Civic Intelligence

Rosemount Inc Basic Health

EIN 41-1312839 • 501(c)9 • Chanhassen, MN

Profile

The plan operates to provide health and dental benefits to members.

8200 Market BlvdChanhassen, MN 55317
Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2019

Liabilities / Revenue

61st percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)9 • $500k-$1M nonprofits • Source year 2019

Net Margin

97th percentile

93%

Higher net margin than 97% of similar nonprofits.

501(c)9 • $500k-$1M nonprofits • Source year 2019

Top Officer Pay

56th percentile

$0

Higher top officer pay than 56% of similar nonprofits.

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

501(c)9 • $500k-$1M nonprofits • Source year 2019

Asset Growth

17th percentile

-100%

Faster asset growth than 17% of similar nonprofits.

501(c)9 • $500k-$1M nonprofits • Annualized from 2018 to 2019

Revenue Growth

6th percentile

-77%

Faster revenue growth than 6% of similar nonprofits.

501(c)9 • $500k-$1M nonprofits • Annualized from 2018 to 2019

Assets

Down

$0

Down $95,090 (-100%) from 2018

Liabilities

Down

$0

Down $810,494 (-100%) from 2018

Net Assets

Up

$0

Up $715,404 (+100%) from 2018

Revenue

Down

$766,485

Down $2,546,466 (-77%) from 2018

Expenses

Down

$51,081

Down $2,127,428 (-98%) from 2018

Net Income

Down

$715,404

Down $419,038 (-37%) from 2018

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$4.0M$2.0M$0-$2.0MAssets 2011: $876,029Liabilities 2011: $1,582,886Net Assets 2011: -$706,8572011Assets 2012: $1,702,611Liabilities 2012: $1,296,812Net Assets 2012: $405,7992012Assets 2013: $1,428,863Liabilities 2013: $1,332,226Net Assets 2013: $96,6372013Assets 2014: $1,440,583Liabilities 2014: $2,452,343Net Assets 2014: -$1,011,7602014Assets 2015: $1,325,143Liabilities 2015: $2,012,798Net Assets 2015: -$687,6552015Assets 2016: $1,439,656Liabilities 2016: $2,592,110Net Assets 2016: -$1,152,4542016Assets 2017: $1,326,090Liabilities 2017: $3,175,936Net Assets 2017: -$1,849,8462017Assets 2018: $95,090Liabilities 2018: $810,494Net Assets 2018: -$715,4042018Assets 2019: $0Liabilities 2019: $0Net Assets 2019: $02019

Highlighted filing

2019

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$30M$20M$10M$0-$10MExpenses 2011: $13,994,3252011Expenses 2012: $16,627,9622012Revenue 2013: $16,968,960Expenses 2013: $17,278,122Net Income 2013: -$309,1622013Revenue 2014: $19,798,034Expenses 2014: $20,906,431Net Income 2014: -$1,108,3972014Revenue 2015: $20,693,555Expenses 2015: $20,369,450Net Income 2015: $324,1052015Revenue 2016: $21,586,333Expenses 2016: $22,170,753Net Income 2016: -$584,4202016Revenue 2017: $19,310,535Expenses 2017: $20,007,927Net Income 2017: -$697,3922017Revenue 2018: $3,312,951Expenses 2018: $2,178,509Net Income 2018: $1,134,4422018Revenue 2019: $766,485Expenses 2019: $51,081Net Income 2019: $715,4042019

Highlighted filing

2019

Revenue$766,485
Expenses$51,081
Net Income$715,404

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2019 to Dec 31, 2019
Signed
Feb 15, 2020
Return Version
2019v5.0
Gross Receipts
$766,485
Mission and Program Overview

Mission

The plan operates to provide health and dental benefits to members.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$75,733--
Cash and Non-Interest-Bearing Accounts$9,689--
Accounts Receivable$9,668--
Cap Stk Tr Prin Current Funds$-715,404--
Total Assets$95,090$0▼ $95,090
Liabilities
Accounts Payable and Accrued Expenses$810,494--
Total Liabilities$810,494$0▼ $810,494
Net Assets / Fund Balance
Total Net Assets Fund Balance$-715,404$0▲ $715,404
Total Liabilities and Net Assets / Fund Balance$95,090$0▼ $95,090
Compensation and Service Providers

Board Members and Trustees

NameTitle
Stephen ShonkaChairman
Matt SweeneyMember
Ron MartinMember
Steven a ChelesnikMember
Michelle CarlsonSignature of
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$766,249
Investment Income
$236
Other Revenue
$0
Change in Net Assets
$715,404
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$1,072
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$50,009--$50,009
Fees for Services Management$1,072--$1,072
Total Functional Expenses$51,081$0$0$51,081
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
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 11B

Form 990 is reviewed and approved by brian harstad who is vice president and controller of the plan administrator.

