Civic Intelligence

Michigan Workers Compensation Placement Facility

990 • Fiscal year 2019 • EIN 38-2435776

Jan 01, 2019 to Dec 31, 2019 • Filed on Nov 13, 2020

Organization ProfileWWW.CAOM.COM
PO Box 3337Livonia, MI 48151-3337

(734) 462-9600

Siviq Scores

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

Liabilities / Assets

96th percentile

0.94x

Higher debt load relative to assets than 96% of similar nonprofits.

2019 filings • 501(c)6 • $1M-$5M nonprofits • Source year 2019

Liabilities / Revenue

95th percentile

1.00x

Higher debt load relative to revenue than 95% of similar nonprofits.

2019 filings • 501(c)6 • $1M-$5M nonprofits • Source year 2019

Net Margin

74th percentile

12%

Higher net margin than 74% of similar nonprofits.

2019 filings • 501(c)6 • $1M-$5M nonprofits • Source year 2019

Top Officer Pay

83rd percentile

$256,145

Higher top officer pay than 83% of similar nonprofits.

Top officer pay equals 9.0% of source-year revenue.

2019 filings • 501(c)6 • $1M-$5M nonprofits • Source year 2019

Asset Growth

9th percentile

-12%

Faster asset growth than 9% of similar nonprofits.

2019 filings • 501(c)6 • $1M-$5M nonprofits • Annualized from 2018 to 2019

Revenue Growth

44th percentile

1.8%

Faster revenue growth than 44% of similar nonprofits.

2019 filings • 501(c)6 • $1M-$5M nonprofits • Annualized from 2018 to 2019

Balance Sheet
Liabilities / Assets96th percentile

Assets

Down

$3,013,752

Down $392,842 (-12%) from 2018

Net Assets

Down

$170,128

Down $91,367 (-35%) from 2018

Liabilities

Down

$2,843,624

Down $301,475 (-9.6%) from 2018

Revenue And Expenses
Liabilities / Revenue95th percentileNet Margin74th percentile

Revenue

Up

$2,851,007

Up $51,167 (+1.8%) from 2018

Expenses

Up

$2,522,380

Up $156,387 (+6.6%) from 2018

Net Income

Down

$328,627

Down $105,220 (-24%) from 2018

Historical Trend

Balance Sheet Trend

Asset Growth9th percentile

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

$15M$10M$5.0M$0-$5.0MAssets 2010: $6,404,186Liabilities 2010: $6,735,206Net Assets 2010: -$331,0202010Assets 2011: $8,629,480Liabilities 2011: $8,668,812Net Assets 2011: -$39,3322011Assets 2012: $10,621,525Liabilities 2012: $10,756,150Net Assets 2012: -$134,6252012Assets 2013: $8,385,212Liabilities 2013: $8,133,768Net Assets 2013: $251,4442013Assets 2014: $6,204,517Liabilities 2014: $5,947,087Net Assets 2014: $257,4302014Assets 2015: $2,522,480Liabilities 2015: $2,547,813Net Assets 2015: -$25,3332015Assets 2016: $2,328,933Liabilities 2016: $2,149,208Net Assets 2016: $179,7252016Assets 2017: $2,280,430Liabilities 2017: $2,248,186Net Assets 2017: $32,2442017Assets 2018: $3,406,594Liabilities 2018: $3,145,099Net Assets 2018: $261,4952018Assets 2019: $3,013,752Liabilities 2019: $2,843,624Net Assets 2019: $170,1282019Assets 2020: $3,111,369Liabilities 2020: $2,531,801Net Assets 2020: $579,5682020Assets 2021: $2,575,002Liabilities 2021: $2,281,167Net Assets 2021: $293,8352021Assets 2022: $2,370,177Liabilities 2022: $2,009,001Net Assets 2022: $361,1762022Assets 2023: $3,058,469Liabilities 2023: $2,251,911Net Assets 2023: $806,5582023Assets 2024: $2,698,248Liabilities 2024: $2,157,977Net Assets 2024: $540,2712024

