TRINITY HEALTH & AFFILIATES: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: TRINITY HEALTH & AFFILIATES (EIN 33-1007002)
Tax period: 2018-07-01 to 2019-06-30
Filed: 2020-07-09
IRS object ID: 202011919349301241
Schema version: 2018v3.2
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule M
Schedule O
Schedule R
Affiliate Listing

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-07-09T10:33:57-05:00	ReturnTs
Tax Period End	2019-06-30	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	2018-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	331007002	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TRINITY HEALTH & AFFILIATES	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	587025020	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	TAYLOR WILSON	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	7018575111	PhoneNum
Signature	2020-07-08	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	2020-07-07	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	67.137.57.251	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-07-08	IPDt
IP Tm	10:02:49	IPTm
IP Timezone	CD	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	9C1DED54EE6A56468881F41BE7A7DD662CF8FCB7	AtSubmissionCreationDeviceId
At Submission Filing Device Id	8DF0D5A1DBF8E44DE93554FEEDBEEE801640FE4C	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-09-23 17:36:50Z	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	587025020	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$377,792,607	GrossReceiptsAmt
Group Return For Affiliates	Yes (1)	GroupReturnForAffiliatesInd
All Affiliates Included	0	AllAffiliatesIncludedInd
Group Exemption	3904	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.TRINITYHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Activity Or Mission	MEETING THE NEEDS OF THE WHOLE PERSON THROUGH QUALITY HEALTH CARE AND HEALTH RELATED SERVICES.	ActivityOrMissionDesc
Voting Members Governing Body	10	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	320	TotalVolunteersCnt
Total Gross UBI	$2,741,241	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$989,846	PYContributionsGrantsAmt
CY Contributions Grants	$1,042,288	CYContributionsGrantsAmt
PY Program Service Revenue	$339,392,091	PYProgramServiceRevenueAmt
CY Program Service Revenue	$371,667,848	CYProgramServiceRevenueAmt
PY Investment Income	$4,086,064	PYInvestmentIncomeAmt
CY Investment Income	$4,354,332	CYInvestmentIncomeAmt
PY Other Revenue	-$1,211,712	PYOtherRevenueAmt
CY Other Revenue	-$1,617,847	CYOtherRevenueAmt
PY Total Revenue	$343,256,289	PYTotalRevenueAmt
CY Total Revenue	$375,446,621	CYTotalRevenueAmt
PY Grants And Similar Paid	$328,506	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$357,065	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$130,124,828	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$136,852,903	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$1,283,854	CYTotalFundraisingExpenseAmt
PY Other Expenses	$159,029,946	PYOtherExpensesAmt
CY Other Expenses	$183,777,208	CYOtherExpensesAmt
PY Total Expenses	$289,483,280	PYTotalExpensesAmt
CY Total Expenses	$320,987,176	CYTotalExpensesAmt
PY Revenues Less Expenses	$53,773,009	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$54,459,445	CYRevenuesLessExpensesAmt
Total Assets BOY	$669,932,345	TotalAssetsBOYAmt
Total Assets EOY	$708,816,874	TotalAssetsEOYAmt
Total Liabilities BOY	$481,837,654	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$501,014,226	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$188,094,691	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$207,802,648	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
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	$229,400,003	ExpenseAmt
Grant	$357,065	GrantAmt
Revenue	$347,174,348	RevenueAmt
Desc	TRINITY HEALTH & AFFILIATES PROVIDES HOSPITAL SERVICES TO CENTRAL AND NORTHWEST NORTH DAKOTA AND NORTHEASTERN MONTANA. TRINITY HOSPITALS IS THE LARGEST HOSPITAL PROVIDER IN NORTHWEST NORTH DAKOTA, WITH AN ACUTE CARE FACILITY THAT IS VERIFIED BY THE AMERICAN COLLEGE OF SURGEONS AS A LEVEL 2 TRAUMA CENTER. TRINITY SERVES AS A REFERRAL CENTER FOR THE FOLLOWING SERVICES: HEART, NEURO, GENERAL AND ROBOTIC SURGERY, CANCER AND CARDIAC CARE, OPHTHALMOLOGY AND RETINAL SURGERY, ADVANCED DIAGNOSTICS, NEWBORN INTENSIVE CARE, ORTHOPEDICS, SPORTS MEDICINE, INPATIENT REHABILITATION, BEHAVIORAL HEALTH, KIDNEY DIALYSIS AND LITHOTRIPSY. TRINITY HOSPITAL INCLUDES A JOINT REPLACEMENT AND GERIATRIC CENTER, CARDIAC CENTER, STROKE CENTER AND NEUROSURGERY CENTER. (SEE SCHEDULE O)TRINITY HOSPITAL - ST. JOSEPH'S INCLUDES AN INPATIENT REHABILITATION UNIT, KIDNEY DYALISIS UNIT, INPATIENT MENTAL HEALTH, OUTPATIENT BEHAVIORAL HEALTH, AND BOTH INPATIENT AND OUTPATIENT CHEMICAL DEPENDENCY UNITS. TRINITY'S NORTHSTAR CRITICAIR HELICOPTER PROVIDES CRITICAL CARE TRANSPORT WITHIN A 150-MILE RADIUS OF TRINITY HOSPITAL. TRINITY ALSO PROVIDES GROUND AMBULANCE SERVICES TO THE CITY OF MINOT AND THE SURROUNDING AREA THROUGH COMMUNITY AMBULANCE SERVICE OF MINOT, INC.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$21,183,245	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$21,752,259	RevenueAmt
Desc	TRINITY HOMES IS A 230-BED HOSPITAL-BASED SKILLED NURSING FACILITY PARTICIPATING IN THE MEDICARE AND MEDICAID PROGRAMS. TRINITY HOMES INCLUDES AN ALZHEIMER'S SPECIAL CARE UNIT AND 13 RETIREMENT APARTMENTS. RESIDENTS OF TRINITY HOMES, UNDER THE DIRECTION OF THEIR PHYSICIAN, ARE ABLE TO RECEIVE SKILLED NURSING CARE, PHYSICAL THERAPY, SPEECH THERAPY, OCCUPATIONAL THERAPY, DIETETIC SERVICES, SOCIAL SERVICES, AND ACTIVITIES OF DAILY LIVING ASSISTANCE, SPIRITUAL CARE AND RECREATIONAL ACTIVITIES.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$250,583,248	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	Yes (1)	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
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	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
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	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (1)	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	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	0	EmployeeCnt
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	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
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	10	GoverningBodyVotingMembersCnt
Independent Voting Member	7	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	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	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	0	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	7018575160	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 (21 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd
PATRICK HOLIEN
CHAIRMAN	2.00	2.50	Yes (X)	Yes (X)	$0	$0	$0
STEVE LYSNE
VICE CHAIRMAN	2.00	2.50	Yes (X)	Yes (X)	$0	$0	$0
KAREN KREBSBACH
SECRETARY/TREASURER	2.00	2.50	Yes (X)	Yes (X)	$0	$0	$0
BORGI BEELER
DIRECTOR	2.00	2.50	Yes (X)		$0	$0	$0
JOHN COUGHLIN
DIRECTOR	2.00	2.50	Yes (X)		$0	$0	$0
DAVID HOGUE
DIRECTOR	2.00	2.50	Yes (X)		$0	$0	$0
SCOTT KNUTSON MD
DIRECTOR	20.00	20.00	Yes (X)		$0	$605,077	$31,355
BRENT MATTSON
DIRECTOR	2.00	2.50	Yes (X)		$0	$0	$0
MARTIN ROTHBERG MD
DIRECTOR (THRU OCT 2018)	20.00	20.00	Yes (X)		$0	$743,505	$14,421
CLARA SUE PRICE
DIRECTOR	2.00	2.50	Yes (X)		$0	$0	$0
JEFFREY SATHER MD
DIRECTOR	20.00	20.00	Yes (X)		$0	$665,161	$32,855
JOHN KUTCH
PRESIDENT & CEO	24.00	16.00	Yes (X)	Yes (X)	$0	$863,590	$31,355
ALISON FRYE
ASSISTANT SECRETARY	0.00	40.00		Yes (X)	$0	$72,444	$28,459
DENNIS EMPEY
VICE PRESIDENT & CFO (THRU APR 2019)	20.00	20.00		Yes (X)	$0	$389,830	$27,697
RANDY SCHWAN
VICE PRES. - MISSION INTEG	32.00	8.00			$0	$217,855	$25,075	Yes (X)
PAUL SIMONSON
VICE PRES. - HUMAN RESOURC	24.00	16.00			$0	$280,189	$27,697	Yes (X)
THOMAS WARSOCKI
VICE PRES. - PHYSICIAN OPE	6.00	34.00			$0	$221,962	$30,675	Yes (X)
DAVE KOHLMAN
VICE PRES. - FACILITIES MA	28.00	12.00			$0	$224,198	$19,188	Yes (X)
KAREN ZIMMERMAN RN
VICE PRES. & CNO	40.00	0.00			$0	$204,322	$6,762	Yes (X)
RHONDA WALTERS
VICE PRES. - NCF ADMINISTR	40.00	0.00			$0	$200,464	$31,878	Yes (X)
GLEN TAYLOR WILSON
VICE PRES. - CLINICAL INTE	26.00	14.00			$0	$308,982	$17,228	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,997,579	TotReportableCompRltdOrgAmt
Total Other Compensation	$324,645	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Fundraising	$80,418	FundraisingAmt
Government Grants	$15,000	GovernmentGrantsAmt
All Other Contributions	$946,870	AllOtherContributionsAmt
Noncash Contributions	$186,960	NoncashContributionsAmt
Total Contributions	$1,042,288	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE	621110	$342,273,850	$342,273,850
OTHER PATIENT SERVICES	621110	$25,027,592	$25,027,592
ADMINISTRATIVE SERVICES	561000	$1,770,859		$1,770,859
DIETARY SERVICES	722320	$1,625,165	$1,625,165
OTHER UBIT SERVICES	900099	$490,629		$490,629

