2020-07-06T18:01:43-05:00 2019-06-30 910189318 MOSS ADAMS LLP 805 SW BROADWAY STE 1200 PORTLAND OR 97205 990 2018-07-01 942329720 RETA TRUST C/O GALLAGHER BENEFIT SERVICES OF CA RETA 4155368428 1255 BATTERY STREET SUITE 450 SAN FRANCISCO CA 94111 KATHRYNE M MCGOWAN CEO 4155368428 2020-07-02 1 WENDY CAMPOS P00448102 5032421447 73.190.112.144 2020-07-02 14:16:56 PD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 E5063ACD695FBED51DB6327D63E0A6867DF2B261 2018 2021-09-10 13:11:23Z KATHRYNE M MCGOWAN 1255 BATTERY STREET SUITE 450 SAN FRANCISCO CA 94111 356235609 0 X N/A X 1976 CA THE RETA TRUST WAS FORMED UNDER A RELIGIOUS TRUST AGREEMENT ENTERED INTO BY TWO ROMAN CATHOLIC ARCHDIOCESES, SEVERAL DIOCESES AND SEVERAL RELIGIOUS ORDERS OF THE ROMAN CATHOLIC CHURCH AS A MEANS WHEREIN TO PROVIDE COST EFFECTIVE MEDICAL BENEFITS TO CLERGY, WOMEN RELIGIOUS, AND THEIR LAY EMPLOYEES AND THEIR DEPENDENTS. 5 5 0 10 0 0 0 0 246844742 275360080 3893598 4087279 -14897 -83755 250723443 279363604 0 0 216261778 228822802 0 0 0 0 0 31540970 32866271 247802748 261689073 2920695 17674531 84709238 102913524 25885688 27668282 58823550 75245242 X THE RETA TRUST WAS FORMED UNDER A RELIGIOUS TRUST AGREEMENT ENTERED INTO BY TWO ROMAN CATHOLIC ARCHDIOCESES, SEVERAL DIOCESES AND SEVERAL RELIGIOUS ORDERS OF THE ROMAN CATHOLIC CHURCH AS A MEANS WHEREIN TO PROVIDE COST EFFECTIVE MEDICAL BENEFITS TO CLERGY, WOMEN RELIGIOUS, AND THEIR LAY EMPLOYEES AND THEIR DEPENDENTS. 0 0 THE RETA TRUST PROVIDES MEDICAL BENEFITS TO CLERGY, WOMEN RELIGIOUS, AND LAY EMPLOYEES AND THEIR DEPENDENTS OF ROMAN CATHOLIC ORGANIZATIONS. 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 1 27 0 0 0 0 0 0 0 0 0 0 X 5 5 0 1 0 0 1 1 1 1 1 0 0 1 1 1 0 0 1 1 0 0 CA X GALLAGHER BENEFIT SERVICES OF CA 4155368428 1255 BATTERY STREET SUITE 450 SAN FRANCISCO CA 94111 X X TOM SCHADLE CHAIR 1.50 X X 0 0 0 PAUL BONGIOVANNI BOARD MEMBER 0.30 X 0 0 0 DAVID TWOMEY BOARD MEMBER 0.30 X 0 0 0 DCN ARUNA SILVA BOARD MEMBER 1.50 X 0 0 0 REV STEVE SALLOT BOARD MEMBER 1.00 X 0 0 0 JOHN STEIN EXECUTIVE DIRECTOR 40.00 X 0 0 0 ROB GEYER EXECUTIVE DIRECTOR 40.00 X 0 0 0 0 0 0 0 0 0 0 GALLAGHER BENEFIT SERVICES 1255 BATTERY STREET SUITE 450 SAN FRANCISCO CA 94111 CONSULTING SERVICES 3241823 BAS INC 132 IVY LANE-PO BOX 62407 KING OF PRUSSIA PA 19406 CONSULTING SERVICES 2437343 WEBMD 12186 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 CONSULTING SERVICES 1792681 LEWIS & ELLIS INC 11225 COLLEGE BLVD STE 320 OVERLAND PARK KS 66210 ACTUARIAL SERVICES 352375 ARMANINO LLP 12657 ALCOSTA BLVD STE 500 SAN RAMON CA 94583 ACCOUNTING AND CONSULTING SERVICES 303044 10 TRUSTOR CONTRIBUTIONS 525100 275360080 275360080 275360080 1682977 1682977 79276307 76872005 2404302 2404302 2404302 PRESCRIPTION DRUG REBATE 525100 -83755 -83755 -83755 279363604 275276325 0 4087279 