Liabilities / Assets
96th percentile
Higher debt load relative to assets than 96% of similar nonprofits.
Michigan Workers Compensation Placement Facility
990 • Fiscal year 2022 • EIN 38-2435776
Siviq Scores
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
0.85x
Liabilities / Revenue
89th percentile
Higher debt load relative to revenue than 89% of similar nonprofits.
Net Margin
79th percentile
Higher net margin than 79% of similar nonprofits.
Top Officer Pay
89th percentile
Higher top officer pay than 89% of similar nonprofits.
Top officer pay equals 10.9% of source-year revenue.
Asset Growth
24th percentile
Faster asset growth than 24% of similar nonprofits.
Revenue Growth
30th percentile
Faster revenue growth than 30% of similar nonprofits.
Balance Sheet
Assets
Down$2,370,177
Down $204,825 (-8.0%) from 2021
Net Assets
Up$361,176
Up $67,341 (+23%) from 2021
Liabilities
Down$2,009,001
Down $272,166 (-12%) from 2021
Revenue And Expenses
Revenue
Down$2,833,657
Down $32,230 (-1.1%) from 2021
Expenses
Down$2,339,897
Down $99,568 (-4.1%) from 2021
Net Income
Up$493,760
Up $67,338 (+16%) from 2021
Historical Trend
Jump To
Filing Snapshot
- Filing Period
- Jan 1, 2022 to Dec 31, 2022
- Signed
- Sep 20, 2023
- Return Version
- 2022v5.0
- Gross Receipts
- $2,833,657
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 addressing all plan and pool administration duties associated with supporting the michigan workers' compensation residual market, i.e. Market of last resort
Balance Sheet Detail
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Cash and Non-Interest-Bearing Accounts | $1,574,605 | $1,380,602 | ▼ $194,003 |
| Accounts Receivable | $959,755 | $970,840 | ▲ $11,085 |
| Prepaid Expenses and Deferred Charges | $40,642 | $18,735 | ▼ $21,907 |
| Total Assets | $2,575,002 | $2,370,177 | ▼ $204,825 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $2,281,167 | $2,009,001 | ▼ $272,166 |
| Total Liabilities | $2,281,167 | $2,009,001 | ▼ $272,166 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $293,835 | $361,176 | ▲ $67,341 |
| Total Net Assets Fund Balance | $293,835 | $361,176 | ▲ $67,341 |
| Total Liabilities and Net Assets / Fund Balance | $2,575,002 | $2,370,177 | ▼ $204,825 |
Compensation and Service Providers
Employees
| Name | Title | Full / Part Time | Other | Total |
|---|---|---|---|---|
| Paul Lipscomb | VP, Operations | PT | $149,331 | $149,331 |
| Jeannine T Paquet | Operations Support Manager | PT | $119,472 | $119,472 |
| Michael C Tithof | Actuary Iii | PT | $116,067 | $116,067 |
Board Members and Trustees
| Name | Title |
|---|---|
| Dave Brueckman | President |
| Amanda Warner | Board Member |
| Brian Melas | Board Member |
| Dawn Elzinga | Board Member |
| Ed Hanlon | Board Member |
| James Ralph | Board Member |
| Jason Sweet | Board Member |
| Kylee Mitchell Wells | Board Member |
| Ryan Vaughn | Board Member |
| Tracey Mclenon | Board Member |
| Jayaraj Subramanian | It Manager |
| Alan Burns | SVP, Chief Actuary |
| Alex Bedoway | VP, Lead Actuary |
Revenue and Support
Revenue Composition
- Contributions and Grants
- $0
- Program Service Revenue
- $2,833,657
- Investment Income
- $0
- Other Revenue
- $0
- Change in Net Assets
- $493,760
Audited Revenue Reconciliation
- Revenue per Audited Statements
- $2,833,657
- Revenue Not Reported on Financial Statements
- $0
- Revenue Not Reported on Form 990
- $0
- Total Revenue per Audited Statements
- $2,833,657
- Total Revenue per Form 990
- $2,833,657
Expenses and Functional Allocation
Major Expense Lines
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $1,989,976 |
| Other Expenses | $349,921 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
Functional Expense Allocation
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $932,402 | $246,272 | - | $1,178,674 |
| Current Officers, Directors, Trustees, and Key Employees | $304,343 | - | - | $304,343 |
| Other Employee Benefits | $239,395 | $27,055 | - | $266,450 |
| Pension Plan Contributions | $114,660 | $18,337 | - | $132,997 |
| Payroll Taxes | $92,482 | $15,030 | - | $107,512 |
| Occupancy | $82,445 | $11,242 | - | $93,687 |
