Civic Intelligence

Cook Group Health Plan Trust

990 • Fiscal year 2017 • EIN 35-1498722

Jan 01, 2017 to Dec 31, 2017 • Filed on Oct 15, 2018

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

3.63x

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

2017 filings • 501(c)9 • $50M-$100M nonprofits • Source year 2017

Liabilities / Revenue

60th percentile

0.09x

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

2017 filings • 501(c)9 • $50M-$100M nonprofits • Source year 2017

Net Margin

22nd percentile

-2.8%

Higher net margin than 22% of similar nonprofits.

2017 filings • 501(c)9 • $50M-$100M nonprofits • Source year 2017

Top Officer Pay

35th percentile

$0

Higher top officer pay than 35% of similar nonprofits.

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

2017 filings • 501(c)9 • $50M-$100M nonprofits • Source year 2017

Asset Growth

1st percentile

-46%

Faster asset growth than 1% of similar nonprofits.

2017 filings • 501(c)9 • $50M-$100M nonprofits • Annualized from 2016 to 2017

Revenue Growth

72nd percentile

14%

Faster revenue growth than 72% of similar nonprofits.

2017 filings • 501(c)9 • $50M-$100M nonprofits • Annualized from 2016 to 2017

Balance Sheet
Liabilities / Assets99th percentile

Assets

$2,234,594

No earlier filing loaded for comparison.

Net Assets

-$5,869,248

No earlier filing loaded for comparison.

Liabilities

$8,103,842

No earlier filing loaded for comparison.

Revenue And Expenses
Liabilities / Revenue60th percentileNet Margin22nd percentile

Revenue

$94,169,035

No earlier filing loaded for comparison.

Expenses

$96,809,760

No earlier filing loaded for comparison.

Net Income

-$2,640,725

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

Asset Growth1st percentile

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

$20M$10M$0-$10MAssets 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

2017

Assets$2,234,594
Liabilities$8,103,842
Net Assets-$5,869,248
Open 2017 Filing

Operations Trend

Revenue Growth72nd percentile

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

$150M$100M$50M$0-$50MRevenue 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

2017

Revenue$94,169,035
Expenses$96,809,760
Net Income-$2,640,725
Open 2017 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
Oct 15, 2018
Return Version
2017v2.3
Gross Receipts
$94,169,035
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
Accounts Receivable$1,958,735$1,682,631▼ $276,104
Cash and Non-Interest-Bearing Accounts$2,010,861$349,543▼ $1,661,318
Savings and Temporary Cash Investments$201,988$202,420▲ $432
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→ $0
Rtn Earn Endowment Incm Other Fnds$-3,228,523$-5,869,248▼ $2,640,725
Total Assets$4,171,584$2,234,594▼ $1,936,990
Other Assets Total$0$0→ $0
Liabilities
Accounts Payable and Accrued Expenses$7,400,107$8,103,842▲ $703,735
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$7,400,107$8,103,842▲ $703,735
Net Assets / Fund Balance
Total Net Assets Fund Balance$-3,228,523$-5,869,248▼ $2,640,725
Total Liabilities and Net Assets / Fund Balance$4,171,584$2,234,594▼ $1,936,990
Compensation and Service Providers
Top Officer Pay35th percentile

Board Members and Trustees

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

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$94,168,603
Investment Income
$432
Other Revenue
$0
Change in Net Assets
$-2,640,725

Audited Revenue Reconciliation

Revenue per Audited Statements
$94,169,035
Total Revenue per Audited Statements
$94,169,035
Total Revenue per Form 990
$94,169,035
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$5,757,693
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$91,052,067--$91,052,067
Fees for Services Other$4,673,873--$4,673,873
Other Expenses$1,083,820--$1,083,820
Total Functional Expenses$96,809,760$0$0$96,809,760

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$96,809,760
Expenses per Audited Statements$96,106,025
Total Expenses per Audited Statements$96,106,025
Expenses Not Reported on Financial Statements$703,735
Other Expense Adjustments$703,735
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
2018-10-15
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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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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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/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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Document Assets

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Filings

Displayed year

2017 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$2,234,594
Liabilities
$8,103,842
Net assets
-$5,869,248
Revenue
$94,169,035
Expenses
$96,809,760
Net income
-$2,640,725
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
2017Detailed filing. Detailed filing data is available for this year.$2.23$8.10$5.87$94.2$96.8$2.64