Civic Intelligence

Anesthesia Benefit Trust

990 • Fiscal year 2015 • EIN 59-3154909

Jan 01, 2015 to Dec 31, 2015 • Filed on Oct 21, 2016

851 Trafalgar CT No 200EMaitland, FL 32751

(407) 667-0505

Siviq Scores

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

Liabilities / Assets

81st percentile

0.29x

Higher debt load relative to assets than 81% of similar nonprofits.

2015 filings • 501(c)9 • $1M-$5M nonprofits • Source year 2015

Liabilities / Revenue

61st percentile

0.05x

Higher debt load relative to revenue than 61% of similar nonprofits.

2015 filings • 501(c)9 • $1M-$5M nonprofits • Source year 2015

Net Margin

55th percentile

2.3%

Higher net margin than 55% of similar nonprofits.

2015 filings • 501(c)9 • $1M-$5M nonprofits • Source year 2015

Top Officer Pay

53rd percentile

$0

Higher top officer pay than 53% of similar nonprofits.

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

2015 filings • 501(c)9 • $1M-$5M nonprofits • Source year 2015

Asset Growth

95th percentile

75%

Faster asset growth than 95% of similar nonprofits.

2015 filings • 501(c)9 • $1M-$5M nonprofits • Annualized from 2014 to 2015

Revenue Growth

83rd percentile

23%

Faster revenue growth than 83% of similar nonprofits.

2015 filings • 501(c)9 • $1M-$5M nonprofits • Annualized from 2014 to 2015

Assets

Up

$719,206

Up $307,916 (+75%) from 2014

Net Assets

Up

$508,704

Up $97,414 (+24%) from 2014

Liabilities

Up

$210,502

Up $210,502 from 2014

Revenue

Up

$4,225,932

Up $786,084 (+23%) from 2014

Expenses

Up

$4,128,383

Up $719,461 (+21%) from 2014

Net Income

Up

$97,549

Up $66,623 (+215%) from 2014

Historical Trend

Balance Sheet Trend

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

$800K$600K$400K$200K$0Assets 2010: $498,683Liabilities 2010: $0Net Assets 2010: $498,6832010Assets 2011: $575,469Liabilities 2011: $0Net Assets 2011: $575,4692011Assets 2012: $624,480Liabilities 2012: $0Net Assets 2012: $624,4802012Assets 2013: $381,180Liabilities 2013: $0Net Assets 2013: $381,1802013Assets 2014: $411,290Liabilities 2014: $0Net Assets 2014: $411,2902014Assets 2015: $719,206Liabilities 2015: $210,502Net Assets 2015: $508,7042015Assets 2016: $632,343Liabilities 2016: $295,363Net Assets 2016: $336,9802016Assets 2017: $0Liabilities 2017: $0Net Assets 2017: $02017

Highlighted filing

2015

Assets$719,206
Liabilities$210,502
Net Assets$508,704

Operations Trend

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

$6.0M$4.0M$2.0M$0-$2.0MExpenses 2010: $2,201,3732010Expenses 2011: $2,736,6002011Expenses 2012: $2,279,7392012Revenue 2013: $2,030,028Expenses 2013: $2,273,328Net Income 2013: -$243,3002013Revenue 2014: $3,439,848Expenses 2014: $3,408,922Net Income 2014: $30,9262014Revenue 2015: $4,225,932Expenses 2015: $4,128,383Net Income 2015: $97,5492015Revenue 2016: $4,296,054Expenses 2016: $4,467,778Net Income 2016: -$171,7242016Revenue 2017: $0Expenses 2017: $336,980Net Income 2017: -$336,9802017

Highlighted filing

2015

Revenue$4,225,932
Expenses$4,128,383
Net Income$97,549
Jump To
Filing Snapshot
Filing Period
Jan 1, 2015 to Dec 31, 2015
Signed
Oct 21, 2016
Return Version
2015v2.1
Gross Receipts
$4,225,932
Mission and Program Overview

Mission

The anesthesia benefit trust is for the sole purpose of accumulating and contributing to the trust fund to provide health benefits.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$291,794$627,752▲ $335,958
Loans From Officers Directors-$210,502-
Accounts Receivable$67,292$91,454▲ $24,162
Receivable From Disqualified Prsn$52,204$0▼ $52,204
Total Assets$411,290$719,206▲ $307,916
Liabilities
Total Liabilities$0$210,502▲ $210,502
Net Assets / Fund Balance
Unrestricted Net Assets$411,290$508,704▲ $97,414
Total Net Assets Fund Balance$411,290$508,704▲ $97,414
Total Liabilities and Net Assets / Fund Balance$411,290$719,206▲ $307,916
Compensation and Service Providers

Board Members and Trustees

Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$4,225,932
Change in Net Assets
$97,549

Audited Revenue Reconciliation

Revenue per Audited Statements
$4,225,932
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Total Revenue per Audited Statements
$4,225,932
Total Revenue per Form 990
$4,225,932
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$4,128,383
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
Other Expenses$4,128,383--$4,128,383
Total Functional Expenses$4,128,383$0$0$4,128,383

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$4,128,385
Total Expenses per Audited Statements$4,128,385
Total Expenses per Form 990$4,128,383
Expenses Not Reported on Form 990$0
Expenses Not Reported on Financial Statements$-2
Other Expense Adjustments$-2
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-$210,502-
Receivables from Disqualified Persons$52,204$0▼ $52,204
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Audit committee
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
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 11

Controller will vertify against records and original documents prior to filing.

