TRINITY HEALTH & AFFILIATES: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: TRINITY HEALTH & AFFILIATES (EIN 33-1007002)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-05-15
IRS object ID: 201901359349303290
Schema version: 2017v2.3
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	2019-05-15T09:43:41-05:00	ReturnTs
Tax Period End	2018-06-30	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 SOUTH SIXTH 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	2017-07-01	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	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	587025020	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JOHN M KUTCH	PersonNm
Person Title	PRESIDENT/CEO	PersonTitleTxt
Phone	7018575160	PhoneNum
Signature	2019-05-14	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	KURT BENNION	PreparerPersonNm
PTIN	P01469618	PTIN
Phone	6123764500	PhoneNum
Preparation	2019-05-14	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	2019-05-14	IPDt
IP Tm	10:51:35	IPTm
IP Timezone	PD	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	92465E57DADAD6C24A7EB17F4905229B30516652	AtSubmissionCreationDeviceId
At Submission Filing Device Id	3C05182BCE949607266F40F8D21D5C2A178D6925	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	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	$345,538,420	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	327	TotalVolunteersCnt
Total Gross UBI	$2,460,870	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,000,420	PYContributionsGrantsAmt
CY Contributions Grants	$989,846	CYContributionsGrantsAmt
PY Program Service Revenue	$324,534,819	PYProgramServiceRevenueAmt
CY Program Service Revenue	$339,392,091	CYProgramServiceRevenueAmt
PY Investment Income	$2,891,532	PYInvestmentIncomeAmt
CY Investment Income	$4,086,064	CYInvestmentIncomeAmt
PY Other Revenue	-$1,517,276	PYOtherRevenueAmt
CY Other Revenue	-$1,211,712	CYOtherRevenueAmt
PY Total Revenue	$326,909,495	PYTotalRevenueAmt
CY Total Revenue	$343,256,289	CYTotalRevenueAmt
PY Grants And Similar Paid	$305,181	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$328,506	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$130,308,766	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$130,124,828	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$1,133,876	CYTotalFundraisingExpenseAmt
PY Other Expenses	$155,152,561	PYOtherExpensesAmt
CY Other Expenses	$159,029,946	CYOtherExpensesAmt
PY Total Expenses	$285,766,508	PYTotalExpensesAmt
CY Total Expenses	$289,483,280	CYTotalExpensesAmt
PY Revenues Less Expenses	$41,142,987	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$53,773,009	CYRevenuesLessExpensesAmt
Total Assets BOY	$253,406,674	TotalAssetsBOYAmt
Total Assets EOY	$669,932,345	TotalAssetsEOYAmt
Total Liabilities BOY	$41,939,113	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$481,837,654	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$211,467,561	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$188,094,691	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	$226,221,316	ExpenseAmt
Grant	$328,506	GrantAmt
Revenue	$318,371,603	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	$20,593,824	ExpenseAmt
Revenue	$21,020,488	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	$246,815,140	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	Yes (1)	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
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
SCOTT KNUTSON MD
DIRECTOR	20.00	20.00	Yes (X)		$0	$581,454	$22,483
BRENT MATTSON
DIRECTOR	2.00	2.50	Yes (X)		$0	$0	$0
CLARA SUE PRICE
DIRECTOR	2.00	2.50	Yes (X)		$0	$0	$0
MARTIN ROTHBERG MD
DIRECTOR	20.00	20.00	Yes (X)		$0	$767,651	$13,003
JOHN KUTCH
PRESIDENT & CEO	20.00	20.00	Yes (X)	Yes (X)	$0	$813,059	$22,483
ALISON FRYE
ASSISTANT SECRETARY	0.00	40.00		Yes (X)	$0	$69,167	$19,601
DENNIS EMPEY
VICE PRESIDENT & CFO	20.00	20.00		Yes (X)	$0	$355,522	$23,983
RANDY SCHWAN
VICE PRES. - MISSION INTEGRATION	32.00	8.00			$0	$210,818	$11,369	Yes (X)
PAUL SIMONSON
VICE PRES. - HUMAN RESOURCES	32.00	8.00			$0	$267,862	$23,983	Yes (X)
THOMAS WARSOCKI
VICE PRES. - PHYSICIAN OPERATIONS	0.00	40.00			$0	$207,195	$21,651	Yes (X)
DAVE KOHLMAN
VICE PRES. - FACILITIES MANAGEMENT	28.00	12.00			$0	$194,476	$21,703	Yes (X)
KAREN ZIMMERMAN RN
VICE PRES. & CNO	40.00	0.00			$0	$172,760	$5,410	Yes (X)
TRENT CHASTAIN VICE PRES -
REVENUE CYCLE (THROUGH MARCH 2018)	28.00	12.00			$0	$170,987	$18,637	Yes (X)
RHONDA WALTER VICE PRES -
VICE PRES. - NCF ADMINISTRATOR	40.00	0.00			$0	$175,914	$22,699	Yes (X)
PHILIP PATTERSON
VICE PRES. & CAO (THROUGH FEB 2018)	36.00	4.00			$0	$251,845	$11,203	Yes (X)
GLEN TAYLOR WILSON
VICE PRES. - CLINICAL INTEGRATION	20.00	20.00			$0	$265,655	$12,418	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,504,365	TotReportableCompRltdOrgAmt
Total Other Compensation	$250,626	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	$133,101	FundraisingAmt
