Civic Intelligence

Tennessee Captive Insurance Association Inc

990 • Fiscal year 2018 • EIN 45-2882002

Jan 01, 2018 to Dec 31, 2018 • Filed on Nov 12, 2019

Organization ProfileWWW.TNCAPTIVES.ORG
4636 Lebanon Pike/ PO Box 207Nashville, TN 37076

(888) 668-3188

Siviq Scores

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

Liabilities / Assets

76th percentile

0.13x

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

2018 filings • 501(c)6 • <$500k nonprofits • Source year 2018

Liabilities / Revenue

73rd percentile

0.06x

Higher debt load relative to revenue than 73% of similar nonprofits.

2018 filings • 501(c)6 • <$500k nonprofits • Source year 2018

Net Margin

37th percentile

-1.8%

Higher net margin than 37% of similar nonprofits.

2018 filings • 501(c)6 • <$500k nonprofits • Source year 2018

Top Officer Pay

70th percentile

$0

Higher top officer pay than 70% of similar nonprofits.

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

2018 filings • 501(c)6 • <$500k nonprofits • Source year 2018

Asset Growth

30th percentile

-7.7%

Faster asset growth than 30% of similar nonprofits.

2018 filings • 501(c)6 • <$500k nonprofits • Annualized from 2017 to 2018

Revenue Growth

21st percentile

-16%

Faster revenue growth than 21% of similar nonprofits.

2018 filings • 501(c)6 • <$500k nonprofits • Annualized from 2017 to 2018

Balance Sheet
Liabilities / Assets76th percentile

Assets

Down

$87,476

Down $7,334 (-7.7%) from 2017

Net Assets

Down

$76,318

Down $3,528 (-4.4%) from 2017

Liabilities

Down

$11,158

Down $3,806 (-25%) from 2017

Revenue And Expenses
Liabilities / Revenue73rd percentileNet Margin37th percentile

Revenue

Down

$191,330

Down $36,485 (-16%) from 2017

Expenses

Down

$194,858

Down $17,534 (-8.3%) from 2017

Net Income

Down

-$3,528

Down $18,951 (-123%) from 2017

Historical Trend

Balance Sheet Trend

Asset Growth30th percentile

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

$200K$150K$100K$50K$0Assets 2011: $64,654Liabilities 2011: $29,4492011Assets 2012: $50,112Liabilities 2012: $22,9862012Assets 2013: $58,066Liabilities 2013: $20,817Net Assets 2013: $37,2492013Assets 2014: $47,375Liabilities 2014: $4,080Net Assets 2014: $43,2952014Assets 2015: $54,296Liabilities 2015: $2,2072015Assets 2016: $92,841Liabilities 2016: $28,4182016Assets 2017: $94,810Liabilities 2017: $14,964Net Assets 2017: $79,8462017Assets 2018: $87,476Liabilities 2018: $11,158Net Assets 2018: $76,3182018Assets 2019: $53,279Liabilities 2019: $3,616Net Assets 2019: $49,6632019Assets 2020: $78,019Liabilities 2020: $4,921Net Assets 2020: $73,0982020Assets 2021: $100,704Liabilities 2021: $12,924Net Assets 2021: $87,7802021Assets 2022: $103,279Liabilities 2022: $7,842Net Assets 2022: $95,4372022Assets 2023: $154,868Liabilities 2023: $7,667Net Assets 2023: $147,2012023Assets 2024: $170,536Liabilities 2024: $1,787Net Assets 2024: $168,7492024