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

Applicable policies are corporate policies of the plan administrator enforceable by that entity. Line 15: no officers or directors of the plan are compensated by the plan but are compensated by the plan administrator.

Form 990, Page 6, Part VI, Line 19

The governing documents of the plan, conflict of interest policy, financial statements, and other policies, rules and regulations governing the plan are available upon request from the plan administrator.

Filing and Contact Details

Filer

Filer Name
Rosemount Inc Basic Health
EIN
41-1312839
Phone
9529497839
Address
8200 MARKET BLVD, CHANHASSEN, MN 55317

Signing Officer

Name
Brian Harstad
Title
VP of Finance
Phone
9529497839
Signed
2020-02-15
Discuss with paid preparer
Yes

Organization Details

Formed
1958
Legal Domicile
Mn
Voting Board Members
4
Independent Board Members
0
Employees
0

Preparer

Firm
Hamilton Juffer & Associates Llp
Address
666 GRAND AVE STE 2400, DES MOINES, IA 50309-2506
Preparer
Holly Larson
Phone
5152453737
Supplemental Narrative

Additional Explanations

Form 990

Form 990, part ix - benefits paid to or for members final year claims 742,032

Raw XML Appendix298 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.

Path#Value
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IRS990/AccountsReceivableGrp/BOYAmt09668
IRS990/ActivitiesConductedPrtshpInd0false
IRS990/ActivityOrMissionDesc0THE PLAN OPERATES TO PROVIDE HEALTH AND DENTAL BENEFITS TO MEMBERS.
IRS990/AnnualDisclosureCoveredPrsnInd0true
IRS990/BenefitsToMembersGrp/ProgramServicesAmt050009
IRS990/BenefitsToMembersGrp/TotalAmt050009
IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt0BRIAN HARSTAD
IRS990/BooksInCareOfDetail/PhoneNum09529495263
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt08200 MARKET BLVD
IRS990/BooksInCareOfDetail/USAddress/CityNm0CHANHASSEN
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0MN
IRS990/BooksInCareOfDetail/USAddress/ZIPCd055317
IRS990/BusinessRlnWith35CtrlEntInd0false
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IRS990/CashNonInterestBearingGrp/BOYAmt09689
IRS990/ChangeToOrgDocumentsInd0false
IRS990/CollectionsOfArtInd0false
IRS990/CompensationFromOtherSrcsInd0false
IRS990/CompensationProcessCEOInd0false
IRS990/CompensationProcessOtherInd0false
IRS990/ConflictOfInterestPolicyInd0true
IRS990/ConservationEasementsInd0false
IRS990/ConsolidatedAuditFinclStmtInd0false
IRS990/ContractTerminationInd0X
IRS990/CreditCounselingInd0false
IRS990/CYBenefitsPaidToMembersAmt050009
IRS990/CYContributionsGrantsAmt00
IRS990/CYGrantsAndSimilarPaidAmt00
IRS990/CYInvestmentIncomeAmt0236
IRS990/CYOtherExpensesAmt01072
IRS990/CYOtherRevenueAmt00
IRS990/CYProgramServiceRevenueAmt0766249
IRS990/CYRevenuesLessExpensesAmt0715404
IRS990/CYSalariesCompEmpBnftPaidAmt00
IRS990/CYTotalExpensesAmt051081
IRS990/CYTotalFundraisingExpenseAmt00
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt0766485
IRS990/DecisionsSubjectToApprovaInd0false
IRS990/DeductibleArtContributionInd0false
IRS990/DeductibleNonCashContriInd0false
IRS990/DelegationOfMgmtDutiesInd0false
IRS990/Desc0THE ORGANIZATION IS A REPORTING WELFARE BENEFIT PLAN (PLAN) FOR THE BENEFIT OF EMPLOYEES OF ROSEMOUNT, INC., ITS SUBSIDIARIES AND AFFILIATES. UNDER THE TERMS OF TRUST AGREEMENTS BETWEEN U.S. BANK NATIONAL ASSOCIATION (TRUSTEE) AND THE PLAN, THE TRUSTEE MANAGES THE PLAN'S TRUST FUNDS ON BEHALF OF THE PLAN. THE PLAN ADMINISTRATOR MAINTAINS THE EXCLUSIVE RIGHT TO CONTROL AND MANAGE THE PLAN ASSETS. SIGNIFICANT CHANGES TO THE PLAN MAY BE REQUIRED ANNUALLY BY VIRTURE OF CHANGES IN FEDERAL LAW OR THE REGULATIONS APPLICABLE THERETO.
IRS990/DescribedInSection501c3Ind0false
IRS990/DisregardedEntityInd0false
IRS990/DocumentRetentionPolicyInd0true
IRS990/DonorAdvisedFundInd0false
IRS990/DonorRstrOrQuasiEndowmentsInd0false
IRS990/ElectionOfBoardMembersInd0false
IRS990/EmployeeCnt00
IRS990/ExpenseAmt051081
IRS990/FamilyOrBusinessRlnInd0false
IRS990/FederalGrantAuditRequiredInd0false
IRS990/FeesForServicesManagementGrp/ProgramServicesAmt01072
IRS990/FeesForServicesManagementGrp/TotalAmt01072
IRS990/FinalReturnInd0X
IRS990/ForeignActivitiesInd0false
IRS990/ForeignFinancialAccountInd0false
IRS990/ForeignOfficeInd0false
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt01.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt11.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt21.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt31.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt41.00
