Civic Intelligence

Southern Benefit Health Plan

990 • Fiscal year 2021 • EIN 38-7136424

Jan 01, 2021 to Dec 31, 2021 • Filed on Oct 10, 2022

Organization Profile

View Organization Page

PO Box 1449Goodlettsville, TN 37070-1449

(615) 859-0131

Siviq Scores

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

Liabilities / Assets

44th percentile

0.00x

Higher debt load relative to assets than 44% of similar nonprofits.

2021 filings • 501(c)9 • $1M-$5M nonprofits • Source year 2021

Liabilities / Revenue

45th percentile

0.00x

Higher debt load relative to revenue than 45% of similar nonprofits.

2021 filings • 501(c)9 • $1M-$5M nonprofits • Source year 2021

Net Margin

18th percentile

-14%

Higher net margin than 18% of similar nonprofits.

2021 filings • 501(c)9 • $1M-$5M nonprofits • Source year 2021

Top Officer Pay

55th percentile

$0

Higher top officer pay than 55% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2021 filings • 501(c)9 • $1M-$5M nonprofits • Source year 2021

Asset Growth

11th percentile

-24%

Faster asset growth than 11% of similar nonprofits.

2021 filings • 501(c)9 • $1M-$5M nonprofits • Annualized from 2020 to 2021

Revenue Growth

36th percentile

-4.6%

Faster revenue growth than 36% of similar nonprofits.

2021 filings • 501(c)9 • $1M-$5M nonprofits • Annualized from 2020 to 2021

Balance Sheet
Liabilities / Assets44th percentile

Assets

Down

$846,235

Down $273,581 (-24%) from 2020

Net Assets

Down

$846,139

Down $273,584 (-24%) from 2020

Liabilities

Up

$96

Up $3 (+3.2%) from 2020

Revenue And Expenses
Liabilities / Revenue45th percentileNet Margin18th percentile

Revenue

Down

$1,888,484

Down $90,139 (-4.6%) from 2020

Expenses

Up

$2,162,068

Up $180,468 (+9.1%) from 2020

Net Income

Down

-$273,584

Down $270,607 (-9090%) from 2020

Historical Trend

Balance Sheet Trend

Asset Growth11th percentile

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

$1.5M$1.0M$500K$0Assets 2015: $113,340Liabilities 2015: $147Net Assets 2015: $113,1932015Assets 2016: $72,742Liabilities 2016: $45,107Net Assets 2016: $27,6352016Assets 2017: $656,752Liabilities 2017: $102Net Assets 2017: $656,6502017Assets 2018: $1,162,598Liabilities 2018: $102Net Assets 2018: $1,162,4962018Assets 2019: $1,133,678Liabilities 2019: $10,978Net Assets 2019: $1,122,7002019Assets 2020: $1,119,816Liabilities 2020: $93Net Assets 2020: $1,119,7232020Assets 2021: $846,235Liabilities 2021: $96Net Assets 2021: $846,1392021Assets 2022: $533,687Liabilities 2022: $92Net Assets 2022: $533,5952022Assets 2023: $464,507Liabilities 2023: $70Net Assets 2023: $464,4372023Assets 2024: $164,723Liabilities 2024: $78Net Assets 2024: $164,6452024

Highlighted filing

2021

Assets$846,235
Liabilities$96
Net Assets$846,139
Open 2021 Filing

Operations Trend

Revenue Growth36th percentile

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

$4.0M$3.0M$2.0M$1.0M$0-$1.0MRevenue 2015: $1,053,464Expenses 2015: $940,271Net Income 2015: $113,1932015Revenue 2016: $1,334,876Expenses 2016: $1,420,434Net Income 2016: -$85,5582016Revenue 2017: $1,916,467Expenses 2017: $1,287,452Net Income 2017: $629,0152017Revenue 2018: $1,642,921Expenses 2018: $1,137,075Net Income 2018: $505,8462018Revenue 2019: $1,566,480Expenses 2019: $1,606,276Net Income 2019: -$39,7962019Revenue 2020: $1,978,623Expenses 2020: $1,981,600Net Income 2020: -$2,9772020Revenue 2021: $1,888,484Expenses 2021: $2,162,068Net Income 2021: -$273,5842021Revenue 2022: $2,909,438Expenses 2022: $3,221,982Net Income 2022: -$312,5442022Revenue 2023: $1,997,650Expenses 2023: $2,066,808Net Income 2023: -$69,1582023Revenue 2024: $1,800,821Expenses 2024: $2,100,613Net Income 2024: -$299,7922024

Highlighted filing

2021

Revenue$1,888,484
Expenses$2,162,068
Net Income-$273,584
Open 2021 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2021 to Dec 31, 2021
Signed
Oct 10, 2022
Return Version
2021v4.0
Gross Receipts
$1,888,484
Mission and Program Overview

Mission

To provide health care benefits to plan participants

Balance Sheet Detail
LineBeginningEndChange
Assets
Rtn Earn Endowment Incm Other Fnds$1,119,723$846,139▼ $273,584
Savings and Temporary Cash Investments$957,854$758,290▼ $199,564
Cash and Non-Interest-Bearing Accounts$161,962$87,945▼ $74,017
Total Assets$1,119,816$846,235▼ $273,581
Liabilities
Accounts Payable and Accrued Expenses$93$96▲ $3
Total Liabilities$93$96▲ $3
Net Assets / Fund Balance
Total Net Assets Fund Balance$1,119,723$846,139▼ $273,584
Total Liabilities and Net Assets / Fund Balance$1,119,816$846,235▼ $273,581
Compensation and Service Providers
Top Officer Pay55th percentile

