Civic Intelligence

Blue Cross Blue Shield Association Retiree

990 • Fiscal year 2016 • EIN 36-4018700

Jan 01, 2016 to Dec 31, 2016 • Filed on Nov 13, 2017

225 North Michigan AvenueChicago, IL 60601

(312) 297-6000

Siviq Scores

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

Liabilities / Assets

48th percentile

0.03x

Higher debt load relative to assets than 48% of similar nonprofits.

2016 filings • 501(c)9 • $50M-$100M nonprofits • Source year 2016

Liabilities / Revenue

86th percentile

0.37x

Higher debt load relative to revenue than 86% of similar nonprofits.

2016 filings • 501(c)9 • $50M-$100M nonprofits • Source year 2016

Net Margin

95th percentile

64%

Higher net margin than 95% of similar nonprofits.

2016 filings • 501(c)9 • $50M-$100M nonprofits • Source year 2016

Top Officer Pay

97th percentile

$893,839

Higher top officer pay than 97% of similar nonprofits.

Top officer pay equals 19.5% of source-year revenue.

2016 filings • 501(c)9 • $50M-$100M nonprofits • Source year 2016

Asset Growth

67th percentile

8.0%

Faster asset growth than 67% of similar nonprofits.

2016 filings • 501(c)9 • $50M-$100M nonprofits • Annualized from 2015 to 2016

Revenue Growth

8th percentile

-25%

Faster revenue growth than 8% of similar nonprofits.

2016 filings • 501(c)9 • $50M-$100M nonprofits • Annualized from 2015 to 2016

Assets

Up

$66,006,388

Up $4,879,157 (+8.0%) from 2015

Net Assets

Up

$64,288,330

Up $5,483,581 (+9.3%) from 2015

Liabilities

Down

$1,718,058

Down $604,424 (-26%) from 2015

Revenue

Down

$4,584,301

Down $1,521,670 (-25%) from 2015

Expenses

Down

$1,661,750

Down $610,584 (-27%) from 2015

Net Income

Down

$2,922,551

Down $911,086 (-24%) from 2015

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

2016

Assets$66,006,388
Liabilities$1,718,058
Net Assets$64,288,330

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

2016

Revenue$4,584,301
Expenses$1,661,750
Net Income$2,922,551
Jump To
Filing Snapshot
Filing Period
Jan 1, 2016 to Dec 31, 2016
Signed
Nov 13, 2017
Return Version
2016v3.1
Gross Receipts
$7,911,024
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 eligible Retirees and their dependents under BCBSA benefit programs.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cap Stk Tr Prin Current Funds$58,804,749$64,288,330▲ $5,483,581
Investments Other Securities$59,945,101$62,058,557▲ $2,113,456
Savings and Temporary Cash Investments$1,051,769$3,829,878▲ $2,778,109
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 Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Land, Buildings, and Equipment, Net$0$0→ $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$61,127,231$66,006,388▲ $4,879,157
Other Assets Total$130,361$117,953▼ $12,408
Liabilities
Other Liabilities$2,192,546$1,600,866▼ $591,680
Accounts Payable and Accrued Expenses$129,936$117,192▼ $12,744
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$2,322,482$1,718,058▼ $604,424
Net Assets / Fund Balance
Total Net Assets Fund Balance$58,804,749$64,288,330▲ $5,483,581
Total Liabilities and Net Assets / Fund Balance$61,127,231$66,006,388▲ $4,879,157

Asset Categories

AssetBook ValueDepreciationBasis
Other Securities$62,058,557--
Compensation and Service Providers

Board Members and Trustees

NameTitle
Rick SchumChairman
John F GiblinVice Chairman
The Northern TrustTrustee
Christopher BoothCommittee Member
Chuck DivitaCommittee Member
Don GeorgeCommittee Member
Karen M ABRAHAMCommittee Member
Mark P StimpsonCommittee Member
Michael MizeurCommittee Member
Michael a GoldCommittee Member
Robert J KolodgyCommittee Member
Tim HuckleCommittee Member
Andrew C CorbinCommittee Memmber
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$2,825,138
Investment Income
$1,759,163
Other Revenue
$0
Change in Net Assets
$2,922,551
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$38,372
Other Expenses$22,512
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Benefits to Members---$1,600,866
Current Officers, Directors, Trustees, and Key Employees---$38,372
Fees for Service Investment Mgmnt Fees---$16,837
Fees for Services Accounting---$5,675
Total Functional Expenses$0$0$0$1,661,750
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
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 Reimb$1,600,866
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
Filing and Contact Details

