Civic Intelligence

Bmt Employee Benefits Trust Inc

EIN 26-1445922 • 501(c)9

Profile

None

1301 Elm St PO Box 116559624

www.bcbsmt.com

Siviq Scores

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

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2013

Liabilities / Revenue

61st percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)9 • $500k-$1M nonprofits • Source year 2013

Net Margin

8th percentile

-137%

Higher net margin than 8% of similar nonprofits.

501(c)9 • $500k-$1M nonprofits • Source year 2013

Top Officer Pay

98th percentile

$434,924

Higher top officer pay than 98% of similar nonprofits.

Top officer pay equals 51.0% of source-year revenue.

501(c)9 • $500k-$1M nonprofits • Source year 2013

Asset Growth

17th percentile

-100%

Faster asset growth than 17% of similar nonprofits.

501(c)9 • $500k-$1M nonprofits • Annualized from 2012 to 2013

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2013

Assets

Down

$0

Down $1,172,085 (-100%) from 2012

Liabilities

Down

$0

Down $11,483 (-100%) from 2012

Net Assets

Down

$0

Down $1,160,602 (-100%) from 2012

Revenue

$853,236

No earlier filing loaded for comparison.

Expenses

Down

$2,025,321

Down $3,485,659 (-63%) from 2012

Net Income

-$1,172,085

No earlier filing loaded for comparison.

Trend Graphs

Balance Sheet Trend

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

$1.5M$1.0M$500K$0Assets 2010: $118,942Liabilities 2010: $13,287Net Assets 2010: $105,6552010Assets 2011: $271,053Liabilities 2011: $10,726Net Assets 2011: $260,3272011Assets 2012: $1,172,085Liabilities 2012: $11,483Net Assets 2012: $1,160,6022012Assets 2013: $0Liabilities 2013: $0Net Assets 2013: $02013

Highlighted filing

2013

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

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

$10M$5.0M$0-$5.0MExpenses 2010: $7,200,4312010Expenses 2011: $6,970,5612011Expenses 2012: $5,510,9802012Revenue 2013: $853,236Expenses 2013: $2,025,321Net Income 2013: -$1,172,0852013

Highlighted filing

2013

Revenue$853,236
Expenses$2,025,321
Net Income-$1,172,085

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Jul 31, 2013
Signed
Mar 13, 2014
Return Version
2013v3.0
Gross Receipts
$853,236
Mission and Program Overview

Mission

None

To act in a fiduciary role relative to the health benefit plan of the sponser, Blue Cross Blue Shield of MT. The Trust receives assets of the sponsor (both employer and employee health premium contributions) and holds these assets in a designated account and, upon receipt of claims and other expense invoices, reimburses costs to the sponsor.

Balance Sheet Detail
LineBeginningEndChange
Assets
Rtn Earn Endowment Incm Other Fnds$1,160,602$0▼ $1,160,602
Savings and Temporary Cash Investments$1,138,096$0▼ $1,138,096
Accounts Receivable$33,989$0▼ $33,989
Cash and Non-Interest-Bearing Accounts-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Land, Buildings, and Equipment, Net-$0-
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Total Assets$1,172,085$0▼ $1,172,085
Other Assets Total-$0-
Liabilities
Accounts Payable and Accrued Expenses$11,483--
Total Liabilities$11,483$0▼ $11,483
Net Assets / Fund Balance
Total Net Assets Fund Balance$1,160,602$0▼ $1,160,602
Total Liabilities and Net Assets / Fund Balance$1,172,085$0▼ $1,172,085
Compensation and Service Providers

Employees

NameTitleOtherTotal
Sean SlangerTrustee$129,401$129,401
Raelynn WilliamsTrustee$82,754$82,754

Board Members and Trustees

NameTitle
Mark BurzynskiTrustee
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$853,236
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-1,172,085

Audited Revenue Reconciliation

Revenue per Audited Statements
$853,236
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Total Revenue per Audited Statements
$853,236
Total Revenue per Form 990
$853,236
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$0
Other Expenses$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Benefits to Members---$2,025,321
Total Functional Expenses$0$0$0$2,025,321

