TRINITY HEALTH: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- TRINITY HEALTH (EIN 45-0226558)
- Tax period
- 2019-07-01 to 2020-06-30
- Filed
- 2021-05-14
- IRS object ID
- 202141349349302099
- Schema version
- 2019v5.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-05-14T09:37:44-05:00 | ReturnTs |
| Tax Period End | 2020-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 220 S 6TH STREET SUITE 300 | AddressLine1Txt |
| City | MINNEAPOLIS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55402 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 450226558 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRINITY HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | TRIN | BusinessNameControlTxt |
| Phone | 7018575111 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 5020 | AddressLine1Txt |
| City | MINOT | CityNm |
| State Abbreviation | ND | StateAbbreviationCd |
| ZIP | 58702 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TAYLOR WILSON | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 7018575111 | PhoneNum |
| Signature | 2021-05-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KOREY BOELTER | PreparerPersonNm |
| PTIN | P00775161 | PTIN |
| Phone | 6123764500 | PhoneNum |
| Preparation | 2021-05-13 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JOHN M KUTCH | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 5020 | AddressLine1Txt |
| City | MINOT | CityNm |
| State Abbreviation | ND | StateAbbreviationCd |
| ZIP | 58702 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $125,419,515 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.TRINITYHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1929 | FormationYr |
| Legal Domicile State | ND | LegalDomicileStateCd |
| Activity Or Mission | MEETING THE NEEDS OF THE WHOLE PERSON THROUGH QUALITY HEALTH CARE AND HEALTH-RELATED SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 3641 | TotalEmployeeCnt |
| Total Volunteers | 297 | TotalVolunteersCnt |
| Total Gross UBI | $173,638 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $65,826 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $123,477,502 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $124,997,955 | CYProgramServiceRevenueAmt |
| PY Investment Income | $370,183 | PYInvestmentIncomeAmt |
| CY Investment Income | $358,974 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$25,551 | PYOtherRevenueAmt |
| CY Other Revenue | $12,514 | CYOtherRevenueAmt |
| PY Total Revenue | $123,822,134 | PYTotalRevenueAmt |
| CY Total Revenue | $125,369,443 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $124,770,517 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $125,849,610 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $28,779,400 | PYOtherExpensesAmt |
| CY Other Expenses | $28,780,833 | CYOtherExpensesAmt |
| PY Total Expenses | $153,549,917 | PYTotalExpensesAmt |
| CY Total Expenses | $154,630,443 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$29,727,783 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$29,261,000 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $53,019,858 | TotalAssetsBOYAmt |
| Total Assets EOY | $47,275,469 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $29,160,792 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $29,419,239 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $23,859,066 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $17,856,230 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TRINITY HEALTH IS COMMITTED TO PRESERVING AND IMPROVING THE QUALITY OF HEALTH OF THE PEOPLE WE SERVE. OUR MISSION IS TO EXCEL AT MEETING THE NEEDS OF THE WHOLE PERSON THROUGH THE PROVISION OF QUALITY HEALTH CARE AND HEALTH RELATED SERVICES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $124,743,859 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $98,390,547 | RevenueAmt |
