Washington Alliance for Healthcare: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- Washington Alliance for Healthcare (EIN 91-6442222)
- Tax period
- 2009-04-01 to 2010-03-31
- Filed
- 2011-01-28
- IRS object ID
- 201120289349301007
- Schema version
- 2009v1.7
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-01-28T14:01:49-06:00 | Timestamp |
| Tax Period End Date | 2010-03-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SCHOEDEL & SCHOEDEL CPAS PLLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 422 W RIVERSIDE AVE STE 1420 | AddressLine1 |
| City | SPOKANE | City |
| State | WA | State |
| ZIP Code | 992010395 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-04-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 916442222 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Washington Alliance for Healthcare Insurance Trust | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | WASH | NameControl |
| Phone | 4257717359 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 6 | AddressLine1 |
| City | Mukilteo | City |
| State | WA | State |
| ZIP Code | 98275 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | F Bentley Lovejoy | Name |
| Title | Trustee | Title |
| Phone | 4257717359 | Phone |
| Date Signed | 2011-01-27 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SCOTT OPPERUD CPA | Name |
| Phone | 5097472158 | Phone |
| Date Prepared | 2011-01-27 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | F Bentley Lovejoy | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 6 | AddressLine1 |
| City | Mukilteo | City |
| State | WA | State |
| ZIP Code | 98275 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 248631685 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | www.wahit.com www.nwtechbenefits.com | WebSite |
| Type Of Organization Trust | X | TypeOfOrganizationTrust |
| Year Formation | 1997 | YearFormation |
| State Legal Domicile | WA | StateLegalDomicile |
| Activity Or Mission Description | To provide qualified health and welfare benefits. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 1 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 0 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 127365483 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 247535569 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 36193 | InvestmentIncomePriorYear |
| Investment Income Current Year | 300807 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 155425 | OtherRevenuePriorYear |
| Other Revenue Current Year | 274365 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 127557101 | TotalRevenuePriorYear |
| Total Revenue Current Year | 248110741 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 110052720 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 226051659 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 317413 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 669655 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 12980679 | OtherExpensePriorYear |
| Other Expenses Current Year | 25439951 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 123350812 | TotalExpensesPriorYear |
| Total Expenses Current Year | 252161265 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 4206289 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -4050524 | RevenuesLessExpensesCY |
| Total Assets BOY | 31181640 | TotalAssetsBOY |
| Total Assets EOY | 27907669 | TotalAssetsEOY |
| Total Liabilities BOY | 12861971 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 13217345 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 18319669 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 14690324 | NetAssetsOrFundBalancesEOY |
| Mission Description | To hold insurance policies through which participating employers can provide programs of health and other insurance benefits under the employee benefit plans they maintain for their employees and dependents. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Description | The Trust was established to hold insurance policies through which participating employers can provide programs of health and other insurance benefits under the employee benefit plans they maintain for their employees and dependents. | Description |
| Described In501 C3 | 0 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 3 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Nbr Voting Governing Body Members | 1 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 0 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 0 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 0 | WhistleblowerPolicy |
| Document Retention Policy | 0 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Benefit Solutions Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4257717359 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12121 Harbour Reach Dr Ste 105 | AddressLine1 |
| City | Mukilteo | City |
| State | WA | State |
| ZIP Code | 98275 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | F Bentley Lovejoy | NamePerson |
| Title | Trustee | Title |
| Average Hours Per Week | 25.00 | AverageHoursPerWeek |
| Individual Trustee Or Director | X | IndividualTrusteeOrDirector |
| Reportable Comp From Organization | 642184 | ReportableCompFromOrganization |
| Reportable Comp From Related Orgs | 0 | ReportableCompFromRelatedOrgs |
