Civic Intelligence

The Bledsoe Health Trust

990 • Fiscal year 2016 • EIN 93-0478837

Jun 01, 2015 to May 31, 2016 • Filed on Mar 23, 2017

Organization ProfileN/A

View Organization Page

2323 Eastlake Ave ESeattle, WA 98102

(206) 329-4900

Siviq Scores

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

Liabilities / Assets

67th percentile

0.12x

Higher debt load relative to assets than 67% of similar nonprofits.

2016 filings • 501(c)9 • $100M-$250M nonprofits • Source year 2016

Liabilities / Revenue

84th percentile

0.27x

Higher debt load relative to revenue than 84% of similar nonprofits.

2016 filings • 501(c)9 • $100M-$250M nonprofits • Source year 2016

Net Margin

18th percentile

-5.5%

Higher net margin than 18% of similar nonprofits.

2016 filings • 501(c)9 • $100M-$250M nonprofits • Source year 2016

Top Officer Pay

32nd percentile

$0

Higher top officer pay than 32% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2016 filings • 501(c)9 • $100M-$250M nonprofits • Source year 2016

Asset Growth

12th percentile

-7.9%

Faster asset growth than 12% of similar nonprofits.

2016 filings • 501(c)9 • $100M-$250M nonprofits • Annualized from 2015 to 2016

Revenue Growth

18th percentile

-6.6%

Faster revenue growth than 18% of similar nonprofits.

2016 filings • 501(c)9 • $100M-$250M nonprofits • Annualized from 2015 to 2016

Balance Sheet
Liabilities / Assets67th percentile

Assets

Down

$111,734,878

Down $9,634,921 (-7.9%) from 2015

Net Assets

Down

$98,143,213

Down $8,560,176 (-8.0%) from 2015

Liabilities

Down

$13,591,665

Down $1,074,745 (-7.3%) from 2015

Revenue And Expenses
Liabilities / Revenue84th percentileNet Margin18th percentile

Revenue

Down

$50,917,312

Down $3,622,314 (-6.6%) from 2015

Expenses

Down

$53,732,283

Down $4,978,545 (-8.5%) from 2015

Net Income

Up

-$2,814,971

Up $1,356,231 (+33%) from 2015

Historical Trend

Balance Sheet Trend

Asset Growth12th percentile

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

$200M$150M$100M$50M$0Assets 2010: $133,762,629Liabilities 2010: $17,279,166Net Assets 2010: $116,483,4632010Assets 2011: $141,930,024Liabilities 2011: $16,625,292Net Assets 2011: $125,304,7322011Assets 2012: $129,430,779Liabilities 2012: $16,809,077Net Assets 2012: $112,621,7022012Assets 2013: $134,965,520Liabilities 2013: $15,577,738Net Assets 2013: $119,387,7822013Assets 2014: $132,153,281Liabilities 2014: $15,505,548Net Assets 2014: $116,647,7332014Assets 2015: $121,369,799Liabilities 2015: $14,666,410Net Assets 2015: $106,703,3892015Assets 2016: $111,734,878Liabilities 2016: $13,591,665Net Assets 2016: $98,143,2132016Assets 2017: $111,831,975Liabilities 2017: $13,667,697Net Assets 2017: $98,164,2782017Assets 2018: $112,963,632Liabilities 2018: $12,123,588Net Assets 2018: $100,840,0442018Assets 2019: $120,135,267Liabilities 2019: $11,462,995Net Assets 2019: $108,672,2722019Assets 2020: $127,425,284Liabilities 2020: $11,899,488Net Assets 2020: $115,525,7962020Assets 2021: $152,540,321Liabilities 2021: $12,666,345Net Assets 2021: $139,873,9762021Assets 2022: $147,123,274Liabilities 2022: $12,857,431Net Assets 2022: $134,265,8432022Assets 2023: $151,777,312Liabilities 2023: $10,712,047Net Assets 2023: $141,065,2652023