| Desc | TRINITY HEALTH PROVIDES EDUCATION AND HEALTHCARE SERVICES FOR RESIDENTS OF CENTRAL AND NORTHWEST NORTH DAKOTA AND NORTHEASTERN MONTANA. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $15,301,104 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $13,803,024 | RevenueAmt |
| Desc | TRINITY HEALTH PROVIDES OPTOMETRY SERVICES FOR GENERAL EYECARE AND EYE TESTING FOR OPTICAL AIDS; OPHTHALMOLOGISTS WHO PROVIDE COMPREHENSIVE EYE AND VISION CARE, INCLUDING SURGERY TO REPAIR AND ENHANCE VISION; OPTOMETRISTS WHO PROVIDES GENERAL EYECARE AND EYE TESTING FOR OPTICAL AIDS AND OPTICAL SALE OF CONTACT LENS AND EYEGLASSES. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $9,670,827 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $12,621,871 | RevenueAmt |
| Desc | TRINITY HEALTH RADIOLOGISTS ARE HIGHLY TRAINED AND SKILLED AT ASSESSING AND INTERPRETING X-RAYS, CT, NUCLEAR MEDICINE, ULTRASOUND, MRI SCANS, AND MAMMOGRAPHY IMAGES. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $149,715,790 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 196 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 3641 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | Yes (1) | LocalChaptersInd |
| Policies Reference Chapters | Yes (1) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TAYLOR WILSON | PersonNm |
| Phone | 7018575178 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 5020 | AddressLine1Txt |
| City | MINOT | CityNm |
| State Abbreviation | ND | StateAbbreviationCd |
| ZIP | 58702 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Key EmployeeKeyEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| SAMIR TURK MD | |||||||||
| PHYSICIAN | 25.00 | 15.00 | Yes (X) | $1,842,275 | $0 | $33,412 | |||
| THOMPSON KAMBA MD | |||||||||
| PHYSICIAN | 25.00 | 15.00 | Yes (X) | $1,506,911 | $0 | $11,263 | |||
| MICHAEL GRANT MD | |||||||||
| PHYSICIAN | 25.00 | 15.00 | Yes (X) | $1,443,453 | $0 | $16,725 | |||
| SRIDHAR NAIDU MD | |||||||||
| PHYSICIAN | 25.00 | 15.00 | Yes (X) | $1,338,926 | $0 | $50,852 | |||
| FARZODD HANJANI MD | |||||||||
| PHYSICIAN | 25.00 | 15.00 | Yes (X) | $1,318,469 | $0 | $11,338 | |||
| JOHN KUTCH | |||||||||
| PRESIDENT & CEO | 12.00 | 28.00 | $896,748 | $0 | $32,037 | Yes (X) | Yes (X) | ||
| JEFFREY SATHER MD | |||||||||
| DIRECTOR | 2.00 | 2.50 | $717,068 | $0 | $33,537 | Yes (X) | |||
| SCOTT KNUTSON MD | |||||||||
| DIRECTOR | 2.00 | 2.50 | $608,257 | $0 | $32,037 | Yes (X) | |||
| GLEN TAYLOR WILSON | |||||||||
| VICE PRESIDENT & CFO | 8.00 | 32.00 | $328,775 | $0 | $13,936 | Yes (X) | |||
| THOMAS WARSOCKI | |||||||||
| VP - PHYSICIAN OPERATIONS | 30.00 | 10.00 | $239,755 | $0 | $33,052 | Yes (X) | |||
| DAVE KOHLMAN | |||||||||
| VP - FACILITIES MANAGEMENT | 6.00 | 34.00 | $235,059 | $0 | $12,749 | Yes (X) | |||
| RANDY SCHWAN | |||||||||
| VP - MISSION INTEGRATION | 8.00 | 32.00 | $214,825 | $0 | $27,817 | Yes (X) | |||
| RHONDA WALTERS | |||||||||
| VP - NCF ADMINISTRATOR | 0.00 | 40.00 | $209,797 | $0 | $11,420 | Yes (X) | |||
| KAREN ZIMMERMAN RN | |||||||||
| VICE PRESIDENT & CNO | 0.00 | 40.00 | $213,081 | $0 | $6,978 | Yes (X) | |||
| PAUL SIMONSON | |||||||||
| HR RISK CONSULTANT | 12.00 | 28.00 | $188,469 | $0 | $27,311 | Yes (X) | |||
| ALISON FRYE | |||||||||
| EXECUTIVE ASSISTANT | 12.00 | 28.00 | $74,232 | $0 | $29,096 | Yes (X) | |||
| PATRICK HOLIEN | |||||||||
