Civic Intelligence

Gpha Employee Benefits Trust

990 • Fiscal year 2016 • EIN 47-6918582

Jul 01, 2015 to Jun 30, 2016 • Filed on May 15, 2017

250 N Rock Road Ste 160Wichita, KS 67206

(316) 685-1523

Siviq Scores

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

Liabilities / Assets

18th percentile

0.00x

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

2016 filings • 501(c)9 • $10M-$25M nonprofits • Source year 2016

Liabilities / Revenue

19th percentile

0.00x

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

2016 filings • 501(c)9 • $10M-$25M nonprofits • Source year 2016

Net Margin

45th percentile

1.1%

Higher net margin than 45% of similar nonprofits.

2016 filings • 501(c)9 • $10M-$25M nonprofits • Source year 2016

Top Officer Pay

87th percentile

$219,958

Higher top officer pay than 87% of similar nonprofits.

Top officer pay equals 1.9% of source-year revenue.

2016 filings • 501(c)9 • $10M-$25M nonprofits • Source year 2016

Asset Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2016

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2016

Assets

$134,421

No earlier filing loaded for comparison.

Net Assets

$134,421

No earlier filing loaded for comparison.

Liabilities

$0

No earlier filing loaded for comparison.

Revenue

$11,778,099

No earlier filing loaded for comparison.

Expenses

$11,643,678

No earlier filing loaded for comparison.

Net Income

$134,421

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

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

$8.0M$6.0M$4.0M$2.0M$0Assets 2016: $134,421Liabilities 2016: $0Net Assets 2016: $134,4212016Assets 2017: $3,200,333Liabilities 2017: $0Net Assets 2017: $3,200,3332017Assets 2018: $6,122,908Liabilities 2018: $0Net Assets 2018: $6,122,9082018Assets 2019: $6,456,785Liabilities 2019: $0Net Assets 2019: $6,456,7852019Assets 2020: $6,628,185Liabilities 2020: $0Net Assets 2020: $6,628,1852020Assets 2021: $5,667,091Liabilities 2021: $0Net Assets 2021: $5,667,0912021Assets 2022: $4,425,933Liabilities 2022: $78,054Net Assets 2022: $4,347,8792022Assets 2023: $3,481,663Liabilities 2023: $0Net Assets 2023: $3,481,6632023Assets 2024: $5,398,619Liabilities 2024: $0Net Assets 2024: $5,398,6192024

Highlighted filing

2016

Assets$134,421
Liabilities$0
Net Assets$134,421

Operations Trend

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

$20M$15M$10M$5.0M$0-$5.0MRevenue 2016: $11,778,099Expenses 2016: $11,643,678Net Income 2016: $134,4212016Revenue 2017: $14,000,999Expenses 2017: $10,935,087Net Income 2017: $3,065,9122017Revenue 2018: $12,673,625Expenses 2018: $9,739,663Net Income 2018: $2,933,9622018Revenue 2019: $11,598,608Expenses 2019: $11,305,845Net Income 2019: $292,7632019Revenue 2020: $11,719,669Expenses 2020: $11,545,084Net Income 2020: $174,5852020Revenue 2021: $12,753,935Expenses 2021: $13,670,638Net Income 2021: -$916,7032021Revenue 2022: $13,348,028Expenses 2022: $14,609,528Net Income 2022: -$1,261,5002022Revenue 2023: $14,873,317Expenses 2023: $15,809,124Net Income 2023: -$935,8072023Revenue 2024: $15,473,684Expenses 2024: $13,623,714Net Income 2024: $1,849,9702024

Highlighted filing

2016

Revenue$11,778,099
Expenses$11,643,678
Net Income$134,421
Jump To
Filing Snapshot
Filing Period
Jul 1, 2015 to Jun 30, 2016
Signed
May 15, 2017
Return Version
2015v3.0
Gross Receipts
$11,778,099
Mission and Program Overview

Mission

NONE

The plan provides for the payment or reimbursement of certain medical, prescription drugs and dental benefits for eligible employees

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$0$134,421▲ $134,421
Savings and Temporary Cash Investments$0$0→ $0
Accounts Receivable$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Land, Buildings, and Equipment, Net$0--
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Prepaid Expenses and Deferred Charges$0$0→ $0
Total Assets$0$134,421▲ $134,421
Other Assets Total$0$0→ $0
Liabilities
Accounts Payable and Accrued Expenses$0$0→ $0
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Other Liabilities$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Unrestricted Net Assets$0$134,421▲ $134,421
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Total Net Assets Fund Balance$0$134,421▲ $134,421
Total Liabilities and Net Assets / Fund Balance$0$134,421▲ $134,421
Compensation and Service Providers