Highlighted filing

2019

Assets$3,013,752
Liabilities$2,843,624
Net Assets$170,128
Open 2019 Filing

Operations Trend

Revenue Growth44th percentile

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

$4.0M$2.0M$0-$2.0MExpenses 2010: $3,155,6472010Expenses 2011: $2,953,1852011Expenses 2012: $2,984,0872012Revenue 2013: $3,711,425Expenses 2013: $3,231,629Net Income 2013: $479,7962013Revenue 2014: $3,302,765Expenses 2014: $2,806,406Net Income 2014: $496,3592014Revenue 2015: $2,647,525Expenses 2015: $2,991,226Net Income 2015: -$343,7012015Revenue 2016: $2,703,537Expenses 2016: $2,305,719Net Income 2016: $397,8182016Revenue 2017: $2,632,400Expenses 2017: $2,420,041Net Income 2017: $212,3592017Revenue 2018: $2,799,840Expenses 2018: $2,365,993Net Income 2018: $433,8472018Revenue 2019: $2,851,007Expenses 2019: $2,522,380Net Income 2019: $328,6272019Revenue 2020: $3,052,086Expenses 2020: $2,384,289Net Income 2020: $667,7972020Revenue 2021: $2,865,887Expenses 2021: $2,439,465Net Income 2021: $426,4222021Revenue 2022: $2,833,657Expenses 2022: $2,339,897Net Income 2022: $493,7602022Revenue 2023: $3,183,448Expenses 2023: $2,244,308Net Income 2023: $939,1402023Revenue 2024: $3,066,700Expenses 2024: $2,393,847Net Income 2024: $672,8532024

Highlighted filing

2019

Revenue$2,851,007
Expenses$2,522,380
Net Income$328,627
Open 2019 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2019 to Dec 31, 2019
Signed
Nov 13, 2020
Return Version
2019v5.1
Gross Receipts
$2,851,007
Mission and Program Overview

Mission

Organization created for the purpose of accepting applications for workers' compensation from michigan companies which cannot obtain insurance from other sources and assigning the applications, pro rata, to all participating companies.

Responsible for the assignment of workers' compensation policies among michigan carriers

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$1,492,362$1,689,353▲ $196,991
Cash and Non-Interest-Bearing Accounts$1,904,058$1,322,779▼ $581,279
Prepaid Expenses and Deferred Charges$10,174$1,620▼ $8,554
Total Assets$3,406,594$3,013,752▼ $392,842
Liabilities
Accounts Payable and Accrued Expenses$3,145,099$2,843,624▼ $301,475
Total Liabilities$3,145,099$2,843,624▼ $301,475
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$261,495$170,128▼ $91,367
Total Net Assets Fund Balance$261,495$170,128▼ $91,367
Total Liabilities and Net Assets / Fund Balance$3,406,594$3,013,752▼ $392,842
Compensation and Service Providers
Top Officer Pay83rd percentile

Employees

NameTitleFull / Part TimeOtherTotal
Paul LipscombVP, OperationsPT$141,158$141,158
Jayaraj SubramanianEmployee-$124,053$124,053
Jeannine T PaquetEmployee-$123,811$123,811
Lynn M GriffithEmployee-$114,953$114,953
Michael C TithofEmployee-$108,640$108,640

Board Members and Trustees

NameTitle
Dave BrueckmanPresident
Brian MelasBoard Member
Darlene BerentBoard Member
Dawn ElzingaBoard Member
Renee BeaufordBoard Member
Robert SteinheiserBoard Member
Ryan VaughnBoard Member
Thomas MeldrumBoard Member
Tim TrafecantyBoard Member
Tracey AlfonsiBoard Member
Alan BurnsSVP, Chief Actuary
Alex BedowayVP, Lead Actuary
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$2,851,007
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$328,627

Audited Revenue Reconciliation

Revenue per Audited Statements
$2,851,007
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Total Revenue per Audited Statements
$2,851,007
Total Revenue per Form 990
$2,851,007
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$2,021,385
Other Expenses$500,995
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$532,820$231,735-$764,555
Current Officers, Directors, Trustees, and Key Employees$684,221--$684,221
Other Employee Benefits$280,422$27,355-$307,777
Fees for Services Other$200,693$19,978-$220,671
Pension Plan Contributions$142,850$10,918-$153,768
Payroll Taxes$98,059$13,005-$111,064
Occupancy$85,928$11,717-$97,645
Information Technology$85,225$1,563-$86,788
Office Expenses$17,749$7,134-$24,883
Insurance$22,645--$22,645
Conferences and Meetings$15,125--$15,125
Fees for Services Accounting$12,613--$12,613
Travel$10,987--$10,987
Other Expenses$8,853--$8,853
Fees for Services Legal$785--$785
Total Functional Expenses$2,198,975$323,405$0$2,522,380

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$2,942,374
Total Expenses per Form 990$2,522,380
Expenses per Audited Statements$2,461,847
Expenses Not Reported on Form 990$480,527
Expenses Not Reported on Financial Statements$60,533
Other Expense Adjustments$60,533
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
Backup withholding compliance
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
Yes
Other officer compensation reviewed
Yes
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, Part VI, Section A, Line 6

“The organization has voting members”

Form 990, Part VI, Section A, Line 7A

“All board members may vote or elect other members”

Form 990, Part VI, Section B, Line 11B

“Board members are notified of the availability of the 990 filing and provided filing access upon request.”

