Civic Intelligence

Peterson Mfg Co Health Care Plan

990 • Fiscal year 2014 • EIN 43-1401691

Dec 01, 2013 to Nov 30, 2014 • Filed on Aug 25, 2015

4200 E 135th Street64030-2875

(816) 765-2000

Siviq Scores

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

Liabilities / Assets

47th percentile

0.02x

Higher debt load relative to assets than 47% of similar nonprofits.

2014 filings • 501(c)9 • $5M-$10M nonprofits • Source year 2014

Liabilities / Revenue

30th percentile

0.00x

Higher debt load relative to revenue than 30% of similar nonprofits.

2014 filings • 501(c)9 • $5M-$10M nonprofits • Source year 2014

Net Margin

50th percentile

2.5%

Higher net margin than 50% of similar nonprofits.

2014 filings • 501(c)9 • $5M-$10M nonprofits • Source year 2014

Top Officer Pay

52nd percentile

$0

Higher top officer pay than 52% of similar nonprofits.

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

2014 filings • 501(c)9 • $5M-$10M nonprofits • Source year 2014

Asset Growth

51st percentile

4.6%

Faster asset growth than 51% of similar nonprofits.

2014 filings • 501(c)9 • $5M-$10M nonprofits • Annualized from 2013 to 2014

Revenue Growth

38th percentile

-0.3%

Faster revenue growth than 38% of similar nonprofits.

2014 filings • 501(c)9 • $5M-$10M nonprofits • Annualized from 2013 to 2014

Assets

Up

$808,174

Up $35,852 (+4.6%) from 2013

Net Assets

Up

$791,526

Up $147,733 (+23%) from 2013

Liabilities

Down

$16,648

Down $111,881 (-87%) from 2013

Revenue

Down

$5,883,488

Down $17,756 (-0.3%) from 2013

Expenses

Up

$5,735,755

Up $50,427 (+0.9%) from 2013

Net Income

Down

$147,733

Down $68,183 (-32%) from 2013

Historical Trend

Balance Sheet Trend

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

$1.0M$500K$0Assets 2011: $849,425Liabilities 2011: $53,586Net Assets 2011: $795,8392011Assets 2012: $497,797Liabilities 2012: $69,920Net Assets 2012: $427,8772012Assets 2013: $772,322Liabilities 2013: $128,529Net Assets 2013: $643,7932013Assets 2014: $808,174Liabilities 2014: $16,648Net Assets 2014: $791,5262014Assets 2015: $981,671Liabilities 2015: $0Net Assets 2015: $981,6712015Assets 2016: $945,893Liabilities 2016: $2,617Net Assets 2016: $943,2762016Assets 2017: $0Liabilities 2017: $0Net Assets 2017: $02017

Highlighted filing

2014

Assets$808,174
Liabilities$16,648
Net Assets$791,526

Operations Trend

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

$6.0M$4.0M$2.0M$0-$2.0MRevenue 2011: $4,507,522Expenses 2011: $4,724,344Net Income 2011: -$216,8222011Revenue 2012: $5,211,763Expenses 2012: $5,579,725Net Income 2012: -$367,9622012Revenue 2013: $5,901,244Expenses 2013: $5,685,328Net Income 2013: $215,9162013Revenue 2014: $5,883,488Expenses 2014: $5,735,755Net Income 2014: $147,7332014Revenue 2015: $5,664,981Expenses 2015: $5,474,836Net Income 2015: $190,1452015Revenue 2016: $426,791Expenses 2016: $696,776Net Income 2016: -$269,9852016Revenue 2017: $4,909,399Expenses 2017: $5,852,675Net Income 2017: -$943,2762017

Highlighted filing

2014

Revenue$5,883,488
Expenses$5,735,755
Net Income$147,733
Jump To
Filing Snapshot
Filing Period
Dec 1, 2013 to Nov 30, 2014
Signed
Aug 25, 2015
Return Version
2013v4.0
Gross Receipts
$5,883,488
Mission and Program Overview

