2024-10-09T14:50:25-05:00 2023-12-31 941254756 HOOD & STRONG LLP 2580 N 1ST ST STE 460 SAN JOSE CA 95131 990 2023-01-01 941591595 CALIF WORKERS' COMPENSATION INSTITUTE CALI 5102519470 1999 HARRISON STREET 2100 OAKLAND CA 94612 RENA DAVID SVP, RESEARCH & OPS, CFO/TREAS 5102519470 2024-10-08 1 0 MAGA E KISRIEV P01008919 4089988400 2023 2024-10-15 13:58:12Z ALEX SWEDLOW 1999 HARRISON STREET 2100 OAKLAND CA 94612 4827177 0 X WWW.CWCI.ORG X 1964 CA RESEARCH, COMMUNICATION, REPRESENTATION & EDUCATION TO IMPROVE CA WORKERS' COMP SYSTEM. 25 25 18 32 0 0 0 0 4489432 4545596 -18022 192256 43965 34079 4515375 4771931 0 0 0 0 3504453 3414800 0 0 0 753251 853155 4257704 4267955 257671 503976 10428884 13113372 4688714 6746820 5740170 6366552 X SEE SCHEDULE O. 0 0 THE CALIFORNIA WORKERS' COMPENSATION INSTITUTE (CWCI) HAS 23 MEMBER INSURERS (APPROXIMATELY 76% OF CA WORKERS' COMPENSATION MARKET) AND 29 ASSOCIATE MEMBERS (SELF-INSUREDS). CWCI'S PRIMARY FUNCTION IS TO GENERATE RELIABLE, OBJECTIVE DATA THAT CAN BE USED TO IDENTIFY AND MONITOR SYSTEMWIDE TRENDS, AND TO ANALYZE KEY ISSUES OF INTEREST TO THE WORKERS' COMPENSATION COMMUNITY AND PUBLIC POLICYMAKERS. TOWARDS THAT END, IN 2023, CWCI'S MAJOR ACCOMPLISHMENTS INCLUDED: 1) PRODUCED AND DISTRIBUTED OVER 300 PLUS PUBLICATIONS INCLUDING BULLETINS, RESEARCH REPORTS, EXECUTIVE MEMOS, EXECUTIVE BRIEFINGS, SIGNIFICANT DECISIONS, REGULATORY COMMENTS, AND REGULATORY TRACKER, WHICH ARE ALL AVAILABLE TO ITS MEMBERS VIA THE WEBSITE - WWW.CWCI.ORG; 2) CONDUCTED EDUCATIONAL PROGRAM ON THE ANNUAL WORKERS' COMPENSATION CASE LAW: 2023 UPDATE; 3) FILED AMICUS BRIEF; 4) PRESENTED (VIRTUAL) CWCI RESEARCH AT NUMEROUS MEMBER-RELATIONS MEETINGS, PUBLIC HEARINGS, INDUSTRY MEETINGS AND FORUMS; AND 5) PROCESSED AND SHIPPED 284 ORDERS OF PAMPHLETS, POSTING NOTICES, CLAIM FORMS, RESEARCH STUDIES, AND SEMINAR MANUALS. IN ADDITION, CWCI ENHANCED ITS UNIQUE INTERACTIVE DATA APPLICATIONS AVAILABLE TO BOTH THE MEMBERS AND TO THE PUBLIC. THE PUBLIC APPLICATION ALLOWS USERS TO EXAMINE DATA ON COVID-19 AND NON-COVID-19 CLAIMS IN THE CALIFORNIA WORKERS' COMPENSATION SYSTEM. THE MEMBER APPLICATIONS USE DATA FROM CWCI'S INDUSTRY RESEARCH INFORMATION SYSTEM (IRIS) TO PROVIDE INFORMATION ON CLAIM PAYMENT TRENDS, REGIONAL VARIATION, AND MEDICAL UTILIZATION. CWCI CONTINUES TO ASSIST ITS MEMBERS IN ASSESSING THEIR OPERATIONS COMPARED TO THE INDUSTRY AS A WHOLE. THE ORGANIZATION HAS A BOARD OF DIRECTORS, EXECUTIVE COMMITTEE, AUDIT COMMITTEE, NOMINATING COMMITTEE, AND THREE STANDING COMMITTEES (CLAIMS, MEDICAL CARE, AND LEGAL COMMITTEES), WHICH TYPICALLY MEET ON A QUARTERLY BASIS. 