Civic Intelligence

Polk County Veba Health Savings Trust

EIN 46-4863736 • 501(c)9 • Balsam Lake, WI

Balsam Lake, WI
Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

53rd percentile

0.00x

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

501(c)9 • $500k-$1M nonprofits • Source year 2020

Liabilities / Revenue

61st percentile

0.00x

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

501(c)9 • $500k-$1M nonprofits • Source year 2020

Net Margin

23rd percentile

-25%

Higher net margin than 23% of similar nonprofits.

501(c)9 • $500k-$1M nonprofits • Source year 2020

Top Officer Pay

56th percentile

$0

Higher top officer pay than 56% of similar nonprofits.

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

501(c)9 • $500k-$1M nonprofits • Source year 2020

Asset Growth

42nd percentile

-4.0%

Faster asset growth than 42% of similar nonprofits.

501(c)9 • $500k-$1M nonprofits • Annualized from 2019 to 2020

Revenue Growth

10th percentile

-55%

Faster revenue growth than 10% of similar nonprofits.

501(c)9 • $500k-$1M nonprofits • Annualized from 2019 to 2020

Assets

Down

$557,196

Down $23,057 (-4.0%) from 2019

Liabilities

Flat

$0

Flat from 2019

Net Assets

Down

$557,196

Down $23,057 (-4.0%) from 2019

Revenue

Down

$92,510

Down $111,152 (-55%) from 2019

Expenses

Down

$116,020

Down $4,594 (-3.8%) from 2019

Net Income

Down

-$23,510

Down $106,558 (-128%) from 2019

Trend Graphs

Balance Sheet Trend

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

$600K$400K$200K$0Assets 2014: $522,533Liabilities 2014: $0Net Assets 2014: $522,5332014Assets 2015: $441,610Liabilities 2015: $0Net Assets 2015: $441,6102015Assets 2016: $511,644Liabilities 2016: $0Net Assets 2016: $511,6442016Assets 2017: $478,960Liabilities 2017: $0Net Assets 2017: $478,9602017Assets 2018: $496,429Liabilities 2018: $0Net Assets 2018: $496,4292018Assets 2019: $580,253Liabilities 2019: $0Net Assets 2019: $580,2532019Assets 2020: $557,196Liabilities 2020: $0Net Assets 2020: $557,1962020

Highlighted filing

2020

Assets$557,196
Liabilities$0
Net Assets$557,196

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$300K$200K$100K$0-$100KRevenue 2014: $132,423Expenses 2014: $100,778Net Income 2014: $31,6452014Revenue 2015: $72,054Expenses 2015: $152,735Net Income 2015: -$80,6812015Revenue 2016: $210,880Expenses 2016: $140,846Net Income 2016: $70,0342016Revenue 2017: $91,893Expenses 2017: $124,437Net Income 2017: -$32,5442017Revenue 2018: $107,418Expenses 2018: $88,985Net Income 2018: $18,4332018Revenue 2019: $203,662Expenses 2019: $120,614Net Income 2019: $83,0482019Revenue 2020: $92,510Expenses 2020: $116,020Net Income 2020: -$23,5102020

Highlighted filing

2020

Revenue$92,510
Expenses$116,020
Net Income-$23,510

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2020 to Dec 31, 2020
Signed
Jul 9, 2021
Return Version
2020v4.1
Gross Receipts
$320,366
Mission and Program Overview

Mission

To fund reimbursement of medical expenses under a health reimbursement arrangement

To fund reimbursement of medical expenses under a health reimbursement arrangement.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cap Stk Tr Prin Current Funds$580,253$557,196▼ $23,057
Savings and Temporary Cash Investments$573,409$551,880▼ $21,529
Investments in Publicly Traded Securities$6,844$5,316▼ $1,528
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$0$0→ $0
Total Assets$580,253$557,196▼ $23,057
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Total Net Assets Fund Balance$580,253$557,196▼ $23,057
Total Liabilities and Net Assets / Fund Balance$580,253$557,196▼ $23,057
Compensation and Service Providers

Board Members and Trustees

NameTitle
-Trustee
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$87,910
Investment Income
$4,600
Other Revenue
$0
Change in Net Assets
$-23,510
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$11,792
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---$104,228
Fees for Services Accounting---$6,771
Fees for Service Investment Mgmnt Fees---$2,957
Fees for Services Management---$2,064
Total Functional Expenses$0$0$0$116,020
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
Business relationship with 35% controlled entity
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
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 7B

The trustee, which is the governing body of the trust, is a directed trustee who takes certain direction regarding the trust from the plan administrator (or its designee) and the members.

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

THERE WERE NO MEETINGS.

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

THERE ARE NO COMMITTEES.

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

The trustee reviews the form 990 based upon the financial records for the organization and executes it.

Form 990, Part VI, Section C, Line 19

The organization makes governing documents and financial statements available to the public upon written request to the organization. The information is then mailed to the requesting party.

Filing and Contact Details

Filer

Filer Name
Polk County Veba Health Savings Trust
EIN
46-4863736
Phone
7154859123
Address
100 POLK COUNTY PLAZA, BALSAM LAKE, WI 54810

Signing Officer

Name
Principal Trust Company
Title
Trustee
Phone
8002096011
Signed
2021-07-09
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Principal Trust Company
Formed
2013
Legal Domicile
Wi
Voting Board Members
1
Independent Board Members
1
Employees
0
Volunteers
0

Preparer

Firm
Cliftonlarsonallen Llp
Address
8215 GREENWAY BOULEVARD SUITE 600, MIDDLETON, WI 53562
Preparer
Kimberly Anderson CPA
Phone
6086628600
Raw XML Appendix274 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/PhoneNum08002096011
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IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt0227787
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IRS990/IndependentVotingMemberCnt01
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IRS990/InfoInScheduleOPartVIInd0X
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IRS990/InvestmentsPubTradedSecGrp/BOYAmt06844
IRS990/InvestmentsPubTradedSecGrp/EOYAmt05316
IRS990/IRPDocumentCnt00
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IRS990/LoanOutstandingInd00
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IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NetUnrlzdGainsLossesInvstAmt0453
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd00
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IRS990/PartialLiquidationInd00
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IRS990/ReconcilationRevenueExpnssAmt0-23510
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE TRUSTEE, WHICH IS THE GOVERNING BODY OF THE TRUST, IS A DIRECTED TRUSTEE WHO TAKES CERTAIN DIRECTION REGARDING THE TRUST FROM THE PLAN ADMINISTRATOR (OR ITS DESIGNEE) AND THE MEMBERS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THERE WERE NO MEETINGS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THERE ARE NO COMMITTEES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE TRUSTEE REVIEWS THE FORM 990 BASED UPON THE FINANCIAL RECORDS FOR THE ORGANIZATION AND EXECUTES IT.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE ORGANIZATION MAKES GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST TO THE ORGANIZATION. THE INFORMATION IS THEN MAILED TO THE REQUESTING PARTY.
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ReturnHeader/ReturnTs02021-07-14T12:44:36-05:00
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ReturnHeader/TaxPeriodBeginDt02020-01-01
ReturnHeader/TaxPeriodEndDt02020-12-31
ReturnHeader/TaxYr02020

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