Civic Intelligence

The Bledsoe Health Trust

990 • Fiscal year 2017 • EIN 93-0478837

Jun 01, 2016 to May 31, 2017 • Filed on Mar 14, 2018

2323 Eastlake Ave EastSeattle, 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.

2017 filings • 501(c)9 • $100M-$250M nonprofits • Source year 2017

Liabilities / Revenue

82nd percentile

0.26x

Higher debt load relative to revenue than 82% of similar nonprofits.

2017 filings • 501(c)9 • $100M-$250M nonprofits • Source year 2017

Net Margin

15th percentile

-7.7%

Higher net margin than 15% of similar nonprofits.

2017 filings • 501(c)9 • $100M-$250M nonprofits • Source year 2017

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.

2017 filings • 501(c)9 • $100M-$250M nonprofits • Source year 2017

Asset Growth

18th percentile

0.1%

Faster asset growth than 18% of similar nonprofits.

2017 filings • 501(c)9 • $100M-$250M nonprofits • Annualized from 2016 to 2017

Revenue Growth

39th percentile

4.0%

Faster revenue growth than 39% of similar nonprofits.

2017 filings • 501(c)9 • $100M-$250M nonprofits • Annualized from 2016 to 2017

Assets

Up

$111,831,975

Up $97,097 (+0.1%) from 2016

Net Assets

Up

$98,164,278

Up $21,065 (+0.0%) from 2016

Liabilities

Up

$13,667,697

Up $76,032 (+0.6%) from 2016

Revenue

Up

$52,956,095

Up $2,038,783 (+4.0%) from 2016

Expenses

Up

$57,037,638

Up $3,305,355 (+6.2%) from 2016

Net Income

Down

-$4,081,543

Down $1,266,572 (-45%) from 2016

Historical Trend

Balance Sheet Trend

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

2017

Assets$111,831,975
Liabilities$13,667,697
Net Assets$98,164,278

Operations Trend

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

2017

Revenue$52,956,095
Expenses$57,037,638
Net Income-$4,081,543
Jump To
Filing Snapshot
Filing Period
Jun 1, 2016 to May 31, 2017
Signed
Mar 14, 2018
Return Version
2016v3.1
Gross Receipts
$97,008,236
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$98,143,213$98,164,278▲ $21,065
Investments in Publicly Traded Securities$90,409,248$92,978,978▲ $2,569,730
Investments Other Securities$12,284,618$11,520,116▼ $764,502
Accounts Receivable$7,132,702$3,794,873▼ $3,337,829
Savings and Temporary Cash Investments$883,529$2,511,916▲ $1,628,387
Prepaid Expenses and Deferred Charges$1,024,781$1,025,296▲ $515
Cash and Non-Interest-Bearing Accounts$0$796▲ $796
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$0→ $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$111,734,878$111,831,975▲ $97,097
Other Assets Total$0$0→ $0
Liabilities
Other Liabilities$13,409,437$13,586,156▲ $176,719
Accounts Payable and Accrued Expenses$182,228$81,541▼ $100,687
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$13,591,665$13,667,697▲ $76,032
Net Assets / Fund Balance
Total Net Assets Fund Balance$98,143,213$98,164,278▲ $21,065
Total Liabilities and Net Assets / Fund Balance$111,734,878$111,831,975▲ $97,097

Asset Categories

AssetBook ValueDepreciationBasis
Other Securities$11,520,116--
Compensation and Service Providers

Board Members and Trustees

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

Highest Paid Contractors

ContractorServicesLocationCompensation
Regence Bluecross Blueshield Of OreAdmin Service OrgPO Box 1271, Portland, OR 97207$6,094,965
Northwest Administrators INCAdministrative Fees2323 EASTLAKE AVE EAST, Seattle, WA 98102$535,810
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$48,068,249
Investment Income
$3,373,038
Other Revenue
$1,514,808
Change in Net Assets
$-4,081,543

Audited Revenue Reconciliation

Revenue per Audited Statements
$52,905,578
Revenue Not Reported on Financial Statements
$50,517
Revenue Not Reported on Form 990
$2,590,071
Total Revenue per Audited Statements
$55,495,649
Total Revenue per Form 990
$52,956,095
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$1,172,894
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---$55,864,744
Fees for Services Management---$530,774
Office Expenses---$92,739
Fees for Services Accounting---$68,582
Fees for Services Legal---$62,365
Fees for Service Investment Mgmnt Fees---$50,517
Other Expenses---$45,000
Insurance---$41,369
Conferences and Meetings---$14,562
Fees for Services Other---$5,425
Total Functional Expenses$0$0$0$57,037,638

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$57,037,638
Expenses per Audited Statements$56,810,402
Total Expenses per Audited Statements$55,297,865
Expenses Not Reported on Financial Statements$227,236
Other Expense Adjustments$176,719
Expenses Not Reported on Form 990$-1,512,537
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
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$13,586,156
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

Governance Explanations

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 plan 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.