0 0 0 1 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 8 0 1 18 1 0 0 0 0 0 0 0 0 X 25 25 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X RENA DAVID 5102519470 1999 HARRISON STREET SUITE 2100 OAKLAND CA 94612 ERIC HANSEN ACTING CHAIR 1.00 X X 0 0 0 SHARON THALER CHAIR (THRU 11/08/23) 1.00 X X 0 0 0 ERIC BELK DIRECTOR 1.00 X 0 0 0 MARTIN BRADY DIRECTOR 1.00 X 0 0 0 MARY CAPELLI-SCHELLPFEFFER DIRECTOR 1.00 X 0 0 0 CHRISTINE CLOSSER DIRECTOR (THRU 03/08/23) 1.00 X 0 0 0 MICHAEL CUNNINGHAM DIRECTOR 1.00 X 0 0 0 NEIL DEBLOCK DIRECTOR 1.00 X 0 0 0 IRA FEUERLICHT DIRECTOR (THRU 06/20/23) 1.00 X 0 0 0 MICHAEL GILL DIRECTOR 1.00 X 0 0 0 AMANDA GRANGER DIRECTOR 1.00 X 0 0 0 MICHELLE HALSTENRUD DIRECTOR 1.00 X 0 0 0 ROBERT HUGHES DIRECTOR (THRU 03/08/23) 1.00 X 0 0 0 JIM HURLEY DIRECTOR 1.00 X 0 0 0 SCOTT LANGE DIRECTOR 1.00 X 0 0 0 ANDREW LINKHART DIRECTOR 1.00 X 0 0 0 KRIS MATHIS DIRECTOR 1.00 X 0 0 0 DAVE MCGOWAN DIRECTOR 1.00 X 0 0 0 NICHOLAS NARDINI DIRECTOR 1.00 X 0 0 0 ADNAN PATHAN DIRECTOR 1.00 X 0 0 0 MARY BETH PITTINGER DIRECTOR 1.00 X 0 0 0 TIM ROBERTS DIRECTOR 1.00 X 0 0 0 DWIGHT ROBERTSON DIRECTOR (THRU 08/30/23) 1.00 X 0 0 0 JEFF RUSH DIRECTOR 1.00 X 0 0 0 CARMEN SHARP DIRECTOR 1.00 X 0 0 0 JUSTIN SMITH DIRECTOR 1.00 X 0 0 0 VERNON STEINER DIRECTOR 1.00 X 0 0 0 PEGGY SUGARMAN DIRECTOR (THRU 03/08/23) 1.00 X 0 0 0 CHRISTOPHER THURMAN DIRECTOR 1.00 X 0 0 0 JOSEPH WELLS DIRECTOR (THRU 03/08/23) 1.00 X 0 0 0 MATTHEW ZENDER DIRECTOR 1.00 X 0 0 0 PAUL ZIEGLER DIRECTOR 1.00 X 0 0 0 ALEX SWEDLOW PRESIDENT 40.00 X 530724 0 85255 RENA DAVID SVP RESEARCH & OPS/CFO/CORP TREASURER 40.00 X 295779 0 79093 SARA WIDENER-BRIGHTWELL SVP CLAIMS/GENERAL COUNSEL/CORP SECRETARY 40.00 X 215380 0 36737 RAWINTARA ADEL TECHNICAL OPERATIONS MANAGER 40.00 X 233212 0 36446 STEPHEN HAYES SENIOR RESEARCH ASSOCIATE 40.00 X 211715 0 34808 ROBERT YOUNG COMMUNICATIONS DIRECTOR 40.00 X 183993 0 33639 ROBERT BULLIS SENIOR RESEARCH ASSOCIATE 40.00 X 151745 0 50585 CHINNARAJU SELVAN LEAD DATABASE ADMIN 40.00 X 137177 0 50215 1959725 0 406778 8 0 1 0 0 MEMBERSHIP DUES 900099 4097752 4097752 FUNDED RESEARCH 541900 385518 385518 SEMINAR FEES 900099 53801 53801 SUBSCRIPTIONS 513190 8525 8525 4545596 191256 191256 1000 0 1000 1000 1000 89325 55246 34079 34079 4771931 4579675 0 192256 1242968 1615584 222077 169302 164869 423 69150 32209 124560 334800 65261 65407 32354 34819 OTHER PERSONNEL SERVICE 65817 MOVING EXPENSES 25519 OTHER RESEARCH EXPENSES 2836 4267955 881176 883028 6568414 7460685 4000 4000 28207 25197 108870 44628 568618 500342 42823 68276 2795394 4627558 10428884 13113372 576542 576791 1358817 1316445 