Employees

NameTitleOtherTotal
Allen Van DrielTrustee$148,224$148,224
Darin WalkTrustee$124,728$124,728

Board Members and Trustees

NameTitle
Dave DellasegaPresident/trustee
Durrel KelleySecretary/trustee
Mike HandTreasurer/trustee
Debbie BrunerTrustee
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$11,778,099
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$134,421

Audited Revenue Reconciliation

Revenue per Audited Statements
$11,778,099
Total Revenue per Audited Statements
$11,778,099
Total Revenue per Form 990
$11,778,099
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$1,354,083
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---$10,289,595
Other Expenses---$664,034
Total Functional Expenses$0$0$0$11,643,678

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$11,643,678
Total Expenses per Audited Statements$11,643,678
Total Expenses per Form 990$11,643,678
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
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
No
Backup withholding compliance
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
Yes
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 2

Dave dellasega, mike hand, and durrel kelley have a business relationship. They are all employed by, and also officers of, a related 501(c)(3) organization, great plains health alliance, inc. Form 990, part vi, section a, line 6 great plains health alliance, inc., a not-for-profit, 501(c)(3) organization, and the related hospitals are members of the gpha employee benefits trust. Form 990, part vi, section a, line 7a great plains health alliance, inc. Has the right to elect and approve all of the board trustees. Form 990, part vi, section a, line 7b the president of gpha employee benefits trust is subject to the control of the organization's board of trustees, or gpha board, as applicable. The bylaws of the organization may be altered, amended or repealed and new bylaws may be adopted by the gpha board. Form 990, part vi, section a, line 8b there are currently no committees formed with the authority to act on behalf of the governing body.

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

The 990 is prepared and reviewed by an independent accounting firm. The 990 is then provided to the chief financial officer for review and approval. An electronic draft of the 990 with all required schedules is then provided to the full board prior to filing the 990 with the irs. Form 990, part vi, section b, line 12c all board members, officers and employees are subject to the conflict of interest policy and sign an annual acknowledgement that they have read, understand and complied with the gpha conflict of interest policy. Under the policy, any member who has a direct or indirect (via family) financial interest is characterized as an interested person. Interested persons are required to disclose financial interests with companies doing business with gpha. The interested person must recuse themselves from further discussions of the transaction and leave the room. The remaining non-interested members decide if a conflict of interest exists. The board chair may appoint another disinterested party to discuss the transaction or the remaining board members may vote to enter into or abstain from the suspect transaction. Failure to disclose financial interests by interested board members will result in disciplinary action, including sanctioning by the board. All conflicts of interest and their ultimate resolution are documented in the board minutes. The board conducts periodic reviews to determine that conflicts are being identified and resolved according to policy documentation. Reviews by outside experts are permitted, but not required.

Form 990, Part VI, Section C, Line 19

The organization's governing documents, conflict of interest policy and financial statements are available to the public upon request. The company's kansas annual report is also available upon request from the kansas secretary of state.

Filing and Contact Details

Filer

Filer Name
Gpha Employee Benefits Trust
EIN
47-6918582
In Care Of
% BMI
Phone
3166851523
Address
250 N ROCK ROAD STE 160, WICHITA, KS 67206

Signing Officer

Name
Durrel Kelley
Title
Sr VP for Operations
Phone
3166851523
Signed
2017-05-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Dave Dellasega
Formed
2015
Legal Domicile
Ks
Voting Board Members
6
Independent Board Members
0
Employees
0

