Civic Intelligence

Sas Veba

990 • Fiscal year 2021 • EIN 35-7042070

Jan 01, 2021 to Dec 31, 2021 • Filed on Nov 03, 2022

Organization Profile
213 Third StreetMacon, GA 31201

(478) 621-2100

Siviq Scores

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

Liabilities / Assets

100th percentile

3.89x

Higher debt load relative to assets than 100% of similar nonprofits.

2021 filings • 501(c)9 • $25M-$50M nonprofits • Source year 2021

Liabilities / Revenue

68th percentile

0.14x

Higher debt load relative to revenue than 68% of similar nonprofits.

2021 filings • 501(c)9 • $25M-$50M nonprofits • Source year 2021

Net Margin

17th percentile

-9.0%

Higher net margin than 17% of similar nonprofits.

2021 filings • 501(c)9 • $25M-$50M nonprofits • Source year 2021

Top Officer Pay

98th percentile

$849,442

Higher top officer pay than 98% of similar nonprofits.

Top officer pay equals 3.2% of source-year revenue.

2021 filings • 501(c)9 • $25M-$50M nonprofits • Source year 2021

Asset Growth

1st percentile

-71%

Faster asset growth than 1% of similar nonprofits.

2021 filings • 501(c)9 • $25M-$50M nonprofits • Annualized from 2020 to 2021

Revenue Growth

50th percentile

5.3%

Faster revenue growth than 50% of similar nonprofits.

2021 filings • 501(c)9 • $25M-$50M nonprofits • Annualized from 2020 to 2021

Balance Sheet
Liabilities / Assets100th percentile

Assets

Down

$992,706

Down $2,431,506 (-71%) from 2020

Net Assets

Down

-$2,873,010

Down $1,134,540 (-65%) from 2020

Liabilities

Down

$3,865,716

Down $1,296,966 (-25%) from 2020

Revenue And Expenses
Liabilities / Revenue68th percentileNet Margin17th percentile

Revenue

Up

$26,850,962

Up $1,342,441 (+5.3%) from 2020

Expenses

Up

$29,273,221

Up $2,261,581 (+8.4%) from 2020

Net Income

Down

-$2,422,259

Down $919,140 (-61%) from 2020

Historical Trend

Balance Sheet Trend

Asset Growth1st percentile

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

$10M$5.0M$0-$5.0MAssets 2018: $4,211,302Liabilities 2018: $4,372,942Net Assets 2018: -$161,6402018Assets 2019: $4,864,919Liabilities 2019: $4,643,553Net Assets 2019: $221,3662019Assets 2020: $3,424,212Liabilities 2020: $5,162,682Net Assets 2020: -$1,738,4702020Assets 2021: $992,706Liabilities 2021: $3,865,716Net Assets 2021: -$2,873,0102021Assets 2022: $0Liabilities 2022: $0Net Assets 2022: $02022

Highlighted filing

2021

Assets$992,706
Liabilities$3,865,716
Net Assets-$2,873,010
Open 2021 Filing

Operations Trend

Revenue Growth50th percentile

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

$30M$20M$10M$0-$10MRevenue 2018: $23,941,768Expenses 2018: $25,527,686Net Income 2018: -$1,585,9182018Revenue 2019: $26,878,100Expenses 2019: $25,624,094Net Income 2019: $1,254,0062019Revenue 2020: $25,508,521Expenses 2020: $27,011,640Net Income 2020: -$1,503,1192020Revenue 2021: $26,850,962Expenses 2021: $29,273,221Net Income 2021: -$2,422,2592021Revenue 2022: $2,637,713Expenses 2022: $2,869,034Net Income 2022: -$231,3212022

Highlighted filing

2021

Revenue$26,850,962
Expenses$29,273,221
Net Income-$2,422,259
Open 2021 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2021 to Dec 31, 2021
Signed
Nov 3, 2022
Return Version
2021v4.0
Gross Receipts
$26,850,962
Mission and Program Overview

Mission

Provide welfare benefits to eligible employees and their eligible dependents for those employees of community health systems, inc. And subsidiaries covered by the trust.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$1,320,352$990,336▼ $330,016
Cash and Non-Interest-Bearing Accounts$2,103,289$2,370▼ $2,100,919
Prepaid Expenses and Deferred Charges$571--
Rtn Earn Endowment Incm Other Fnds$-1,738,470$-2,873,010▼ $1,134,540
Total Assets$3,424,212$992,706▼ $2,431,506
Liabilities
Accounts Payable and Accrued Expenses$5,162,682$3,865,716▼ $1,296,966
Total Liabilities$5,162,682$3,865,716▼ $1,296,966
Net Assets / Fund Balance
Total Net Assets Fund Balance$-1,738,470$-2,873,010▼ $1,134,540
Total Liabilities and Net Assets / Fund Balance$3,424,212$992,706▼ $2,431,506
Compensation and Service Providers
Top Officer Pay98th percentile

Employees

NameTitleOtherTotal
Kathryn DennisTrustee$24,000$24,000

Board Members and Trustees

NameTitle
Lorraine TaylorTrustee
Ronnie RollinsTrustee

Highest Paid Contractors

ContractorServicesLocationCompensation
Benefit Administrative Systems LLCInsurance Srvcs17475 JOVANNA DRIVE, SUITE 18, Homewood, IL 60430$28,343,624
VoyaInsurance Srvcs7632 SW DURHAM ROAD, SUITE 115, Tigard, OR 97224$1,169,936
The Benefit Company LLCInsurance SrvcsSIX CONCOURSE PARKWAY, SUITE 2750, Atlanta, GA 30328$255,000
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$25,399,343
Investment Income
$0
Other Revenue
$1,451,619
Change in Net Assets
$-2,422,259
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$29,273,221
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
Insurance---$26,690,253
Fees for Services Accounting---$28,000
Fees for Services Legal---$26,197
Other Expenses---$497
Total Functional Expenses$0$0$0$29,273,221
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
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
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
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

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

“Form 990 is reviewed by sas veba's trustees with all supporting documentation made available to them.”

