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TRINITY HEALTH GEORGIA INC: Form 990EZ, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
TRINITY HEALTH GEORGIA INC (EIN 88-0878641)
Tax period
2022-02-22 to 2022-06-30
Filed
2023-05-15
IRS object ID
202341359349202764
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-05-15T09:35:02-05:00ReturnTs
Tax Period End2022-06-30TaxPeriodEndDt
Return Type990EZReturnTypeCd
Tax Period Begin2022-02-22TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN880878641EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TRINITY HEALTH GEORGIA INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlTRINBusinessNameControlTxt
Phone7063893939PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11230 BAXTER STAddressLine1Txt
CityATHENSCityNm
State AbbreviationGAStateAbbreviationCd
ZIP30606ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJANICE DUNNPersonNm
Person TitleCHIEF FINANCIAL OFFICERPersonTitleTxt
Phone7063893939PhoneNum
Signature2023-05-15SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJANICEPersonFirstNm
Person LastDUNNPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer0TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Initial ReturnYes (X)InitialReturnInd
Application PendingYes (X)ApplicationPendingInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Website AddressWWW.STMARYSHEALTHCARESYSTEM.ORGWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$0GrossReceiptsAmt
Total Revenue$0TotalRevenueAmt
Total Expenses$0TotalExpensesAmt
Excess Or Deficit For Year$0ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$0NetAssetsOrFundBalancesBOYAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Net Assets Or Fund Balances EOY$0NetAssetsOrFundBalancesEOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
Primary Exempt PurposeHEALTH CARE SYSTEM MANAGEMENT AND SUPPORTPrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

FieldValueIRS element (for citing)
Description Program Srvc AccomTRINITY HEALTH GEORGIA IS LOCATED IN ATHENS, GEORGIA. TRINITY HEALTH GEORGIA PROVIDES ORGANIZATIONAL AND MANAGEMENT SUPPORT TO ST. MARY'S HEALTH CARE SYSTEM AND ITS AFFILIATES. PLEASE VISIT OUR WEBSITE FOR ADDITIONAL INFORMATION:WWW.STMARYSHEALTHCARESYSTEM.ORGDescriptionProgramSrvcAccomTxt
Grants And Allocations$0GrantsAndAllocationsAmt
Program Service Expenses$0ProgramServiceExpensesAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$0TotalProgramServiceExpensesAmt
Info In Schedule O Part IVYes (X)InfoInScheduleOPartIVInd