Highlighted filing

2018

Assets$87,476
Liabilities$11,158
Net Assets$76,318
Open 2018 Filing

Operations Trend

Revenue Growth21st percentile

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

$400K$300K$200K$100K$0-$100KRevenue 2011: $111,858Expenses 2011: $76,653Net Income 2011: $35,2052011Revenue 2012: $90,596Expenses 2012: $98,675Net Income 2012: -$8,0792012Revenue 2013: $112,904Expenses 2013: $102,781Net Income 2013: $10,1232013Revenue 2014: $137,327Expenses 2014: $131,281Net Income 2014: $6,0462014Revenue 2015: $165,052Expenses 2015: $156,258Net Income 2015: $8,7942015Revenue 2016: $199,975Expenses 2016: $187,641Net Income 2016: $12,3342016Revenue 2017: $227,815Expenses 2017: $212,392Net Income 2017: $15,4232017Revenue 2018: $191,330Expenses 2018: $194,858Net Income 2018: -$3,5282018Revenue 2019: $207,270Expenses 2019: $233,924Net Income 2019: -$26,6542019Revenue 2020: $88,160Expenses 2020: $64,725Net Income 2020: $23,4352020Revenue 2021: $188,850Expenses 2021: $174,168Net Income 2021: $14,6822021Revenue 2022: $199,890Expenses 2022: $192,233Net Income 2022: $7,6572022Revenue 2023: $277,430Expenses 2023: $225,666Net Income 2023: $51,7642023Revenue 2024: $315,975Expenses 2024: $294,427Net Income 2024: $21,5482024

Highlighted filing

2018

Revenue$191,330
Expenses$194,858
Net Income-$3,528
Open 2018 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2018 to Dec 31, 2018
Signed
Nov 12, 2019
Return Version
2018v3.1
Gross Receipts
$191,330
Mission and Program Overview

Mission

The tennessee captive insurance association's primary purpose is to promote the growth of the captive insurance industry in the state of tennessee.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$74,210$82,926▲ $8,716
Accounts Receivable$20,600$4,550▼ $16,050
Total Assets$94,810$87,476▼ $7,334
Liabilities
Accounts Payable and Accrued Expenses$3,592$11,158▲ $7,566
Other Liabilities$10,022$0▼ $10,022
Deferred Revenue$1,350--
Total Liabilities$14,964$11,158▼ $3,806
Net Assets / Fund Balance
Unrestricted Net Assets$79,846$76,318▼ $3,528
Total Net Assets Fund Balance$79,846$76,318▼ $3,528
Total Liabilities and Net Assets / Fund Balance$94,810$87,476▼ $7,334
Compensation and Service Providers
Top Officer Pay70th percentile

Board Members and Trustees

NameTitle
Kevin DohertyChairman/president/directo
Andy RheaDirector
Bill BeelerDirector
Mary Claire GoffDirector
Mary Francis MillerDirector
Shirley Fuller CooperDirector
Wm Gary GreeneDirector
Scott StoneSecretary/director
Belinda FortmanTreasurer/director
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$191,330
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-3,528
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$194,858
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
Fees for Services Management---$81,762
Conferences and Meetings---$59,342
Advertising---$8,785
Travel---$3,307
Information Technology---$2,699
Fees for Services Accounting---$2,292
Insurance---$2,021
Office Expenses---$1,528
Other Expenses---$39
Total Functional Expenses$0$0$0$194,858
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
In-house lobbying only
Yes
Subject to proxy tax
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
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
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Section A, Line 3

“The organization utilizes a management company for all activities.”

Form 990, Part VI, Section B, Line 11B

“The organization will provide a copy of the form 990 to its board of directors for review prior to filing.”

Form 990, Part VI, Section C, Line 19

“Upon request belinda fortman 4636 lebanon pike po box 207 nashville, tn 37076”

Filing and Contact Details

Filer

Filer Name
Tennessee Captive Insurance
EIN
45-2882002
Phone
8886683188
Address
4636 LEBANON PIKE/ PO BOX 207, NASHVILLE, TN 37076

Signing Officer

Name
Belinda Fortman
Title
Treasurer
Phone
4195315531
Signed
2019-11-12
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Belinda Fortman
Formed
2011
Legal Domicile
Tn
Voting Board Members
9
Independent Board Members
9
Employees
0
Volunteers
0

Preparer

Firm
Carr Riggs & Ingram LLC
Address
3011 ARMORY DRIVE SUITE 190, NASHVILLE, TN 37204
Preparer
Ann M Hamza
Phone
6156651811
Supplemental Narrative

Additional Explanations

FORM 990, PART XII, LINE 2C:

“The board of directors assumes responsibility for oversight of the compilation of the financial statements and selection of an independent accountant.”