Form 990, Part VI, Section B, Line 12C

“A conflict of interest checklist is completed annually by each board member”

Form 990, Part VI, Section B, Line 15

“Compensation packages are reviewed annually by board members”

Form 990, Part VI, Section C, Line 18

“General membership is notified of the availability of the 990 filing and provided filing access upon request.”

Form 990, Part VI, Section C, Line 19

“Governing documents, form 990, and conflict of interest policies are posted on the website with members only access. Form 990 is sent to the insurance commissioner for public display”

Filing and Contact Details

Filer

Filer Name
MICHIGAN WORKERS' COMPENSATION
EIN
38-2435776
Phone
7344629600
Address
PO BOX 3337, LIVONIA, MI 48151-3337

Signing Officer

Name
Dave Brueckman
Title
President
Phone
7344629600
Signed
2020-11-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Dave Brueckman
Formed
1983
Legal Domicile
Mi
Voting Board Members
9
Independent Board Members
9
Employees
0
Volunteers
0

Preparer

Firm
Uhy Advisors Mi Inc
Address
27725 STANSBURY BLVD SUITE 210, FARMINGTON HILLS, MI 48334
Preparer
Michael Santicchia
Phone
2483550280
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

“Prior year reapportionment -480,527. Recoveries of unauthorized expenditures 60,533.”

Part XII, Line 2C

“The process for the oversight of the audit and selection of the independent auditor have not changed during the year.”

Financial Statement Notes

PART X, LINE 2:

“Asc guidance regarding accounting for uncertainty in income taxes that clarifies the accounting for income taxes by prescribing the minimum recognition threshold an income tax position is required to meet before being recognized in the financial statements and applies to all income tax positions. Each income tax position is assessed using a two-step process. A determination is first made as to whether it is more likely than not that the income tax position will be sustained, based upon technical merits, upon examination by the taxing authorities. If the income tax position is expected to meet the more likely than not criteria, the benefit recorded in the financial statements equals the largest amount that is greater than 50% likely to be realized upon its ultimate settlement. At december 31, 2019, there were no uncertain tax positions that required accrual.”

PART XII, LINE 2D - OTHER ADJUSTMENTS:

“Prior year reapportionment 480,527.”

PART XII, LINE 4B - OTHER ADJUSTMENTS:

“Recoveries of unauthorized expenditures 60,533.”

Part XII, Line 4B - Recoveries of Unauthorized Expenditures

“During 2016, the organization established the retirement medical stipend fund in place of their previous postretirement medical benefit plan. All restitution funds are to be allocated toward funding this new plan, retiree medical stipend fund plan. Prior to this change, restitution funds received were recorded directly to income. During the year ended december 31, 2019 $60,533 was recovered by the facility and are included on the balance sheet as payables to the affiliated entity. The affiliated entity is responsible for the payment of the retiree medical stipend fund liability.”

