Civic Intelligence

Peterson Mfg Co Health Care Plan

EIN 43-1401691 • 501(c)9 • Grandview, MO

Profile

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

4200 E 135th StreetGrandview, MO 64030-2875

www.pmlights.com

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 2017

Liabilities / Revenue

52nd percentile

0.00x

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

501(c)9 • $1M-$5M nonprofits • Source year 2017

Net Margin

17th percentile

-19%

Higher net margin than 17% of similar nonprofits.

501(c)9 • $1M-$5M nonprofits • Source year 2017

Top Officer Pay

53rd percentile

$0

Higher top officer pay than 53% of similar nonprofits.

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

501(c)9 • $1M-$5M nonprofits • Source year 2017

Asset Growth

14th percentile

-100%

Faster asset growth than 14% of similar nonprofits.

501(c)9 • $1M-$5M nonprofits • Annualized from 2016 to 2017

Revenue Growth

99th percentile

1050%

Faster revenue growth than 99% of similar nonprofits.

501(c)9 • $1M-$5M nonprofits • Annualized from 2016 to 2017

Assets

Down

$0

Down $945,893 (-100%) from 2016

Liabilities

Down

$0

Down $2,617 (-100%) from 2016

Net Assets

Down

$0

Down $943,276 (-100%) from 2016

Revenue

Up

$4,909,399

Up $4,482,608 (+1050%) from 2016

Expenses

Up

$5,852,675

Up $5,155,899 (+740%) from 2016

Net Income

Down

-$943,276

Down $673,291 (-249%) from 2016

Trend Graphs

Balance Sheet Trend

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

$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

2017

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

Revenue, expenses, and net income by year, with the latest 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

2017

Revenue$4,909,399
Expenses$5,852,675
Net Income-$943,276

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
Oct 9, 2018
Return Version
2017v2.2
Gross Receipts
$4,909,399
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$943,276--
Savings and Temporary Cash Investments$899,680--
Pledges and Grants Receivable$46,213--
Cash and Non-Interest-Bearing Accounts$0--
Land, Buildings, and Equipment, Net$0$0→ $0
Total Assets$945,893$0▼ $945,893
Liabilities
Accounts Payable and Accrued Expenses$2,617--
Total Liabilities$2,617$0▼ $2,617
Net Assets / Fund Balance
Total Net Assets Fund Balance$943,276$0▼ $943,276
Total Liabilities and Net Assets / Fund Balance$945,893$0▼ $945,893

Asset Categories

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

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2017----$0
2016----$0
2015----$0
2014----$0
2013----$0
Compensation and Service Providers

Board Members and Trustees

NameTitle
David ArmacostTrustee
Don Armacost JrTrustee
Pam MillsTrustee
Roger LewisTrustee

Highest Paid Contractors

ContractorServicesLocationCompensation
CoresourceClaims Processing6240 SPRINT PARKWAY STE 400, Overland Park, KS 66251$172,706
Aetna PpoContract Admin4400 NW LOOP 410, San Antonio, TX 78229$157,440
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$4,908,375
Investment Income
$1,024
Other Revenue
$0
All Other Contributions
$0
Change in Net Assets
$-943,276

Audited Revenue Reconciliation

Revenue per Audited Statements
$4,909,399
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Total Revenue per Audited Statements
$4,909,399
Total Revenue per Form 990
$4,909,399
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$862,866
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$4,989,809--$4,989,809
Insurance-$429,928-$429,928
Other Expenses-$419,663-$0
Fees for Services Accounting$0$13,275-$13,275
Total Functional Expenses$4,989,809$862,866$0$5,852,675

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$5,852,675
Total Expenses per Audited Statements$5,852,675
Total Expenses per Form 990$5,852,675
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, Line 2

Trustees are members of board of directors of the plan s sponsoring employer

PART VI, SECTION A, LINE 8A

Board minutes and resolutions are on file

PART VI, SECTION A, LINE 8B

Board minutes and resolutions are on file

Part VI, Section B, Line 11

Form 990 is prepared and provided to the trustees before filing

Part VI, Section C, Line 19

Governing documents are available to members. Financial statements are attached to the summary annual report.