| Fees for Services Other | $91,438 | - | - | $91,438 |
| Information Technology | $52,826 | $2,261 | - | $55,087 |
| Insurance | $32,791 | - | - | $32,791 |
| Office Expenses | $21,458 | $5,322 | - | $26,780 |
| Fees for Services Accounting | $21,250 | - | - | $21,250 |
| Fees for Services Legal | $9,488 | - | - | $9,488 |
| Travel | $9,003 | - | - | $9,003 |
| Conferences and Meetings | $7,625 | - | - | $7,625 |
| Other Expenses | $878 | $114 | - | $992 |
| Total Functional Expenses | $2,014,264 | $325,633 | $0 | $2,339,897 |
Audited Expense Reconciliation
| Line Item | Amount |
|---|---|
| Total Expenses per Audited Statements | $2,766,316 |
| Expenses per Audited Statements | $2,339,897 |
| Total Expenses per Form 990 | $2,339,897 |
| Expenses Not Reported on Form 990 | $426,419 |
| Expenses Not Reported on Financial Statements | $0 |
Fundraising, Events, and Gaming
- Fundraising activities
- No
- Gaming activities
- No
- Professional fundraiser used
- No
Fundraising and Gaming Totals
| Line Item | Amount |
|---|---|
| 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 B, Line 11B
“Form 990 is reviewed and verified by the president and the office manager prior to notifying the governing board members of its availability. The governing board members may request a copy for their review and/or raise any questions at the september governing board meeting prior to filing the return”
Form 990, Part VI, Section B, Line 12C
“Governing board members are annually required to sign a conflict of interest statement acknowledging that they do not have any conflicts of interest serving on the board. Further, since the board is comprised of member carriers, board representatives are asked to abstain from voting if the issue being discussed could impact their company”
Form 990, Part VI, Section B, Line 15
“The governing boards review the president & ceo's salary annually and determines any increase or bonus. The board chair sends that salary information to the office manager administrative and copies the organization's legal counsel to ensure that the information is not compromised. Management and staff are evaluated against benchmarked job descriptions on an annual basis. The organization's salary budget is reviewed by the operations committee prior to submitting the entire annual budget to the governing board for approval”
Form 990, Part VI, Section C, Line 18
“The irs posts form 990 to its website. All governing board members are made aware of a pending 990 filing and offered a copy should they wish to review. Additionally, form 990 is made available to the public upon written request to the organization”
Form 990, Part VI, Section C, Line 19
“Governing documents are publicly available on our website (www.caom.com ). The conflict of interest policy is made available to employees in the employee handbook. All employees have access to this document through internal file sharing. The conflict of interest policy is distributed to board and committee members annually and must be signed to ensure those members have no conflict of interest white sitting on the board. The conflict of interest policy is available to the public upon written request. Financial statements are reviewed and approved annually by the audit committee and the joint governing board. Financial statements are available to the public upon written request”
Filing and Contact Details
Filer
- Filer Name
- MICHIGAN WORKERS' COMPENSATION
- EIN
- 38-2435776
- Phone
- 7344629600
- Address
- 17197 N LAUREL PARK DRIVE, LIVONIA, MI 48152
Signing Officer
- Name
- Dave Brueckman
- Title
- President
- Phone
- 7344629600
- Signed
- 2023-09-20
- 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
- 455 E EISENHOWER SUITE 102, ANN ARBOR, MI 48108
- Preparer
- Michael Santicchia
- Phone
- 7342131040
Supplemental Narrative
Additional Explanations
FORM 990, PART XI, LINE 9:
“Prior year reapportionment -426,419.”
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, 2022, there were no uncertain tax positions that required accrual.”
PART XII, LINE 2D - OTHER ADJUSTMENTS:
“Prior year reapportionment 426,419.”
