Civic Intelligence

Mississippi Workers Compensation Individual Self Insurer Guaranty

990 • Fiscal year 2014 • EIN 58-1914219

Jan 01, 2014 to Dec 31, 2014 • Filed on May 11, 2015

P O Box 12003Jackson, MS 39236

(601) 982-2122

Siviq Scores

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

Liabilities / Assets

98th percentile

1.20x

Higher debt load relative to assets than 98% of similar nonprofits.

2014 filings • 501(c)6 • $1M-$5M nonprofits • Source year 2014

Liabilities / Revenue

96th percentile

1.68x

Higher debt load relative to revenue than 96% of similar nonprofits.

2014 filings • 501(c)6 • $1M-$5M nonprofits • Source year 2014

Net Margin

69th percentile

8.4%

Higher net margin than 69% of similar nonprofits.

2014 filings • 501(c)6 • $1M-$5M nonprofits • Source year 2014

Top Officer Pay

24th percentile

$50,250

Higher top officer pay than 24% of similar nonprofits.

Top officer pay equals 3.3% of source-year revenue.

2014 filings • 501(c)6 • $1M-$5M nonprofits • Source year 2014

Asset Growth

4th percentile

-28%

Faster asset growth than 4% of similar nonprofits.

2014 filings • 501(c)6 • $1M-$5M nonprofits • Annualized from 2013 to 2014

Revenue Growth

100th percentile

770%

Faster revenue growth than 100% of similar nonprofits.

2014 filings • 501(c)6 • $1M-$5M nonprofits • Annualized from 2013 to 2014

Assets

Down

$2,164,663

Down $826,867 (-28%) from 2013

Net Assets

Up

-$435,797

Up $126,377 (+22%) from 2013

Liabilities

Down

$2,600,460

Down $953,244 (-27%) from 2013

Revenue

Up

$1,545,568

Up $1,367,893 (+770%) from 2013

Expenses

Up

$1,415,486

Up $964,104 (+214%) from 2013

Net Income

Up

$130,082

Up $403,789 (+148%) from 2013

Historical Trend

Balance Sheet Trend

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

$4.0M$2.0M$0-$2.0MAssets 2011: $2,042,524Liabilities 2011: $2,095,001Net Assets 2011: -$52,4772011Assets 2012: $1,836,852Liabilities 2012: $2,070,819Net Assets 2012: -$233,9672012Assets 2013: $2,991,530Liabilities 2013: $3,553,704Net Assets 2013: -$562,1742013Assets 2014: $2,164,663Liabilities 2014: $2,600,460Net Assets 2014: -$435,7972014Assets 2015: $2,243,784Liabilities 2015: $2,933,702Net Assets 2015: -$689,9182015Assets 2016: $1,663,889Liabilities 2016: $2,545,703Net Assets 2016: -$881,8142016Assets 2017: $1,889,085Liabilities 2017: $2,948,607Net Assets 2017: -$1,059,5222017Assets 2018: $1,647,209Liabilities 2018: $2,858,968Net Assets 2018: -$1,211,7592018Assets 2019: $1,958,864Liabilities 2019: $3,296,702Net Assets 2019: -$1,337,8382019Assets 2024: $1,622,500Liabilities 2024: $345,012Net Assets 2024: $1,277,4882024