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$479,753	TotalRevenueColumnAmt
Unrelated Business Revenue	$479,753	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$371,667,848	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,361,062	TotalRevenueColumnAmt
Exclusion	$4,361,062	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$111,789	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$2,278,496	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$2,166,707	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$2,166,707	TotalRevenueColumnAmt
Exclusion	-$2,166,707	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$21,600	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$28,330	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$6,730	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$6,730	TotalRevenueColumnAmt
Exclusion	-$6,730	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$10,304	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$80,418	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$39,160	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$28,856	TotalRevenueColumnAmt
Exclusion	-$28,856	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	VENDOR REBATES	Desc
Business	900099	BusinessCd
Total Revenue Column	$577,716	TotalRevenueColumnAmt
Exclusion	$577,716	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$577,716	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$375,446,621	TotalRevenueColumnAmt
Related Or Exempt Func Income	$368,926,607	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,741,241	UnrelatedBusinessRevenueAmt
Exclusion	$2,736,485	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$118,000	TotalAmt
Program Services	$118,000	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$239,065	TotalAmt
Program Services	$239,065	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$109,981,598	TotalAmt
Program Services	$88,590,319	ProgramServicesAmt
Management And General	$21,152,576	ManagementAndGeneralAmt
Fundraising	$238,703	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,463,135	TotalAmt
Program Services	$2,692,997	ProgramServicesAmt
Management And General	$761,657	ManagementAndGeneralAmt
Fundraising	$8,481	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$15,640,215	TotalAmt
Program Services	$8,749,277	ProgramServicesAmt
Management And General	$6,855,665	ManagementAndGeneralAmt
Fundraising	$35,273	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,767,955	TotalAmt
Program Services	$6,191,590	ProgramServicesAmt
Management And General	$1,560,462	ManagementAndGeneralAmt
Fundraising	$15,903	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$248,144	TotalAmt
Management And General	$248,144	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$395,589	TotalAmt
Management And General	$395,589	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$45,958,645	TotalAmt
Program Services	$25,790,001	ProgramServicesAmt
Management And General	$20,166,232	ManagementAndGeneralAmt
Fundraising	$2,412	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$3,295,950	TotalAmt
Program Services	$2,981,317	ProgramServicesAmt
Management And General	$263,051	ManagementAndGeneralAmt
Fundraising	$51,582	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,263,400	TotalAmt
Program Services	$2,105,995	ProgramServicesAmt
Management And General	$1,127,270	ManagementAndGeneralAmt
Fundraising	$30,135	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$4,822,330	TotalAmt
Program Services	$1,325,697	ProgramServicesAmt
Management And General	$3,464,282	ManagementAndGeneralAmt
Fundraising	$32,351	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$11,940,008	TotalAmt
Program Services	$5,183,327	ProgramServicesAmt
Management And General	$6,756,681	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$179,156	TotalAmt
Program Services	$176,543	ProgramServicesAmt
Management And General	$2,387	ManagementAndGeneralAmt
Fundraising	$226	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$517,954	TotalAmt
Program Services	$256,820	ProgramServicesAmt
Management And General	$252,744	ManagementAndGeneralAmt
Fundraising	$8,390	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$76,291	TotalAmt
Program Services	$75,811	ProgramServicesAmt
Management And General	$480	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$14,559,053	TotalAmt
Program Services	$11,103,980	ProgramServicesAmt
Management And General	$3,448,577	ManagementAndGeneralAmt
Fundraising	$6,496	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,041,681	TotalAmt
Program Services	$545,203	ProgramServicesAmt
Management And General	$496,478	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES / DRUG	$64,480,705	$64,479,242	$1,463
BAD DEBT EXPENSE	$19,630,009	$19,630,009
BOOKS & SUBSCRIPTIONS	$7,679,146	$5,830,350	$1,790,299	$58,497
FOOD	$2,216,112	$2,216,093	$19

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,473,035	TotalAmt
Program Services	$2,301,612	ProgramServicesAmt
Management And General	$376,018	ManagementAndGeneralAmt
Fundraising	$795,405	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$320,987,176	TotalAmt
Program Services	$250,583,248	ProgramServicesAmt
Management And General	$69,120,074	ManagementAndGeneralAmt
Fundraising	$1,283,854	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$36,591,039	BOYAmt
EOY	$56,084,522	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$61,922,636	BOYAmt
EOY	$57,302,306	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$44,520,337	BOYAmt
EOY	$46,443,244	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$15,991	BOYAmt
EOY	$15,991	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$7,709,786	BOYAmt
EOY	$8,019,546	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,860,792	BOYAmt
EOY	$6,792,917	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$355,527,431	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$206,311,263	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$83,246,692	BOYAmt
EOY	$149,216,168	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$431,015,072	BOYAmt
EOY	$375,257,922	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$50,000	BOYAmt
EOY	$50,000	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$9,634,258	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$669,932,345	BOYAmt
EOY	$708,816,874	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$34,685,405	BOYAmt
EOY	$49,569,295	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$10,260	BOYAmt
EOY	$11,640	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$21,274	BOYAmt
EOY	$41,163	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$437,223,675	BOYAmt
EOY	$431,711,905	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$9,897,040	BOYAmt
EOY	$19,680,223	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$481,837,654	BOYAmt
EOY	$501,014,226	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$180,065,328	BOYAmt
EOY	$199,415,899	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,486,646	BOYAmt
EOY	$6,844,032	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,542,717	BOYAmt
EOY	$1,542,717	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$188,094,691	BOYAmt
EOY	$207,802,648	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$669,932,345	BOYAmt
EOY	$708,816,874	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$54,459,445	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$526,489	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$35,277,977	OtherChangesInNetAssetsAmt
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)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$89,358	OtherActivitiesAmt
Total Lobbying Expenditures	$89,358	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	LOBBYING ACTIVITIES CONSIST OF A PORTION OF OUR ANNUAL MEMBERSHIP DUES IDENTIFIED UPON RENEWAL AS ASSOCIATED WITH LOBBYING ACTIVITY. ASSOCIATIONS INCLUDE NORTH DAKOTA HOSPITAL ASSOCIATION, AMERICAN HOSPITAL ASSOCIATION, NORTH DAKOTA LONG TERM CARE ASSOCIATION, NORTH DAKOTA HOSPICE ORGANIZATION, HEALTH POLICY CONSORTIUM, NORTH DAKOTA ASSOCIATION FOR HOME CARE, AND NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	Yes (1)	AgentTrusteeEtcInd
Beginning Balance	$347,902	BeginningBalanceAmt
Additions During Year	$14,050	AdditionsDuringYearAmt
Distributions During Year	$6,419	DistributionsDuringYearAmt
Ending Balance	$355,533	EndingBalanceAmt
Incl Escrow Custodial Acct Liab	Yes (1)	InclEscrowCustodialAcctLiabInd
Explanation Provided	Yes (X)	ExplanationProvidedInd

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,692,368	BeginningYearBalanceAmt
Contributions	$390,615	ContributionsAmt
End Year Balance	$2,082,983	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,692,368	BeginningYearBalanceAmt
End Year Balance	$1,692,368	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,679,926	BeginningYearBalanceAmt
Contributions	$12,442	ContributionsAmt
End Year Balance	$1,692,368	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,646,618	BeginningYearBalanceAmt
Contributions	$380	ContributionsAmt
Investment Earnings Or Losses	$55,843	InvestmentEarningsOrLossesAmt
Other Expenditures	$22,915	OtherExpendituresAmt
End Year Balance	$1,679,926	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$133,476	BeginningYearBalanceAmt
Contributions	$1,433,291	ContributionsAmt
Investment Earnings Or Losses	$79,851	InvestmentEarningsOrLossesAmt
End Year Balance	$1,646,618	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.69440	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.30560	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,655,356	OtherCostOrOtherBasisAmt
Book Value	$2,655,356	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$43,414,232	OtherCostOrOtherBasisAmt
Depreciation	$30,835,804	DepreciationAmt
Book Value	$12,578,428	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$19,447	OtherCostOrOtherBasisAmt
Depreciation	$19,447	DepreciationAmt
Book Value	$0	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$198,808,170	OtherCostOrOtherBasisAmt
Depreciation	$175,456,012	DepreciationAmt
Book Value	$23,352,158	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$110,630,226	OtherCostOrOtherBasisAmt
Book Value	$110,630,226	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$149,216,168	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
ESTIMATED 3RD PARTY SETTLEMENTS	$10,045,965
DEFERRED COMPENSATION PLAN	$9,634,258

