Civic Intelligence

Caduceus Indemnity Insurance Corporation Ltd

EIN 99-0343363 • 501(c)3 • Honolulu, HI

Profile

Caduceus indemnity insurance corporation, ltd. Is a wholly-owned subsidiary of banner health and was created as a pure captive insurance company.

745 Fort StreetHonolulu, HI 96813

www.bannerhealth.com

Siviq Scores

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

Liabilities / Assets

62nd percentile

0.34x

Higher debt load relative to assets than 62% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2015

Liabilities / Revenue

73rd percentile

0.72x

Higher debt load relative to revenue than 73% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2015

Net Margin

99th percentile

97%

Higher net margin than 99% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2015

Top Officer Pay

93rd percentile

$993,425

Higher top officer pay than 93% of similar nonprofits.

Top officer pay equals 12.8% of source-year revenue.

501(c)3 • $25M-$50M nonprofits • Source year 2015

Asset Growth

1st percentile

-67%

Faster asset growth than 1% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2014 to 2015

Revenue Growth

27th percentile

-2.7%

Faster revenue growth than 27% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2014 to 2015

Assets

Down

$16,215,862

Down $32,501,887 (-67%) from 2014

Liabilities

Down

$5,593,641

Down $9,787,455 (-64%) from 2014

Net Assets

Down

$10,622,221

Down $22,714,432 (-68%) from 2014

Revenue

Down

$7,791,077

Down $215,494 (-2.7%) from 2014

Expenses

Down

$217,043

Down $1,496,934 (-87%) from 2014

Net Income

Up

$7,574,034

Up $1,281,440 (+20%) from 2014

Trend Graphs

Balance Sheet Trend

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

$80M$60M$40M$20M$0Assets 2010: $53,015,723Liabilities 2010: $20,885,141Net Assets 2010: $32,130,5822010Assets 2011: $55,163,584Liabilities 2011: $18,352,265Net Assets 2011: $36,811,3192011Assets 2012: $65,003,556Liabilities 2012: $27,515,675Net Assets 2012: $37,487,8812012Assets 2013: $60,928,690Liabilities 2013: $24,541,306Net Assets 2013: $36,387,3842013Assets 2014: $48,717,749Liabilities 2014: $15,381,096Net Assets 2014: $33,336,6532014Assets 2015: $16,215,862Liabilities 2015: $5,593,641Net Assets 2015: $10,622,2212015

Highlighted filing

2015

Assets$16,215,862
Liabilities$5,593,641
Net Assets$10,622,221

Operations Trend

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

$10M$5.0M$0Expenses 2010: $8,845,5262010Expenses 2011: $5,245,6702011Expenses 2012: $6,846,3132012Revenue 2013: $7,468,490Expenses 2013: $5,321,640Net Income 2013: $2,146,8502013Revenue 2014: $8,006,571Expenses 2014: $1,713,977Net Income 2014: $6,292,5942014Revenue 2015: $7,791,077Expenses 2015: $217,043Net Income 2015: $7,574,0342015

Highlighted filing

2015

Revenue$7,791,077
Expenses$217,043
Net Income$7,574,034

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2014 to Jun 30, 2015
Signed
Mar 22, 2016
Return Version
2014v6.0
Gross Receipts
$47,819,205
Mission and Program Overview

Mission

Caduceus indemnity insurance corporation, ltd. Is a wholly-owned subsidiary of banner health and was created as a pure captive insurance company.

Pure captive insurance company wholly owned by banner health

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$40,306,346$0▼ $40,306,346
Cash and Non-Interest-Bearing Accounts$3,441,492$16,214,885▲ $12,773,393
Rtn Earn Endowment Incm Other Fnds$30,836,653$8,122,221▼ $22,714,432
Cap Stk Tr Prin Current Funds$2,500,000$2,500,000→ $0
Prepaid Expenses and Deferred Charges$135,706$977▼ $134,729
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Total Assets$48,717,749$16,215,862▼ $32,501,887
Other Assets Total$4,834,205$0▼ $4,834,205
Liabilities
Other Liabilities$15,333,000$5,583,641▼ $9,749,359
Accounts Payable and Accrued Expenses$48,096$10,000▼ $38,096
Total Liabilities$15,381,096$5,593,641▼ $9,787,455
Net Assets / Fund Balance
Total Net Assets Fund Balance$33,336,653$10,622,221▼ $22,714,432
Total Liabilities and Net Assets / Fund Balance$48,717,749$16,215,862▼ $32,501,887
Compensation and Service Providers