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

“The trustees, as employees of community health systems, inc. (chsi), are subject to chsi's conflict of interest policy. Chsi regularly and consistently monitors and enforces compliance with their conflict of interest policy as provided for in their policy.”

Form 990, Page 6, Part VI, Line 19

“Community health systems, inc. Makes its financial statements available to the public as part of its form 990. The veba trust also makes its financial statements available to the public as part of its form 990. Both 990's are available upon request as reflected in part vi section c line 18.”

Filing and Contact Details

Filer

Filer Name
Sas Veba
EIN
35-7042070
Address
213 THIRD STREET, MACON, GA 31201

Signing Officer

Name
Lorraine Taylor
Title
Trustee
Signed
2022-11-03
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Lorraine Taylor
Formed
2014
Legal Domicile
Ga
Voting Board Members
0
Independent Board Members
0
Employees
0

Preparer

Firm
Mcnair Mclemore Middlebrooks & Co LLC
Address
POST OFFICE BOX ONE, MACON, GA 31202-0001
Preparer
J Randolph Nichols
Phone
4787466277
Supplemental Narrative

Additional Explanations

Form 990, Page 2, Part III, Line 4D

“Veba revenues consist of contributions from community health systems, inc. And subsidiaries and employees. All revenues are to be used for providing welfare benefits for eligible employees and their eligible dependents.”

Form 990, Part XI, Line 9

“Benefit obligation - ibnr 1,287,719”

Raw XML Appendix291 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.

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IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0COMPENSATION FOR TRUSTEES PAID FROM A RELATED ORGANIZATION IS DETERMINED BASED ON THE FOLLOWING METHODS: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, REVIEW OF FORM 990S OF OTHER ORGANIZATIONS, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0VEBA REVENUES CONSIST OF CONTRIBUTIONS FROM COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES AND EMPLOYEES. ALL REVENUES ARE TO BE USED FOR PROVIDING WELFARE BENEFITS FOR ELIGIBLE EMPLOYEES AND THEIR ELIGIBLE DEPENDENTS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1FORM 990 IS REVIEWED BY SAS VEBA'S TRUSTEES WITH ALL SUPPORTING DOCUMENTATION MADE AVAILABLE TO THEM.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE TRUSTEES, AS EMPLOYEES OF COMMUNITY HEALTH SYSTEMS, INC. (CHSI), ARE SUBJECT TO CHSI'S CONFLICT OF INTEREST POLICY. CHSI REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THEIR CONFLICT OF INTEREST POLICY AS PROVIDED FOR IN THEIR POLICY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3COMMUNITY HEALTH SYSTEMS, INC. MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC AS PART OF ITS FORM 990. THE VEBA TRUST ALSO MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC AS PART OF ITS FORM 990. BOTH 990'S ARE AVAILABLE UPON REQUEST AS REFLECTED IN PART VI SECTION C LINE 18.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4BENEFIT OBLIGATION - IBNR 1,287,719
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PAGE 2, PART III, LINE 4D
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IRS990/USAddress/CityNm0MACON
IRS990/USAddress/StateAbbreviationCd0GA
IRS990/USAddress/ZIPCd031201
IRS990/VotingMembersGoverningBodyCnt00
IRS990/VotingMembersIndependentCnt00
IRS990/WhistleblowerPolicyInd0true
ReturnHeader/BuildTS02022-09-23 18:48:47Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0LORRAINE TAYLOR
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0TRUSTEE
ReturnHeader/BusinessOfficerGrp/SignatureDt02022-11-03
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0SAS VEBA
ReturnHeader/Filer/BusinessNameControlTxt0SASV
ReturnHeader/Filer/EIN0357042070
ReturnHeader/Filer/USAddress/AddressLine1Txt0213 THIRD STREET
ReturnHeader/Filer/USAddress/CityNm0MACON
ReturnHeader/Filer/USAddress/StateAbbreviationCd0GA
ReturnHeader/Filer/USAddress/ZIPCd031201
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0581094351
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0MCNAIR MCLEMORE MIDDLEBROOKS & CO LLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0POST OFFICE BOX ONE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0MACON
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0GA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0312020001
ReturnHeader/PreparerPersonGrp/PhoneNum04787466277
ReturnHeader/PreparerPersonGrp/PreparationDt02022-11-03
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0J RANDOLPH NICHOLS
ReturnHeader/ReturnTs02022-11-03T11:42:08-04:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0LORRAINE
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0TAYLOR
ReturnHeader/TaxPeriodBeginDt02021-01-01
ReturnHeader/TaxPeriodEndDt02021-12-31
ReturnHeader/TaxYr02021

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Filings

Displayed year

2021 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$992,706
Liabilities
$3,865,716
Net assets
-$2,873,010
Revenue
$26,850,962
Expenses
$29,273,221
Net income
-$2,422,259
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.00$0.00$0.00$2.64$2.87$0.23
2021Detailed filing. Detailed filing data is available for this year.$0.99$3.87$2.87$26.9$29.3$2.42
2020Detailed filing. Detailed filing data is available for this year.$3.42$5.16$1.74$25.5$27.0$1.50
2019Detailed filing. Detailed filing data is available for this year.$4.86$4.64$0.22$26.9$25.6$1.25
2018Detailed filing. Detailed filing data is available for this year.$4.21$4.37$0.16$23.9$25.5$1.59