Civic Intelligence

Dethmersdemco Health Care Plan

990 • Fiscal year 2015 • EIN 42-1419007

Nov 01, 2014 to Oct 31, 2015 • Filed on Jun 14, 2016

Organization ProfileN/A
4010 320th StBoyden, IA 51234

(712) 725-2311

Siviq Scores

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

Liabilities / Assets

79th percentile

0.24x

Higher debt load relative to assets than 79% of similar nonprofits.

2015 filings • 501(c)9 • $1M-$5M nonprofits • Source year 2015

Liabilities / Revenue

71st percentile

0.10x

Higher debt load relative to revenue than 71% of similar nonprofits.

2015 filings • 501(c)9 • $1M-$5M nonprofits • Source year 2015

Net Margin

14th percentile

-25%

Higher net margin than 14% of similar nonprofits.

2015 filings • 501(c)9 • $1M-$5M nonprofits • Source year 2015

Top Officer Pay

94th percentile

$292,820

Higher top officer pay than 94% of similar nonprofits.

Top officer pay equals 21.1% of source-year revenue.

2015 filings • 501(c)9 • $1M-$5M nonprofits • Source year 2015

Asset Growth

9th percentile

-40%

Faster asset growth than 9% of similar nonprofits.

2015 filings • 501(c)9 • $1M-$5M nonprofits • Annualized from 2014 to 2015

Revenue Growth

12th percentile

-26%

Faster revenue growth than 12% of similar nonprofits.

2015 filings • 501(c)9 • $1M-$5M nonprofits • Annualized from 2014 to 2015

Balance Sheet
Liabilities / Assets79th percentile

Assets

Down

$581,489

Down $389,502 (-40%) from 2014

Net Assets

Down

$440,300

Down $353,092 (-45%) from 2014

Liabilities

Down

$141,189

Down $36,410 (-21%) from 2014

Revenue And Expenses
Liabilities / Revenue71st percentileNet Margin14th percentile

Revenue

Down

$1,384,695

Down $476,195 (-26%) from 2014

Expenses

Down

$1,737,787

Down $354,723 (-17%) from 2014

Net Income

Down

-$353,092

Down $121,472 (-52%) from 2014

Historical Trend

Balance Sheet Trend

Asset Growth9th percentile

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

$1.5M$1.0M$500K$0Assets 2010: $683,694Liabilities 2010: $110,913Net Assets 2010: $572,7812010Assets 2011: $853,396Liabilities 2011: $156,492Net Assets 2011: $696,9042011Assets 2012: $895,212Liabilities 2012: $115,781Net Assets 2012: $779,4312012Assets 2013: $1,244,698Liabilities 2013: $219,686Net Assets 2013: $1,025,0122013Assets 2014: $970,991Liabilities 2014: $177,599Net Assets 2014: $793,3922014Assets 2015: $581,489Liabilities 2015: $141,189Net Assets 2015: $440,3002015Assets 2016: $779,167Liabilities 2016: $161,208Net Assets 2016: $617,9592016Assets 2017: $809,863Liabilities 2017: $151,341Net Assets 2017: $658,5222017Assets 2018: $680,161Liabilities 2018: $159,357Net Assets 2018: $520,8042018Assets 2019: $703,704Liabilities 2019: $264,865Net Assets 2019: $438,8392019Assets 2020: $958,530Liabilities 2020: $240,380Net Assets 2020: $718,1502020Assets 2021: $898,952Liabilities 2021: $293,575Net Assets 2021: $605,3772021Assets 2022: $0Liabilities 2022: $0Net Assets 2022: $02022

