Civic Intelligence

Usc Captive Insurance Company

EIN 85-1454519 • 501(c)3 • Los Angeles, CA

University Gardens Ugb205Los Angeles, CA 90089-8003

n/A

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

72nd percentile

0.03x

Higher debt load relative to assets than 72% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2022

Liabilities / Revenue

90th percentile

0.38x

Higher debt load relative to revenue than 90% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2022

Net Margin

46th percentile

0.0%

Higher net margin than 46% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2022

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

60th percentile

3.5%

Faster asset growth than 60% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2021 to 2022

Revenue Growth

10th percentile

-72%

Faster revenue growth than 10% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2021 to 2022

Assets

Up

$251,035

Up $1,035 (+0.4%) from 2023

Liabilities

Up

$1,035

Up $1,035 from 2023

Net Assets

Flat

$250,000

Flat from 2023

Revenue

Up

$16,566

Up $31 (+0.2%) from 2023

Expenses

Up

$16,566

Up $31 (+0.2%) from 2023

Net Income

Flat

$0

Flat from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$300K$200K$100K$0Assets 2020: $0Liabilities 2020: $0Net Assets 2020: $02020Assets 2021: $250,000Liabilities 2021: $0Net Assets 2021: $250,0002021Assets 2022: $258,750Liabilities 2022: $8,750Net Assets 2022: $250,0002022Assets 2023: $250,000Liabilities 2023: $0Net Assets 2023: $250,0002023Assets 2024: $251,035Liabilities 2024: $1,035Net Assets 2024: $250,0002024

Highlighted filing

2024

Assets$251,035
Liabilities$1,035
Net Assets$250,000

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$100K$50K$0Revenue 2020: $0Expenses 2020: $0Net Income 2020: $02020Revenue 2021: $83,184Expenses 2021: $83,184Net Income 2021: $02021Revenue 2022: $23,248Expenses 2022: $23,248Net Income 2022: $02022Revenue 2023: $16,535Expenses 2023: $16,535Net Income 2023: $02023Revenue 2024: $16,566Expenses 2024: $16,566Net Income 2024: $02024

Highlighted filing

2024

Revenue$16,566
Expenses$16,566
Net Income$0

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
May 14, 2025
Return Version
2023v6.0
Gross Receipts
$16,566
Mission and Program Overview

Mission

SEE SCHEDULE O

Balance Sheet Detail
LineBeginningEndChange
Assets
Rtn Earn Endowment Incm Other Fnds$250,000$250,000→ $0
Savings and Temporary Cash Investments$93,529$205,264▲ $111,735
Cash and Non-Interest-Bearing Accounts$0$0→ $0
Accounts Receivable$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Land, Buildings, and Equipment, Net$0$0→ $0
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Prepaid Expenses and Deferred Charges$0$0→ $0
Total Assets$250,000$251,035▲ $1,035
Other Assets Total$156,471$45,771▼ $110,700
Liabilities
Accounts Payable and Accrued Expenses$0$1,035▲ $1,035
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Other Liabilities$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$0$1,035▲ $1,035
Net Assets / Fund Balance
Total Net Assets Fund Balance$250,000$250,000→ $0
Total Liabilities and Net Assets / Fund Balance$250,000$251,035▲ $1,035

Asset Categories

AssetBook ValueDepreciationBasis
Other Assets Org$45,771--
Compensation and Service Providers

Board Members and Trustees

NameTitle
Jason BennettDirector/president
Beong-soo KimDirector
Diane HansonDirector
Steven D Shapiro MdDirector
Casandra PorterDirector (as of 6/28/24)
Rod HannersDirector (as of 6/28/24)
David Peng Md MphDirector (until 6/28/24)
Erik BrinkTreasurer(until 4/22/24)/Director
Wajeeha ShakeelFin/data Analytics Manager
Carolyn Domen-broshearsSecretary
Caroline WilhelmTreasurer (as of 4/22/24)

Highest Paid Contractors

ContractorServicesLocationCompensation
PricewaterhousecoopersAudit Services101 SEAPORT BLVD, Boston, MA 02210$147,550
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$16,566
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$0
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$16,566
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
Fees for Services Management$15,000--$15,000
Other Expenses$31--$31
Total Functional Expenses$16,566$0$0$16,566
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
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
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 2

Certain individuals listed in part vii are officers and directors of the university of southern california, a related organization. All individuals listed with related organization compensation are compensated by the university.

