Civic Intelligence

Tms Employee Benefit Plan & Trust

990 • Fiscal year 2020 • EIN 56-6359349

Jan 01, 2020 to Dec 31, 2020 • Filed on Oct 11, 2021

PO Box 969Yadkinville, NC 27055

(336) 679-8852

Siviq Scores

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

Liabilities / Assets

65th percentile

0.00x

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

2020 filings • 501(c)9 • <$500k nonprofits • Source year 2020

Liabilities / Revenue

68th percentile

0.00x

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

2020 filings • 501(c)9 • <$500k nonprofits • Source year 2020

Net Margin

32nd percentile

-11%

Higher net margin than 32% of similar nonprofits.

2020 filings • 501(c)9 • <$500k nonprofits • Source year 2020

Top Officer Pay

75th percentile

$0

Higher top officer pay than 75% of similar nonprofits.

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

2020 filings • 501(c)9 • <$500k nonprofits • Source year 2020

Asset Growth

11th percentile

-98%

Faster asset growth than 11% of similar nonprofits.

2020 filings • 501(c)9 • <$500k nonprofits • Annualized from 2019 to 2020

Revenue Growth

11th percentile

-87%

Faster revenue growth than 11% of similar nonprofits.

2020 filings • 501(c)9 • <$500k nonprofits • Annualized from 2019 to 2020

Assets

Down

$463

Down $28,127 (-98%) from 2019

Net Assets

Down

$463

Down $28,127 (-98%) from 2019

Liabilities

Flat

$0

Flat from 2019

Revenue

Down

$245,603

Down $1,641,909 (-87%) from 2019

Expenses

Down

$273,730

Down $1,635,725 (-86%) from 2019

Net Income

Down

-$28,127

Down $6,184 (-28%) from 2019

Historical Trend

Balance Sheet Trend

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

$200K$150K$100K$50K$0Assets 2011: $63,123Liabilities 2011: $0Net Assets 2011: $63,1232011Assets 2012: $32,007Liabilities 2012: $0Net Assets 2012: $32,0072012Assets 2013: $66,640Liabilities 2013: $0Net Assets 2013: $66,6402013Assets 2014: $59,569Liabilities 2014: $0Net Assets 2014: $59,5692014Assets 2015: $174,980Liabilities 2015: $0Net Assets 2015: $174,9802015Assets 2016: $56,345Liabilities 2016: $0Net Assets 2016: $56,3452016Assets 2017: $6,312Liabilities 2017: $0Net Assets 2017: $6,3122017Assets 2018: $50,533Liabilities 2018: $0Net Assets 2018: $50,5332018Assets 2019: $28,590Liabilities 2019: $0Net Assets 2019: $28,5902019Assets 2020: $463Liabilities 2020: $0Net Assets 2020: $4632020Assets 2021: $0Liabilities 2021: $0Net Assets 2021: $02021

Highlighted filing

2020

Assets$463
Liabilities$0
Net Assets$463

Operations Trend

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

$3.0M$2.0M$1.0M$0-$1.0MRevenue 2011: $2,498,540Expenses 2011: $2,491,901Net Income 2011: $6,6392011Revenue 2012: $2,066,764Expenses 2012: $2,097,880Net Income 2012: -$31,1162012Revenue 2013: $1,674,664Expenses 2013: $1,640,031Net Income 2013: $34,6332013Revenue 2014: $1,585,634Expenses 2014: $1,592,705Net Income 2014: -$7,0712014Revenue 2015: $1,826,394Expenses 2015: $1,710,983Net Income 2015: $115,4112015Revenue 2016: $2,343,657Expenses 2016: $2,462,292Net Income 2016: -$118,6352016Revenue 2017: $2,616,675Expenses 2017: $2,666,708Net Income 2017: -$50,0332017Revenue 2018: $1,643,795Expenses 2018: $1,599,574Net Income 2018: $44,2212018Revenue 2019: $1,887,512Expenses 2019: $1,909,455Net Income 2019: -$21,9432019Revenue 2020: $245,603Expenses 2020: $273,730Net Income 2020: -$28,1272020Revenue 2021: $0Expenses 2021: $463Net Income 2021: -$4632021

