Civic Intelligence

Ulliman Schutte Construction LLC Group Health Insurance Trust

990 • Fiscal year 2019 • EIN 61-1672591

Mar 01, 2018 to Feb 28, 2019 • Filed on Nov 19, 2019

9111 Springboro PikeMiamisburg, OH 45342

(937) 910-9900

Siviq Scores

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

Liabilities / Assets

95th percentile

1.00x

Higher debt load relative to assets than 95% of similar nonprofits.

2019 filings • 501(c)9 • $1M-$5M nonprofits • Source year 2019

Liabilities / Revenue

61st percentile

0.03x

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

2019 filings • 501(c)9 • $1M-$5M nonprofits • Source year 2019

Net Margin

41st percentile

0.0%

Higher net margin than 41% of similar nonprofits.

2019 filings • 501(c)9 • $1M-$5M nonprofits • Source year 2019

Top Officer Pay

91st percentile

$261,810

Higher top officer pay than 91% of similar nonprofits.

Top officer pay equals 9.3% of source-year revenue.

2019 filings • 501(c)9 • $1M-$5M nonprofits • Source year 2019

Asset Growth

70th percentile

14%

Faster asset growth than 70% of similar nonprofits.

2019 filings • 501(c)9 • $1M-$5M nonprofits • Annualized from 2018 to 2019

Revenue Growth

56th percentile

5.3%

Faster revenue growth than 56% of similar nonprofits.

2019 filings • 501(c)9 • $1M-$5M nonprofits • Annualized from 2018 to 2019

Assets

Up

$85,824

Up $10,722 (+14%) from 2018

Net Assets

Flat

$81

Flat from 2018

Liabilities

Up

$85,743

Up $10,722 (+14%) from 2018

Revenue

Up

$2,805,293

Up $140,932 (+5.3%) from 2018

Expenses

Up

$2,805,293

Up $140,932 (+5.3%) from 2018

Net Income

Flat

$0

Flat from 2018

Historical Trend

Balance Sheet Trend

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

$150K$100K$50K$0Assets 2013: $23,686Liabilities 2013: $23,605Net Assets 2013: $812013Assets 2014: $78,316Liabilities 2014: $78,235Net Assets 2014: $812014Assets 2015: $59,622Liabilities 2015: $59,541Net Assets 2015: $812015Assets 2016: $60,418Liabilities 2016: $60,337Net Assets 2016: $812016Assets 2017: $33,030Liabilities 2017: $32,949Net Assets 2017: $812017Assets 2018: $75,102Liabilities 2018: $75,021Net Assets 2018: $812018Assets 2019: $85,824Liabilities 2019: $85,743Net Assets 2019: $812019Assets 2020: $55,594Liabilities 2020: $55,513Net Assets 2020: $812020Assets 2021: $93,099Liabilities 2021: $93,018Net Assets 2021: $812021Assets 2022: $51,726Liabilities 2022: $51,645Net Assets 2022: $812022Assets 2023: $63,687Liabilities 2023: $63,606Net Assets 2023: $812023Assets 2024: $101,642Liabilities 2024: $101,561Net Assets 2024: $812024Assets 2025: $69,811Liabilities 2025: $69,730Net Assets 2025: $812025

Highlighted filing

2019

Assets$85,824
Liabilities$85,743
Net Assets$81

Operations Trend

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

$4.0M$3.0M$2.0M$1.0M$0Revenue 2013: $1,219,517Expenses 2013: $1,219,517Net Income 2013: $02013Revenue 2014: $1,567,147Expenses 2014: $1,567,147Net Income 2014: $02014Revenue 2015: $1,925,891Expenses 2015: $1,925,891Net Income 2015: $02015Revenue 2016: $1,946,482Expenses 2016: $1,946,482Net Income 2016: $02016Revenue 2017: $2,221,193Expenses 2017: $2,221,193Net Income 2017: $02017Revenue 2018: $2,664,361Expenses 2018: $2,664,361Net Income 2018: $02018Revenue 2019: $2,805,293Expenses 2019: $2,805,293Net Income 2019: $02019Revenue 2020: $2,201,203Expenses 2020: $2,201,203Net Income 2020: $02020Revenue 2021: $2,216,280Expenses 2021: $2,216,280Net Income 2021: $02021Revenue 2022: $2,283,594Expenses 2022: $2,283,594Net Income 2022: $02022Revenue 2023: $2,627,732Expenses 2023: $2,627,732Net Income 2023: $02023Revenue 2024: $3,180,645Expenses 2024: $3,180,645Net Income 2024: $02024Revenue 2025: $3,017,594Expenses 2025: $3,017,594Net Income 2025: $02025

Highlighted filing

2019

Revenue$2,805,293
Expenses$2,805,293
Net Income$0
Jump To
Filing Snapshot
Filing Period
Mar 1, 2018 to Feb 28, 2019
Signed
Nov 19, 2019
Return Version
2018v3.1
Gross Receipts
$2,805,293
Mission and Program Overview

Mission

To provide life, health, accident insurance, or other benefits for employees of ulliman schutte construction, llc.

