Civic Intelligence

Cook Group Health Plan Trust

990 • Fiscal year 2016 • EIN 35-1498722

Jan 01, 2016 to Dec 31, 2016 • Filed on Aug 15, 2017

Organization ProfileN/A
P O Box 1608Bloomington, IN 47402-1608

(812) 331-1025

Siviq Scores

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

Liabilities / Assets

99th percentile

1.77x

Higher debt load relative to assets than 99% of similar nonprofits.

2016 filings • 501(c)9 • $50M-$100M nonprofits • Source year 2016

Liabilities / Revenue

60th percentile

0.09x

Higher debt load relative to revenue than 60% of similar nonprofits.

2016 filings • 501(c)9 • $50M-$100M nonprofits • Source year 2016

Net Margin

37th percentile

-0.3%

Higher net margin than 37% of similar nonprofits.

2016 filings • 501(c)9 • $50M-$100M nonprofits • Source year 2016

Top Officer Pay

37th percentile

$0

Higher top officer pay than 37% of similar nonprofits.

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

2016 filings • 501(c)9 • $50M-$100M nonprofits • Source year 2016

Asset Growth

Score unavailable

No value available

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

Source year 2016

Revenue Growth

Score unavailable

No value available

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

Source year 2016

Balance Sheet
Liabilities / Assets99th percentile

Assets

$4,171,584

No earlier filing loaded for comparison.

Net Assets

-$3,228,523

No earlier filing loaded for comparison.

Liabilities

$7,400,107

No earlier filing loaded for comparison.

Revenue And Expenses
Liabilities / Revenue60th percentileNet Margin37th percentile

Revenue

$82,875,927

No earlier filing loaded for comparison.

Expenses

$83,138,855

No earlier filing loaded for comparison.

Net Income

-$262,928

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

Asset GrowthScore unavailable

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

$20M$10M$0-$10MAssets 2016: $4,171,584Liabilities 2016: $7,400,107Net Assets 2016: -$3,228,5232016Assets 2017: $2,234,594Liabilities 2017: $8,103,842Net Assets 2017: -$5,869,2482017Assets 2018: $6,543,480Liabilities 2018: $9,948,477Net Assets 2018: -$3,404,9972018Assets 2019: $4,437,964Liabilities 2019: $14,051,233Net Assets 2019: -$9,613,2692019Assets 2020: $5,277,573Liabilities 2020: $12,254,297Net Assets 2020: -$6,976,7242020Assets 2021: $8,118,336Liabilities 2021: $14,012,426Net Assets 2021: -$5,894,0902021Assets 2022: $7,591,114Liabilities 2022: $7,258,067Net Assets 2022: $333,0472022Assets 2024: $7,614,423Liabilities 2024: $6,988,811Net Assets 2024: $625,6122024

Highlighted filing

2016

Assets$4,171,584
Liabilities$7,400,107
Net Assets-$3,228,523
Open 2016 Filing

Operations Trend

Revenue GrowthScore unavailable

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

$150M$100M$50M$0-$50MRevenue 2016: $82,875,927Expenses 2016: $83,138,855Net Income 2016: -$262,9282016Revenue 2017: $94,169,035Expenses 2017: $96,809,760Net Income 2017: -$2,640,7252017Revenue 2018: $100,749,665Expenses 2018: $98,285,414Net Income 2018: $2,464,2512018Revenue 2019: $101,878,102Expenses 2019: $108,086,374Net Income 2019: -$6,208,2722019Revenue 2020: $110,982,293Expenses 2020: $108,345,748Net Income 2020: $2,636,5452020Revenue 2021: $121,299,897Expenses 2021: $120,217,263Net Income 2021: $1,082,6342021Revenue 2022: $123,361,194Expenses 2022: $117,134,057Net Income 2022: $6,227,1372022Revenue 2024: $144,556,695Expenses 2024: $136,478,219Net Income 2024: $8,078,4762024

