8,251,4122018Assets 2019: $9,122,428Liabilities 2019: $6,326,587Net Assets 2019: $2,795,8412019Assets 2020: $2,586,578Liabilities 2020: $0Net Assets 2020: $2,586,5782020Assets 2024: $79,637Net Assets 2024: $79,6372024

Highlighted filing

2015

Assets$13,808,964
Liabilities$3,429,169
Net Assets$10,379,795

Operations Trend

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

$40M$20M$0-$20MExpenses 2012: $26,314,3272012Revenue 2013: $30,479,700Expenses 2013: $31,523,127Net Income 2013: -$1,043,4272013Revenue 2014: $32,388,667Expenses 2014: $28,346,796Net Income 2014: $4,041,8712014Revenue 2015: $29,690,642Expenses 2015: $25,898,877Net Income 2015: $3,791,7652015Revenue 2016: $30,151,213Expenses 2016: $28,919,385Net Income 2016: $1,231,8282016Revenue 2017: $26,251,694Expenses 2017: $27,211,869Net Income 2017: -$960,1752017Revenue 2018: $30,770,469Expenses 2018: $33,126,829Net Income 2018: -$2,356,3602018Revenue 2019: $31,967,842Expenses 2019: $37,447,864Net Income 2019: -$5,480,0222019Revenue 2020: $49,363Expenses 2020: $202,691Net Income 2020: -$153,3282020Expenses 2024: $3,7952024

Highlighted filing

2015

Revenue$29,690,642
Expenses$25,898,877
Net Income$3,791,765
Jump To
Filing Snapshot
Filing Period
Jan 1, 2015 to Dec 31, 2015
Signed
Nov 14, 2016
Return Version
2015v2.1
Gross Receipts
$29,690,642
Mission and Program Overview

Mission

The organization was a multiple employer welfare arrangement (mewa) which provided medical, dental, vision and life insurance for its participating members. The plan was terminated december 31, 2019, accordingly, no new claims will be paid from the plan after this date. However the plan remained open to pay (1) runout claims incurred prior to december 31, 2019 (2) distribute remaining funds to member groups to cover employee benefit expenses and (3) pay administrative expenses.

The organization is a multiple employer welfare arrangement (mewa) which provides medical, dental, vision and life insurance for its participating members.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$10,434,422$13,616,847▲ $3,182,425
Rtn Earn Endowment Incm Other Fnds$6,588,030$10,379,795▲ $3,791,765
Accounts Receivable$272,481$192,117▼ $80,364
Total Assets$10,706,903$13,808,964▲ $3,102,061
Liabilities
Accounts Payable and Accrued Expenses$2,954,168$2,952,194▼ $1,974
Other Liabilities$1,164,705$476,975▼ $687,730
Total Liabilities$4,118,873$3,429,169▼ $689,704
Net Assets / Fund Balance
Total Net Assets Fund Balance$6,588,030$10,379,795▲ $3,791,765
Total Liabilities and Net Assets / Fund Balance$10,706,903$13,808,964▲ $3,102,061
Compensation and Service Providers

Board Members and Trustees

NameTitle
Darren LanghaisTrustee
George SecorTrustee
Jeff TroikeTrustee
Mike HirtTrustee
Ronald SibertTrustee
Scott LogueTrustee
Darren DeffenbaughSecretary/tr
Dan BrownVP, Administ

Highest Paid Contractors

ContractorServicesLocationCompensation
EbmcThird Party Adm4789 RINGS ROAD, Dublin, OH 43017$486,871
AcmsUtilization Rev4789 RINGS ROAD, Dublin, OH 43017$420,674
Cigna PpoPpo900 COTTAGE GROVE ROAD, Bloomfield, CT 06002$410,058
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$29,665,217
Investment Income
$25,425
Other Revenue
$0
Change in Net Assets
$3,791,765

Audited Revenue Reconciliation

Revenue per Audited Statements
$29,690,642
Total Revenue per Audited Statements
$29,690,642
Total Revenue per Form 990
$29,690,642
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$2,979,538
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$22,919,339--$22,919,339
Other Expenses$314,998--$314,998
Fees for Services Legal$80,115--$80,115
All Other Expenses$71,912--$71,912
Fees for Services Accounting$31,391--$31,391
Fees for Services Other$13,626--$13,626
Total Functional Expenses$25,898,877$0$0$25,898,877

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$25,898,877
Total Expenses per Audited Statements$25,898,877
Total Expenses per Form 990$25,898,877
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
Bank Overdraft$476,975
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
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
Yes
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 7A

Notices are sent to all participating co-ops asking for nominations. Then members vote on those nominations.