Highlighted filing

2014

Assets$2,164,663
Liabilities$2,600,460
Net Assets-$435,797

Operations Trend

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

$2.0M$1.5M$1.0M$500K$0-$500KRevenue 2011: $208,649Expenses 2011: $416,569Net Income 2011: -$207,9202011Revenue 2012: $70,584Expenses 2012: $239,320Net Income 2012: -$168,7362012Revenue 2013: $177,675Expenses 2013: $451,382Net Income 2013: -$273,7072013Revenue 2014: $1,545,568Expenses 2014: $1,415,486Net Income 2014: $130,0822014Revenue 2015: $1,241,054Expenses 2015: $1,483,064Net Income 2015: -$242,0102015Revenue 2016: $859,287Expenses 2016: $1,040,315Net Income 2016: -$181,0282016Revenue 2017: $544,533Expenses 2017: $709,875Net Income 2017: -$165,3422017Revenue 2018: $108,170Expenses 2018: $262,728Net Income 2018: -$154,5582018Revenue 2019: $80,466Expenses 2019: $222,491Net Income 2019: -$142,0252019Revenue 2024: $156,980Expenses 2024: -$30,367Net Income 2024: $187,3472024

Highlighted filing

2014

Revenue$1,545,568
Expenses$1,415,486
Net Income$130,082
Jump To
Filing Snapshot
Filing Period
Jan 1, 2014 to Dec 31, 2014
Signed
May 11, 2015
Return Version
2014v5.0
Gross Receipts
$1,856,102
Mission and Program Overview

Mission

Provide a mechanism for the payment of covered claims under the workers compensation law, avoid excessive delay in payment and to avoid financial loss to claimants because of the insolvency of a self-insurer, to assist in prevention of s/i insolvencies

Provide a mechanism for the payment of covered claims under the workers' compensation law, avoid excessive delay in payment and to avoid financial loss to claimants because of the insolvency of a self-insurer, to assist in prevention of s/i insolvencies

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$1,089,780$1,191,530▲ $101,750
Savings and Temporary Cash Investments$1,893,591$964,711▼ $928,880
Rtn Earn Endowment Incm Other Fnds$-562,174$-435,797▲ $126,377
Total Assets$2,991,530$2,164,663▼ $826,867
Other Assets Total$8,159$8,422▲ $263
Liabilities
Other Liabilities$3,525,484$2,595,737▼ $929,747
Accounts Payable and Accrued Expenses$28,220$4,723▼ $23,497
Total Liabilities$3,553,704$2,600,460▼ $953,244
Net Assets / Fund Balance
Total Net Assets Fund Balance$-562,174$-435,797▲ $126,377
Total Liabilities and Net Assets / Fund Balance$2,991,530$2,164,663▼ $826,867

Asset Categories

AssetBook ValueDepreciationBasis
Other Assets Org$8,422--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
J W Snider JrExecutive Director- Partial YPT$50,250$50,250
John BrodbeckExecutive Director-partial YePT$24,792$24,792

Board Members and Trustees

NameTitle
Jerry FarrChairman
Donnie SmithDirector
Janet StaplesDirector
John RisherDirector
Rodger BrownDirector
Steven GrayDirector
Dean WatkinsSect-treas

Highest Paid Contractors

ContractorServicesLocationCompensation
Gilbert PllcLegalP O BOX 3187, Jackson, MS 39236$138,875
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$1,121,897
Investment Income
$24,461
Other Revenue
$399,210
Change in Net Assets
$130,082

Audited Revenue Reconciliation

Revenue per Audited Statements
$1,545,568
Revenue Not Reported on Form 990
$-3,705
Total Revenue per Audited Statements
$1,541,863
Total Revenue per Form 990
$1,545,568
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$1,334,703
Salaries, Compensation, and Employee Benefits$80,783
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Legal-$155,389-$155,389
Current Officers, Directors, Trustees, and Key Employees-$75,042-$75,042
Conferences and Meetings-$14,603-$14,603
Other Expenses$1,090,772$13,733-$13,733
Fees for Services Accounting-$11,745-$11,745
Occupancy-$6,471-$6,471
Insurance-$5,928-$5,928
Payroll Taxes-$5,741-$5,741
Interest-$12-$12
Total Functional Expenses$1,121,897$293,589$0$1,415,486

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$1,415,486
Total Expenses per Audited Statements$1,415,486
Total Expenses per Form 990$1,415,486
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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Claims Reserve$2,595,737
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Audit committee
Yes
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
Yes
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