| CHAIRMAN | 2.00 | 2.50 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| STEVE LYSNE | |||||||||
| VICE CHAIRMAN | 2.00 | 2.50 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| KAREN KREBSBACH | |||||||||
| SECRETARY/TREASURER | 2.00 | 2.50 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| BORGI BEELER | |||||||||
| DIRECTOR | 2.00 | 2.50 | $0 | $0 | $0 | Yes (X) | |||
| JOHN COUGHLIN | |||||||||
| DIRECTOR | 2.00 | 2.50 | $0 | $0 | $0 | Yes (X) | |||
| DAVID HOGUE | |||||||||
| DIRECTOR | 2.00 | 2.50 | $0 | $0 | $0 | Yes (X) | |||
| BRENT MATTSON | |||||||||
| DIRECTOR | 2.00 | 2.50 | $0 | $0 | $0 | Yes (X) | |||
| CLARA SUE PRICE | |||||||||
| DIRECTOR | 2.00 | 2.50 | $0 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $11,376,100 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $383,560 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 331 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| EXECUTIVE AIR TAXI CORPORATION | |||||
| PO BOX 2273 | BISMARCK | ND | 58502 | AIR TRANSPORTATION SERVICES | $4,179,704 |
| AVANT HEALTHCARE PROFESSIONALS LLC | |||||
| PO BOX 744554 | ATLANTA | GA | 30374 | NURSING SERVICES | $3,723,707 |
| ARETE NUR PROFESSIONALS LLC | |||||
| PO BOX 744556 | ATLANTA | GA | 30374 | NURSING SERVICES | $2,943,899 |
| COMPHEALTH ASSOCIATES INC | |||||
| PO BOX 972625 | DALLAS | TX | 75397 | NURSING SERVICES | $2,929,670 |
| AMN HEATLHCARE INC | |||||
| 2735 COLLECTIONS CENTER DRIVE | CHICAGO | IL | 60693 | NURSING SERVICES | $2,352,721 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 51 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT REVENUE | 621110 | $124,485,196 | $124,485,196 | |
| OTHER PATIENT REVENUE | 621110 | $330,246 | $330,246 | |
| OPTICAL SALES | 446199 | $182,513 | $182,513 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $124,997,955 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $360,929 | TotalRevenueColumnAmt |
| Exclusion | $360,929 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $109,631 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $48,117 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $61,514 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $61,514 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$8,875 | UnrelatedBusinessRevenueAmt |
| Exclusion | $70,389 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,955 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$1,955 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$1,955 | TotalRevenueColumnAmt |
| Exclusion | -$1,955 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | JOINT VENTURE INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | -$49,000 | TotalRevenueColumnAmt |
| Exclusion | -$49,000 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | -$49,000 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $125,369,443 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $124,815,442 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $173,638 | UnrelatedBusinessRevenueAmt |
| Exclusion | $380,363 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,078,912 | TotalAmt |
| Program Services | $1,285,778 | ProgramServicesAmt |
| Management And General | $2,793,134 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $108,548,394 | TotalAmt |
| Program Services | $108,802,425 | ProgramServicesAmt |
| Management And General | -$254,031 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,421,021 | TotalAmt |
| Program Services | $3,399,755 | ProgramServicesAmt |
| Management And General | $21,266 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,885,739 | TotalAmt |