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd1X
IRS990/Form990PartVIISectionAGrp/OfficerInd2X
IRS990/Form990PartVIISectionAGrp/OfficerInd3X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt30
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt40
IRS990/Form990PartVIISectionAGrp/PersonNm0MICHELLE CARLSON
IRS990/Form990PartVIISectionAGrp/PersonNm1STEVEN A CHELESNIK
IRS990/Form990PartVIISectionAGrp/PersonNm2RON MARTIN
IRS990/Form990PartVIISectionAGrp/PersonNm3STEPHEN SHONKA
IRS990/Form990PartVIISectionAGrp/PersonNm4MATT SWEENEY
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt40
IRS990/Form990PartVIISectionAGrp/TitleTxt0SIGNATURE OF
IRS990/Form990PartVIISectionAGrp/TitleTxt1MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt2MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt3CHAIRMAN
IRS990/Form990PartVIISectionAGrp/TitleTxt4MEMBER
IRS990/Form990ProvidedToGvrnBodyInd0false
IRS990/FormationYr01958
IRS990/FormerOfcrEmployeesListedInd0false
IRS990/FSAuditedInd0false
IRS990/FundraisingActivitiesInd0false
IRS990/GamingActivitiesInd0false
IRS990/GoverningBodyVotingMembersCnt04
IRS990/GrantsToIndividualsInd0false
IRS990/GrantsToOrganizationsInd0false
IRS990/GrantToRelatedPersonInd0false
IRS990/GrossReceiptsAmt0766485
IRS990/GroupReturnForAffiliatesInd0false
IRS990/IncludeFIN48FootnoteInd0false
IRS990/IndependentAuditFinclStmtInd0false
IRS990/IndependentVotingMemberCnt00
IRS990/IndoorTanningServicesInd0false
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InvestmentIncomeGrp/RelatedOrExemptFuncIncomeAmt0236
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt0236
IRS990/InvestmentInJointVentureInd0false
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LegalDomicileStateCd0MN
IRS990/LoanOutstandingInd0false
IRS990/LocalChaptersInd0false
IRS990/MaterialDiversionOrMisuseInd0false
IRS990/MembersOrStockholdersInd0false
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd0true
IRS990/MinutesOfGoverningBodyInd0true
IRS990/MissionDesc0THE PLAN OPERATES TO PROVIDE HEALTH AND DENTAL BENEFITS TO MEMBERS.
IRS990/MoreThan5000KToIndividualsInd0false
IRS990/MoreThan5000KToOrgInd0false
IRS990/NetAssetsOrFundBalancesBOYAmt0-715404
IRS990/NetAssetsOrFundBalancesEOYAmt00
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd0false
IRS990/OfficerMailingAddressInd0false
IRS990/OperateHospitalInd0false
IRS990/Organization501cInd0X
IRS990/OrgDoesNotFollowFASB117Ind0X
IRS990/PartialLiquidationInd0false
IRS990/PoliticalCampaignActyInd0false
IRS990/PrincipalOfcrBusinessName/BusinessNameLine1Txt0US BANK NA
IRS990/ProfessionalFundraisingInd0false
IRS990/ProgramServiceRevenueGrp/Desc0FINAL YEAR CLAIMS
IRS990/ProgramServiceRevenueGrp/Desc1EMPLOYER CONTRIBUTION
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt0745032
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IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt0745032
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt121217
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYBenefitsPaidToMembersAmt02081528
IRS990/PYInvestmentIncomeAmt01631
IRS990/PYOtherExpensesAmt096981
IRS990/PYProgramServiceRevenueAmt03311320
IRS990/PYRevenuesLessExpensesAmt01134442
IRS990/PYTotalExpensesAmt02178509
IRS990/PYTotalRevenueAmt03312951
IRS990/ReconcilationRevenueExpnssAmt0715404
IRS990/RegularMonitoringEnfrcInd0true
IRS990/RelatedEntityInd0true
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0false
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0false
IRS990/ReportProgramRelatedInvstInd0false
IRS990/SavingsAndTempCashInvstGrp/BOYAmt075733
IRS990/ScheduleBRequiredInd0false
IRS990/ScheduleJRequiredInd0false
IRS990ScheduleN/AssetsDistributedInd0true
IRS990ScheduleN/BondsOutstandingInd0false
IRS990ScheduleN/DirectorOfSuccessorInd0false
IRS990ScheduleN/EmployeeOfSuccessorInd0false
IRS990ScheduleN/LiabilitiesPaidInd0true
IRS990ScheduleN/OwnerOfSuccessorInd0false
IRS990ScheduleN/ReceiveCompensationInd0false
IRS990ScheduleN/RequiredToNotifyAGInd0true
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0FORM 990, PART IX - BENEFITS PAID TO OR FOR MEMBERS FINAL YEAR CLAIMS 742,032