PART XII, LINE 4B - OTHER ADJUSTMENTS:
“Recoveries of unauthorized expenditures”
Raw XML AppendixShowing 400 of 537 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/AccountantCompileOrReviewInd | 0 | 0 |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 2281167 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 2009001 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 959755 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 970840 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | RESPONSIBLE FOR ADDRESSING ALL PLAN AND POOL ADMINISTRATION DUTIES ASSOCIATED WITH SUPPORTING THE MICHIGAN WORKERS' COMPENSATION RESIDUAL MARKET, I.E. MARKET OF LAST RESORT |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | DAVE BRUECKMAN |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 7344629600 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 17197 N LAUREL PARK DRIVE |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | LIVONIA |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | MI |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 48152 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
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| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 1380602 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
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| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 304343 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
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| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 7625 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 7625 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 0 |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 0 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 0 |
| IRS990/CYOtherExpensesAmt | 0 | 349921 |
| IRS990/CYOtherRevenueAmt | 0 | 0 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 2833657 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 493760 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 1989976 |
| IRS990/CYTotalExpensesAmt | 0 | 2339897 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 2833657 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/Desc | 0 | THE FACILITY'S PRIMARY FOCUS IS REVIEWING POTENTIAL INSURANCE APPLICANTS AND ASSIGNING THEM TO ONE OF THE ESTABLISHED SERVICING CARRIERS CONSISTENT WITH THEIR ESTABLISHED QUOTA SHARE. THE FACILITY UTILIZES EXTERNAL RESOURCES TO ASSIST WITH THE SERVICING CARRIER SELECTION PROCESS, TO ANNUALLY EVALUATE EACH SERVICING CARRIER'S PERFORMANCE AGAINST ESTABLISHED PERFORMANCE STANDARDS, TO PROMULGATE EXPERIENCE MODS, TO PREPARE THE ANNUAL FACILITY RATE FILING AND TO MAINTAIN POOL RESERVES SUFFICIENT TO COVER THE FACILITY'S ULTIMATE LIABILITY |
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| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 0 |
| IRS990/EmployeeCnt | 0 | 0 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/ExpenseAmt | 0 | 2014264 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
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| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 21250 |
| IRS990/FeesForServicesLegalGrp/ProgramServicesAmt | 0 | 9488 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 9488 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 91438 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 91438 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 1.00 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.00 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 20.50 |
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| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | VP, OPERATIONS |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | SVP, CHIEF ACTUARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | VP, LEAD ACTUARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | IT MANAGER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | ACTUARY III |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | OPERATIONS SUPPORT MANAGER |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1983 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedInd | 0 | 0 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 9 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 2833657 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 9 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 2261 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 52826 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 55087 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 32791 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 32791 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 5 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LegalDomicileStateCd | 0 | MI |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | THE MICHIGAN WORKERS' COMPENSATION PLACEMENT FACILITY (A.K.A. THE FACILITY) ADDRESSES ALL PLAN AND POOL ADMINISTRATION RESPONSIBILITIES REQUIRED TO OFFER AN ALTERNATIVE COVERAGE SOURCE FOR BUSINESSES UNABLE TO PROCURE WC INSURANCE COVERAGE IN THE VOLUNTARY MARKET. PLAN ADMINISTRATION DUTIES INCLUDE PROCESSING APPLICATIONS AGAINST ESTABLISHED ELIGIBILITY GUIDELINES, APPOINTING SERVICING CARRIERS TO ISSUE POLICIES AND PROCESS ANY SUBSEQUENT CLAIM ACTIVITY AND ESTABLISHING A VIABLE OUTSIDE VENDOR AND/OR SUITABLE INTERNAL