TRINITY HEALTH & AFFILIATES: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: TRINITY HEALTH & AFFILIATES (EIN 33-1007002)
Tax period: 2013-07-01 to 2014-06-30
Filed: 2015-05-12
IRS object ID: 201521329349301382
Schema version: 2013v4.0
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 L
Schedule M
Schedule O
Schedule R
Affiliate Listing

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-05-12T09:28:55-05:00	ReturnTs
Tax Period End	2014-06-30	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	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	220 SOUTH SIXTH STREET SUITE 300	AddressLine1
City	MINNEAPOLIS	City
State	MN	State
ZIP Code	55402	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-07-01	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	BusinessNameLine1

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	AddressLine1
City	MINOT	City
State	ND	State
ZIP Code	587025020	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DENNIS C EMPEY	PersonNm
Person Title	CHIEF FINANCIAL OFFICER	PersonTitleTxt
Phone	7018575160	PhoneNum
Signature	2015-05-07	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	KOREY BOELTER	PreparerPersonNm
PTIN	P00775161	PTIN
Phone	6123764500	PhoneNum

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2016-02-25 16:41:14Z	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	AddressLine1
City	MINOT	City
State	ND	State
ZIP Code	587025020	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$355,976,357	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	11	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	347	TotalVolunteersCnt
Total Gross UBI	$2,110,495	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$973,398	PYContributionsGrantsAmt
CY Contributions Grants	$581,169	CYContributionsGrantsAmt
PY Program Service Revenue	$285,352,213	PYProgramServiceRevenueAmt
CY Program Service Revenue	$288,652,040	CYProgramServiceRevenueAmt
PY Investment Income	$2,149,764	PYInvestmentIncomeAmt
CY Investment Income	$335,936	CYInvestmentIncomeAmt
PY Other Revenue	$541,161	PYOtherRevenueAmt
CY Other Revenue	$64,985,975	CYOtherRevenueAmt
PY Total Revenue	$289,016,536	PYTotalRevenueAmt
CY Total Revenue	$354,555,120	CYTotalRevenueAmt
PY Grants And Similar Paid	$109,150	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$265,140	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$121,387,830	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$118,973,490	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$617,079	CYTotalFundraisingExpenseAmt
PY Other Expenses	$149,797,985	PYOtherExpensesAmt
CY Other Expenses	$162,456,671	CYOtherExpensesAmt
PY Total Expenses	$271,294,965	PYTotalExpensesAmt
CY Total Expenses	$281,695,301	CYTotalExpensesAmt
PY Revenues Less Expenses	$17,721,571	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$72,859,819	CYRevenuesLessExpensesAmt
Total Assets BOY	$655,440,720	TotalAssetsBOYAmt
Total Assets EOY	$204,703,659	TotalAssetsEOYAmt
Total Liabilities BOY	$376,839,020	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$47,296,519	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$278,601,700	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$157,407,140	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	$227,345,207	ExpenseAmt
Grant	$265,140	GrantAmt
Revenue	$268,161,318	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 INC.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$23,715,544	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$20,490,722	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	$251,060,751	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	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (1)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	2	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	11	GoverningBodyVotingMembersCnt
Independent Voting Member	7	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (1)	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	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	DENNIS EMPEY	PersonNm
Phone	7018575160	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 5020	AddressLine1
City	MINOT	City
State	ND	State
ZIP Code	58702	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (20 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	2.00	Yes (X)	Yes (X)	$0	$0	$0
STEVE LYSNE
VICE CHAIRMAN	2.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
KAREN KREBSBACH
SECRETARY/TREASURER	2.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
BORGI BEELER
DIRECTOR	2.00	2.00	Yes (X)		$0	$0	$0
KEVIN COLLINS MD
DIRECTOR	20.00	20.00	Yes (X)		$0	$738,588	$14,760
JOHN COUGHLIN
DIRECTOR	2.00	2.00	Yes (X)		$0	$0	$0
DR DAVID FULLER
DIRECTOR	2.00	2.00	Yes (X)		$0	$0	$0
SCOTT KNUTSON MD
DIRECTOR	2.00	2.00	Yes (X)		$0	$0	$0
BRENT MATTSON
DIRECTOR	2.00	2.00	Yes (X)		$0	$0	$0
CLARA SUE PRICE
DIRECTOR	2.00	2.00	Yes (X)		$0	$0	$0
MARTIN ROTHBERG MD
DIRECTOR	20.00	20.00	Yes (X)		$0	$1,071,625	$14,760
DARYL SOMERVILLE
DIRECTOR	2.00	2.00	Yes (X)		$0	$0	$0
JOHN KUTCH
PRESIDENT & CEO	20.00	20.00	Yes (X)	Yes (X)	$0	$542,170	$14,760
ALISON FRYE
ASSISTANT SECRETARY	0.00	40.00		Yes (X)	$0	$50,378	$1,460
DENNIS EMPEY
VICE PRESIDENT & CFO	20.00	20.00		Yes (X)	$0	$80,246	$291
RANDY SCHWAN
VICE PRES. - MISSION INTEGRATION	32.00	8.00			$0	$171,295	$7,367	Yes (X)
PAUL SIMONSON
VICE PRES. - HUMAN RESOURCES	32.00	8.00			$0	$240,131	$14,228	Yes (X)
THOMAS WARSOCKI
VICE PRES. - PHYSICIAN OPERATIONS	0.00	40.00			$0	$159,298	$7,093	Yes (X)
DAVE KOHLMAN
VICE PRES. - FACILITIES MANAGEMENT	28.00	12.00			$0	$174,477	$7,689	Yes (X)
BARBRA BROWN RN BSN MA
VICE PRE. & CNO	40.00	0.00			$0	$201,184	$8,210	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,429,392	TotReportableCompRltdOrgAmt
Total Other Compensation	$90,618	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	$20,110	FundraisingAmt
All Other Contributions	$561,059	AllOtherContributionsAmt
Noncash Contributions	$57,266	NoncashContributionsAmt
Total Contributions	$581,169	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PATIENT REVENUE	621110	$281,347,831	$281,347,831
OTHER PATIENT SERVICES	621110	$3,814,619	$3,814,619
DIETARY SERVICES	722320	$1,524,007		$144,912	$1,379,095
ADMINISTRATIVE SERVICES	561000	$1,142,058		$1,142,058
OTHER UBIT SERVICES	900099	$450,472		$450,472