Members or stockholder classes and rights Part VI line 6

The association members have voting rights to elect board of directors

Member election for additional members Part VI line 7A

Members of the board of directors are selected by members of the association

Form 990 governing body review Part VI line 11

Form 990 is reviewed by board of directors

Conflict of interest policy compliance Part VI line 12C

Monitored by board of directors

CEO executive director top management comp Part VI line 15A

Executive director's salary determined by board of directors- no other employees

Governing documents etc available to public Part VI line 19

Available upon request at place of business

Filing and Contact Details

Filer

Filer Name
Ms Workerscompensation Individual
EIN
58-1914219
Address
P O BOX 12003, JACKSON, MS 39236
Doing Business As
Self-insurer Guaranty Associat

Signing Officer

Name
J W Snider Jr
Title
Executive Direc
Phone
6019822122
Signed
2015-05-11
Discuss with paid preparer
Yes

Organization Details

Principal Officer
J W Snider Jr
Formed
1988
Legal Domicile
Ms
Voting Board Members
7
Independent Board Members
7
Employees
2

Preparer

Firm
Butchart Ellzey & Associates
Address
729 EAST CENTER STREET, Canton, MS 39046
Preparer
William S Ellzey
Phone
6018593275
Supplemental Narrative

Additional Explanations

Explanation of other changes in net assets or fund balances Part XI line 9

Unrealized gains on investments

Raw XML Appendix365 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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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE ASSOCIATION MEMBERS HAVE VOTING RIGHTS TO ELECT BOARD OF DIRECTORS
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1MEMBERS OF THE BOARD OF DIRECTORS ARE SELECTED BY MEMBERS OF THE ASSOCIATION
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2FORM 990 IS REVIEWED BY BOARD OF DIRECTORS
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3MONITORED BY BOARD OF DIRECTORS
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4EXECUTIVE DIRECTOR'S SALARY DETERMINED BY BOARD OF DIRECTORS- NO OTHER EMPLOYEES
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5AVAILABLE UPON REQUEST AT PLACE OF BUSINESS
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6UNREALIZED GAINS ON INVESTMENTS
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Members or stockholder classes and rights Part VI line 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Member election for additional members Part VI line 7a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990 governing body review Part VI line 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Conflict of interest policy compliance Part VI line 12c
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4CEO executive director top management comp Part VI line 15a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5Governing documents etc available to public Part VI line 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6Explanation of other changes in net assets or fund balances Part XI line 9
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IRS990/TotalRevenueGrp/TotalRevenueColumnAmt01545568
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ReturnHeader/BuildTS02016-02-25 16:41:14Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0J W SNIDER JR
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0EXECUTIVE DIREC
ReturnHeader/BusinessOfficerGrp/PhoneNum06019822122
ReturnHeader/BusinessOfficerGrp/SignatureDt02015-05-11
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0MS WORKERSCOMPENSATION INDIVIDUAL
ReturnHeader/Filer/BusinessNameControlTxt0MSWO
ReturnHeader/Filer/EIN0581914219
ReturnHeader/Filer/USAddress/AddressLine1Txt0P O BOX 12003
ReturnHeader/Filer/USAddress/CityNm0JACKSON
ReturnHeader/Filer/USAddress/StateAbbreviationCd0MS
ReturnHeader/Filer/USAddress/ZIPCd039236
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0640703826
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0BUTCHART ELLZEY & ASSOCIATES
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0729 EAST CENTER STREET
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Canton
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0MS
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd039046
ReturnHeader/PreparerPersonGrp/PhoneNum06018593275
ReturnHeader/PreparerPersonGrp/PreparationDt02015-05-13
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0William S Ellzey
ReturnHeader/ReturnTs02015-05-13T13:32:55-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02014-01-01
ReturnHeader/TaxPeriodEndDt02014-12-31
ReturnHeader/TaxYr02014

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