Government Grants	$5,000	GovernmentGrantsAmt
All Other Contributions	$851,745	AllOtherContributionsAmt
Noncash Contributions	$173,375	NoncashContributionsAmt
Total Contributions	$989,846	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE	621110	$329,548,642	$329,548,642
OTHER PATIENT SERVICES	621110	$5,779,798	$5,779,798
DIETARY SERVICES	722320	$1,602,781	$1,602,781
ADMINISTRATIVE SERVICES	561000	$1,438,992		$1,438,992
OTHER UBIT SERVICES	900099	$563,146		$563,146

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$458,732	TotalRevenueColumnAmt
Unrelated Business Revenue	$458,732	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$339,392,091	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,083,333	TotalRevenueColumnAmt
Exclusion	$4,083,333	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$104,279	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$2,259,105	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$2,154,826	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$2,154,826	TotalRevenueColumnAmt
Exclusion	-$2,154,826	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$7,459	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$4,728	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$2,731	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,731	TotalRevenueColumnAmt
Exclusion	$2,731	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$2,103	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$133,101	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$18,298	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$16,195	TotalRevenueColumnAmt
Exclusion	-$16,195	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	VENDOR REBATES	Desc
Business	900099	BusinessCd
Total Revenue Column	$959,309	TotalRevenueColumnAmt
Exclusion	$959,309	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$959,309	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$343,256,289	TotalRevenueColumnAmt
Related Or Exempt Func Income	$336,931,221	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,460,870	UnrelatedBusinessRevenueAmt
Exclusion	$2,874,352	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	$143,600	TotalAmt
Program Services	$143,600	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$184,906	TotalAmt
Program Services	$184,906	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$107,593,964	TotalAmt
Program Services	$94,101,044	ProgramServicesAmt
Management And General	$13,261,360	ManagementAndGeneralAmt
Fundraising	$231,560	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,231,630	TotalAmt
Program Services	$2,728,450	ProgramServicesAmt
Management And General	$498,141	ManagementAndGeneralAmt
Fundraising	$5,039	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$11,716,316	TotalAmt
Program Services	$10,512,087	ProgramServicesAmt
Management And General	$1,170,736	ManagementAndGeneralAmt
Fundraising	$33,493	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,582,918	TotalAmt
Program Services	$6,732,370	ProgramServicesAmt
Management And General	$835,279	ManagementAndGeneralAmt
Fundraising	$15,269	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$902,742	TotalAmt
Management And General	$902,742	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$397,287	TotalAmt
Management And General	$397,287	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$36,979,567	TotalAmt
Program Services	$26,839,622	ProgramServicesAmt
Management And General	$10,139,824	ManagementAndGeneralAmt
Fundraising	$121	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,930,775	TotalAmt
Program Services	$90,752	ProgramServicesAmt
Management And General	$2,806,518	ManagementAndGeneralAmt
Fundraising	$33,505	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,157,875	TotalAmt
Program Services	$2,474,580	ProgramServicesAmt
Management And General	$641,685	ManagementAndGeneralAmt
Fundraising	$41,610	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$4,309,358	TotalAmt
Program Services	$2,714,043	ProgramServicesAmt
Management And General	$1,561,403	ManagementAndGeneralAmt
Fundraising	$33,912	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$10,695,111	TotalAmt
Program Services	$5,452,555	ProgramServicesAmt
Management And General	$5,242,556	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$225,503	TotalAmt
Program Services	$221,498	ProgramServicesAmt
Management And General	$2,819	ManagementAndGeneralAmt
Fundraising	$1,186	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$326,459	TotalAmt
Program Services	$177,133	ProgramServicesAmt
Management And General	$149,326	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,089,971	TotalAmt
Program Services	$1,089,971	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$12,556,342	TotalAmt
Program Services	$9,641,884	ProgramServicesAmt
Management And General	$2,907,962	ManagementAndGeneralAmt
Fundraising	$6,496	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$688,599	TotalAmt