Highlighted filing

2020

Revenue$245,603
Expenses$273,730
Net Income-$28,127
Jump To
Filing Snapshot
Filing Period
Jan 1, 2020 to Dec 31, 2020
Signed
Oct 11, 2021
Return Version
2020v4.1
Gross Receipts
$245,603
Mission and Program Overview

Mission

Provide healthcare benefits

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$28,590$463▼ $28,127
Total Assets$28,590$463▼ $28,127
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$28,590$463▼ $28,127
Total Net Assets Fund Balance$28,590$463▼ $28,127
Total Liabilities and Net Assets / Fund Balance$28,590$463▼ $28,127
Compensation and Service Providers

Board Members and Trustees

NameTitle
Nolan G BrownPresident
Nick W ElledgeTrustee
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$245,603
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-28,127

Audited Revenue Reconciliation

Revenue per Audited Statements
$245,603
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$58,833
Total Revenue per Audited Statements
$304,436
Total Revenue per Form 990
$245,603
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$64,778
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$208,952--$208,952
Other Expenses$64,778--$64,778
Total Functional Expenses$273,730$0$0$273,730

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$273,730
Expenses per Audited Statements$268,370
Total Expenses per Audited Statements$268,370
Expenses Not Reported on Financial Statements$5,360
Other Expense Adjustments$5,360
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
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Audit committee
Yes
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
No
Management duties delegated
No

Governance Explanations

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

Members of board of trustees receive copies of audit report and form 990 prior to signature and filing.

Form 990, Part VI, Section C, Line 19

Form 990 is made available to plan participants upon request

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

Members and board of trustrees receive copies of audit report and form 990 prior to signature and filing

Filing and Contact Details

Filer

Filer Name
Tms Employee Benefit Plan & Trust
EIN
56-6359349
Phone
3366798852
Address
PO BOX 969, YADKINVILLE, NC 27055

Signing Officer

Name
Nick Elledge
Title
Vice President
Phone
3366798852
Signed
2021-10-11
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Nick Elledge
Formed
2001
Legal Domicile
Nc
Voting Board Members
2
Independent Board Members
2
Employees
0
Volunteers
0

Preparer

Firm
Duncan Ashe Pa
Address
7900 MCCLOUD RD SUITE 101, GREENSBORO, NC 27409
Preparer
W Barth Ashe
Phone
3362856510
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 3

Effective february 1, 2020 the plan sponsor leased a significant portion of its operations to an unrelated party. As a result, the number of plan participants decreased significantly. The plan was changed to a fully-insured employee welfare benefit plan covering all eligible employees of triad medical services, inc. It is subject to the provisions of the employee retirement income security act of 1974 (erisa) and is tax-exempt under section 501(c)(9) of the internal revenue code of 1986.

Financial Statement Notes

PART X, LINE 2:

The plan accounts for income taxes in accordance with fasb asc 740-10 (formerly fasb interpretation no. 48, "accounting for uncertainty in income taxes"). Asc 740-10 requires the plan to assess positions taken or expected to be taken in a tax return where there is uncertainty about whether the tax position will ultimately be sustained upon examination. Management is unaware of any uncertain tax positions that meet the criteria under asc 740-10. The plan's tax filings are subject to audit by federal taxing authorities. The plan's open audit periods are 2018-2020. To date, the plan has not undergone any examination by applicable taxing authorities.

PART XI, LINE 2D - OTHER ADJUSTMENTS:

F/s accrual, 990 cash basis, 2019 premiums paid in advance 51860. F/s accrual, 990 cash basis, 2019 refundable premiums 2583. F/s accrual, 990 cash basis, 2020 accounts receivable 4390.

PART XII, LINE 2D - OTHER ADJUSTMENTS:

F/s accrual, 990 cash basis, 2018 fees payable

PART XII, LINE 4B - OTHER ADJUSTMENTS:

F/s accrual, 990 cash basis, 2019 fees payable 5360.