RESOURCES TO ADDRESS THE VARIOUS POOL ADMINISTRATION RESPONSIBILITIES |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 293835 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 361176 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 293835 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 361176 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 11242 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 82445 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 93687 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 5322 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 21458 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 26780 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501cInd | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherChangesInNetAssetsAmt | 0 | -426419 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 27055 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 239395 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 266450 |
| IRS990/OtherExpensesGrp/Desc | 0 | EQUIPMENT MAINTENANCE A |
| IRS990/OtherExpensesGrp/Desc | 1 | PROPERTY TAXES |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 114 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 1780 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 878 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 1780 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 992 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 246272 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 932402 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 1178674 |
| IRS990/OtherWebsiteInd | 0 | X |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 15030 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 92482 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 107512 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 18337 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 114660 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 132997 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 40642 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 18735 |
| IRS990/PrincipalOfficerNm | 0 | DAVE BRUECKMAN |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 524298 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | MEMBER ASSESSMENTS |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 2833657 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 2833657 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 0 |
| IRS990/PYOtherExpensesAmt | 0 | 395869 |
| IRS990/PYOtherRevenueAmt | 0 | 0 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 2865887 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 426422 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 2043596 |
| IRS990/PYTotalExpensesAmt | 0 | 2439465 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 2865887 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 493760 |
| IRS990/RegularMonitoringEnfrcInd | 0 | 1 |
| IRS990/RelatedEntityInd | 0 | 1 |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | 0 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | 0 |
| IRS990/ReportLandBuildingEquipmentInd | 0 | 0 |
| IRS990/ReportOtherAssetsInd | 0 | 0 |
| IRS990/ReportOtherLiabilitiesInd | 0 | 0 |
| IRS990/ReportProgramRelatedInvstInd | 0 | 0 |
| IRS990/RevenueAmt | 0 | 2833657 |
| IRS990/ScheduleBRequiredInd | 0 | 0 |
| IRS990ScheduleD/ExpensesNotReportedAmt | 0 | 426419 |
| IRS990ScheduleD/ExpensesNotRptFinclStmtAmt | 0 | 0 |
| IRS990ScheduleD/ExpensesSubtotalAmt | 0 | 2339897 |
| IRS990ScheduleD/FootnoteTextInd | 0 | X |
| IRS990ScheduleD/OtherExpensesIncludedAmt | 0 | 426419 |
| IRS990ScheduleD/RevenueNotReportedAmt | 0 | 0 |
| IRS990ScheduleD/RevenueNotReportedFinclStmtAmt | 0 | 0 |
| IRS990ScheduleD/RevenueSubtotalAmt | 0 | 2833657 |
| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 0 | 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, 2022, THERE WERE NO UNCERTAIN TAX POSITIONS THAT REQUIRED ACCRUAL. |
| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 1 | PRIOR YEAR REAPPORTIONMENT 426,419. |
| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 2 | RECOVERIES OF UNAUTHORIZED EXPENDITURES |
| IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | PART X, LINE 2: |
| IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | PART XII, LINE 2D - OTHER ADJUSTMENTS: |
| IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | PART XII, LINE 4B - OTHER ADJUSTMENTS: |
| IRS990ScheduleD/TotalBookValueLandBuildingsAmt | 0 | 0 |
| IRS990ScheduleD/TotalExpensesPerForm990Amt | 0 | 2339897 |
| IRS990ScheduleD/TotalRevenuePerForm990Amt | 0 | 2833657 |
| IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt | 0 | 2833657 |
| IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt | 0 | 2766316 |
| IRS990ScheduleJ/BoardOrCommitteeApprovalInd | 0 | X |
| IRS990ScheduleJ/CompensationSurveyInd | 0 | X |
| IRS990ScheduleJ/EquityBasedCompArrngmInd | 0 | 0 |