Highlighted filing

2015

Assets$581,489
Liabilities$141,189
Net Assets$440,300
Open 2015 Filing

Operations Trend

Revenue Growth12th percentile

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

$3.0M$2.0M$1.0M$0-$1.0MExpenses 2010: $1,491,7702010Revenue 2011: $1,853,376Expenses 2011: $1,729,253Net Income 2011: $124,1232011Revenue 2012: $1,859,757Expenses 2012: $1,777,230Net Income 2012: $82,5272012Expenses 2013: $1,687,3722013Revenue 2014: $1,860,890Expenses 2014: $2,092,510Net Income 2014: -$231,6202014Revenue 2015: $1,384,695Expenses 2015: $1,737,787Net Income 2015: -$353,0922015Revenue 2016: $1,760,103Expenses 2016: $1,682,444Net Income 2016: $77,6592016Revenue 2017: $1,792,783Expenses 2017: $1,760,923Net Income 2017: $31,8602017Revenue 2018: $1,810,352Expenses 2018: $1,948,070Net Income 2018: -$137,7182018Revenue 2019: $2,306,792Expenses 2019: $2,388,757Net Income 2019: -$81,9652019Revenue 2020: $2,364,119Expenses 2020: $2,084,808Net Income 2020: $279,3112020Revenue 2021: $2,754,469Expenses 2021: $2,867,242Net Income 2021: -$112,7732021Revenue 2022: $659,116Expenses 2022: $1,264,493Net Income 2022: -$605,3772022

Highlighted filing

2015

Revenue$1,384,695
Expenses$1,737,787
Net Income-$353,092
Open 2015 Filing
Jump To
Filing Snapshot
Filing Period
Nov 1, 2014 to Oct 31, 2015
Signed
Jun 14, 2016
Return Version
2014v6.0
Gross Receipts
$1,384,695
Mission and Program Overview

Mission

The trust has been established for the benefit of its eligible employees and dependents to provide medical benefits.

The trust has been established for the benefit of its eligible employees for the payment of certain specified medical expenses incurred by the eligible employees and their dependents.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$704,836$310,154▼ $394,682
Cash and Non-Interest-Bearing Accounts$263,515$267,858▲ $4,343
Total Assets$970,991$581,489▼ $389,502
Other Assets Total$2,640$3,477▲ $837
Liabilities
Accounts Payable and Accrued Expenses$177,599$141,189▼ $36,410
Total Liabilities$177,599$141,189▼ $36,410
Net Assets / Fund Balance
Unrestricted Net Assets$793,392$440,300▼ $353,092
Total Net Assets Fund Balance$793,392$440,300▼ $353,092
Total Liabilities and Net Assets / Fund Balance$970,991$581,489▼ $389,502
Compensation and Service Providers
Top Officer Pay94th percentile

Employees

NameTitleFull / Part TimeOtherTotal
Ted RiepmaTrustee-$129,624$129,624
Matt BranumTrustee-$112,450$112,450
Christine TostenrudTrustee-$83,459$83,459
Andrea JohnsonTrustee-$76,633$76,633
Carla SietstraTrusteeFT$45,542$45,542

Board Members and Trustees

NameTitle
Kevin Ten HakenTrustee
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$1,379,377
Investment Income
$5,318
Other Revenue
$0
Change in Net Assets
$-353,092

Audited Revenue Reconciliation

Revenue per Audited Statements
$1,384,695
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Total Revenue per Audited Statements
$1,384,695
Total Revenue per Form 990
$1,384,695
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$1,737,787
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
Other Expenses$18,050--$18,050
All Other Expenses$2,373--$2,373
Total Functional Expenses$1,737,787$0$0$1,737,787

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$1,737,787
Total Expenses per Audited Statements$1,737,787
Total Expenses per Form 990$1,737,787
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
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
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
No
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11

“Form 990 is reviewed by the signing officer before filing.”

Form 990, Part VI, Section C, Line 19

“Information is made available to the public upon approved written request.”

Filing and Contact Details

Filer

Filer Name
Dethmersdemco Health Care Plan
EIN
42-1419007
Phone
7127252311
Address
4010 320TH ST, BOYDEN, IA 51234

Signing Officer

Name
Trustee
Title
Trustee
Phone
7127252311
Signed
2016-06-14
Discuss with paid preparer
Yes

Organization Details

Formed
1994
Legal Domicile
Ia
Voting Board Members
5
Independent Board Members
0
Employees
0
Volunteers
0

Preparer

Firm
Cain Ellsworth & Co Llp
Address
1008 THIRD AVENUE, SHELDON, IA 51201
Preparer
Erica Haack
Phone
7123244614
Supplemental Narrative

Additional Explanations

FORM 990, PART XII, LINE 2C:

“The process for selection of an independent auditor and for review of the audited financial statements by the audit committee has not changed from the prior year.”