Highlighted filing

2016

Assets$111,734,878
Liabilities$13,591,665
Net Assets$98,143,213
Open 2016 Filing

Operations Trend

Revenue Growth18th percentile

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

$80M$60M$40M$20M$0-$20MExpenses 2010: $63,433,8812010Expenses 2011: $56,002,6062011Expenses 2012: $59,623,9282012Expenses 2013: $52,533,5742013Revenue 2014: $52,415,409Expenses 2014: $57,549,109Net Income 2014: -$5,133,7002014Revenue 2015: $54,539,626Expenses 2015: $58,710,828Net Income 2015: -$4,171,2022015Revenue 2016: $50,917,312Expenses 2016: $53,732,283Net Income 2016: -$2,814,9712016Revenue 2017: $52,956,095Expenses 2017: $57,037,638Net Income 2017: -$4,081,5432017Revenue 2018: $55,968,480Expenses 2018: $53,490,024Net Income 2018: $2,478,4562018Revenue 2019: $61,128,910Expenses 2019: $52,144,135Net Income 2019: $8,984,7752019Revenue 2020: $60,698,025Expenses 2020: $52,878,568Net Income 2020: $7,819,4572020Revenue 2021: $58,672,183Expenses 2021: $47,403,918Net Income 2021: $11,268,2652021Revenue 2022: $58,852,720Expenses 2022: $52,297,645Net Income 2022: $6,555,0752022Revenue 2023: $51,212,014Expenses 2023: $40,958,005Net Income 2023: $10,254,0092023

Highlighted filing

2016

Revenue$50,917,312
Expenses$53,732,283
Net Income-$2,814,971
Open 2016 Filing
Jump To
Filing Snapshot
Filing Period
Jun 1, 2015 to May 31, 2016
Signed
Mar 23, 2017
Return Version
2015v3.0
Gross Receipts
$89,759,154
Mission and Program Overview

Mission

Organizations's mission is to provide health benefits to eligible active participants and their covered dependents. The plan also provides health benefits to self-pay participants and retirees for which a contribution is received.

SEE SCHEDULE O

Balance Sheet Detail
LineBeginningEndChange
Assets
Rtn Earn Endowment Incm Other Fnds$106,703,389$98,143,213▼ $8,560,176
Investments in Publicly Traded Securities$93,253,240$90,409,248▼ $2,843,992
Investments Other Securities$15,878,688$12,284,618▼ $3,594,070
Accounts Receivable$4,470,933$7,132,702▲ $2,661,769
Prepaid Expenses and Deferred Charges$1,024,781$1,024,781→ $0
Savings and Temporary Cash Investments$6,697,093$883,529▼ $5,813,564
Cash and Non-Interest-Bearing Accounts$45,064$0▼ $45,064
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
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$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$121,369,799$111,734,878▼ $9,634,921
Other Assets Total$0$0→ $0
Liabilities
Other Liabilities$14,518,593$13,409,437▼ $1,109,156
Accounts Payable and Accrued Expenses$147,817$182,228▲ $34,411
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$14,666,410$13,591,665▼ $1,074,745
Net Assets / Fund Balance
Total Net Assets Fund Balance$106,703,389$98,143,213▼ $8,560,176
Total Liabilities and Net Assets / Fund Balance$121,369,799$111,734,878▼ $9,634,921

Asset Categories

AssetBook ValueDepreciationBasis
Other Securities$1,494,637--
Compensation and Service Providers
Top Officer Pay32nd percentile

Board Members and Trustees

NameTitle
Paul MarksAlternate Trustee
Cal Welborn SrTrustee
Jerry KingTrustee
John SahlbergTrustee
Kellye T WiseTrustee
Kevin PetersonTrustee
Rodger M GlosTrustee
Todd GorhamTrustee
Tony HadleyTrustee

Highest Paid Contractors

ContractorServicesLocationCompensation
Regence Bluecross Blueshield Of OreAdmin Service OrgPO Box 1271, Portland, OR 97207$6,039,514
Express Scripts INCPresc Drug Admin225 SUMMIT AVE, Montvale, NJ 07645$539,343
Northwest Administrators INCAdministrative Fees2323 EASTLAKE AVE EAST, Seattle, WA 98102$527,346
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$47,428,327
Investment Income
$3,487,789
Other Revenue
$1,196
Change in Net Assets
$-2,814,971

