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Nonprofiteer
← PENNSYLVANIA EMPLOYEES BENEFIT

Form 990 for tax year 2022

Filed by PENNSYLVANIA EMPLOYEES BENEFIT.

Totals

Total revenue
$1,203,970,182
Total expenses
$1,131,884,440
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$1,197,422,992
Investment income
$6,547,190
Other revenue
$0
Total assets, end of year
$1,000,446,816
Total liabilities, end of year
$121,547,406
Net assets or fund balances, end of year
$878,899,410
Program services expenses (Part IX)
$0
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$0

Program services were 0.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1a · Federated campaigns

    $0

  • 1b · Membership dues

    $0

  • 1c · Fundraising events

    $0

  • 1d · Related organizations

    $0

  • 1e · Government grants (contributions)

    $0

  • 1f · All other contributions, gifts and grants

    $0

  • 1g · Noncash contributions included above

    $0

  • 2a · Program service revenue: Employer Contributions

    total $1,055,128,805 · related or exempt $1,055,128,805 · unrelated business $0 · excluded $0

  • 2b · Program service revenue: Participant Contributions

    total $139,531,733 · related or exempt $139,531,733 · unrelated business $0 · excluded $0

  • 2f · All other program service revenue

    total $2,762,454 · related or exempt $2,762,454 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $23,510,888 · related or exempt $23,510,888 · unrelated business $0 · excluded $0

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 5 · Royalties

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7a · Gross sales of assets other than inventory

    securities $288,684,770 · other assets $0

  • 7b · Less cost or other basis and sales expenses

    securities $305,648,468 · other assets $0

  • 7c · Gain or loss

    securities -$16,963,698 · other assets $0

  • 7d · Net gain or loss

    total -$16,963,698 · related or exempt -$16,963,698 · unrelated business $0 · excluded $0

  • 8a · Fundraising events: contributions included on line 1c

    $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $0

  • 2 · Grants to domestic individuals

    total $0

  • 3 · Grants to foreign organizations and individuals

    total $0

  • 4 · Benefits paid to or for members

    total $1,098,701,535

  • 5 · Compensation of officers, directors and key employees

    total $726,308

  • 6 · Compensation of disqualified persons

    total $0

  • 7 · Other salaries and wages

    total $3,768,258

  • 8 · Pension plan contributions

    total $0

  • 9 · Other employee benefits

    total $1,160,686

  • 10 · Payroll taxes

    total $348,370

  • 11a · Fees: management

    total $0

  • 11b · Fees: legal

    total $280,648

  • 11c · Fees: accounting

    total $78,882

  • 11d · Fees: lobbying

    total $0

  • 11e · Fees: professional fundraising services

    total $0

  • 11f · Fees: investment management

    total $0

  • 11g · Fees: other

    total $779,557

  • 12 · Advertising and promotion

    total $0

  • 13 · Office expenses

    total $465,290

  • 14 · Information technology

    total $694,291

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $208,618

  • 17 · Travel

    total $23,073

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $0

  • 20 · Interest

    total $0

  • 21 · Payments to affiliates

    total $0

  • 22 · Depreciation, depletion and amortization

    total $180,806

  • 23 · Insurance

    total $231,030

  • 24a · Other expenses: Retention Expense Admin

    total $18,709,408

  • 24b · Other expenses: Mental Health / Substance Abuse

    total $4,727,071

  • 24c · Other expenses: Dues, Subscriptions, Licenses

    total $734,095

  • 24d · Other expenses: Disease Management

    total $40,464

  • 24e · All other expenses

    total $26,050

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $0 · end of year $0

  • 2 · Savings and temporary cash investments

    beginning of year $371,763,609 · end of year $431,589,065

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $113,139,430 · end of year $144,070,085

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $0 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $611,158 · end of year $399,996

  • 10a · Land, buildings and equipment: cost or other basis

    $39,106,286

  • 10b · Land, buildings and equipment: accumulated depreciation

    $38,845,386

  • 10c · Land, buildings and equipment, net

    beginning of year $536,113 · end of year $260,900

  • 11 · Investments: publicly traded securities

    beginning of year $433,104,954 · end of year $423,930,064

  • 12 · Investments: other securities

    beginning of year $0 · end of year $0

  • 13 · Investments: program-related

    beginning of year $0 · end of year $0

  • 14 · Intangible assets

    beginning of year $0 · end of year $196,706

  • 15 · Other assets

    beginning of year $0 · end of year $0

  • 17 · Accounts payable and accrued expenses

    beginning of year $29,829,644 · end of year $37,028,406

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $0 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $86,018,000 · end of year $84,519,000

  • 29 · Capital stock, trust principal or current funds

    beginning of year $0 · end of year $0

  • 30 · Paid-in or capital surplus, or land, building or equipment fund

    beginning of year $0 · end of year $0

  • 31 · Retained earnings, endowment or other funds

    beginning of year $803,307,620 · end of year $878,899,410

Mission and programs · 2022

Mission

Trust for the provision of medical, surgical, hospital, and supplemental benefits to employees of the Commonwealth of Pennsylvania and associated agencies, as well as their dependents and retirees.

