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Nonprofiteer
← USC CAPTIVE INSURANCE COMPANY

Form 990 for tax year 2024

Filed by USC CAPTIVE INSURANCE COMPANY.

Totals

Total revenue
$9,650
Total expenses
$3,750
Contributions and grants received
$0
Grants paid
$0
Program services expenses (Part IX)
$3,750
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$3,750

Program services were 100.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • STEVEN D SHAPIRO MD

    DIRECTOR

    Total calculated
    $3,285,046
    From this org
    $0
    From related orgs
    $2,914,082
    Other
    $370,964
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,737,647 related
    Bonus
    $0 + $775,000 related
    Other
    $0 + $401,435 related
    Deferred
    $0 + $234,500 related
    Nontaxable benefits
    $0 + $136,464 related
    Filer's total
    $0 + $3,285,046 related

  • ROD HANNERS

    DIRECTOR

    Total calculated
    $2,498,697
    From this org
    $0
    From related orgs
    $2,352,451
    Other
    $146,246
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,469,543 related
    Bonus
    $0 + $673,253 related
    Other
    $0 + $209,655 related
    Deferred
    $0 + $92,192 related
    Nontaxable benefits
    $0 + $54,054 related
    Filer's total
    $0 + $2,498,697 related

  • BEONG-SOO KIM

    DIRECTOR

    Total calculated
    $1,592,344
    From this org
    $0
    From related orgs
    $1,337,795
    Other
    $254,549
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $878,812 related
    Bonus
    $0 + $300,000 related
    Other
    $0 + $158,983 related
    Deferred
    $0 + $234,500 related
    Nontaxable benefits
    $0 + $20,049 related
    Filer's total
    $0 + $1,592,344 related

  • ERIK BRINK

    DIRECTOR

    Total calculated
    $1,513,880
    From this org
    $0
    From related orgs
    $1,261,153
    Other
    $252,727
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,058,890 related
    Bonus
    $0 + $48,750 related
    Other
    $0 + $153,513 related
    Deferred
    $0 + $159,500 related
    Nontaxable benefits
    $0 + $93,227 related
    Filer's total
    $0 + $1,513,880 related

  • CASANDRA PORTER

    TREASURER (AS OF 4/28/25)/DIR.

    Total calculated
    $690,330
    From this org
    $0
    From related orgs
    $528,798
    Other
    $161,532
    Hours/week
    2 + 4 related

    Schedule J breakdown matched by us

    Base
    $0 + $374,710 related
    Bonus
    $0 + $135,000 related
    Other
    $0 + $19,088 related
    Deferred
    $0 + $34,500 related
    Nontaxable benefits
    $0 + $127,032 related
    Filer's total
    $0 + $690,330 related

  • CAROLYN DOMEN-BROSHEARS

    SECRETARY

    Total calculated
    $588,159
    From this org
    $0
    From related orgs
    $471,083
    Other
    $117,076
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $385,243 related
    Bonus
    $0 + $50,000 related
    Other
    $0 + $35,840 related
    Deferred
    $0 + $34,500 related
    Nontaxable benefits
    $0 + $82,576 related
    Filer's total
    $0 + $588,159 related

  • CAROLINE WILHELM

    TREASURER (UNTIL 04/28/2025)

    Total calculated
    $521,639
    From this org
    $0
    From related orgs
    $383,748
    Other
    $137,891
    Hours/week
    2 + 4 related

    Schedule J breakdown matched by us

    Base
    $0 + $348,761 related
    Bonus
    $0 + $30,000 related
    Other
    $0 + $4,987 related
    Deferred
    $0 + $34,500 related
    Nontaxable benefits
    $0 + $103,391 related
    Filer's total
    $0 + $521,639 related

  • JASON BENNETT

    PRESIDENT/DIRECTOR

    Total calculated
    $514,517
    From this org
    $0
    From related orgs
    $444,283
    Other
    $70,234
    Hours/week
    20 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $397,771 related
    Bonus
    $0 + $36,000 related
    Other
    $0 + $10,512 related
    Deferred
    $0 + $34,500 related
    Nontaxable benefits
    $0 + $35,734 related
    Filer's total
    $0 + $514,517 related

