Civic Intelligence

Blue Cross Blue Shield Association Retiree

990 • Fiscal year 2014 • EIN 36-4018700

Jan 01, 2014 to Dec 31, 2014 • Filed on Nov 15, 2015

225 North Michigan AvenueChicago, IL 60601

(312) 444-5670

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

52nd percentile

0.03x

Higher debt load relative to assets than 52% of similar nonprofits.

2014 filings • 501(c)9 • $50M-$100M nonprofits • Source year 2014

Liabilities / Revenue

90th percentile

0.49x

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

2014 filings • 501(c)9 • $50M-$100M nonprofits • Source year 2014

Net Margin

93rd percentile

52%

Higher net margin than 93% of similar nonprofits.

2014 filings • 501(c)9 • $50M-$100M nonprofits • Source year 2014

Top Officer Pay

99th percentile

$762,323

Higher top officer pay than 99% of similar nonprofits.

Top officer pay equals 21.5% of source-year revenue.

2014 filings • 501(c)9 • $50M-$100M nonprofits • Source year 2014

Asset Growth

60th percentile

8.7%

Faster asset growth than 60% of similar nonprofits.

2014 filings • 501(c)9 • $50M-$100M nonprofits • Annualized from 2013 to 2014

Revenue Growth

8th percentile

-27%

Faster revenue growth than 8% of similar nonprofits.

2014 filings • 501(c)9 • $50M-$100M nonprofits • Annualized from 2013 to 2014

Assets

Up

$59,510,512

Up $4,783,886 (+8.7%) from 2013

Net Assets

Up

$57,754,274

Up $4,233,693 (+7.9%) from 2013

Liabilities

Up

$1,756,238

Up $550,193 (+46%) from 2013

Revenue

Down

$3,548,430

Down $1,294,590 (-27%) from 2013

Expenses

Up

$1,692,935

Up $538,149 (+47%) from 2013

Net Income

Down

$1,855,495

Down $1,832,739 (-50%) from 2013

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$100M$50M$0Assets 2010: $37,182,603Liabilities 2010: $896,710Net Assets 2010: $36,285,8932010Assets 2011: $42,171,710Liabilities 2011: $1,123,575Net Assets 2011: $41,048,1352011Assets 2012: $48,225,862Liabilities 2012: $2,376,259Net Assets 2012: $45,849,6032012Assets 2013: $54,726,626Liabilities 2013: $1,206,045Net Assets 2013: $53,520,5812013Assets 2014: $59,510,512Liabilities 2014: $1,756,238Net Assets 2014: $57,754,2742014Assets 2015: $61,127,231Liabilities 2015: $2,322,482Net Assets 2015: $58,804,7492015Assets 2016: $66,006,388Liabilities 2016: $1,718,058Net Assets 2016: $64,288,3302016Assets 2019: $87,639,929Liabilities 2019: $2,719,245Net Assets 2019: $84,920,6842019Assets 2020: $96,463,885Liabilities 2020: $2,617,204Net Assets 2020: $93,846,6812020Assets 2022: $89,188,249Liabilities 2022: $2,692,192Net Assets 2022: $86,496,0572022Assets 2024: $98,405,138Liabilities 2024: $2,999,563Net Assets 2024: $95,405,5752024

Highlighted filing

2014

Assets$59,510,512
Liabilities$1,756,238
Net Assets$57,754,274

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$15M$10M$5.0M$0Expenses 2010: $856,3772010Expenses 2011: $1,064,4292011Expenses 2012: $1,082,1552012Revenue 2013: $4,843,020Expenses 2013: $1,154,786Net Income 2013: $3,688,2342013Revenue 2014: $3,548,430Expenses 2014: $1,692,935Net Income 2014: $1,855,4952014Revenue 2015: $6,105,971Expenses 2015: $2,272,334Net Income 2015: $3,833,6372015Revenue 2016: $4,584,301Expenses 2016: $1,661,750Net Income 2016: $2,922,5512016Revenue 2019: $3,577,504Expenses 2019: $2,621,844Net Income 2019: $955,6602019Revenue 2020: $2,564,114Expenses 2020: $2,530,955Net Income 2020: $33,1592020Revenue 2022: $7,122,339Expenses 2022: $2,591,707Net Income 2022: $4,530,6322022Revenue 2024: $12,031,506Expenses 2024: $3,027,905Net Income 2024: $9,003,6012024

Highlighted filing

2014

Revenue$3,548,430
Expenses$1,692,935
Net Income$1,855,495
Jump To
Filing Snapshot
Filing Period
Jan 1, 2014 to Dec 31, 2014
Signed
Nov 15, 2015
Return Version
2014v5.0
Gross Receipts
$2,743,845
Mission and Program Overview

Mission

The trust was created for the exclusive purpose of providing post-retirement health care and life insurance benefits to eligible retirees and their dependents under blue cross & blue shield association's benefit programs.

