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← MILLCREEK HEALTH SYSTEM MEDICAL PROFESSIONAL LIABILITY SELF-INS TR

Form 990 for tax year 2024

Filed by MILLCREEK HEALTH SYSTEM MEDICAL PROFESSIONAL LIABILITY SELF-INS TR.

Totals

Total revenue
$1,684,243
Total expenses
$341,956
Contributions and grants received
$785,026
Grants paid
$0
Program services expenses (Part IX)
$275,000
Management and general expenses
$66,956
Fundraising expenses
$0
Program service expenses (Part III)
$275,000

Program services were 80.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • JOHN M FERRETTI DO

    PRESIDENT/CEO

    Total calculated
    $1,609,483
    From this org
    $0
    From related orgs
    $1,570,358
    Other
    $39,125
    Hours/week
    1 + 79 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,541,076 related
    Bonus
    $0
    Other
    $0 + $29,282 related
    Deferred
    $0 + $27,600 related
    Nontaxable benefits
    $0 + $11,525 related
    Filer's total
    $0 + $1,609,483 related

  • MARY L ECKERT

    TRUSTEE

    Total calculated
    $723,538
    From this org
    $0
    From related orgs
    $690,230
    Other
    $33,308
    Hours/week
    1 + 79 related

    Schedule J breakdown matched by us

    Base
    $0 + $673,270 related
    Bonus
    $0
    Other
    $0 + $16,960 related
    Deferred
    $0 + $20,700 related
    Nontaxable benefits
    $0 + $12,608 related
    Filer's total
    $0 + $723,538 related

  • ANTHONY JOHN FERRETTI DO

    TRUSTEE

    Total calculated
    $9,546
    From this org
    $0
    From related orgs
    $9,546
    Other
    $0
    Hours/week
    1 + 51 related

  • VINCENT S FIERRO DO

    TRUSTEE

    Total calculated
    $1,800
    From this org
    $0
    From related orgs
    $1,800
    Other
    $0
    Hours/week
    1 + 2 related

  • HARRY E BROWN

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • SILVIA M FERRETTI DO

    TRUSTEE

    Total calculated
    $1,766,916
    From this org
    $0
    From related orgs
    $1,727,650
    Other
    $39,266
    Hours/week
    1 + 79 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,693,526 related
    Bonus
    $0
    Other
    $0 + $34,124 related
    Deferred
    $0 + $27,600 related
    Nontaxable benefits
    $0 + $11,666 related
    Filer's total
    $0 + $1,766,916 related

  • STEVEN G INMAN CPA CGMA

    VP FISCAL AFFAIRS/CFO

    Total calculated
    $445,293
    From this org
    $0
    From related orgs
    $406,338
    Other
    $38,955
    Hours/week
    1 + 64 related

    Schedule J breakdown matched by us

    Base
    $0 + $390,775 related
    Bonus
    $0
    Other
    $0 + $15,563 related
    Deferred
    $0 + $27,600 related
    Nontaxable benefits
    $0 + $11,355 related
    Filer's total
    $0 + $445,293 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
THE ORGANIZATION'S CEO IS PAID BY LECOM. LECOM USES THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE CEO: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -FORM 990 OF OTHER ORGANIZATIONS -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2024
Filed
11 May 2026
IRS schema version
2024v5.5
Source object
202601349349302555

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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