Form 990, Page 6, Part VI, Line 11B

The 990 is reviewed by mr. Darren deffenbaugh, secretary/treasurer, who is granted authority from board of trustees to finalize return. Mr. Deffenbaugh reports to board summary and status of 990 filings.

Form 990, Page 6, Part VI, Line 12C

Each trustee at the beginning of each year must report whether he/she has any interest in any party doing business with the trust.

Form 990, Page 6, Part VI, Line 19

All documents are available upon request by any participating cooperative or participant. Notices are sent out when annual reports are complete to participating cooperatives and participants that copies will be provided upon request.

Filing and Contact Details

Filer

Filer Name
Cooperative Group Benefit Trust
EIN
31-1306485
Phone
6147665800
Address
4789 RINGS ROAD, DUBLIN, OH 43017

Signing Officer

Name
Dan Brown
Title
VP, Administrator
Phone
6147665800
Signed
2016-11-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Dan Brown
Formed
1987
Legal Domicile
Oh
Voting Board Members
7
Independent Board Members
7
Employees
0

Preparer

Firm
Hirth Norris & Garrison Llp
Address
2425 OLD STRINGTOWN ROAD, GROVE CITY, OH 43123-2919
Preparer
Timothy R Harris
Phone
6148750803
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0NOTICES ARE SENT TO ALL PARTICIPATING CO-OPS ASKING FOR NOMINATIONS. THEN MEMBERS VOTE ON THOSE NOMINATIONS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE 990 IS REVIEWED BY MR. DARREN DEFFENBAUGH, SECRETARY/TREASURER, WHO IS GRANTED AUTHORITY FROM BOARD OF TRUSTEES TO FINALIZE RETURN. MR. DEFFENBAUGH REPORTS TO BOARD SUMMARY AND STATUS OF 990 FILINGS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2EACH TRUSTEE AT THE BEGINNING OF EACH YEAR MUST REPORT WHETHER HE/SHE HAS ANY INTEREST IN ANY PARTY DOING BUSINESS WITH THE TRUST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3ALL DOCUMENTS ARE AVAILABLE UPON REQUEST BY ANY PARTICIPATING COOPERATIVE OR PARTICIPANT. NOTICES ARE SENT OUT WHEN ANNUAL REPORTS ARE COMPLETE TO PARTICIPATING COOPERATIVES AND PARTICIPANTS THAT COPIES WILL BE PROVIDED UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PAGE 6, PART VI, LINE 7A
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IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PAGE 6, PART VI, LINE 19
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ReturnHeader/BuildTS02017-02-10 21:41:12Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0DAN BROWN
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0VP, ADMINISTRATOR
ReturnHeader/BusinessOfficerGrp/PhoneNum06147665800
ReturnHeader/BusinessOfficerGrp/SignatureDt02016-11-14
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0COOPERATIVE GROUP BENEFIT TRUST
ReturnHeader/Filer/BusinessNameControlTxt0COOP
ReturnHeader/Filer/EIN0311306485
ReturnHeader/Filer/PhoneNum06147665800
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ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0HIRTH NORRIS & GARRISON LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt02425 OLD STRINGTOWN ROAD
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0GROVE CITY
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ReturnHeader/PreparerPersonGrp/PhoneNum06148750803
ReturnHeader/PreparerPersonGrp/PreparationDt02016-11-15
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0TIMOTHY R HARRIS
ReturnHeader/ReturnTs02016-11-15T14:29:13-06:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02015-01-01
ReturnHeader/TaxPeriodEndDt02015-12-31
ReturnHeader/TaxYr02015

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Peer Organizations

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