Activities or mission (Part I)

Trust for the provision of employee benefits to employees of the Commonwealth of Pennsylvania.

  • To provide medical, surgical, hospital, and supplemental benefits to employees of the Commonwealth of Pennsylvania as well as other participants. Benefits provided to approximately 66,900 contracts, or 153,000 covered lives.

As filed on the 2022 return.

Listed in Part VII

  • Kathryn Farley

    Executive Director / CEO

    Total calculated
    $364,460
    From this org
    $334,324
    From related orgs
    $0
    Other
    $30,136
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $296,516
    Bonus
    $0
    Other
    $37,809
    Deferred
    $16,200
    Nontaxable benefits
    $13,936
    Filer's total
    $364,461

  • Jim Cibak

    Chief Information Officer

    Total calculated
    $200,011
    From this org
    $175,207
    From related orgs
    $0
    Other
    $24,804
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $159,337
    Bonus
    $0
    Other
    $15,869
    Deferred
    $10,868
    Nontaxable benefits
    $13,936
    Filer's total
    $200,010

  • Sharon Young

    CFO

    Total calculated
    $185,953
    From this org
    $161,245
    From related orgs
    $0
    Other
    $24,708
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $140,055
    Bonus
    $0
    Other
    $21,190
    Deferred
    $10,772
    Nontaxable benefits
    $13,936
    Filer's total
    $185,953

  • Lori Donovan

    COO

    Total calculated
    $171,959
    From this org
    $162,311
    From related orgs
    $0
    Other
    $9,648
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $153,389
    Bonus
    $0
    Other
    $8,922
    Deferred
    $0
    Nontaxable benefits
    $9,648
    Filer's total
    $171,959

  • John-Marc Blanche

    Network Manager

    Total calculated
    $165,833
    From this org
    $143,063
    From related orgs
    $0
    Other
    $22,770
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $115,412
    Bonus
    $0
    Other
    $27,651
    Deferred
    $8,834
    Nontaxable benefits
    $13,936
    Filer's total
    $165,833

  • Christy Leo

    Director of Communications

    Total calculated
    $147,573
    From this org
    $125,660
    From related orgs
    $0
    Other
    $21,913
    Hours/week
    40

  • Amy Spease

    Director of Support Services / Training

    Total calculated
    $144,947
    From this org
    $123,094
    From related orgs
    $0
    Other
    $21,853
    Hours/week
    40

  • John Cromer

    Accounting Manager

    Total calculated
    $136,192
    From this org
    $115,256
    From related orgs
    $0
    Other
    $20,936
    Hours/week
    40

  • Linda Tezak

    Data Center Manager

    Total calculated
    $133,133
    From this org
    $112,260
    From related orgs
    $0
    Other
    $20,873
    Hours/week
    40

  • Dave Henderson

    Chairman

    Total calculated
    $0
    Hours/week
    0.25

  • Neil Weaver

    Secretary

    Total calculated
    $0
    Hours/week
    0.25

  • Stephen Catanese

    Board Member

    Total calculated
    $0
    Hours/week
    0.25

  • Valarie Arkoosh

    Board Member

    Total calculated
    $0
    Hours/week
    0.25

  • William Einhorn

    Board Member

    Total calculated
    $0
    Hours/week
    0.25

  • Natalie Krug

    Board Member

    Total calculated
    $0
    Hours/week
    0.25

  • Kerri Gallagher

    Board Member

    Total calculated
    $0
    Hours/week
    0.25

  • Tara Long

    Board Member

    Total calculated
    $0
    Hours/week
    0.25

  • Zollie J Rayner Jr

    Board Member

    Total calculated
    $0
    Hours/week
    0.25

  • H Ben Lukens

    Board Member

    Total calculated
    $0
    Hours/week
    0.25

  • Tom Tosti

    Board Member

    Total calculated
    $0
    Hours/week
    0.25

  • Uri Monson

    Board Member

    Total calculated
    $0
    Hours/week
    0.25

  • Adam K Weber

    Board Member

    Total calculated
    $0
    Hours/week
    0.25

  • Tracy Sullivan

    Board Member

    Total calculated
    $0
    Hours/week
    0.25

  • Matt Yarnell

    Board Member

    Total calculated
    $0
    Hours/week
    0.25

  • Erika Swaney

    Board Member

    Total calculated
    $0
    Hours/week
    0.25

  • Wendell Young IV

    Board Member

    Total calculated
    $0
    Hours/week
    0.25

  • Jason Swarthout

    Board Member

    Total calculated
    $0
    Hours/week
    0.25

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 1a · Tax indemnification and gross-up payments
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 3 · Compensation committee
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement

The filer's explanations (Part III)

Schedule J, Part I, Line 1a
Gross-up for Kathryn Farley for the current year totaled $3,036.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Provenance

Return type
form_990
Tax year
2022
Filed
14 November 2023
IRS schema version
2022v5.0
Source object
202343489349301009

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