| Other Compensation | 0 | OtherCompensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 642184 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 1 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Mercer Health & Benefits LLC | |||||
| 1301 Fifth Avenue Suite 1900 | Seattle | WA | 981012682 | General agent and insurance broker | 19565058 |
| Benefit Solutions Inc | |||||
| 12121 Harbour Reach Dr Suite 105 | Mukilteo | WA | 98275 | Contract administrator | 4272193 |
| Ekman Bohrer & Thulin PS | |||||
| 220 West Mercer St Suite 400 | Seattle | WA | 98119 | Attorney | 762205 |
| Premera Blue Cross | |||||
| 7001 220th St SW | Mountlake Terrace | WA | 98043 | Producing broker/agent | 336425 |
| PlanSource | |||||
| PO Box 1313 | Orlando | FL | 32802 | Website development | 273965 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 6 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Employer contributions | 525100 | 243335734 | 243335734 |
| Participant contributi | 525100 | 4199835 | 4199835 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 247535569 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 315478 | TotalRevenueColumn |
| Exclusion | $315,478 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 506273 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 520944 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -14671 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -14671 | TotalRevenueColumn |
| Exclusion | -$14,671 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Employer late fees | Description |
| Business Code | 525100 | BusinessCode |
| Total Revenue Column | 274365 | TotalRevenueColumn |
| Related Or Exempt Function Income | 274365 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 274365 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 248110741 | TotalRevenueColumn |
| Related Or Exempt Function Income | 247809934 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $300,807 | ExclusionAmount |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 226051659 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 669655 | Total |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4253049 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 762205 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18000 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12273 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20333848 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 42710 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4456 | Total |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13410 | Total |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 252161265 | Total |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12546144 | BOY |
| EOY | 12154540 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1 | BOY |
| EOY | 1 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 360393 | BOY |
| EOY | 307338 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5451 | BOY |
| EOY | 14285 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1683599 | BOY |
| EOY | 2154851 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16586052 | BOY |
| EOY | 13276654 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31181640 | BOY |
| EOY | 27907669 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 290253 | BOY |
| EOY | 419468 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10275870 | BOY |
| EOY | 9714065 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2295848 | BOY |
| EOY | 3083812 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12861971 | BOY |
| EOY | 13217345 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Do Not Follow SFAS117 | X | DoNotFollowSFAS117 |
Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18319669 | BOY |
| EOY | 14690324 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18319669 | BOY |
| EOY | 14690324 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31181640 | BOY |
| EOY | 27907669 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 0 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 0 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Insurance premium deposit | 2500000 |
| Rate stabilization reserves | 10776654 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 13276654 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Premiums due to insurers | $2,752,295 |
| Contract experience deficit | $331,517 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 3083812 | TotalOfAmounts |
| Total Revenue | 248110741 | TotalRevenue |
| Total Expenses | 252161265 | TotalExpenses |
| Excess Or Deficit For Year | -4050524 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 408906 | NetUnrealizedGLOnInvestments |
| Investment Expenses | 12273 | InvestmentExpenses |
| Total Adjustments | 421179 | TotalAdjustments |
| Excess Or Deficit Per FS | -3629345 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 248519647 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 408906 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | 408906 | RevenueNotRptdF990 |
| Revenue Subtotal | 248110741 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 248110741 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 251361028 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 2295848 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 2295848 | ExpensesNotRptdF990 |
