Civic Intelligence

Michigan Dental Plan

990 • Fiscal year 2013 • EIN 38-2549892

Jan 01, 2013 to Dec 31, 2013 • Filed on Feb 28, 2014

2503 S Linden RoadFlint, MI 48532

(810) 733-8255

Siviq Scores

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

Liabilities / Assets

36th percentile

0.03x

Higher debt load relative to assets than 36% of similar nonprofits.

2013 filings • 501(c)4 • $1M-$5M nonprofits • Source year 2013

Liabilities / Revenue

49th percentile

0.12x

Higher debt load relative to revenue than 49% of similar nonprofits.

2013 filings • 501(c)4 • $1M-$5M nonprofits • Source year 2013

Net Margin

9th percentile

-25%

Higher net margin than 9% of similar nonprofits.

2013 filings • 501(c)4 • $1M-$5M nonprofits • Source year 2013

Top Officer Pay

90th percentile

$150,328

Higher top officer pay than 90% of similar nonprofits.

Top officer pay equals 15.4% of source-year revenue.

2013 filings • 501(c)4 • $1M-$5M nonprofits • Source year 2013

Asset Growth

16th percentile

-7.0%

Faster asset growth than 16% of similar nonprofits.

2013 filings • 501(c)4 • $1M-$5M nonprofits • Annualized from 2012 to 2013

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2013

Assets

Down

$3,796,768

Down $286,295 (-7.0%) from 2012

Net Assets

Down

$3,679,245

Down $243,179 (-6.2%) from 2012

Liabilities

Down

$117,523

Down $43,116 (-27%) from 2012

Revenue

$975,367

No earlier filing loaded for comparison.

Expenses

Down

$1,223,275

Down $147,741 (-11%) from 2012

Net Income

-$247,908

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

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

$6.0M$4.0M$2.0M$0Assets 2010: $4,166,745Liabilities 2010: $187,660Net Assets 2010: $3,979,0852010Assets 2011: $4,134,673Liabilities 2011: $153,452Net Assets 2011: $3,981,2212011Assets 2012: $4,083,063Liabilities 2012: $160,639Net Assets 2012: $3,922,4242012Assets 2013: $3,796,768Liabilities 2013: $117,523Net Assets 2013: $3,679,2452013Assets 2014: $3,203,307Liabilities 2014: $332,774Net Assets 2014: $2,870,5332014Assets 2015: $0Liabilities 2015: $0Net Assets 2015: $02015

Highlighted filing

2013

Assets$3,796,768
Liabilities$117,523
Net Assets$3,679,245

Operations Trend

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

$4.0M$2.0M$0-$2.0M-$4.0MExpenses 2010: $1,694,8642010Expenses 2011: $1,453,5982011Expenses 2012: $1,371,0162012Revenue 2013: $975,367Expenses 2013: $1,223,275Net Income 2013: -$247,9082013Revenue 2014: $155,658Expenses 2014: $946,851Net Income 2014: -$791,1932014Revenue 2015: $60,958Expenses 2015: $2,966,787Net Income 2015: -$2,905,8292015

Highlighted filing

2013

Revenue$975,367
Expenses$1,223,275
Net Income-$247,908
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
Feb 28, 2014
Return Version
2013v3.1
Gross Receipts
$4,713,695
Mission and Program Overview

Mission

To establish, maintain, and operate non-profit dental care plans providing professional dental care services to persons who have become subscribers to such plans.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$3,680,247$2,161,756▼ $1,518,491
Savings and Temporary Cash Investments$377,499$1,629,350▲ $1,251,851
Cash and Non-Interest-Bearing Accounts$18,592--
Accounts Receivable$3,172$4,398▲ $1,226
Total Assets$4,083,063$3,796,768▼ $286,295
Other Assets Total$3,553$1,264▼ $2,289
Liabilities
Accounts Payable and Accrued Expenses$130,096$88,025▼ $42,071
Other Liabilities$30,543$29,498▼ $1,045
Total Liabilities$160,639$117,523▼ $43,116
Net Assets / Fund Balance
Unrestricted Net Assets$3,922,424$3,679,245▼ $243,179
Total Net Assets Fund Balance$3,922,424$3,679,245▼ $243,179
Total Liabilities and Net Assets / Fund Balance$4,083,063$3,796,768▼ $286,295