| Program Services | $4,720,930 | ProgramServicesAmt |
| Management And General | $164,809 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,915,544 | TotalAmt |
| Program Services | $4,772,324 | ProgramServicesAmt |
| Management And General | $143,220 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,488,601 | TotalAmt |
| Program Services | $1,940,260 | ProgramServicesAmt |
| Management And General | $548,341 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $501,269 | TotalAmt |
| Program Services | $496,879 | ProgramServicesAmt |
| Management And General | $4,390 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $675,012 | TotalAmt |
| Program Services | $470,080 | ProgramServicesAmt |
| Management And General | $204,932 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $370,709 | TotalAmt |
| Program Services | $26,288 | ProgramServicesAmt |
| Management And General | $344,421 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,092,427 | TotalAmt |
| Program Services | $4,072,311 | ProgramServicesAmt |
| Management And General | $20,116 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,152 | TotalAmt |
| Program Services | $6,340 | ProgramServicesAmt |
| Management And General | $812 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,528 | TotalAmt |
| Program Services | $62,151 | ProgramServicesAmt |
| Management And General | $377 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $345,597 | TotalAmt |
| Program Services | $161,257 | ProgramServicesAmt |
| Management And General | $184,340 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,941,348 | TotalAmt |
| Program Services | $2,719,545 | ProgramServicesAmt |
| Management And General | $221,803 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $712,933 | TotalAmt |
| Program Services | $712,933 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| UBI TAXES | $14,654 | $14,654 | |
| MED. SUPPLIES & DRUGS | $7,889,808 | $69,826 | $7,819,982 |
| BAD DEBT EXPENSE | $7,453,068 | $7,453,068 | |
| CONT. MEDICAL EDUCATION | $693,304 | $549 | $692,755 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $532,423 | TotalAmt |
| Program Services | $100,729 | ProgramServicesAmt |
| Management And General | $431,694 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $154,630,443 | TotalAmt |
| Program Services | $149,715,790 | ProgramServicesAmt |
| Management And General | $4,914,653 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $566,482 | BOYAmt |
| EOY | $606,230 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,465,334 | BOYAmt |
| EOY | $14,380,854 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,477,469 | BOYAmt |
| EOY | $1,718,742 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $469,121 | BOYAmt |
| EOY | $394,247 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $146,348 | BOYAmt |
| EOY | $164,489 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $77,557,228 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $47,546,321 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,895,104 | BOYAmt |
| EOY | $30,010,907 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,019,858 | BOYAmt |
| EOY | $47,275,469 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,501,352 | BOYAmt |
| EOY | $18,237,635 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,659,440 | BOYAmt |
| EOY | $11,181,604 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,160,792 | BOYAmt |
| EOY | $29,419,239 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,859,066 | BOYAmt |
| EOY | $17,856,230 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,859,066 | BOYAmt |