2753355 4853584 4688714 6746820 X 5740170 6366552 5740170 6366552 10428884 13113372 503976 122406 0 X 0 1 X 1 0 0 1 0 568618 500342 68276 68276 DEPOSITS 36414 DEFERRED COMPENSATION PLAN ASSETS 3252654 OPERATING RIGHT-OF-USE LEASE ASSETS 1338490 4627558 DEFERRED COMPENSATION 3252654 FINANCE LEASE LIABILITIES 6020 OPERATING LEASE LIABILITIES 1594910 4853584 X 5420946 593769 593769 4827177 -55246 -55246 4771931 4794564 526609 526609 4267955 0 4267955 PART X, LINE 2: THE INSTITUTE IS A NONPROFIT ORGANIZATION AND IS EXEMPT FROM FEDERAL INCOME AND CALIFORNIA FRANCHISE TAXES ON INCOME RELATED TO ITS EXEMPT PURPOSE UNDER INTERNAL REVENUE CODE SECTION 501(C)(6) AND CALIFORNIA REVENUE AND TAXATION CODE SECTION 23701E. MANAGEMENT HAS EVALUATED THE INSTITUTE'S TAX POSITIONS AND CONCLUDED THAT THE INSTITUTE HAS MAINTAINED ITS TAX-EXEMPT STATUS AND HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS. PART XI, LINE 4B - OTHER ADJUSTMENTS: COST OF GOODS SOLD RECLASSIFIED TO REVENUE -55,246. PART XII, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD RECLASSIFIED TO REVENUE 55,246. CHANGE IN DEFERRED COMPENSATION LIABILITY 471,363. X X 0 0 0 ALEX SWEDLOW PRESIDENT 480524 0 47500 0 2700 0 49500 0 35755 0 615979 0 0 0 RENA DAVID SVP RESEARCH & OPS/CFO/CORP TREASURE 277019 0 16000 0 2760 0 42455 0 36638 0 374872 0 0 0 RAWINTARA ADEL TECHNICAL OPERATIONS MANAGER 217310 0 5500 0 10402 0 32610 0 3835 0 269657 0 0 0 SARA WIDENER-BRIGHTWELL SVP CLAIMS/GENERAL COUNSEL/CORP SECR 202090 0 12000 0 1290 0 30771 0 5966 0 252117 0 0 0 STEPHEN HAYES SENIOR RESEARCH ASSOCIATE 192358 0 5000 0 14357 0 29091 0 5717 0 246523 0 0 0 ROBERT YOUNG COMMUNICATIONS DIRECTOR 170983 0 4400 0 8610 0 26171 0 7468 0 217632 0 0 0 ROBERT BULLIS SENIOR RESEARCH ASSOCIATE 146207 0 5000 0 538 0 23202 0 27383 0 202330 0 0 0 CHINNARAJU SELVAN LEAD DATABASE ADMIN 132058 0 3400 0 1719 0 20902 0 29313 0 187392 0 0 0 FORM 990, PART III, LINE 1, ORGANIZATION MISSION: THE CALIFORNIA WORKERS' COMPENSATION INSTITUTE IS A PRIVATE, NONPROFIT ORGANIZATION OF INSURERS LICENSED TO WRITE WORKERS' COMPENSATION IN CALIFORNIA, AS WELL AS PUBLIC AND PRIVATE SELF-INSURED EMPLOYERS, WHO SERVE AS ASSOCIATE MEMBERS. CWCI'S PRIMARY FUNCTION IS TO COLLECT AND ANALYZE CLAIMS DATA TO IMPROVE BENEFIT DELIVERY TO INJURED WORKERS, IDENTIFY SYSTEM-WIDE TRENDS, ASSIST MEMBERS IN ASSESSING THEIR OWN OPERATIONS, AND TO ADDRESS KEY ISSUES OF INTEREST TO THE WORKERS' COMPENSATION COMMUNITY AND PUBLIC POLICYMAKERS. CWCI ANALYZES STATUTES AND REGULATIONS AND PROVIDES TESTIMONY TO PUBLIC POLICYMAKERS IN SUPPORT OF A RATIONAL REGULATORY ENVIRONMENT AND PARTICIPATES