Memorial Hospital Self Insurance Trust Fund in Belleville, Illinois (IL)

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Memorial Hospital Self Insurance Trust Fund
Employer Identification Number (EIN)371064809
Name of OrganizationMemorial Hospital Self Insurance Trust Fund
Address4500 Memorial Dr, Belleville, IL 62226-5360
ActivitiesNon financial services of facilities to other organizations
SubsectionCharitable Organization
Ruling Date06/1979
DeductibilityContributions are deductible
FoundationOrganizations operated solely for the benefit of and in conjunction with organizations described in 10 through 16 above
OrganizationCorporation
Exempt Organization StatusUnconditional Exemption
Tax Period12/2013
Assets$1,000,000 to $4,999,999
Income$500,000 to $999,999
Filing Requirement990 (all other) or 990EZ return
Asset Amount$2,781,402
Amount of Income$600,193
Form 990 Revenue Amount$132,040
National Taxonomy of Exempt Entities (NTEE)Mutual/Membership Benefit Organizations, Other: Insurance Providers, Services


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Amount of income in 2013: $600,193 (it was $403,457 in 2012)
This organization: 

 $600,193
Other organizations performing similar types of work: 

 $637,869

Assets in 2013: $2,781,402 (it was $2,518,560 in 2012)
Memorial Hospital Self Insurance Trust Fund: 

 $2,781,402
Other organizations performing similar types of work: 

 $1,290,900

Expenses in 2012: $7,630
Memorial Hospital Self Insurance Trust Fund: 

 $7,630
Other organizations performing similar types of work: 

 $332,585

Income to expenses ratio in 2012: 78.7
Memorial Hospital Self Insurance Trust Fund: 

 78.7
Other organizations performing similar types of work: 

 1.2

Financial snapshot ($)

Revenue for 2012

Statements Regarding Other IRS Filings and Tax Compliance (for 2012)
Did the organization have unrelated business gross income of $1,000 or more during the year?No
Initiation fees and capital contributions$0
Gross receipts for public use of club facilities $0
Gross income from members or shareholders$0
Gross income from other sources$0
Statement of Revenue (for 2012)
Total revenue$60,026
Contributions, Gifts, Grants and Other Similar Amounts$0
Program Service Revenue$0
Other Revenue
Investment income (including dividends, interest, and other similar amounts)$45,906
Income from investment of tax-exempt bond proceeds$0
Royalties$0
Net rental income$0
Net gain from sales of assets other than inventory$14,120
Gross amount from sales of assets other than inventory (Securities / Other)$357,551 / $0
Less: cost or other basis and sales expenses (Securities / Other)$343,431 / $0
Gain or (loss) (Securities / Other)$14,120 / $0
Net income from fundraising events$0
Net income from gaming activities$0
Net income from sales of inventory$0
Miscellaneous Revenue$0
Statement of Functional Expenses (for 2012)
Total functional expenses$7,630
Compensation of current officers, directors, trustees, and key employees$0
Other salaries and wages$0
Payroll taxes$0
Professional fundraising services$0
Other$7,630
Balance Sheet (for 2012)
Total assets$2,518,560
Total liabilities$0
Total net assets or fund balances$2,518,560
Retained earnings, endowment, accumulated income, or other funds$0
Reason for Public Charity Status (for 2012)
The organization is not a private foundation because it is:An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2)
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Organizations performing similar types of work
IdNameAddressStateEstablishedTotal Income
1University Of Missouri Medical Professional Liability TrPO BOX 1802, Providence, RI 02901-1802RI1978-09$17,333,283
2Amalgamated Fund Administrators Inc333 Westchester Ave, White Plains, NY 10604-2910NY1995-04$47,941,420
3Midwestern Pennsylvania School453 Maple St, Grove City, PA 16127-2324PA$8,867,724
4Spartan Radiocasting Company Health And Welfare Benefits Trust, Evans Nick W And B G Bunting TteesPO BOX 1717, Spartanburg, SC 29304-1717SC1992-11$2,207,811
5South Shore Hospital Malpractice Liability Trust 14-00042-66111 N River Rd 8th Fl, Rosemont, IL 60018-5158IL1983-02$2,098,475
6California Thoroughbred Horsemens Foundation101 W Huntington Dr, Arcadia, CA 91007-3001CA1984-01$2,005,835
7West Jersey Health System Workers Compensation Tr401 Rt 73n 50 Lake Ctr No 400, Marlton, NJ 08053NJ1992-11$900,048
8University Insurance Association780 Regent St Ste 224, Madison, WI 53715-2635WI1940-03$637,869
9Memorial Hospital Self Insurance Trust Fund4500 Memorial Dr, Belleville, IL 62226-5360IL1979-06$600,193
10Young Mens Institute, 612 GonzagaPO BOX 1041, Richmond, IN 47375-1041IN1941-02$455,192
11Virginia Regional Medical Center Workers Compensation TrustPO BOX 64713, Saint Paul, MN 55164-0713MN1989-01$401,196
12Smith Newspapers Group Employee Benefit TrPO BOX 680027, Fort Payne, AL 35968-1600AL$388,303
13Tri-County Farmers Mutual Insurance CompanyratedPO BOX 1610, Malta, MT 59538-1610MT1943-06$315,790
14The Lifequest Workers Compensation Trust Agreement2460 John Fries Hwy, Quakertown, PA 18951-2259PA1989-10$291,774
15Westmoreland Hospital Employees Charitable Trust Fund532 W Pittsburgh St, Greensburg, PA 15601-2239PA1966-12$276,750
16Young Presidents Organization Inc, Ypo Western New EnglandC/O James Barrett 330 Whitney, Holyoke, MA 01040MA1989-03$247,868
17Mazon Mutual County Fire Insurance Company504 Depot St, Mazon, IL 60444-3706IL1927-05$212,852
18Empire Home Services Inc Employee Death Benefit Trust7045 N Ridgeway Ave, Lincolnwood, IL 60712-2619IL$0
19Illinois Valley Community Hospital Genl Prof Liability Loss Fd122 W Madison St, Ottawa, IL 61350-5006IL1979-10$0
20Roseland Community Hospital Assoc Self Insurance Trust801 N Clark St, Chicago, IL 60610-6844IL1978-07$0
Number of organizations performing similar types of work
Alabama1
Arizona1
California7
Colorado1
Connecticut1
Florida4
Hawaii1
Iowa2
Illinois6
Indiana2
Kansas1
Kentucky1
Massachusetts5
Michigan2
Minnesota4
Missouri1
Montana1
North Carolina3
Nebraska1
New Jersey5
New York11
Ohio2
Oklahoma1
Pennsylvania17
Rhode Island2
South Carolina4
Tennessee2
Texas2
Virginia1
Washington1
Wisconsin5
West Virginia2
Total100

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