Program Services	$409,550	ProgramServicesAmt
Management And General	$279,049	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES / DRUG	$59,749,464	$59,747,095	$2,369
BAD DEBT EXPENSE	$16,861,934	$16,842,827	$19,375	-$268
BOOKS & SUBSCRIPTIONS	$3,169,441	$2,715,432	$393,194	$60,815
FOOD	$2,192,133	$2,184,729	$1,277	$6,127

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,797,385	TotalAmt
Program Services	$1,811,012	ProgramServicesAmt
Management And General	$321,362	ManagementAndGeneralAmt
Fundraising	$665,011	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$289,483,280	TotalAmt
Program Services	$246,815,140	ProgramServicesAmt
Management And General	$41,534,264	ManagementAndGeneralAmt
Fundraising	$1,133,876	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$93,068,227	BOYAmt
EOY	$36,591,039	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,828,740	BOYAmt
EOY	$61,922,636	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$39,522,923	BOYAmt
EOY	$44,520,337	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$15,741	BOYAmt
EOY	$15,991	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$7,587,936	BOYAmt
EOY	$7,709,786	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,619,565	BOYAmt
EOY	$4,860,792	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$275,538,725	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$192,292,033	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$65,027,775	BOYAmt
EOY	$83,246,692	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$41,685,767	BOYAmt
EOY	$431,015,072	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$253,406,674	BOYAmt
EOY	$669,932,345	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$27,061,114	BOYAmt
EOY	$34,685,405	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$13,140	BOYAmt
EOY	$10,260	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$27,200	BOYAmt
EOY	$21,274	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$5,407,832	BOYAmt
EOY	$437,223,675	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$9,429,827	BOYAmt
EOY	$9,897,040	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$41,939,113	BOYAmt
EOY	$481,837,654	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$203,655,661	BOYAmt
EOY	$180,065,328	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,269,183	BOYAmt
EOY	$6,486,646	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	$211,467,561	BOYAmt
EOY	$188,094,691	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$253,406,674	BOYAmt
EOY	$669,932,345	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$53,773,009	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$150,536	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$77,296,415	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

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	$133,528	OtherActivitiesAmt
Total Lobbying Expenditures	$133,528	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	$330,942	BeginningBalanceAmt
Additions During Year	$21,753	AdditionsDuringYearAmt
Distributions During Year	$4,793	DistributionsDuringYearAmt
Ending Balance	$347,902	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
End Year Balance	$1,692,368	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$105,740	BeginningYearBalanceAmt
Contributions	$19,211	ContributionsAmt
Investment Earnings Or Losses	$8,525	InvestmentEarningsOrLossesAmt
End Year Balance	$133,476	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.91160	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.08840	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	$43,130,542	OtherCostOrOtherBasisAmt
Depreciation	$29,564,312	DepreciationAmt
Book Value	$13,566,230	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	$194,654,293	OtherCostOrOtherBasisAmt
Depreciation	$162,708,274	DepreciationAmt
Book Value	$31,946,019	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$35,079,087	OtherCostOrOtherBasisAmt
Book Value	$35,079,087	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$83,246,692	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	ESTIMATED 3RD PARTY SETTLEMENTS	Desc
Amt	$9,897,040	Amt

Field	Value	IRS element (for citing)
Total Liability	$9,897,040	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	$10,421	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	$10,421	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$10,421	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	$100,148	GrossReceiptsEvent1Amt
Charitable Contri Event1	$98,859	CharitableContriEvent1Amt
Gross Revenue Event1	$1,289	GrossRevenueEvent1Amt
Cash Prizes Event1	$893	CashPrizesEvent1Amt
Non Cash Prizes Event1	$396	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$6,768	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$571	FoodAndBeverageEvent1Amt
Other Direct Expenses Event1	$2,262	OtherDirectExpensesEvent1Amt
Event2	GOLF FOR LIFE	Event2Nm
Gross Receipts Event2	$35,056	GrossReceiptsEvent2Amt
