Civic Intelligence

Rosemount Inc Basic Health Major Medical & Dental Plan Trust

990 • Fiscal year 2017 • EIN 41-1312839

Jan 01, 2017 to Dec 31, 2017 • Filed on May 15, 2018

Organization Profile
8200 Market BlvdChanhassen, MN 55317

(952) 949-7839

Siviq Scores

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

Liabilities / Assets

99th percentile

2.39x

Higher debt load relative to assets than 99% of similar nonprofits.

2017 filings • 501(c)9 • $10M-$25M nonprofits • Source year 2017

Liabilities / Revenue

76th percentile

0.16x

Higher debt load relative to revenue than 76% of similar nonprofits.

2017 filings • 501(c)9 • $10M-$25M nonprofits • Source year 2017

Net Margin

23rd percentile

-3.6%

Higher net margin than 23% of similar nonprofits.

2017 filings • 501(c)9 • $10M-$25M nonprofits • Source year 2017

Top Officer Pay

49th percentile

$0

Higher top officer pay than 49% of similar nonprofits.

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

2017 filings • 501(c)9 • $10M-$25M nonprofits • Source year 2017

Asset Growth

16th percentile

-7.9%

Faster asset growth than 16% of similar nonprofits.

2017 filings • 501(c)9 • $10M-$25M nonprofits • Annualized from 2016 to 2017

Revenue Growth

14th percentile

-11%

Faster revenue growth than 14% of similar nonprofits.

2017 filings • 501(c)9 • $10M-$25M nonprofits • Annualized from 2016 to 2017

Balance Sheet
Liabilities / Assets99th percentile

Assets

Down

$1,326,090

Down $113,566 (-7.9%) from 2016

Net Assets

Down

-$1,849,846

Down $697,392 (-61%) from 2016

Liabilities

Up

$3,175,936

Up $583,826 (+23%) from 2016

Revenue And Expenses
Liabilities / Revenue76th percentileNet Margin23rd percentile

Revenue

Down

$19,310,535

Down $2,275,798 (-11%) from 2016

Expenses

Down

$20,007,927

Down $2,162,826 (-9.8%) from 2016

Net Income

Down

-$697,392

Down $112,972 (-19%) from 2016

Historical Trend

Balance Sheet Trend

Asset Growth16th percentile

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

$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

2017

Assets$1,326,090
Liabilities$3,175,936
Net Assets-$1,849,846
Open 2017 Filing

Operations Trend

Revenue Growth14th percentile

Revenue, expenses, and net income across loaded years, with this 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

2017

Revenue$19,310,535
Expenses$20,007,927
Net Income-$697,392
Open 2017 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
May 15, 2018
Return Version
2017v2.3
Gross Receipts
$19,310,535
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$684,301$725,489▲ $41,188
Accounts Receivable$630,040$600,601▼ $29,439
Prepaid Expenses and Deferred Charges$125,315--
Cap Stk Tr Prin Current Funds$-1,152,454$-1,849,846▼ $697,392
Total Assets$1,439,656$1,326,090▼ $113,566
Liabilities
Accounts Payable and Accrued Expenses$2,592,110$3,175,936▲ $583,826
Total Liabilities$2,592,110$3,175,936▲ $583,826
Net Assets / Fund Balance
Total Net Assets Fund Balance$-1,152,454$-1,849,846▼ $697,392
Total Liabilities and Net Assets / Fund Balance$1,439,656$1,326,090▼ $113,566
Compensation and Service Providers
Top Officer Pay49th percentile

Board Members and Trustees

NameTitle
Stephen ShonkaChairman
David BakerMember
Steven a ChelesnikMember
Surendralal KarsanbhaiMember
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$19,307,239
Investment Income
$3,296
Other Revenue
$0
Change in Net Assets
$-697,392

Audited Revenue Reconciliation

Revenue per Audited Statements
$19,310,535
Total Revenue per Audited Statements
$19,310,535
Total Revenue per Form 990
$19,310,535
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$956,825
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$19,051,102--$19,051,102
Fees for Services Management$956,825--$956,825
Total Functional Expenses$20,007,927$0$0$20,007,927

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$20,007,927
Total Expenses per Audited Statements$20,007,927
Total Expenses per Form 990$20,007,927
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
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
Michelle Carlson
Title
Signature Officer
Phone
9529497839
Signed
2018-05-15
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 claims paid to participants 18,059,704 premiums paid to insurance carrier 991,398 totals 19,051,102”

Raw XML Appendix294 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/ExplanationTxt0FORM 990, PART IX - BENEFITS PAID TO OR FOR MEMBERS CLAIMS PAID TO PARTICIPANTS 18,059,704 PREMIUMS PAID TO INSURANCE CARRIER 991,398 TOTALS 19,051,102
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.
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ReturnHeader/FilingSecurityInformation/IPTm014:19:48
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ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0HAMILTON JUFFER & ASSOCIATES LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0666 GRAND AVE STE 2400
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0DES MOINES
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ReturnHeader/PreparerPersonGrp/PhoneNum05152453737
ReturnHeader/PreparerPersonGrp/PreparationDt02018-10-30
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0HOLLY LARSON
ReturnHeader/ReturnTs02018-11-12T14:19:48-06:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02017-01-01
ReturnHeader/TaxPeriodEndDt02017-12-31
ReturnHeader/TaxYr02017

Document Assets

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Filings

Displayed year

2017 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$1,326,090
Liabilities
$3,175,936
Net assets
-$1,849,846
Revenue
$19,310,535
Expenses
$20,007,927
Net income
-$697,392
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2019Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$0.77$0.05$0.72
2018Detailed filing. Detailed filing data is available for this year.$0.10$0.81$0.72$3.31$2.18$1.13
2017Detailed filing. Detailed filing data is available for this year.$1.33$3.18$1.85$19.3$20.0$0.70
2016Detailed filing. Detailed filing data is available for this year.$1.44$2.59$1.15$21.6$22.2$0.58
2015Summary only. Only limited summary data is available for this year.$1.33$2.01$0.69$20.7$20.4$0.32
2014Detailed filing. Detailed filing data is available for this year.$1.44$2.45$1.01$19.8$20.9$1.11
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.43$1.33$0.10$17.0$17.3$0.31
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.70$1.30$0.41$16.6
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.88$1.58$0.71$14.0