Raw XML AppendixShowing 400 of 533 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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IRS990/Form990PartVIISectionAGrp/TitleTxt0VP, OPERATIONS
IRS990/Form990PartVIISectionAGrp/TitleTxt1PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt2SVP, CHIEF ACTUARY
IRS990/Form990PartVIISectionAGrp/TitleTxt3BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt4BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt5BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt6BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt7BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt8BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt9BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt10BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt11BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt12VP, LEAD ACTUARY
IRS990/Form990PartVIISectionAGrp/TitleTxt13EMPLOYEE
IRS990/Form990PartVIISectionAGrp/TitleTxt14EMPLOYEE
IRS990/Form990PartVIISectionAGrp/TitleTxt15EMPLOYEE
IRS990/Form990PartVIISectionAGrp/TitleTxt16EMPLOYEE
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IRS990/FormationYr01983
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedInd00
IRS990/FundraisingActivitiesInd00
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt09
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossReceiptsAmt02851007
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd01
IRS990/IndependentAuditFinclStmtInd01
IRS990/IndependentVotingMemberCnt09
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartXIIInd0X
IRS990/InfoInScheduleOPartXIInd0X
IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt01563
IRS990/InformationTechnologyGrp/ProgramServicesAmt085225
IRS990/InformationTechnologyGrp/TotalAmt086788
IRS990/InsuranceGrp/ProgramServicesAmt022645
IRS990/InsuranceGrp/TotalAmt022645
IRS990/InvestmentInJointVentureInd00
IRS990/IRPDocumentCnt01
IRS990/IRPDocumentW2GCnt00
IRS990/LegalDomicileStateCd0MI
IRS990/LoanOutstandingInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd01
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0ORGANIZATION CREATED FOR THE PURPOSE OF ACCEPTING APPLICATIONS FOR WORKERS' COMPENSATION FROM MICHIGAN COMPANIES WHICH CANNOT OBTAIN INSURANCE FROM OTHER SOURCES AND ASSIGNING THE APPLICATIONS, PRO RATA, TO ALL PARTICIPATING COMPANIES.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt0261495
IRS990/NetAssetsOrFundBalancesEOYAmt0170128
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt0261495
IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt0170128
IRS990/NondeductibleContributionsInd00
IRS990/OccupancyGrp/ManagementAndGeneralAmt011717
IRS990/OccupancyGrp/ProgramServicesAmt085928
IRS990/OccupancyGrp/TotalAmt097645
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt07134
IRS990/OfficeExpensesGrp/ProgramServicesAmt017749
IRS990/OfficeExpensesGrp/TotalAmt024883
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501cInd0X
IRS990/OrganizationFollowsFASB117Ind0X
IRS990/OtherChangesInNetAssetsAmt0-419994
IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt027355
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt0280422
IRS990/OtherEmployeeBenefitsGrp/TotalAmt0307777
IRS990/OtherExpensesGrp/Desc0EQUIPMENT MAINTENANCE A
IRS990/OtherExpensesGrp/ProgramServicesAmt08853
IRS990/OtherExpensesGrp/TotalAmt08853
IRS990/OtherInd0X
IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt0231735
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt0532820
IRS990/OtherSalariesAndWagesGrp/TotalAmt0764555
IRS990/OwnWebsiteInd0X
IRS990/PartialLiquidationInd00
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt013005
IRS990/PayrollTaxesGrp/ProgramServicesAmt098059
IRS990/PayrollTaxesGrp/TotalAmt0111064
IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt010918
IRS990/PensionPlanContributionsGrp/ProgramServicesAmt0142850
IRS990/PensionPlanContributionsGrp/TotalAmt0153768
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt010174
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt01620
IRS990/PrincipalOfficerNm0DAVE BRUECKMAN
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0524298
IRS990/ProgramServiceRevenueGrp/Desc0MEMBER ASSESSMENTS
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt02851007
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt02851007
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt00
IRS990/PYOtherExpensesAmt0654487
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt02799840
IRS990/PYRevenuesLessExpensesAmt0433847
IRS990/PYSalariesCompEmpBnftPaidAmt01711506
IRS990/PYTotalExpensesAmt02365993
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt02799840
IRS990/ReconcilationRevenueExpnssAmt0328627
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd00
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt02851007
IRS990/ScheduleBRequiredInd00
IRS990ScheduleD/ExpensesNotReportedAmt0480527
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt060533
IRS990ScheduleD/ExpensesSubtotalAmt02461847
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/OtherExpensesIncludedAmt0480527
IRS990ScheduleD/OtherExpensesNotIncludedAmt060533
IRS990ScheduleD/RevenueNotReportedAmt00
IRS990ScheduleD/RevenueNotReportedFinclStmtAmt00
IRS990ScheduleD/RevenueSubtotalAmt02851007
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0ASC GUIDANCE REGARDING ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES THAT CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING THE MINIMUM RECOGNITION THRESHOLD AN INCOME TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS AND APPLIES TO ALL INCOME TAX POSITIONS. EACH INCOME TAX POSITION IS ASSESSED USING A TWO-STEP PROCESS. A DETERMINATION IS FIRST MADE AS TO WHETHER IT IS MORE LIKELY THAN NOT THAT THE INCOME TAX POSITION WILL BE SUSTAINED, BASED UPON TECHNICAL MERITS, UPON EXAMINATION BY THE TAXING AUTHORITIES. IF THE INCOME TAX POSITION IS EXPECTED TO MEET THE MORE LIKELY THAN NOT CRITERIA, THE BENEFIT RECORDED IN THE FINANCIAL STATEMENTS EQUALS THE LARGEST AMOUNT THAT IS GREATER THAN 50% LIKELY TO BE REALIZED UPON ITS ULTIMATE SETTLEMENT. AT DECEMBER 31, 2019, THERE WERE NO UNCERTAIN TAX POSITIONS THAT REQUIRED ACCRUAL.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1PRIOR YEAR REAPPORTIONMENT 480,527.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt2RECOVERIES OF UNAUTHORIZED EXPENDITURES 60,533.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt3DURING 2016, THE ORGANIZATION ESTABLISHED THE RETIREMENT MEDICAL STIPEND FUND IN PLACE OF THEIR PREVIOUS POSTRETIREMENT MEDICAL BENEFIT PLAN. ALL RESTITUTION FUNDS ARE TO BE ALLOCATED TOWARD FUNDING THIS NEW PLAN, RETIREE MEDICAL STIPEND FUND PLAN. PRIOR TO THIS CHANGE, RESTITUTION FUNDS RECEIVED WERE RECORDED DIRECTLY TO INCOME. DURING THE YEAR ENDED DECEMBER 31, 2019 $60,533 WAS RECOVERED BY THE FACILITY AND ARE INCLUDED ON THE BALANCE SHEET AS PAYABLES TO THE AFFILIATED ENTITY. THE AFFILIATED ENTITY IS RESPONSIBLE FOR THE PAYMENT OF THE RETIREE MEDICAL STIPEND FUND LIABILITY.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1PART XII, LINE 2D - OTHER ADJUSTMENTS:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc2PART XII, LINE 4B - OTHER ADJUSTMENTS:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc3PART XII, LINE 4B - RECOVERIES OF UNAUTHORIZED EXPENDITURES
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleD/TotalExpensesPerForm990Amt02522380
IRS990ScheduleD/TotalRevenuePerForm990Amt02851007
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt02851007
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt02942374
IRS990ScheduleJ/BoardOrCommitteeApprovalInd0X
IRS990ScheduleJ/CompensationSurveyInd0X
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990/ScheduleJRequiredInd01
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0240024
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt1210417
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt2142502
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt014948
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt112257
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt28744
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt01173
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt11173
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt2127
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0DAVE BRUECKMAN
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1ALAN BURNS
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm2ALEX BEDOWAY
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0PRESIDENT
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1SVP, CHIEF ACTUARY
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt2VP, LEAD ACTUARY
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0256145
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt1223847
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt2151373
IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE ORGANIZATION HAS VOTING MEMBERS
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1ALL BOARD MEMBERS MAY VOTE OR ELECT OTHER MEMBERS
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2BOARD MEMBERS ARE NOTIFIED OF THE AVAILABILITY OF THE 990 FILING AND PROVIDED FILING ACCESS UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3A CONFLICT OF INTEREST CHECKLIST IS COMPLETED ANNUALLY BY EACH BOARD MEMBER
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4COMPENSATION PACKAGES ARE REVIEWED ANNUALLY BY BOARD MEMBERS
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5GENERAL MEMBERSHIP IS NOTIFIED OF THE AVAILABILITY OF THE 990 FILING AND PROVIDED FILING ACCESS UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6GOVERNING DOCUMENTS, FORM 990, AND CONFLICT OF INTEREST POLICIES ARE POSTED ON THE WEBSITE WITH MEMBERS ONLY ACCESS. FORM 990 IS SENT TO THE INSURANCE COMMISSIONER FOR PUBLIC DISPLAY
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7PRIOR YEAR REAPPORTIONMENT -480,527. RECOVERIES OF UNAUTHORIZED EXPENDITURES 60,533.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8THE PROCESS FOR THE OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT AUDITOR HAVE NOT CHANGED DURING THE YEAR.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION B, LINE 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION C, LINE 18

