Civic Intelligence

Upper Midwest Labor Management Health Care Coaliti

990 • Fiscal year 2013 • EIN 41-1997495

Jan 01, 2013 to Dec 31, 2013 • Filed on May 09, 2014

1970 Oakcrest AveRosemount, MN 55113

(651) 379-2405

Siviq Scores

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

Liabilities / Assets

42nd percentile

0.06x

Higher debt load relative to assets than 42% of similar nonprofits.

2013 filings • 501(c)6 • $500k-$1M nonprofits • Source year 2013

Liabilities / Revenue

55th percentile

0.11x

Higher debt load relative to revenue than 55% of similar nonprofits.

2013 filings • 501(c)6 • $500k-$1M nonprofits • Source year 2013

Net Margin

4th percentile

-25%

Higher net margin than 4% of similar nonprofits.

2013 filings • 501(c)6 • $500k-$1M nonprofits • Source year 2013

Top Officer Pay

73rd percentile

$109,934

Higher top officer pay than 73% of similar nonprofits.

Top officer pay equals 34.2% of source-year revenue.

2013 filings • 501(c)6 • $500k-$1M nonprofits • Source year 2013

Asset Growth

15th percentile

-9.7%

Faster asset growth than 15% of similar nonprofits.

2013 filings • 501(c)6 • $500k-$1M 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

$639,050

Down $69,005 (-9.7%) from 2012

Net Assets

Down

$602,489

Down $80,551 (-12%) from 2012

Liabilities

Up

$36,561

Up $11,546 (+46%) from 2012

Revenue

$321,022

No earlier filing loaded for comparison.

Expenses

Up

$401,573

Up $18,859 (+4.9%) from 2012

Net Income

-$80,551

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.

$10M$5.0M$0Assets 2010: $642,923Liabilities 2010: $17,655Net Assets 2010: $625,2682010Assets 2012: $708,055Liabilities 2012: $25,015Net Assets 2012: $683,0402012Assets 2013: $639,050Liabilities 2013: $36,561Net Assets 2013: $602,4892013Assets 2014: $540,923Liabilities 2014: $22,303Net Assets 2014: $518,6202014Assets 2015: $472,827Liabilities 2015: $19,298Net Assets 2015: $453,5292015Assets 2017: $411,003Liabilities 2017: $14,853Net Assets 2017: $396,1502017Assets 2019: $232,318Liabilities 2019: $10,549Net Assets 2019: $221,7692019Assets 2020: $245,934Liabilities 2020: $166,248Net Assets 2020: $79,6862020Assets 2021: $280,148Liabilities 2021: $155,135Net Assets 2021: $125,0132021Assets 2022: $3,495,456Liabilities 2022: $151,997Net Assets 2022: $3,343,4592022Assets 2024: $9,124,080Liabilities 2024: $144,172Net Assets 2024: $8,979,9082024

Highlighted filing

2013

Assets$639,050
Liabilities$36,561
Net Assets$602,489

Operations Trend

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

$4.0M$3.0M$2.0M$1.0M$0-$1.0MExpenses 2010: $382,8782010Expenses 2012: $382,7142012Revenue 2013: $321,022Expenses 2013: $401,573Net Income 2013: -$80,5512013Revenue 2014: $339,786Expenses 2014: $423,655Net Income 2014: -$83,8692014Revenue 2015: $474,133Expenses 2015: $539,224Net Income 2015: -$65,0912015Revenue 2017: $399,533Expenses 2017: $397,118Net Income 2017: $2,4152017Revenue 2019: $242,842Expenses 2019: $349,714Net Income 2019: -$106,8722019Revenue 2020: $216,920Expenses 2020: $359,003Net Income 2020: -$142,0832020Revenue 2021: $208,244Expenses 2021: $162,917Net Income 2021: $45,3272021Revenue 2022: $3,404,687Expenses 2022: $186,241Net Income 2022: $3,218,4462022Revenue 2024: $2,790,633Expenses 2024: $243,665Net Income 2024: $2,546,9682024

Highlighted filing

2013

Revenue$321,022
Expenses$401,573
Net Income-$80,551
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
May 9, 2014
Return Version
2013v3.1
Gross Receipts
$321,022
Mission and Program Overview