  • WAJEEHA SHAKEEL

    FIN/DATA ANALYTICS MANAGER

    Total calculated
    $206,269
    From this org
    $0
    From related orgs
    $154,080
    Other
    $52,189
    Hours/week
    25 + 25 related

    Schedule J breakdown matched by us

    Base
    $0 + $150,360 related
    Bonus
    $0 + $3,500 related
    Other
    $0 + $220 related
    Deferred
    $0 + $16,752 related
    Nontaxable benefits
    $0 + $35,437 related
    Filer's total
    $0 + $206,269 related

  • DIANE HANSON

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

SCHEDULE J, PART I, LINE 3
THE ORGANIZATION RELIES ON THE UNIVERSITY OF SOUTHERN CALIFORNIA (USC), A RELATED ORGANIZATION, TO ESTABLISH THE COMPENSATION OF THE PRESIDENT.
SCHEDULE J, PART I, LINE 4B
ERIK BRINK: UNDER HIS EMPLOYMENT AGREEMENT EFFECTIVE SEPTEMBER 13, 2023, THE CFO WAS ENTITLED TO A SIGNING BONUS OF $250,000 (ACCRUING AT $125,000 PER YEAR) SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE, WHICH VESTED AND WAS PAID IN 2025. FOR CALENDAR YEAR 2024 A RATABLE ACCRUAL OF $125,000 HAS BEEN INCLUDED IN SCHEDULE J, PART II, COLUMN (C). BEONG-SOO KIM: UNDER HIS EMPLOYMENT AGREEMENT DATED MAY 19, 2020, THE SENIOR VICE PRESIDENT & GENERAL COUNSEL, PARTICIPATED IN A RETENTION PROGRAM. THE RETENTION PROGRAM WAS AMENDED IN AUGUST 2022 AND PROVIDED THAT A PAYMENT OF $1,000,000 (ACCRUING AT $200,000 PER YEAR) IS SCHEDULED TO VEST AND BE PAYABLE IN 2026 SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. AN ACCRUAL OF $200,000 HAS BEEN INCLUDED IN SCHEDULE J, PART II, COLUMN (C). STEVEN D. SHAPIRO, MD: UNDER HIS EMPLOYMENT AGREEMENT, THE SENIOR VICE PRESIDENT OF HEALTH AFFAIRS PARTICIPATED IN A RETENTION BONUS PLAN IN WHICH A PAYMENT OF $1,000,000 (ACCRUING AT $200,000 PER YEAR) IS SCHEDULED TO VEST AND BE PAYABLE IN 2026 SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. FOR CALENDAR YEAR 2024 AN ACCRUAL OF $200,000 HAS BEEN INCLUDED IN SCHEDULE J, PART II, COLUMN (C). ROD HANNERS: DURING CALENDAR YEAR 2024, CEO OF KECK MEDICINE OF USC, PARTICIPATED IN A RETENTION BONUS PLAN IN WHICH A PAYMENT OF $750,000 IS SCHEDULED TO VEST AND BE PAYABLE IN JULY 2027, SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. AN ACCRUAL OF $57,692 HAS BEEN INCLUDED IN SCHEDULE J, PART II, COLUMN (C). OTHER: IN 1994 USC CREATED A 457(F) SUPPLEMENTAL RETIREMENT PLAN TO PROVIDE MAKE-UP BENEFITS TO EMPLOYEES WHOSE COMPENSATION EXCEEDED THE EARNINGS LIMITATION FOR CONTRIBUTIONS TO THE USC DEFINED CONTRIBUTION RETIREMENT PLAN. AS OF JANUARY 1, 2005, THE PLAN WAS FROZEN AND PARTICIPANTS, WITH RESPECT TO FUTURE MAKE-UP BENEFITS, WERE NO LONGER PERMITTED TO DEFER THESE BENEFITS.
SCHEDULE J, PART II
NONE OF THE OFFICERS AND DIRECTORS OF THIS ORGANIZATION RECEIVED ANY COMPENSATION FROM THE FILING ORGANIZATION DURING 2024. DURING 2024, THE INDIVIDUALS REPORTED ON SCHEDULE J, PART II WERE EMPLOYEES OF THE ORGANIZATION'S SUPPORTED ORGANIZATION, THE UNIVERSITY OF SOUTHERN CALIFORNIA ("USC").

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2024
Filed
12 May 2026
IRS schema version
2024v5.2
Source object
202601359349306435

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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