Civic Intelligence

Bcbsm Non-Bargaining Unit Internal Health Benefit Trust

990 • Fiscal year 2020 • EIN 84-6871980

Jan 01, 2020 to Dec 31, 2020 • Filed on Nov 12, 2021

600 Lafayette East Mail Code 1801Detroit, MI 48226-2998

(313) 983-1633

Siviq Scores

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

Liabilities / Assets

47th percentile

0.02x

Higher debt load relative to assets than 47% of similar nonprofits.

2020 filings • 501(c)9 • $100M-$250M nonprofits • Source year 2020

Liabilities / Revenue

99th percentile

2.42x

Higher debt load relative to revenue than 99% of similar nonprofits.

2020 filings • 501(c)9 • $100M-$250M nonprofits • Source year 2020

Net Margin

1st percentile

-1342%

Higher net margin than 1% of similar nonprofits.

2020 filings • 501(c)9 • $100M-$250M nonprofits • Source year 2020

Top Officer Pay

39th percentile

$3,141

Higher top officer pay than 39% of similar nonprofits.

Top officer pay equals 0.4% of source-year revenue.

2020 filings • 501(c)9 • $100M-$250M nonprofits • Source year 2020

Asset Growth

8th percentile

-7.0%

Faster asset growth than 8% of similar nonprofits.

2020 filings • 501(c)9 • $100M-$250M nonprofits • Annualized from 2019 to 2020

Revenue Growth

1st percentile

-99%

Faster revenue growth than 1% of similar nonprofits.

2020 filings • 501(c)9 • $100M-$250M nonprofits • Annualized from 2019 to 2020

Assets

Down

$99,343,018

Down $7,532,497 (-7.0%) from 2019

Net Assets

Down

$97,627,476

Down $9,248,039 (-8.7%) from 2019

Liabilities

Up

$1,715,542

Up $1,715,542 from 2019

Revenue

Down

$709,750

Down $106,165,765 (-99%) from 2019

Expenses

Up

$10,234,850

Up $10,234,850 from 2019

Net Income

Down

-$9,525,100

Down $116,400,615 (-109%) from 2019

Historical Trend

Balance Sheet Trend

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

$150M$100M$50M$0Assets 2019: $106,875,515Liabilities 2019: $0Net Assets 2019: $106,875,5152019Assets 2020: $99,343,018Liabilities 2020: $1,715,542Net Assets 2020: $97,627,4762020Assets 2021: $91,208,135Liabilities 2021: $51,402Net Assets 2021: $91,156,7332021Assets 2022: $64,495,910Liabilities 2022: $38,228Net Assets 2022: $64,457,6822022Assets 2023: $53,944,248Liabilities 2023: $24,046Net Assets 2023: $53,920,2022023Assets 2024: $30,158,950Liabilities 2024: $12,579Net Assets 2024: $30,146,3712024

Highlighted filing

2020

Assets$99,343,018
Liabilities$1,715,542
Net Assets$97,627,476

Operations Trend

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

$150M$100M$50M$0-$50MRevenue 2019: $106,875,515Expenses 2019: $0Net Income 2019: $106,875,5152019Revenue 2020: $709,750Expenses 2020: $10,234,850Net Income 2020: -$9,525,1002020Revenue 2021: $2,924,541Expenses 2021: $14,107,937Net Income 2021: -$11,183,3962021Revenue 2022: $638,478Expenses 2022: $15,441,126Net Income 2022: -$14,802,6482022Revenue 2023: $829,636Expenses 2023: $17,545,642Net Income 2023: -$16,716,0062023Revenue 2024: $3,105,939Expenses 2024: $27,860,357Net Income 2024: -$24,754,4182024

Highlighted filing

2020

Revenue$709,750
Expenses$10,234,850
Net Income-$9,525,100
Jump To
Filing Snapshot
Filing Period
Jan 1, 2020 to Dec 31, 2020
Signed
Nov 12, 2021
Return Version
2020v4.1
Gross Receipts
$107,509,750
Mission and Program Overview