Charitable Contri Event2	$34,242	CharitableContriEvent2Amt
Gross Revenue Event2	$814	GrossRevenueEvent2Amt
Cash Prizes Event2	$349	CashPrizesEvent2Amt
Non Cash Prizes Event2	$465	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$5,906	RentFacilityCostsEvent2Amt
Other Direct Expenses Event2	$688	OtherDirectExpensesEvent2Amt
Gross Receipts Total	$135,204	GrossReceiptsTotalAmt
Charitable Contributions Tot	$133,101	CharitableContributionsTotAmt
Gross Revenue Total Events	$2,103	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$1,242	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$861	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$12,674	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$571	FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events	$2,950	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$18,298	DirectExpenseSummaryEventsAmt
Net Income Summary	-$16,195	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	$1,251,775	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,251,775	NetCommunityBenefitExpnsAmt
Total Expense	0.00460	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,408,180	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	$19,659,955	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,761,186	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,251,775	NetCommunityBenefitExpnsAmt
Total Expense	0.00460	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$367,645	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$52,795	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$314,850	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,130	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$16,130	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$200	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$200	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$383,975	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$52,795	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$331,180	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,043,930	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,813,981	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,582,955	NetCommunityBenefitExpnsAmt
Total Expense	0.00590	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,956	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,956	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,956	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,956	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$16,862,202	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$83,191,546	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$98,825,791	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$15,634,245	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
1	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	15	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	WWW.TRINITYHEALTH.ORG/COMMUNITY	Yes (X)	Yes (1)	15	0	Yes (1)	0	Yes (1)	Yes (X)	250.000000000000	250.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	HTTPS://WWW.TRINITYHEALTH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/	Yes (X)	HTTPS://WWW.TRINITYHEALTH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/	Yes (X)	HTTPS://WWW.TRINITYHEALTH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
TRINITY HOSPITAL ST JOSEPH'S
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TRINITY KENMARE HOSPITAL
3	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	15	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	WWW.TRINITYHEALTH.ORG/COMMUNITY	Yes (X)	Yes (1)	15	0	Yes (1)	0	Yes (1)	Yes (X)	250.000000000000	250.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	HTTPS://WWW.TRINITYHEALTH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/	Yes (X)	HTTPS://WWW.TRINITYHEALTH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/	Yes (X)	HTTPS://WWW.TRINITYHEALTH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0

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 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 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 2016 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. DURING THE YEAR ENDED 6/30/2016, TRINITY HOSPITAL TOOK THE FOLLOWING ACTIONS TO ADDRESS THOSE NEEDS. ADDITIONALLY, THROUGH FY 2018, TRINITY HEALTH CONTINUED THESE EFFORTS AND STRATEGIES TO IMPROVE ON EACH TARGETED AREA.ACCESSAS IT WAS WITH MOST PROVIDERS ACROSS ND, ACCESS TO SERVICES WAS SIGNIFICANTLY IMPACTED BY WORKFORCE SHORTAGES. TRINITY HEALTH RESPONDED TO SHORTAGES IN ITS WORKFORCE BY SUCCESSFULLY RECRUITING SEVERAL PROVIDERS TO ITS MEDICAL STAFF, ADDING ALLIED HEALTH PROVIDERS TO AUGMENT PHYSICIAN ACCESS. TRINITY HEALTH ALSO DEPLOYED STRATEGIES TO IMPROVE INFORMATION AVAILABLE TO CONSUMERS BY DEVELOPING A ROBUST MOBILE DEVICES APPLICATION, LAUNCHING AN ELECTRONIC PATIENT PORTAL FEATURING SECURE MESSAGING AND APPOINTMENT REQUESTS WITH PROVIDERS, AND ENHANCING ITS