Civic Intelligence

Dignity Health Workers Compensation Self Insurance Trust

990T • Fiscal year 2021 • EIN 94-6612446

Jul 01, 2020 to Jun 30, 2021 • Filed on May 04, 2022

185 Berry Street Suite 200San Francisco, CA 94107

(415) 438-5500

Siviq Scores

Scores are not available for this record yet.

Balance Sheet

Assets

-

No earlier filing loaded for comparison.

Net Assets

-

No earlier filing loaded for comparison.

Liabilities

-

No earlier filing loaded for comparison.

Revenue And Expenses

Revenue

-

No earlier filing loaded for comparison.

Expenses

-

No earlier filing loaded for comparison.

Net Income

-

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$600M$400M$200M$0Assets 2010: $372,868,451Liabilities 2010: $277,763,194Net Assets 2010: $95,105,2572010Assets 2011: $409,856,659Liabilities 2011: $309,764,077Net Assets 2011: $100,092,5822011Assets 2012: $466,857,226Liabilities 2012: $390,098,639Net Assets 2012: $76,758,5872012Assets 2013: $457,699,980Liabilities 2013: $382,760,797Net Assets 2013: $74,939,1832013Assets 2014: $454,764,507Liabilities 2014: $381,545,974Net Assets 2014: $73,218,5332014Assets 2015: $422,741,067Liabilities 2015: $379,917,909Net Assets 2015: $42,823,1582015Assets 2016: $422,667,099Liabilities 2016: $385,199,566Net Assets 2016: $37,467,5332016Assets 2017: $453,799,087Liabilities 2017: $402,371,183Net Assets 2017: $51,427,9042017Assets 2018: $443,462,822Liabilities 2018: $389,455,892Net Assets 2018: $54,006,9302018Assets 2019: $509,486,104Liabilities 2019: $428,483,659Net Assets 2019: $81,002,4452019Assets 2020: $459,453,175Liabilities 2020: $398,452,858Net Assets 2020: $61,000,3172020Assets 2021: $0Liabilities 2021: $0Net Assets 2021: $02021

Latest loaded filing

2021

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$100M$50M$0-$50MExpenses 2010: $39,131,3752010Expenses 2011: $55,618,1582011Expenses 2012: $59,589,5452012Revenue 2013: $50,223,900Expenses 2013: $58,556,492Net Income 2013: -$8,332,5922013Revenue 2014: $42,316,845Expenses 2014: $56,962,898Net Income 2014: -$14,646,0532014Revenue 2015: $47,336,952Expenses 2015: $63,789,926Net Income 2015: -$16,452,9742015Revenue 2016: $82,206,730Expenses 2016: $77,970,882Net Income 2016: $4,235,8482016Revenue 2017: $74,466,799Expenses 2017: $75,522,768Net Income 2017: -$1,055,9692017Revenue 2018: $62,609,163Expenses 2018: $72,363,773Net Income 2018: -$9,754,6102018Revenue 2019: $97,941,472Expenses 2019: $59,610,068Net Income 2019: $38,331,4042019Revenue 2020: $33,141,720Expenses 2020: $48,191,215Net Income 2020: -$15,049,4952020Revenue 2021: $34,707,672Expenses 2021: $1,191,936Net Income 2021: $33,515,7362021

Latest loaded filing

2021

Revenue$34,707,672
Expenses$1,191,936
Net Income$33,515,736
Jump To
Filing Snapshot
Filing Period
Jul 1, 2020 to Jun 30, 2021
Signed
May 4, 2022
Return Version
2020v1.3
Mission and Program Overview

Mission

Self-insured workers' compensation for related exempt organizations.

Filing and Contact Details

Filer

Filer Name
DIGNITY HEALTH WORKERS' COMPENSATION
EIN
94-6612446
Phone
4154385500
Address
185 BERRY STREET SUITE 200, SAN FRANCISCO, CA 94107

Signing Officer

Name
Daniel Morissette
Title
Sevp, CFO
Phone
4154385500
Signed
2022-05-04
Discuss with paid preparer
Yes