Field	Value	IRS element (for citing)
Total Liability	$19,680,223	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART IV, LINE 1B:	TO PROVIDE PUBLIC EDUCATION FOR HOSPICE CARE.
PART IV, LINE 2B:	RESIDENT TRUST FUNDS ARE HELD BY TRINITY HOMES. THESE FUNDS ARE TRACKED SEPARATELY FROM THE ORGANIZATIONS AND ARE HELD IN A SEPARATE BANK ACCOUNT.
PART V, LINE 4:	THE PURPOSE OF THE ENDOWMENT FUNDS IS TO SUPPORT STAFF EDUCATION AND SCHOLARSHIPS AND THE PURCHASE OF NEW EQUIPMENT.
PART X, LINE 2:	TRINITY HOSPITALS, TRINITY HOMES, TRINITY HEALTH FOUNDATION, TRINITY KENMARE HOSPITAL, AND COMMUNITY AMBULANCE SERVICE HAVE ALL 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 ARE EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SEC. 501(A) OF THE IRC. ALL UNRELATED BUSINESS INCOME GENERATED BY TRINITY IS SUBJECT TO FEDERAL INCOME TAX UNDER SECTION 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.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	NORTH AMERICA	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	OTHER - MINERAL RIGHTS	TypeOfActivitiesConductedTxt
Region Total Expenditures	$11,680	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$11,680	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$11,680	TotalSpentAmt
Transfer To Foreign Corp	0	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	0	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE F, PART I, LINE 3	FormAndLineReferenceDesc
Explanation	FOREIGN ACTIVITIES THE ORGANIZATION'S FOREIGN ACTIVITIES ARE LIMITED TO THE RECEIPT OF MINERAL RIGHTS FROM PROPERTY IN CANADA.	ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	BUILDING HOPE GOLF	Event1Nm
Gross Receipts Event1	$49,908	GrossReceiptsEvent1Amt
Charitable Contri Event1	$44,879	CharitableContriEvent1Amt
Gross Revenue Event1	$5,029	GrossRevenueEvent1Amt
Cash Prizes Event1	$225	CashPrizesEvent1Amt
Non Cash Prizes Event1	$52	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$7,127	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$315	FoodAndBeverageEvent1Amt
Other Direct Expenses Event1	$5,382	OtherDirectExpensesEvent1Amt
Event2	GOLF FOR LIFE	Event2Nm
Gross Receipts Event2	$40,814	GrossReceiptsEvent2Amt
Charitable Contri Event2	$35,539	CharitableContriEvent2Amt
Gross Revenue Event2	$5,275	GrossRevenueEvent2Amt
Cash Prizes Event2	$718	CashPrizesEvent2Amt
Non Cash Prizes Event2	$465	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$6,079	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$1,500	FoodAndBeverageEvent2Amt
Other Direct Expenses Event2	$17,297	OtherDirectExpensesEvent2Amt
Gross Receipts Total	$90,722	GrossReceiptsTotalAmt
Charitable Contributions Tot	$80,418	CharitableContributionsTotAmt
Gross Revenue Total Events	$10,304	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$943	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$517	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$13,206	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$1,815	FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events	$22,679	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$39,160	DirectExpenseSummaryEventsAmt
Net Income Summary	-$28,856	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent250	Yes (X)	Percent250Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,253,533	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,253,533	NetCommunityBenefitExpnsAmt
Total Expense	0.00420	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,434,032	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,761,186	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,687,565	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,761,186	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,253,533	NetCommunityBenefitExpnsAmt
Total Expense	0.00420	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$278,562	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$47,785	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$230,777	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$420	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$420	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$278,982	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$47,785	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$231,197	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,966,547	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,808,971	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,484,730	NetCommunityBenefitExpnsAmt
Total Expense	0.00500	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,563	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$9,563	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,563	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$9,563	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$19,630,747	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$85,264,681	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$98,348,888	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$13,084,207	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	3	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Critical Access HospitalCriticalAccessHospitalInd
TRINITY HOSPITAL
1	ONE BURDICK EXPRESSWAY WEST	MINOT	ND	58701	WWW.TRINITYHEALTH.ORG	5055	Yes (X)	Yes (X)	Yes (X)	Yes (X)
TRINITY HOSPITAL-ST JOSEPH'S
2	407 3RD STREET SE	MINOT	ND	58701	WWW.TRINITYHEALTH.ORG	5036	Yes (X)	Yes (X)
TRINITY KENMARE HOSPITAL
3	PO BOX 697	KENMARE	ND	587460697	WWW.TRINITYHEALTH.ORG	5028	Yes (X)			Yes (X)	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (3 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy AttachedStrategyAttachedInd	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Asset Level CriteriaAssetLevelCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Residency CriteriaResidencyCriteriaInd	Other CriteriaOtherCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Provided Nonprofit ContactProvidedNonprofitContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	Other PublicityOtherPublicityInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Prospective Medicare MedicaidProspectiveMedicareMedicaidInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd
TRINITY HOSPITAL
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TRINITY HOSPITAL ST JOSEPH'S
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TRINITY KENMARE HOSPITAL
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Supplemental Information SupplementalInformationGrp (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
TRINITY HOSPITAL	PART V, SECTION B, LINE 5: THE COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") PROCESS PRIMARILY INVOLVED INTERVIEWS IN SPRING 2019 WITH VARIOUS COMMUNITY LEADERS, MEDICAL PROFESSIONALS, AND CITY AND COUNTY GOVERNMENT OFFICIALS. PARTICIPANTS INCLUDED THE CITY OF MINOT, FIRST DISTRICT HEALTH UNIT, MINOT AIR FORCE BASE, MINOT COMMISSION ON AGING, MINOT PUBLIC SCHOOL DISTRICT, WARD COUNTY JAIL, WARD COUNTY SHERIFF'S DEPARTMENT, AND WARD COUNTY SOCIAL SERVICES.
TRINITY HOSPITAL ST. JOSEPH'S	PART V, SECTION B, LINE 5: THE COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") PROCESS PRIMARILY INVOLVED INTERVIEWS IN SPRING 2016 WITH VARIOUS COMMUNITY LEADERS, MEDICAL PROFESSIONALS, AND CITY AND COUNTY GOVERNMENT OFFICIALS. PARTICIPANTS INCLUDED THE CITY OF MINOT, FIRST DISTRICT HEALTH UNIT, MINOT AIR FORCE BASE, MINOT COMMISSION ON AGING, MINOT PUBLIC SCHOOL DISTRICT, WARD COUNTY JAIL, WARD COUNTY SHERIFF'S DEPARTMENT, AND WARD COUNTY SOCIAL SERVICES.
TRINITY KENMARE HOSPITAL	PART V, SECTION B, LINE 5: THE COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") PROCESS PRIMARILY INVOLVED INTERVIEWS IN SPRING 2019 WITH VARIOUS COMMUNITY LEADERS, MEDICAL PROFESSIONALS, AND CITY AND COUNTY GOVERNMENT OFFICIALS. PARTICIPANTS INCLUDED THE CITY OF KENMARE, FIRST DISTRICT HEALTH UNIT, MINOT COMMISSION ON AGING, AND WARD COUNTY SOCIAL SERVICES.
TRINITY HOSPITAL	PART V, SECTION B, LINE 6A: TRINITY HOSPITAL CONDUCTED ITS CHNA IN COLLABORATION WITH TRINITY HOSPITAL-ST. JOSEPH'S AND TRINITY KENMARE HOSPITAL. BECAUSE OF THEIR IDENTICAL COMMUNITIES AND RELATIONSHIP WITHIN TRINITY HEALTH, TRINITY HOSPITAL AND TRINITY HOSPITAL-ST. JOSEPH'S PRODUCED A JOINT COMMUNITY HEALTH NEEDS ASSESSMENT REPORT.
TRINITY HOSPITAL ST. JOSEPH'S	PART V, SECTION B, LINE 6A: TRINITY HOSPITAL-ST. JOSEPH'S CONDUCTED ITS CHNA IN COLLABORATION WITH TRINITY HOSPITAL AND TRINITY KENMARE HOSPITAL. BECAUSE OF THEIR IDENTICAL COMMUNITIES AND RELATIONSHIP WITHIN TRINITY HEALTH, TRINITY HOSPITAL AND TRINITY HOSPITAL-ST. JOSEPH'S PRODUCED A JOINT COMMUNITY HEALTH NEEDS ASSESSMENT REPORT.
TRINITY KENMARE HOSPITAL	PART V, SECTION B, LINE 6A: TRINITY KENMARE HOSPITAL CONDUCTED ITS CHNA IN COLLABORATION WITH TRINITY HOSPITAL AND TRINITY HOSPITAL-ST. JOSEPH'S.