Board Members and Trustees

NameTitle
H Lynn BrassellChairman - T
Jere T BrassellTrustee
Jere T Brassell JrTrustee
John D BrassellTrustee
Sharon FaulknerSecretary -t
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$1,888,048
Investment Income
$436
Other Revenue
$0
Change in Net Assets
$-273,584

Audited Revenue Reconciliation

Revenue per Audited Statements
$1,888,484
Total Revenue per Audited Statements
$1,888,484
Total Revenue per Form 990
$1,888,484
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$230,303
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Benefits to Members---$1,931,765
Insurance---$152,289
Fees for Services Other---$78,014
Total Functional Expenses$0$0$0$2,162,068

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$2,162,068
Total Expenses per Audited Statements$2,162,068
Total Expenses per Form 990$2,162,068
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
No
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 2

“Sbai sbai trustee chairman brothers. Work for same co. Sbai sbai trustee trustee brothers. Work for same co. Sbai sbai trustee trustee father-son. Work for same co. Sbai sbai trustee secretary work for same company. Sbai sbai chairman trustee brothers. Work for same co. Sbai sbai chairman trustee uncle-nephew. Work for same co sbai sbai chairman secretary work for same company. Sbai sbai trustee trustee uncle-nephew. Work for same co sbai sbai trustee secretary work for same company. Sbai sbai trustee secretary work for same company.”

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

“The form 990 is reviewed by the entire board. It is then signed and filed.”

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

“Conflicts of interest are reviewed continually and any issues that arise are handled at regular board meetings.”

Form 990, Page 6, Part VI, Line 19

“No documents available to the public”

Filing and Contact Details

Filer

Filer Name
Southern Benefit Administrators
EIN
38-7136424
Phone
6158590131
Address
PO BOX 1449, GOODLETTSVILLE, TN 37070-1449

Signing Officer

Name
Sharon Faulkner
Title
Secretary -trustees
Phone
6158590131
Signed
2022-10-10
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Sharon Faulkner
Formed
2015
Legal Domicile
Tn
Voting Board Members
5
Independent Board Members
5
Employees
0

Preparer

Firm
Daniels Irwin & Aylor
Address
223 MADISON STREET SUITE 112, MADISON, TN 37115-3660
Preparer
Douglas a Irwin
Phone
6158686008
Raw XML Appendix264 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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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0SBAI SBAI TRUSTEE CHAIRMAN BROTHERS. WORK FOR SAME CO. SBAI SBAI TRUSTEE TRUSTEE BROTHERS. WORK FOR SAME CO. SBAI SBAI TRUSTEE TRUSTEE FATHER-SON. WORK FOR SAME CO. SBAI SBAI TRUSTEE SECRETARY WORK FOR SAME COMPANY. SBAI SBAI CHAIRMAN TRUSTEE BROTHERS. WORK FOR SAME CO. SBAI SBAI CHAIRMAN TRUSTEE UNCLE-NEPHEW. WORK FOR SAME CO SBAI SBAI CHAIRMAN SECRETARY WORK FOR SAME COMPANY. SBAI SBAI TRUSTEE TRUSTEE UNCLE-NEPHEW. WORK FOR SAME CO SBAI SBAI TRUSTEE SECRETARY WORK FOR SAME COMPANY. SBAI SBAI TRUSTEE SECRETARY WORK FOR SAME COMPANY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE FORM 990 IS REVIEWED BY THE ENTIRE BOARD. IT IS THEN SIGNED AND FILED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2CONFLICTS OF INTEREST ARE REVIEWED CONTINUALLY AND ANY ISSUES THAT ARISE ARE HANDLED AT REGULAR BOARD MEETINGS.
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ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0SECRETARY -TRUSTEES
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ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0DANIELS IRWIN & AYLOR
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0223 MADISON STREET SUITE 112
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ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0TN
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ReturnHeader/PreparerPersonGrp/PhoneNum06158686008
ReturnHeader/PreparerPersonGrp/PreparationDt02022-10-17
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0DOUGLAS A IRWIN
ReturnHeader/ReturnTs02022-10-17T14:24:04-04:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0SHARON
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0FAULKNER
ReturnHeader/TaxPeriodBeginDt02021-01-01
ReturnHeader/TaxPeriodEndDt02021-12-31
ReturnHeader/TaxYr02021

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

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

Open filing
Assets
$846,235
Liabilities
$96
Net assets
$846,139
Revenue
$1,888,484
Expenses
$2,162,068
Net income
-$273,584
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$0.16$0.00$0.16$1.80$2.10$0.30
2023Detailed filing. Detailed filing data is available for this year.$0.46$0.00$0.46$2.00$2.07$0.07
2022Detailed filing. Detailed filing data is available for this year.$0.53$0.00$0.53$2.91$3.22$0.31
2021Detailed filing. Detailed filing data is available for this year.$0.85$0.00$0.85$1.89$2.16$0.27
2020Detailed filing. Detailed filing data is available for this year.$1.12$0.00$1.12$1.98$1.98$0.00
2019Detailed filing. Detailed filing data is available for this year.$1.13$0.01$1.12$1.57$1.61$0.04
2018Detailed filing. Detailed filing data is available for this year.$1.16$0.00$1.16$1.64$1.14$0.51
2017Detailed filing. Detailed filing data is available for this year.$0.66$0.00$0.66$1.92$1.29$0.63
2016Detailed filing. Detailed filing data is available for this year.$0.07$0.05$0.03$1.33$1.42$0.09
2015Detailed filing. Detailed filing data is available for this year.$0.11$0.00$0.11$1.05$0.94$0.11
Peer Organizations

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