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1FORM 990 IS REVIEWED AND APPROVED BY BRIAN HARSTAD WHO IS VICE PRESIDENT AND CONTROLLER OF THE PLAN ADMINISTRATOR.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2APPLICABLE POLICIES ARE CORPORATE POLICIES OF THE PLAN ADMINISTRATOR ENFORCEABLE BY THAT ENTITY. LINE 15: NO OFFICERS OR DIRECTORS OF THE PLAN ARE COMPENSATED BY THE PLAN BUT ARE COMPENSATED BY THE PLAN ADMINISTRATOR.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE GOVERNING DOCUMENTS OF THE PLAN, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND OTHER POLICIES, RULES AND REGULATIONS GOVERNING THE PLAN ARE AVAILABLE UPON REQUEST FROM THE PLAN ADMINISTRATOR.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PAGE 6, PART VI, LINE 19
IRS990ScheduleR/AssetExchangeInd0false
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IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd0false
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IRS990ScheduleR/PerformOfServicesByOtherOrgInd0false
IRS990ScheduleR/PerformOfServicesForOthOrgInd0false
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IRS990ScheduleR/ReimbursementPaidByOtherOrgInd0false
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd0false
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd0false
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IRS990/SchoolOperatingInd0false
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IRS990/SubjectToProxyTaxInd0false
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IRS990/TerminateOperationsInd0true
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IRS990/TotalAssetsEOYAmt00
IRS990/TotalAssetsGrp/BOYAmt095090
IRS990/TotalAssetsGrp/EOYAmt00
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalEmployeeCnt00
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IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt00
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IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt0810494
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt0810494
IRS990/TotalLiabilitiesGrp/EOYAmt00
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IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotalProgramServiceExpensesAmt051081
IRS990/TotalProgramServiceRevenueAmt0766249
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0766485
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0766485
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt095090
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TypeOfOrganizationTrustInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt060 LIVINGSTON AVE
IRS990/USAddress/CityNm0ST PAUL
IRS990/USAddress/StateAbbreviationCd0MN
IRS990/USAddress/ZIPCd055107
IRS990/VotingMembersGoverningBodyCnt04
IRS990/VotingMembersIndependentCnt00
IRS990/WhistleblowerPolicyInd0true
ReturnHeader/BuildTS02020-09-22 18:59:49Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0BRIAN HARSTAD
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0VP OF FINANCE
ReturnHeader/BusinessOfficerGrp/PhoneNum09529497839
ReturnHeader/BusinessOfficerGrp/SignatureDt02020-02-15
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0ROSEMOUNT INC BASIC HEALTH
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0MAJOR MEDICAL & DENTAL PLAN TRUST
ReturnHeader/Filer/BusinessNameControlTxt0ROSE
ReturnHeader/Filer/EIN0411312839
ReturnHeader/Filer/PhoneNum09529497839
ReturnHeader/Filer/USAddress/AddressLine1Txt08200 MARKET BLVD
ReturnHeader/Filer/USAddress/CityNm0CHANHASSEN
ReturnHeader/Filer/USAddress/StateAbbreviationCd0MN
ReturnHeader/Filer/USAddress/ZIPCd055317
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ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt0209.180.40.194
ReturnHeader/FilingSecurityInformation/IPDt02020-02-28
ReturnHeader/FilingSecurityInformation/IPTimezoneCd0CS
ReturnHeader/FilingSecurityInformation/IPTm014:29:32
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0203626340
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0HAMILTON JUFFER & ASSOCIATES LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0666 GRAND AVE STE 2400
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0DES MOINES
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0IA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0503092506
ReturnHeader/PreparerPersonGrp/PhoneNum05152453737
ReturnHeader/PreparerPersonGrp/PreparationDt02020-02-27
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0HOLLY LARSON
ReturnHeader/ReturnTs02020-02-28T14:29:32-06:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02019-01-01
ReturnHeader/TaxPeriodEndDt02019-12-31
ReturnHeader/TaxYr02019

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