Civic Intelligence

Bcbsm Non-Bargaining Unit Internal Health Benefit Trust

990 • Fiscal year 2022 • EIN 84-6871980

Jan 01, 2022 to Dec 31, 2022 • Filed on Nov 14, 2023

Organization ProfileN/A
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

25th percentile

0.00x

Higher debt load relative to assets than 25% of similar nonprofits.

2022 filings • 501(c)9 • $50M-$100M nonprofits • Source year 2022

Liabilities / Revenue

52nd percentile

0.06x

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

2022 filings • 501(c)9 • $50M-$100M nonprofits • Source year 2022

Net Margin

1st percentile

-2318%

Higher net margin than 1% of similar nonprofits.

2022 filings • 501(c)9 • $50M-$100M nonprofits • Source year 2022

Top Officer Pay

57th percentile

$58,671

Higher top officer pay than 57% of similar nonprofits.

Top officer pay equals 9.2% of source-year revenue.

2022 filings • 501(c)9 • $50M-$100M nonprofits • Source year 2022

Asset Growth

4th percentile

-29%

Faster asset growth than 4% of similar nonprofits.

2022 filings • 501(c)9 • $50M-$100M nonprofits • Annualized from 2021 to 2022

Revenue Growth

3rd percentile

-78%

Faster revenue growth than 3% of similar nonprofits.

2022 filings • 501(c)9 • $50M-$100M nonprofits • Annualized from 2021 to 2022

Balance Sheet
Liabilities / Assets25th percentile

Assets

Down

$64,495,910

Down $26,712,225 (-29%) from 2021

Net Assets

Down

$64,457,682

Down $26,699,051 (-29%) from 2021

Liabilities

Down

$38,228

Down $13,174 (-26%) from 2021

Revenue And Expenses
Liabilities / Revenue52nd percentileNet Margin1st percentile

Revenue

Down

$638,478

Down $2,286,063 (-78%) from 2021

Expenses

Up

$15,441,126

Up $1,333,189 (+9.4%) from 2021

Net Income

Down

-$14,802,648

Down $3,619,252 (-32%) from 2021

Historical Trend

Balance Sheet Trend

Asset Growth4th percentile

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

2022

Assets$64,495,910
Liabilities$38,228
Net Assets$64,457,682
Open 2022 Filing

Operations Trend

Revenue Growth3rd percentile

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

2022

Revenue$638,478
Expenses$15,441,126
Net Income-$14,802,648
Open 2022 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2022 to Dec 31, 2022
Signed
Nov 14, 2023
Return Version
2022v5.0
Gross Receipts
$37,118,844
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$91,156,733$64,457,682▼ $26,699,051
Investments Other Securities$51,572,712$37,532,678▼ $14,040,034
Investments in Publicly Traded Securities$39,087,870$26,442,294▼ $12,645,576
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$0$0→ $0
Total Assets$91,208,135$64,495,910▼ $26,712,225
Other Assets Total$547,553$520,938▼ $26,615
Liabilities
Other Liabilities$51,402$38,228▼ $13,174
Total Liabilities$51,402$38,228▼ $13,174
Net Assets / Fund Balance
Total Net Assets Fund Balance$91,156,733$64,457,682▼ $26,699,051
Total Liabilities and Net Assets / Fund Balance$91,208,135$64,495,910▼ $26,712,225

Asset Categories

AssetBook ValueDepreciationBasis
Other Securities$37,532,678--
Compensation and Service Providers
Top Officer Pay57th percentile

Employees

NameTitleBaseTotal
-Trustee$58,671$58,671

Board Members and Trustees

NameTitle
Jason PisarikAdministrative Committee Member
Laurie ParmelyAdministrative Committee Member
Paul MozakAdministrative Committee Member
Waymond HarrisAdministrative Committee Member
Yvonne TrupianoAdministrative Committee Member
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$638,478
Other Revenue
$0
Change in Net Assets
$-14,802,648
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$365,993
Salaries, Compensation, and Employee Benefits$58,671
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Benefits to Members---$15,016,462
Other Expenses---$224,706
Fees for Services Other---$141,287
Current Officers, Directors, Trustees, and Key Employees---$58,671
Total Functional Expenses$0$0$0$15,441,126
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$38,228
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 - 333 south wabash avenue, wb 42, chicago, il 60604-4107.”

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
Waymond Harris
Title
Administrative Committee Member
Phone
3139831633
Signed
2023-11-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Waymond Harris
Formed
2019
Legal Domicile
Mi
Voting Board Members
5
Independent Board Members
5
Employees
0
Volunteers
0

Preparer

Firm
GJC CPA'S & ADVISORS
Address
535 GRISWOLD STREET SUITE 1200, 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 Appendix379 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.