Board Members and Trustees

NameTitle
Leo BrennanPresident
Rebecca HavlischPresident and Treasurer
Bruce CoullVice President
Michael WaldrumDirector
Farshad ShiraziPhysician, Former Member
Scott SterenbergSecretary
Misty HansenTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$1,721,421
Other Revenue
$6,069,656
Change in Net Assets
$7,574,034
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$217,043
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 Service Investment Mgmnt Fees$80,176--$80,176
Fees for Services Management-$63,127-$63,127
Fees for Services Accounting-$32,500-$32,500
Fees for Services Other$22,904--$22,904
Fees for Services Legal-$14,525-$14,525
Office Expenses-$3,811-$3,811
Total Functional Expenses$103,080$113,963$0$217,043
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
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Loss Reserves$4,562,000
Due to Related Entities$1,021,641
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
Yes
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
Yes
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Section A, Line 3

The corporation employs marsh management services to manage daily operations.

Form 990, Part VI, Section A, Line 4

The articles of incorporation and bylaws were restated for the second time to name banner-university medical group (formerly university physicians healthcare dba the university of arizona physicians) as the sole member, and for the third time to name banner health as the sole member.

Form 990, Part VI, Section A, Line 6

Banner-university medical group (formerly university physicians healthcare dba the university of arizona physicians) was the sole member of caduceus indemnity insurance corporation, ltd. Through may 29, 2015 when banner health became the sole member.

Form 990, Part VI, Section A, Line 7A

The sole member may elect members of the governing body.

Form 990, Part VI, Section A, Line 7B

The bylaws provide for specific matters that are reserved for approval from the member. Major activities are also subject to review by the member.

Form 990, Part VI, Section B, Line 11

Caduceus indemnity insurance corporation's form 990 is prepared by an independent cpa and then reviewed by the director of finance of banner university medical group tucson prior to filing. Form 990 is distributed to the executive officers and the board of directors after filing with the irs.

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

Officers and board members are required to complete a conflict of interest form. Any reported conflict of interest is reviewed by general counsel, president and the board of directors.

Form 990, Part VI, Section C, Line 19

Governing documents, conflict of interest policy, and financial statements are made available to the public upon request.

Filing and Contact Details

Filer

Filer Name
Caduceus Indemnity Insurance Corporation Ltd
EIN
99-0343363
Phone
5206942700
Address
745 FORT STREET, HONOLULU, HI 96813

Signing Officer

Name
David M Bixby
Title
Sr VP/gen Counsel/secretary
Phone
5206942700
Signed
2016-03-22
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Rebecca Havlisch
Formed
1999
Legal Domicile
Hi
Voting Board Members
3
Independent Board Members
2
Employees
0
Volunteers
2

Preparer

Firm
Beachfleischman Pc
Address
1985 EAST RIVER ROAD SUITE 201, TUCSON, AZ 85718
Preparer
Karen K Mccloskey CPA
Phone
5203214600
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

Actuarial fees: program service expenses 22,904. Management and general expenses 0. Fundraising expenses 0. Total expenses 22,904.

FORM 990, PART XI, LINE 9:

Dividend distribution -28,483,409.