Preparer

Firm
Commonspirit Health
Address
198 INVERNESS DRIVE WEST, ENGLEWOOD, CO 80112
Preparer
Angela Noel
Phone
3032989100
Raw XML Appendix94 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
IRS990T/BooksInCareOfDetail/PersonNm0MARY TYREN FINANCE
IRS990T/BooksInCareOfDetail/PhoneNum04154385645
IRS990T/BooksInCareOfDetail/USAddress/AddressLine1Txt0185 BERRY STREET
IRS990T/BooksInCareOfDetail/USAddress/CityNm0SAN FRANCISCO
IRS990T/BooksInCareOfDetail/USAddress/StateAbbreviationCd0CA
IRS990T/BooksInCareOfDetail/USAddress/ZIPCd094107
IRS990T/ChangeInMethodOfAccountingInd00
IRS990T/CharitableContributionsDedAmt00
IRS990T/EstimatedTaxPaymentsAmt093000
IRS990T/ForeignAccountsQuestionInd00
IRS990T/ForeignTrustQuestionInd00
IRS990T/Form990TScheduleAAttachedCnt01
IRS990T/Organization501cTrustInd0X
IRS990T/Organization501IndicatorGrp/Organization501cTypeTxt0c3
IRS990T/Organization501IndicatorGrp/Organization501Ind0X
IRS990T/OverpaymentSection/OverpaymentAmt086676
IRS990T/OverpaymentSection/RefundAmt086676
IRS990T/PaidTaxLiabilityAmt00
IRS990T/ParentCorporationEIN0470617373
IRS990T/ParentCorporationName/BusinessNameLine1Txt0COMMONSPIRIT HEALTH
IRS990T/PriorYearOverpaymentCreditAmt0917
IRS990T/PrntCorporationNameControlTxt0COMM
IRS990TScheduleA/NetOperatingLossDeductionAmt00
IRS990TScheduleA/PrincipalBusinessActivityCd0900099
IRS990TScheduleA/SequenceReferenceNum01
IRS990TScheduleA/SequenceTotalNum01
IRS990TScheduleA/TotalAllocableDeductionsAmt00
IRS990TScheduleA/TotalCtrlOrgDeductionAmt00
IRS990TScheduleA/TotalCtrlOrgPymtGrossIncmAmt00
IRS990TScheduleA/TotalDeductionsAmt00
IRS990TScheduleA/TotalDeductionSetAsidesAmt00
IRS990TScheduleA/TotalDirectAdvertisingCostAmt00
IRS990TScheduleA/TotalDividendsReceivedDedAmt00
IRS990TScheduleA/TotalGrossAdvertisingIncomeAmt00
IRS990TScheduleA/TotalGrossDebtFinancedIncmAmt00
IRS990TScheduleA/TotalInvestmentIncomeAmt00
IRS990TScheduleA/TotalPrtshpSCorpIncomeAmt025063
IRS990TScheduleA/TotalRentDeductionsAmt00
IRS990TScheduleA/TotalRentIncomeAmt00
IRS990TScheduleA/TotalUnrelatedBusinessCompAmt00
IRS990TScheduleA/TotExcessReadershipCostsDedAmt00
IRS990TScheduleA/TotNetUnrltTrdBusIncmAmt025063
IRS990TScheduleA/TotUnrltTrdBusIncmAmt025063
IRS990TScheduleA/TotUnrltTrdBusIncmExpnssAmt00
IRS990TScheduleA/TradeOrBusinessDesc0PASS-THROUGH ACTIVITY FROM PARTNERSHIPS
IRS990TScheduleA/UBIBeforeNOLDedAmt025063
IRS990TScheduleA/UnrelatedBusinessTaxblIncmAmt025063
IRS990T/SpecificDeductionAmt01000
IRS990T/SubsidiaryCorporationInd01
IRS990T/TaxableCorporationAmt00
IRS990T/TaxableTrustAmt07241
IRS990T/TaxLessCreditsAmt07241
IRS990T/TaxRateScheduleInd0X
IRS990T/TotalDeductionAmt01000
IRS990T/TotalPaymentsAmt093917
IRS990T/TotalTaxAmt07241
IRS990T/TotalTaxComputationAmt07241
IRS990T/TotalUBTIAmt024063
IRS990T/TotalUBTIBeforeNOLSpecificAmt025063
IRS990T/TotalUBTIBeforeSection199AAmt025063
IRS990T/TotalUBTIComputedAmt025063
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/AuthenticationAssuranceLevelCd0AAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/IdentityAssuranceLevelCd0IAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/TrustedCustomerCd00
ReturnHeader/BuildTS02022-09-23 18:48:47Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0DANIEL MORISSETTE
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0SEVP, CFO
ReturnHeader/BusinessOfficerGrp/PhoneNum04154385500
ReturnHeader/BusinessOfficerGrp/SignatureDt02022-05-04
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0DIGNITY HEALTH WORKERS' COMPENSATION
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0SELF-INSURANCE TRUST
ReturnHeader/Filer/BusinessNameControlTxt0DIGN
ReturnHeader/Filer/EIN0946612446
ReturnHeader/Filer/PhoneNum04154385500
ReturnHeader/Filer/USAddress/AddressLine1Txt0185 BERRY STREET SUITE 200
ReturnHeader/Filer/USAddress/CityNm0SAN FRANCISCO
ReturnHeader/Filer/USAddress/StateAbbreviationCd0CA
ReturnHeader/Filer/USAddress/ZIPCd094107
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0470617373
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0COMMONSPIRIT HEALTH
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0198 INVERNESS DRIVE WEST
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0ENGLEWOOD
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0CO
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd080112
ReturnHeader/PreparerPersonGrp/PhoneNum03032989100
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0ANGELA NOEL
ReturnHeader/ReturnTs02022-05-04T21:42:03-05:00
ReturnHeader/ReturnTypeCd0990T
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0DANIEL
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0MORISSETTE
ReturnHeader/TaxPeriodBeginDt02020-07-01
ReturnHeader/TaxPeriodEndDt02021-06-30
ReturnHeader/TaxYr02020

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.00$0.00$0.00$34.7$1.19$33.5
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$459$398$61.0$33.1$48.2$15.0
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$509$428$81.0$97.9$59.6$38.3
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$443$389$54.0$62.6$72.4$9.75
2017Facts available. Structured filing facts are available, but richer extracted sections are limited.$454$402$51.4$74.5$75.5$1.06
2016Detailed filing. Detailed filing data is available for this year.$423$385$37.5$82.2$78.0$4.24
2015Detailed filing. Detailed filing data is available for this year.$423$380$42.8$47.3$63.8$16.5
2014Detailed filing. Detailed filing data is available for this year.$455$382$73.2$42.3$57.0$14.6
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$458$383$74.9$50.2$58.6$8.33
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$467$390$76.8$59.6
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$410$310$100$55.6
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$373$278$95.1$39.1