IN JUDICIAL CASES TO ADVOCATE A REASONABLE UNDERSTANDING OF THE WORKERS' COMPENSATION SYSTEM. THE INSTITUTE ALSO PRODUCES A WIDE VARIETY OF RESEARCH PUBLICATIONS, PROVIDES INFORMATION AND TECHNICAL TRAINING TO HELP INDUSTRY PROFESSIONALS STAY ABREAST OF CHANGES, AND SERVES AS A FORUM WHERE MEMBERS CAN CONSIDER SYSTEM-WIDE ISSUES AND REACH CONSENSUS ON PRACTICAL SOLUTIONS. FORM 990, PART VI, SECTION A, LINE 6 CWCI HAS TWO CLASSES OF MEMBERSHIP: 1) WORKERS' COMPENSATION INSURANCE COMPANIES (MEMBERS) AND 2) SELF-INSURED EMPLOYERS (ASSOCIATE MEMBERS). ONE REPRESENTATIVE FROM EACH MEMBER MAY CAST ONE VOTE TO ELECT MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS VOTE ANNUALLY ON GOVERNING BODY MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B THE ENTITY'S ACCOUNTING FIRM FORWARDED THE FORM 990 TO THE SVP, COO/CFO/TREASURER. THE SVP, COO/CFO/TREASURER REVIEWED THE RETURN AND SENT THE FINAL COPY TO THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS FOR THEIR REVIEW AND APPROVAL PRIOR TO FILING. THE AUDIT COMMITTEE MEMBERS ARE INDEPENDENT MEMBERS FOR THE BOARD OF DIRECTORS. NEXT, THE AUDIT COMMITTEE MEMBERS WERE INSTRUCTED TO REVIEW THE FORM 990 AND TO CONTACT THE SVP, COO/CFO/TREASURER WITH ANY QUESTIONS. THEN, THE AUDIT COMMITTEE FORMALLY MEETS WITH THE AUDIT FIRM PARTNER AND ULTIMATELY VOTED TO ACCEPT THE FORM 990. A WRITTEN RECORD OF THE ACTION WAS MAINTAINED AND PRESENTED TO THE BOARD OF DIRECTORS. A COPY OF THE AUDIT AND FORM 900 WAS MADE AVAILABLE TO ANY MEMBER. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS REGULARLY REINFORCED WITH ALL EMPLOYEES. ANNUALLY, THE CONFLICT OF INTEREST POLICY IS DISTRIBUTED TO THE BOARD OF DIRECTORS AND ALL EMPLOYEES AND EACH MUST RETURN A SIGNED CONFLICT OF INTEREST DISCLOSURE STATEMENT. ANY DISCLOSED CONFLICT IS REPORTED TO THE AUDIT COMMITTEE BY CWCI'S SVP, COO/CFO/TREASURER. THE AUDIT COMMITTEE WILL EITHER ACCEPT OR REFER TO THE BOARD OF DIRECTORS FOR FINAL ACTION AS NEEDED. IF A CONFLICT IS IDENTIFIED, THE MEMBER CANNOT PARTICIPATE IN ANY DISCUSSION OR VOTING RELATED TO THE MATTER. FORM 990, PART VI, SECTION B, LINE 15 THE PRESIDENT'S COMPENSATION IS REVIEWED AND DETERMINED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. THE CHANGES ARE APPROVED BY THE EXECUTIVE COMMITTEE. THE COMPENSATION OF ALL OTHER EMPLOYEES, INCLUDING OFFICERS AND KEY EMPLOYEES, IS MANAGED BY THE PRESIDENT WITHIN THE ANNUAL BUDGET, WHICH IS APPROVED BY THE BOARD OF DIRECTORS. ALL COMPENSATION CHANGES REQUIRE TWO LEVELS OF APPROVAL. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST FOR THE SAME PERIOD OF TIME SET FORTH IN SEC. 6104(D).