PHYSICIAN REFERRAL SERVICE.TRINITY HEALTH CONTINUED TO AGGRESSIVELY RECRUIT MEDICAL PROVIDERS IN BOTH PRIMARY AND SPECIALTY CARE. THIS EFFORT TO IMPROVE ACCESS RESULTED IN NEW PROVIDERS TO OUR PHYSICIAN NETWORK, INCLUDING MENTAL HEALTH PROVIDERS IN WILLISTON AND MINOT. IN 2018, TRINITY HEALTH LAUNCHED ITS FIRSTCARE WALK-IN CLINIC IN DOWNTOWN MINOT. THIS WALK-IN CLINIC OFFERS EXPANDED HOURS, INCLUDING EVENING, HOLIDAY AND WEEKEND HOURS, AND ITS PROVIDERS SEE ALL PATIENT AGES. TO MANAGE CONSUMERS' EXPECTATIONS ABOUT WAITING TIMES AT THE WALK-IN CLINIC, TRINITY HEALTH INCLUDES AN ESTIMATED WAIT-TIME ON ITS INTERNET WEBSITE AND MOBILE DEVICE APPLICATION. TO HELP PATIENTS FIND THE SERVICES AND PROVIDERS THEY NEED, TRINITY HEALTH BEGAN DEVELOPMENT ON A NEW USER-FRIENDLY WEBSITE BY AUDITING THE EXISTING SITE, RESEARCHING BEST PRACTICES, SURVEYING USERS, AND LISTENING TO FEEDBACK. THE STRATEGY FOCUSED ON PUTTING CONSUMERS FIRST TO MEET THEIR NEEDS AND SIMPLIFY THEIR ACTIONS FROM ANY DEVICE THEY USE TO CONNECT WITH TRINITY HEALTH. SUBSTANCE ABUSE "BATTLING DRUG AND ALCOHOL ABUSE" WAS A COMMUNITY EDUCATION ACTIVITY TRINITY HEALTH PROVIDED IN THE REGION, AND THIS PRESENTATION WAS GIVEN IN AREA SCHOOLS. PROVIDERS ALSO VISITED AREA HIGH SCHOOL CLASSES TO PRESENT INFORMATION ABOUT SUBSTANCE ABUSE AND THE TRAGIC CONSEQUENCES THAT COMMONLY OCCUR, BASED ON THEIR EXPERIENCES IN THE LOCAL EMERGENCY ROOM. MENTAL HEALTHMANY PEOPLE WHO ARE AFFECTED BY SUBSTANCE ABUSE SUFFER FROM UNDERLYING MENTAL HEALTH ISSUES AS WELL. TRINITY HEALTH HAS EXPANDED ITS OUTREACH FOR MENTAL HEALTH SERVICES AND IMPROVED ACCESS BY ADDING PROVIDERS; FOR EXAMPLE, WE ADDED RESOURCES IN MINOT AND WILLISTON TO HELP ADDRESS A GROWING NEED FOR ACCESS. SUBSTANCE ABUSE AND MENTAL HEALTH CARE CANNOT BE ADDRESSED BY ANY ONE ORGANIZATION ALONE, AND TRINITY IS PARTNERING WITH OTHER AGENCIES IN THE REGION IN AN EFFORT TO COORDINATE EFFORTS, WORK THROUGH BARRIERS, AND BETTER SERVE ITS COMMUNITY. MEMBERS OF TRINITY HEALTH'S TEAM SUPPORTED EFFORTS IN THE COMMUNITY TO BETTER UNDERSTAND THE SCOPE OF OPIOID ABUSE IN OUR COMMUNITY AND HELPED TO DESIGN APPROACHES AIMED AT REDUCING THE RISKS LEADING TO ABUSE AND IMPROVING TREATMENT AWARENESS IN THE COMMUNITY. PARENTING EDUCATION WAS A TOPIC PRESENTED TO THE PUBLIC LAST YEAR, HELPING PARENTS NAVIGATE SOME OF THE MORE DIFFICULT SITUATIONS THEY FACE IN RAISING CHILDREN TODAY. AT-RISK HOUSEHOLDS, TYPICALLY REFERRED BY AREA SCHOOLS AND COURTS, WERE AMONG ITS TARGETED AUDIENCES.TRINITY HEALTH PARTICIPATED IN AN OUTREACH EFFORT IN PARTNERSHIP WITH AREA AGENCIES, INCLUDING COURT AND LAW ENFORCEMENT OFFICIALS, TO IMPROVE COMMUNICATION AND AWARENESS OF MENTAL HEALTH ISSUES RELATED TO ACCESS, PROCEDURES, AND MORE.TRINITY HEALTH PROVIDES NEWLY REMODELED SPACE IN THE HOSPITAL TO ACCOMMODATE A REGIONAL SANE (SEXUAL ASSAULT NURSE EXAMINERS) PROGRAM, WHERE SPECIALLY TRAINED NURSES INTERVIEW AND ADVOCATE FOR SEXUAL ASSAULT VICTIMS. THESE VICTIMS ARE NOW TREATED AND INTERVIEWED IN A MORE COMFORTABLE AND PRIVATE ENVIRONMENT. OBESITYOUR FOCUS CONTINUES TO BE ON CHILDREN, AND HOW TO HELP KIDS DEVELOP HEALTHY HABITS REGARDING NUTRITION AND EXERCISE. FOR EXAMPLE, TRINITY HEALTH SPONSORED A PROGRAM AT THE WEE LINKS GOLF COURSE TO ENCOURAGE AND INCENTIVIZE KIDS TO EXERCISE THROUGH ACTIVITY, IN THIS CASE, GOLF. TRINITY HEALTH USES NUTRITIONISTS AND OTHER HEALTHCARE PROFESSIONALS TO VISIT WITH THE KIDS AND THEIR PARENTS ABOUT AVOIDING OBESITY THROUGH HEALTHY LIFESTYLE CHOICES. TRINITY HEALTH ALSO SPONSORED ACTIVITIES TO COMBAT OBESITY. FOR EXAMPLE, OUR DIETICIANS LEAD AN ONGOING "GROCERY STORE TOUR" FOR ANYONE IN THE COMMUNITY TO JOIN AND LEARN HOW TO SHOP FOR BETTER HEALTH, AS WELL AS A COOKING CLASSES FOR PEOPLE TO LEARN HOW TO COOK IN HEALTHIER WAYS. THIS EFFORT WAS ENHANCED THIS YEAR THROUGH THE PURCHASE OF A "PORTABLE KITCHEN" TO HELP DEMONSTRATE THE TECHNIQUES BEING TAUGHT. TRINITY HEALTH PROMOTES WELLNESS THROUGH A NATIONALLY-KNOWN PROGRAM, FRANCHISING ITS OWN CROSSFIT PROGRAM. LED BY ONE OF OUR PHYSICIANS, THE THEME OF "EXERCISE IS MEDICINE" WAS PROMOTED TO THE COMMUNITY, COMPLETE WITH A PUBLIC INVITATION TO WALK AT A LOCAL PARK THROUGH THE WARM SEASON FEATURING A "DOC WALK," WHERE HEALTHCARE PROFESSIONALS LED THE COMMUNITY WALK EFFORT. ILLNESS AND DISEASETRINITY HEALTH ADDED A NUMBER OF ACTIVITIES AIMED AT IMPROVING HEART HEALTH AWARENESS THROUGH ITS HEALTHY HEARTS PROGRAM, TO PROVIDE A MECHANISM FOR COMMUNITY EDUCATION AND ACTIVITIES TO SUPPORT HEART HEALTH.IN AN EFFORT TO ENHANCE AWARENESS OF THE SIGNS AND SYMPTOMS OF STROKE, TRINITY HEALTH CONTINUED ITS STROKE AWARENESS CAMPAIGN, WHICH INCLUDED SOCIAL MEDIA, SIGNS AND BANNERS, PAID ADVERTISING, AND MEDIA RELEASES ABOUT STROKE STORIES AND TREATMENT. THE GOAL OF THE CAMPAIGN IS TO MAKE THE PUBLIC AWARE OF THE ACRONYM, FAST, TO ENCOURAGE INTERVENTION WHEN SOMEONE RECOGNIZES A POTENTIAL STROKE. TRINITY HEALTH MAINTAINS AN ANNUAL