228822802 3048969 180000 400392 253032 622496 347528 302437 75183 CLAIMS ADMINISTRATION 16741083 WELLNESS PROGRAM 5807887 REINSURANCE PREMIUMS 2588981 THIRD PARTY ADMINISTRAT 2476138 22145 261689073 8053453 12320283 373488 449339 1136963 1297362 75145334 88846540 84709238 102913524 3494416 5028359 22391272 22639923 25885688 27668282 X 58823550 75245242 0 0 0 0 58823550 75245242 84709238 102913524 17674531 -1252839 0 X 0 1 X 1 0 0 CLAIMS INCURRED BUT NOT REPORTED 19819427 PRESCRIPTION CLAIMS PAYABLE 2820496 22639923 X 277857733 -1252839 -1252839 279110572 253032 253032 279363604 261436041 0 261436041 253032 253032 261689073 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN AND HAS CONCLUDED, AS OF JUNE 30, 2019 AND 2018, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. PART IV, LINE 11F: THE RETA TRUST, AS ESTABLISHED TO HOLD THE PLAN'S NET ASSETS, IS QUALIFIED UNDER SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE AND BY THE CALIFORNIA FRANCHISE TAX BOARD UNDER SECTION 23701(I). ACCORDINGLY, THE RETA TRUST'S NET INVESTMENT INCOME IS EXEMPT FROM INCOME TAXES. THE RETA TRUST OBTAINED A FAVORABLE TAX DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE EFFECTIVE AS OF AUGUST 5, 1977. THE TRUST HAS BEEN AMENDED SINCE RECEIPT OF THAT DETERMINATION LETTER. HOWEVER, THE TRUST ADMINISTRATOR AND THE TRUST'S TAX COUNSEL BELIEVE THAT THE TRUST IS CURRENTLY DESIGNED AND BEING OPERATED IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE INTERNAL REVENUE CODE. JOHN STEIN SEE PART V BELOW 152397 JOHN STEIN IS THE EXECUTIVE DIRECTOR OF THE TRUST BY CONTRACT WITH A THIRD-PARTY MANAGEMENT COMPANY AND IS AN EMPLOYEE OF THAT MANAGEMENT COMPANY; THE MANAGEMENT COMPANY PROVIDES VARIOUS SERVICES TO THE TRUST, WHICH INCLUDE THE EXECUTIVE DIRECTOR POSITION. THE TRANSACTION AMOUNT IS THE AMOUNT THE TRUST PAID THE MANAGEMENT COMPANY FOR HIS SERVICES. 0 ROB GEYER SEE PART V BELOW 246955 ROB GEYER IS THE EXECUTIVE DIRECTOR OF THE TRUST BY CONTRACT WITH A THIRD-PARTY MANAGEMENT COMPANY AND IS AN EMPLOYEE OF THAT MANAGEMENT COMPANY; THE MANAGEMENT COMPANY PROVIDES VARIOUS SERVICES TO THE TRUST, WHICH INCLUDE THE EXECUTIVE DIRECTOR POSITION. THE TRANSACTION AMOUNT IS THE AMOUNT THE TRUST PAID THE MANAGEMENT COMPANY FOR HIS SERVICES. 0 PART IV TRUST EXECUTIVE DIRECTOR/EMPLOYEE OF MANAGEMENT COMPANY PROVIDING SERVICES TO THE TRUST. FORM 990, PART VI, SECTION A, LINE 3 JOHN STEIN AND ROB GEYER ARE THE EXECUTIVE DIRECTORS OF THE RETA TRUST BY CONTRACT WITH A THIRD-PARTY MANAGEMENT COMPANY, GALLAGHER BENEFIT SERVICES, AND ARE EMPLOYEES OF THAT COMPANY. GALLAGHER PROVIDES VARIOUS CONSULTING SERVICES TO THE RETA TRUST, WHICH INCLUDES THE EXECUTIVE DIRECTOR POSITION. THE RETA TRUST PAID $152,397 AND $246,955 TO GALLAGHER FOR JOHN STEIN AND ROB GEYER'S SERVICES RESPECTIVELY, AS DISCLOSED IN