Preparer

Firm
Bkd Llp
Address
1551 N WATERFRONT PKWY STE 300, WICHITA, KS 67206-6601
Preparer
Steven L Webb
Phone
3162652811
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0DAVE DELLASEGA
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1DURREL KELLEY
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm2MIKE HAND
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm3DEBBIE BRUNER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0PRESIDENT/TRUSTEE
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1SECRETARY/TRUSTEE
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt2TREASURER/TRUSTEE
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt3TRUSTEE
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IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0DAVE DELLASEGA, DURREL KELLEY, AND MIKE HAND ARE COMPENSATED BY GREAT PLAINS HEALTH ALLIANCE, INC., A RELATED 501(C)(3) ORGANIZATION. DEBBIE BRUNER IS COMPENSATED BY MINNEOLA DISTRICT HOSPITAL AND ALLEN VAN DRIEL IS COMPENSATED BY SMITH COUNTY MEMORIAL HOSPITAL, RELATED ORGANIZATIONS.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE J, PART II
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0DAVE DELLASEGA, MIKE HAND, AND DURREL KELLEY HAVE A BUSINESS RELATIONSHIP. THEY ARE ALL EMPLOYED BY, AND ALSO OFFICERS OF, A RELATED 501(C)(3) ORGANIZATION, GREAT PLAINS HEALTH ALLIANCE, INC. FORM 990, PART VI, SECTION A, LINE 6 GREAT PLAINS HEALTH ALLIANCE, INC., A NOT-FOR-PROFIT, 501(C)(3) ORGANIZATION, AND THE RELATED HOSPITALS ARE MEMBERS OF THE GPHA EMPLOYEE BENEFITS TRUST. FORM 990, PART VI, SECTION A, LINE 7A GREAT PLAINS HEALTH ALLIANCE, INC. HAS THE RIGHT TO ELECT AND APPROVE ALL OF THE BOARD TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7B THE PRESIDENT OF GPHA EMPLOYEE BENEFITS TRUST IS SUBJECT TO THE CONTROL OF THE ORGANIZATION'S BOARD OF TRUSTEES, OR GPHA BOARD, AS APPLICABLE. THE BYLAWS OF THE ORGANIZATION MAY BE ALTERED, AMENDED OR REPEALED AND NEW BYLAWS MAY BE ADOPTED BY THE GPHA BOARD. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE CURRENTLY NO COMMITTEES FORMED WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE 990 IS PREPARED AND REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. THE 990 IS THEN PROVIDED TO THE CHIEF FINANCIAL OFFICER FOR REVIEW AND APPROVAL. AN ELECTRONIC DRAFT OF THE 990 WITH ALL REQUIRED SCHEDULES IS THEN PROVIDED TO THE FULL BOARD PRIOR TO FILING THE 990 WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS, OFFICERS AND EMPLOYEES ARE SUBJECT TO THE CONFLICT OF INTEREST POLICY AND SIGN AN ANNUAL ACKNOWLEDGEMENT THAT THEY HAVE READ, UNDERSTAND AND COMPLIED WITH THE GPHA CONFLICT OF INTEREST POLICY. UNDER THE POLICY, ANY MEMBER WHO HAS A DIRECT OR INDIRECT (VIA FAMILY) FINANCIAL INTEREST IS CHARACTERIZED AS AN INTERESTED PERSON. INTERESTED PERSONS ARE REQUIRED TO DISCLOSE FINANCIAL INTERESTS WITH COMPANIES DOING BUSINESS WITH GPHA. THE INTERESTED PERSON MUST RECUSE THEMSELVES FROM FURTHER DISCUSSIONS OF THE TRANSACTION AND LEAVE THE ROOM. THE REMAINING NON-INTERESTED MEMBERS DECIDE IF A CONFLICT OF INTEREST EXISTS. THE BOARD CHAIR MAY APPOINT ANOTHER DISINTERESTED PARTY TO DISCUSS THE TRANSACTION OR THE REMAINING BOARD MEMBERS MAY VOTE TO ENTER INTO OR ABSTAIN FROM THE SUSPECT TRANSACTION. FAILURE TO DISCLOSE FINANCIAL INTERESTS BY INTERESTED BOARD MEMBERS WILL RESULT IN DISCIPLINARY ACTION, INCLUDING SANCTIONING BY THE BOARD. ALL CONFLICTS OF INTEREST AND THEIR ULTIMATE RESOLUTION ARE DOCUMENTED IN THE BOARD MINUTES. THE BOARD CONDUCTS PERIODIC REVIEWS TO DETERMINE THAT CONFLICTS ARE BEING IDENTIFIED AND RESOLVED ACCORDING TO POLICY DOCUMENTATION. REVIEWS BY OUTSIDE EXPERTS ARE PERMITTED, BUT NOT REQUIRED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE COMPANY'S KANSAS ANNUAL REPORT IS ALSO AVAILABLE UPON REQUEST FROM THE KANSAS SECRETARY OF STATE.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 2
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION C, LINE 19
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt1GPHA INC
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt3GPHA INC
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0GREAT PLAINS HEALTH ALLIANCE INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt1GREAT PLAINS HEALTH CARE FOUNDATION INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt2GREAT PLAINS OF CHEYENNE COUNTY INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt3GREAT PLAINS OF ELLINWOOD INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt4GREAT PLAINS OF KIOWA COUNTY INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt5GREAT PLAINS OF OTTAWA COUNTY INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt6GREAT PLAINS OF PHILLIPS COUNTY INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt7GREAT PLAINS OF REPUBLIC COUNTY INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt8GREAT PLAINS OF SABETHA INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt9GREAT PLAINS OF SMITH COUNTY INC
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