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$373,053	TotalRevenueColumnAmt
Unrelated Business Revenue	$373,053	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$288,652,040	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,265,061	TotalRevenueColumnAmt
Exclusion	$1,265,061	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$34,976	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$49,680	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$14,704	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$14,704	TotalRevenueColumnAmt
Exclusion	-$14,704	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$436,788	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$1,365,913	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$929,125	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$929,125	TotalRevenueColumnAmt
Exclusion	-$929,125	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$32,609	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$20,110	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$5,644	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$26,965	TotalRevenueColumnAmt
Exclusion	$26,965	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
VENDOR SETTLEMENT	900099	$64,524,264	$64,524,264
VENDOR REBATES	900099	$449,450	$449,450

Field	Value	IRS element (for citing)
Other Revenue Total	$64,973,714	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$354,555,120	TotalRevenueColumnAmt
Related Or Exempt Func Income	$285,162,450	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,110,495	UnrelatedBusinessRevenueAmt
Exclusion	$66,701,006	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	$241,500	TotalAmt
Program Services	$241,500	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$23,640	TotalAmt
Program Services	$23,640	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$99,127,090	TotalAmt
Program Services	$87,840,471	ProgramServicesAmt
Management And General	$11,149,813	ManagementAndGeneralAmt
Fundraising	$136,806	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,040,787	TotalAmt
Program Services	$2,646,999	ProgramServicesAmt
Management And General	$392,111	ManagementAndGeneralAmt
Fundraising	$1,677	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$10,006,275	TotalAmt
Program Services	$8,448,165	ProgramServicesAmt
Management And General	$1,541,970	ManagementAndGeneralAmt
Fundraising	$16,140	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$6,799,338	TotalAmt
Program Services	$6,069,116	ProgramServicesAmt
Management And General	$720,168	ManagementAndGeneralAmt
Fundraising	$10,054	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,865,844	TotalAmt
Program Services	$48,688	ProgramServicesAmt
Management And General	$1,817,156	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$518,431	TotalAmt
Program Services	$52,030	ProgramServicesAmt
Management And General	$466,401	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$28,777,222	TotalAmt
Program Services	$27,391,728	ProgramServicesAmt
Management And General	$1,343,022	ManagementAndGeneralAmt
Fundraising	$42,472	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,683,940	TotalAmt
Program Services	$128,833	ProgramServicesAmt
Management And General	$2,555,107	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,392,602	TotalAmt
Program Services	$6,180,306	ProgramServicesAmt
Management And General	$1,198,216	ManagementAndGeneralAmt
Fundraising	$14,080	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,543,836	TotalAmt
Program Services	$709,380	ProgramServicesAmt
Management And General	$1,827,558	ManagementAndGeneralAmt
Fundraising	$6,898	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$9,572,594	TotalAmt
Program Services	$8,767,741	ProgramServicesAmt
Management And General	$804,853	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$189,521	TotalAmt
Program Services	$184,428	ProgramServicesAmt
Management And General	$4,793	ManagementAndGeneralAmt
Fundraising	$300	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$428,454	TotalAmt
Program Services	$232,022	ProgramServicesAmt
Management And General	$192,505	ManagementAndGeneralAmt
Fundraising	$3,927	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,362,042	TotalAmt
Program Services	$4,315,159	ProgramServicesAmt
Fundraising	$46,883	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$11,087,921	TotalAmt
Program Services	$7,039,922	ProgramServicesAmt
Management And General	$4,041,919	ManagementAndGeneralAmt
Fundraising	$6,080	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$878,601	TotalAmt
Program Services	$445,533	ProgramServicesAmt
Management And General	$433,068	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES / DRUG	$50,431,457	$50,427,339	$4,118
BAD DEBT EXPENSE	$37,235,009	$37,235,009
BOOKS & SUBSCRIPTIONS	$2,200,742	$1,103,924	$1,067,305	$29,513
MISCELLANEOUS EXPENSES	$1,851,974	$1,345,487	$207,986	$298,501

