Civic Intelligence

Salus Employee Benefit Trust

990 • Fiscal year 2021 • EIN 45-6436395

Jan 01, 2021 to Jul 12, 2021 • Filed on Dec 14, 2021

8415 Pulsar Place Suite 300Columbus, OH 43240

(614) 839-0250

Siviq Scores

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

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on this filing.

Source year 2021

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on this filing.

Source year 2021

Net Margin

Score unavailable

No value available

Net margin requires both revenue and expenses on this filing.

Source year 2021

Top Officer Pay

74th percentile

$0

Higher top officer pay than 74% of similar nonprofits.

2021 filings • 501(c)9 • <$500k nonprofits • Source year 2021

Asset Growth

Score unavailable

No value available

A valid growth rate could not be computed from the available filing history.

Annualized from 2020 to 2021

Revenue Growth

5th percentile

-100%

Faster revenue growth than 5% of similar nonprofits.

2021 filings • 501(c)9 • <$500k nonprofits • Annualized from 2020 to 2021

Assets

Flat

$0

Flat from 2020

Net Assets

Flat

$0

Flat from 2020

Liabilities

Flat

$0

Flat from 2020

Revenue

Down

$0

Down $176,224 (-100%) from 2020

Expenses

Down

$0

Down $356,880 (-100%) from 2020

Net Income

Up

$0

Up $180,656 (+100%) from 2020

Historical Trend

Balance Sheet Trend

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

$600K$400K$200K$0Assets 2011: $93,295Liabilities 2011: $0Net Assets 2011: $93,2952011Assets 2012: $141,132Liabilities 2012: $0Net Assets 2012: $141,1322012Assets 2013: $45,417Liabilities 2013: $0Net Assets 2013: $45,4172013Assets 2014: $420,207Liabilities 2014: $0Net Assets 2014: $420,2072014Assets 2015: $268,669Liabilities 2015: $76,656Net Assets 2015: $192,0132015Assets 2016: $481,804Liabilities 2016: $0Net Assets 2016: $481,8042016Assets 2017: $308,988Liabilities 2017: $0Net Assets 2017: $308,9882017Assets 2018: $461,592Liabilities 2018: $0Net Assets 2018: $461,5922018Assets 2019: $180,656Liabilities 2019: $0Net Assets 2019: $180,6562019Assets 2020: $0Liabilities 2020: $0Net Assets 2020: $02020Assets 2021: $0Liabilities 2021: $0Net Assets 2021: $02021

Highlighted filing

2021

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

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

$4.0M$3.0M$2.0M$1.0M$0-$1.0MRevenue 2011: $273,319Expenses 2011: $180,024Net Income 2011: $93,2952011Revenue 2012: $976,091Expenses 2012: $928,254Net Income 2012: $47,8372012Revenue 2013: $977,944Expenses 2013: $1,073,661Net Income 2013: -$95,7172013Revenue 2014: $1,388,859Expenses 2014: $1,255,325Net Income 2014: $133,5342014Revenue 2015: $1,541,214Expenses 2015: $1,769,408Net Income 2015: -$228,1942015Revenue 2016: $2,357,999Expenses 2016: $2,144,866Net Income 2016: $213,1332016Revenue 2017: $2,412,660Expenses 2017: $2,585,476Net Income 2017: -$172,8162017Revenue 2018: $3,091,986Expenses 2018: $2,939,382Net Income 2018: $152,6042018Revenue 2019: $3,046,230Expenses 2019: $3,327,166Net Income 2019: -$280,9362019Revenue 2020: $176,224Expenses 2020: $356,880Net Income 2020: -$180,6562020Revenue 2021: $0Expenses 2021: $0Net Income 2021: $02021

Highlighted filing

2021

Revenue$0
Expenses$0
Net Income$0
Jump To
Filing Snapshot
Filing Period
Jan 1, 2021 to Jul 12, 2021
Signed
Dec 14, 2021
Return Version
2020v4.1
Gross Receipts
$0
Mission and Program Overview

Mission

Provide self-insured funding for specific health care benefits for eligible employees of all participating companies covered under the Franklin Business Services Inc benefit plan EIN 61-1546116.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts-$0-
Savings and Temporary Cash Investments-$0-
Accounts Receivable-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Land, Buildings, and Equipment, Net-$0-
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Other Assets Total-$0-
Total Assets$0$0→ $0
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Total Net Assets Fund Balance$0$0→ $0
Total Liabilities and Net Assets / Fund Balance$0$0→ $0
Compensation and Service Providers

Board Members and Trustees

NameTitle
Anton RasiahTrustee
Kumar BuvanendaranTrustee
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$0
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$0
Other Expenses$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$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
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
Yes
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

Form 990, Part VI, Section A, line 4

During the year, the Salus Employee Benefit Trust terminated its operations effective July 12, 2021.

Form 990, Part VI, Section A, line 8A

No documentation was performed.

Form 990, Part VI, Section A, line 8B

No documentation was performed.

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

Form 990 was provided to the Plan Administrator, Trustees and the Chief Financial Officer of related organizations for review prior to filing.

Form 990, Part VI, Section C, line 19

The organization is a tax-exempt trust established in connection with a health and welfare plan. The organization does not have a conflict of interest policy. Plan financial information is made available to plan participants upon request.