| EOY | $17,856,230 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,019,858 | BOYAmt |
| EOY | $47,275,469 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$29,261,000 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $23,258,164 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type3 Func Int | Yes (X) | SupportingOrgType3FuncIntInd |
| Supported Organizations | 4 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp (4 entries)
| EINEIN | Organization TypeOrganizationTypeCd | Governing Document ListedGoverningDocumentListedInd | SupportSupportAmt | Other SupportOtherSupportAmt |
|---|---|---|---|---|
| TRINITY HOSPITALS | ||||
| 412002771 | 3 | Yes (1) | $0 | $0 |
| TRINITY KENMARE HOSPITAL | ||||
| 412002769 | 3 | 0 | $0 | $0 |
| TRINITY HOMES | ||||
| 450404412 | 10 | Yes (1) | $0 | $0 |
| COMMUNITY AMBULANCE SERVICE OF MINOT | ||||
| 450363593 | 10 | 0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 4 | SupportedOrganizationsTotalCnt |
| Support Sum | $0 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | 0 | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | 0 | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | 0 | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | 0 | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | 0 | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | 0 | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | 0 | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | 0 | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | 0 | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | 0 | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | 0 | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | 0 | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timely Provided Documents | 0 | TimelyProvidedDocumentsInd |
| Officers Close Relationship | 0 | OfficersCloseRelationshipInd |
| Supported Org Voice Investment | 0 | SupportedOrgVoiceInvestmentInd |
Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Parent Supported Org | Yes (X) | ParentSupportedOrgInd |
| Appoint Elect Majority Officer | Yes (1) | AppointElectMajorityOfficerInd |
| Exercise Direction Policies | Yes (1) | ExerciseDirectionPoliciesInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, SECTION A, LINE 1: | TRINITY KENMARE HOSPITAL AND COMMUNITY AMBULANCE SERVICE OF MINOT ARE NOT SPECIFICALLY LISTED IN TRINITY HEALTH'S GOVERNING DOCUMENTS AS SUPPORTED ORGANIZATIONS OF TRINITY HEALTH. HOWEVER, TRINITY HEALTH'S PURPOSE IS TO SUPPORT ALL OF THE TAX-EXEMPT SUBSIDIARIES OF TRINITY HEALTH, WHICH INCLUDES TRINITY KENMARE HOSPITAL AND COMMUNITY ABMULANCE SERVICE OF MINOT. TRINITY KENMARE HOSPITAL IS A TAX-EXEMPT 501(C)(3) HOSPITAL THAT IS CONTROLLED BY TRINITY HEALTH. COMMUNITY AMBULANCE SERVICE OF MINOT IS A 509(A)(2) PUBLIC CHARITY THAT IS CONTROLLED BY TRINITY HEALTH. |
| PART IV, SECTION D, LINE 2: | SEE PART IV, SECTION E, LINES 3A AND 3B FOR INFORMATION ABOUT HOW TRINITY HEALTH MAINTAINS A CLOSE AND CONTINUOUS WORKING RELATIONSHIP WITH EACH SUPPORTED ORGANIZATION. |
| PART IV, SECTION E, LINE 3A: | TRINITY HEALTH HAS THE POWER TO APPOINT ALL BOARD MEMBERS OF EACH OF THE SUPPORTED ORGANIZATIONS. |
| PART IV, SECTION E, LINE 3B: | TRINITY HEALTH EMPLOYS THE OFFICERS, KEY EMPLOYEES AND OTHER INDIVIDUALS WHO MANAGE AND OPERATE EACH SUPPORTED ORGANIZATION. BECAUSE OF THIS MANAGEMENT RELATIONSHIP, AS WELL AS TRINITY HEALTH'S POWER TO APPOINT ALL BOARD MEMBERS OF EACH SUPPORTED ORGANIZATION, TRINITY HEALTH EXERCISES A SUBSTANTIAL DEGREE OF DIRECTION OVER THE POLICIES, PROGRAMS, AND ACTIVITIES OF EACH SUPPORTED ORGANIZATION. |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,195,229 | OtherCostOrOtherBasisAmt |