Mission

To provide labor and management organizations, mostly taft hartley funds, with better health care through innovative best in class value purchasing program options, active role in educational programs, and advocating health care policies.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$400,726$401,705▲ $979
Cash and Non-Interest-Bearing Accounts$131,809$144,910▲ $13,101
Accounts Receivable$161,553$64,109▼ $97,444
Land, Buildings, and Equipment, Net$12,439$9,378▼ $3,061
Total Assets$708,055$639,050▼ $69,005
Other Assets Total$1,528$18,948▲ $17,420
Liabilities
Accounts Payable and Accrued Expenses$18,380$35,190▲ $16,810
Other Liabilities$6,635$1,371▼ $5,264
Total Liabilities$25,015$36,561▲ $11,546
Net Assets / Fund Balance
Unrestricted Net Assets$487,857$602,489▲ $114,632
Temporarily Rstr Net Assets$195,183--
Total Net Assets Fund Balance$683,040$602,489▼ $80,551
Total Liabilities and Net Assets / Fund Balance$708,055$639,050▼ $69,005

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$9,378$22,008$31,386
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
Doug RubbelkeExecutive DirectorFT$109,934$109,934

Board Members and Trustees

NameTitle
Mike CookCo-chair Executive Committee
Martha HenricksonCo-chairexecutive Committee
Daniel Ar ShoemakerExecutive Committee
Gary ReedExecutive Committee
Greg MasseyExecutive Committee
Joan BraunExecutive Committee
Mary JostExecutive Committee
Richard J WynneExecutive Committee
Trace BensonExecutive Committee
Trevor LawrenceExecutive Committee
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$242,687
Investment Income
$2,738
Other Revenue
$75,597
Change in Net Assets
$-80,551

Audited Revenue Reconciliation

Revenue per Audited Statements
$321,022
Total Revenue per Audited Statements
$321,022
Total Revenue per Form 990
$321,022
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$241,412
Salaries, Compensation, and Employee Benefits$160,161
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Current Officers, Directors, Trustees, and Key Employees$109,934--$109,934
All Other Expenses$38,188--$38,188
Other Salaries and Wages$26,712--$26,712
Occupancy$19,311--$19,311
Fees for Services Legal$16,289--$16,289
Advertising$15,142--$15,142
Travel$13,749--$13,749
Other Employee Benefits$12,731--$12,731
Payroll Taxes$10,784--$10,784
Fees for Services Accounting$8,555--$8,555
Insurance$6,955--$6,955
Information Technology$4,420--$4,420
Depreciation Depletion$3,562--$3,562
Other Expenses$2,977--$2,977
Office Expenses$830--$830
Conferences and Meetings$626--$626
Total Functional Expenses$401,573$0$0$401,573

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$401,573
Total Expenses per Audited Statements$401,573
Total Expenses per Form 990$401,573
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
Capitalized Lease Obligation$1,304
Other Liabilities$67
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 governing body review Part VI line 11

The following governing body review process has been adopted by the exec. Committee;a.when complete form will be sent electronically to exec. Committee by e.d.(executive director).b.form 990 sent with necessary brief memos recapping highlights.c. Exec. Committee invited to review form and call e.d. With questions or concerns. Questions referred to auditor will be responded to by auditor.d.at request of exec. Committee or if concerns cannot be fully addressed, the e.d. Will arrange a call for executive committee to discuss form and whether revisions are needed before finalizing.e.if substantial changes to form after first distribution, revised form will be redistributed for review as above.f.form is distributed with time limit for review. Non-response will be deemed approval

Conflict of interest policy compliance Part VI line 12C

Monitoring and enforcement of compliance with conflict of interest policy;a. Each new responsible person(as defined in policy)required to review policy with acknowledgement in writing.b. Responsible persons annually complete a disclosure form identifying any relationships,positions, or circumstances that they believe could contribute to a conflict of interest situation.c.conflict of interest policy is reviewed annually by the executive committee, with any changes communicated to responsible persons.

CEO executive director top management comp Part VI line 15A

Executive committee reviews salary using comparative data of organizations of similar size; also considers duties and job performance. Salary substantiated and documented in writing.

Other officer or key employee compensation Part VI line 15B

Executive committee reviews salary using comparative data of organizations of similar size; also considers duties and job performance. Substantiated and documented in writing.

Governing documents etc available to public Part VI line 19

Governing documents made available upon request.