The trust was created for the exclusive purpose of providing post-retirement health care and life insurance to eligable retirees & their dependents under bcbsa benefit programs.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$54,543,814$57,791,526▲ $3,247,712
Cap Stk Tr Prin Current Funds$53,520,581$57,754,274▲ $4,233,693
Savings and Temporary Cash Investments$70,261$1,602,329▲ $1,532,068
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
Land, Buildings, and Equipment, Net$0--
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$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$54,726,626$59,510,512▲ $4,783,886
Other Assets Total$112,551$116,657▲ $4,106
Liabilities
Other Liabilities$1,093,517$1,639,728▲ $546,211
Accounts Payable and Accrued Expenses$112,528$116,510▲ $3,982
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$1,206,045$1,756,238▲ $550,193
Net Assets / Fund Balance
Total Net Assets Fund Balance$53,520,581$57,754,274▲ $4,233,693
Total Liabilities and Net Assets / Fund Balance$54,726,626$59,510,512▲ $4,783,886
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
The Northern TrustTrusteeFT$35,482$35,482

Board Members and Trustees

NameTitle
Rick SchumChairman
John F GiblinVice Chairman
Andrew C CorbinCommittee Member
Chuck DiVitaCommittee Member
Don GeorgeCommittee Member
Karen M Abrahamcommittee member
Mark P Stimpsoncommittee member
Mary O'HaraCommittee Member
Michael Goldcommittee member
Michael Mizeurcommittee member
Peter AndruszkiewiczCommittee Member
R Chris Doerrcommittee member
Robert J KolodgyCommittee Member
Tim HuckleCommittee Member
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$578,657
Investment Income
$2,969,773
Other Revenue
$0
Change in Net Assets
$1,855,495
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$35,482
Other Expenses$17,725
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Benefits to Members---$1,639,728
Current Officers, Directors, Trustees, and Key Employees---$35,482
Fees for Service Investment Mgmnt Fees---$14,000
Fees for Services Accounting---$2,850
Fees for Services Other---$875
Total Functional Expenses$0$0$0$1,692,935
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
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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Sponsor Premium Reimbur$1,639,728
Governance and Compliance

Governance Checklist

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

Governance Explanations

part VI, section A, line 2

certain members of the national employee benefits committee ("committee") serve together on the board of the blue cross and blue shield association. all members of the committee are either employees of the blue cross and blue shield association or one of the member plans.

part VI, section B, line 11B

Form 990's content and sources of information are reviewed by subject matter experts including, but not limited to, internal and external tax and accounting professionals and internal legal personnel, and the consolidated audited financial statements of the blue cross and blue shield health and life program were presented to the Committee that serves as the governing body by the independent auditors.

part VI, section B, line 12C

BCBSA maintains a comprehensive Code of Conduct and Compliance Program applicable to all employees and officers including those who either serve on the Committee (that governs and acts for the organization) or act on behalf of that Committee. In addition, all employees, officers, and directors (including those who serve on the Committee or act on its behalf) are required to complete an annual conflict of interest form. The BCBSA Chief Auditor and Compliance Officer is charged with investigating any allegations of non-compliance with the Code of Conduct, including any complaints reported through the anonymous hot-line maintained through an independent organization. The results of the Compliance Program's effectiveness are reported to the Audit Committee of The bcbsa Board of Directors on an annual basis. Failure to adhere to the Code of Conduct may result in disciplinary action, up to and including termination of employment. Moreover, committee members receive fiduciary training from the BCBSA Chief Employee Benefits Counsel regarding their fiduciary duties, including the ERISA fiduciary conflict of interest rules. BCBSA's Chief Employee Benefits Counsel also provides the Committee with an annual assessment of the organization's and the Committee's legal compliance, including compliance with ERISA. As employees of various Blue Plans, each Committee member not employed by BCBSA is subject to additional conflict of interest restriction under policies adopted by his or her Employer Plan.

part VI, section B, line 15 A and B

the organization does not require compensation policies as it does not compensate any officers, management officials or key employees.

part VI, section C, line 19

The governing documents and Form 990 are made available upon request to the Executive Director, National Employee Benefits Administration, Blue Cross and Blue Shield Association, 225 N. Michigan Avenue, Chicago, IL 60601.

part VII, section A

with the exception of the institutional trustee, all listed are members of an independent committee that supervises the trust.