Raw XML AppendixShowing 400 of 770 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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IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt20
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0BANNER-UNIVERSITY MEDICAL GROUP
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt1UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt2BANNER HEALTH
IRS990ScheduleA/SupportingOrganization509a3Ind0X
IRS990ScheduleA/SupportingOrgType1Ind0X
IRS990ScheduleA/SupportSumAmt028700452
IRS990/ScheduleBRequiredInd00
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt04562000
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt11021641
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0LOSS RESERVES
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc1DUE TO RELATED ENTITIES
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleD/TotalLiabilityAmt05583641
IRS990ScheduleJ/AnyNonFixedPaymentsInd00
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd00
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/InitialContractExceptionInd00
IRS990/ScheduleJRequiredInd01
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt40
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount40
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt092000
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt40
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0156501
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt1369200
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt2439586
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt3939808
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt4272959
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt40
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt40
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt40
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt117127
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt220592
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt320592
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt427956
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt40
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt08575
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt115882
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt217467
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt39167
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt428813
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt40
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt0138590
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt15544
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt22313
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt323858
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt426412
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0REBECCA HAVLISCH
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1BRUCE COULL
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm2MISTY HANSEN
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm3MICHAEL WALDRUM
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm4FARSHAD SHIRAZI
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0PRESIDENT AND TREASURER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1VICE PRESIDENT
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt2TREASURER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt3DIRECTOR
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt4PHYSICIAN, FORMER MEMBER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt40
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0395666
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt1407753
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt2479958
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt3993425
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt4356140
IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0THE ORGANIZATION DOES NOT COMPENSATE THE PRESIDENT, BUT RATHER RELIES ON ITS RELATED ORGANIZATIONS THE UNIVERSITY OF ARIZONA HEALTH NETWORK (THROUGH 2/27/2015) AND BANNER HEALTH (2/28/2015 THROUGH 6/30/2015), WHICH USED THE FOLLOWING TO ESTABLISH COMPENSATION: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OF DIRECTORS OF COMPENSATION COMMITTEE.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 3
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE CORPORATION EMPLOYS MARSH MANAGEMENT SERVICES TO MANAGE DAILY OPERATIONS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE ARTICLES OF INCORPORATION AND BYLAWS WERE RESTATED FOR THE SECOND TIME TO NAME BANNER-UNIVERSITY MEDICAL GROUP (FORMERLY UNIVERSITY PHYSICIANS HEALTHCARE DBA THE UNIVERSITY OF ARIZONA PHYSICIANS) AS THE SOLE MEMBER, AND FOR THE THIRD TIME TO NAME BANNER HEALTH AS THE SOLE MEMBER.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2BANNER-UNIVERSITY MEDICAL GROUP (FORMERLY UNIVERSITY PHYSICIANS HEALTHCARE DBA THE UNIVERSITY OF ARIZONA PHYSICIANS) WAS THE SOLE MEMBER OF CADUCEUS INDEMNITY INSURANCE CORPORATION, LTD. THROUGH MAY 29, 2015 WHEN BANNER HEALTH BECAME THE SOLE MEMBER.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE SOLE MEMBER MAY ELECT MEMBERS OF THE GOVERNING BODY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE BYLAWS PROVIDE FOR SPECIFIC MATTERS THAT ARE RESERVED FOR APPROVAL FROM THE MEMBER. MAJOR ACTIVITIES ARE ALSO SUBJECT TO REVIEW BY THE MEMBER.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5CADUCEUS INDEMNITY INSURANCE CORPORATION'S FORM 990 IS PREPARED BY AN INDEPENDENT CPA AND THEN REVIEWED BY THE DIRECTOR OF FINANCE OF BANNER UNIVERSITY MEDICAL GROUP TUCSON PRIOR TO FILING. FORM 990 IS DISTRIBUTED TO THE EXECUTIVE OFFICERS AND THE BOARD OF DIRECTORS AFTER FILING WITH THE IRS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6OFFICERS AND BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST FORM. ANY REPORTED CONFLICT OF INTEREST IS REVIEWED BY GENERAL COUNSEL, PRESIDENT AND THE BOARD OF DIRECTORS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8ACTUARIAL FEES: PROGRAM SERVICE EXPENSES 22,904. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,904.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt9DIVIDEND DISTRIBUTION -28,483,409.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 4
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION A, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION A, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION A, LINE 7B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8FORM 990, PART IX, LINE 11G
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc9FORM 990, PART XI, LINE 9:
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00

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