TRINITY HOSPITAL	PART V, SECTION B, LINE 11: IN THE MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT, TRINITY HOSPITAL IDENTIFIED THE FOLLOWING SIGNIFICANT NEEDS: ACCESS, SUBSTANCE ABUSE, MENTAL HEALTH, AND OBESITY. IN A PREVIOUS COMMUNITY HEALTH NEEDS ASSESSMENT, ILLNESS AND DISEASE WAS ALSO IDENTIFIED AS A SIGNIFICANT HEALTH NEED. THROUGH 6/30/2019, TRINITY HEALTH CONTINUED EFFORTS AND STRATEGIES TO IMPROVE ON EACH TARGET AREA, TAKING THE FOLLOWING ACTIONS TO ADDRESS THOSE NEEDS: ACCESSTRINITY HEALTH CONTINUES ITS STRATEGY OF RECRUITING PRIMARY CARE AND SPECIALTY CARE PROVIDERS. THIS EFFORT TO IMPROVE ACCESS FOCUSES ON MOST NEEDED SPECIALTIES TO FILL NEEDS FOR OUR SERVICE AREA AND PROVIDE A SEAMLESS CONTINUUM OF CARE ACROSS OUR SYSTEM. TO SUPPORT RECRUITMENT EFFORTS, WE HAVE BEGUN DEVELOPING A ROBUST SET OF TOUCHPOINT COMMUNICATIONS AND TOOLS THAT REITERATE THE BENEFITS OF PRACTICING MEDICINE IN OUR ORGANIZATION AND OUR REGION. TRINITY HEALTH ALSO USES LOCUMS IN SPECIALTIES WHERE DEMAND IS GREATER THAN SUPPLY WHILE WE RECRUIT FOR PERMANENT PROVIDERS, AS ONE STRATEGY TO REDUCE WAIT TIMES. ACCESS TO PRIMARY CARE, PHLEBOTOMY, X-RAY, AND SPECIALTY SERVICES HAS EXPANDED FOR RESIDENTS IN SOUTHWESTERN MINOT SINCE TRINITY HEALTH OPEN ITS EAST RIDGE CLINIC.TO GROW A PROFESSIONAL HEALTHCARE WORKFORCE LOCALLY, TRINITY HEALTH LAUNCHED ITS OWN DIAGNOSTIC MEDICAL SONOGRAPHY PROGRAM FOR MINOT-AREA STUDENTS WHO ASPIRE TO BECOME ULTRASOUND TECHNOLOGISTS. THIS SCHOOL IS MODELED AFTER THE SUCCESSFUL TRINITY HEALTH RADIOLOGIC TECHNOLOGY PROGRAM. WE ALSO CONTINUE TO SUPPORT NURSING EDUCATION IN THE REGION WITH PARTNERS MINOT STATE UNIVERSITY AND DAKOTA COLLEGE AT BOTTINEAU, A STRATEGY THAT EARNED TRINITY HEALTH THE NORTH DAKOTA ASSOCIATION FOR CAREER AND TECHNICAL EDUCATION'S 2019 IMPACT AWARD.LEVERAGING TECHNOLOGY TO IMPROVE ACCESS TO PHARMACY SERVICES AND IMPROVE MEDICATION COMPLIANCE, TRINITY HEALTH OFFERS DIGITAL APPLICATIONS THAT ALLOW PATIENTS TO ORDER REFILLS AND RECEIVE PICKUP REMINDERS ELECTRONICALLY. OUR PILOT PROGRAM OF EMBEDDING AMBULATORY CARE (OUTPATIENT) PHARMACISTS IN OUR PRIMARY CARE CLINICS WAS FUNDED THROUGH A GRANT WITH NDDOH. THE PHARMACIST PROVIDES INSURANCE FOLLOW-UP, EDUCATION, AND SUPPORT TO PATIENTS, WITH THE GOAL OF IMPROVING COMPLIANCE AND OUTCOMES.TRINITY HEALTH OFFERS A REGULAR MENU OF ACCESSIBLE SCREENINGS TO THE COMMUNITY TO ENCOURAGE PREVENTION AND EARLY DETECTION FOR BETTER HEALTH AND OUTCOMES. THESE INCLUDE A LOW-DOSE SCREENING FOR LUNG CANCER, FREE VEIN SCREENINGS FOR PEOPLE WITH VARICOSE VEINS THAT CAN SIGNAL A HIGHER RISK FOR OTHER CIRCULATORY PROBLEMS, AND LOW-COST MYCHOICE HEALTH CHECKS TO IDENTIFY RISKS FOR HEART ATTACK AND STROKE.TO INCREASE ACCESS FOR THOSE BELOW THE POVERTY LEVEL OR WITHOUT INSURANCE COVERAGE, TRINITY HEALTH CONTINUES TO PROMOTE THE CHARITY CARE PROGRAM, PROMPT-PAY DISCOUNT, AND OTHER FINANCIAL ASSISTANCE OPTIONS THAT SIGNIFICANTLY REDUCE PATIENTS' OUT-OF-POCKET COSTS. TRINITY HEALTH IS PROUD TO SERVE AS THE LEAD FACILITY FOR MINOT'S CARDIAC READY COMMUNITY INITIATIVE, AN EFFORT TO IMPROVE COMMUNITY ACCESS TO CPR AND INCREASE SURVIVAL RATES OF CARDIAC INCIDENT. THE CARDIAC READY COMMUNITIES PROJECT IS A PARTNERSHIP OF THE NORTH DAKOTA DEPARTMENT OF HEALTH'S DIVISION OF EMERGENCY MEDICAL SYSTEMS AND THE AMERICAN HEART ASSOCIATION, THROUGH THE NORTH DAKOTA CARDIAC SYSTEM OF CARE. THIS INITIATIVE PREPARES COMMUNITY MEMBERS TO AID ANYONE EXPERIENCING A HEART-RELATED EMERGENCY. TRINITY HEALTH HAS ALSO INCREASED ACCESS TO SAFETY AND PREVENTION EDUCATION FOR MINOT'S YOUTH. AS THE LEAD AGENCY FOR SAFE KIDS MINOT, TRINITY HEALTH BRINGS TOGETHER LOCAL HEALTH AND SAFETY EXPERTS, EDUCATORS, BUSINESSES, VOLUNTEERS, AND OTHERS TO TEACH COMMUNITY MEMBERS ABOUT CHILDHOOD SAFETY AND INJURY PREVENTION. SAFE KIDS WORKS WITH AN EXTENSIVE NETWORK OF MORE THAN 400 COALITIONS IN THE UNITED STATES AND WITH PARTNERS IN MORE THAN 30 COUNTRIES TO REDUCE TRAFFIC INJURIES, DROWNINGS, FALLS, BURNS, POISONINGS. AND MORE. MINOT JOINS THREE OTHER COALITIONS IN NORTH DAKOTA, INCLUDING GRAND FORKS, FARGO, AND BISMARCK-MANDAN. MENTAL HEALTH AND SUBSTANCE ABUSE TRINITY HEALTH CONTINUES TO RECRUIT ADDITIONAL MENTAL HEALTH PROFESSIONALS, ADDICTION COUNSELORS, AND STAFF TO PROVIDE AN ADEQUATE SUPPLY OF PROFESSIONALS. WE ALSO PROMOTE AVAILABLE ADDICTION SERVICES TO ENCOURAGE INDIVIDUALS WHO NEED THESE SERVICES TO CONTACT US FOR HELP THROUGH CONTACTS AND REFERRALS, PUBLICATIONS, PRESS RELEASES, AND PRINT/SOCIAL MEDIA. OUR EDUCATION STRATEGY INCLUDES SPEAKING ENGAGEMENTS AND EXHIBITS TO INCREASE AWARENESS AND REDUCE STIGMA FOR ORGANIZATIONS SUCH AS SCHOOLS, THE MINOT ADULT LEARNING CENTER, EDGEWOOD VISTA, THE YMCA, AND THE "RECOVERY EMPOWERED" STATEWIDE EVENT HOSTED BY THE FREEDOM THROUGH RECOVERY PROGRAM.TRINITY HEALTH CONTINUES TO BUILD PARTNERSHIPS WITH OTHER AGENCIES IN THE REGION TO COORDINATE EFFORTS, WORK THROUGH BARRIERS, AND BETTER SERVE OUR COMMUNITY. THIS INCLUDES PARTICIPATING IN A QUARTERLY MEETING WITH THE NORTH CENTRAL HUMAN SERVICE CENTER, COURTS, LAW ENFORCEMENT OFFICIALS, THE WARD COUNTY JAIL, AND OTHER LEADERSHIP TO BUILD AWARENESS OF MENTAL HEALTH ISSUES, CONNECT PEOPLE IN NEED TO APPROPRIATE SERVICES, AND EFFECTIVELY FACILITATE COURT COMMITTALS FOR OPTIMAL OUTCOMES. WE ALSO COLLABORATE WITH THE MINOT AIR FORCE BASE TO IDENTIFY AND SUPPORT THE CHILDREN/FAMILIES OF OUR ACTIVE DUTY MILITARY, ACCEPTING REFERRALS FROM THE BASE'S ADAPT PROGRAM. TWO SENIOR LEADERS OF TRINITY HEALTH ARE HONORARY COMMANDERS WHO SERVE AS LIAISONS TO CONNECT ACTIVE DUTY MILITARY AND THEIR FAMILIES TO SERVICES.ADDITIONAL ACTIVITIES INCLUDE TRAINING STAFF AND PROVIDERS REGARDING TRAUMA AND ANXIETY DIAGNOSIS, EATING DISORDERS, AND PTSD; FACILITATING DEBRIEFING EVENTS FOR COMMUNITY EMERGENCY RESPONDERS FOLLOWING SIGNIFICANT EVENTS; AND PROVIDING ACCESS TO PATIENT, EMPLOYEE, AND COMMUNITY EDUCATION REGARDING MENTAL HEALTH AND SUBSTANCE ABUSE RELATED ISSUES, INCLUDING AN EAP BENEFIT FOR TRINITY HEALTH EMPLOYEES.OBESITYOUR FOCUS CONTINUES TO BE ON CHILDREN, AND HOW TO HELP KIDS DEVELOP HEALTHY HABITS REGARDING NUTRITION AND EXERCISE. FOR EXAMPLE, WE SUPPORT A PROGRAM AT THE WEE LINKS GOLF COURSE TO ENCOURAGE CHILDREN TO BECOME MORE ACTIVE THROUGH GOLF, AND PROVIDE PEDIATRICIANS AND NUTRITIONISTS IN A GROUP SETTING AT THE MINOT YMCA FOR KIDS STRUGGLING WITH WEIGHT MANAGEMENT.TRINITY HEALTH OFFERS COOKING CLASSES, CONDUCTED BY CERTIFIED DIETITIANS, TO IMPROVE KNOWLEDGE AND PROMOTE MORE HEALTHFUL EATING HABITS, ESPECIALLY AMONG VULNERABLE AUDIENCES (ELDERLY, CHILDREN). OUR QUALIFIED STAFF ALSO CONDUCTS GROCERY STORE TOURS TO TEACH HEALTHY PURCHASING AND UNDERSTANDING OF FOOD LABELS TO MAKE HEALTHIER MEAL CHOICES. WE ROUTINELY PROVIDE FREE PROGRAMS ON MINDFUL EATING AND MOVEMENT, TO EXPLAIN THE BENEFITS OF THESE TECHNIQUES FOR DIABETES MANAGEMENT AND OVERALL HEALTH. PLUS, OUR SQUARE FOOT GARDENING CLASSES PROMOTE GROWING AND EATING FRESH VEGETABLES.OUR POPULAR ANNUAL "DOC WALK" HAS BEEN GOING FOR MORE THAN 11 YEARS, WHICH INVITES THE PUBLIC TO JOIN TRINITY HEALTH PROVIDERS IN THE WALK EFFORT AND PROMOTES AWARENESS OF REGULAR PHYSICAL ACTIVITY'S KEY ROLE IN PREVENTING AND TREATING DISEASE. WE ALSO CONTINUE OUR SUCCESSFUL DIABETES PREVENTION PROGRAM THAT RECEIVED A CERTIFICATE OF CDC FULL RECOGNITION; "WEIGH 2 CHANGE" HELPS PEOPLE AT RISK FOR PREDIABETES TAKE CONTROL OF THEIR HEALTH THROUGH NUTRITION, EXERCISE, GROUP SUPPORT, AND ASSISTANCE FROM LIFESTYLE EXPERTS.TRINITY HEALTH PROMOTES HEALTHY NUTRITION LIFESTYLE UTILIZING VARIOUS MEDIA CHANNELS TO REACH A WIDER AUDIENCE, INCLUDING NEWSPAPER ARTICLES, TELEVISION EVENT COVERAGE, AND INTERVIEWS. WE DEVELOP VIDEO PRESENTATIONS OF HEALTHY COOKING AND LEVERAGING SOCIAL MEDIA TO REACH YOUNGER AUDIENCES.BECAUSE OF LIMITED RESOURCES, WE CANNOT RESPOND EFFECTIVELY TO EVERY IDENTIFIED HEALTH NEED. WE HAVE CHOSEN OUR RESPONSES BASED ON ANALYSIS OF OUR RESOURCES, OUR MISSION, OUR EXISTING SPECIALTIES, COMMUNITY PRIORITIES, AND EXISTING COMMUNITY RESOURCES.
TRINITY HOSPITAL ST. JOSEPH'S	PART V, SECTION B, LINE 11: IN THE MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT, TRINITY HOSPITAL IDENTIFIED THE FOLLOWING SIGNIFICANT NEEDS: ACCESS, SUBSTANCE ABUSE, MENTAL HEALTH, AND OBESITY. IN A PREVIOUS COMMUNITY HEALTH NEEDS ASSESSMENT, ILLNESS AND DISEASE WAS ALSO IDENTIFIED AS A SIGNIFICANT HEALTH NEED. THROUGH 6/30/2019, TRINITY HEALTH CONTINUED EFFORTS AND STRATEGIES TO IMPROVE ON EACH TARGET AREA, TAKING THE FOLLOWING ACTIONS TO ADDRESS THOSE NEEDS: ACCESSTRINITY HEALTH CONTINUES ITS STRATEGY OF RECRUITING PRIMARY CARE AND SPECIALTY CARE PROVIDERS. THIS EFFORT TO IMPROVE ACCESS FOCUSES ON MOST NEEDED SPECIALTIES TO FILL NEEDS FOR OUR SERVICE AREA AND PROVIDE A SEAMLESS CONTINUUM OF CARE ACROSS OUR SYSTEM. TO SUPPORT RECRUITMENT EFFORTS, WE HAVE BEGUN DEVELOPING A ROBUST SET OF TOUCHPOINT COMMUNICATIONS AND TOOLS THAT REITERATE THE BENEFITS OF PRACTICING MEDICINE IN OUR ORGANIZATION AND OUR REGION. TRINITY HEALTH ALSO USES LOCUMS IN SPECIALTIES WHERE DEMAND IS GREATER THAN SUPPLY WHILE WE RECRUIT FOR PERMANENT PROVIDERS, AS ONE STRATEGY TO REDUCE WAIT TIMES. ACCESS TO PRIMARY CARE, PHLEBOTOMY, X-RAY, AND SPECIALTY SERVICES HAS EXPANDED FOR RESIDENTS IN SOUTHWESTERN MINOT SINCE TRINITY HEALTH OPEN ITS EAST RIDGE CLINIC.TO GROW A PROFESSIONAL HEALTHCARE WORKFORCE LOCALLY, TRINITY HEALTH LAUNCHED ITS OWN DIAGNOSTIC MEDICAL SONOGRAPHY PROGRAM FOR MINOT-AREA STUDENTS WHO ASPIRE TO BECOME ULTRASOUND TECHNOLOGISTS. THIS SCHOOL IS MODELED AFTER THE SUCCESSFUL TRINITY HEALTH RADIOLOGIC TECHNOLOGY PROGRAM. WE ALSO CONTINUE TO SUPPORT NURSING EDUCATION IN THE REGION WITH PARTNERS MINOT STATE UNIVERSITY AND DAKOTA COLLEGE AT BOTTINEAU, A STRATEGY THAT EARNED TRINITY HEALTH THE NORTH DAKOTA ASSOCIATION FOR CAREER AND TECHNICAL EDUCATION'S 2019 IMPACT AWARD.LEVERAGING TECHNOLOGY TO IMPROVE ACCESS TO PHARMACY SERVICES AND IMPROVE MEDICATION COMPLIANCE, TRINITY HEALTH OFFERS DIGITAL APPLICATIONS THAT ALLOW PATIENTS TO ORDER REFILLS AND RECEIVE PICKUP REMINDERS ELECTRONICALLY. OUR PILOT PROGRAM OF EMBEDDING AMBULATORY CARE (OUTPATIENT) PHARMACISTS IN OUR PRIMARY CARE CLINICS WAS FUNDED THROUGH A GRANT WITH NDDOH. THE PHARMACIST PROVIDES INSURANCE FOLLOW-UP, EDUCATION, AND SUPPORT TO PATIENTS, WITH THE GOAL OF IMPROVING COMPLIANCE AND OUTCOMES. TRINITY HEALTH OFFERS A REGULAR MENU OF ACCESSIBLE SCREENINGS TO THE COMMUNITY TO ENCOURAGE PREVENTION AND EARLY DETECTION FOR BETTER HEALTH AND OUTCOMES. THESE INCLUDE A LOW-DOSE