| Book Value | $7,195,229 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,859,861 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,799,758 | DepreciationAmt |
| Book Value | $9,060,103 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,908,763 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,691,927 | DepreciationAmt |
| Book Value | $1,216,836 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $46,963,608 | OtherCostOrOtherBasisAmt |
| Depreciation | $35,054,636 | DepreciationAmt |
| Book Value | $11,908,972 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $629,767 | OtherCostOrOtherBasisAmt |
| Book Value | $629,767 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $30,010,907 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| ASSET RETIREMENT OBLIGATION | $9,843,780 |
| ESTIMATED THIRD PARTY PAYOR SETTLEMENT | $1,337,824 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $11,181,604 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $117,654,518 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $99,072 | OtherRevenueAmt |
| Revenue Not Reported | $99,072 | RevenueNotReportedAmt |
| Revenue Subtotal | $117,555,446 | RevenueSubtotalAmt |
| Other Revenues Not Included | $7,813,997 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $7,813,997 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $125,369,443 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $147,225,492 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $48,117 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $48,117 | ExpensesNotReportedAmt |
| Expenses Subtotal | $147,177,375 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $7,453,068 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $7,453,068 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $154,630,443 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | TRINITY HEALTH HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS A NONPROFIT CORPORATION AS DESCRIBED IN SEC. 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND IS EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE IRC. ALL UNRELATED BUSINESS INCOME GENERATED BY TRINITY IS SUBJECT TO FEDERAL INCOME TAX UNDER 511 OF THE IRC. TRINITY'S POLICY IS TO EVALUATE THE LIKELIHOOD THAT ITS UNCERTAIN TAX POSITIONS WILL PREVAIL UPON EXAMINATION BASED ON THE EXTENT TO WHICH THOSE POSITIONS HAVE SUBSTANTIAL SUPPORT WITHIN THE INTERNAL REVENUE CODE AND REGULATIONS, REVENUE RULINGS, COURT DECISIONS, AND OTHER EVIDENCE. IT IS THE OPINION OF MANAGEMENT THAT THE COMPANY HAS NO SIGNIFICANT UNCERTAIN TAX POSITIONS THAT WOULD BE SUBJECT TO CHANGE UPON EXAMINATION. TRINITY'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES 48,117. LOSS ON DISPOSAL OF PROPERTY AND EQUIPMENT 1,955. LOSS ON JOINT VENTURES 49,000. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | PROVISION FOR UNCOLLECTIBLE ACCOUNTS 7,453,068. INVESTMENT INCOME 360,929. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES 48,117. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | PROVISION FOR UNCOLLECTIBLE ACCOUNTS 7,453,068. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | Yes (X) | FirstClassOrCharterTravelInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | Yes (1) | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | Yes (1) | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SAMIR TURK MD | ||||||||||||||
| PHYSICIAN | $1,265,002 | $0 | $570,174 | $0 | $7,099 | $0 | $5,575 | $0 | $27,837 | $0 | $1,875,687 | $0 | $0 | $0 |
| THOMPSON KAMBA MD | ||||||||||||||