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 EAST, SEATTLE, WA 98102

Signing Officer

Name
Roger M Glos
Title
Chairman
Signed
2018-03-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Roger M Glos
Formed
1959
Legal Domicile
Or
Voting Board Members
10
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.

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 be 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 XI, LINE 2D AND PART XII, LINE 2D:

Medical expense refunds and rebates received.

PART XII, LINE 4B:

Change in benefit obligations.

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IRS990/IndependentVotingMemberCnt00
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd0false
IRS990/InfoInScheduleOPartVIIInd0X
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InformationTechnologyGrp/TotalAmt00
IRS990/InsuranceGrp/TotalAmt041369
IRS990/IntangibleAssetsGrp/BOYAmt00
IRS990/IntangibleAssetsGrp/EOYAmt00
IRS990/InterestGrp/TotalAmt00
IRS990/InventoriesForSaleOrUseGrp/BOYAmt00
IRS990/InventoriesForSaleOrUseGrp/EOYAmt00
IRS990/InvestmentIncomeGrp/ExclusionAmt02894311
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt02894311
IRS990/InvestmentInJointVentureInd0false
IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt012284618
IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt011520116
IRS990/InvestmentsProgramRelatedGrp/BOYAmt00
IRS990/InvestmentsProgramRelatedGrp/EOYAmt00
IRS990/InvestmentsPubTradedSecGrp/BOYAmt090409248
IRS990/InvestmentsPubTradedSecGrp/EOYAmt092978978
IRS990/IRPDocumentCnt02
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipBasisNetGrp/BOYAmt00
IRS990/LandBldgEquipBasisNetGrp/EOYAmt00
IRS990/LegalDomicileStateCd0OR
IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt044052141
IRS990/LoanOutstandingInd0false
IRS990/LoansFromOfficersDirectorsGrp/BOYAmt00
IRS990/LoansFromOfficersDirectorsGrp/EOYAmt00
IRS990/LocalChaptersInd0false
IRS990/MaterialDiversionOrMisuseInd0false
IRS990/MembersOrStockholdersInd0false
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd0false
IRS990/MinutesOfGoverningBodyInd0true
IRS990/MissionDesc0THE 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.
IRS990/MoreThan5000KToIndividualsInd0false
IRS990/MoreThan5000KToOrgInd0false
IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt00
IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt00
IRS990/NetAssetsOrFundBalancesBOYAmt098143213
IRS990/NetAssetsOrFundBalancesEOYAmt098164278
IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt0478727
IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt0478727
IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt00
IRS990/NetIncomeFromGamingGrp/TotalRevenueColumnAmt00
IRS990/NetIncomeOrLossGrp/TotalRevenueColumnAmt00
IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt00
IRS990/NetUnrlzdGainsLossesInvstAmt04102608
IRS990/NondeductibleContributionsInd0false
IRS990/OccupancyGrp/TotalAmt00
IRS990/OfficeExpensesGrp/TotalAmt092739
IRS990/OfficerMailingAddressInd0false
IRS990/OperateHospitalInd0false
IRS990/Organization501cInd0X
IRS990/OrgDoesNotFollowSFAS117Ind0X
IRS990/OtherAssetsTotalGrp/BOYAmt00
IRS990/OtherAssetsTotalGrp/EOYAmt00
IRS990/OtherEmployeeBenefitsGrp/TotalAmt00
IRS990/OtherExpensesGrp/Desc0ACA REINSURANCE FEE
IRS990/OtherExpensesGrp/Desc1ACA PCORI FEE
IRS990/OtherExpensesGrp/Desc2CONSULTING
IRS990/OtherExpensesGrp/Desc3TRUSTEE SERVICES
IRS990/OtherExpensesGrp/TotalAmt0146685
IRS990/OtherExpensesGrp/TotalAmt114880
IRS990/OtherExpensesGrp/TotalAmt299996
IRS990/OtherExpensesGrp/TotalAmt345000
IRS990/OtherLiabilitiesGrp/BOYAmt013409437
IRS990/OtherLiabilitiesGrp/EOYAmt013586156
IRS990/OtherRevenueMiscGrp/BusinessCd0900099
IRS990/OtherRevenueMiscGrp/BusinessCd1900099
IRS990/OtherRevenueMiscGrp/Desc0REBATES
IRS990/OtherRevenueMiscGrp/Desc1MISCELLANEOUS INCOME
IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt01512537
IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt12271
IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt01512537
IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt12271
IRS990/OtherRevenueTotalAmt01514808
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/EOYAmt01025296
IRS990/PrincipalOfficerNm0Roger M Glos
IRS990/ProfessionalFundraisingInd0false
IRS990/ProgramServiceRevenueGrp/BusinessCd0900099
IRS990/ProgramServiceRevenueGrp/BusinessCd1900099
IRS990/ProgramServiceRevenueGrp/Desc0EMPLOYER CONTRIBUTIONS