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$436,481	TotalAmt
Program Services	$183,331	ProgramServicesAmt
Management And General	$249,402	ManagementAndGeneralAmt
Fundraising	$3,748	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$281,695,301	TotalAmt
Program Services	$251,060,751	ProgramServicesAmt
Management And General	$30,017,471	ManagementAndGeneralAmt
Fundraising	$617,079	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$23,805,256	BOYAmt
EOY	$64,737,983	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,445,948	BOYAmt
EOY	$1,451,532	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,475	BOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$72,395,292	BOYAmt
EOY	$51,865,474	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$477,490	BOYAmt
EOY	$245,810	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$7,544,457	BOYAmt
EOY	$6,671,596	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,027,121	BOYAmt
EOY	$2,783,831	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$228,918,834	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$167,106,476	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$72,286,622	BOYAmt
EOY	$61,812,358	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$13,228,893	BOYAmt
EOY	$15,085,075	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$461,178,166	BOYAmt
EOY	$0	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$655,440,720	BOYAmt
EOY	$204,703,659	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$58,004,855	BOYAmt
EOY	$29,423,408	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$180,000	BOYAmt
EOY	$180,000	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$28,832	BOYAmt
EOY	$25,632	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$16,777,832	BOYAmt
EOY	$13,151,842	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$301,847,501	BOYAmt
EOY	$4,515,637	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$376,839,020	BOYAmt
EOY	$47,296,519	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$274,476,511	BOYAmt
EOY	$150,368,758	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,024,881	BOYAmt
EOY	$6,918,863	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$100,308	BOYAmt
EOY	$119,519	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$278,601,700	BOYAmt
EOY	$157,407,140	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$655,440,720	BOYAmt
EOY	$204,703,659	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$72,859,819	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$927,629	NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments	-$880,200	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$194,101,808	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

Form990 Schedule A Part IV Form990ScheduleAPartIVGrp

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE A, PART I	FormAndLineReferenceDesc
Explanation	THE PUBLIC CHARITY STATUS AS IDENTIFIED IN EACH OF THE CORPORATION'S DETERMINATION LETTER ARE AS FOLLOWS: TRINITY HOSPITALS - LINE 3, SECTION 170(B)(1)(A)(III) TRINITY KENMARE HOSPITAL - LINE 3, SECTION 170(B)(1)(A)(III) TRINITY HOMES - LINE 9, 509(A)(2) TRINITY HEALTH FOUNDATION - LINE 11, 509(A)(3), TYPE II PART I, LINE 11E TRINITY HEALTH FOUNDATION CERTIFIES THAT THE ORGANIZATION IS NOT CONTROLLED DIRECTLY OR INDIRECTLY BY ONE OR MORE DISQUALIFIED PERSONS OTHER THAN FOUNDATION MANAGERS AND OTHER THAN ONE OR MORE PUBLICLY SUPPORTED ORGANIZATIONS DESCRIBED IN SECTION 509(A)(1) OR SECTION 509(A)(2). PART 1, LINE 11F TRINITY HEALTH FOUNDATION HAS NOT RECEIVED A WRITTEN DETERMINATION FROM THE IRS. PART 1, LINE 11G TRINITY HEALTH FOUNDATION HAS NOT ACCEPTED ANY GIFT OR CONTRIBUTION FROM A PERSON WHO DIRECTLY OR INDIRECTLY CONTROLS, EITHER ALONE OR TOGETHER, THE GOVERNING BODY OF THE SUPPORTED ORGANIZATION, A FAMILY MEMBER OF SUCH A PERSON, OR A 35% CONTROLLED ENTITY OF SUCH A PERSON. PART 1, LINE 11H TRINITY HEALTH FOUNDATION SUPPORTS TRINITY HOSPITALS, TRINITY KENMARE HOSPITAL, AND TRINITY HOMES, THE OTHER ORGANIZATIONS REPORTED IN THIS GROUP RETURN. TRINITY HOSPITALS AND TRINITY HOMES ARE LISTED IN THE TRINITY HEALTH FOUNDATION'S GOVERNING DOCUMENTS, BUT TRINITY KENMARE HOSPITAL IS NOT. TRINITY HEALTH FOUNDATION NOTIFIED THE ORGANIZATIONS OF SUPPORT. EACH SUPPORTED ORGANIZATION IS ORGANIZED IN THE U.S. THE AMOUNT OF MONETARY SUPPORT FOR EACH SUPPORTED ORGANIZATION IS $0.	ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$44,941	OtherActivitiesAmt
Total Lobbying Expenditures	$44,941	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	$286,972	BeginningBalanceAmt
Additions During Year	$1,500	AdditionsDuringYearAmt
Distributions During Year	-$7,528	DistributionsDuringYearAmt
Ending Balance	$280,944	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	$105,740	BeginningYearBalanceAmt
Contributions	$19,211	ContributionsAmt
Investment Earnings Or Losses	$8,525	InvestmentEarningsOrLossesAmt
End Year Balance	$133,476	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$100,308	BeginningYearBalanceAmt
Investment Earnings Or Losses	$5,432	InvestmentEarningsOrLossesAmt
End Year Balance	$105,740	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$95,051	BeginningYearBalanceAmt
Contributions	$5,351	ContributionsAmt
Investment Earnings Or Losses	$3,902	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$3,693	GrantsOrScholarshipsAmt
Other Expenditures	$303	OtherExpendituresAmt
End Year Balance	$100,308	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$95,145	BeginningYearBalanceAmt
Investment Earnings Or Losses	$3,902	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$3,693	GrantsOrScholarshipsAmt
Other Expenditures	$303	OtherExpendituresAmt
End Year Balance	$95,051	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$305,323	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$214,179	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$4,001	GrantsOrScholarshipsAmt
End Year Balance	$95,145	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.89540	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.10460	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	$2,155,215	OtherCostOrOtherBasisAmt
Book Value	$2,155,215	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$44,599,067	OtherCostOrOtherBasisAmt
Depreciation	$26,009,716	DepreciationAmt
Book Value	$18,589,351	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	$180,052,011	OtherCostOrOtherBasisAmt
Depreciation	$141,077,313	DepreciationAmt
Book Value	$38,974,698	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,093,094	OtherCostOrOtherBasisAmt
Book Value	$2,093,094	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$61,812,358	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	ESTIMATED 3RD PARTY SETTLEMENTS	Desc
Amt	$4,515,637	Amt