Audited Revenue Reconciliation

Revenue per Audited Statements
$50,805,143
Revenue Not Reported on Financial Statements
$112,169
Revenue Not Reported on Form 990
$-5,745,205
Total Revenue per Audited Statements
$45,059,938
Total Revenue per Form 990
$50,917,312
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$2,284,341
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Benefits to Members---$51,447,942
Fees for Services Management---$524,325
All Other Expenses---$406,970
Fees for Services Other---$158,512
Fees for Service Investment Mgmnt Fees---$112,169
Fees for Services Accounting---$73,007
Fees for Services Legal---$59,026
Insurance---$42,481
Other Expenses---$32,925
Office Expenses---$16,150
Conferences and Meetings---$12,243
Total Functional Expenses$0$0$0$53,732,283

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$54,729,270
Total Expenses per Audited Statements$54,729,270
Total Expenses per Form 990$53,732,283
Expenses Not Reported on Financial Statements$-996,987
Other Expense Adjustments$-1,109,156
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
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
Benefit Obligations$13,409,437
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
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
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No
Filing and Contact Details

Filer

Filer Name
The Bledsoe Health Trust
EIN
93-0478837
In Care Of
% GARTH FISHER
Phone
2063294900
Address
2323 EASTLAKE AVE E, SEATTLE, WA 98102

Signing Officer

Name
Rodger M Glos
Title
Chairman
Phone
2063294900
Signed
2017-03-23
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Rodger M Glos
Formed
1959
Legal Domicile
Or
Voting Board Members
9
Independent Board Members
0
Employees
0
Volunteers
0

Preparer

Firm
Miller Kaplan Arase Llp
Address
600 STEWART ST STE 618, SEATTLE, WA 98101-1261
Preparer
Crane Curran
Phone
2065963930
Supplemental Narrative

Additional Explanations

PART I, LINE 1 AND PART III, LINES 1 AND 4A - ORGANIZATION'S MISSION:

“To provide health benefits to eligible active participants and their covered dependents. The plan also provides health benefits to self-pay participants and retirees for which a contribution is received. Part vi, line 11b: form 990 is reviewed by the administrative office prior to being filed. The administrative office notifies the board of trustees of unusual or significant items, if noted. Part vi, line 12c: trustees are required to notify the trust of any changes in interests that could give rise to conflicts. Part vi, line 19: the plan's governing documents, conflict of interest policy and financial statements are maintained at the administrative office and are available upon request. Part vii - section a: members of the board of trustees serve for no compensation. Compensation paid to trustees by their employers is reported on the employers' annual tax filings. This information is unknown to the plan administrator.”

Financial Statement Notes

PART X, LINE 2:

“Accounting principles generally accepted in the United States of America require management to evaluate tax positions taken by the Plan and recognize a tax liability if the Plan has taken a tax position that more likely than not would not by sustained upon examination by a tax authority. The Plan is subject to routine audits by jurisdictions; however, there are currently no audits for any tax periods in progress. PART XII, LINE 4b: Change in Benefit Obligations.”