Asset Categories

AssetBook ValueDepreciationBasis
Buildings-$56,121$56,121
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
William J NicholsonCEO/pres.FT$112,912$37,416$150,328
Edward L Fitzpatrick Dds MsDirector-$3,280$2,411$5,691
Michael C Palazzola CPA CvaDirector-$3,280$2,411$5,691
Joseph M Hildebrand DdsDirector-$2,780$2,411$5,191
A Timothy Deconinck DdsSecretary-$2,000$1,043$3,043
Arthur W ShannonDirector-$2,000$1,043$3,043
Carl Botvinick DdsChairman-$2,000$1,043$3,043
Daniel J Zaroff DdsVice Chair-$2,000$1,043$3,043
Frank Salucci CPADirector-$2,000$1,043$3,043
Richard Somerlott DdsTreasurer-$500$1,043$1,543
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$880,897
Investment Income
$94,469
Other Revenue
$1
Change in Net Assets
$-247,908

Audited Revenue Reconciliation

Revenue per Audited Statements
$975,367
Revenue Not Reported on Form 990
$4,729
Total Revenue per Audited Statements
$980,096
Total Revenue per Form 990
$975,367
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$817,184
Salaries, Compensation, and Employee Benefits$406,091
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages-$145,251-$145,251
Current Officers, Directors, Trustees, and Key Employees-$112,632-$112,632
Fees for Services Accounting-$68,823-$68,823
Pension Plan Contributions-$68,517-$68,517
Other Employee Benefits-$58,889-$58,889
Occupancy-$36,972-$36,972
All Other Expenses-$33,462-$33,462
Other Expenses$39,517$28,753-$28,753
Office Expenses$2,825$18,764-$21,589
Payroll Taxes-$20,802-$20,802
Travel-$8,610-$8,610
Fees for Services Legal-$3,315-$3,315
Depreciation Depletion-$1,787-$1,787
Advertising-$1,175-$1,175
Interest-$825-$825
Total Functional Expenses$542,187$681,088$0$1,223,275

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$1,223,275
Total Expenses per Audited Statements$1,223,275
Total Expenses per Form 990$1,223,275
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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Unearned Premiums$29,498
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 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, Page 6, Part VI, Line 11B

Copy of form 990 was recieved and reviewed by the michigan dental plan's board of directors prior to filing.

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

All employees, officers, as well as other board members are required to complete a conflict of interest policy questionaire on an annual basis. Management continually monitors and enforces compliance with this policy.

Form 990, Page 6, Part VI, Line 15A

The compensation committee meets annually to evaluate the performance of the ceo and discuss the compensation arrangement for the upcoming year. The committee references similar organization's executive compensation data for reasonableness.

Form 990, Page 6, Part VI, Line 15B

The compensation committee meets annually to evaluate the performance of the staff and discuss the compensation arrangements for the upcoming year. The committee references similar organization's compensation data for reasonableness.

Form 990, Page 6, Part VI, Line 19

No documents available to the public

Filing and Contact Details

Filer

EIN
38-2549892
Phone
8107338255

Signing Officer

Name
William J Nicholson
Title
President
Phone
8107338255
Signed
2014-02-28

Organization Details

Principal Officer
William J Nicholson
Formed
1985
Legal Domicile
Mi
Voting Board Members
10
Independent Board Members
9
Employees
8

Preparer

Preparer
Jeff Sabolish
Phone
8102384617
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9