Field	Value	IRS element (for citing)
Total Liability	$4,515,637	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, AND TRINITY KENMARE HOSPITAL HAVE ALL BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND ARE EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE IRC. ALL UNRELATED BUSINESS INCOME GENERATED BY TRINITY IS SUBJECT TO FEDERAL INCOME TAX UNDER 511 OF THE IRC. TRINITY'S POLICY IS TO EVALUATE THE LIKELIHOOD THAT ITS UNCERTAIN TAX POSITIONS WILL PREVAIL UPON EXAMINATION BASED ON THE EXTENT TO WHICH THOSE POSITIONS HAVE SUBSTANTIAL SUPPORT WITHIN THE INTERNAL REVENUE CODE AND REGULATIONS, REVENUE RULINGS, COURT DECISIONS, AND OTHER EVIDENCE. IT IS THE OPINION OF MANAGEMENT THAT THE COMPANY HAS NO SIGNIFICANT UNCERTAIN TAX POSITIONS THAT WOULD BE SUBJECT TO CHANGE UPON EXAMINATION. TRINITY'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE TAX RETURNS FOR THE YEARS 2011 TO 2013 ARE OPEN TO 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

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continutation Total Office	0	ContinutationTotalOfficeCnt
Continutation Total Employee	0	ContinutationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$0	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$0	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)
Name Of Event1	BUILDING HOPE GOLF	NameOfEvent1Amt
Gross Receipts Event1	$50,519	GrossReceiptsEvent1Amt
Charitable Contri Event1	$20,110	CharitableContriEvent1Amt
Gross Revenue Event1	$30,409	GrossRevenueEvent1Amt
Non Cash Prizes Event1	$842	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$2,720	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$1,150	FoodAndBeverageEvent1Amt
Other Direct Expenses Event1	$932	OtherDirectExpensesEvent1Amt
Gross Receipts Total	$50,519	GrossReceiptsTotalAmt
Charitable Contributions Tot	$20,110	CharitableContributionsTotAmt
Gross Revenue Total Events	$30,409	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$842	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$2,720	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$1,150	FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events	$932	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$5,644	DirectExpenseSummaryEventsAmt
Net Income Summary	$24,765	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
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent350	Yes (X)	Percent350Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	0	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,230,543	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,230,543	NetCommunityBenefitExpnsAmt
Total Expense	0.01500	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,443,760	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,646,769	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,796,991	NetCommunityBenefitExpnsAmt
Total Expense	0.01350	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,674,303	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,646,769	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,027,534	NetCommunityBenefitExpnsAmt
Total Expense	0.02850	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,674,303	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,646,769	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,027,534	NetCommunityBenefitExpnsAmt
Total Expense	0.02850	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	41	ActivitiesOrProgramsCnt
Persons Served	34896	PersonsServedCnt
Total Community Benefit Expns	$255,413	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,200	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$253,213	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	41	ActivitiesOrProgramsCnt
Persons Served	34896	PersonsServedCnt
Total Community Benefit Expns	$255,413	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,200	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$253,213	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$37,235,009	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$80,810,183	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$88,001,604	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$7,191,421	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/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	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	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Information GapsInformationGapsInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Rpt Available Upon RequestRptAvailableUponRequestInd	Adopt Implementation StrategyAdoptImplementationStrategyInd	Exec Implementation StrategyExecImplementationStrategyInd	Develop Community Wide PlanDevelopCommunityWidePlanInd	Exec Community Wide PlanExecCommunityWidePlanInd	Adopt BudgetAdoptBudgetInd	Prioritize Health NeedsPrioritizeHealthNeedsInd	Prioritize ServicesPrioritizeServicesInd	All Needs AddressedAllNeedsAddressedInd	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Used Deter Elig Free CareFPGUsedDeterEligFreeCareInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Used Determ Elig Dscnt CareFPGUsedDetermEligDscntCareInd	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Explained BasisExplainedBasisInd	Income LevelIncomeLevelInd	Asset LevelAssetLevelInd	Insurance StatusInsuranceStatusInd	Medicaid MedicareMedicaidMedicareInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	Posted In Emergency RoomPostedInEmergencyRoomInd	Posted In Admission OfficePostedInAdmissionOfficeInd	Provided On AdmissionProvidedOnAdmissionInd	Available On RequestAvailableOnRequestInd	Other PublicityOtherPublicityInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Collection ActivitiesCollectionActivitiesInd	FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd	FAP Notified All PatientsFAPNotifiedAllPatientsInd	Documented Elig DeterminationDocumentedEligDeterminationInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Other Method UsedOtherMethodUsedInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd
TRINITY HOSPITAL
1	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	12	Yes (1)	Yes (1)	Yes (1)	Yes (X)	WWW.TRINITYHEALTH.ORG/COMMUNITY	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	0	0	Yes (1)	Yes (1)	200.000000000000	Yes (1)	350.000000000000	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	0	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
TRINITY HOSPITAL ST JOSEPH'S
2	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	12	Yes (1)	Yes (1)	Yes (1)	Yes (X)	WWW.TRINITYHEALTH.ORG/COMMUNITY	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	0	0	Yes (1)	Yes (1)	200.000000000000	Yes (1)	350.000000000000	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	0	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
TRINITY KENMARE HOSPITAL
3	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	12	Yes (1)	Yes (1)	Yes (1)	Yes (X)	WWW.TRINITYHEALTH.ORG/COMMUNITY	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	0	0	Yes (1)	Yes (1)	200.000000000000	Yes (1)	350.000000000000	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	0	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 3: THE COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") PROCESS PRIMARILY INVOLVED INTERVIEWS AND COMMUNITY SURVEYS. INTERVIEWS WERE CONDUCTED IN EARLY 2013 WITH VARIOUS COMMUNITY LEADERS, MEDICAL PROFESSIONALS, AND CITY AND COUNTY GOVERNMENT OFFICIALS. THIS PROCESS INCLUDED THE COUNTY HEALTH OFFICER, SOCIAL SERVICE WORKERS, SCHOOL DISTRICT REPRESENTATIVES, AND MILITARY REPRESENTATIVES OF THE NEARBY MINOT AIR FORCE BASE. COMMUNITY SURVEYS WERE DISTRIBUTED THROUGH THE LOCAL NEWSPAPER, OUR WEBSITE, FACEBOOK, AND OUR HEALTH CARE FACILITIES.
TRINITY HOSPITAL ST. JOSEPH'S	PART V, SECTION B, LINE 3: THE COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") PROCESS PRIMARILY INVOLVED INTERVIEWS AND COMMUNITY SURVEYS. INTERVIEWS WERE CONDUCTED IN EARLY 2013 WITH VARIOUS COMMUNITY LEADERS, MEDICAL PROFESSIONALS, AND CITY AND COUNTY GOVERNMENT OFFICIALS. THIS PROCESS INCLUDED THE COUNTY HEALTH OFFICER, SOCIAL SERVICE WORKERS, SCHOOL DISTRICT REPRESENTATIVES, AND MILITARY REPRESENTATIVES OF THE NEARBY MINOT AIR FORCE BASE. COMMUNITY SURVEYS WERE DISTRIBUTED THROUGH THE LOCAL NEWSPAPER, OUR WEBSITE, FACEBOOK, AND OUR HEALTH CARE FACILITIES.
TRINITY KENMARE HOSPITAL	PART V, SECTION B, LINE 3: THE COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") PROCESS PRIMARILY INVOLVED INTERVIEWS AND COMMUNITY SURVEYS. INTERVIEWS WERE CONDUCTED IN EARLY 2013 WITH VARIOUS COMMUNITY LEADERS, MEDICAL PROFESSIONALS, AND CITY AND COUNTY GOVERNMENT OFFICIALS. THIS PROCESS INCLUDED THE COUNTY HEALTH OFFICER, SOCIAL SERVICE WORKERS, SCHOOL DISTRICT REPRESENTATIVES, AND MILITARY REPRESENTATIVES OF THE NEARBY MINOT AIR FORCE BASE. COMMUNITY SURVEYS WERE DISTRIBUTED THROUGH THE LOCAL NEWSPAPER, OUR WEBSITE, FACEBOOK, AND OUR HEALTH CARE FACILITIES.
TRINITY HOSPITAL	PART V, SECTION B, LINE 4: 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 4: 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 4: TRINITY KENMARE HOSPITAL CONDUCTED ITS CHNA IN COLLABORATION WITH TRINITY HOSPITAL AND TRINITY HOSPITAL-ST. JOSEPH'S.
TRINITY HOSPITAL	PART V, SECTION B, LINE 7: 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. WE HAVE CHOSEN TO FOCUS OUR RESOURCES ON ACCESS TO HEALTHCARE AND ARE NOT ACTIVELY PLANNING TO RESPOND TO ANY OTHER IDENTIFIED HEALTH NEEDS.
TRINITY HOSPITAL ST. JOSEPH'S	PART V, SECTION B, LINE 7: 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. WE HAVE CHOSEN TO FOCUS OUR RESOURCES ON ACCESS TO HEALTHCARE AND ARE NOT ACTIVELY PLANNING TO RESPOND TO ANY OTHER IDENTIFIED HEALTH NEEDS.
TRINITY KENMARE HOSPITAL	PART V, SECTION B, LINE 7: 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. WE HAVE CHOSEN TO FOCUS OUR RESOURCES ON ACCESS TO HEALTHCARE AND ARE NOT ACTIVELY PLANNING TO RESPOND TO ANY OTHER IDENTIFIED HEALTH NEEDS.
TRINITY HOSPITAL	PART V, SECTION B, LINE 14G: PATIENTS IDENTIFIED AS POSSIBLE FINANCIAL ASSISTANCE CASES ARE ASKED TO BE COMPLETE A FINANCIAL ASSISTANCE FORM AND ARE REFERRED TO THE APPROPRIATE COUNSELOR.
TRINITY HOSPITAL ST. JOSEPH'S	PART V, SECTION B, LINE 14G: 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 14G: PATIENTS IDENTIFIED AS POSSIBLE FINANCIAL ASSISTANCE CASES ARE ASKED TO BE COMPLETE A FINANCIAL ASSISTANCE FORM AND ARE REFERRED TO THE APPROPRIATE COUNSELOR.
TRINITY HOSPITAL	PART V, SECTION B, LINE 20D: THE HOSPITAL FACILITY USED THE AVERAGE OF ALL COMMERCIAL INSURANCE RATES WHEN CALCULATING THE MAXIMUM AMOUNT THAT CAN BE CHARGED.
TRINITY HOSPITAL ST. JOSEPH'S	PART V, SECTION B, LINE 20D: THE HOSPITAL FACILITY USED THE AVERAGE OF ALL COMMERCIAL INSURANCE RATES WHEN CALCULATING THE MAXIMUM AMOUNT THAT CAN BE CHARGED.
TRINITY KENMARE HOSPITAL	PART V, SECTION B, LINE 20D: THE HOSPITAL FACILITY USED THE AVERAGE OF ALL COMMERCIAL INSURANCE RATES WHEN CALCULATING THE MAXIMUM AMOUNT THAT CAN BE CHARGED.