| PHYSICIAN | $650,000 | $0 | $849,812 | $0 | $7,099 | $0 | $2,825 | $0 | $8,438 | $0 | $1,518,174 | $0 | $0 | $0 |
| MICHAEL GRANT MD | ||||||||||||||
| PHYSICIAN | $749,998 | $0 | $692,987 | $0 | $468 | $0 | $4,200 | $0 | $12,525 | $0 | $1,460,178 | $0 | $0 | $0 |
| SRIDHAR NAIDU MD | ||||||||||||||
| PHYSICIAN | $650,000 | $0 | $686,920 | $0 | $2,006 | $0 | $42,000 | $0 | $8,852 | $0 | $1,389,778 | $0 | $0 | $0 |
| FARZODD HANJANI MD | ||||||||||||||
| PHYSICIAN | $800,001 | $0 | $510,862 | $0 | $7,606 | $0 | $4,200 | $0 | $7,138 | $0 | $1,329,807 | $0 | $0 | $0 |
| JOHN KUTCH | ||||||||||||||
| PRESIDENT & CEO | $895,812 | $0 | $0 | $0 | $936 | $0 | $4,200 | $0 | $27,837 | $0 | $928,785 | $0 | $0 | $0 |
| JEFFREY SATHER MD | ||||||||||||||
| DIRECTOR | $669,969 | $0 | $40,000 | $0 | $7,099 | $0 | $5,700 | $0 | $27,837 | $0 | $750,605 | $0 | $0 | $0 |
| SCOTT KNUTSON MD | ||||||||||||||
| DIRECTOR | $601,158 | $0 | $0 | $0 | $7,099 | $0 | $4,200 | $0 | $27,837 | $0 | $640,294 | $0 | $0 | $0 |
| GLEN TAYLOR WILSON | ||||||||||||||
| VICE PRESIDENT & CFO | $327,839 | $0 | $0 | $0 | $936 | $0 | $5,700 | $0 | $8,236 | $0 | $342,711 | $0 | $0 | $0 |
| THOMAS WARSOCKI | ||||||||||||||
| VP - PHYSICIAN OPERATIONS | $234,333 | $0 | $4,486 | $0 | $936 | $0 | $5,215 | $0 | $27,837 | $0 | $272,807 | $0 | $0 | $0 |
| DAVE KOHLMAN | ||||||||||||||
| VP - FACILITIES MANAGEMENT | $229,561 | $0 | $4,562 | $0 | $936 | $0 | $5,209 | $0 | $7,540 | $0 | $247,808 | $0 | $0 | $0 |
| RANDY SCHWAN | ||||||||||||||
| VP - MISSION INTEGRATION | $209,602 | $0 | $4,287 | $0 | $936 | $0 | $4,923 | $0 | $22,894 | $0 | $242,642 | $0 | $0 | $0 |
| RHONDA WALTERS | ||||||||||||||
| VP - NCF ADMINISTRATOR | $208,861 | $0 | $0 | $0 | $936 | $0 | $4,789 | $0 | $6,631 | $0 | $221,217 | $0 | $0 | $0 |
| KAREN ZIMMERMAN RN | ||||||||||||||
| VICE PRESIDENT & CNO | $212,145 | $0 | $0 | $0 | $936 | $0 | $4,778 | $0 | $2,200 | $0 | $220,059 | $0 | $0 | $0 |
| PAUL SIMONSON | ||||||||||||||
| HR RISK CONSULTANT | $185,733 | $0 | $1,800 | $0 | $936 | $0 | $4,485 | $0 | $22,826 | $0 | $215,780 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | TRINITY HEALTH HAS LEASED AN AIRPLANE AND PILOTS TO BE ABLE TO FLY PHYSICIANS TO VARIOUS CLINICS AROUND THE STATE. THE AIRPLANE IS PRIMARILY USED FOR THIS SERVICE, BUT IT IS ALSO USED BY ADMINISTRATIVE STAFF FOR TRAVELING TO MEETINGS THAT ARE OUTSIDE OF MINOT TO SAVE DRIVING TIME. USE OF THIS AIRPLANE BY OFFICERS IN CALENDAR YEAR 2019 WAS RESTRICTED FOR BUSINESS AND NO AMOUNTS WERE INCLUDED IN THEIR COMPENSATION. |
| PART I, LINE 4B | DURING FY20, JOHN KUTCH AGREED TO PARTICIPATE IN A CAP-EX PROGRAM INSTEAD OF A TRADITIONAL SERP PAID FOR BY TRINITY HOSPITALS, A RELATED ORGANIZATION. AT JUNE 30, 2020, THE ARRANGEMENT IS VALUED AT $6,018,519 AND IS INCLUDED IN OTHER ASSETS ON THE CONSOLIDATED FINANCIAL STATEMENTS. |
| PART I, LINE 5 | PHYSICIANS RECEIVE INCENTIVE COMPENSATION BASED ON MULTIPLE FACTORS INCLUDING THE NUMBER OF PATIENTS SERVED, WHICH IS CLOSELY CONNECTED TO REVENUES. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | NICOLE KUTCH | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | SPOUSE OF CEO | RelationshipDescriptionTxt |
| Transaction | $45,670 | TransactionAmt |
| Transaction | THERAPIST | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1 | THE EXECUTIVE COMMITTEE IS COMPOSED OF THE OFFICERS OF THE BOARD OF DIRECTORS, EACH VESTED WITH FULL VOTING AUTHORITY. THEY MEET AS NEEDED TO PLAN FOR THE BOARD'S WORK AND TO FULFILL TASKS ASSIGNED TO THEM BY THE BOARD. THE EXECUTIVE COMMITTEE IS AUTHORIZED TO ACT AND MAKE DECISIONS ON BEHALF OF THE ENTIRE BOARD WHEN URGENT MATTERS ARISE BETWEEN REGULARLY SCHEDULED BOARD MEETINGS. THE EXECUTIVE COMMITTEE IS OBLIGATED TO PRESENT ITS ACTIONS TO THE ENTIRE BOARD IF A DECISION HAS BEEN MADE IN ITS ABSENCE. |