SCHEDULE L. IN TOTAL, THE RETA TRUST PAID $3,241,823 TO GALLAGHER FOR THEIR SERVICES, AS DISCLOSED IN PART VII, SECTION B. FORM 990, PART VI, SECTION A, LINE 6 THE MEMBERS OF THE TRUST ARE THE TRUSTOR ORGANIZATIONS. FORM 990, PART VI, SECTION A, LINE 7A THE TRUSTOR MEMBERS VOTE TO ELECT THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS OF THE GOVERNING BODY SUBJECT TO APPROVAL BY MEMBERS ARE ELECTION OF TRUSTEES, INDEMNIFICATION OF ANY PERSON WHO CLAIMS HIS OR HER ACTIONS WERE TAKEN ON BEHALF OF THE TRUST, AND INDEMNIFICATION AND REMOVAL OF A MEMBER. FORM 990, PART VI, SECTION B, LINE 11B THE EXECUTIVE DIRECTOR AND GENERAL COUNSEL REVIEW THE FORM 990 WITH THE AUDITORS AND KEY MEMBERS OF THE GOVERNING BODY CONCURRENT WITH THE FILING OF THE FORM. FORM 990, PART VI, SECTION B, LINE 15A EXECUTIVE DIRECTOR COMPENSATION IS DETERMINED THROUGH USE OF A COMPENSATION STUDY, WITH APPROVAL BY THE GOVERNANCE COMMITTEE AND THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII, SECTION A: THE ORGANIZATION MADE A REASONABLE EFFORT TO COLLECT THE DATA TO COMPLETE PART VII BY REQUESTING FROM EACH TRUSTEE COMPENSATION AND BENEFITS PAID BY THE RELATED ORGANIZATION TO EACH TRUSTEE OF THE FILING ORGANIZATION, HOWEVER, NO ONE PROVIDED THE REQUESTED DATA. ARCHDIOCESE OF PORTLAND IN OREGON 2838 EAST BURNSIDE STREET PORTLAND OR 97214 930114100 ARCHIDIOCESE OR 501(C)(3) 170(B)(1) (A)(I) 0 ARCHDIOCESE OF SAN FRANCISCO ONE PETER YORKE WAY SAN FRANCISCO CA 94109 941156707 ARCHIDIOCESE CA 501(C)(3) 170(B)(1) (A)(I) 0 BISHOP GARCIA DIEGO HIGH SCHOOL 4000 LA COLINA RD SANTA MARIA CA 93110 952056632 CATHOLIC SCHOOL CA 501(C)(3) 170(B)(1) (A)(II) 0 CARMELITE SISTERS 920 E ALHAMBRA ROAD ALHAMBRA CA 91801 952564138 RELIGIOUS ORDER CA 501(C)(3) 170(B)(1) (A)(I) 0 CATHOLIC CHARITIES DIOCESE OF SAN DIEGO 349 CEDAR STREET SAN DIEGO CA 92101 237334012 SOCIAL SERVICES CA 501(C)(3) 170(B)(1) (A)(I) 0 CATHOLIC CHARITIES OF GALVESTON HOUSTON 2900 LOUISANA STREET HOUSTON TX 77006 741109733 SOCIAL SERVICES TX 501(C)(3) 170(B)(1) (A)(I) 0 CATHOLIC CHARITIES OF ORANGE COUNTY 1820 E 16TH STREET SANTA ANA CA 92701 953031389 SOCIAL SERVICES CA 501(C)(3) 170(B)(1) (A)(I) 0 CATHOLIC CHARITIES OF SAN FRANCISCO CYO 180 HOWARD STREET STE 100 SAN FRANCISCO CA 94105 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501(C)(3) 170(B)(1) (A)(I) 0 DIOCESE OF TULSA PO BOX 690240 TULSA OK 74169 730942657 DIOCESE OK 501(C)(3) 170(B)(1) (A)(I) 0 DIOCESE OF VICTORIA 1505 E MESQUITE LANE VICTORIA TX 77901 752231873 DIOCESE TX 501(C)(3) 170(B)(1) (A)(I) 0 DISCALCED CARMELITE FRIARS PO BOX 2178 REDLANDS CA 92373 911635570 RELIGIOUS ORDER CA 501(C)(3) 170(B)(1) (A)(I) 0 HOME ON THE RANGE 13651 194 SENTINEL BUTTE ND 58654 450230083 RELIGIOUS ORDER ND 501(C)(3) 170(B)(1) (A)(I) 0 HOSPITALLER BROTHERS HEALTHCARE INC 2468 S ST ANDREWS