Highlighted filing

2016

Revenue$82,875,927
Expenses$83,138,855
Net Income-$262,928
Open 2016 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2016 to Dec 31, 2016
Signed
Aug 15, 2017
Return Version
2016v3.1
Gross Receipts
$82,875,927
Mission and Program Overview

Mission

Provide health related benefits to eligible employees and dependents of the cook group health plan

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$3,771,814$2,010,861▼ $1,760,953
Accounts Receivable$298,939$1,958,735▲ $1,659,796
Savings and Temporary Cash Investments$201,968$201,988▲ $20
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Land, Buildings, and Equipment, Net$0$0→ $0
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Prepaid Expenses and Deferred Charges$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$-2,965,595$-3,228,523▼ $262,928
Total Assets$4,356,104$4,171,584▼ $184,520
Other Assets Total$83,383$0▼ $83,383
Liabilities
Accounts Payable and Accrued Expenses$7,321,699$7,400,107▲ $78,408
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Other Liabilities$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$7,321,699$7,400,107▲ $78,408
Net Assets / Fund Balance
Total Net Assets Fund Balance$-2,965,595$-3,228,523▼ $262,928
Total Liabilities and Net Assets / Fund Balance$4,356,104$4,171,584▼ $184,520
Compensation and Service Providers
Top Officer Pay37th percentile

Board Members and Trustees

NameTitle
Jim GardnerPresident - Cfhc
Pete YonkmanPresident Cook Group
Greg SmithDirector of Hr
Jed EhretBenefits Coordinator
Debbie SnyderClaims Administrator
John KamstraEvp & CFO
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$82,875,907
Investment Income
$20
Other Revenue
$0
Change in Net Assets
$-262,928

Audited Revenue Reconciliation

Revenue per Audited Statements
$82,875,927
Total Revenue per Audited Statements
$82,875,927
Total Revenue per Form 990
$82,875,927
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$5,484,770
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$77,654,085--$77,654,085
Fees for Services Other$4,353,965--$4,353,965
Other Expenses$1,130,805--$1,130,805
Total Functional Expenses$83,138,855$0$0$83,138,855

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$83,138,855
Expenses per Audited Statements$83,060,447
Total Expenses per Audited Statements$83,060,447
Expenses Not Reported on Financial Statements$78,408
Other Expense Adjustments$78,408
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
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, Part VI, Section A, Line 2

“The officers and trustees of this trust (that are members of the governing board) are also officers of a related organization reported on schedule r. As a result, all officers and trustees have a business relationship with each other.”

Form 990, Part VI, Section B, Line 11

“A draft copy of form 990 was reviewed by the governing body prior to finalization. After the form is reviewed and its accuracy confirmed by individuals with direct knowledge of the operations of the organization, the form 990 is finalized and provided to a member of the governing body for signature and filing.”

Form 990, Part VI, Section C, Lines 18 & 19

“As under regulations sections 301.6104(d)-1 through 3, the organization will make available for public inspection upon request the governing documents and each annual information return (form 990) and related schedules and attachments (including the audited financial statements). In addition, this return is automatically posted on guidestar.org.”

Form 990, Part VII

“The trustees and officers listed in part vii on line 1 (a) column a lines 1-6 are employees of a related organization (as disclosed on schedule r) that sponsors this 501(c)(9) veba. However, because the related organization is a for-profit organization that is not owned or controlled directly or indirectly by this veba reporting organization and does not provide management services for a fee to this reporting organization, compensation from the related organization (veba sponsor) is not disclosed as each of the trustees listed on these lines are volunteers who serve the reporting organization without compensation from the reporting organization.”

Filing and Contact Details

Filer

Filer Name
Cook Group Health Plan Trust
EIN
35-1498722
In Care Of
% COOK GROUP INCORPORATED
Phone
8123311025
Address
P O BOX 1608, BLOOMINGTON, IN 47402-1608

Signing Officer

Name
John Kamstra
Title
Evp & CFO
Phone
8123311025
Signed
2017-08-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
John Kamstra
Formed
1981
Legal Domicile
In
Voting Board Members
4
Independent Board Members
0
Employees
0
Volunteers
4

Preparer

Firm
Bkd Llp
Address
201 N Illinois Street, Indianapolis, IN 46204
Preparer
Steven J Kritzmire
Phone
3173834000
Supplemental Narrative

Financial Statement Notes

Part XII, Line 4B - Other Adjustments

“Difference between reversal of previous year end accruals and current year end accrual of claims payable and ibnr (and immaterial rounding).”