SCREENING FOR LUNG CANCER, FREE VEIN SCREENINGS FOR PEOPLE WITH VARICOSE VEINS THAT CAN SIGNAL A HIGHER RISK FOR OTHER CIRCULATORY PROBLEMS, AND LOW-COST MYCHOICE HEALTH CHECKS TO IDENTIFY RISKS FOR HEART ATTACK AND STROKE. TO INCREASE ACCESS FOR THOSE BELOW THE POVERTY LEVEL OR WITHOUT INSURANCE COVERAGE, TRINITY HEALTH CONTINUES TO PROMOTE THE CHARITY CARE PROGRAM, PROMPT-PAY DISCOUNT, AND OTHER FINANCIAL ASSISTANCE OPTIONS THAT SIGNIFICANTLY REDUCE PATIENTS' OUT-OF- POCKET COSTS.TRINITY HEALTH IS PROUD TO SERVE AS THE LEAD FACILITY FOR MINOT'S CARDIAC READY COMMUNITY INITIATIVE, AN EFFORT TO IMPROVE COMMUNITY ACCESS TO CPR AND INCREASE SURVIVAL RATES OF CARDIAC INCIDENT. THE CARDIAC READY COMMUNITIES PROJECT IS A PARTNERSHIP OF THE NORTH DAKOTA DEPARTMENT OF HEALTH'S DIVISION OF EMERGENCY MEDICAL SYSTEMS AND THE AMERICAN HEART ASSOCIATION, THROUGH THE NORTH DAKOTA CARDIAC SYSTEM OF CARE. THIS INITIATIVE PREPARES COMMUNITY MEMBERS TO AID ANYONE EXPERIENCING A HEART-RELATED EMERGENCY. TRINITY HEALTH HAS ALSO INCREASED ACCESS TO SAFETY AND PREVENTION EDUCATION FOR MINOT'S YOUTH. AS THE LEAD AGENCY FOR SAFE KIDS MINOT, TRINITY HEALTH BRINGS TOGETHER LOCAL HEALTH AND SAFETY EXPERTS, EDUCATORS, BUSINESSES, VOLUNTEERS, AND OTHERS TO TEACH COMMUNITY MEMBERS ABOUT CHILDHOOD SAFETY AND INJURY PREVENTION. SAFE KIDS WORKS WITH AN EXTENSIVE NETWORK OF MORE THAN 400 COALITIONS IN THE UNITED STATES AND WITH PARTNERS IN MORE THAN 30 COUNTRIES TO REDUCE TRAFFIC INJURIES, DROWNINGS, FALLS, BURNS, POISONINGS. AND MORE. MINOT JOINS THREE OTHER COALITIONS IN NORTH DAKOTA, INCLUDING GRAND FORKS, FARGO, AND BISMARCK-MANDAN. MENTAL HEALTH AND SUBSTANCE ABUSE TRINITY HEALTH CONTINUES TO RECRUIT ADDITIONAL MENTAL HEALTH PROFESSIONALS, ADDICTION COUNSELORS, AND STAFF TO PROVIDE AN ADEQUATE SUPPLY OF PROFESSIONALS. WE ALSO PROMOTE AVAILABLE ADDICTION SERVICES TO ENCOURAGE INDIVIDUALS WHO NEED THESE SERVICES TO CONTACT US FOR HELP THROUGH CONTACTS AND REFERRALS, PUBLICATIONS, PRESS RELEASES, AND PRINT/SOCIAL MEDIA. OUR EDUCATION STRATEGY INCLUDES SPEAKING ENGAGEMENTS AND EXHIBITS TO INCREASE AWARENESS AND REDUCE STIGMA FOR ORGANIZATIONS SUCH AS SCHOOLS, THE MINOT ADULT LEARNING CENTER, EDGEWOOD VISTA, THE YMCA, AND THE "RECOVERY EMPOWERED" STATEWIDE EVENT HOSTED BY THE FREEDOM THROUGH RECOVERY PROGRAM.TRINITY HEALTH CONTINUES TO BUILD PARTNERSHIPS WITH OTHER AGENCIES IN THE REGION TO COORDINATE EFFORTS, WORK THROUGH BARRIERS, AND BETTER SERVE OUR COMMUNITY. THIS INCLUDES PARTICIPATING IN A QUARTERLY MEETING WITH THE NORTH CENTRAL HUMAN SERVICE CENTER, COURTS, LAW ENFORCEMENT OFFICIALS, THE WARD COUNTY JAIL, AND OTHER LEADERSHIP TO BUILD AWARENESS OF MENTAL HEALTH ISSUES, CONNECT PEOPLE IN NEED TO APPROPRIATE SERVICES, AND EFFECTIVELY FACILITATE COURT COMMITTALS FOR OPTIMAL OUTCOMES. WE ALSO COLLABORATE WITH THE MINOT AIR FORCE BASE TO IDENTIFY AND SUPPORT THE CHILDREN/FAMILIES OF OUR ACTIVE DUTY MILITARY, ACCEPTING REFERRALS FROM THE BASE'S ADAPT PROGRAM. TWO SENIOR LEADERS OF TRINITY HEALTH ARE HONORARY COMMANDERS WHO SERVE AS LIAISONS TO CONNECT ACTIVE DUTY MILITARY AND THEIR FAMILIES TO SERVICES.ADDITIONAL ACTIVITIES INCLUDE TRAINING STAFF AND PROVIDERS REGARDING TRAUMA AND ANXIETY DIAGNOSIS, EATING DISORDERS, AND PTSD; FACILITATING DEBRIEFING EVENTS FOR COMMUNITY EMERGENCY RESPONDERS FOLLOWING SIGNIFICANT EVENTS; AND PROVIDING ACCESS TO PATIENT, EMPLOYEE, AND COMMUNITY EDUCATION REGARDING MENTAL HEALTH AND SUBSTANCE ABUSE RELATED ISSUES, INCLUDING AN EAP BENEFIT FOR TRINITY HEALTH EMPLOYEES.OBESITYOUR FOCUS CONTINUES TO BE ON CHILDREN, AND HOW TO HELP KIDS DEVELOP HEALTHY HABITS REGARDING NUTRITION AND EXERCISE. FOR EXAMPLE, WE SUPPORT A PROGRAM AT THE WEE LINKS GOLF COURSE TO ENCOURAGE CHILDREN TO BECOME MORE ACTIVE THROUGH GOLF, AND PROVIDE PEDIATRICIANS AND NUTRITIONISTS IN A GROUP SETTING AT THE MINOT YMCA FOR KIDS STRUGGLING WITH WEIGHT MANAGEMENT.TRINITY HEALTH OFFERS COOKING CLASSES, CONDUCTED BY CERTIFIED DIETITIANS, TO IMPROVE KNOWLEDGE AND PROMOTE MORE HEALTHFUL EATING HABITS, ESPECIALLY AMONG VULNERABLE AUDIENCES (ELDERLY, CHILDREN). OUR QUALIFIED STAFF ALSO CONDUCTS GROCERY STORE TOURS TO TEACH HEALTHY PURCHASING AND UNDERSTANDING OF FOOD LABELS TO MAKE HEALTHIER MEAL CHOICES. WE ROUTINELY PROVIDE FREE PROGRAMS ON MINDFUL EATING AND MOVEMENT, TO EXPLAIN THE BENEFITS OF THESE TECHNIQUES FOR DIABETES MANAGEMENT AND OVERALL HEALTH. PLUS, OUR SQUARE FOOT GARDENING CLASSES PROMOTE GROWING AND EATING FRESH VEGETABLES.OUR POPULAR ANNUAL "DOC WALK" HAS BEEN GOING FOR MORE THAN 11 YEARS, WHICH INVITES THE PUBLIC TO JOIN TRINITY HEALTH PROVIDERS IN THE WALK EFFORT AND PROMOTES AWARENESS OF REGULAR PHYSICAL ACTIVITY'S KEY ROLE IN PREVENTING AND TREATING DISEASE. WE ALSO CONTINUE OUR SUCCESSFUL DIABETES PREVENTION PROGRAM THAT RECEIVED A CERTIFICATE OF CDC FULL RECOGNITION; "WEIGH 2 CHANGE" HELPS PEOPLE AT RISK FOR PREDIABETES TAKE CONTROL OF THEIR HEALTH THROUGH NUTRITION, EXERCISE, GROUP SUPPORT, AND ASSISTANCE FROM LIFESTYLE EXPERTS.TRINITY HEALTH PROMOTES HEALTHY NUTRITION LIFESTYLE UTILIZING VARIOUS MEDIA CHANNELS TO REACH A WIDER AUDIENCE, INCLUDING NEWSPAPER ARTICLES, TELEVISION EVENT COVERAGE, AND INTERVIEWS. WE DEVELOP VIDEO PRESENTATIONS OF HEALTHY COOKING AND LEVERAGING SOCIAL MEDIA TO REACH YOUNGER AUDIENCES.BECAUSE OF LIMITED RESOURCES, WE CANNOT RESPOND EFFECTIVELY TO EVERY IDENTIFIED HEALTH NEED. WE HAVE CHOSEN OUR RESPONSES BASED ON ANALYSIS OF OUR RESOURCES, OUR MISSION, OUR EXISTING SPECIALTIES, COMMUNITY PRIORITIES, AND EXISTING COMMUNITY RESOURCES.
TRINITY KENMARE HOSPITAL	PART V, SECTION B, LINE 11: IN THE MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT, TRINITY KENMARE HOSPITAL IDENTIFIED THE FOLLOWING SIGNIFICANT NEEDS: ACCESS TO HEALTHCARE AND SUBSTANCE ABUSE. THROUGH 6/30/2019, TRINITY HEALTH CONTINUED EFFORTS AND STRATEGIES TO IMPROVE ON EACH TARGET AREA, TAKING THE FOLLOWING ACTIONS TO ADDRESS THOSE NEEDS: ACCESS TO HEALTH CARE SERVICESTRINITY HEALTH HAS MAINTAINED A CONSISTENT, RELIABLE BASE OF PRIMARY CARE PROVIDERS WITH TWO ONSITE ADVANCED PRACTICE NURSES (FNPS) AND VISITING FAMILY MEDICINE PHYSICIANS FROM MINOT. WE ARE EXPLORING THE ADDITION OF MORE SPECIALTY PROVIDERS TO SERVE THE KENMARE AREA ON A PERIODIC BASIS. TO IMPROVE ACCESS TO SPECIALTY CARE FOR PATIENTS, KENMARE HOSPITAL ACQUIRED A BUS TO TRANSPORT PATIENTS TO APPOINTMENTS IN MINOT.MENTAL HEALTH AND SUBSTANCE ABUSETRINITY HEALTH IN KENMARE IS IMPROVING TIMELY ACCESS TO MENTAL HEALTH SERVICES THROUGH THE RURAL MENTAL HEALTH CONSORTIUM. THE CONSORTIUM PROVIDES MENTAL HEALTH SERVICES WITHIN THE COMMUNITY AND FALLS UNDER TRINITY HEALTH'S UMBRELLA. WITHOUT THE RESOURCES TO DEVELOP OTHER INTENSIVE TREATMENT OR AFTERCARE SERVICES, KENMARE INSTEAD DEPENDS ON MINOT RESOURCES TO SERVE THOSE NEEDS. OBESITYWE CONTINUE TO DIALOG WITH LOCAL PROVIDERS ABOUT HOW TO ENHANCE EDUCATION TO FAMILIES AND PATIENTS ABOUT AVOIDING OBESITY THROUGH HEALTHY LIFESTYLE CHOICES. TRINITY LEVERAGES VARIOUS MEDIA TO PROMOTE NUTRITION AND ACTIVE LIFESTYLES TO A WIDER AUDIENCE; MEDIA INCLUDE NEWSPAPERS, TELEVISION EVENT COVERAGE, AND INTERVIEWS. LIKEWISE, WE USE WEB AND SOCIAL MEDIA TO SHARE BLOGS, VIDEO PRESENTATIONS OF HEALTHY COOKING, AND OTHER DYNAMIC TOPICS TO REACH YOUNGER DEMOGRAPHICS.BECAUSE OF LIMITED RESOURCES, WE CANNOT RESPOND EFFECTIVELY TO EVERY IDENTIFIED HEALTH NEED. WE HAVE CHOSEN OUR RESPONSES BASED ON ANALYSIS OF OUR RESOURCES, OUR MISSION, OUR EXISTING SPECIALTIES, COMMUNITY PRIORITIES, AND EXISTING COMMUNITY RESOURCES.
TRINITY HOSPITAL	PART V, SECTION B, LINE 13H: OTHER CRITERIA USED BY TRINITY HOSPITAL TO DETERMINE ELIGIBILITY UNDER THEIR FAP: 1. ELIGIBILITY FOR MEDICARE OR MEDICAID IS ALSO CONSIDERED IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE.2. TRINITY HOSPITAL MAY PRESUMPTIVELY DETERMINE AN INDIVIDUAL'S ELIGIBILITY FOR CHARITY CARE UNDER THIS POLICY WITHOUT A COMPLETED APPLICATION IF THE HOSPITAL IS ABLE TO VERFIY INCOME FROM A RELIABLE THIRD PARTY, I.E. SOCIAL SECURITY, MEDICAID, ETC.
TRINITY HOSPITAL ST. JOSEPH'S	PART V, SECTION B, LINE 13H: OTHER CRITERIA USED BY TRINITY HOSPITAL TO DETERMINE ELIGIBILITY UNDER THEIR FAP: 1. ELIGIBILITY FOR MEDICARE OR MEDICAID IS ALSO CONSIDERED IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE.2. TRINITY HOSPITAL MAY PRESUMPTIVELY DETERMINE AN INDIVIDUAL'S ELIGIBILITY FOR CHARITY CARE UNDER THIS POLICY WITHOUT A COMPLETED APPLICATION IF THE HOSPITAL IS ABLE TO VERFIY INCOME FROM A RELIABLE THIRD PARTY, I.E. SOCIAL SECURITY, MEDICAID, ETC.
TRINITY KENMARE HOSPITAL	PART V, SECTION B, LINE 13H: OTHER CRITERIA USED BY TRINITY HOSPITAL TO DETERMINE ELIGIBILITY UNDER THEIR FAP: 1. ELIGIBILITY FOR MEDICARE OR MEDICAID IS ALSO CONSIDERED IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE.2. TRINITY HOSPITAL MAY PRESUMPTIVELY DETERMINE AN INDIVIDUAL'S ELIGIBILITY FOR CHARITY CARE UNDER THIS POLICY WITHOUT A COMPLETED APPLICATION IF THE HOSPITAL IS ABLE TO VERFIY INCOME FROM A RELIABLE THIRD PARTY, I.E. SOCIAL SECURITY, MEDICAID, ETC.
TRINITY HOSPITAL	PART V, SECTION B, LINE 16J: PATIENTS IDENTIFIED AS POSSIBLE FINANCIAL ASSISTANCE CASES ARE ASKED TO COMPLETE A FINANCIAL ASSISTANCE FORM AND ARE REFERRED TO THE APPROPRIATE COUNSELOR.
TRINITY HOSPITAL ST. JOSEPH'S	PART V, SECTION B, LINE 16J: PATIENTS IDENTIFIED AS POSSIBLE FINANCIAL ASSISTANCE CASES ARE ASKED TO BE COMPLETE A FINANCIAL ASSISTANCE FORM AND ARE REFERRED TO THE APPROPRIATE COUNSELOR.
TRINITY KENMARE HOSPITAL	PART V, SECTION B, LINE 16J: PATIENTS IDENTIFIED AS POSSIBLE FINANCIAL ASSISTANCE CASES ARE ASKED TO BE COMPLETE A FINANCIAL ASSISTANCE FORM AND ARE REFERRED TO THE APPROPRIATE COUNSELOR.

