Mercy Hospital Iowa City Iowa Self Insurance Plan And Tr
- Assets
- $492.9k
- Revenue
- $77.9k
- Investments
- $0.0
- Employees
- 0
- Location
- Iowa City, IA
- Founding
- 12/1999
- Data as of
- 06/2022
- EIN
- 42-6591803
Organization Overview
Mercy Hospital Iowa City Iowa Self Insurance Plan And Tr is located in Iowa City, IA. The organization was established in 1999. According to its NTEE Classification (E19) the organization is classified as: Support N.E.C., under the broad grouping of Health Care and related organizations. This organization is an independent organization and not affiliated with a larger national or regional group of organizations. Mercy Hospital Iowa City Iowa Self Insurance Plan And Tr is a 501(c)(3) and as such, is described as a "Charitable or Religous organization or a private foundation" by the IRS.
For the year ending 06/2022, Mercy Hospital Iowa City Iowa Self Insurance Plan And Tr generated $77.9k in total revenue. This represents relatively stable growth, over the past 7 years the organization has increased revenue by an average of 2.3% each year.
Form
990
Mission & Program ActivityExcerpts From the 990 Filing
TAX YEAR
2022
Describe the Organization's Mission:
Part 3 - Line 1
A TRUST TO PROTECT ASSETS CONTRIBUTED FOR MEDICAL MALPRACTICE & LIABILITY RESERVES.
Describe the Organization's Program Activity:
Part 3 - Line 4a
MERCY HOSPITAL, IOWA CITY, IOWA SELF INSURANCE PLAN AND TRUST ("THE TRUST") IS A SELF INSURANCE PROGRAM FOR THE BENEFIT OF MERCY HOSPITAL IOWA CITY. THE TRUST WAS ESTABLISHED TO PROTECT MONEY, PROPERTY, AND OTHER ASSETS CONTRIBUTED BY PARTICIPANTS TO PROVIDE MEDICAL MALPRACTICE AND LIABILITY RESERVES.
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Board, Officers & Key Employees
| Name (title) | Role | Hours | Compensation |
|---|---|---|---|
Dawna Miller Treasurer | OfficerTrustee | 1 | $0 |
Kimberley Rossiter Asst. Treas. (end 8/22) / Trustee | OfficerTrustee | 1 | $0 |
Mike Trachta CEO & Administrator (begin 10/21) | OfficerTrustee | 1 | $0 |
Sean Williams CEO & Administrator (end 9/21) | OfficerTrustee | 1 | $0 |
Bob Ritz Trustee | Trustee | 1 | $0 |
Madeline Windauer Trustee | 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 | $13,259 |
| Tax Exempt Bond Proceeds | $0 |
| Royalties | $0 |
| Net Rental Income | $0 |
| Net Gain/Loss on Asset Sales | $64,625 |
| Net Income from Fundraising Events | $0 |
| Net Income from Gaming Activities | $0 |
| Net Income from Sales of Inventory | $0 |
| Miscellaneous Revenue | $0 |
| Total Revenue | $77,884 |
| 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 | $1,578,305 |
| Total functional expenses | $1,578,305 |
| Balance Sheet | |
|---|---|
| Cash—non-interest-bearing | $0 |
| Savings and temporary cash investments | $163,851 |
| 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 | $329,066 |
| Investments—other securities | $0 |
| Investments—program-related | $0 |
| Intangible assets | $0 |
| Other assets | $0 |
| Total assets | $492,917 |
| Accounts payable and accrued expenses | $477,407 |
| 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 | $733,301 |
| Total liabilities | $1,210,708 |
| Net assets without donor restrictions | -$717,791 |
| Net assets with donor restrictions | $0 |
| Capital stock or trust principal, or current funds | $0 |
| Paid-in or capital surplus, or land, building, or equipment fund | $0 |
| Retained earnings, endowment, accumulated income, or other funds | $0 |
| Total liabilities and net assets/fund balances | $492,917 |