Form 990, Part VI, Section A, Lines 6, 7A, and 7B

The sole corporate member of the organization is the university of southern california, a california tax-exempt organization. The corporate member has the authority to approve directors elected by the board and remove directors and the authority to approve changes to the bylaws. Actions requiring approval of the corporate member include any changes to the composition of the board of directors, and bylaw changes.

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

The organization's form 990 is reviewed at several levels. The organization engages an external public accounting firm to assist in the preparation and review of its form 990 and that signs as paid preparer. The review of the final form 990 is conducted by the captive insurance manager, aon, inc. And the usc comptroller's office prior to board distribution and is being filed with the irs.

Form 990, Part VI, Lines 12, 13, and 14

The university has a conflict of interest and commitment policy and procedure which covers all covered employees and their close relations. A "covered employee" means all faculty members (including part-time and visiting faculty), staff and other employees (such as postdoctoral scholars), and students (including postdoctoral fellows and graduate students) employed or otherwise engaged by the university. The policy continues to apply to covered employees while on sabbatical or other leaves, while visiting other institutions, and while consulting with external entities. A "close relation" means family members (spouses, domestic partners, siblings, parents and children, grandparents, grandchildren, and any individual related by blood or affinity whose close association with the employee is the equivalent of a family relationship) and other persons with a personal relationship with a usc employee. Each covered employee owes professional loyalty to the university and must be alert to the possibility that outside obligations, financial interests, employment, and certain family or intimate relationships can affect that commitment. Therefore, all covered employees are responsible for notifying the office of culture, ethics and compliance whether they, or their close relations, have a conflict of interest or commitment covered by this policy. Because no policy can anticipate the full range of outside relationships and activities that may give rise to conflicts of interest or commitment, covered employees must disclose any outside relationship or activity that may give the appearance of a conflict as soon as feasible after discovery of the conflict. The university must determine whether a conflict of interest and/or commitment is manageable before a covered employee is allowed to undertake the activity giving rise to the conflict. The covered employee must comply with all measures put in place to manage, reduce, or eliminate conflicts of interest. This includes any requirement that the covered employee provide a follow-up disclosure at a reasonable time interval to provide an update on the status of the conflict of interest or commitment, and his or her compliance with the measures put in place to manage the conflict. All disclosures as well as decisions on how to manage the conflict should be documented and maintained by the person or committee to whom disclosure is made, as provided for in the policy. The policy does not preclude the senior vice president, provost, or dean, as appropriate, from requiring a covered employee to provide additional conflict of interest or commitment information or to do so on a more frequent basis (e.g., bi-annually). If a covered employee has any questions about whether an outside activity must be disclosed, the covered employee should consult with his or her supervisor or contact the office of culture, ethics and compliance for guidance. Supervisors who become aware that covered employees under their supervision have conflicts of interest or commitment covered by this policy are obligated to ensure that the conflict is appropriately disclosed. In addition to the procedures set forth in the university's conflict of interest and commitment policy, usc's procurement services department may identify actual or potential conflicts of interest or commitment in the course of performing its duties. In the event that procurement services identifies an actual or potential conflict of interest or commitment, it requires the covered employee to make a disclosure under conflict of interest and commitment policy and verifies that all actual conflicts are managed before proceeding. Depending upon the conflict, procurement services may also refer the issue to the senior vice president for administration or his or her designee, for resolution. Procurement services may suspend any further action on the request that initiated the disclosure until such time as the conflict is managed. Failure to disclose and manage actual o

Form 990, Part VI, Section C, Line 19

Governing documents, conflict of interest policy, and financial statements are available upon request. The organization is included in consolidated financial statements with the university of southern california which is made available to the public on the university's website.

Form 990, Part VII, Column (B)

The individuals reported as receiving compensation from a related organization in columns (e) and (f) in form 990, part vii, are employees of the university of southern california, a tax-exempt related organization. Each of these individuals has devoted an average of 50-60 hours per week to their positions at the university of southern california.