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$2,025,321
Total Expenses per Audited Statements$2,025,321
Total Expenses per Form 990$2,025,321
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
Insider Transactions and Loans

Loans and Receivables

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

Governance Checklist

Compiled or reviewed by an accountant
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
No
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 2

Mark Burzynski and Sean Slanger - Business Relationship Mark Burzynski and Raelynn Williams - Business Relationship

Form 990, Part VI, Section A, line 6

Blue Cross and Blue Shield of Montana, Inc. is the sole member of the BMT Employee Benefits Trust.

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

Blue Cross Blue Shield of Montana elects the members of the governing body.

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

No committes have authority to act on behalf of the board.

Form 990, Part VI, Section B, line 11

The Form 990 will be reviewed by the Executive Director of CFM before the Form 990 is filed.

Form 990, Part VI, Section B, line 12

BMT Employee Benefits Trust, Inc. does not have a conflict of interest policy; however, all board members are employees of BCBSMT, a related organization, and are required to follow the conflict of interest policy of BCBSMT

Form 990, Part VI, Section B, line 15

No compensation is paid by the Trust. Board members are employees of Blue Cross Blue Shield of Montana and compensation is based upon a variety of factors including comparability data and other market factors.

Form 990, Part VI, Section C, line 19

These documents are not available to the general public.

Form 990, Part VII:

The amounts shown in Part VII as compensation from a related organization are payments for services that are provided to Blue Cross Blue Shield of Montana through December 31, 2013, a related organization. The board members do not receive any compensation for the services that they provide to BMT Employee Benefits Trust, Inc as board members.

Filing and Contact Details

Filer

EIN
26-1445922
Phone
4064220959

Signing Officer

Name
Chris Manger
Title
Executive Director
Phone
4064220959
Signed
2014-03-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Mark Burzynski
Formed
2007
Legal Domicile
Mt
Voting Board Members
3
Independent Board Members
0
Employees
0
Volunteers
3

Preparer

Preparer
Lisa Chaffee CPA
Phone
7012398500
Supplemental Narrative

Financial Statement Notes

Part X, Line 2:

The Voluntary Employee Benefit Association (VEBA) Trust established to hold the Plan's assets is intended to qualify pursuant to Section 501(c)(9) of the Internal Revenue Code, and accordingly, the VEBA Trust's net investment income is exempt from income taxes. The VEBA Trust has obtained an exemption letter dated February 2, 2010 from the Internal Revenue Service, notifying the Sponsor of their exemption effective November 14, 2008. The Sponsor believes that the VEBA Trust continued to qualify and to operate in accordance with the applicable requirements of the Internal Revenue Code through its termination date. Therefore, no provision for income taxes has been included in the Plan's financial statements. Accounting standards generally accepted in the United States of America require Plan management to evaluate tax positions taken by the Plan and recognize a tax liability (or asset) if the Plan has taken an uncertain tax position that more likely than not would not be sustained upon examination by the Internal Revenue Service. The Plan Administrator has analyzed the tax positions taken by the Plan, and has concluded that as of July 31, 2013, there are no uncertain positions taken or expected to be taken that would require recognition of a liability (or asset) or disclosure in the financial statements. The Plan is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress. The Plan Administrator believes it is no longer subject to income tax examinations for years prior to 2010.