Raw XML Appendix330 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/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5TREASURER/DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6SECRETARY/DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt8DIRECTOR
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IRS990/ProgSrvcAccomActy3Grp/Desc0LEGISLATIVE/REGULATORY ADVOCACY: THE ORGANIZATION'S PROFESSIONAL CONTRACTOR AND ELECTED LEADERSHIP SHALL ADVOCATE FOR THE BUSINESS INTEREST OF ITS MEMBERS BEFORE THE TENNESSEE STATE LEGISLATURE AND STATE REGULATORY AGENCIES.
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE ORGANIZATION UTILIZES A MANAGEMENT COMPANY FOR ALL ACTIVITIES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE ORGANIZATION WILL PROVIDE A COPY OF THE FORM 990 TO ITS BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2UPON REQUEST BELINDA FORTMAN 4636 LEBANON PIKE PO BOX 207 NASHVILLE, TN 37076
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE COMPILATION OF THE FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART XII, LINE 2C:
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IRS990/TotReportableCompRltdOrgAmt00
IRS990/TravelGrp/TotalAmt03307
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UnrestrictedNetAssetsGrp/BOYAmt079846
IRS990/UnrestrictedNetAssetsGrp/EOYAmt076318
IRS990/UponRequestInd0X
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IRS990/USAddress/CityNm0NASHVILLE
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ReturnHeader/BuildTS02020-03-31 21:24:44Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0BELINDA FORTMAN
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0TREASURER
ReturnHeader/BusinessOfficerGrp/PhoneNum04195315531
ReturnHeader/BusinessOfficerGrp/SignatureDt02019-11-12
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0TENNESSEE CAPTIVE INSURANCE
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0ASSOCIATION INC
ReturnHeader/Filer/BusinessNameControlTxt0TENN
ReturnHeader/Filer/EIN0452882002
ReturnHeader/Filer/PhoneNum08886683188
ReturnHeader/Filer/USAddress/AddressLine1Txt04636 LEBANON PIKE/ PO BOX 207
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ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt012.180.254.148
ReturnHeader/FilingSecurityInformation/IPDt02019-11-12
ReturnHeader/FilingSecurityInformation/IPTimezoneCd0CS
ReturnHeader/FilingSecurityInformation/IPTm017:12:10
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0721396621
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0CARR RIGGS & INGRAM LLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt03011 ARMORY DRIVE SUITE 190
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0NASHVILLE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0TN
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd037204
ReturnHeader/PreparerPersonGrp/PhoneNum06156651811
ReturnHeader/PreparerPersonGrp/PreparationDt02019-11-12
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0ANN M HAMZA
ReturnHeader/ReturnTs02019-11-15T13:28:19-06:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02018-01-01
ReturnHeader/TaxPeriodEndDt02018-12-31
ReturnHeader/TaxYr02018

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2018 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$87,476
Liabilities
$11,158
Net assets
$76,318
Revenue
$191,330
Expenses
$194,858
Net income
-$3,528
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.71$0.02$1.69$3.16$2.94$0.22
2023Summary only. Only limited summary data is available for this year.$1.55$0.08$1.47$2.77$2.26$0.52
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.03$0.08$0.95$2.00$1.92$0.08
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.01$0.13$0.88$1.89$1.74$0.15
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.78$0.05$0.73$0.88$0.65$0.23
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.53$0.04$0.50$2.07$2.34$0.27
2018Detailed filing. Detailed filing data is available for this year.$0.87$0.11$0.76$1.91$1.95$0.04
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.95$0.15$0.80$2.28$2.12$0.15
2016Summary only. Only limited summary data is available for this year.$0.93$0.28$2.00$1.88$0.12
2015Summary only. Only limited summary data is available for this year.$0.54$0.02$1.65$1.56$0.09
2014Detailed filing. Detailed filing data is available for this year.$0.47$0.04$0.43$1.37$1.31$0.06
2013Detailed filing. Detailed filing data is available for this year.$0.58$0.21$0.37$1.13$1.03$0.10
2012Summary only. Only limited summary data is available for this year.$0.50$0.23$0.91$0.99$0.08
2011Summary only. Only limited summary data is available for this year.$0.65$0.29$1.12$0.77$0.35
Peer Organizations

Similar nonprofits based on the same Siviq industry and scale cohort. 2018 filings • 501(c)6 • <$500k nonprofits