SCHEDULE OF NATIONAL OBSERVANCES TO BUILD AWARENESS OF IMPORTANT HEALTH TOPICS SUCH AS CHOLESTEROL, NUTRITION, BLOOD PRESSURE, VISION, HEARING, AND MANY MORE. IN ADDITION, A RANGE OF SCREENINGS ARE OFFERED AT LOW COST OR THROUGH FREE CLINICS TO PROMOTE EARLY DETECTION OF CERTAIN CANCERS. TRINITY HEALTH ALSO LAUNCHED A NEW SCREENING SERVICE AIMED TO IDENTIFY PATIENTS AT RISK FOR HEART ATTACK OR STROKE THROUGH SOME SIMPLE TESTS. THESE IMAGING EXAMS, AVAILABLE ON DEMAND WITH NO REFERRAL NEEDED, HELP PATIENTS AND THEIR PRIMARY CARE PROVIDERS TO ASSESS THEIR RISKS AND BETTER UNDERSTAND ANY BENEFIT FOR FURTHER INTERVENTIONS. THROUGH THIS PROGRAM, MYCHOICE HEALTH CHECKS, PATIENTS ARE EDUCATED ABOUT HOW THEY MIGHT IMPROVE THEIR RISKS OF HEART ATTACK AND STROKE THROUGH BETTER DIETS, EXERCISE, AND OTHER LIFESTYLE MODIFICATIONS. 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. DURING THE YEAR ENDED 6/30/2016, TRINITY HOSPITAL TOOK THE FOLLOWING ACTIONS TO ADDRESS THOSE NEEDS. ADDITIONALLY, THROUGH FY 2018, TRINITY HEALTH CONTINUED THESE EFFORTS AND STRATEGIES TO IMPROVE ON EACH TARGETED AREA.ACCESSAS IT WAS WITH MOST PROVIDERS ACROSS ND, ACCESS TO SERVICES WAS SIGNIFICANTLY IMPACTED BY WORKFORCE SHORTAGES. TRINITY HEALTH RESPONDED TO SHORTAGES IN ITS WORKFORCE BY SUCCESSFULLY RECRUITING SEVERAL PROVIDERS TO ITS MEDICAL STAFF, ADDING ALLIED HEALTH PROVIDERS TO AUGMENT PHYSICIAN ACCESS. TRINITY HEALTH ALSO DEPLOYED STRATEGIES TO IMPROVE INFORMATION AVAILABLE TO CONSUMERS BY DEVELOPING A ROBUST MOBILE DEVICES APPLICATION, LAUNCHING AN ELECTRONIC PATIENT PORTAL FEATURING SECURE MESSAGING AND APPOINTMENT REQUESTS WITH PROVIDERS, AND ENHANCING ITS PHYSICIAN REFERRAL SERVICE.TRINITY HEALTH CONTINUED TO AGGRESSIVELY RECRUIT MEDICAL PROVIDERS IN BOTH PRIMARY AND SPECIALTY CARE. THIS EFFORT TO IMPROVE ACCESS RESULTED IN NEW PROVIDERS TO OUR PHYSICIAN NETWORK, INCLUDING MENTAL HEALTH PROVIDERS IN WILLISTON AND MINOT. IN 2018, TRINITY HEALTH LAUNCHED ITS FIRSTCARE WALK-IN CLINIC IN DOWNTOWN MINOT. THIS WALK-IN CLINIC OFFERS EXPANDED HOURS, INCLUDING EVENING, HOLIDAY AND WEEKEND HOURS, AND ITS PROVIDERS SEE ALL PATIENT AGES. TO MANAGE CONSUMERS' EXPECTATIONS ABOUT WAITING TIMES AT THE WALK-IN CLINIC, TRINITY HEALTH INCLUDES AN ESTIMATED WAIT-TIME ON ITS INTERNET WEBSITE AND MOBILE DEVICE APPLICATION. TO HELP PATIENTS FIND THE SERVICES AND PROVIDERS THEY NEED, TRINITY HEALTH BEGAN DEVELOPMENT ON A NEW USER-FRIENDLY WEBSITE BY AUDITING THE EXISTING SITE, RESEARCHING BEST PRACTICES, SURVEYING USERS, AND LISTENING TO FEEDBACK. THE STRATEGY FOCUSED ON PUTTING CONSUMERS FIRST TO MEET THEIR NEEDS AND SIMPLIFY THEIR ACTIONS FROM ANY DEVICE THEY USE TO CONNECT WITH TRINITY HEALTH. SUBSTANCE ABUSE "BATTLING DRUG AND ALCOHOL ABUSE" WAS A COMMUNITY EDUCATION ACTIVITY TRINITY HEALTH PROVIDED IN THE REGION, AND THIS PRESENTATION WAS GIVEN IN AREA SCHOOLS. PROVIDERS ALSO VISITED AREA HIGH SCHOOL CLASSES TO PRESENT INFORMATION ABOUT SUBSTANCE ABUSE AND THE TRAGIC CONSEQUENCES THAT COMMONLY OCCUR, BASED ON THEIR EXPERIENCES IN THE LOCAL EMERGENCY ROOM. MENTAL HEALTHMANY PEOPLE WHO ARE AFFECTED BY SUBSTANCE ABUSE SUFFER FROM UNDERLYING MENTAL HEALTH ISSUES AS WELL. TRINITY HEALTH HAS EXPANDED ITS OUTREACH FOR MENTAL HEALTH SERVICES AND IMPROVED ACCESS BY ADDING PROVIDERS; FOR EXAMPLE, WE ADDED RESOURCES IN MINOT AND WILLISTON TO HELP ADDRESS A GROWING NEED FOR ACCESS. SUBSTANCE ABUSE AND MENTAL HEALTH CARE CANNOT BE ADDRESSED BY ANY ONE ORGANIZATION ALONE, AND TRINITY IS PARTNERING WITH OTHER AGENCIES IN THE REGION IN AN EFFORT TO COORDINATE EFFORTS, WORK THROUGH BARRIERS, AND BETTER SERVE ITS COMMUNITY. MEMBERS OF TRINITY HEALTH'S TEAM SUPPORTED EFFORTS IN THE COMMUNITY TO BETTER UNDERSTAND THE SCOPE OF OPIOID ABUSE IN OUR COMMUNITY AND HELPED TO DESIGN APPROACHES AIMED AT REDUCING THE RISKS LEADING TO ABUSE AND IMPROVING TREATMENT AWARENESS IN THE COMMUNITY. PARENTING EDUCATION WAS A TOPIC PRESENTED TO THE PUBLIC LAST YEAR, HELPING PARENTS NAVIGATE SOME OF THE MORE DIFFICULT SITUATIONS THEY FACE IN RAISING CHILDREN TODAY. AT-RISK HOUSEHOLDS, TYPICALLY REFERRED BY AREA SCHOOLS AND COURTS, WERE AMONG ITS TARGETED AUDIENCES.TRINITY HEALTH PARTICIPATED IN AN OUTREACH EFFORT IN PARTNERSHIP WITH AREA AGENCIES, INCLUDING COURT AND LAW ENFORCEMENT OFFICIALS, TO IMPROVE COMMUNICATION AND AWARENESS OF MENTAL HEALTH ISSUES RELATED TO ACCESS, PROCEDURES, AND MORE.TRINITY HEALTH PROVIDES NEWLY REMODELED SPACE IN THE HOSPITAL TO ACCOMMODATE A REGIONAL SANE (SEXUAL ASSAULT NURSE EXAMINERS) PROGRAM, WHERE SPECIALLY TRAINED NURSES INTERVIEW AND ADVOCATE FOR SEXUAL ASSAULT VICTIMS. THESE VICTIMS ARE NOW TREATED AND INTERVIEWED IN A MORE COMFORTABLE AND PRIVATE ENVIRONMENT. OBESITYOUR FOCUS CONTINUES TO BE ON CHILDREN, AND HOW TO HELP KIDS DEVELOP HEALTHY HABITS REGARDING NUTRITION AND EXERCISE. FOR EXAMPLE, TRINITY HEALTH SPONSORED A PROGRAM AT THE WEE LINKS GOLF COURSE TO ENCOURAGE AND