PLACE LOS ANGELES CA 90018 954334552 RELIGIOUS ORDER CA 501(C)(3) 170(B)(1) (A)(I) 0 IMMACULATE HEART HIGH SCHOOL 5515 FRANKLIN AVE LOS ANGELES CA 90028 951643329 CATHOLIC SCHOOL CA 501(C)(3) 170(B)(1) (A)(II) 0 MARIANIST PROVINCE OF THE US 4425 W PINE BLVD ST LOUIS MO 63108 030415363 RELIGIOUS ORDER MO 501(C)(3) 170(B)(1) (A)(I) 0 MARTHA'S VILLAGE AND KITCHEN 83-791 DATE AVE INDIO CA 92201 330777892 RELIGIOUS ORDER CA 501(C)(3) 170(B)(1) (A)(I) 0 MERCY HIGH SCHOOL BURLINGAME 2750 ADELINE DRIVE BURLINGAME CA 94010 941230999 CATHOLIC SCHOOL CA 501(C)(3) 170(B)(1) (A)(II) 0 NOTRE DAME ELEMENTARY SCHOOL 1200 NOTRE DAME AVENUE BELMONT CA 94002 912072682 CATHOLIC SCHOOL CA 501(C)(3) 170(B)(1) (A)(II) 0 PAULINE BOOKS AND MEDIA 50 ST PAULS AVENUE BOSTON MA 02130 042966563 CATHOLIC BOOKSTORE MA 501(C)(3) 170(B)(1) (A)(I) 0 RANCHO SAN ANTONIO BOY'S HOME 21000 PLUMMER STREET CHATSWORTH CA 91311 951642382 FAMILY SERVICES CA 501(C)(3) 509(A)(3), TYPE III 0 RELIGIOUS SISTERS OF CHARITY 10668 ST JAMES DRIVE CULVER CITY CA 90230 953085555 RELIGIOUS ORDER CA 501(C)(3) 170(B)(1) (A)(I) 0 ROMAN CATHOLIC BISHOP OF GREAT FALLS MT PO BOX 1399 GREAT FALLS MT 59403 810302011 DIOCESE MT 501(C)(3) 170(B)(1) (A)(I) 0 ROMAN CATHOLIC BISHOP OF PORTLAND 510 OCEAN AVENUE PORTLAND ME 04103 010212546 DIOCESE ME 501(C)(3) 170(B)(1) (A)(I) 0 ROMAN CATHOLIC BISHOP OF SAN JOSE 1150 N FIRST STREET 100 SAN JOSE CA 95112 942734503 DIOCESE CA 501(C)(3) 170(B)(1) (A)(I) 0 ROMAN CATHOLIC DIOCESE OF BOISE 1501 S FEDERAL WAY BOISE ID 83705 820200748 DIOCESE ID 501(C)(3) 170(B)(1) (A)(I) 0 ROMAN CATHOLIC DIOCESE OF HELENA 515 N EWING STREET HELENA MT 59601 810231797 DIOCESE MT 501(C)(3) 170(B)(1) (A)(I) 0 ROMAN CATHOLIC DIOCESE OF SACRAMENTO 2110 BROADWAY SACRAMENTO CA 95818 942576612 DIOCESE CA 501(C)(3) 170(B)(1) (A)(I) 0 ROMAN CATHOLIC DIOCESE OF SPRINGFIELD MA 65 ELLIOT STREET PO BOX 1730 SPRINGFIELD MA 01102 043437398 DIOCESE MA 501(C)(3) 170(B)(1) (A)(I) 0 SALESIANS OF ST JOHN BOSCO 1100 FRANKLIN ST SAN FRANCISCO CA 94109 941642297 RELIGIOUS ORDER CA 501(C)(3) 170(B)(1) (A)(I) 0 SANTA CATALINA SCHOOL 1500 MARK THOMAS DR MONTEREY CA 93940 911156652 CATHOLIC SCHOOL CA 501(C)(3) 170(B)(1) (A)(II) 0 SISTERS OF ND SPONSORED SCHOOLS 2851 OVERLAND AVE LOS ANGELES CA 90064 951878862 RELIGIOUS ORDER CA 501(C)(3) 170(B)(1) (A)(I) 0 SISTERS OF NOTRE DAME DE NAMUR 1500 RALSTON AVE BELMONT CA 94002 941347084 RELIGIOUS ORDER CA 501(C)(3) 170(B)(1) (A)(I) 0 SISTERS OF NOTRE DAME OF LOS 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ROMAN CATHOLIC DIOCESE OF LAFAYETTEIN 610 LINGLE AVE LAFAYETTE IN 47901 350876374 DIOCESE IN 501(C)(3) 170(B)(1) (A)(I) 0 THOMAS AQUINAS COLLEGE 10000 N OJAI ROAD SANTA PAULA CA 93060 941698615 CATHOLIC SCHOOL CA 501(C)(3) 170(B)(1) (A)(II) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1