Civic Intelligence

Cooperative Group Benefit Trust

990 • Fiscal year 2016 • EIN 31-1306485

Jan 01, 2016 to Dec 31, 2016 • Filed on Oct 10, 2017

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

0.23x

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

2016 filings • 501(c)9 • $25M-$50M nonprofits • Source year 2016

Liabilities / Revenue

65th percentile

0.12x

Higher debt load relative to revenue than 65% of similar nonprofits.

2016 filings • 501(c)9 • $25M-$50M nonprofits • Source year 2016

Net Margin

54th percentile

4.1%

Higher net margin than 54% of similar nonprofits.

2016 filings • 501(c)9 • $25M-$50M nonprofits • Source year 2016

Top Officer Pay

41st percentile

$0

Higher top officer pay than 41% of similar nonprofits.

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

2016 filings • 501(c)9 • $25M-$50M nonprofits • Source year 2016

Asset Growth

69th percentile

9.8%

Faster asset growth than 69% of similar nonprofits.

2016 filings • 501(c)9 • $25M-$50M nonprofits • Annualized from 2015 to 2016

Revenue Growth

42nd percentile

1.6%

Faster revenue growth than 42% of similar nonprofits.

2016 filings • 501(c)9 • $25M-$50M nonprofits • Annualized from 2015 to 2016

Assets

Up

$15,160,945

Up $1,351,981 (+9.8%) from 2015

Net Assets

Up

$11,625,599

Up $1,245,804 (+12%) from 2015

Liabilities

Up

$3,535,346

Up $106,177 (+3.1%) from 2015

Revenue

Up

$30,151,213

Up $460,571 (+1.6%) from 2015

Expenses

Up

$28,919,385

Up $3,020,508 (+12%) from 2015

Net Income

Down

$1,231,828

Down $2,559,937 (-68%) from 2015

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

2016

Assets$15,160,945
Liabilities$3,535,346
Net Assets$11,625,599

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

2016

Revenue$30,151,213
Expenses$28,919,385
Net Income$1,231,828
Jump To
Filing Snapshot
Filing Period
Jan 1, 2016 to Dec 31, 2016
Signed
Oct 10, 2017
Return Version
2016v3.0
Gross Receipts
$30,151,213
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$13,616,847$15,077,522▲ $1,460,675
Rtn Earn Endowment Incm Other Fnds$10,379,795$11,625,599▲ $1,245,804
Accounts Receivable$192,117$83,423▼ $108,694
Total Assets$13,808,964$15,160,945▲ $1,351,981
Liabilities
Accounts Payable and Accrued Expenses$2,952,194$3,332,849▲ $380,655
Other Liabilities$476,975$202,497▼ $274,478
Total Liabilities$3,429,169$3,535,346▲ $106,177
Net Assets / Fund Balance
Total Net Assets Fund Balance$10,379,795$11,625,599▲ $1,245,804
Total Liabilities and Net Assets / Fund Balance$13,808,964$15,160,945▲ $1,351,981
Compensation and Service Providers

Board Members and Trustees

NameTitle
Darren LanghalsTrustee
Ronald SibertTrustee
Scott LogueTrustee
Jeff TroikeTrustee-chai
Mike HirtTrustee-sec
George SecorTrustee-vice
Dan BrownVP, Administ

Highest Paid Contractors

ContractorServicesLocationCompensation
EbmcThird Party Adm4789 RINGS ROAD, Dublin, OH 43017$472,302
Cigna PpoPpo900 COTTAGE GROVE ROAD, Bloomfield, CT 06002$406,975
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$30,108,380
Investment Income
$42,833
Other Revenue
$0
Change in Net Assets
$1,231,828

Audited Revenue Reconciliation

Revenue per Audited Statements
$30,151,213
Total Revenue per Audited Statements
$30,151,213
Total Revenue per Form 990
$30,151,213
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$2,993,573
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$25,925,812--$25,925,812
Other Expenses$220,394--$220,394
Fees for Services Legal$126,659--$126,659
Fees for Services Accounting$42,879--$42,879
All Other Expenses$32,235--$32,235
Fees for Services Other$7,340--$7,340
Total Functional Expenses$28,919,385$0$0$28,919,385

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$28,919,385
Total Expenses per Audited Statements$28,919,385
Total Expenses per Form 990$28,919,385
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$202,497
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 presented to the secretary & treasurer (mr. Hirt) with a copy to dan brown (plan administrator). Mr. Hirt is authorized by the trustees to finalize the return. Mr. Hirt and mr. Brown report and present the 990 filings to the board.

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
Mike Hirt
Title
Trustee-sec & Treas
Phone
6147665800
Signed
2017-10-10
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Mike Hirt
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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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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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0NOTICES ARE SENT TO ALL PARTICIPATING CO-OPS ASKING FOR NOMINATIONS. THEN MEMBERS VOTE ON THOSE NOMINATIONS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE 990 IS PRESENTED TO THE SECRETARY & TREASURER (MR. HIRT) WITH A COPY TO DAN BROWN (PLAN ADMINISTRATOR). MR. HIRT IS AUTHORIZED BY THE TRUSTEES TO FINALIZE THE RETURN. MR. HIRT AND MR. BROWN REPORT AND PRESENT THE 990 FILINGS TO THE BOARD.
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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IRS990/TotalLiabilitiesEOYAmt03535346
IRS990/TotalLiabilitiesGrp/BOYAmt03429169
IRS990/TotalLiabilitiesGrp/EOYAmt03535346
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt010379795
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt011625599
IRS990/TotalProgramServiceExpensesAmt028919385
IRS990/TotalProgramServiceRevenueAmt030108380
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt030151213
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt030151213
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt013808964
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt015160945
IRS990/TypeOfOrganizationTrustInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/VotingMembersGoverningBodyCnt07
IRS990/VotingMembersIndependentCnt07
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02017-02-10 21:41:12Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0MIKE HIRT
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0TRUSTEE-SEC & TREAS
ReturnHeader/BusinessOfficerGrp/PhoneNum06147665800
ReturnHeader/BusinessOfficerGrp/SignatureDt02017-10-10
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0COOPERATIVE GROUP BENEFIT TRUST
ReturnHeader/Filer/BusinessNameControlTxt0COOP
ReturnHeader/Filer/EIN0311306485
ReturnHeader/Filer/PhoneNum06147665800
ReturnHeader/Filer/USAddress/AddressLine1Txt04789 RINGS ROAD
ReturnHeader/Filer/USAddress/CityNm0DUBLIN
ReturnHeader/Filer/USAddress/StateAbbreviationCd0OH
ReturnHeader/Filer/USAddress/ZIPCd043017
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId0BC2AD155EF49E6237D71BDB69687C087139A88AA
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId065AAF226B325BFCDE8099224F2184A2379F69A9E
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0HIRTH NORRIS & GARRISON LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt02425 OLD STRINGTOWN ROAD
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0GROVE CITY
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0OH
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0431232919
ReturnHeader/PreparerPersonGrp/PhoneNum06148750803
ReturnHeader/PreparerPersonGrp/PreparationDt02017-11-10
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0TIMOTHY R HARRIS
ReturnHeader/ReturnTs02017-11-14T16:50:21-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02016-01-01
ReturnHeader/TaxPeriodEndDt02016-12-31
ReturnHeader/TaxYr02016

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