Mission

This self-insured health care plan provides defined health care benefits to participating employees of the sponsoring employer.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cap Stk Tr Prin Current Funds$643,793$791,526▲ $147,733
Pledges and Grants Receivable$555,750$486,418▼ $69,332
Savings and Temporary Cash Investments$216,572$321,756▲ $105,184
Cash and Non-Interest-Bearing Accounts$0$0→ $0
Land, Buildings, and Equipment, Net-$0-
Total Assets$772,322$808,174▲ $35,852
Liabilities
Accounts Payable and Accrued Expenses$128,529$16,648▼ $111,881
Total Liabilities$128,529$16,648▼ $111,881
Net Assets / Fund Balance
Total Net Assets Fund Balance$643,793$791,526▲ $147,733
Total Liabilities and Net Assets / Fund Balance$772,322$808,174▲ $35,852

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$0--
Other Land Buildings$0--
Land$0--
Equipment$0--
Leasehold Improvements$0--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2013----$0
2012----$0
2011----$0
2010----$0
2009----$0
Compensation and Service Providers

Board Members and Trustees

Highest Paid Contractors

ContractorServicesLocationCompensation
Coresource INCContract Admin-$195,582
Aetna Signature AdministratorsClaims Processing-$180,093
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$5,883,439
Investment Income
$49
Other Revenue
$0
Change in Net Assets
$147,733

Audited Revenue Reconciliation

Revenue per Audited Statements
$5,883,488
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Total Revenue per Audited Statements
$5,883,488
Total Revenue per Form 990
$5,883,488
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$779,975
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$4,955,780--$4,955,780
Other Expenses-$340,608-$0
Fees for Services Accounting-$7,259-$7,259
Total Functional Expenses$4,955,780$779,975$0$5,735,755

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$5,735,755
Total Expenses per Audited Statements$5,735,755
Total Expenses per Form 990$5,735,755
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
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
No
Audit committee
Yes
Backup withholding compliance
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
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Part VI, Section A

2. Trustees are members of the board of directors of the plan's sponsoring employer.

Filing and Contact Details

Filer

EIN
43-1401691
Phone
8167652000

Signing Officer

Name
Stephen K Hickerson
Title
VP Finance
Signed
2015-08-25
Discuss with paid preparer
No

Organization Details

Principal Officer
Stephen K Hickerson
Formed
1985
Legal Domicile
Mo
Voting Board Members
3
Independent Board Members
0
Employees
0
Volunteers
0

Preparer

Preparer
Lisa Johnson
Phone
8167652000
Supplemental Narrative

Additional Explanations

Form 990 - Supplemental Information

Part vi, line 2 - trustees are members of the board of directors of the plan's sponsoring employer. Part vi, line 11b - form 990 is prepared by cfo of the sponsoring employer and a copy is provided to the trustees before filing. Part vi, line 19 - governing documents are available to members. Financial statements are attached to the summary annual report.

Raw XML AppendixShowing 400 of 409 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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IRS990/InvestmentInJointVentureInd0false
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IRS990/IRPDocumentCnt00
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0PART VI, LINE 2 - TRUSTEES ARE MEMBERS OF THE BOARD OF DIRECTORS OF THE PLAN'S SPONSORING EMPLOYER. PART VI, LINE 11B - FORM 990 IS PREPARED BY CFO OF THE SPONSORING EMPLOYER AND A COPY IS PROVIDED TO THE TRUSTEES BEFORE FILING. PART VI, LINE 19 - GOVERNING DOCUMENTS ARE AVAILABLE TO MEMBERS. FINANCIAL STATEMENTS ARE ATTACHED TO THE SUMMARY ANNUAL REPORT.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt12. TRUSTEES ARE MEMBERS OF THE BOARD OF DIRECTORS OF THE PLAN'S SPONSORING EMPLOYER.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990 - SUPPLEMENTAL INFORMATION
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1PART VI, SECTION A
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ReturnHeader/BuildTS02016-03-07 17:11:31Z
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ReturnHeader/BusinessOfficerGrp/PersonNm0STEPHEN K HICKERSON
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0VP FINANCE
ReturnHeader/BusinessOfficerGrp/SignatureDt02015-08-25
ReturnHeader/Filer/BusinessName/BusinessNameLine10PETERSON MFG CO HEALTH CARE PLAN
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ReturnHeader/Filer/EIN0431401691
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ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine10LISA JOHNSON CPA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine104200 E 135TH ST
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/City0GRANDVIEW

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