| FORM 990, PART VI, SECTION B, LINE 11B | PRIOR TO BEING FILED WITH THE IRS, A COPY OF THE FORM 990 WAS GIVEN TO THE GOVERNING BODY OF TRINITY HEALTH FOR REVIEW. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL SALARIED EMPLOYEES (AT MANAGER LEVEL AND ABOVE AS DETERMINED BY TRINITY) AND SUCH OTHER EMPLOYEES AS FROM TIME TO TIME MAY BE DIRECTED TO DO SO, ARE REQUIRED TO COMPLETE TRINITY HEALTH'S CONFLICT OF INTEREST STATEMENT ON AN ANNUAL BASIS. ANY EMPLOYEE WHO HAS ASSUMED, OR IS ABOUT TO ASSUME, A FINANCIAL OR OTHER INTEREST OR RELATIONSHIP THAT MIGHT INVOLVE A CONFLICT OF INTEREST MUST IMMEDIATELY INFORM HIS/HER SUPERVISOR, A MEMBER OF THE COMPLIANCE COMMITTEE, OR THE COMPLIANCE OFFICER. ISSUES INVOLVING CONFLICT OF INTEREST SHALL BE REVIEWED AND A DETERMINATION OF EACH SHALL BE MADE BY THE TRINITY COMPLIANCE COMMITTEE. IF A CONFLICT EXISTS, THE CONFLICTED PERSON MUST ABSTAIN FROM DISCUSSION OF AND VOTING ON THE CONFLICTED TOPIC. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE EXECUTIVE COMMITTEE REVIEWED COMPENSATION INFORMATION FOR THE CEO PREPARED BY DELOITTE & TOUCHE. DELOITTE & TOUCHE ANALYZED FOUR COMPENSATION SURVEYS OF HEALTH CARE EMPLOYERS AND REVIEWED FORM 990 FILINGS FOR A PEER GROUP ANALYSIS. THIS PROCESS WAS LAST PERFORMED IN 2015. |
| FORM 990, PART VI, SECTION C, LINE 19 | ON OUR WEBSITE, WWW.TRINITYHEALTH.ORG, WE LIST OUR BOARD OF DIRECTORS, MISSION, VISION, VALUES, AND OUR ANNUAL REPORT WHICH INCLUDES FINANCIAL INFORMATION. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | INTERCOMPANY TRANSFERS 23,185,966. CAPITAL CONTRIBUTIONS 72,198. |
| FORM 990, PART XII, LINE 2C | THE PROCESS FOR SELECTION AND OVERSIGHT OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| TRINITY HOSPITALS | ||||||||||
| PO BOX 5020 | MINOT | ND | 58702 | 412002771 | MEDICAL SERVICES | ND | 501(C)(3) | LINE 3 | TRINITY HEALTH | Yes (1) |
| TRINITY KENMARE HOSPITAL | ||||||||||
| PO BOX 5020 | MINOT | ND | 58702 | 412002769 | MEDICAL SERVICES | ND | 501(C)(3) | LINE 3 | TRINITY HEALTH | Yes (1) |
| TRINITY HOMES | ||||||||||
| PO BOX 5020 | MINOT | ND | 58702 | 450404412 | SKILLED NURSING FACILITY | ND | 501(C)(3) | LINE 10 | TRINITY HEALTH | Yes (1) |
| TRINITY HEALTH FOUNDATION | ||||||||||
| PO BOX 5020 | MINOT | ND | 58702 | 450215346 | FUNDRAISING | ND | 501(C)(3) | LINE 12B, II | TRINITY HEALTH | Yes (1) |
| TRINITY 1922 FOUNDATION | ||||||||||
| PO BOX 2195 | MINOT | ND | 58702 | 474591148 | FUNDRAISING | ND | 501(C)(3) | LINE 12A, I | TRINITY HEALTH | Yes (1) |
| COMMUNITY AMBULANCE SERVICE OF MINOT | ||||||||||
| PO BOX 2195 | MINOT | ND | 58702 | 450363593 | AMBULANCE SERVICES | ND | 501(C)(3) | LINE 10 | TRINITY HEALTH | Yes (1) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| B&B DRUG INC | ||||||||||||
| 20 BURDICK EXPRESSWAY WEST | MINOT | ND | 58701 | 450260565 | RETAIL DRUG STORE | ND | TRINITY HEALTH | C | $1,449,146 | $6,506,329 | 1.00000 | Yes (1) |
| MEDICAL ARTS OUTPATIENT SERVICES INC | ||||||||||||
| 400 BURDICK EXPRESSWAY EAST | MINOT | ND | 58701 | 450278212 | RETAIL PHARMACY & DURABLE MEDICAL EQUIPMENT | ND | TRINITY HEALTH | C | $6,253,777 | $10,067,175 | 1.00000 | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | Yes (1) | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| B&B DRUG INC | ||
| A | $29,409 | FMV |
| MEDICAL ARTS OUTPATIENT SERVICES INC | ||
| A | $20,511 | FMV |
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