Raw XML AppendixShowing 400 of 506 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/IndoorTanningServicesInd0false
IRS990/InfoInScheduleOPartVIIInd0X
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InformationTechnologyGrp/TotalAmt00
IRS990/InsuranceGrp/TotalAmt042481
IRS990/IntangibleAssetsGrp/BOYAmt00
IRS990/IntangibleAssetsGrp/EOYAmt00
IRS990/InterestGrp/TotalAmt00
IRS990/InventoriesForSaleOrUseGrp/BOYAmt00
IRS990/InventoriesForSaleOrUseGrp/EOYAmt00
IRS990/InvestmentIncomeGrp/ExclusionAmt02966466
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt02966466
IRS990/InvestmentInJointVentureInd0false
IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt015878688
IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt012284618
IRS990/InvestmentsProgramRelatedGrp/BOYAmt00
IRS990/InvestmentsProgramRelatedGrp/EOYAmt00
IRS990/InvestmentsPubTradedSecGrp/BOYAmt093253240
IRS990/InvestmentsPubTradedSecGrp/EOYAmt090409248
IRS990/IRPDocumentCnt02
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipBasisNetGrp/BOYAmt00
IRS990/LegalDomicileStateCd0OR
IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt038841842
IRS990/LoanOutstandingInd0false
IRS990/LoansFromOfficersDirectorsGrp/BOYAmt00
IRS990/LoansFromOfficersDirectorsGrp/EOYAmt00
IRS990/LocalChaptersInd0false
IRS990/MaterialDiversionOrMisuseInd0false
IRS990/MembersOrStockholdersInd0false
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd0true
IRS990/MinutesOfGoverningBodyInd0true
IRS990/MissionDesc0ORGANIZATIONS'S MISSION IS TO PROVIDE HEALTH BENEFITS TO ELIGIBLE ACTIVE PARTICIPANTS AND THEIR COVERED DEPENDENTS. THE PLAN ALSO PROVIDES HEALTH BENEFITS TO SELF PAY PARTICIPANTS AND RETIREES FOR WHICH A CONTRIBUTION IS RECEIVED.
IRS990/MoreThan5000KToIndividualsInd0false
IRS990/MoreThan5000KToOrgInd0false
IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt00
IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt00
IRS990/NetAssetsOrFundBalancesBOYAmt0106703389
IRS990/NetAssetsOrFundBalancesEOYAmt098143213
IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt0521323
IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt0521323
IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt00
IRS990/NetIncomeFromGamingGrp/TotalRevenueColumnAmt00
IRS990/NetIncomeOrLossGrp/TotalRevenueColumnAmt00
IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt00
IRS990/NetUnrlzdGainsLossesInvstAmt0-5745205
IRS990/NondeductibleContributionsInd0false
IRS990/OccupancyGrp/TotalAmt00
IRS990/OfficeExpensesGrp/TotalAmt016150
IRS990/OfficerMailingAddressInd0false
IRS990/OperateHospitalInd0false
IRS990/Organization501cInd0X
IRS990/OrgDoesNotFollowSFAS117Ind0X
IRS990/OtherAssetsTotalGrp/BOYAmt00
IRS990/OtherAssetsTotalGrp/EOYAmt00
IRS990/OtherEmployeeBenefitsGrp/TotalAmt00
IRS990/OtherExpensesGrp/Desc0NEWSLETTER EXPENSES
IRS990/OtherExpensesGrp/Desc1BANK FEES
IRS990/OtherExpensesGrp/Desc2ADMIN. - MEDCO
IRS990/OtherExpensesGrp/Desc3ACA PCORI FEE
IRS990/OtherExpensesGrp/TotalAmt034368
IRS990/OtherExpensesGrp/TotalAmt126179
IRS990/OtherExpensesGrp/TotalAmt2785986
IRS990/OtherExpensesGrp/TotalAmt332925
IRS990/OtherLiabilitiesGrp/BOYAmt014518593
IRS990/OtherLiabilitiesGrp/EOYAmt013409437
IRS990/OtherRevenueMiscGrp/BusinessCd0900099
IRS990/OtherRevenueMiscGrp/Desc0OTHER
IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt01196
IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt01196
IRS990/OtherRevenueTotalAmt01196
IRS990/OtherSalariesAndWagesGrp/TotalAmt00
IRS990/OthNotesLoansReceivableNetGrp/BOYAmt00
IRS990/OthNotesLoansReceivableNetGrp/EOYAmt00
IRS990/PartialLiquidationInd0false
IRS990/PaymentsToAffiliatesGrp/TotalAmt00
IRS990/PayrollTaxesGrp/TotalAmt00
IRS990/PdInCapSrplsLandBldgEqpFundGrp/BOYAmt00
IRS990/PdInCapSrplsLandBldgEqpFundGrp/EOYAmt00
IRS990/PensionPlanContributionsGrp/TotalAmt00
IRS990/PledgesAndGrantsReceivableGrp/BOYAmt00
IRS990/PledgesAndGrantsReceivableGrp/EOYAmt00
IRS990/PoliticalCampaignActyInd0false
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt01024781
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt01024781
IRS990/PrincipalOfficerNm0RODGER M GLOS
IRS990/ProfessionalFundraisingInd0false
IRS990/ProgramServiceRevenueGrp/BusinessCd0900099
IRS990/ProgramServiceRevenueGrp/BusinessCd1900099
IRS990/ProgramServiceRevenueGrp/Desc0EMPLOYER CONTRIBUTIONS
IRS990/ProgramServiceRevenueGrp/Desc1SELF-PAY CONTRIBUTIONS
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt040676235