Raw XML Appendix339 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 IS REVIEWED BY THE SIGNING OFFICER BEFORE FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1INFORMATION IS MADE AVAILABLE TO THE PUBLIC UPON APPROVED WRITTEN REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE PROCESS FOR SELECTION OF AN INDEPENDENT AUDITOR AND FOR REVIEW OF THE AUDITED FINANCIAL STATEMENTS BY THE AUDIT COMMITTEE HAS NOT CHANGED FROM THE PRIOR YEAR.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART XII, LINE 2C:
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IRS990/TotalAssetsEOYAmt0581489
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IRS990/TotalAssetsGrp/EOYAmt0581489
IRS990/TotalCompGreaterThan150KInd01
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt00
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt01737787
IRS990/TotalFunctionalExpensesGrp/TotalAmt01737787
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IRS990/TotalLiabilitiesBOYAmt0177599
IRS990/TotalLiabilitiesEOYAmt0141189
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IRS990/TotalLiabilitiesGrp/EOYAmt0141189
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IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0440300
IRS990/TotalOtherCompensationAmt036544
IRS990/TotalProgramServiceExpensesAmt01737787
IRS990/TotalProgramServiceRevenueAmt01379377
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt01379377
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt01384695
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt05318
IRS990/TotalVolunteersCnt00
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IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UnrestrictedNetAssetsGrp/BOYAmt0793392
IRS990/UnrestrictedNetAssetsGrp/EOYAmt0440300
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt04010 320TH ST
IRS990/USAddress/CityNm0BOYDEN
IRS990/USAddress/StateAbbreviationCd0IA
IRS990/USAddress/ZIPCd051234
IRS990/VotingMembersGoverningBodyCnt05
IRS990/VotingMembersIndependentCnt00
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd00
ReturnHeader/BuildTS02016-08-17 19:52:53Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0TRUSTEE
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0TRUSTEE
ReturnHeader/BusinessOfficerGrp/PhoneNum07127252311
ReturnHeader/BusinessOfficerGrp/SignatureDt02016-06-14
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0DETHMERSDEMCO HEALTH CARE PLAN
ReturnHeader/Filer/BusinessNameControlTxt0DETH
ReturnHeader/Filer/EIN0421419007
ReturnHeader/Filer/PhoneNum07127252311
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ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0CAIN ELLSWORTH & CO LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt01008 THIRD AVENUE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0SHELDON
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0IA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd051201
ReturnHeader/PreparerPersonGrp/PhoneNum07123244614
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0ERICA HAACK
ReturnHeader/ReturnTs02016-06-14T09:22:15-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02014-11-01
ReturnHeader/TaxPeriodEndDt02015-10-31
ReturnHeader/TaxYr02014

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2015 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$581,489
Liabilities
$141,189
Net assets
$440,300
Revenue
$1,384,695
Expenses
$1,737,787
Net income
-$353,092
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.00$0.00$0.00$0.66$1.26$0.61
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.90$0.29$0.61$2.75$2.87$0.11
2020Summary only. Only limited summary data is available for this year.$0.96$0.24$0.72$2.36$2.08$0.28
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.70$0.26$0.44$2.31$2.39$0.08
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.68$0.16$0.52$1.81$1.95$0.14
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.81$0.15$0.66$1.79$1.76$0.03
2016Detailed filing. Detailed filing data is available for this year.$0.78$0.16$0.62$1.76$1.68$0.08
2015Detailed filing. Detailed filing data is available for this year.$0.58$0.14$0.44$1.38$1.74$0.35
2014Detailed filing. Detailed filing data is available for this year.$0.97$0.18$0.79$1.86$2.09$0.23
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.24$0.22$1.03$1.69
2012Summary only. Only limited summary data is available for this year.$0.90$0.12$0.78$1.86$1.78$0.08
2011Summary only. Only limited summary data is available for this year.$0.85$0.16$0.70$1.85$1.73$0.12
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.68$0.11$0.57$1.49
Peer Organizations

Similar nonprofits based on the same Siviq industry and scale cohort. 2015 filings • 501(c)9 • $1M-$5M nonprofits