Filing and Contact Details

Filer

EIN
41-1997495

Signing Officer

Name
Doug Rubbelke
Title
Executive Direc
Phone
6513792405
Signed
2014-05-09
Discuss with paid preparer
Yes

Organization Details

Formed
2000
Legal Domicile
Mn
Voting Board Members
11
Independent Board Members
11
Employees
5

Preparer

Preparer
George D Betts CPA
Phone
7634783169
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IRS990/OtherRevenueMiscGrp/Desc1MISCELLANEOUS
IRS990/OtherRevenueMiscGrp/Desc2SPONSORSHIPS & OTHER
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IRS990/ProgramServiceRevenueGrp/Desc0PHARMACY PROGRAM MN
IRS990/ProgramServiceRevenueGrp/Desc1PHARMACY PROGRAM WI
IRS990/ProgramServiceRevenueGrp/Desc2VISION SERVICE PLAN
IRS990/ProgramServiceRevenueGrp/Desc3EXTEND HEALTH PROGRAM
IRS990/ProgramServiceRevenueGrp/Desc4OTHER PROGRAMS
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE FOLLOWING GOVERNING BODY REVIEW PROCESS HAS BEEN ADOPTED BY THE EXEC. COMMITTEE;A.WHEN COMPLETE FORM WILL BE SENT ELECTRONICALLY TO EXEC. COMMITTEE BY E.D.(EXECUTIVE DIRECTOR).B.FORM 990 SENT WITH NECESSARY BRIEF MEMOS RECAPPING HIGHLIGHTS.C. EXEC. COMMITTEE INVITED TO REVIEW FORM AND CALL E.D. WITH QUESTIONS OR CONCERNS. QUESTIONS REFERRED TO AUDITOR WILL BE RESPONDED TO BY AUDITOR.D.AT REQUEST OF EXEC. COMMITTEE OR IF CONCERNS CANNOT BE FULLY ADDRESSED, THE E.D. WILL ARRANGE A CALL FOR EXECUTIVE COMMITTEE TO DISCUSS FORM AND WHETHER REVISIONS ARE NEEDED BEFORE FINALIZING.E.IF SUBSTANTIAL CHANGES TO FORM AFTER FIRST DISTRIBUTION, REVISED FORM WILL BE REDISTRIBUTED FOR REVIEW AS ABOVE.F.FORM IS DISTRIBUTED WITH TIME LIMIT FOR REVIEW. NON-RESPONSE WILL BE DEEMED APPROVAL
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY;A. EACH NEW RESPONSIBLE PERSON(AS DEFINED IN POLICY)REQUIRED TO REVIEW POLICY WITH ACKNOWLEDGEMENT IN WRITING.B. RESPONSIBLE PERSONS ANNUALLY COMPLETE A DISCLOSURE FORM IDENTIFYING ANY RELATIONSHIPS,POSITIONS, OR CIRCUMSTANCES THAT THEY BELIEVE COULD CONTRIBUTE TO A CONFLICT OF INTEREST SITUATION.C.CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY BY THE EXECUTIVE COMMITTEE, WITH ANY CHANGES COMMUNICATED TO RESPONSIBLE PERSONS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2EXECUTIVE COMMITTEE REVIEWS SALARY USING COMPARATIVE DATA OF ORGANIZATIONS OF SIMILAR SIZE; ALSO CONSIDERS DUTIES AND JOB PERFORMANCE. SALARY SUBSTANTIATED AND DOCUMENTED IN WRITING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3EXECUTIVE COMMITTEE REVIEWS SALARY USING COMPARATIVE DATA OF ORGANIZATIONS OF SIMILAR SIZE; ALSO CONSIDERS DUTIES AND JOB PERFORMANCE. SUBSTANTIATED AND DOCUMENTED IN WRITING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4GOVERNING DOCUMENTS MADE AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990 governing body review Part VI line 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Conflict of interest policy compliance Part VI line 12c
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2CEO executive director top management comp Part VI line 15a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Other officer or key employee compensation Part VI line 15b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Governing documents etc available to public Part VI line 19
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine10HEALTH AND BENEFIT FAIR LLC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0463140688
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501C3
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0MN
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0HOSTING ANNUAL HEALTH AND BENEFIT FAIRS IN MN
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt0I
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine101970 OAKCREST AVENUE SUITE 119
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/City0Saint Paul
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