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (12 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
D MONTEZ CARTER
DIRECTOR; PRESIDENT & CEO1.00$0$0$0
RALPH JOHNSON
DIRECTOR; CHAIR1.00$0$0$0
DESSA MORRIS
DIRECTOR; VICE CHAIR1.00$0$0$0
ALISON BRACEWELL MCCULLICK
DIRECTOR1.00$0$0$0
J CHRISTOPHER CALDWELL
DIRECTOR1.00$0$0$0
IRA EDWARDS JR
DIRECTOR1.00$0$0$0
JOHN FOOS
DIRECTOR1.00$0$0$0
LESLIE FORDHAM DVM
DIRECTOR THROUGH 6/221.00$0$0$0
STEVEN KASTNER
DIRECTOR & TCCS PRES & CEO THR 6/221.00$0$0$0
PATRICIA PEPITONE RSM
DIRECTOR1.00$0$0$0
VICTOR WILSON
DIRECTOR1.00$0$0$0
JANICE DUNN
TREASURER & CHIEF FINANCIAL OFFICER1.00$0$0$0
FieldValueIRS element (for citing)
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not Rpt0ChgMadeToOrgnzngDocNotRptInd
Organization Had UBI0OrganizationHadUBIInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Direct Indirect Pltcl Expend$0DirectIndirectPltclExpendAmt
Made Loans To From Officers0MadeLoansToFromOfficersInd
Tax Imposed Under IRC4911$0TaxImposedUnderIRC4911Amt
Tax Imposed Under IRC4912$0TaxImposedUnderIRC4912Amt
Tax Imposed Under IRC4955$0TaxImposedUnderIRC4955Amt
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
Tax Imposed On Organization Mgr$0TaxImposedOnOrganizationMgrAmt
Tax Reimbursed By Organization$0TaxReimbursedByOrganizationAmt
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
States Where Copy Of Return Is FldGAStatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JANICE DUNNBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11230 BAXTER STREETAddressLine1Txt
CityATHENSCityNm
State AbbreviationGAStateAbbreviationCd
ZIP30606ZIPCd
FieldValueIRS element (for citing)
Phone7063893938PhoneNum
FieldValueIRS element (for citing)
Foreign Financial Account0ForeignFinancialAccountInd
Foreign Office0ForeignOfficeInd
Donor Advised Fnds0DonorAdvisedFndsInd
Operate Hospital0OperateHospitalInd
Tanning Services Provided0TanningServicesProvidedInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
School Operating0SchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Part VI Of Comp Of Hghst Pd EmplNONEPartVIOfCompOfHghstPdEmplTxt
Other Employee Paid Over100k0OtherEmployeePaidOver100kCnt
Part VI Hghst Pd Cntrct Prof SrvcNONEPartVIHghstPdCntrctProfSrvcTxt
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Filed Schedule AYes (1)FiledScheduleAInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type2Yes (X)SupportingOrgType2Ind
Supported Organizations3SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (3 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
ST MARY'S HEALTH CARE SYSTEM INC
58056622330$0$0
GOOD SAMARITAN HOSPITAL INC
26172098430$0$0
ST MARY'S SACRED HEART HOSPITAL INC
47375217630$0$0
FieldValueIRS element (for citing)
Supported Organizations Total3SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing Doc0ListedByNameGoverningDocInd
Suprt Org No IRS DeterminationYes (1)SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd
FieldValueIRS element (for citing)
Majority Dir Trst Supported Org0MajorityDirTrstSupportedOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 12G(VI):TRINITY HEALTH GEORGIA PROVIDES HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT SERVICES TO ITS SUPPORTED ORGANIZATIONS.
PART IV, SECTION A, LINE 1:TRINITY HEALTH GEORGIA'S SUPPORTED ORGANIZATIONS ARE NOT LISTED BY NAME IN THE GOVERNING DOCUMENTS, BUT ARE DESIGNATED BY PURPOSE. THE PURPOSE OF TRINITY HEALTH GEORGIA AS STATED IN ITS GOVERNING DOCUMENTS IS TO ADVANCE, PROMOTE, SUPPORT, AND CARRY OUT THE PURPOSES OF CATHOLIC HEALTH MINISTRIES AND TRINITY HEALTH. ITS SPECIFIC PURPOSES ARE TO ENGAGE IN THE DELIVERY OF AND TO CARRY ON, SPONSOR OR PARTICIPATE, DIRECTLY OR THROUGH ONE OR MORE AFFILIATES, IN ANY ACTIVITIES RELATED TO THE DELIVERY OF HEALTH CARE AND HEALTH CARE RELATED SERVICES AS APPROPRIATE IN CARRYING OUT THE HEALTH CARE MISSION OF CATHOLIC HEALTH MINISTRIES AND TRINITY HEALTH. SUCH ACTIVITIES INCLUDE THE SUPPORT AND ASSISTANCE OF AFFILIATES TO ACCOMPLISH THE FOREGOING PURPOSES. THE SUPPORTED ORGANIZATIONS LISTED IN PART I, LINE 12 ARE AFFILIATES OF TRINITY HEALTH AND QUALIFY AS SECTION 509(A)(1) PUBLIC CHARITIES, AND SHARE THE EXEMPT PURPOSES OF TRINITY HEALTH GEORGIA AND TRINITY HEALTH.
PART IV, SECTION A, LINE 2:TRINITY HEALTH GEORGIA SUPPORTS ST. MARY'S HEALTH CARE SYSTEM, GOOD SAMARITAN HOSPITAL, AND ST. MARY'S SACRED HEART HOSPITAL. THESE SUPPORTED ORANIZATIONS DO NOT HAVE IRS DETERMINATIONS OF STATUS UNDER SECTION 509(A)(1); THEY HAVE BEEN RECOGNIZED AS EXEMPT UNDER SECTION 501(C)(3) UNDER GROUP EXEMPTION NO. 0928 AND ARE LISTED IN THE OFFICIAL CATHOLIC DIRECTORY AS HOSPITALS. EACH SUPPORTED ORGANIZATION IS A PUBLIC CHARITY AS DESCRIBED IN SECTION 509(A)(1) BECAUSE IT IS A HOSPITAL AS DESCRIBED UNDER SECTION 170(B)(1)(A)(III).
PART IV, SECTION C, LINE 1:ALL OF THE BOARD MEMBERS OF TRINITY HEALTH GEORGIA ARE ALSO BOARD MEMBERS OF ST. MARY'S HEALTH CARE SYSTEM, AND THE PRESIDENT AND CEO, TREASURER AND SECRETARY SERVE BOTH ORGANIZATIONS EQUALLY. THIS SIGNIFICANT OVERLAP OF OFFICERS AND BOARD MEMBERS MEANS THAT THE CONTROL AND MANAGEMENT OF TRINITY HEALTH GEORGIA IS VESTED IN THE SAME PERSONS THAT CONTROL AND MANAGE THE SUPPORTED ORGANIZATION, ST. MARY'S HEALTH CARE SYSTEM. IN ADDITION, THE PRESIDENT AND CEO AND THE TREASURER OF TRINITY HEALTH GEORGIA AND ST. MARY'S HEALTH CARE SYSTEM ALSO SERVE IN THESE ROLES FOR GOOD SAMARITAN HOSPITAL AND ST. MARY'S SACRED HEART HOSPITAL; THE CHAIR OF BOTH OF THESE SUPPORTED ORGANIZATIONS SITS ON THE BOARD OF TRINITY HEALTH GEORGIA. THIS ADDITIONAL OVERLAP FURTHER ENSURES THAT THE MANAGEMENT OF TRINITY HEALTH GEORGIA IS VESTED IN THE SAME PERSONS THAT MANAGE THE SUPPORTED ORGANIZATIONS.

Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl

FieldValueIRS element (for citing)
DeclarationTHE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.DeclarationDesc

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