Field	Value	IRS element (for citing)
Facility	28	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (28 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	FacilityFacilityTxt
TRINITY HOMES
305 8TH AVENUE NE	MINOT	ND	58701	SKILLED NURSING HOME
TRINITY HOSPITALS HOME HEALTHHOSPICE
1015 SOUTH BROADWAY SUITE 306	MINOT	ND	58701	HOME HEALTH & HOSPICE
TRINITY HOSPITALS
HOSPITAL ROAD	BELCOURT	ND	58316	DIALYSIS SERVICES
TCC-BELCOURT (KDU)
1310 HOSPITAL LOOP ROAD	BELCOURT	ND	58316	DIALYSIS SERVICES
ORAL & FACIAL SURGERY CENTER-PLAZA 16
2815 16TH STREET SW	MINOT	ND	58702	ORAL & FACIAL SURGICAL SERVICES
ORAL & FACIAL SURGERY CENTER-WILLISTON
2224 1ST AVE W	WILLISTON	ND	58801	ORAL & FACIAL SURGICAL SERVICES
TRINITY REGIONAL EYECARE-WILLISTON
1321 W DAKOTA PARKWAY	WILLISTON	ND	55801	EYE HEALTH SERVICES
TRINITY REGIONAL EYECARE-DEVIL'S LAKE
404 HWY 2 EAST	DEVILS LAKE	ND	58301	EYE HEALTH SERVICES
VISION GALLERIA AT TRINITY - PLAZA 16
2815 16TH STREET SW	MINOT	ND	58702	OPTICAL AND CONTACT LENS DISPENSARY
SAME DAY SURGERY CENTER
407 3RD ST SE	MINOT	ND	58701	SURGICAL SERVICES
WESTERN DAKOTA SURGERY
1102 MAIN ST	WILLISTON	ND	58801	SURGICAL SERVICES
TRINITY HEALTH CENTER-MEDICAL ARTS
400 BURDICK EXPRESSWAY EAST	MINOT	ND	58701	PROVIDER-BASED CLINIC
TRINITY HEALTH CENTER-EAST
20 BURDICK EXPRESSWAY WEST	MINOT	ND	58701	PROVIDER-BASED CLINIC
TRINITY HEALTH CENTER-WEST
101 ERD AVENUE SW	MINOT	ND	58701	PROVIDER-BASED CLINIC
TRINITY REGIONAL EYECARE-MINOT CENTER
120 BURDICK EXPRESSWAY EAST	MINOT	ND	58701	PROVIDER-BASED CLINIC
TRINITY HEALTH CENTER-RIVERSIDE
1900 8TH AVENUE SE	MINOT	ND	58701	PROVIDER-BASED CLINIC
TRINITY HEALTH CENTER-TOWN & COUNTRY
831 SOUTH BROADWAY	MINOT	ND	58701	PROVIDER-BASED CLINIC
MAIN MEDICAL BUILDING
315 SOUTH MAIN	MINOT	ND	58701	PROVIDER-BASED CLINIC
TRINITY HEALTH SOUTH RIDGE
1500 24TH AVENUE SW	MINOT	ND	58701	PROVIDER-BASED CLINIC
TCC-WESTERN DAKOTA
1321 WEST DAKOTA PARKWAY	WILLISTON	ND	58801	PROVIDER-BASED CLINIC
TRINITY HEALTH CENTER-3RD STREET
420 3RD ST SE	MINOT	ND	58701	PROVIDER-BASED CLINIC
TRINITY HEALTH CENTER-5TH AVE
307 5TH AVE SE	MINOT	ND	58701	PROVIDER-BASED CLINIC
TRINITY COMMUNITY CLINIC KENMARE
307 1ST AVENUE NW	KENMARE	ND	58746	RURAL HEALTH CLINIC
TCC-GARRISON
PO BOX 1179	GARRISION	ND	585401179	RURAL HEALTH CLINIC
TCC-MOHALL
504 1ST ST SW	MOHALL	ND	58760	RURAL HEALTH CLINIC
TCC-NEW TOWN
PO BOX 1029	NEW TOWN	ND	587631029	RURAL HEALTH CLINIC
TCC-VELVA
PO BOX 70	VELVA	ND	587900070	RURAL HEALTH CLINIC
TCC-WESTHOPE
PO BOX 383	WESTHOPE	ND	587930383	RURAL HEALTH CLINIC