Filing and Contact Details

Filer

Filer Name
Usc Captive Insurance Company
EIN
85-1454519
In Care Of
% UNIV OF SOUTHERN CALIFORNIA
Phone
2138211900
Address
UNIVERSITY GARDENS UGB205, LOS ANGELES, CA 90089-8003

Signing Officer

Name
Casandra Porter
Title
Treasurer
Phone
2138211900
Signed
2025-05-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Jason Bennett
Formed
2020
Legal Domicile
Vt
Voting Board Members
7
Independent Board Members
1
Employees
0
Volunteers
0

Preparer

Firm
PwC US Tax LLP
Address
655 NEW YORK AVE SUITE 1100, WASHINGTON, DC 20001
Preparer
Travis L Patton
Phone
6175305000
Supplemental Narrative

Additional Explanations

FORM 990, PART I, LINE 1 AND PART III, ORGANIZATION'S PRIMARY ACTIVITY

Usc captive insurance company ("usccic") is a public benefit corporation and sponsored captive insurance company organized in accordance with the vermont nonprofit corporation act and chapter 141 of title 8 of the vermont statutes annotated. Usccic is organized and operated as a supporting organization described in internal revenue code section 509(a)(3) to provide services and resources for the benefit of, to perform functions of, and to carry out the purposes of, the university of southern california (usc) and usc's tax exempt affiliates, so long as usc and such affiliates are described in paragraphs (1) or (2) of section 509(a). Specifically, usccic's sole planned activity is to facilitate self-insurance with respect to certain casualty exposures of usc and usc's tax-exempt affiliates.

Financial Statement Notes

SCHEDULE D, PART X, LINE 2:

The organization's financial statements were audited as part of consolidated financial statements. The companies have received determination letters from the internal revenue service dated october 13, 2021, indicating the companies qualify under the provisions of section 501 of the internal revenue code as exempt from federal income taxes. The companies account for uncertain tax positions in accordance with fasb asc 740, "income taxes". Fasb asc 740 provides a framework for how companies should recognize, measure, present, and disclose uncertain tax positions in their financial statements. The companies may recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by the taxing authorities, based on the technical merits of the position. The tax benefits recognized in the financial statements from such position are measured based on the largest benefit that has a greater than 50% likelihood of being realized upon ultimate settlement. The companies did not record any unrecognized tax benefits as of june 30, 2024, and 2023. The companies do not believe it is reasonably possible that its unrecognized tax benefits would materially change in the next twelve months. In the event the companies were to become subject to federal income taxes, the companies' policy would be to recognize interest and penalties related to income taxes as components of interest and penalties expense included within general and administrative expenses in the combined statement of operations. As of june 30, 2024, and 2023, the companies did not record any interest or penalties associated with unrecognized tax benefits.

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IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0UNIVERSITY OF SOUTHERN CALIFORNIA
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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0THE ORGANIZATION'S FINANCIAL STATEMENTS WERE AUDITED AS PART OF CONSOLIDATED FINANCIAL STATEMENTS. THE COMPANIES HAVE RECEIVED DETERMINATION LETTERS FROM THE INTERNAL REVENUE SERVICE DATED OCTOBER 13, 2021, INDICATING THE COMPANIES QUALIFY UNDER THE PROVISIONS OF SECTION 501 OF THE INTERNAL REVENUE CODE AS EXEMPT FROM FEDERAL INCOME TAXES. THE COMPANIES ACCOUNT FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH FASB ASC 740, "INCOME TAXES". FASB ASC 740 PROVIDES A FRAMEWORK FOR HOW COMPANIES SHOULD RECOGNIZE, MEASURE, PRESENT, AND DISCLOSE UNCERTAIN TAX POSITIONS IN THEIR FINANCIAL STATEMENTS. THE COMPANIES MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE FINANCIAL STATEMENTS FROM SUCH POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE COMPANIES DID NOT RECORD ANY UNRECOGNIZED TAX BENEFITS AS OF JUNE 30, 2024, AND 2023. THE COMPANIES DO NOT BELIEVE IT IS REASONABLY POSSIBLE THAT ITS UNRECOGNIZED TAX BENEFITS WOULD MATERIALLY CHANGE IN THE NEXT TWELVE MONTHS. IN THE EVENT THE COMPANIES WERE TO BECOME SUBJECT TO FEDERAL INCOME TAXES, THE COMPANIES' POLICY WOULD BE TO RECOGNIZE INTEREST AND PENALTIES RELATED TO INCOME TAXES AS COMPONENTS OF INTEREST AND PENALTIES EXPENSE INCLUDED WITHIN GENERAL AND ADMINISTRATIVE EXPENSES IN THE COMBINED STATEMENT OF OPERATIONS. AS OF JUNE 30, 2024, AND 2023, THE COMPANIES DID NOT RECORD ANY INTEREST OR PENALTIES ASSOCIATED WITH UNRECOGNIZED TAX BENEFITS.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE D, PART X, LINE 2:
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