Filing and Contact Details

Filer

Filer Name
Peterson Mfg Co Health Care Plan
EIN
43-1401691
Phone
8167652000
Address
4200 E 135TH STREET, GRANDVIEW, MO 64030-2875

Signing Officer

Name
Roger V Lewis
Title
Trustee
Phone
8167652000
Signed
2018-10-09
Discuss with paid preparer
No

Organization Details

Principal Officer
Roger V Lewis
Formed
1985
Legal Domicile
Mo
Voting Board Members
4
Independent Board Members
0
Employees
0
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IRS990ScheduleN/EmployeeOfSuccessorInd0false
IRS990ScheduleN/LiabilitiesPaidInd0true
IRS990ScheduleN/OwnerOfSuccessor2Ind0false
IRS990ScheduleN/OwnerOfSuccessorInd0false
IRS990ScheduleN/ReceiveCompensation2Ind0false
IRS990ScheduleN/ReceiveCompensationInd0false
IRS990ScheduleN/RequiredToNotifyAGInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0TRUSTEES ARE MEMBERS OF BOARD OF DIRECTORS OF THE PLAN S SPONSORING EMPLOYER
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1BOARD MINUTES AND RESOLUTIONS ARE ON FILE
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2BOARD MINUTES AND RESOLUTIONS ARE ON FILE
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3FORM 990 IS PREPARED AND PROVIDED TO THE TRUSTEES BEFORE FILING
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4GOVERNING DOCUMENTS ARE AVAILABLE TO MEMBERS. FINANCIAL STATEMENTS ARE ATTACHED TO THE SUMMARY ANNUAL REPORT.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0PART VI, SECTION A, LINE 2
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1PART VI, SECTION A, LINE 8a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2PART VI, SECTION A, LINE 8b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4PART VI, SECTION C, LINE 19
IRS990ScheduleR/AssetExchangeInd0false
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd0false
IRS990ScheduleR/AssetSaleToOtherOrgInd0false
IRS990ScheduleR/DivRelatedOrganizationInd0false
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd0false
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd0false
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ControlledOrganizationInd0false
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/DirectControllingEntityName/BusinessNameLine1Txt0NA
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EIN0440607507
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EntityTypeTxt0C CORP
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/LegalDomicileStateCd0MO
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/OwnershipPct01
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt0MANUFACTURING
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt0PETERSON MANUFACTURING COMPANY
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ShareOfEOYAssetsAmt00
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ShareOfTotalIncomeAmt00
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/AddressLine1Txt04200 E 135TH STREET
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/CityNm0GRANDVIEW
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/StateAbbreviationCd0MO
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/ZIPCd064030
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd0false
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd0false
IRS990ScheduleR/PaidEmployeesSharingInd0false
IRS990ScheduleR/PerformOfServicesByOtherOrgInd0false
IRS990ScheduleR/PerformOfServicesForOthOrgInd0false
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd0false
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd0false
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd0false
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd0false
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd0false
IRS990ScheduleR/SharingOfFacilitiesInd0false
IRS990ScheduleR/TransferFromOtherOrgInd0false
IRS990ScheduleR/TransferToOtherOrgInd0false
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/TaxableDistributionsInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TempOrPermanentEndowmentsInd0false
IRS990/TerminateOperationsInd0true
IRS990/TotalAssetsBOYAmt0945893
IRS990/TotalAssetsEOYAmt00
IRS990/TotalAssetsGrp/BOYAmt0945893
IRS990/TotalAssetsGrp/EOYAmt00
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt00
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt0862866
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt04989809
IRS990/TotalFunctionalExpensesGrp/TotalAmt05852675
IRS990/TotalGrossUBIAmt00
IRS990/TotalJointCostsGrp/TotalAmt00
IRS990/TotalLiabilitiesBOYAmt02617
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt02617
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0943276
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotalOtherCompensationAmt00
IRS990/TotalOthProgramServiceRevGrp/TotalRevenueColumnAmt00
IRS990/TotalProgramServiceExpensesAmt00
IRS990/TotalProgramServiceRevenueAmt04908375
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt04909399
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt04909399
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00

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