Civic Intelligence

Michigan Workers Compensation Placement Facility

990 • Fiscal year 2023 • EIN 38-2435776

Jan 01, 2023 to Dec 31, 2023 • Filed on Nov 01, 2024

19500 Victory Parkway Drive 475Livonia, MI 48152

(734) 462-9600

Siviq Scores

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

Liabilities / Assets

93rd percentile

0.74x

Higher debt load relative to assets than 93% of similar nonprofits.

2023 filings • 501(c)6 • $1M-$5M nonprofits • Source year 2023

Liabilities / Revenue

89th percentile

0.71x

Higher debt load relative to revenue than 89% of similar nonprofits.

2023 filings • 501(c)6 • $1M-$5M nonprofits • Source year 2023

Net Margin

91st percentile

30%

Higher net margin than 91% of similar nonprofits.

2023 filings • 501(c)6 • $1M-$5M nonprofits • Source year 2023

Top Officer Pay

90th percentile

$320,760

Higher top officer pay than 90% of similar nonprofits.

Top officer pay equals 10.1% of source-year revenue.

2023 filings • 501(c)6 • $1M-$5M nonprofits • Source year 2023

Asset Growth

87th percentile

29%

Faster asset growth than 87% of similar nonprofits.

2023 filings • 501(c)6 • $1M-$5M nonprofits • Annualized from 2022 to 2023

Revenue Growth

60th percentile

12%

Faster revenue growth than 60% of similar nonprofits.

2023 filings • 501(c)6 • $1M-$5M nonprofits • Annualized from 2022 to 2023

Assets

Up

$3,058,469

Up $688,292 (+29%) from 2022

Net Assets

Up

$806,558

Up $445,382 (+123%) from 2022

Liabilities

Up

$2,251,911

Up $242,910 (+12%) from 2022

Revenue

Up

$3,183,448

Up $349,791 (+12%) from 2022

Expenses

Down

$2,244,308

Down $95,589 (-4.1%) from 2022

Net Income

Up

$939,140

Up $445,380 (+90%) from 2022

Historical Trend

Balance Sheet Trend

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

2023

Assets$3,058,469
Liabilities$2,251,911
Net Assets$806,558

Operations Trend

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

2023

Revenue$3,183,448
Expenses$2,244,308
Net Income$939,140
Jump To
Filing Snapshot
Filing Period
Jan 1, 2023 to Dec 31, 2023
Signed
Nov 1, 2024
Return Version
2023v5.1
Gross Receipts
$3,183,448
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
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$1,380,602$2,177,657▲ $797,055
Accounts Receivable$970,840$845,878▼ $124,962
Prepaid Expenses and Deferred Charges$18,735$34,934▲ $16,199
Total Assets$2,370,177$3,058,469▲ $688,292
Liabilities
Accounts Payable and Accrued Expenses$2,009,001$2,251,911▲ $242,910
Total Liabilities$2,009,001$2,251,911▲ $242,910
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$361,176$806,558▲ $445,382
Total Net Assets Fund Balance$361,176$806,558▲ $445,382
Total Liabilities and Net Assets / Fund Balance$2,370,177$3,058,469▲ $688,292
Compensation and Service Providers

Employees

NameTitleFull / Part TimeOtherTotal
Paul LipscombVP, OperationsPT$149,575$149,575
Michael C TithofActuary IiiPT$121,699$121,699

Board Members and Trustees

NameTitle
Dave BrueckmanPresident
Amanda WarnerBoard Member
Brian MelasBoard Member
Dawn ElzingaBoard Member
Ed HanlonBoard Member
James RalphBoard Member
Jason SweetBoard Member
Kylee Mitchell WellsBoard Member
Ryan VaughnBoard Member
Tracey MclenonBoard Member
Jayaraj SubramanianIt Manager
Alan BurnsSVP, Chief Actuary
Alex BedowayVP, Lead Actuary
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$3,148,522
Investment Income
$34,926
Other Revenue
$0
Change in Net Assets
$939,140