| Expenses Subtotal | 249065180 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 12273 | InvestmentExpensesNotIncluded2 |
| Other Expenses Not Included | 3083812 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 3096085 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 252161265 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Part XIII, Line 2d - Other Adjustments: | Premiums due insurers at the end of the prior year: 2290339. Contract experience deficit at the end of the prior year: 5509. |
| Part XIII, Line 4b - Other Adjustments: | Premiums due insurers at the end of the current year: 2752295. Contract experience deficit at the end of the current year: 331517. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Compensation Survey | X | CompensationSurvey |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
Form990 Schedule J Part II Form990ScheduleJPartII
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | F Bentley Lovejoy | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Base Compensation Filing Org | 642184 | BaseCompensationFilingOrg |
| Comp Based On Related Orgs | 0 | CompBasedOnRelatedOrgs |
| Bonus Filing Org | 0 | BonusFilingOrg |
| Bonus Related Orgs | 0 | BonusRelatedOrgs |
| Other Compensation Filing Org | 0 | OtherCompensationFilingOrg |
| Other Compensation Related Orgs | 0 | OtherCompensationRelatedOrgs |
| Deferred Comp Filing Org | 0 | DeferredCompFilingOrg |
| Deferred Comp Related Orgs | 0 | DeferredCompRelatedOrgs |
| Nontaxable Benefits Filing Org | 0 | NontaxableBenefitsFilingOrg |
| Nontaxable Benefits Related Orgs | 0 | NontaxableBenefitsRelatedOrgs |
| Total Compensation Filing Org | 642184 | TotalCompensationFilingOrg |
| Total Compensation Related Orgs | 0 | TotalCompensationRelatedOrgs |
| Comp Report Prior990 Filing Org | 0 | CompReportPrior990FilingOrg |
| Comp Report Prior990 Related Orgs | 0 | CompReportPrior990RelatedOrgs |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Form 990, Part VI, Section A, line 3 | The Trust has contracted with a third-party administrator, Benefit Solutions, Inc., to provide bookkeeping and administrative services. |
| Form 990, Part VI, Section A, line 7a | Under the rules of the Trust, a super majority of the employers can hold an election to remove and replace the Trustee. |
| Form 990, Part VI, Section B, line 11 | The Form 990 was prepared under the guidance of the Trustee and the Trust's consultants and advisors by the independent accounting firm SCHOEDEL & SCHOEDEL, Certified Public Accountants, PLLC. Draft copies of the Trust's financial statements and Form 990 were first provided to the Trust's consultants and advisors, who reviewed the Form 990 for accuracy and completeness. Any questions, concerns or issues raised by the consultants and advisors were addressed and any necessary revisions were made to the Form 990. The revised Form 990 was then provided to the Trustee for his review and approval. Any additional questions, concerns or issues raised by the Trustee were addressed and any necessary revisions were made to the Form 990. The final version of the Form 990 was reviewed, approved and filed by the Trustee. |
| Form 990, Part VI, Section B, line 12c | Because the Trust is also subject to ERISA and its party in interest and prohibited transaction rules, the parties working with the Trust are periodically reminded of their duties and obligations to avoid prohibited transactions and transactions that could be viewed as not in conformance with the conflict of interest policy. |
| Form 990, Part VI, Section B, line 15a | The Trustee's compensation has been determined by evaluating the compensation packages of similar revenue sized not-for-profit tax-exempt health care organizations. The Trust purchased from Economic Research Institute its Nonprofit Comparables Assessor which displays all tax-exempt Form 990s that report executive compensation for the calendar year 2009. From this data it was determined that the formula applied to the Trustee's compensation was between the 70th and 75th percentile for senior executives of similarly sized reported organizations. This was determined to be reasonable given the size of the Trust, the number of insured, the level of responsibility, and the fact that he pays all of his own taxes, benefits and other expenses of acting as Trustee. The formula for determining the Trustee's compensation is reported to the participating employers as part of each employer's their copy of the governing trust agreement which is distributed when an employer first joins the Trust and any time that there is a change. The exact dollar amount of compensation is reported to the U.S. Department of Labor on Form 5500 and is available online or upon request by participants and employers. At each renewal, the participating employers approve the arrangements with the Trustee when they renew, or they can elect to take their business elsewhere in a very competitive insurance market or, under the rules of the Trust, a super majority of the employers can hold an election to remove and replace the Trustee. |
| Form 990, Part VI, Section C, line 19 | The Trust's governing documents, conflict of interest policy, financial statements and Form 990 are available to the general public upon written request sent to Benefit Solutions, Inc. at: P.O. Box 6, Mukilteo, WA 98275. |
Comments