Filing and Contact Details

Filer

Filer Name
Salus Employee Benefit Trust
EIN
45-6436395
Phone
6148390250
Address
8415 Pulsar Place Suite 300, Columbus, OH 43240

Signing Officer

Name
Kumar Buvanendaran
Title
Trustee
Phone
6148390250
Signed
2021-12-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Kumar Buvanendaran
Formed
2011
Legal Domicile
Oh
Voting Board Members
2
Independent Board Members
2
Employees
0
Volunteers
0

Preparer

Firm
Rsm US Llp
Address
30 S Wacker Drive Ste 3300, Chicago, IL 60606
Preparer
Rebekuh Eley
Phone
3126343400
Supplemental Narrative

Additional Explanations

Form 990, Part III, line 3

During the year, the Plan Sponsor's Board of Directors adopted a resolution to dissolve the Salus Employee Benefit Trust effective July 12, 2021.

Raw XML Appendix290 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/BooksInCareOfDetail/PhoneNum06148390250
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
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IRS990/Form990ProvidedToGvrnBodyInd00
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IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossReceiptsAmt00
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd00
IRS990/IndependentAuditFinclStmtInd00
IRS990/IndependentVotingMemberCnt02
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartIIIInd0X
IRS990/InfoInScheduleOPartVIInd0X
IRS990/IntangibleAssetsGrp/EOYAmt00
IRS990/InventoriesForSaleOrUseGrp/EOYAmt00
IRS990/InvestmentInJointVentureInd00
IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt00
IRS990/InvestmentsProgramRelatedGrp/EOYAmt00
IRS990/InvestmentsPubTradedSecGrp/EOYAmt00
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipBasisNetGrp/EOYAmt00
IRS990/LegalDomicileStateCd0OH
IRS990/LoanOutstandingInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd00
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd00
IRS990/MinutesOfGoverningBodyInd00
IRS990/MissionDesc0Provide self-insured funding for specific health care benefits for eligible employees of all participating companies covered under the Franklin Business Services Inc benefit plan EIN 61-1546116.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt00
IRS990/NetAssetsOrFundBalancesEOYAmt00
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd00
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501cInd0X
IRS990/OrgDoesNotFollowFASB117Ind0X
IRS990/OtherAssetsTotalGrp/EOYAmt00
IRS990/OthNotesLoansReceivableNetGrp/EOYAmt00
IRS990/PartialLiquidationInd00
IRS990/PdInCapSrplsLandBldgEqpFundGrp/BOYAmt00
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IRS990/PledgesAndGrantsReceivableGrp/EOYAmt00
IRS990/PoliticalCampaignActyInd00
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IRS990/ProfessionalFundraisingInd00
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt0285876
IRS990/PYContributionsGrantsAmt00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt00
IRS990/PYOtherExpensesAmt071004
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt0176224
IRS990/PYRevenuesLessExpensesAmt0-180656
IRS990/PYSalariesCompEmpBnftPaidAmt00
IRS990/PYTotalExpensesAmt0356880
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt0176224
IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt00
IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt00
IRS990/ReconcilationRevenueExpnssAmt00
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd00
IRS990/ReportProgramRelatedInvstInd00
IRS990/RtnEarnEndowmentIncmOthFndsGrp/BOYAmt00
IRS990/RtnEarnEndowmentIncmOthFndsGrp/EOYAmt00
IRS990/SavingsAndTempCashInvstGrp/EOYAmt00
IRS990/ScheduleBRequiredInd00
IRS990/ScheduleJRequiredInd00
IRS990ScheduleN/AssetsDistributedInd01
IRS990ScheduleN/AttorneyGeneralNotifiedInd00
IRS990ScheduleN/BondsOutstandingInd00
IRS990ScheduleN/DirectorOfSuccessorInd00
IRS990ScheduleN/EmployeeOfSuccessorInd00
IRS990ScheduleN/LiabilitiesPaidInd01
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IRS990ScheduleN/OwnerOfSuccessorInd00
IRS990ScheduleN/ReceiveCompensationInd00
IRS990ScheduleN/RequiredToNotifyAGInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0During the year, the Plan Sponsor's Board of Directors adopted a resolution to dissolve the Salus Employee Benefit Trust effective July 12, 2021.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1During the year, the Salus Employee Benefit Trust terminated its operations effective July 12, 2021.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2No documentation was performed.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3No documentation was performed.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4Form 990 was provided to the Plan Administrator, Trustees and the Chief Financial Officer of related organizations for review prior to filing.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5The organization is a tax-exempt trust established in connection with a health and welfare plan. The organization does not have a conflict of interest policy. Plan financial information is made available to plan participants upon request.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part III, line 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Section A, line 4
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990, Part VI, Section A, line 8a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990, Part VI, Section A, line 8b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Form 990, Part VI, Section B, line 11b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5Form 990, Part VI, Section C, line 19
IRS990ScheduleR/AssetExchangeInd00
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ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/AuthenticationAssuranceLevelCd0AAL1
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ReturnHeader/BuildTS02022-09-23 18:48:47Z
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ReturnHeader/BusinessOfficerGrp/PersonNm0Kumar Buvanendaran
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0Trustee
ReturnHeader/BusinessOfficerGrp/PhoneNum06148390250
ReturnHeader/BusinessOfficerGrp/SignatureDt02021-12-14
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ReturnHeader/Filer/PhoneNum06148390250
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ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0RSM US LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt030 S Wacker Drive Ste 3300
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Chicago
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0IL
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd060606
ReturnHeader/PreparerPersonGrp/PhoneNum03126343400
ReturnHeader/PreparerPersonGrp/PreparationDt02021-12-14
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0Rebekuh Eley
ReturnHeader/ReturnTs02021-12-15T10:26:08-06:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0Kumar
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0Buvanendaran
ReturnHeader/TaxPeriodBeginDt02021-01-01
ReturnHeader/TaxPeriodEndDt02021-07-12
ReturnHeader/TaxYr02020

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