| IRS990/ScheduleJRequiredInd | 0 | 1 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 2 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 3 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount | 2 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount | 3 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt | 2 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt | 3 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt | 0 | 301311 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt | 1 | 229219 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt | 2 | 158799 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt | 3 | 154322 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt | 2 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt | 3 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt | 2 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt | 3 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt | 2 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt | 3 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt | 2 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt | 3 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt | 2 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt | 3 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt | 0 | 4595 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt | 1 | 5891 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt | 2 | 2790 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt | 3 | 3612 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt | 2 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt | 3 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt | 0 | 2671 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt | 1 | 2492 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt | 2 | 668 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt | 3 | 662 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 0 | DAVE BRUECKMAN |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 1 | ALAN BURNS |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 2 | JAYARAJ SUBRAMANIAN |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 3 | ALEX BEDOWAY |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt | 0 | PRESIDENT |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt | 1 | SVP, CHIEF ACTUARY |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt | 2 | IT MANAGER |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt | 3 | VP, LEAD ACTUARY |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt | 2 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt | 3 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt | 0 | 308577 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt | 1 | 237602 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt | 2 | 162257 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt | 3 | 158596 |
| IRS990ScheduleJ/SeverancePaymentInd | 0 | 0 |
| IRS990ScheduleJ/SupplementalNonqualRtrPlanInd | 0 | 0 |
| IRS990/ScheduleORequiredInd | 0 | 1 |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 0 | THE ORGANIZATION HAS VOTING MEMBERS. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 1 | FORM 990 IS REVIEWED AND VERIFIED BY THE PRESIDENT AND THE OFFICE MANAGER PRIOR TO NOTIFYING THE GOVERNING BOARD MEMBERS OF ITS AVAILABILITY. THE GOVERNING BOARD MEMBERS MAY REQUEST A COPY FOR THEIR REVIEW AND/OR RAISE ANY QUESTIONS AT THE SEPTEMBER GOVERNING BOARD MEETING PRIOR TO FILING THE RETURN |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 2 | GOVERNING BOARD MEMBERS ARE ANNUALLY REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT ACKNOWLEDGING THAT THEY DO NOT HAVE ANY CONFLICTS OF INTEREST SERVING ON THE BOARD. FURTHER, SINCE THE BOARD IS COMPRISED OF MEMBER CARRIERS, BOARD REPRESENTATIVES ARE ASKED TO ABSTAIN FROM VOTING IF THE ISSUE BEING DISCUSSED COULD IMPACT THEIR COMPANY |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 3 | THE GOVERNING BOARDS REVIEW THE PRESIDENT & CEO'S SALARY ANNUALLY AND DETERMINES ANY INCREASE OR BONUS. THE BOARD CHAIR SENDS THAT SALARY INFORMATION TO THE OFFICE MANAGER ADMINISTRATIVE AND COPIES THE ORGANIZATION'S LEGAL COUNSEL TO ENSURE THAT THE INFORMATION IS NOT COMPROMISED. MANAGEMENT AND STAFF ARE EVALUATED AGAINST BENCHMARKED JOB DESCRIPTIONS ON AN ANNUAL BASIS. THE ORGANIZATION'S SALARY BUDGET IS REVIEWED BY THE OPERATIONS COMMITTEE PRIOR TO SUBMITTING THE ENTIRE ANNUAL BUDGET TO THE GOVERNING BOARD FOR APPROVAL |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 4 | THE IRS POSTS FORM 990 TO ITS WEBSITE. ALL GOVERNING BOARD MEMBERS ARE MADE AWARE OF A PENDING 990 FILING AND OFFERED A COPY SHOULD THEY WISH TO REVIEW. ADDITIONALLY, FORM 990 IS MADE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST TO THE ORGANIZATION |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 5 | GOVERNING DOCUMENTS ARE PUBLICLY AVAILABLE ON OUR WEBSITE (WWW.CAOM.COM ). THE CONFLICT OF INTEREST POLICY IS MADE AVAILABLE TO EMPLOYEES IN THE EMPLOYEE HANDBOOK. ALL EMPLOYEES HAVE ACCESS TO THIS DOCUMENT THROUGH INTERNAL FILE SHARING. THE CONFLICT OF INTEREST POLICY IS DISTRIBUTED TO BOARD AND COMMITTEE MEMBERS ANNUALLY AND MUST BE SIGNED TO ENSURE THOSE MEMBERS HAVE NO CONFLICT OF INTEREST WHITE SITTING ON THE BOARD. THE CONFLICT OF INTEREST POLICY IS AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. FINANCIAL STATEMENTS ARE REVIEWED AND APPROVED ANNUALLY BY THE AUDIT COMMITTEE AND THE JOINT GOVERNING BOARD. FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST |
Document Assets
No mirrored PDF or thumbnail assets are attached yet.
Filings
Displayed year
2022 • Form 990Detailed filing. Detailed filing data is available for this year.
- Assets
- $2,370,177
- Liabilities
- $2,009,001
- Net assets
- $361,176
- Revenue
- $2,833,657
- Expenses
- $2,339,897
- Net income
- $493,760