Raw XML AppendixShowing 400 of 404 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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IRS990/ActivityOrMissionDesc0To act in a fiduciary role relative to the health benefit plan of the sponser, Blue Cross Blue Shield of MT. The Trust receives assets of the sponsor (both employer and employee health premium contributions) and holds these assets in a designated account and, upon receipt of claims and other expense invoices, reimburses costs to the sponsor.
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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0The Voluntary Employee Benefit Association (VEBA) Trust established to hold the Plan's assets is intended to qualify pursuant to Section 501(c)(9) of the Internal Revenue Code, and accordingly, the VEBA Trust's net investment income is exempt from income taxes. The VEBA Trust has obtained an exemption letter dated February 2, 2010 from the Internal Revenue Service, notifying the Sponsor of their exemption effective November 14, 2008. The Sponsor believes that the VEBA Trust continued to qualify and to operate in accordance with the applicable requirements of the Internal Revenue Code through its termination date. Therefore, no provision for income taxes has been included in the Plan's financial statements. Accounting standards generally accepted in the United States of America require Plan management to evaluate tax positions taken by the Plan and recognize a tax liability (or asset) if the Plan has taken an uncertain tax position that more likely than not would not be sustained upon examination by the Internal Revenue Service. The Plan Administrator has analyzed the tax positions taken by the Plan, and has concluded that as of July 31, 2013, there are no uncertain positions taken or expected to be taken that would require recognition of a liability (or asset) or disclosure in the financial statements. The Plan is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress. The Plan Administrator believes it is no longer subject to income tax examinations for years prior to 2010.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0Part X, Line 2:
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0Mark Burzynski
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IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0Compensation: No compensation is paid by BMT Employee Benefits Trust, Inc. Trustees are employees of Blue Cross Blue Shield of Montana and compensation is based upon a variety of factors including comparability data and other market factors.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0Schedule J, Part I, Line 3
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IRS990ScheduleN/SupplementalInformationDetail/ExplanationTxt0Prior to the termination date of the Trust, all assets had been expended for payments of benefit claims. Therefore, as of July 31, 2013, the termination date, no assets remained that required distribution.
IRS990ScheduleN/SupplementalInformationDetail/FormAndLineReferenceDesc0Part I, Line 1,
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0Mark Burzynski and Sean Slanger - Business Relationship Mark Burzynski and Raelynn Williams - Business Relationship
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1Blue Cross and Blue Shield of Montana, Inc. is the sole member of the BMT Employee Benefits Trust.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2Blue Cross Blue Shield of Montana elects the members of the governing body.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3No committes have authority to act on behalf of the board.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4The Form 990 will be reviewed by the Executive Director of CFM before the Form 990 is filed.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5BMT Employee Benefits Trust, Inc. does not have a conflict of interest policy; however, all board members are employees of BCBSMT, a related organization, and are required to follow the conflict of interest policy of BCBSMT
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6No compensation is paid by the Trust. Board members are employees of Blue Cross Blue Shield of Montana and compensation is based upon a variety of factors including comparability data and other market factors.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7These documents are not available to the general public.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8The amounts shown in Part VII as compensation from a related organization are payments for services that are provided to Blue Cross Blue Shield of Montana through December 31, 2013, a related organization. The board members do not receive any compensation for the services that they provide to BMT Employee Benefits Trust, Inc as board members.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Section A, line 2
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Section A, line 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990, Part VI, Section A, line 7a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990, Part VI, Section A, line 8b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Form 990, Part VI, Section B, line 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5Form 990, Part VI, Section B, line 12
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6Form 990, Part VI, Section B, line 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7Form 990, Part VI, Section C, line 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8Form 990, Part VII:
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IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine13Health-e-Web Inc
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine14Combined Benefits Management Inc
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine15Electronic Translations & Transmittals
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IRS990/USAddress/AddressLine101301 Elm St PO Box 1165
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ReturnHeader/BuildTS02015-11-30 17:44:51Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0Chris Manger
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0Executive Director
ReturnHeader/BusinessOfficerGrp/PhoneNum04064220959
ReturnHeader/BusinessOfficerGrp/SignatureDt02014-03-13
ReturnHeader/Filer/BusinessName/BusinessNameLine10BMT Employee Benefits Trust Inc
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ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0450250958
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine10EIDE BAILLY LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine104310 17TH AVE S PO BOX 2545
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/City0FARGO
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/State0ND
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCode0581082545
ReturnHeader/PreparerPersonGrp/PhoneNum07012398500
ReturnHeader/PreparerPersonGrp/PreparationDt02014-03-13
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0LISA CHAFFEE CPA
ReturnHeader/ReturnTs02014-03-24T09:14:11-05:00

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