Filer

Filer Name
Blue Cross Blue Shield Assoc Retire
EIN
36-4018700
In Care Of
% TERRENCE J COONEY VP NEBA
Phone
3122976000
Address
225 NORTH MICHIGAN AVENUE, CHICAGO, IL 60601

Signing Officer

Name
Terrence J Cooney
Title
VP, Neba
Phone
3124445670
Signed
2017-11-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Terrence J Cooney
Formed
1994
Legal Domicile
Il
Voting Board Members
13
Independent Board Members
11
Employees
0
Volunteers
0

Preparer

Firm
Grant Thornton Llp
Address
171 N CLARK ST SUITE 200, CHICAGO, IL 60601
Preparer
Bridget T Roche
Phone
3128560200
Supplemental Narrative

Additional Explanations

Business relationships

Form 990, 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 and the Blue Cross & Blue Shield Association National Retire Benefits Trust. All members of the committee are either employees of the Blue cross and blue shield association or one of the member plans.

Form 990 Review Process

FORM 990, 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.

Monitoring & Enforcement Policies

FORM 990, PART VI, SECTION B, LINE 12C BLUE CROSS BLUE SHIELD ASSOCIATION (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 hotline 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. BCBSAs chief employee benefits counsel also provides the committee with an annual Assessment of the organization's and the committees 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.

How Documents Are Made Available to the Public

FORM 990, PART VI, SECTION C, LINE 19 The governing documents and Form 990 are made available to participants in the employee benefit programs funded through VEBA upon request to the vice president, National Employee Benefits Administration, Blue Cross and Blue Shield Association, 225 N. Michigan Avenue, Chicago, IL 60601.

Financial Statement Notes

Accounting standards codification ("ASC") 740-10 (formerly fin 48)

Accounting principles generally accepted in the United States of America require program management to evaluate tax positions taken by the Program and recognize a tax liability (or asset) if the Program has taken an uncertain position that more likely than not would not be sustained upon examination by the Internal Revenue Service. The Program administrator has analyzed the tax positions taken by the Program and has concluded that as of December 31, 2016 and 2015, 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 Program is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress. The Program administrator believes it is no longer subject to income tax examinations for years prior to 2013.

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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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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0Accounting principles generally accepted in the United States of America require program management to evaluate tax positions taken by the Program and recognize a tax liability (or asset) if the Program has taken an uncertain position that more likely than not would not be sustained upon examination by the Internal Revenue Service. The Program administrator has analyzed the tax positions taken by the Program and has concluded that as of December 31, 2016 and 2015, 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 Program is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress. The Program administrator believes it is no longer subject to income tax examinations for years prior to 2013.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0Accounting standards codification ("ASC") 740-10 (formerly fin 48)
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0Form 990, 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 and the Blue Cross & Blue Shield Association National Retire Benefits Trust. 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, 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.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2FORM 990, PART VI, SECTION B, LINE 12C BLUE CROSS BLUE SHIELD ASSOCIATION (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 hotline 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. BCBSAs chief employee benefits counsel also provides the committee with an annual Assessment of the organization's and the committees 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/ExplanationTxt3FORM 990, PART VI, SECTION C, LINE 19 The governing documents and Form 990 are made available to participants in the employee benefit programs funded through VEBA upon request to the vice president, National Employee Benefits Administration, Blue Cross and Blue Shield Association, 225 N. Michigan Avenue, Chicago, IL 60601.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Business relationships
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990 REVIEW PROCESS
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2MONITORING & ENFORCEMENT POLICIES
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3HOW DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC
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