2026-04-08T16:38:10-05:00 2025-05-31 WITHUMSMITHBROWNPC 6101 BOLLINGER CANYON RD STE 400 SAN RAMON CA 94583 990 2024-06-01 910590441 UNITE HERE NORTHWEST HEALTH TRUST FUND % NORTHWEST ADMINISTRATORS INC UNIT 2063294900 2323 EASTLAKE AVE EAST SEATTLE WA 98102 ERIK VAN ROSSUM CHAIRMAN 2063294900 2026-04-08 true true ALBERT LEECH P01797541 9252779100 2024 2025-03-06 01:10:19Z ERIK VAN ROSSUM 2323 EASTLAKE AVE EAST SEATTLE WA 98102 55696915 false X N/A X 1976 WA TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 7 1 5 0 0 0 0 0 32691981 39862405 1670672 3926116 29174 0 34391827 43788521 0 0 26501720 36553388 0 0 0 0 0 2463357 3191616 28965077 39745004 5426750 4043517 98382566 108682843 10783807 14815249 87598759 93867594 X TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. false false PROVIDED HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. false false false false false false false false false false false false false true true true false false false false false false false false false false false false false false false false false false false false false false false false true false false true 294 0 true 5 true false false false false false false false false false X 7 1 false true false false false false false true true false false true true true true true true false false false X NORTHWEST ADMINISTRATORS INC 2063294900 2323 EASTLAKE AVENUE EAST SEATTLE WA 98102 X ERIK VAN ROSSUM CHAIRMAN 0.5 0.0 X X 0 0 0 DOUG RIGONI SECRETARY 0.5 0.0 X X 0 0 0 ANITA SETH TRUSTEE 0.5 0.0 X 0 0 0 ENRIQUE FERNANDEZ TRUSTEE 0.5 0.0 X 0 0 0 STEFAN MORITZ TRUSTEE 0.5 0.0 X 0 0 0 ED CLEVENGER TRUSTEE 0.5 0.0 X 0 0 0 KRISTIE RICHARDSON TRUSTEE - TERM. 4/2025 0.5 0.0 X 0 0 0 CINDY RICHARDSON TRUSTEE 0.5 0.0 X 0 0 0 SEE SCH O FOR COMPENSATION PAID BY RELATED ORGANIZATIONS 0.0 0.0 X 0 0 0 0 0 0 0 false false false NORTHWEST ADMINISTRATORS INC 2323 EASTLAKE AVE E SEATTLE WA 98102 ADMINISTRATION 1133938 AETNA 601 UNION STREET 9TH FLOOR SEATTLE WA 98101 ADMINISTRATION 706061 VERA WHOLE HEALTH 500 5TH AVENUE N SEATTLE WA 98109 NETWORK ACCESS 477248 UNITE HERE LOCAL 8 5030 1ST AVENUE S SUITE 201 SEATTLE WA 98134 TRUST COORDINATOR 137054 DIMARTINO ASSOCIATES 1325 ATH AVE 1705 SEATTLE WA 98101 CONSULTING 102000 5 0 EMPLOYER CONTRIBUTIONS 900099 37243853 37243853 STOP-LOSS REFUNDS 900099 1724432 1724432 COBRA CONTRIBUTIONS 900099 97933 97933 FORMULARY REBATES 900099 796187 796187 39862405 3790671 3790671 0 0 0 0 0 12043839 11908394 135445 135445 135445 0 0 0 0 0 0 0 0 0 0 43788521 39862405 0 3926116 0 0 0 36553388 0 0 0 0 0 0 518789 48077 122463 0 0 52567 2344222 0 65380 0 0 0 0 0 12523 0 0 0 18661 PCORI FEES 8059 REGULATORY COMPLIANCE PROJECT 875 39745004 X -436761 -90741 13648952 14033704 0 0 3634643 4501627 0 0 0 0 0 0 0 0 1294 2512 0 0 0 0 81534438 90235741 0 0 0 0 0 0 0 0 98382566 108682843 221937 332249 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10561870 14483000 10783807 14815249 X 0 0 0 0 87598759 93867594 87598759 93867594 98382566 108682843 4043517 2225318 X X false true X true false 0 ACCUMULATED ELIGIBILITY CREDITS 5691000 CLAIMS PAYABLE & IBNR 8792000 14483000 X 45961272 2225318 2225318 43735954 52567 52567 43788521 35771307 35771307 52567 3921130 3973697 39745004 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE THE TAX POSITIONS TAKEN BY THE PLAN AND TO RECOGNIZE A TAX LIABILITY IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT, MORE LIKELY THAN NOT, WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE PLAN HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN AND HAS CONCLUDED THAT, AS OF MAY 31, 2025 AND 2024, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY THE TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN BENEFIT OBLIGATIONS FORM 990, PART V, LINE 2A: THE TRUST DOES NOT HAVE EMPLOYEES. HOWEVER, THE TRUST ISSUED FORMS W-2 TO PARTICIPANTS THAT RECEIVED TAXABLE DISABILITY BENEFITS. FORM 990, PART VI, SECTION A, LINE 3: THE PLAN HAS CONTRACTED WITH NORTHWEST ADMINISTRATORS, INC. TO PROVIDE ADMINISTRATIVE SERVICES FOR THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B: A TRUSTEE REVIEWED THE FORM 990 FOR ACCURACY AND COMPLETENESS PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C: THE CONFLICT-OF-INTEREST POLICY COVERS TRUSTEES (THE GOVERNING BODY). IF AND WHEN A POTENTIAL CONFLICT OF INTEREST IS DISCLOSED, THE BOARD OF TRUSTEES WILL INVOLVE THE TRUST'S ATTORNEY TO EVALUATE IF THE MATTER WOULD LIKELY PREVENT AN UNBIASED OR OBJECTIVE DECISION BY A TRUSTEE, AND AS APPROPRIATE, DISCIPLINARY OR CORRECTIVE ACTION WILL BE TAKEN. FORM 990, PART VI, SECTION C, LINE 19: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART VII, SECTION A, LINE 1A: TRUSTEES ARE NOT COMPENSATED BY THE TRUST. COMPENSATION PAID TO TRUSTEES EMPLOYED BY OTHER RELATED ORGANIZATIONS IS REPORTED ON THE FORM 990 FILED WITH THE INTERNAL REVENUE SERVICE BY THE RELATED TAX EXEMPT ORGANIZATION. IF YOU WOULD LIKE ADDITIONAL INFORMATION, PLEASE CONTACT THE THIRD-PARTY ADMINISTRATOR, NORTHWEST ADMINISTRATORS, INC. FORM 990, PART XII, LINE 2C: THE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF INDEPENDENT AUDITORS. THIS PROCESS HAS NOT CHANGED. WESTERN UNITEHERE & EMPLOYERS PENSION FD 1182 MARKET ST SUITE 320 SAN FRANCISCO CA 94102 934160766 RETIREMENT WA 501(A) N/A NA false UNITE HERE LOCAL 8 5030 1ST AVENUE S SUITE 201 SEATTLE WA 98134 910968179 SPONSOR ORG WA 501(C)(5) N/A NA false UNITE HERE LOCAL 19 2302 ZANKER ROAD 2ND FLOOR SAN JOSE CA 95131 942300756 SPONSOR ORG CA 501(C)(5) N/A NA false false false false false false false false false false false false false false false true true false false false SCHEDULE R, IDENTIFICATION OF RELATED ORGANIZATION THE FILING ORGANIZATION IS A TAFT-HARLEY MULTIEMPLOYER TRUST THAT PROVIDES HEALTH AND WELFARE BENEFITS TO ELIGIBLE EMPLOYEES AND THEIR DEPENDENTS. AS OF MAY 31, 2025 THERE ARE APPROXIMATELY 27 EMPLOYERS THAT CONTRIBUTE TO THE TRUST. THE ADMINSTRATIVE OFFICE MAINTAINS A DATABASE OF THESE CONTRIBUTING EMPLOYERS, INCLUDING NAMES, ADDRESSES AND OTHER CONTACT INFORMATION. THE FEDERAL TAX CLASSIFICATION (DISREGARDED ENTITY, TAX EXEMPT ORGANIZATION, PARTNERSHIP, TAXABLE CORPORATION OR TRUST) FOR EACH CONTRIBUTING EMPLOYER IS NOT ON FILE WITH THE ADMINSTRATIVE OFFICE AND IT COULD NOT BE REASONABLY OBTAINED. AS A RESULT THE NAMES OF THE CONTRIBUTING EMPLOYERS ARE LISTED ON PART VII BELOW AND NOT ON PARTS II THROUGH IV BY FEDERAL TAX CLASSIFICATION. ALSCO LAUNDRIES ARAMARK BOEING - KAR ARAMARK CONVENTION C BENSON HOTEL CENTERPLATE @ T-MOBI COAST DOWNTOWN SEATT COAST WENATCHEE CENT COMPASS GROUP BOEING DOUBLETREE HOTEL - S EDGEWATER HOTEL EMBASSY SUITES BY HI FLAGSHIP FACILITY SE HILTON HOTEL/PORTLAN HILTON SEATTLE AIRPO HOST INTERNATIONAL HOTEL MURANO LEVY RESTAURANTS - T LEVY RESTAURANTS AT PARAMOUNT HOTEL SPACE NEEDLE CORP SSP AMERICA @ SEA-TA TACOMA CONVENTION CE TOTEM FOOD PRODUCTS UNITE HERE LOCAL #8 WASH ATHLETIC CLUB WESTIN HOTEL SEATTLE YMCA - LOCAL #8