Field	Value	IRS element (for citing)
Facility	29	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (29 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - TRINITY HOMES
305 8TH AVENUE NE	MINOT	ND	58701	SKILLED NURSING HOME
2 - TRINITY HOSPITALS HOME HEALTHHOSPICE
1015 SOUTH BROADWAY SUITE 306	MINOT	ND	58701	HOME HEALTH & HOSPICE
3 - TRINITY HOSPITALS
HOSPITAL ROAD	BELCOURT	ND	58316	DIALYSIS SERVICES
4 - TCC-BELCOURT (KDU)
1310 HOSPITAL LOOP ROAD	BELCOURT	ND	58316	DIALYSIS SERVICES
5 - ORAL & FACIAL SURGERY CENTER-PLAZA 16
2815 16TH STREET SW	MINOT	ND	58702	ORAL & FACIAL SURGICAL SERVICES
6 - ORAL & FACIAL SURGERY CENTER-WILLISTON
2224 1ST AVE W	WILLISTON	ND	58801	ORAL & FACIAL SURGICAL SERVICES
7 - TRINITY REGIONAL EYECARE-WILLISTON
1321 W DAKOTA PARKWAY	WILLISTON	ND	55801	EYE HEALTH SERVICES
8 - TRINITY REGIONAL EYECARE-DEVIL'S LAKE
404 HWY 2 EAST	DEVILS LAKE	ND	58301	EYE HEALTH SERVICES
9 - VISION GALLERIA AT TRINITY - PLAZA 16
2815 16TH STREET SW	MINOT	ND	58702	OPTICAL AND CONTACT LENS DISPENSARY
10 - SAME DAY SURGERY CENTER
407 3RD ST SE	MINOT	ND	58701	SURGICAL SERVICES
11 - WESTERN DAKOTA SURGERY
1102 MAIN ST	WILLISTON	ND	58801	SURGICAL SERVICES
12 - TRINITY HEALTH CENTER-MEDICAL ARTS
400 BURDICK EXPRESSWAY EAST	MINOT	ND	58701	PROVIDER-BASED CLINIC
13 - TRINITY HEALTH CENTER-EAST
20 BURDICK EXPRESSWAY WEST	MINOT	ND	58701	PROVIDER-BASED CLINIC
14 - TRINITY HEALTH CENTER-WEST
101 3RD AVENUE SW	MINOT	ND	58701	PROVIDER-BASED CLINIC
15 - TRINITY REGIONAL EYECARE-MINOT CENTER
120 BURDICK EXPRESSWAY EAST	MINOT	ND	58701	PROVIDER-BASED CLINIC
16 - TRINITY HEALTH CENTER-RIVERSIDE
1900 8TH AVENUE SE	MINOT	ND	58701	PROVIDER-BASED CLINIC
17 - TRINITY HEALTH CENTER-TOWN & COUNTRY
831 SOUTH BROADWAY	MINOT	ND	58701	PROVIDER-BASED CLINIC
18 - MAIN MEDICAL BUILDING
315 SOUTH MAIN	MINOT	ND	58701	PROVIDER-BASED CLINIC
19 - TRINITY HEALTH SOUTH RIDGE
1500 24TH AVENUE SW	MINOT	ND	58701	PROVIDER-BASED CLINIC
20 - TCC-WESTERN DAKOTA
1321 WEST DAKOTA PARKWAY	WILLISTON	ND	58801	PROVIDER-BASED CLINIC
21 - TRINITY HEALTH CENTER-3RD STREET
420 3RD ST SE	MINOT	ND	58701	PROVIDER-BASED CLINIC
22 - TRINITY HEALTH CENTER-5TH AVENUE
307 5TH AVE SE	MINOT	ND	58701	PROVIDER-BASED CLINIC
23 - TRINITY COMMUNITY CLINIC KENMARE
307 1ST AVENUE NW	KENMARE	ND	58746	RURAL HEALTH CLINIC
24 - TCC-GARRISON
PO BOX 1179	GARRISION	ND	585401179	RURAL HEALTH CLINIC
25 - TCC-MOHALL
504 1ST ST SW	MOHALL	ND	58760	RURAL HEALTH CLINIC
26 - TCC-NEW TOWN
PO BOX 1029	NEW TOWN	ND	587631029	RURAL HEALTH CLINIC
27 - TCC-VELVA
PO BOX 70	VELVA	ND	587900070	RURAL HEALTH CLINIC
28 - TCC-WESTHOPE
PO BOX 383	WESTHOPE	ND	587930383	RURAL HEALTH CLINIC
29 - COMMUNITY AMBULANCE SERVICE OF MINOT
PO BOX 2195	MINOT	ND	58702	AMBULANCE SERVICES