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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0DIFFERENCE BETWEEN REVERSAL OF PREVIOUS YEAR END ACCRUALS AND CURRENT YEAR END ACCRUAL OF CLAIMS PAYABLE AND IBNR (AND IMMATERIAL ROUNDING).
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART XII, LINE 4B - OTHER ADJUSTMENTS
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE OFFICERS AND TRUSTEES OF THIS TRUST (THAT ARE MEMBERS OF THE GOVERNING BOARD) ARE ALSO OFFICERS OF A RELATED ORGANIZATION REPORTED ON SCHEDULE R. AS A RESULT, ALL OFFICERS AND TRUSTEES HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1A DRAFT COPY OF FORM 990 WAS REVIEWED BY THE GOVERNING BODY PRIOR TO FINALIZATION. AFTER THE FORM IS REVIEWED AND ITS ACCURACY CONFIRMED BY INDIVIDUALS WITH DIRECT KNOWLEDGE OF THE OPERATIONS OF THE ORGANIZATION, THE FORM 990 IS FINALIZED AND PROVIDED TO A MEMBER OF THE GOVERNING BODY FOR SIGNATURE AND FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2AS UNDER REGULATIONS SECTIONS 301.6104(D)-1 THROUGH 3, THE ORGANIZATION WILL MAKE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST THE GOVERNING DOCUMENTS AND EACH ANNUAL INFORMATION RETURN (FORM 990) AND RELATED SCHEDULES AND ATTACHMENTS (INCLUDING THE AUDITED FINANCIAL STATEMENTS). IN ADDITION, THIS RETURN IS AUTOMATICALLY POSTED ON GUIDESTAR.ORG.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE TRUSTEES AND OFFICERS LISTED IN PART VII ON LINE 1 (A) COLUMN A LINES 1-6 ARE EMPLOYEES OF A RELATED ORGANIZATION (AS DISCLOSED ON SCHEDULE R) THAT SPONSORS THIS 501(C)(9) VEBA. HOWEVER, BECAUSE THE RELATED ORGANIZATION IS A FOR-PROFIT ORGANIZATION THAT IS NOT OWNED OR CONTROLLED DIRECTLY OR INDIRECTLY BY THIS VEBA REPORTING ORGANIZATION AND DOES NOT PROVIDE MANAGEMENT SERVICES FOR A FEE TO THIS REPORTING ORGANIZATION, COMPENSATION FROM THE RELATED ORGANIZATION (VEBA SPONSOR) IS NOT DISCLOSED AS EACH OF THE TRUSTEES LISTED ON THESE LINES ARE VOLUNTEERS WHO SERVE THE REPORTING ORGANIZATION WITHOUT COMPENSATION FROM THE REPORTING ORGANIZATION.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 2
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION C, LINES 18 & 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VII
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IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt5SALSBURY TRAVEL SERVICE INC
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IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt7COOK BIOTECH INC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt8COOK MYOSITE INC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt9K-TUBE CORPORATION
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Document Assets

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Filings

Displayed year

2016 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$4,171,584
Liabilities
$7,400,107
Net assets
-$3,228,523
Revenue
$82,875,927
Expenses
$83,138,855
Net income
-$262,928
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.61$6.99$0.63$145$136$8.08
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.59$7.26$0.33$123$117$6.23
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$8.12$14.0$5.89$121$120$1.08
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5.28$12.3$6.98$111$108$2.64
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$4.44$14.1$9.61$102$108$6.21
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$6.54$9.95$3.40$101$98.3$2.46
2017Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.23$8.10$5.87$94.2$96.8$2.64
2016Detailed filing. Detailed filing data is available for this year.$4.17$7.40$3.23$82.9$83.1$0.26