Hackley Hospital Self Insurance Professional Liability Trust
- Assets
- $0.0
- Revenue
- $6.8k
- Investments
- $0.0
- Employees
- 0
- Location
- Muskegon, MI
- Founding
- Data as of
- 05/2016
- EIN
- 38-2299878
Organization Overview
Hackley Hospital Self Insurance Professional Liability Trust is located in Muskegon, MI. Hackley Hospital Self Insurance Professional Liability Trust is a 501(c)(3) and as such, is described as a "Charitable or Religous organization or a private foundation" by the IRS.
Form
990
Mission & Program ActivityExcerpts From the 990 Filing
TAX YEAR
2016
Describe the Organization's Mission:
Part 3 - Line 1
TO PROVIDE SELF INSURANCE SERVICES
Describe the Organization's Program Activity:
Part 3 - Line 4a
HACKLEY HOSPITAL MERGED INTO MERCY HEALTH PARTNERS ON JANUARY 1, 2014. PRIOR TO THAT DATE, HACKLEY HOSPITAL HAD PROVIDED FUNDS TO MAINTAIN A PROGRAM OF SELF-INSURANCE FOR ALL PROFESSIONAL AND GENERAL LIABILITY RISKS IN AN IRREVOCABLE TRUST. THESE FUNDS HAVE BEEN HELD IN A BANK TRUST ACCOUNT AND ARE INVESTED PRIMARILY IN MUTUAL FUNDS. HACKLEY HOSPITAL HAS MADE PROVISIONS FOR THE ESTIMATED LOSSES IN CONNECTION WITH THESE PROFESSIONAL AND OTHER LIABILITY CLAIMS FOR INCIDENTS OCCURRING BEFORE THE MERGER, FOR WHICH AMOUNTS CAN BE REASONABLY ESTIMATED, INCLUDING PROVISIONS FOR CLAIMS INCURRED BUT NOT YET REPORTED. AS OF JUNE 30, 2014, THE ACTUARIES HAVE CONCLUDED THAT THERE ARE NO LONGER ANY CLAIMS INCURRED BUT NOT YET REPORTED. THEREFORE, THE TRUST WAS DISSOLVED ON 5/23/16.
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PDF Copies of 990 Filings
Board, Officers & Key Employees
| Name (title) | Role | Hours | Compensation |
|---|---|---|---|
Roger Spoelman Director; W. Mi Reg. Pres. & CEO | OfficerTrustee | 1 | $0 |
Charles Frayer Director; Chair | OfficerTrustee | 1 | $0 |
Michael Gluhanich Director | Trustee | 1 | $0 |
Mark Fazakerley Director Through 12/15 | Trustee | 1 | $0 |
Camille S Jourden-Mark Director | Trustee | 1 | $0 |
Luann Mary Hannasch Rsm Director | Trustee | 1 | $0 |
Financial Statements
| Statement of Revenue | |
|---|---|
| Federated campaigns | $0 |
| Membership dues | $0 |
| Fundraising events | $0 |
| Related organizations | $0 |
| Government grants | $0 |
| All other contributions, gifts, grants, and similar amounts not included above | $0 |
| Noncash contributions included in lines 1a–1f | $0 |
| Total Revenue from Contributions, Gifts, Grants & Similar | $0 |
| Total Program Service Revenue | $0 |
| Investment income | $6,762 |
| Tax Exempt Bond Proceeds | $0 |
| Royalties | $0 |
| Net Rental Income | $0 |
| Net Gain/Loss on Asset Sales | $0 |
| Net Income from Fundraising Events | $0 |
| Net Income from Gaming Activities | $0 |
| Net Income from Sales of Inventory | $0 |
| Miscellaneous Revenue | $0 |
| Total Revenue | $6,762 |
| Statement of Expenses | |
|---|---|
| Grants and other assistance to domestic organizations and domestic governments. | $0 |
| Grants and other assistance to domestic individuals. | $0 |
| Grants and other assistance to Foreign Orgs/Individuals | $0 |
| Benefits paid to or for members | $0 |
| Compensation of current officers, directors, key employees. | $0 |
| Compensation of current officers, directors, key employees. | $0 |
| Compensation to disqualified persons | $0 |
| Other salaries and wages | $0 |
| Pension plan accruals and contributions | $0 |
| Other employee benefits | $0 |
| Payroll taxes | $0 |
| Fees for services: Management | $0 |
| Fees for services: Legal | $0 |
| Fees for services: Accounting | $0 |
| Fees for services: Lobbying | $0 |
| Fees for services: Fundraising | $0 |
| Fees for services: Investment Management | $0 |
| Fees for services: Other | $0 |
| Advertising and promotion | $0 |
| Office expenses | $0 |
| Information technology | $0 |
| Royalties | $0 |
| Occupancy | $0 |
| Travel | $0 |
| Payments of travel or entertainment expenses for any federal, state, or local public officials | $0 |
| Conferences, conventions, and meetings | $0 |
| Interest | $0 |
| Payments to affiliates | $0 |
| Depreciation, depletion, and amortization | $0 |
| Insurance | $0 |
| All other expenses | $3,002 |
| Total functional expenses | $3,002 |
| Balance Sheet | |
|---|---|
| Cash—non-interest-bearing | $0 |
| Savings and temporary cash investments | $0 |
| Pledges and grants receivable | $0 |
| Accounts receivable, net | $0 |
| Loans from Officers, Directors, or Controlling Persons | $0 |
| Loans from Disqualified Persons | $0 |
| Notes and loans receivable | $0 |
| Inventories for sale or use | $0 |
| Prepaid expenses and deferred charges | $0 |
| Net Land, buildings, and equipment | $0 |
| Investments—publicly traded securities | $0 |
| Investments—other securities | $0 |
| Investments—program-related | $0 |
| Intangible assets | $0 |
| Other assets | $0 |
| Total assets | $0 |
| Accounts payable and accrued expenses | $0 |
| Grants payable | $0 |
| Deferred revenue | $0 |
| Tax-exempt bond liabilities | $0 |
| Escrow or custodial account liability | $0 |
| Loans and other payables to any current Officer, Director, or Controlling Person | $0 |
| Secured mortgages and notes payable | $0 |
| Unsecured mortgages and notes payable | $0 |
| Other liabilities | $0 |
| Total liabilities | $0 |
| Unrestricted restricted net Assets | $0 |
| Temporarily restricted net Assets | $0 |
| Permanently restricted net Assets or current funds | $0 |
| Capital stock or trust principal, or current funds | $0 |
| Paid-in or capital surplus, or land, building, or equipment fund | $0 |
| Total net assets or fund balances | $0 |