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	TO BE ELIGIBLE FOR FREE CARE UNDER TRINITY HEALTH'S FINANCIAL ASSISTANCE POLICY, THE SERVICES MUST BE MEDICALLY NECESSARY, THE PERSON'S HOUSEHOLD INCOME MUST BE BELOW 250% OF FEDERAL POVERTY GUIDELINES, THEY MUST RESIDE WITHIN TRINITY HEALTH'S SERVICE AREA, THEY MUST EXHAUST OTHER FINANCIAL ASSISTANCE OPPORTUNITIES (E.G.: MEDICARE, MEDICAID), AND THEY MUST PROVIDE A COMPLETE FINANCIAL ASSISTANCE APPLICATION. SPECIAL CONSIDERATION IS GIVEN WHEN INCOME LEVELS EXCEED THE INCOME GUIDELINES FOR CHARITY CARE AND THE HEALTHCARE EXPENSES EXCEED A SIGNIFICANT MULTIPLE OF THE HOUSEHOLD'S ANNUAL INCOME.
PART I, LINE 7:	TRINITY'S COMMUNITY BENEFIT EXPENSES AND REVENUES WERE CALCULATED USING THE IRS WORKSHEETS PROVIDED IN THE INSTRUCTIONS TO THE 2018 FORM 990, SCHEDULE H.
PART I, LN 7 COL(F):	$19,630,747 OF BAD DEBT EXPENSE WAS EXCLUDED IN CALCULATING THE PERCENTAGES REPORTED IN PART I, LINE 7, COLUMN F.IN FURTHERANCE OF ITS CHARITABLE PURPOSE, TRINITY PROVIDES A WIDE VARIETY OF BENEFITS TO THE COMMUNITY, INCLUDING OFFERING VARIOUS COMMUNITY-BASED SERVICE PROGRAMS SUCH AS FREE CLINICS, HEALTH SCREENINGS, IN-HOME CAREGIVER SERVICES, SOCIAL SERVICE AND SUPPORT COUNSELING FOR PATIENTS AND FAMILIES, PASTORAL CARE, CRISIS INTERVENTION, TRANSPORTATION TO AND FROM THE HOSPITAL CAMPUSES, AND THE DONATION OF SPACE FOR USE BY COMMUNITY GROUPS. ADDITIONALLY, A LARGE NUMBER OF HEALTH-RELATED EDUCATIONAL PROGRAMS ARE PROVIDED FOR THE BENEFIT OF THE COMMUNITY, INCLUDING HEALTH ENHANCEMENTS AND WELLNESS, CLASSES ON SPECIFIC CONDITIONS, TELEPHONE INFORMATION SERVICES, AND COSTS RELATED TO PROGRAMS DESIGNED TO IMPROVE THE GENERAL STANDARDS OF THE HEALTH OF THE COMMUNITY. THE COST OF PROVIDING THE ABOVE SERVICES IS NOT INCLUDED IN TRINITY'S CHARITY CARE AMOUNT.
PART III, LINE 2:	TRINITY PROVIDES MEDICAL CARE WITHOUT CHARGE OR AT REDUCED CHARGE TO RESIDENTS OF ITS COMMUNITY THROUGH THE PROVISION OF CHARITY CARE. INCLUDED IN TRINITY'S DEFINITION OF CHARITY CARE ARE THE FOLLOWING: (A) SERVICES PROVIDED TO THE UNINSURED OR UNDERINSURED AND (B) SERVICES PROVIDED TO PATIENTS EXPRESSING A WILLINGNESS TO PAY BUT WHO ARE DETERMINED TO BE UNABLE TO PAY BECAUSE OF SOCIOECONOMIC FACTORS.TRINITY MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. THOSE RECORDS INCLUDE THE AMOUNT OF CHARGES FORGONE FOR CHARITY CARE.AMOUNTS DO NOT INCLUDE THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS OR THE DIFFERENCE BETWEEN PUBLIC PROGRAM PAYMENTS (PRIMARILY MEDICARE AND MEDICAID) AND THE RELATED COSTS OF PROVIDING SUCH SERVICES. TRINITY USES THE COST-TO-CHARGE RATIO TO DETERMINE THE AMOUNTS REPORTED IN LINE 2.
PART III, LINE 3:	TRINITY IS REPORTING $0 ON LINE 3 BECAUSE THE ORGANIZATION DOES NOT HAVE A RELIABLE ESTIMATE OF THE PORTION OF BAD DEBT EXPENSE ATTRIBUTABLE TO INDIVIDUALS WHO WOULD QUALIFY FOR FINANCIAL ASSISTANCE BUT DID NOT COMPLETE AN APPLICATION.
PART III, LINE 4:	SEE THE "PATIENT AND RESIDENT ACCOUNTS RECEIVABLE, NET NOTE ON PAGE 9 OF THE ATTACHED FINANCIAL STATEMENTS.
PART III, LINE 8:	THE MEDICARE ALLOWABLE COSTS REPORTED ON PART III, LINE 6 WAS DERIVED USING TRINITY HOSPITALS AND KENMARE'S 2019 MEDICARE COST REPORTS.
PART III, LINE 9B:	IT IS THE POLICY OF TRINITY TO PROVIDE MEDICAL SERVICES TO THE COMMUNITY AND REGION REGARDLESS OF THE CUSTOMER'S ABILITY TO PAY THROUGH CONSISTENT BILLING PRACTICES. ACCOUNTS WILL BE MONITORED TO ENSURE THAT CUSTOMERS ARE BILLED FOR ONLY THOSE SERVICES PROVIDED. TRINITY, THROUGH VERIFICATION OF INFORMATION, IS REQUIRED TO PROVIDE TIMELY AND ACCURATE BILLING, COLLECTION, AND PATIENT ACCOUNT MAINTENANCE. INFORMATION REGARDING TRINITY'S BILLING AND PAYMENT GUIDELINES, WHICH INCLUDES FINANCIAL ASSISTANCE PROGRAMS, ARE AVAILABLE AT REGISTRATION AND BUSINESS SERVICES LOCATIONS. THIS INFORMATION IS COMMUNICATED VERBALLY OR THROUGH THE USE OF THE TRINITY BILLING & PAYMENT GUIDELINES BROCHURE. TO ENHANCE VERBAL COMMUNICATIONS, INTERPRETERS ARE PROVIDED AS NECESSARY.
PART VI, LINE 2:	TRINITY HEALTH COMPLETES A THOROUGH COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS, IN COMPLIANCE WITH SECTION 501(R). TRINITY'S FIRST COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED DURING THE YEAR ENDED JUNE 30, 2013. THE SECOND WAS COMPLETED DURING THE YEAR ENDED JUNE 30, 2016, AND THE THIRD WAS COMPLETED DURING THE YEAR ENDED JUNE 30, 2019. THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT FOR BOTH YEARS IS AVAILABLE ONLINE AT HTTP://WWW.TRINITYHEALTH.ORG/PATIENTS-VISITORS/.
PART VI, LINE 3:	TRINITY HEALTH'S HOSPITALS WIDELY PUBLICIZE FINANCIAL ASSISTANCE INFORMATION IN ALL OF THE METHODS REQUIRED UNDER SECTION 501(R) AND RELATED REGULATIONS. EXAMPLES INCLUDE INFORMATION ON BILLING STATEMENTS, INFORMATION POSTED IN ADMISSIONS AREAS AND EMERGENCY ROOMS, AND INFORMATION PROVIDED AT ADMISSION. IN ADDITION, PATIENT ACCESS AND BUSINESS OFFICE STAFF ATTEMPT TO IDENTIFY ALL CASES THAT WILL QUALIFY FOR FINANCIAL ASSISTANCE AT THE TIME OF ADMISSION. PATIENTS IDENTIFIED AS POSSIBLE FINANCIAL ASSISTANCE CASES ARE ASKED TO COMPLETE A FINANCIAL ASSISTANCE FORM AND ARE REFERRED TO THE APPROPRIATE COUNSELOR.
PART VI, LINE 4:	ALTHOUGH TRINITY HOSPITAL AND TRINITY HOSPITAL - ST. JOSEPH'S ARE LOCATED IN MINOT, NORTH DAKOTA, WE HAVE HISTORICALLY DEFINED OUR "COMMUNITY" AS A BROADER AREA THAT INCLUDES NORTHWESTERN NORTH DAKOTA AS WELL AS A PORTION OF NORTHEASTERN MONTANA. WITHIN THIS BROADER COMMUNITY, APPROXIMATELY TWO-THIRDS OF OUR INPATIENTS AND OUTPATIENTS RESIDE WITHIN IN AND IMMEDIATELY AROUND THE CITY OF MINOT AND WARD COUNTY. UNDERSTANDING OUR COMMUNITY REQUIRES AN UNDERSTANDING OF NORTH DAKOTA'S OIL RESERVES. UNDERLYING NORTHWESTERN NORTH DAKOTA IS A MASSIVE ROCK FORMATION, REFERRED TO AS THE BAKKEN SHALE, WHICH HOLDS AN ESTIMATED 18 BILLION BARRELS OF CRUDE OIL. WHEN THIS RESOURCE WAS FIRST DISCOVERED IN 1951, RECOVERING IT WAS FINANCIALLY UNFEASIBLE BECAUSE THE OIL WAS EMBEDDED IN THE STONE. THEN, AROUND 2008, EVERYTHING CHANGED. NEW DRILLING TECHNOLOGY CALLED HYDRAULIC FRACTURING, OR 'FRACKING', BECAME WIDESPREAD, AND OIL PRODUCTION TOOK OFF. AS OF 2013, THERE ARE MORE THAN 200 ACTIVE OIL RIGS IN NORTH DAKOTA, PRODUCING ABOUT 20 MILLION BARRELS OF OIL EVERY MONTH. THE RIGS AND SUPPORT SYSTEMS HAVE RESCULPTED THE LANDSCAPE, MILLIONS OF DOLLARS HAVE BEEN INVESTED ON INFRASTRUCTURE UPGRADES ACROSS THE AREA.AS THE PRICE OF OIL PEAKED IN 2015, THEN DROPPED, ALONG WITH SIGNIFICANT OUTFLOWS OF OIL FIELD WORKERS, THE PRICE HAS STABILIZED AND LEASES ARE NEARING RENEWAL, OIL FIELD WORKERS ARE NOW INFLOWING ONCE AGAIN. MAJOR OIL COMPANIES ARE ON THE REHIRE TRACE ONCE AGAIN (FOR APPROXIMATELY 800 WORKERS). ALTHOUGH MUCH OF THE OIL FIELD ACTIVITY OCCURS TO THE WEST OF MINOT, OUR COMMUNITY HAS BEEN SIGNIFICANTLY IMPACTED BY THE FLUCTUATION OF PEOPLE INTO AND OUT OF OUR COMMUNITY. DEMAND FOR ALMOST EVERY GOOD, FROM HOUSING TO CLOTHING TO FOOD, TO HUMAN CAPITAL HAS FLUCTUATED, AND OUR COMMUNITY HAS STRUGGLED WITH THESE FLUCTUATIONS.
PART VI, LINE 5:	IN FURTHERANCE OF ITS CHARITABLE PURPOSE, TRINITY PROVIDES A WIDE VARIETY OF BENEFITS TO THE COMMUNITY, INCLUDING OFFERING VARIOUS COMMUNITY-BASED SERVICE PROGRAMS SUCH AS FREE CLINICS, HEALTH SCREENINGS, IN-HOME CAREGIVER SERVICES, SOCIAL SERVICE AND SUPPORT COUNSELING FOR PATIENTS AND FAMILIES, PASTORAL CARE, CRISIS INTERVENTION, TRANSPORTATION TO AND FROM THE HOSPITAL CAMPUSES, AND THE DONATION OF SPACE FOR USE BY COMMUNITY GROUPS. ADDITIONALLY, A LARGE NUMBER OF HEALTH-RELATED EDUCATIONAL PROGRAMS ARE PROVIDED FOR THE BENEFIT OF THE COMMUNITY, INCLUDING HEALTH ENHANCEMENTS AND WELLNESS, CLASSES ON SPECIFIC CONDITIONS, TELEPHONE INFORMATION SERVICES, AND COSTS RELATED TO PROGRAMS DESIGNED TO IMPROVE THE GENERAL STANDARDS OF THE HEALTH OF THE COMMUNITY.
PART VI, LINE 6:	THIS FORM 990 INCLUDES TRINITY HOSPITAL, TRINITY HOSPITAL-ST. JOSEPH'S, AND TRINITY KENMARE HOSPITAL. THESE THREE HOSPITALS ARE PART OF TRINITY HEALTH SYSTEM. TRINITY HEALTH IS THE PARENT ORGANIZATION. THE SYSTEM ALSO INCLUDES TRINITY HEALTH FOUNDATION, TRINITY HOMES, AND COMMUNITY AMBULANCE SERVICE OF MINOT, ALL OF WHICH ARE TAX-EXEMPT 501(C)(3) ORGANIZATIONS, AS WELL AS MEDICAL ARTS OUTPATIENT SERVICES INC. AND B&B DRUG INC., BOTH OF WHICH ARE FOR-PROFIT C CORPORATIONS.
PART VI, LINE 7, REPORTS FILED WITH STATES	ND