Change in non admitted assets 4,729

Financial Statement Notes

Schedule D, Page 4, Part XI, Line 2D

Change in non admitted assets 4,729

Raw XML Appendix383 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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IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE D, PAGE 4, PART XI, LINE 2D
IRS990ScheduleD/TotalExpensesPerForm990Amt01223275
IRS990ScheduleD/TotalLiabilityAmt029498
IRS990ScheduleD/TotalRevenuePerForm990Amt0975367
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt0980096
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt01223275
IRS990ScheduleJ/AnyNonFixedPaymentsInd0false
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd0false
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd0false
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd0false
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd0false
IRS990ScheduleJ/EquityBasedCompArrngmInd0false
IRS990ScheduleJ/InitialContractExceptionInd0false
IRS990/ScheduleJRequiredInd0true
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt0112912
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt037416
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0WILLIAM J NICHOLSON
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0CEO/PRES.
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt0150328
IRS990ScheduleJ/SeverancePaymentInd0false
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd0false
IRS990/ScheduleORequiredInd0false
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0COPY OF FORM 990 WAS RECIEVED AND REVIEWED BY THE MICHIGAN DENTAL PLAN'S BOARD OF DIRECTORS PRIOR TO FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1ALL EMPLOYEES, OFFICERS, AS WELL AS OTHER BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST POLICY QUESTIONAIRE ON AN ANNUAL BASIS. MANAGEMENT CONTINUALLY MONITORS AND ENFORCES COMPLIANCE WITH THIS POLICY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE COMPENSATION COMMITTEE MEETS ANNUALLY TO EVALUATE THE PERFORMANCE OF THE CEO AND DISCUSS THE COMPENSATION ARRANGEMENT FOR THE UPCOMING YEAR. THE COMMITTEE REFERENCES SIMILAR ORGANIZATION'S EXECUTIVE COMPENSATION DATA FOR REASONABLENESS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE COMPENSATION COMMITTEE MEETS ANNUALLY TO EVALUATE THE PERFORMANCE OF THE STAFF AND DISCUSS THE COMPENSATION ARRANGEMENTS FOR THE UPCOMING YEAR. THE COMMITTEE REFERENCES SIMILAR ORGANIZATION'S COMPENSATION DATA FOR REASONABLENESS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4NO DOCUMENTS AVAILABLE TO THE PUBLIC
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5CHANGE IN NON ADMITTED ASSETS 4,729
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 15A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PAGE 6, PART VI, LINE 15B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PAGE 6, PART VI, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART XI, LINE 9
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IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TempOrPermanentEndowmentsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt04083063
IRS990/TotalAssetsEOYAmt03796768
IRS990/TotalAssetsGrp/BOYAmt04083063
IRS990/TotalAssetsGrp/EOYAmt03796768
IRS990/TotalCompGreaterThan150KInd0true
IRS990/TotalEmployeeCnt08
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt0681088
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0542187
IRS990/TotalFunctionalExpensesGrp/TotalAmt01223275
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt0160639
IRS990/TotalLiabilitiesEOYAmt0117523
IRS990/TotalLiabilitiesGrp/BOYAmt0160639
IRS990/TotalLiabilitiesGrp/EOYAmt0117523
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt03922424
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt03679245
IRS990/TotalOtherCompensationAmt050907
IRS990/TotalProgramServiceExpensesAmt0542187
IRS990/TotalProgramServiceRevenueAmt0880897
IRS990/TotalReportableCompFromOrgAmt0132752
IRS990/TotalRevenueGrp/ExclusionAmt091725
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0883642
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0975367
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt04083063
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt03796768
IRS990/TravelGrp/ManagementAndGeneralAmt08610
IRS990/TravelGrp/TotalAmt08610
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UnrestrictedNetAssetsGrp/BOYAmt03922424
IRS990/UnrestrictedNetAssetsGrp/EOYAmt03679245
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine102503 S LINDEN ROAD
IRS990/USAddress/City0FLINT
IRS990/USAddress/State0MI
IRS990/USAddress/ZIPCode048532
IRS990/VotingMembersGoverningBodyCnt010
IRS990/VotingMembersIndependentCnt09
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02015-11-30 17:44:51Z
ReturnHeader/BusinessOfficerGrp/PersonNm0WILLIAM J NICHOLSON
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT
ReturnHeader/BusinessOfficerGrp/PhoneNum08107338255
ReturnHeader/BusinessOfficerGrp/SignatureDt02014-02-28
ReturnHeader/Filer/BusinessName/BusinessNameLine10MICHIGAN DENTAL PLAN
ReturnHeader/Filer/BusinessNameControlTxt0MICH
ReturnHeader/Filer/EIN0382549892
ReturnHeader/Filer/PhoneNum08107338255
ReturnHeader/Filer/USAddress/AddressLine102503 S LINDEN ROAD
ReturnHeader/Filer/USAddress/City0FLINT
ReturnHeader/Filer/USAddress/State0MI
ReturnHeader/Filer/USAddress/ZIPCode048532
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine10LEWIS & KNOPF CPAS
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine105206 GATEWAY CENTRE SUITE 100
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/City0FLINT
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/State0MI
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCode048507
ReturnHeader/PreparerPersonGrp/PhoneNum08102384617
ReturnHeader/PreparerPersonGrp/PreparationDt02014-04-22
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0JEFF SABOLISH
ReturnHeader/ReturnTs02014-05-07T12:23:59-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02013-01-01
ReturnHeader/TaxPeriodEndDt02013-12-31
ReturnHeader/TaxYr02013

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