Filing and Contact Details

Filer

Filer Name
Blue Cross Blue Shield Assoc Retire
EIN
36-4018700
In Care Of
% NEBA EXECUTIVE DIRECTOR
Phone
3124445670
Address
225 North Michigan Avenue, Chicago, IL 60601

Signing Officer

Name
Terrence J Cooney
Title
Officer
Phone
3124445670
Signed
2015-11-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Terrence J Cooney
Formed
1994
Legal Domicile
Il
Voting Board Members
14
Independent Board Members
1
Employees
0

Preparer

Firm
Bdo USA Llp
Address
330 N Wabash Suite 3200, CHICAGO, IL 60611
Preparer
Rebekuh Eley
Phone
3128569100
Supplemental Narrative

Financial Statement Notes

ACCOUNTING STANDARDS CODIFICATION ("ASC") 740-10 (FORMERLY FIN 48)

Accounting principles generally accepted in the United States of America require trust management to evaluate tax positions taken by the Trust and recognize a tax liability (or asset) if the organization has taken an uncertain position that more likely than not would not be sustained upon examination by the Internal Revenue Service. The Trust Administrator has analyzed the tax positions taken by the Trust, and has concluded that as of December 31, 2014 and 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 Trust is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress.

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IRS990/Form990PartVIISectionAGrp/PersonNm14THE NORTHERN TRUST
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IRS990/MissionDesc0THE TRUST WAS CREATED FOR THE EXCLUSIVE PURPOSE OF PROVIDING POST-RETIREMENT HEALTH CARE AND LIFE INSURANCE BENEFITS TO ELIGIBLE RETIREES AND THEIR DEPENDENTS UNDER BLUE CROSS & BLUE SHIELD ASSOCIATION'S BENEFIT PROGRAMS.
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IRS990/PrincipalOfficerNm0Terrence J Cooney
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IRS990/ProgramServiceRevenueGrp/Desc0EMPLOYER CONTRIB.
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IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0DUE TO SPONSOR PREMIUM REIMBUR
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0Accounting principles generally accepted in the United States of America require trust management to evaluate tax positions taken by the Trust and recognize a tax liability (or asset) if the organization has taken an uncertain position that more likely than not would not be sustained upon examination by the Internal Revenue Service. The Trust Administrator has analyzed the tax positions taken by the Trust, and has concluded that as of December 31, 2014 and 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 Trust is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0ACCOUNTING STANDARDS CODIFICATION ("ASC") 740-10 (FORMERLY FIN 48)
IRS990ScheduleD/TotalLiabilityAmt01639728
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0Robert J Kolodgy
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0Committee Member
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0certain members of the national employee benefits committee ("committee") serve together on the board of the blue cross and blue shield association. all members of the committee are either employees of the blue cross and blue shield association or one of the member plans.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1Form 990's content and sources of information are reviewed by subject matter experts including, but not limited to, internal and external tax and accounting professionals and internal legal personnel, and the consolidated audited financial statements of the blue cross and blue shield health and life program were presented to the Committee that serves as the governing body by the independent auditors.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2BCBSA maintains a comprehensive Code of Conduct and Compliance Program applicable to all employees and officers including those who either serve on the Committee (that governs and acts for the organization) or act on behalf of that Committee. In addition, all employees, officers, and directors (including those who serve on the Committee or act on its behalf) are required to complete an annual conflict of interest form. The BCBSA Chief Auditor and Compliance Officer is charged with investigating any allegations of non-compliance with the Code of Conduct, including any complaints reported through the anonymous hot-line maintained through an independent organization. The results of the Compliance Program's effectiveness are reported to the Audit Committee of The bcbsa Board of Directors on an annual basis. Failure to adhere to the Code of Conduct may result in disciplinary action, up to and including termination of employment. Moreover, committee members receive fiduciary training from the BCBSA Chief Employee Benefits Counsel regarding their fiduciary duties, including the ERISA fiduciary conflict of interest rules. BCBSA's Chief Employee Benefits Counsel also provides the Committee with an annual assessment of the organization's and the Committee's legal compliance, including compliance with ERISA. As employees of various Blue Plans, each Committee member not employed by BCBSA is subject to additional conflict of interest restriction under policies adopted by his or her Employer Plan.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3the organization does not require compensation policies as it does not compensate any officers, management officials or key employees.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4The governing documents and Form 990 are made available upon request to the Executive Director, National Employee Benefits Administration, Blue Cross and Blue Shield Association, 225 N. Michigan Avenue, Chicago, IL 60601.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5with the exception of the institutional trustee, all listed are members of an independent committee that supervises the trust.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0part vi, section a, line 2
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1part vi, section b, line 11b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2part vi, section b, line 12c
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3part vi, section b, line 15 a and b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4part vi, section c, line 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5part vii, section a
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0Blue Cross Blue Shield Association
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0135656874
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501(C)(4)
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt0225 North Michigan Ave
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0Chicago
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