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	0	GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
MINOT FAMILY YMCA
3515 16TH ST SW	MINOT	ND	58701	450237612	501(C)(3)	$100,000	SUPPORT OPERATIONS
NORTH DAKOTA STATE FAIR
PO BOX 1796	MINOT	ND	58702	450215346	501(C)(3)	$18,000	SUPPORT OPERATIONS

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
HARDSHIP ASSISTANCE	34	$76,313
CANCER ASSISTANCE	139	$162,752

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	TRINITY HEALTH & AFFILIATES DOES NOT HAVE A PROCEDURE FOR MONITORING USE OF GRANT FUNDS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	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 (12 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
SCOTT KNUTSON MD
DIRECTOR	$0	$578,251	$0	$20,000	$0	$6,826	$0	$4,125	$0	$27,230	$0	$636,432	$0	$0
MARTIN ROTHBERG MD
DIRECTOR (THRU OCT 2018)	$0	$691,535	$0	$50,000	$0	$1,970	$0	$5,625	$0	$8,796	$0	$757,926	$0	$0
JEFFREY SATHER MD
DIRECTOR	$0	$628,335	$0	$30,000	$0	$6,826	$0	$5,625	$0	$27,230	$0	$698,016	$0	$0
JOHN KUTCH
PRESIDENT & CEO	$0	$862,654	$0	$0	$0	$936	$0	$4,125	$0	$27,230	$0	$894,945	$0	$0
DENNIS EMPEY
VICE PRESIDENT & CFO (THRU APR 2019)	$0	$388,894	$0	$0	$0	$936	$0	$5,625	$0	$22,072	$0	$417,527	$0	$0
RANDY SCHWAN
VICE PRES. - MISSION INTEG	$0	$213,057	$0	$3,862	$0	$936	$0	$3,692	$0	$21,383	$0	$242,930	$0	$0
PAUL SIMONSON
VICE PRES. - HUMAN RESOURC	$0	$272,159	$0	$7,094	$0	$936	$0	$5,625	$0	$22,072	$0	$307,886	$0	$0
THOMAS WARSOCKI
VICE PRES. - PHYSICIAN OPE	$0	$217,142	$0	$3,884	$0	$936	$0	$3,445	$0	$27,230	$0	$252,637	$0	$0
DAVE KOHLMAN
VICE PRES. - FACILITIES MA	$0	$219,492	$0	$3,770	$0	$936	$0	$5,048	$0	$14,140	$0	$243,386	$0	$0
KAREN ZIMMERMAN RN
VICE PRES. & CNO	$0	$203,386	$0	$0	$0	$936	$0	$4,623	$0	$2,139	$0	$211,084	$0	$0
RHONDA WALTERS
VICE PRES. - NCF ADMINISTR	$0	$199,528	$0	$0	$0	$936	$0	$4,648	$0	$27,230	$0	$232,342	$0	$0
GLEN TAYLOR WILSON
VICE PRES. - CLINICAL INTE	$0	$308,046	$0	$0	$0	$936	$0	$5,625	$0	$11,603	$0	$326,210	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3	JOHN KUTCH, PRESIDENT & CEO, IS COMPENSATED BY TRINITY HEALTH, A RELATED ORGANIZATION. TRINITY HEALTH USES THE FOLLOWING METHODS TO DETERMINE THE COMPENSATION FOR JOHN: 1. COMPENSATION COMMITTEE 2. INDEPENDENT COMPENSATION CONSULTANT 3. FORM 990 OF OTHER ORGANIZATIONS 4. COMPENSATION SURVEY OR STUDY 5. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
PART I, LINE 5	PHYSICIANS RECEIVE INCENTIVE COMPENSATION FROM TRINITY HEALTH, A RELATED ORGANIZATION, BASED ON MULTIPLE FACTORS INCLUDING THE NUMBER OF PATIENTS SERVED AND RELATIVE VALUE UNITS (RVUS), WHICH IS CLOSELY CONNECTED TO REVENUES.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd	CUSIPCUSIPNum
WARD COUNTY NORTH DAKOTA
A	456002248	2017-09-27	$56,875,000	REFUND SERIES 2006 BONDS; HOSPITAL CONSTRUCTION	0	0	0
WARD COUNTY NORTH DAKOTA
B	456002248	2017-12-28	$382,748,522	HOSPITAL CONSTRUCTION	0	0	0	394023EW8

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	UnspentUnspentAmt
A	$7,179,000	$56,875,000	$510,395	$9,960,000	$46,404,605	2019	Yes (1)	0	0	Yes (1)
B		$382,748,522	$3,562,519	$67,479,803			0	0	0	Yes (1)	$24,842,497	$24,127,296	$290,426,222

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	Yes (1)	0	0	0.00630	0.00630	0	0	Yes (1)
B	0	0	0	0			0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd
(no name)
A	0	Yes (1)	0	0	0	0	0	0	Yes (1)
SEE PART VI
B	0	0	0	Yes (1)	0	0	Yes (1)	0	Yes (1)	0

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

DATE REBATE COMPUTATION PERFORMED

ISSUER NAME: WARD COUNTY, NORTH DAKOTA DATE THE REBATE COMPUTATION WAS PERFORMED: 06/01/2018

SCHEDULE K, PART IV, LINE 5, COLUMN B:

CAPITALIZED INTEREST FUND: WELLS FARGO SECURITIES, LLC; 2.0 YEARS; NO* PROJECT FUND: BAYERISCHE LANDESBANK; 2.6 YEARS; YES PROJECT FUND: NATIXIS FUNDING CORP; 2.6 YEARS; NO** DEBT SERVICE RESERVE FUND: TD SECURITIES; 2.6 YEARS; YES DEBT SERVICE RESERVE FUND: WELLS FARGO SECURITIES, LLC; 0.5 YEARS; YES *THE INVESTMENT IN THE CAPITALIZED INTEREST FUND DID NOT TECHNICALLY SATISFY THE SAFE HARBORS FOR GIC'S BECAUSE THE CONTRACT WAS AWARDD TO THE LOWEST BONA FIDE OFFER RATHER THAN TO THE HIGHEST YIELDING BONA FIDE OFFER. **THE PROJECT FUND INVESTMENT WAS SPLIT BETWEEN TWO CONTRACTS WITH SEPARATE PROVIDERS TO ACHIEVE DIVERSIFICATION OF COUNTERPARTY EXPOSURE. AS REQUIRED BY THE TERMS OF THE SOLICITATION, THE BID FROM BAYERISCHE LANDESBANK, AS THE WINNING BIDDER WITH RESPECT TO THE FIRST CONTRACT, WAS AUTOMATICALLY DISQUALIFIED WITH RESPECT TO THE SECOND CONTRACT.

Schedule M IRS990ScheduleM

Works Of Art WorksOfArtGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	2	ContributionCnt
Noncash Contributions Rpt F990	$325	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Books And Publications BooksAndPublicationsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$81	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$101,621	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	7	ContributionCnt
Noncash Contributions Rpt F990	$657	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (4 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	MISCELLANEOUS	21	$50,796	FMV
Yes (X)	MINERAL RIGHTS	1	$19,129	FMV
Yes (X)	GIFT CARDS	53	$12,852	FMV
Yes (X)	EQUIPMENT	1	$1,499	FMV

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	0	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 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 A, LINE 6	TRINITY HEALTH IS THE SOLE MEMBER OF EACH CORPORATION INCLUDED IN THIS GROUP RETURN.
FORM 990, PART VI, SECTION A, LINE 7A	AT EACH ANNUAL MEETING, THE SOLE MEMBER, TRINITY HEALTH, APPOINTS THE BOARD OF DIRECTORS. AT LEAST SEVEN OF THE BOARD OF DIRECTORS ALSO SERVE AS A MEMBER OF THE BOARD OF DIRECTORS OF TRINITY HEALTH. IN THE BYLAWS OF TRINITY HEALTH FOUNDATION, THIS OVERLAP ONLY NEEDS TO BE THREE. ANY DIRECTOR WHO CEASES TO BE A MEMBER OF THE TRINITY HEALTH BOARD OF DIRECTORS AUTOMATICALLY BECOMES DISQUALIFIED FROM SERVING AS A DIRECTOR OF THE AFFILIATES' BOARD AND IS REPLACED WITH ANOTHER BOARD MEMBER CURRENTLY SERVING ON THE BOARD OF TRINITY HEALTH, UNLESS THERE ARE AT LEAST A MINIMUM OF SEVEN (OR THREE IN THE CASE OF TRINITY HEALTH FOUNDATION) OTHER BOARD MEMBERS CURRENTLY SERVING AS A DIRECTOR OF TRINITY HEALTH.
FORM 990, PART VI, SECTION A, LINE 7B	THE FOLLOWING POWERS ARE RESERVED EXCLUSIVELY TO THE SOLE MEMBER, TRINITY HEALTH: (A) APPROVE THE APPOINTMENT OF OFFICERS; (B) APPROVE ANY AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS; (C) APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS; (D) APPROVE THE SELECTION OF AUDITORS AND LEGAL COUNSEL; (E) APPROVE ANY STRATEGIC PLANS ADOPTED; (F) APPROVE ANY UNBUDGETED BORROWING, ANY ENCUMBRANCE OF ASSETS, AND ANY EXPENDITURES FOR CAPITAL IMPROVEMENTS WHERE THE AMOUNT EXCEEDS FIVE PERCENT OF THE CAPITAL BUDGET PREVIOUSLY APPROVED; (G) CHANGE THE NUMBER OF DIRECTORS OF THE BOARD OF DIRECTORS; AND (H) APPROVE ANY ACTION THAT IS NOT IN THE ORDINARY COURSE OF BUSINESS.
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 & AFFILIATES 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 15	THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS OF TRINITY HEALTH REVIEWED COMPENSATION INFORMATION FOR THE CEO, WHICH HAD BEEN PREVIOUSLY PREPARED BY DELOITTE AND TOURCHE. DELOITTE AND TOUCHE ANALYZED FOUR COMPENSATION SURVEYS OF HEALTH CARE EMPLOYERS AND REVIEWED FORM 990 FILINGS FOR A PEER GROUP ANALYSIS.
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 IX, LINE 11G	MEDICAL PROFESSIONALS: PROGRAM SERVICE EXPENSES 25,790,001. MANAGEMENT AND GENERAL EXPENSES 20,166,232. FUNDRAISING EXPENSES 2,412. TOTAL EXPENSES 45,958,645.
FORM 990, PART XI, LINE 9:	NET ASSET TRANSFERS -35,537,168. CAPITAL CONTRIBUTIONS 259,191.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	TRINITY HEALTH	BusinessNameLine1Txt

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)
EIN	450226558	EIN
Primary Activities	HEALTHCARE	PrimaryActivitiesTxt
Legal Domicile State	ND	LegalDomicileStateCd
Exempt Code Section	501(C)(3)	ExemptCodeSectionTxt
Public Charity Status	LINE 12C, III-FI	PublicCharityStatusTxt
Direct Controlling NA	N/A	DirectControllingNACd
Controlled Organization	0	ControlledOrganizationInd

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	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
MEDICAL ARTS OUTPATIENT SERVICES INC
400 BURDICK EXPRESSWAY EAST	MINOT	ND	58701	450278212	RETAIL PHARMACY & DURABLE MEDICAL EQUIPMENT	ND	N/A	C	0
B&B DRUG INC
20 BURDICK EXPRESSWAY EAST	MINOT	ND	58701	450260565	RETAIL DRUG STORE	ND	N/A	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	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	0	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	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Affiliate Listing AffiliateListing

Affiliate Listing AffiliateListingGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Business Name ControlBusinessNameControlTxt
TRINITY HOSPITALS
PO BOX 5020	MINOT	ND	58702	412002771	TRIN
TRINITY KENMARE HOSPITAL
PO BOX 697	KENMARE	ND	58746	412002769	TRIN
TRINITY HOMES
PO BOX 5020	MINOT	ND	58702	450404412	TRIN
TRINITY HEALTH FOUNDATION
PO BOX 5020	MINOT	ND	58702	450215346	TRIN
COMMUNITY AMBULANCE SERVICE OF MINOT INC
PO BOX 2195	MINOT	ND	58702	450363593	COMM