To provide life, health, accident insurance, or other benefits for employees

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$75,021$85,743▲ $10,722
Cash and Non-Interest-Bearing Accounts$81$81→ $0
Rtn Earn Endowment Incm Other Fnds$81$81→ $0
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Total Assets$75,102$85,824▲ $10,722
Liabilities
Accounts Payable and Accrued Expenses$75,021$85,743▲ $10,722
Total Liabilities$75,021$85,743▲ $10,722
Net Assets / Fund Balance
Total Net Assets Fund Balance$81$81→ $0
Total Liabilities and Net Assets / Fund Balance$75,102$85,824▲ $10,722
Compensation and Service Providers

Board Members and Trustees

NameTitle
Cynthia Martin-shishoffTrust Committee Member
John CoffinTrust Committee Member

Highest Paid Contractors

ContractorServicesLocationCompensation
CignaClaims AdministrationC/O 9111 SPRINGBORO PIKE, Miamisburg, OH 45342$153,889
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$2,805,293
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$0

Audited Revenue Reconciliation

Revenue per Audited Statements
$2,805,293
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Total Revenue per Audited Statements
$2,805,293
Total Revenue per Form 990
$2,805,293
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$691,558
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---$2,113,735
Other Expenses---$691,558
Total Functional Expenses$0$0$0$2,805,293

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$2,805,293
Total Expenses per Audited Statements$2,805,293
Total Expenses per Form 990$2,805,293
Expenses Not Reported on Financial Statements$0
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
Annual disclosure for covered persons
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
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 8B

There are no committees with authority to act on behalf of the governing body.

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

The trust committee will review the 990 for accuracy and completeness before filing form 990.

Form 990, Part VI, Section B, Line 12C

The trustees are required to comply with the requirements of the employee retirement income security act of 1974 (erisa), as well as the internal revenue code (irc), and the attendant regulations adopted pursuant to both eirsa and the irc, with respect to non-exempt prohibited transactions. As such, the trustees would report any possible conflicts of interest to senior management of the sponsor.

Form 990, Part VI, Section C, Line 19

The forms are made available upon request.

Filing and Contact Details

Filer

Filer Name
Ulliman Schutte Construction LLC
EIN
61-1672591
Phone
9379109900
Address
9111 SPRINGBORO PIKE, MIAMISBURG, OH 45342

Signing Officer

Name
Cynthia Martin-shishoff
Title
Trust Committee Member
Phone
9379109900
Signed
2019-11-19
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Cynthia Martin-shishoff
Formed
2012
Legal Domicile
Oh
Voting Board Members
2
Independent Board Members
0
Employees
0
Volunteers
0

Preparer

Firm
Clark Schaefer Hackett & Co
Address
10100 INNOVATION DRIVE, DAYTON, OH 45342
Preparer
Anna M Helfen CPA
Phone
9372260070
Supplemental Narrative

Additional Explanations

FORM 990-T:

Investment income of a 501(c)(9) organization is required to be reported on the form 990-t. During the fiscal year ended february 28, 2019, the trust did not earn any investment income. Therefore, a form 990-t was not required to be filed.

FORM 990, PART XII, LINE 2C:

The trustees of the plan are responsible for oversight of the independent audit & the selection of the independent auditor. This process is consistent with the prior year.

Raw XML Appendix345 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/ExplanationTxt0THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE TRUST COMMITTEE WILL REVIEW THE 990 FOR ACCURACY AND COMPLETENESS BEFORE FILING FORM 990.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE TRUSTEES ARE REQUIRED TO COMPLY WITH THE REQUIREMENTS OF THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974 (ERISA), AS WELL AS THE INTERNAL REVENUE CODE (IRC), AND THE ATTENDANT REGULATIONS ADOPTED PURSUANT TO BOTH EIRSA AND THE IRC, WITH RESPECT TO NON-EXEMPT PROHIBITED TRANSACTIONS. AS SUCH, THE TRUSTEES WOULD REPORT ANY POSSIBLE CONFLICTS OF INTEREST TO SENIOR MANAGEMENT OF THE SPONSOR.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE FORMS ARE MADE AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4INVESTMENT INCOME OF A 501(C)(9) ORGANIZATION IS REQUIRED TO BE REPORTED ON THE FORM 990-T. DURING THE FISCAL YEAR ENDED FEBRUARY 28, 2019, THE TRUST DID NOT EARN ANY INVESTMENT INCOME. THEREFORE, A FORM 990-T WAS NOT REQUIRED TO BE FILED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THE TRUSTEES OF THE PLAN ARE RESPONSIBLE FOR OVERSIGHT OF THE INDEPENDENT AUDIT & THE SELECTION OF THE INDEPENDENT AUDITOR. THIS PROCESS IS CONSISTENT WITH THE PRIOR YEAR.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 8B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990-T:
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART XII, LINE 2C:
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