Raw XML Appendix269 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/ReportableCompFromOrgAmt00
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IRS990/LoanOutstandingInd00
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IRS990/NetUnrelatedBusTxblIncmAmt00
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IRS990/PYRevenuesLessExpensesAmt0-21943
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IRS990/PYTotalExpensesAmt01909455
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IRS990/PYTotalRevenueAmt01887512
IRS990/QuidProQuoContributionsInd00
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IRS990/RelatedEntityInd00
IRS990/RelatedOrganizationCtrlEntInd00
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IRS990/ReportLandBuildingEquipmentInd00
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IRS990/ReportOtherLiabilitiesInd00
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IRS990/ScheduleBRequiredInd00
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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0THE PLAN ACCOUNTS FOR INCOME TAXES IN ACCORDANCE WITH FASB ASC 740-10 (FORMERLY FASB INTERPRETATION NO. 48, "ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES"). ASC 740-10 REQUIRES THE PLAN TO ASSESS POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN WHERE THERE IS UNCERTAINTY ABOUT WHETHER THE TAX POSITION WILL ULTIMATELY BE SUSTAINED UPON EXAMINATION. MANAGEMENT IS UNAWARE OF ANY UNCERTAIN TAX POSITIONS THAT MEET THE CRITERIA UNDER ASC 740-10. THE PLAN'S TAX FILINGS ARE SUBJECT TO AUDIT BY FEDERAL TAXING AUTHORITIES. THE PLAN'S OPEN AUDIT PERIODS ARE 2018-2020. TO DATE, THE PLAN HAS NOT UNDERGONE ANY EXAMINATION BY APPLICABLE TAXING AUTHORITIES.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1F/S ACCRUAL, 990 CASH BASIS, 2019 PREMIUMS PAID IN ADVANCE 51860. F/S ACCRUAL, 990 CASH BASIS, 2019 REFUNDABLE PREMIUMS 2583. F/S ACCRUAL, 990 CASH BASIS, 2020 ACCOUNTS RECEIVABLE 4390.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt2F/S ACCRUAL, 990 CASH BASIS, 2018 FEES PAYABLE
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt3F/S ACCRUAL, 990 CASH BASIS, 2019 FEES PAYABLE 5360.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1PART XI, LINE 2D - OTHER ADJUSTMENTS:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc2PART XII, LINE 2D - OTHER ADJUSTMENTS:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc3PART XII, LINE 4B - OTHER ADJUSTMENTS:
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0EFFECTIVE FEBRUARY 1, 2020 THE PLAN SPONSOR LEASED A SIGNIFICANT PORTION OF ITS OPERATIONS TO AN UNRELATED PARTY. AS A RESULT, THE NUMBER OF PLAN PARTICIPANTS DECREASED SIGNIFICANTLY. THE PLAN WAS CHANGED TO A FULLY-INSURED EMPLOYEE WELFARE BENEFIT PLAN COVERING ALL ELIGIBLE EMPLOYEES OF TRIAD MEDICAL SERVICES, INC. IT IS SUBJECT TO THE PROVISIONS OF THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974 (ERISA) AND IS TAX-EXEMPT UNDER SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE OF 1986.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1MEMBERS OF BOARD OF TRUSTEES RECEIVE COPIES OF AUDIT REPORT AND FORM 990 PRIOR TO SIGNATURE AND FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2FORM 990 IS MADE AVAILABLE TO PLAN PARTICIPANTS UPON REQUEST
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3MEMBERS AND BOARD OF TRUSTREES RECEIVE COPIES OF AUDIT REPORT AND FORM 990 PRIOR TO SIGNATURE AND FILING
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART III, 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 VI, SECTION B, LINE 11B
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ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt07900 MCCLOUD RD SUITE 101
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0GREENSBORO
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0NC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd027409
ReturnHeader/PreparerPersonGrp/PhoneNum03362856510
ReturnHeader/PreparerPersonGrp/PreparationDt02021-10-08
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0W BARTH ASHE
ReturnHeader/ReturnTs02021-10-12T07:21:45-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0NICK
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0ELLEDGE
ReturnHeader/TaxPeriodBeginDt02020-01-01
ReturnHeader/TaxPeriodEndDt02020-12-31
ReturnHeader/TaxYr02020

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