Mission

The trust was created for the exclusive purpose of providing health benefits to eligible employees of blue cross blue shield of michigan.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cap Stk Tr Prin Current Funds$106,875,515$97,627,476▼ $9,248,039
Investments in Publicly Traded Securities$106,800,000$85,924,292▼ $20,875,708
Investments Other Securities-$13,274,703-
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$0$0→ $0
Total Assets$106,875,515$99,343,018▼ $7,532,497
Other Assets Total$75,515$144,023▲ $68,508
Liabilities
Other Liabilities$0$1,715,542▲ $1,715,542
Total Liabilities$0$1,715,542▲ $1,715,542
Net Assets / Fund Balance
Total Net Assets Fund Balance$106,875,515$97,627,476▼ $9,248,039
Total Liabilities and Net Assets / Fund Balance$106,875,515$99,343,018▼ $7,532,497

Asset Categories

AssetBook ValueDepreciationBasis
Other Securities$13,274,703--
Compensation and Service Providers

Employees

NameTitleBaseTotal
-Trustee$3,141$3,141

Board Members and Trustees

NameTitle
Cathy GoheenAdministrative Committee Member
Laurie ParmelyAdministrative Committee Member
Mark BartlettAdministrative Committee Member
Paul MozakAdministrative Committee Member
Waymond HarrisAdministrative Committee Member
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$207,036
Investment Income
$502,714
Other Revenue
$0
Change in Net Assets
$-9,525,100
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$3,141
Grants and Similar Amounts Paid$0
Other Expenses$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Benefits to Members---$10,231,709
Current Officers, Directors, Trustees, and Key Employees---$3,141
Total Functional Expenses$0$0$0$10,234,850
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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Payable to Broker for Securities Purchased$1,715,542
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Business relationship with 35% controlled entity
No
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
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11B

Form 990 is reviewed and approved by a member of the senior management of blue cross blue shield of michigan, the primary contributing employer, before being filed.

Form 990, Part VI, Section B, Line 12C

All members of the trust's administrative committee are employees of blue cross blue shield of michigan and are required to certify their review of conflict of interest policies annually.

Form 990, Part VI, Section C, Line 19

The governing documents and conflict of interest policy, as well as the financial statements of the related plan, are available upon request.

Form 990, Part VII Contact Addresses for Officers, Directors, Etc

The northern trust company - 50 south la salle street, m-27, chicago, il 60603-1008.

Filing and Contact Details

Filer

Filer Name
Bcbsm Non-bargaining Unit Internal
EIN
84-6871980
Phone
3139831633
Address
600 LAFAYETTE EAST MAIL CODE 1801, DETROIT, MI 48226-2998

Signing Officer

Name
Matthew E Gray
Title
Northern Trust, as Trustee
Phone
3139831633
Signed
2021-11-12
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Benjamin Grier
Formed
2019
Legal Domicile
Mi
Voting Board Members
5
Independent Board Members
5
Employees
0
Volunteers
0

Preparer

Firm
George Johnson & Company
Address
1200 BUHL BUILDING 535 GRISWOLD, DETROIT, MI 48226-3689
Preparer
Michael R Nicholas
Phone
3139652655
Supplemental Narrative

Additional Explanations

FORM 990, PAGE 1, ITEM C - LEGAL NAME OF ORGANIZATION:

The legal name of the organization is the "blue cross blue shield of michigan non-bargaining unit internal health benefit trust".