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	TO BE ELIGIBLE FOR FREE CARE UNDER TRINITY HEALTH'S FINANCIAL ASSISTANCE POLICY, A PERSON'S INCOME MUST BE BELOW 200% OF FEDERAL POVERTY GUIDELINES. TO BE ELIGIBLE FOR DISCOUNTED CARE, A PERSON'S INCOME MUST BELOW 350% OF FEDERAL POVERTY GUIDELINES. OTHER FACTORS THAT ARE CONSIDERED IN DETERMINING FINANCIAL ASSISTANCE INCLUDE THE NUMBER OF DEPENDENTS, EMPLOYMENT STATUS AND FUTURE EARNING CAPACITY, A LISTING OF ASSETS AND INVESTMENTS, AND OTHER FINANCIAL OBLIGATIONS. SPECIAL CONSIDERATION IS GIVEN TO FURTHER REDUCE PAYMENT BALANCES WHERE 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 2013 FORM 990, SCHEDULE H.
PART I, LN 7 COL(F):	$37,235,009 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 AMONT OF CHARGES FOREGONE 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 MEDICARE COST-TO-CHARGE RATIO TO DETERMINE THE AMOUNTS REPORTED ON 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 THAT IS 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 9B:	IT IS THE POLICY OF TRINITY TO PROVIDE MEDICAL SERVICES TO THE COMMUNITY AND REGION REGARDLESS OF THE CUSTOMER'S ABILITY TO PAY THROUGH CONSISTENT BILLING PRACTICES. ACCOUNTS WILL BE MONITORED TO ENSURE THAT CUSTOMERS ARE BILLED FOR ONLY THOSE SERVICES PROVIDED. TRINITY, THROUGH VERIFICATION OF INFORMATION, IS REQUIRED TO PROVIDE TIMELY AND ACCURATE BILLING, COLLECTION, AND PATIENT ACCOUNT MAINTENANCE. INFORMATION REGARDING TRINITY'S BILLING AND PAYMENT GUIDELINES, WHICH INCLUDES FINANCIAL ASSISTANCE PROGRAMS, ARE AVAILABLE AT REGISTRATION AND BUSINESS SERVICES LOCATIONS. THIS INFORMATION IS COMMUNICATED VERBALLY OR THROUGH THE USE OF THE TRINITY BILLING & PAYMENT GUIDELINES BROCHURE. TO ENHANCE VERBAL COMMUNICATIONS, INTERPRETERS ARE PROVIDED AS NECESSARY.
PART VI, LINE 2:	TRINITY HEALTH COMPLETES A THOROUGH COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS, IN COMPLIANCE WITH SECTION 501(R). TRINITY'S FIRST COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED DURING THE YEAR ENDED JUNE 30, 2013. THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT IS AVAILABLE ONLINE AT HTTP://WWW.TRINITYHEALTH.ORG/COMMUNITY.
PART VI, LINE 3:	TRINITY POSTS NOTICE OF ITS FINANCIAL ASSISTANCE PROGRAM AND HOW A PATIENT MAY APPLY. 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 BOOM. ON MARCH 13, 2013, THE ATLANTIC PUBLISHED A SHORT ARTICLE EXPLAINING THE SITUATION:"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, AND NORTH DAKOTA BOOMED. 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-NEARLY 60 PERCENT OF IT SHIPPED BY RAIL, RATHER THAN PIPELINE. THE RIGS AND SUPPORT SYSTEMS HAVE RESCULPTED THE LANDSCAPE, MILLIONS ARE DOLLARS ARE BEING SPENT ON INFRASTRUCTURE UPGRADES ACROSS THE AREA, AND THOUSANDS OF OIL FIELD WORKERS HAVE ARRIVED, LIVING IN NEW OR TEMPORARY HOUSING."ALTHOUGH MUCH OF THE OIL FIELD ACTIVITY OCCURS TO THE WEST OF MINOT, OUR COMMUNITY HAS BEEN SIGNIFICANTLY IMPACTED BY THE INFLUX OF PEOPLE INTO OUR COMMUNITY. DEMAND FOR ALMOST EVERY GOOD, FROM HOUSING TO CLOTHING TO FOOD, HAS INCREASED. WHILE THE INCREASE IN JOBS AND THE INFLOW OF MONEY HAS BEEN BENEFICIAL, OUR COMMUNITY ALSO STRUGGLES WITH INCREASING COST-OF-LIVING AND A HOUSING SHORTAGE.
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.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
MINOT FAMILY YMCA
PO BOX 69	MINOT	ND	58702	450237612	501(C)(3)	$50,000	FACILITY EXPANSION
NORSK HOSTFEST ASSOCIATION
PO BOX 1347	MINOT	ND	58702	450353644	501(C)(3)	$24,000	SPONSORSHIP
MINOT PARK DISTRICT
2501 W BURDICK EXPRESSWAY	MINOT	ND	58701	456002127	GOVERNEMENT	$150,000	ADDITION TO ICE SKATING RINK
BISHOP RYAN CATHOLIC SCHOOL
316 11TH AVENUE NW	MINOT	ND	58703	450432927	501(C)(3)	$13,500	TIME CLOCK

Field	Value	IRS element (for citing)
Total501c3 Org	4	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