Audited Revenue Reconciliation

Revenue per Audited Statements
$3,183,448
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Total Revenue per Audited Statements
$3,183,448
Total Revenue per Form 990
$3,183,448
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$1,841,038
Other Expenses$403,270
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$935,820$174,738-$1,110,558
Current Officers, Directors, Trustees, and Key Employees$304,987--$304,987
Other Employee Benefits$174,026$30,442-$204,468
Pension Plan Contributions$105,772$14,835-$120,607
Occupancy$94,533$15,389-$109,922
Payroll Taxes$90,660$9,758-$100,418
Fees for Services Other$94,746--$94,746
Information Technology$67,662--$67,662
Office Expenses$39,133$5,270-$44,403
Insurance$30,155--$30,155
Fees for Services Accounting$25,200--$25,200
Travel$11,908--$11,908
Conferences and Meetings$10,375--$10,375
Fees for Services Legal$5,311--$5,311
Other Expenses$57--$57
Total Functional Expenses$1,993,876$250,432$0$2,244,308

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$2,738,066
Expenses per Audited Statements$2,244,308
Total Expenses per Form 990$2,244,308
Expenses Not Reported on Form 990$493,758
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 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
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
19500 VICTORY PARKWAY DRIVE 475, LIVONIA, MI 48152

Signing Officer

Name
Dave Brueckman
Title
President
Phone
7344629600
Signed
2024-11-01
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 Great Lakes 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 -493,758.

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, 2022, there were no uncertain tax positions that required accrual.

PART XII, LINE 2D - OTHER ADJUSTMENTS:

Prior year reapportionment 493,758.