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt16752092
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt040676235
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt16752092
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYBenefitsPaidToMembersAmt056361051
IRS990/PYContributionsGrantsAmt00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt08012909
IRS990/PymtTravelEntrtnmntPubOfclGrp/TotalAmt00
IRS990/PYOtherExpensesAmt02349777
IRS990/PYOtherRevenueAmt0199
IRS990/PYProgramServiceRevenueAmt046526518
IRS990/PYRevenuesLessExpensesAmt0-4171202
IRS990/PYSalariesCompEmpBnftPaidAmt00
IRS990/PYTotalExpensesAmt058710828
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt054539626
IRS990/RcvblFromDisqualifiedPrsnGrp/BOYAmt00
IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt00
IRS990/ReceivablesFromOfficersEtcGrp/BOYAmt00
IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt00
IRS990/ReconcilationRevenueExpnssAmt0-2814971
IRS990/RegularMonitoringEnfrcInd0true
IRS990/RelatedEntityInd0true
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/RentalIncomeOrLossGrp/PersonalAmt00
IRS990/RentalIncomeOrLossGrp/RealAmt00
IRS990/ReportInvestmentsOtherSecInd0true
IRS990/ReportLandBuildingEquipmentInd0false
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0true
IRS990/ReportProgramRelatedInvstInd0false
IRS990/RoyaltiesGrp/TotalAmt00
IRS990/RoyaltiesRevenueGrp/TotalRevenueColumnAmt00
IRS990/RtnEarnEndowmentIncmOthFndsGrp/BOYAmt0106703389
IRS990/RtnEarnEndowmentIncmOthFndsGrp/EOYAmt098143213
IRS990/SavingsAndTempCashInvstGrp/BOYAmt06697093
IRS990/SavingsAndTempCashInvstGrp/EOYAmt0883529
IRS990/ScheduleBRequiredInd0false
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt0-996987
IRS990ScheduleD/ExpensesSubtotalAmt054729270
IRS990ScheduleD/FederalIncomeTaxLiabilityAmt00
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/InvestmentExpensesNotIncld2Amt0112169
IRS990ScheduleD/InvestmentExpensesNotIncldAmt0112169
IRS990ScheduleD/NetUnrealizedGainsInvstAmt0-5745205
IRS990ScheduleD/OtherExpensesNotIncludedAmt0-1109156
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt013409437
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0BENEFIT OBLIGATIONS
IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt00
IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt110789981
IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt21494637
IRS990ScheduleD/OtherSecuritiesGrp/Desc0GROSVENOR INSTITUTIONAL
IRS990ScheduleD/OtherSecuritiesGrp/Desc1PARTNER
IRS990ScheduleD/OtherSecuritiesGrp/Desc2MFS INTERNATIONAL GROWTH LLC
IRS990ScheduleD/OtherSecuritiesGrp/MethodValuationCd0F
IRS990ScheduleD/OtherSecuritiesGrp/MethodValuationCd1F
IRS990ScheduleD/OtherSecuritiesGrp/MethodValuationCd2F
IRS990ScheduleD/RevenueNotReportedAmt0-5745205
IRS990ScheduleD/RevenueNotReportedFinclStmtAmt0112169
IRS990ScheduleD/RevenueSubtotalAmt050805143
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0Accounting principles generally accepted in the United States of America require management to evaluate tax positions taken by the Plan and recognize a tax liability if the Plan has taken a tax position that more likely than not would not by sustained upon examination by a tax authority. The Plan is subject to routine audits by jurisdictions; however, there are currently no audits for any tax periods in progress. PART XII, LINE 4b: Change in Benefit Obligations.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
IRS990ScheduleD/TotalBookValueSecuritiesAmt012284618
IRS990ScheduleD/TotalExpensesPerForm990Amt053732283
IRS990ScheduleD/TotalLiabilityAmt013409437
IRS990ScheduleD/TotalRevenuePerForm990Amt050917312
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt045059938
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt054729270
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0TO PROVIDE HEALTH BENEFITS TO ELIGIBLE ACTIVE PARTICIPANTS AND THEIR COVERED DEPENDENTS. THE PLAN ALSO PROVIDES HEALTH BENEFITS TO SELF-PAY PARTICIPANTS AND RETIREES FOR WHICH A CONTRIBUTION IS RECEIVED. PART VI, LINE 11B: FORM 990 IS REVIEWED BY THE ADMINISTRATIVE OFFICE PRIOR TO BEING FILED. THE ADMINISTRATIVE OFFICE NOTIFIES THE BOARD OF TRUSTEES OF UNUSUAL OR SIGNIFICANT ITEMS, IF NOTED. PART VI, LINE 12C: TRUSTEES ARE REQUIRED TO NOTIFY THE TRUST OF ANY CHANGES IN INTERESTS THAT COULD GIVE RISE TO CONFLICTS. PART VI, LINE 19: THE PLAN'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MAINTAINED AT THE ADMINISTRATIVE OFFICE AND ARE AVAILABLE UPON REQUEST. PART VII - SECTION A: MEMBERS OF THE BOARD OF TRUSTEES SERVE FOR NO COMPENSATION. COMPENSATION PAID TO TRUSTEES BY THEIR EMPLOYERS IS REPORTED ON THE EMPLOYERS' ANNUAL TAX FILINGS. THIS INFORMATION IS UNKNOWN TO THE PLAN ADMINISTRATOR.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 1 AND PART III, LINES 1 AND 4A - ORGANIZATION'S MISSION:
IRS990ScheduleR/AssetExchangeInd0false
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd0false
IRS990ScheduleR/AssetSaleToOtherOrgInd0false
IRS990ScheduleR/DivRelatedOrganizationInd0false
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd0false
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd0false
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/DirectControllingEntityName/BusinessNameLine1Txt0na
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt0see supplemental information
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/DirectControllingEntityName/BusinessNameLine1Txt0na
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/RelatedOrganizationName/BusinessNameLine1Txt0see supplemental information
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd0false
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd1false
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd2false
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd3false
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt0NA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt1NA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt2NA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt3NA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0CIC-TOC PENSION PLAN
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt1LUMBER INDUSTRY PENSION PLAN
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt2CIC DEFINED CONTRIBUTION RETIREMENT PLAN
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt3CARPENTERS INDUSTRIAL COUNCIL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0456909074
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN1456909074
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN2456909074
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN3421693707
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt01.401-1(B)3
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt11.401-1(B)3
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt21.401-1(B)3
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt3501(C)5
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0WA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd1WA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd2WA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd3OR
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0PENSION BEN.
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt1PENSION BEN.
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt2PENSION BEN.
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt3LABOR ORG.

Document Assets

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Filings

Displayed year

2016 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$111,734,878
Liabilities
$13,591,665
Net assets
$98,143,213
Revenue
$50,917,312
Expenses
$53,732,283
Net income
-$2,814,971
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2023Summary only. Only limited summary data is available for this year.$152$10.7$141$51.2$41.0$10.3
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$147$12.9$134$58.9$52.3$6.56
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$153$12.7$140$58.7$47.4$11.3
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$127$11.9$116$60.7$52.9$7.82
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$120$11.5$109$61.1$52.1$8.98
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$113$12.1$101$56.0$53.5$2.48
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$112$13.7$98.2$53.0$57.0$4.08
2016Detailed filing. Detailed filing data is available for this year.$112$13.6$98.1$50.9$53.7$2.81
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$121$14.7$107$54.5$58.7$4.17
2014Summary only. Only limited summary data is available for this year.$132$15.5$117$52.4$57.5$5.13
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$135$15.6$119$52.5
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$129$16.8$113$59.6
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$142$16.6$125$56.0
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$134$17.3$116$63.4