Form 990, Part VI, Section C, Line 19

Put notice on bulletin board that information is available. Available upon request. E-mail is sent to employees not at physical location.

Filing and Contact Details

Filer

Filer Name
Anesthesia Benefit Trust
EIN
59-3154909
Phone
4076670505
Address
851 TRAFALGAR CT NO 200E, MAITLAND, FL 32751

Signing Officer

Name
Robert Grabow
Title
Sr Vice President Operations
Phone
4076670505
Signed
2016-10-21
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Robert Grabow
Formed
1992
Legal Domicile
Fl
Voting Board Members
9
Independent Board Members
0
Employees
0
Volunteers
0

Preparer

Firm
Withumsmithbrown Pc
Address
1417 E CONCORD STREET, ORLANDO, FL 32803
Preparer
Russell Goldberg
Phone
4078491569
Supplemental Narrative

Additional Explanations

FORM 990, PART XII, LINE 2C:

The organization has not revised it's process for working with the auditors to ensure quality financial statements are obtained.

Financial Statement Notes

PART X, LINE 2:

Plan management has analyzed the tax positions taken by the plan and has concluded that as of december 31, 2015, there are no uncertain positions taken or expected to be taken that would require recognition of a liability (or asset) or disclosure in the financial statements. The plan is subject to routine audits by the internal revenue service; however, there are currently no audits for any tax periods in progress.

PART XII, LINE 4B - OTHER ADJUSTMENTS:

ROUNDING ADJUSTMENT

Raw XML Appendix349 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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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0PLAN MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2015, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY THE INTERNAL REVENUE SERVICE; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0CONTROLLER WILL VERTIFY AGAINST RECORDS AND ORIGINAL DOCUMENTS PRIOR TO FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1PUT NOTICE ON BULLETIN BOARD THAT INFORMATION IS AVAILABLE. AVAILABLE UPON REQUEST. E-MAIL IS SENT TO EMPLOYEES NOT AT PHYSICAL LOCATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE ORGANIZATION HAS NOT REVISED IT'S PROCESS FOR WORKING WITH THE AUDITORS TO ENSURE QUALITY FINANCIAL STATEMENTS ARE OBTAINED.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART XII, LINE 2C:
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IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0FL
IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt0411290
IRS990/TotalAssetsEOYAmt0719206
IRS990/TotalAssetsGrp/BOYAmt0411290
IRS990/TotalAssetsGrp/EOYAmt0719206
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt00
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt04128383
IRS990/TotalFunctionalExpensesGrp/TotalAmt04128383
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt00
IRS990/TotalLiabilitiesEOYAmt0210502
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt0210502
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0411290
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0508704
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt04128383
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt04225932
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt04225932
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0411290
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0719206
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TypeOfOrganizationTrustInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UnrestrictedNetAssetsGrp/BOYAmt0411290
IRS990/UnrestrictedNetAssetsGrp/EOYAmt0508704
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0851 TRAFALGAR COURT SUITE 200E
IRS990/USAddress/CityNm0MAITLAND
IRS990/USAddress/StateAbbreviationCd0FL
IRS990/USAddress/ZIPCd032751
IRS990/VotingMembersGoverningBodyCnt09
IRS990/VotingMembersIndependentCnt00
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd00
ReturnHeader/BuildTS02017-02-10 21:41:12Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0ROBERT GRABOW
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0SR VICE PRESIDENT OPERATIONS
ReturnHeader/BusinessOfficerGrp/PhoneNum04076670505
ReturnHeader/BusinessOfficerGrp/SignatureDt02016-10-21
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0ANESTHESIA BENEFIT TRUST
ReturnHeader/Filer/BusinessNameControlTxt0ANES
ReturnHeader/Filer/EIN0593154909
ReturnHeader/Filer/PhoneNum04076670505
ReturnHeader/Filer/USAddress/AddressLine1Txt0851 TRAFALGAR CT NO 200E
ReturnHeader/Filer/USAddress/CityNm0MAITLAND
ReturnHeader/Filer/USAddress/StateAbbreviationCd0FL
ReturnHeader/Filer/USAddress/ZIPCd032751
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0222027092
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0WITHUMSMITHBROWN PC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt01417 E CONCORD STREET
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0ORLANDO
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0FL
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd032803
ReturnHeader/PreparerPersonGrp/PhoneNum04078491569
ReturnHeader/PreparerPersonGrp/PreparationDt02016-10-20
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0RUSSELL GOLDBERG
ReturnHeader/ReturnTs02016-11-11T07:39:44-06:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02015-01-01
ReturnHeader/TaxPeriodEndDt02015-12-31
ReturnHeader/TaxYr02015

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