Raw XML AppendixShowing 400 of 529 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/ActivityOrMissionDesc0RESPONSIBLE FOR ADDRESSING ALL PLAN AND POOL ADMINISTRATION DUTIES ASSOCIATED WITH SUPPORTING THE MICHIGAN WORKERS' COMPENSATION RESIDUAL MARKET, I.E. MARKET OF LAST RESORT
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IRS990/Form990PartVIISectionAGrp/TitleTxt0BOARD MEMBER
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IRS990/Form990PartVIISectionAGrp/TitleTxt9VP, OPERATIONS
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IRS990/Form990PartVIISectionAGrp/TitleTxt11SVP, CHIEF ACTUARY
IRS990/Form990PartVIISectionAGrp/TitleTxt12VP, LEAD ACTUARY
IRS990/Form990PartVIISectionAGrp/TitleTxt13IT MANAGER
IRS990/Form990PartVIISectionAGrp/TitleTxt14ACTUARY III
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/FormationYr01983
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd0X
IRS990/FSAuditedInd01
IRS990/FundraisingActivitiesInd00
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt09
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossReceiptsAmt03183448
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd01
IRS990/IndependentAuditFinclStmtInd00
IRS990/IndependentVotingMemberCnt09
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartIIIInd0X
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartXIIInd0X
IRS990/InfoInScheduleOPartXIInd0X
IRS990/InformationTechnologyGrp/ProgramServicesAmt067662
IRS990/InformationTechnologyGrp/TotalAmt067662
IRS990/InsuranceGrp/ProgramServicesAmt030155
IRS990/InsuranceGrp/TotalAmt030155
IRS990/InvestmentIncomeGrp/ExclusionAmt034926
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt034926
IRS990/InvestmentInJointVentureInd00
IRS990/IRPDocumentCnt05
IRS990/IRPDocumentW2GCnt00
IRS990/LegalDomicileStateCd0MI
IRS990/LoanOutstandingInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd01
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0THE 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/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt0361176
IRS990/NetAssetsOrFundBalancesEOYAmt0806558
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt0361176
IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt0806558
IRS990/NondeductibleContributionsInd00
IRS990/OccupancyGrp/ManagementAndGeneralAmt015389
IRS990/OccupancyGrp/ProgramServicesAmt094533
IRS990/OccupancyGrp/TotalAmt0109922
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt05270
IRS990/OfficeExpensesGrp/ProgramServicesAmt039133
IRS990/OfficeExpensesGrp/TotalAmt044403
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501cInd0X
IRS990/OrganizationFollowsFASB117Ind0X
IRS990/OtherChangesInNetAssetsAmt0-493758
IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt030442
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt0174026
IRS990/OtherEmployeeBenefitsGrp/TotalAmt0204468
IRS990/OtherExpensesGrp/Desc0SUBSCRIPTION
IRS990/OtherExpensesGrp/Desc1EQUIPMENT MAINTENANCE A
IRS990/OtherExpensesGrp/Desc2PROPERTY TAXES
IRS990/OtherExpensesGrp/ProgramServicesAmt01985
IRS990/OtherExpensesGrp/ProgramServicesAmt11546
IRS990/OtherExpensesGrp/ProgramServicesAmt257
IRS990/OtherExpensesGrp/TotalAmt01985
IRS990/OtherExpensesGrp/TotalAmt11546
IRS990/OtherExpensesGrp/TotalAmt257
IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt0174738
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt0935820
IRS990/OtherSalariesAndWagesGrp/TotalAmt01110558
IRS990/OtherWebsiteInd0X
IRS990/PartialLiquidationInd00
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt09758
IRS990/PayrollTaxesGrp/ProgramServicesAmt090660
IRS990/PayrollTaxesGrp/TotalAmt0100418
IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt014835
IRS990/PensionPlanContributionsGrp/ProgramServicesAmt0105772
IRS990/PensionPlanContributionsGrp/TotalAmt0120607
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt018735
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt034934
IRS990/PrincipalOfficerNm0DAVE BRUECKMAN
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0524298
IRS990/ProgramServiceRevenueGrp/Desc0MEMBER ASSESSMENTS
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt03148522
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt03148522
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt00
IRS990/PYOtherExpensesAmt0349921
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt02833657
IRS990/PYRevenuesLessExpensesAmt0493760
IRS990/PYSalariesCompEmpBnftPaidAmt01989976
IRS990/PYTotalExpensesAmt02339897
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt02833657
IRS990/ReconcilationRevenueExpnssAmt0939140
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd00
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt03148524
IRS990/ScheduleBRequiredInd00
IRS990ScheduleD/ExpensesNotReportedAmt0493758
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt00
IRS990ScheduleD/ExpensesSubtotalAmt02244308
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/OtherExpensesIncludedAmt0493758
IRS990ScheduleD/RevenueNotReportedAmt00
IRS990ScheduleD/RevenueNotReportedFinclStmtAmt00
IRS990ScheduleD/RevenueSubtotalAmt03183448
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, 2022, THERE WERE NO UNCERTAIN TAX POSITIONS THAT REQUIRED ACCRUAL.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1PRIOR YEAR REAPPORTIONMENT 493,758.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1PART XII, LINE 2D - OTHER ADJUSTMENTS:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleD/TotalExpensesPerForm990Amt02244308
IRS990ScheduleD/TotalRevenuePerForm990Amt03183448
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt03183448
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt02738066
IRS990ScheduleJ/BoardOrCommitteeApprovalInd0X
IRS990ScheduleJ/CompensationSurveyInd0X
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990/ScheduleJRequiredInd01
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0311665
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt1242856
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt2177161
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt3161888
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt05309
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt16814
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt23235
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt34193
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt03786
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt13010
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt21257
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt3707
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0DAVE BRUECKMAN
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1ALAN BURNS
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm2JAYARAJ SUBRAMANIAN
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm3ALEX BEDOWAY
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0PRESIDENT
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1SVP, CHIEF ACTUARY
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt2IT MANAGER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt3VP, LEAD ACTUARY
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0320760
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt1252680
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt2181653
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt3166788
IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE ORGANIZATION HAS VOTING MEMBERS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1FORM 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/ExplanationTxt2GOVERNING 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/ExplanationTxt3THE 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/ExplanationTxt4THE 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/ExplanationTxt5GOVERNING 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
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6PRIOR YEAR REAPPORTIONMENT -493,758.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7THE 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 B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 12C

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

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
2023Detailed filing. Detailed filing data is available for this year.$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
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$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