INCENTIVIZE KIDS TO EXERCISE THROUGH ACTIVITY, IN THIS CASE, GOLF. TRINITY HEALTH USES NUTRITIONISTS AND OTHER HEALTHCARE PROFESSIONALS TO VISIT WITH THE KIDS AND THEIR PARENTS ABOUT AVOIDING OBESITY THROUGH HEALTHY LIFESTYLE CHOICES. TRINITY HEALTH ALSO SPONSORED ACTIVITIES TO COMBAT OBESITY. FOR EXAMPLE, OUR DIETICIANS LEAD AN ONGOING "GROCERY STORE TOUR" FOR ANYONE IN THE COMMUNITY TO JOIN AND LEARN HOW TO SHOP FOR BETTER HEALTH, AS WELL AS A COOKING CLASSES FOR PEOPLE TO LEARN HOW TO COOK IN HEALTHIER WAYS. THIS EFFORT WAS ENHANCED THIS YEAR THROUGH THE PURCHASE OF A "PORTABLE KITCHEN" TO HELP DEMONSTRATE THE TECHNIQUES BEING TAUGHT. TRINITY HEALTH PROMOTES WELLNESS THROUGH A NATIONALLY-KNOWN PROGRAM, FRANCHISING ITS OWN CROSSFIT PROGRAM. LED BY ONE OF OUR PHYSICIANS, THE THEME OF "EXERCISE IS MEDICINE" WAS PROMOTED TO THE COMMUNITY, COMPLETE WITH A PUBLIC INVITATION TO WALK AT A LOCAL PARK THROUGH THE WARM SEASON FEATURING A "DOC WALK," WHERE HEALTHCARE PROFESSIONALS LED THE COMMUNITY WALK EFFORT. ILLNESS AND DISEASETRINITY HEALTH ADDED A NUMBER OF ACTIVITIES AIMED AT IMPROVING HEART HEALTH AWARENESS THROUGH ITS HEALTHY HEARTS PROGRAM, TO PROVIDE A MECHANISM FOR COMMUNITY EDUCATION AND ACTIVITIES TO SUPPORT HEART HEALTH.IN AN EFFORT TO ENHANCE AWARENESS OF THE SIGNS AND SYMPTOMS OF STROKE, TRINITY HEALTH CONTINUED ITS STROKE AWARENESS CAMPAIGN, WHICH INCLUDED SOCIAL MEDIA, SIGNS AND BANNERS, PAID ADVERTISING, AND MEDIA RELEASES ABOUT STROKE STORIES AND TREATMENT. THE GOAL OF THE CAMPAIGN IS TO MAKE THE PUBLIC AWARE OF THE ACRONYM, FAST, TO ENCOURAGE INTERVENTION WHEN SOMEONE RECOGNIZES A POTENTIAL STROKE. TRINITY HEALTH MAINTAINS AN ANNUAL SCHEDULE OF NATIONAL OBSERVANCES TO BUILD AWARENESS OF IMPORTANT HEALTH TOPICS SUCH AS CHOLESTEROL, NUTRITION, BLOOD PRESSURE, VISION, HEARING, AND MANY MORE. IN ADDITION, A RANGE OF SCREENINGS ARE OFFERED AT LOW COST OR THROUGH FREE CLINICS TO PROMOTE EARLY DETECTION OF CERTAIN CANCERS. TRINITY HEALTH ALSO LAUNCHED A NEW SCREENING SERVICE AIMED TO IDENTIFY PATIENTS AT RISK FOR HEART ATTACK OR STROKE THROUGH SOME SIMPLE TESTS. THESE IMAGING EXAMS, AVAILABLE ON DEMAND WITH NO REFERRAL NEEDED, HELP PATIENTS AND THEIR PRIMARY CARE PROVIDERS TO ASSESS THEIR RISKS AND BETTER UNDERSTAND ANY BENEFIT FOR FURTHER INTERVENTIONS. THROUGH THIS PROGRAM, MYCHOICE HEALTH CHECKS, PATIENTS ARE EDUCATED ABOUT HOW THEY MIGHT IMPROVE THEIR RISKS OF HEART ATTACK AND STROKE THROUGH BETTER DIETS, EXERCISE, AND OTHER LIFESTYLE MODIFICATIONS. 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. DURING THE YEAR ENDED 6/30/2016, TRINITY KENMARE HOSPITAL TOOK THE FOLLOWING ACTIONS TO ADDRESS THOSE NEEDS. ADDITIONALLY, TRINITY HEALTH CONTINUED TO PURSUE THESE STRATEGIES THROUGH FY 2018. ACCESS TO HEALTHCAREKENMARE HOSPITAL UTILIZED A SYSTEM WHERE PATIENTS IN THE EMERGENCY ROOM WOULD BE MONITORED BY EMERGENCY MEDICINE PHYSICIANS VIA TELEMEDICINE EQUIPMENT (VIRTUAL ER), IN AN EFFORT TO AUGMENT LOCAL PROVIDERS WHEN NEEDED. AS IT WAS WITH MOST PROVIDERS ACROSS ND, ACCESS TO SERVICES CONTINUES TO BE SIGNIFICANTLY IMPACTED BY WORKFORCE SHORTAGES. TRINITY HEALTH RESPONDED TO SHORTAGES IN ITS WORKFORCE BY SUCCESSFULLY RECRUITING SEVERAL PROVIDERS TO ITS MEDICAL STAFF, ADDING ALLIED HEALTH PROVIDERS TO AUGMENT PHYSICIAN ACCESS. TRINITY HEALTH ALSO ENGAGED THE SERVICES OF SEVERAL TALENT-SEARCH FIRMS TO AUGMENT INTERNAL EFFORTS TO FILL KEY POSITIONS MORE QUICKLY. TRINITY HEALTH FOCUSED ON STRATEGIES TO IMPROVE INFORMATION AVAILABLE TO CONSUMERS BY ENHANCING ITS MOBILE DEVICES APPLICATION, BUILDING ON ITS ELECTRONIC PATIENT PORTAL FEATURING SECURE MESSAGING AND APPOINTMENT REQUESTS WITH PROVIDERS, AND ENHANCING ITS PHYSICIAN REFERRAL SERVICE. TO HELP PATIENTS FIND THE SERVICES AND PROVIDERS THEY NEED, TRINITY HEALTH BEGAN DEVELOPMENT ON A NEW USER-FRIENDLY WEBSITE BY AUDITING THE EXISTING SITE, RESEARCHING BEST PRACTICES, SURVEYING USERS, AND LISTENING TO FEEDBACK. THE STRATEGY FOCUSED ON PUTTING CONSUMERS FIRST TO MEET THEIR NEEDS AND SIMPLIFY THEIR ACTIONS FROM ANY DEVICE THEY USE TO CONNECT WITH TRINITY HEALTH. TRINITY HEALTH IMPROVED ITS APPOINTMENT REMINDER SOFTWARE SOLUTION, TO HELP PATIENTS KEEP THEIR MEDICAL APPOINTMENTS. FINALLY, TRINITY HEALTH CONTINUED TO AGGRESSIVELY RECRUIT MEDICAL PROVIDERS IN BOTH PRIMARY AND SPECIALTY CARE. THIS EFFORT TO IMPROVE ACCESS RESULTED IN TWO NEW PROVIDERS TO OUR KENMARE OPERATION, AND 6 PROVIDERS ADDED TO THE NETWORK TO SERVE AS A RESOURCE FOR OUTREACH CLINICS.SUBSTANCE ABUSE"BATTLING DRUG AND ALCOHOL ABUSE" WAS A COMMUNITY EDUCATION ACTIVITY TRINITY PROVIDED IN THE REGION, AND THIS PRESENTATION WAS GIVEN IN AREA SCHOOLS. PROVIDERS ALSO VISITED AREA HIGH SCHOOL CLASSES TO PRESENT INFORMATION ABOUT SUBSTANCE ABUSE AND THE TRAGIC CONSEQUENCES THAT COMMONLY OCCUR, BASED ON THEIR EXPERIENCES IN THE LOCAL EMERGENCY ROOM. 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 2017 FORM 990, SCHEDULE H.
