Civic Intelligence

Mississippi Workers Compensation Individual Self Insurer Guaranty

990 • Fiscal year 2018 • EIN 58-1914219

Jan 01, 2018 to Dec 31, 2018 • Filed on May 10, 2019

P O Box 12003Jackson, MS 39236

(601) 383-7718

Siviq Scores

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

Liabilities / Assets

99th percentile

1.74x

Higher debt load relative to assets than 99% of similar nonprofits.

2018 filings • 501(c)6 • $1M-$5M nonprofits • Source year 2018

Liabilities / Revenue

100th percentile

26.43x

Higher debt load relative to revenue than 100% of similar nonprofits.

2018 filings • 501(c)6 • $1M-$5M nonprofits • Source year 2018

Net Margin

1st percentile

-143%

Higher net margin than 1% of similar nonprofits.

2018 filings • 501(c)6 • $1M-$5M nonprofits • Source year 2018

Top Officer Pay

31st percentile

$81,908

Higher top officer pay than 31% of similar nonprofits.

Top officer pay equals 75.7% of source-year revenue.

2018 filings • 501(c)6 • $1M-$5M nonprofits • Source year 2018

Asset Growth

11th percentile

-13%

Faster asset growth than 11% of similar nonprofits.

2018 filings • 501(c)6 • $1M-$5M nonprofits • Annualized from 2017 to 2018

Revenue Growth

1st percentile

-80%

Faster revenue growth than 1% of similar nonprofits.

2018 filings • 501(c)6 • $1M-$5M nonprofits • Annualized from 2017 to 2018

Assets

Down

$1,647,209

Down $241,876 (-13%) from 2017

Net Assets

Down

-$1,211,759

Down $152,237 (-14%) from 2017

Liabilities

Down

$2,858,968

Down $89,639 (-3.0%) from 2017

Revenue

Down

$108,170

Down $436,363 (-80%) from 2017

Expenses

Down

$262,728

Down $447,147 (-63%) from 2017

Net Income

Up

-$154,558

Up $10,784 (+6.5%) from 2017

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

2018

Assets$1,647,209
Liabilities$2,858,968
Net Assets-$1,211,759

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

2018

Revenue$108,170
Expenses$262,728
Net Income-$154,558
Jump To
Filing Snapshot
Filing Period
Jan 1, 2018 to Dec 31, 2018
Signed
May 10, 2019
Return Version
2018v3.1
Gross Receipts
$496,832
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

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$1,153,632$957,899▼ $195,733
Savings and Temporary Cash Investments$581,877$641,716▲ $59,839
Rtn Earn Endowment Incm Other Fnds$-1,059,522$-1,211,759▼ $152,237
Total Assets$1,889,085$1,647,209▼ $241,876
Other Assets Total$153,576$47,594▼ $105,982
Liabilities
Other Liabilities$2,931,365$2,850,619▼ $80,746
Accounts Payable and Accrued Expenses$17,242$8,349▼ $8,893
Total Liabilities$2,948,607$2,858,968▼ $89,639
Net Assets / Fund Balance
Total Net Assets Fund Balance$-1,059,522$-1,211,759▼ $152,237
Total Liabilities and Net Assets / Fund Balance$1,889,085$1,647,209▼ $241,876

Asset Categories

AssetBook ValueDepreciationBasis
Other Assets Org$42,678--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
James W SniderExecutive DirectorFT$81,908$81,908

Board Members and Trustees

NameTitle
Jerry FarrChairman
Dean WatkinsVice Chairman
Carol BlackwellDirector
Janet StaplesDirector
Steven GraySecretary Treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$87,961
Investment Income
$20,209
Other Revenue
$0
Change in Net Assets
$-154,558

Audited Revenue Reconciliation

Revenue per Audited Statements
$108,170
Revenue Not Reported on Form 990
$2,321
Total Revenue per Audited Statements
$110,491
Total Revenue per Form 990
$108,170
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$174,554
Salaries, Compensation, and Employee Benefits$88,174
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Current Officers, Directors, Trustees, and Key Employees-$81,908-$81,908
Fees for Services Legal-$46,789-$46,789
Fees for Services Accounting-$13,885-$13,885
Conferences and Meetings-$9,929-$9,929
Other Expenses$83,591$8,422-$8,422
Payroll Taxes-$6,266-$6,266
Insurance-$4,469-$4,469
All Other Expenses-$1,659-$1,659
Total Functional Expenses$87,961$174,767$0$262,728

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$262,728
Total Expenses per Audited Statements$262,728
Total Expenses per Form 990$262,728
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$2,850,619
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 directors 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
Mississippi Workers Compensation Self-insurer Gua
EIN
58-1914219
Address
P O BOX 12003, JACKSON, MS 39236

Signing Officer

Name
James W Snider Jr
Title
Executive Direc
Signed
2019-05-10
Discuss with paid preparer
Yes

Organization Details

Principal Officer
James W Snider
Formed
1988
Legal Domicile
Ms
Voting Board Members
5
Independent Board Members
5
Employees
1

Preparer

Firm
BUTCHART ELLZEY and 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 (losses) on investments

Raw XML Appendix340 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/TitleTxt3CHAIRMAN
IRS990/Form990PartVIISectionAGrp/TitleTxt4SECRETARY TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt5EXECUTIVE DIRECTOR
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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 DIRECTORS SALARY DETERMINED BY BOARD OF DIRECTORS- NO OTHER EMPLOYEES
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5AVAILABLE UPON REQUEST AT PLACE OF BUSINESS
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6UNREALIZED GAINS (LOSSES) 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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ReturnHeader/BuildTS02019-02-21 02:37:17Z
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ReturnHeader/BusinessOfficerGrp/PersonNm0JAMES W SNIDER JR
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0EXECUTIVE DIREC
ReturnHeader/BusinessOfficerGrp/SignatureDt02019-05-10
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ReturnHeader/Filer/EIN0581914219
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ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt0104.7.59.97
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ReturnHeader/FilingSecurityInformation/IPTm009:16:28
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0640703826
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0BUTCHART ELLZEY and ASSOCIATES
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ReturnHeader/PreparerPersonGrp/PhoneNum06018593275
ReturnHeader/PreparerPersonGrp/PreparationDt02019-05-20
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0William S Ellzey
ReturnHeader/ReturnTs02019-05-20T12:00:13-04:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02018-01-01
ReturnHeader/TaxPeriodEndDt02018-12-31
ReturnHeader/TaxYr02018

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