Path#Value
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IRS990/AnnualDisclosureCoveredPrsnInd01
IRS990/BenefitsToMembersGrp/TotalAmt015016462
IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt0THE NORTHERN TRUST COMPANY
IRS990/BooksInCareOfDetail/PhoneNum03125571442
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt0333 SOUTH WABASH AVENUE WB 42
IRS990/BooksInCareOfDetail/USAddress/CityNm0CHICAGO
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt50
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IRS990/Form990PartVIISectionAGrp/TitleTxt3ADMINISTRATIVE COMMITTEE MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt4ADMINISTRATIVE COMMITTEE MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt5TRUSTEE
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IRS990/FSAuditedInd00
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IRS990/GainOrLossGrp/SecuritiesAmt0-1736609
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt05
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt034743757
IRS990/GrossReceiptsAmt037118844
IRS990/GroupReturnForAffiliatesInd00
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IRS990/IndependentAuditFinclStmtInd00
IRS990/IndependentVotingMemberCnt05
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartVIInd0X
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IRS990/InvestmentIncomeGrp/UnrelatedBusinessRevenueAmt0597706
IRS990/InvestmentInJointVentureInd00
IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt051572712
IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt037532678
IRS990/InvestmentsPubTradedSecGrp/BOYAmt039087870
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IRS990/IRPDocumentCnt00
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IRS990/LoanOutstandingInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd00
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IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt091156733
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IRS990/NetUnrelatedBusTxblIncmAmt0581941
IRS990/NetUnrlzdGainsLossesInvstAmt0-11896403
IRS990/NondeductibleContributionsInd00
IRS990/OfficerMailingAddressInd01
IRS990/OperateHospitalInd00
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IRS990/PartialLiquidationInd00
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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 - 333 SOUTH WABASH AVENUE, WB 42, CHICAGO, IL 60604-4107.
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:
IRS990ScheduleR/AssetExchangeInd00
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IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/DirectControllingNACd1N/A
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EIN0382069753
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EIN1201420821
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EntityTypeTxt0C
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IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/LegalDomicileStateCd1AZ
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt0HEALTH CARE INSURANCE
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt1CONTRIBUTING EMPLOYER
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt0BLUE CROSS BLUE SHIELD OF MICHIGAN MUTUAL INSURANCE COMPANY
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt1LIFESECURE HOLDINGS CORPORATION
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/AddressLine1Txt0600 LAFAYETTE EAST
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/AddressLine1Txt110559 CITATION DRIVE
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IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/CityNm1BRIGHTON
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd00
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd20
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
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0382359234
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN1382338506
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt1CONTRIBUTING EMPLOYER
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt2FUND LONG-TERM DISABILITY BENEFITS
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt3FUND HEALTH BENEFITS
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt2600 LAFAYETTE EAST
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt3600 LAFAYETTE EAST
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IRS990ScheduleR/PerformOfServicesByOtherOrgInd00
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IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt091208135
IRS990/TotalAssetsEOYAmt064495910
IRS990/TotalAssetsGrp/BOYAmt091208135
IRS990/TotalAssetsGrp/EOYAmt064495910
IRS990/TotalCompGreaterThan150KInd00
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ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/IdentityAssuranceLevelCd0IAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/TrustedCustomerCd02
ReturnHeader/BuildTS02023-04-26 12:10:37Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0WAYMOND HARRIS
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0ADMINISTRATIVE COMMITTEE MEMBER
ReturnHeader/BusinessOfficerGrp/PhoneNum03139831633
ReturnHeader/BusinessOfficerGrp/SignatureDt02023-11-14
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0BCBSM NON-BARGAINING UNIT INTERNAL
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0HEALTH BENEFIT TRUST
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ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0382029668
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0GJC CPA'S & ADVISORS
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0535 GRISWOLD STREET SUITE 1200
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0DETROIT
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0MI
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0482263689
ReturnHeader/PreparerPersonGrp/PhoneNum03139652655
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0MICHAEL R NICHOLAS
ReturnHeader/ReturnTs02023-11-14T06:48:09-06:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0WAYMOND
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0HARRIS
ReturnHeader/TaxPeriodBeginDt02022-01-01
ReturnHeader/TaxPeriodEndDt02022-12-31
ReturnHeader/TaxYr02022

Document Assets

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Filings

Displayed year

2022 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$64,495,910
Liabilities
$38,228
Net assets
$64,457,682
Revenue
$638,478
Expenses
$15,441,126
Net income
-$14,802,648
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$30.2$0.01$30.1$3.11$27.9$24.8
2023Summary only. Only limited summary data is available for this year.$53.9$0.02$53.9$0.83$17.5$16.7
2022Detailed filing. Detailed filing data is available for this year.$64.5$0.04$64.5$0.64$15.4$14.8
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$91.2$0.05$91.2$2.92$14.1$11.2
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$99.3$1.72$97.6$0.71$10.2$9.53
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$107$0.00$107$107$0.00$107