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← GRINNELL COLLEGE MEDICAL BENEFIT PLAN TRUST AGREEMENT

Form 990 for tax year 2022

Filed by GRINNELL COLLEGE MEDICAL BENEFIT PLAN TRUST AGREEMENT.

Totals

Total revenue
$11,654,708
Total expenses
$11,230,082
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$11,309,206
Investment income
$345,502
Other revenue
$0
Total assets, end of year
$11,550,675
Total liabilities, end of year
$469
Net assets or fund balances, end of year
$11,550,206
Program services expenses (Part IX)
not reported
Management and general expenses
not reported
Fundraising expenses
not reported
Program service expenses (Part III)
not reported

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.

  • 2a · Program service revenue: EMPLOYER PREMIUM CONTR

    total $8,949,467 · related or exempt $8,949,467

  • 2b · Program service revenue: EMPLOYEE PREMIUM CONTR

    total $2,359,739 · related or exempt $2,359,739

  • 3 · Investment income

    total $345,502 · excluded $345,502

Functional expenses

Part IX, the statement of functional expenses.

  • 4 · Benefits paid to or for members

    total $9,736,901

  • 11b · Fees: legal

    total $4,332

  • 11c · Fees: accounting

    total $11,235

  • 11g · Fees: other

    total $1,477,614

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $264,373 · end of year $189,024

  • 4 · Accounts receivable

    beginning of year $620,240 · end of year $747,421

  • 9 · Prepaid expenses and deferred charges

    beginning of year $12,000 · end of year $12,000

  • 11 · Investments: publicly traded securities

    beginning of year $10,228,967 · end of year $10,602,230

  • 17 · Accounts payable and accrued expenses

    beginning of year $0 · end of year $469

  • 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 $11,125,580 · end of year $11,550,206

Mission and programs · 2022

Mission

PROVIDES GROUP HEALTH INSURANCE FOR ELIGIBLE EMPLOYEES OF GRINNELL COLLEGE.

  • PROVIDE GROUP HEALTH INSURANCE FOR ELIGIBLE EMPLOYEES OF GRINNELL COLLEGE WHO CHOOSE TO PARTICIPATE. THE PLAN, ADMINISTERED BY WELLMARK, AS OF JUNE 30 2023, PROVIDES BENEFITS TO APPROXIMATELY 848 ACTIVE EMPLOYEES, EARLY RETIREES AND SURVIVING SPOUSES IN ADDITION TO THEIR ELIGIBLE FAMILY MEMBERS.

As filed on the 2022 return.

Listed in Part VII

  • Anne Harris

    TRUSTEE

    Total calculated
    $770,648
    From this org
    $0
    From related orgs
    $618,102
    Other
    $152,546
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $572,780 related
    Bonus
    $0 + $26,500 related
    Other
    $0 + $18,822 related
    Deferred
    $0 + $30,500 related
    Nontaxable benefits
    $0 + $122,046 related
    Filer's total
    $0 + $770,648 related
  • Germaine Gross

    TRUSTEE

    Total calculated
    $261,995
    From this org
    $0
    From related orgs
    $235,893
    Other
    $26,102
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $180,456 related
    Bonus
    $0 + $29,441 related
    Other
    $0 + $25,996 related
    Deferred
    $0 + $21,069 related
    Nontaxable benefits
    $0 + $5,033 related
    Filer's total
    $0 + $261,995 related
  • Beronda Montgomery

    TRUSTEE

    Total calculated
    $197,368
    From this org
    $0
    From related orgs
    $168,728
    Other
    $28,640
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $148,078 related
    Bonus
    $0 + $10,000 related
    Other
    $0 + $10,650 related
    Deferred
    $0 + $16,000 related
    Nontaxable benefits
    $0 + $12,640 related
    Filer's total
    $0 + $197,368 related

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

None.

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)

PART I, LINE 3
THE GRINNELL COLLEGE MEDICAL BENEFIT PLAN TRUST DOES NOT HAVE ANY EMPLOYEES AND THEREFORE THE PROCESS OF DETERMINING COMPENSATION IS NOT APPLICABLE. THE TRUSTEES OF GRINNELL COLLEGE, A RELATED ORGANIZATION, DOES HAVE SUCH A PROCESS IN PLACE.

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.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2022
Filed
2 May 2024
IRS schema version
2022v5.0
Source object
202401299349304005

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