Document Assets

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Filings

Displayed year

2019 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$3,013,752
Liabilities
$2,843,624
Net assets
$170,128
Revenue
$2,851,007
Expenses
$2,522,380
Net income
$328,627
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.70$2.16$0.54$3.07$2.39$0.67
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.06$2.25$0.81$3.18$2.24$0.94
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.37$2.01$0.36$2.83$2.34$0.49
2021Import issue. A filing source exists for this year, but detailed import did not complete cleanly.$2.58$2.28$0.29$2.87$2.44$0.43
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.11$2.53$0.58$3.05$2.38$0.67
2019Detailed filing. Detailed filing data is available for this year.$3.01$2.84$0.17$2.85$2.52$0.33
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.41$3.15$0.26$2.80$2.37$0.43
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.28$2.25$0.03$2.63$2.42$0.21
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.33$2.15$0.18$2.70$2.31$0.40
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.52$2.55$0.03$2.65$2.99$0.34
2014Import issue. A filing source exists for this year, but detailed import did not complete cleanly.$6.20$5.95$0.26$3.30$2.81$0.50
2013Detailed filing. Detailed filing data is available for this year.$8.39$8.13$0.25$3.71$3.23$0.48
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$10.6$10.8$0.13$2.98
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$8.63$8.67$0.04$2.95
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.40$6.74$0.33$3.16