PART I, LN 7 COL(F):	$16,862,202 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 2018 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 AND SECOND WAS COMPLETED DURING THE YEAR ENDED JUNE 30, 2016. THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT FOR BOTH YEARS IS AVAILABLE ONLINE AT HTTP://WWW.TRINITYHEALTH.ORG/COMMUNITY.
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 HASA 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 (3 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
MINOT POLICE DEPARTMENT
515 2ND AVE SW	MINOT	ND	58701	450353644	MINOT POLICE DEPT	$7,000	SUPPORT K-9 PROGRAM
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	3	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

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

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
HARDSHIP ASSISTANCE	31	$71,317
CANCER ASSISTANCE	102	$113,589

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 (13 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	$541,454	$0	$40,000	$0	$0	$0	$4,050	$0	$18,433	$0	$603,937	$0	$0
MARTIN ROTHBERG MD
DIRECTOR	$0	$717,651	$0	$50,000	$0	$0	$0	$5,550	$0	$7,453	$0	$780,654	$0	$0
JOHN KUTCH
PRESIDENT & CEO	$0	$797,156	$0	$14,967	$0	$936	$0	$4,050	$0	$18,433	$0	$835,542	$0	$0
DENNIS EMPEY
VICE PRESIDENT & CFO	$0	$354,586	$0	$0	$0	$936	$0	$5,550	$0	$18,433	$0	$379,505	$0	$0
RANDY SCHWAN
VICE PRES. - MISSION INTEGRATION	$0	$206,020	$0	$3,862	$0	$936	$0	$3,200	$0	$8,169	$0	$222,187	$0	$0
PAUL SIMONSON
VICE PRES. - HUMAN RESOURCES	$0	$260,178	$0	$6,748	$0	$936	$0	$5,550	$0	$18,433	$0	$291,845	$0	$0
THOMAS WARSOCKI
VICE PRES. - PHYSICIAN OPERATIONS	$0	$202,375	$0	$3,884	$0	$936	$0	$3,218	$0	$18,433	$0	$228,846	$0	$0
DAVE KOHLMAN
VICE PRES. - FACILITIES MANAGEMENT	$0	$189,770	$0	$3,770	$0	$936	$0	$4,511	$0	$17,192	$0	$216,179	$0	$0
KAREN ZIMMERMAN RN
VICE PRES. & CNO	$0	$171,824	$0	$0	$0	$936	$0	$4,169	$0	$1,241	$0	$178,170	$0	$0
TRENT CHASTAIN VICE PRES -
REVENUE CYCLE (THROUGH MARCH 2018)	$0	$170,051	$0	$0	$0	$936	$0	$204	$0	$18,433	$0	$189,624	$0	$0
RHONDA WALTER VICE PRES -
VICE PRES. - NCF ADMINISTRATOR	$0	$174,978	$0	$0	$0	$936	$0	$4,266	$0	$18,433	$0	$198,613	$0	$0
PHILIP PATTERSON
VICE PRES. & CAO (THROUGH FEB 2018)	$0	$251,845	$0	$0	$0	$0	$0	$3,750	$0	$7,453	$0	$263,048	$0	$0
GLEN TAYLOR WILSON
VICE PRES. - CLINICAL INTEGRATION	$0	$264,719	$0	$0	$0	$936	$0	$5,489	$0	$6,929	$0	$278,073	$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	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	UnspentUnspentAmt
A	$2,864,500	$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	$4,994,451		2019	0	0	0	Yes (1)	$24,842,000	$29,339,094	$377,754,070

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	Private Bus Use By OthersPrivateBusUseByOthersPct
A	0	Yes (1)	0	0	0.00630	0.00630	0	0	Yes (1)
B	0	0	0	0	0.00000	0.00000	0	0	Yes (1)	0.00000

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	$2,625	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	$510	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	$93,826	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	4	ContributionCnt
Noncash Contributions Rpt F990	$704	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (3 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	GIFT CARDS	56	$10,866	FMV
Yes (X)	MINERAL RIGHTS	1	$10,421	FMV
Yes (X)	EQUIPMENT	1	$1,200	FMV

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
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 26,839,622. MANAGEMENT AND GENERAL EXPENSES 10,139,824. FUNDRAISING EXPENSES 121. TOTAL EXPENSES 36,979,567.
FORM 990, PART XI, LINE 9:	NET ASSET TRANSFERS -77,296,415.

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