Raw XML Appendix377 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/AnnualDisclosureCoveredPrsnInd01
IRS990/BenefitsToMembersGrp/TotalAmt010231709
IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt0THE NORTHERN TRUST COMPANY
IRS990/BooksInCareOfDetail/PhoneNum03126308934
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt050 SOUTH LA SALLE STREET M-27
IRS990/BooksInCareOfDetail/USAddress/CityNm0CHICAGO
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IRS990/Form990PartVIISectionAGrp/PersonNm0MARK BARTLETT
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IRS990/Form990PartVIISectionAGrp/PersonNm3PAUL MOZAK
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
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IRS990/Form990PartVIISectionAGrp/TitleTxt1ADMINISTRATIVE COMMITTEE MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt2ADMINISTRATIVE COMMITTEE MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt3ADMINISTRATIVE COMMITTEE MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt4ADMINISTRATIVE COMMITTEE MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt5TRUSTEE
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IRS990/GamingActivitiesInd00
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IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt0106800000
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IRS990/GroupReturnForAffiliatesInd00
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IRS990/IndoorTanningServicesInd00
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IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt013274703
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IRS990/LoanOutstandingInd00
IRS990/LocalChaptersInd00
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IRS990/MoreThan5000KToIndividualsInd00
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0FORM 990 IS REVIEWED AND APPROVED BY A MEMBER OF THE SENIOR MANAGEMENT OF BLUE CROSS BLUE SHIELD OF MICHIGAN, THE PRIMARY CONTRIBUTING EMPLOYER, BEFORE BEING FILED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1ALL MEMBERS OF THE TRUST'S ADMINISTRATIVE COMMITTEE ARE EMPLOYEES OF BLUE CROSS BLUE SHIELD OF MICHIGAN AND ARE REQUIRED TO CERTIFY THEIR REVIEW OF CONFLICT OF INTEREST POLICIES ANNUALLY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY, AS WELL AS THE FINANCIAL STATEMENTS OF THE RELATED PLAN, ARE AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE NORTHERN TRUST COMPANY - 50 SOUTH LA SALLE STREET, M-27, CHICAGO, IL 60603-1008.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE LEGAL NAME OF THE ORGANIZATION IS THE "BLUE CROSS BLUE SHIELD OF MICHIGAN NON-BARGAINING UNIT INTERNAL HEALTH BENEFIT TRUST".
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VII CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PAGE 1, ITEM C - LEGAL NAME OF ORGANIZATION:
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IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt0HEALTH CARE INSURANCE
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IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt0BLUE CROSS BLUE SHIELD OF MICHIGAN MUTUAL INSURANCE COMPANY
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt1LIFESECURE HOLDINGS CORPORATION
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd30
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt0BLUE CROSS BLUE SHIELD OF MICHIGAN
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt1BLUE CROSS BLUE SHIELD OF MICHIGAN
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd1N/A
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0BLUE CARE NETWORK OF MICHIGAN
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt1BLUE CROSS BLUE SHIELD OF MICHIGAN FOUNDATION
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt2BLUE CROSS BLUE SHIELD OF MICHIGAN LONG TERM DISABILITY TRUST
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt3BCBSM BARGAINING UNIT INTERNAL HEALTH BENEFIT TRUST
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN1382338506
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN2816482696
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd1MI
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd3MI
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd1482262998
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ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/AuthenticationAssuranceLevelCd0AAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/IdentityAssuranceLevelCd0IAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/TrustedCustomerCd02
ReturnHeader/BuildTS02022-09-23 18:48:47Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0MATTHEW E GRAY
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0NORTHERN TRUST, AS TRUSTEE
ReturnHeader/BusinessOfficerGrp/PhoneNum03139831633
ReturnHeader/BusinessOfficerGrp/SignatureDt02021-11-12
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0BCBSM NON-BARGAINING UNIT INTERNAL
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0HEALTH BENEFIT TRUST
ReturnHeader/Filer/BusinessNameControlTxt0BCBS
ReturnHeader/Filer/EIN0846871980
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ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0382029668
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0GEORGE JOHNSON & COMPANY
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt01200 BUHL BUILDING 535 GRISWOLD
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0DETROIT
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0MI
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ReturnHeader/PreparerPersonGrp/PhoneNum03139652655
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0MICHAEL R NICHOLAS
ReturnHeader/ReturnTs02021-11-12T09:33:05-06:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0MATTHEW
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0GRAY
ReturnHeader/TaxPeriodBeginDt02020-01-01
ReturnHeader/TaxPeriodEndDt02020-12-31
ReturnHeader/TaxYr02020

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