IRS990/ProgramServiceRevenueGrp/Desc1SELF-PAY CONTRIBUTIONS
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt041835027
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt16233222
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt041835027
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt16233222
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYBenefitsPaidToMembersAmt051447942
IRS990/PYContributionsGrantsAmt00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt03487789
IRS990/PymtTravelEntrtnmntPubOfclGrp/TotalAmt00
IRS990/PYOtherExpensesAmt02284341
IRS990/PYOtherRevenueAmt01196
IRS990/PYProgramServiceRevenueAmt047428327
IRS990/PYRevenuesLessExpensesAmt0-2814971
IRS990/PYSalariesCompEmpBnftPaidAmt00
IRS990/PYTotalExpensesAmt053732283
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt050917312
IRS990/RcvblFromDisqualifiedPrsnGrp/BOYAmt00
IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt00
IRS990/ReceivablesFromOfficersEtcGrp/BOYAmt00
IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt00
IRS990/ReconcilationRevenueExpnssAmt0-4081543
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/BOYAmt098143213
IRS990/RtnEarnEndowmentIncmOthFndsGrp/EOYAmt098164278
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0883529
IRS990/SavingsAndTempCashInvstGrp/EOYAmt02511916
IRS990/ScheduleBRequiredInd0false
IRS990ScheduleD/ExpensesNotReportedAmt0-1512537
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt0227236
IRS990ScheduleD/ExpensesSubtotalAmt056810402
IRS990ScheduleD/FederalIncomeTaxLiabilityAmt00
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/InvestmentExpensesNotIncld2Amt050517
IRS990ScheduleD/InvestmentExpensesNotIncldAmt050517
IRS990ScheduleD/NetUnrealizedGainsInvstAmt04102608
IRS990ScheduleD/OtherExpensesIncludedAmt0-1512537
IRS990ScheduleD/OtherExpensesNotIncludedAmt0176719
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt013586156
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0BENEFIT OBLIGATIONS
IRS990ScheduleD/OtherRevenueAmt0-1512537
IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt011520116
IRS990ScheduleD/OtherSecuritiesGrp/Desc0GROSVENOR INSTITUTIONAL PARTNE
IRS990ScheduleD/OtherSecuritiesGrp/MethodValuationCd0F
IRS990ScheduleD/RevenueNotReportedAmt02590071
IRS990ScheduleD/RevenueNotReportedFinclStmtAmt050517
IRS990ScheduleD/RevenueSubtotalAmt052905578
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 BE 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.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1MEDICAL EXPENSE REFUNDS AND REBATES RECEIVED.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt2CHANGE IN BENEFIT OBLIGATIONS.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1PART XI, LINE 2D AND PART XII, LINE 2D:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc2PART XII, LINE 4B:
IRS990ScheduleD/TotalBookValueSecuritiesAmt011520116
IRS990ScheduleD/TotalExpensesPerForm990Amt057037638
IRS990ScheduleD/TotalLiabilityAmt013586156
IRS990ScheduleD/TotalRevenuePerForm990Amt052956095
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt055495649
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt055297865
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.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1FORM 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.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2TRUSTEES ARE REQUIRED TO NOTIFY THE PLAN OF ANY CHANGES IN INTERESTS THAT COULD GIVE RISE TO CONFLICTS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE PLAN'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MAINTAINED AT THE ADMINISTRATIVE OFFICE AND ARE AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4MEMBERS 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:
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1PART VI, LINE 11B:
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2PART VI, LINE 12C:
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3PART VI, LINE 19:
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4PART VII - SECTION A:
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

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Filings

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
2017Detailed filing. Detailed filing data is available for this year.$112$13.7$98.2$53.0$57.0$4.08
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$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