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

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
HARDSHIPS AND FLOOD RELIEF	37	$20,000
CANCER ASSISTANCE	24	$3,640

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	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	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 (8 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
KEVIN COLLINS MD
DIRECTOR	$0	$633,810	$0	$11,161	$0	$93,617	$0	$13,800	$0	$960	$0	$753,348	$0	$0
MARTIN ROTHBERG MD
DIRECTOR	$0	$120,074	$0	$0	$0	$951,551	$0	$13,800	$0	$960	$0	$1,086,385	$0	$0
JOHN KUTCH
PRESIDENT & CEO	$0	$541,234	$0	$0	$0	$936	$0	$13,800	$0	$960	$0	$556,930	$0	$0
RANDY SCHWAN
VICE PRES. - MISSION INTEGRATION	$0	$160,490	$0	$3,110	$0	$7,695	$0	$6,900	$0	$467	$0	$178,662	$0	$0
PAUL SIMONSON
VICE PRES. - HUMAN RESOURCES	$0	$224,216	$0	$4,393	$0	$11,522	$0	$13,800	$0	$428	$0	$254,359	$0	$0
THOMAS WARSOCKI
VICE PRES. - PHYSICIAN OPERATIONS	$0	$153,158	$0	$0	$0	$6,140	$0	$6,632	$0	$461	$0	$166,391	$0	$0
DAVE KOHLMAN
VICE PRES. - FACILITIES MANAGEMENT	$0	$166,915	$0	$3,313	$0	$4,249	$0	$7,192	$0	$497	$0	$182,166	$0	$0
BARBRA BROWN RN BSN MA
VICE PRE. & CNO	$0	$200,248	$0	$0	$0	$936	$0	$8,037	$0	$173	$0	$209,394	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 3	FormAndLineReferenceDesc
Explanation	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. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
DAVE KOHLMAN
OFFICER	$49,946	REAL ESTATE RENTAL	0
EDWARD JONES
THE BROTHER OF DAVE KOHLMAN IS A FINANCIAL ADVISOR AT EDWARD JONES	$79,340	INVESTMENT FEES	0
BREMER BANK
BRENT MATTSON, BOARD MEMBER, IS THE PRESIDENT OF BREMER BANK	$36,897	INVESTMENT FEES	0

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$7,273	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	MINERAL RIGHT	1	$48,753	FMV
Yes (X)	GIFT CARDS	151	$1,240	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 (11 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 3	TRINITY HEALTH CONTRACTED WITH A MANAGEMENT COMPANY TO PROVIDE FINANCIAL MANAGEMENT SERVICES, INCLUDING A CONTRACTED CFO, DURING THE YEAR.
FORM 990, PART VI, SECTION A, LINE 4	THE BYLAWS OF TRINITY HEALTH FOUNDATION WERE AMENDED DURING THE YEAR. THE AMENDMENTS INCLUDE THE FOLLOW SIGNIFICANT CHANGES: 1) THE NUMBER OF BOARD MEMBERS IS NOW REQUIRED TO BE A MINIMUM OF 11 INDIVIDUALS. THERE IS NO MAXIMUM NUMBER OF INDIVIDUALS. 2) THE EXECUTIVE COMMITTEE NOW CONSISTS SOLELY OF THE OFFICERS OF THE BOARD.
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 OF CORPORATION; (B) APPROVE ANY AMENDMENTS TO THE ARTICLES OF INCORPORATION OF CORPORATION OR THESE BYLAWS; (C) APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS OF CORPORATION; (D) APPROVE THE SELECTION OF AUDITORS AND LEGAL COUNSEL FOR CORPORATION; (E) APPROVE ANY STRATEGIC PLANS ADOPTED BY CORPORATION; (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 BY MEMBER; (G) CHANGE THE NUMBER OF DIRECTORS OF THE BOARD OF DIRECTORS OF CORPORATION; AND (H) APPROVE ANY ACTION OF CORPORATION THAT IS NOT IN THE ORDINARY COURSE OF THE CORPORATION'S BUSINESS.
FORM 990, PART VI, SECTION B, LINE 11	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 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 27,391,728. MANAGEMENT AND GENERAL EXPENSES 1,343,022. FUNDRAISING EXPENSES 42,472. TOTAL EXPENSES 28,777,222.
FORM 990, PART XI, LINE 9:	NET ASSET TRANSFERS -194,101,808.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
COMMUNITY AMBULANCE SERVICE OF MINOT INC
305 11TH AVENUE SW	MINOT	ND	58701	450363593	AMBULANCE SERVICES	ND	501(C)(3)	LINE 11A, I	TRINITY HEALTH	0
TRINITY HEALTH
PO BOX 5020	MINOT	ND	58702	450226558	HEALTHCARE	ND	501(C)(3)	LINE 11A, I		0	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
MEDICAL ARTS OUTPATIENT SERVICES INC
400 BURDICK EXPRESSWAY EAST	MINOT	ND	58701	450278212	RETAIL PHARMACY & DURABLE MEDICAL EQUIPMENT	ND	TRINITY HOSPITALS	C	$14,031,047	$3,045,715	1.00000	Yes (1)
B&B DRUG INC
20 BURDICK EXPRESSWAY EAST	MINOT	ND	58701	450260565	RETAIL DRUG STORE	ND		C				0	N/A

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	Yes (1)	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	MEDICAL ARTS OUTPATIENT SERVICES INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Transaction Type	A	TransactionTypeTxt
Involved	$23,533	InvolvedAmt
Method Of Amount Determination	FMV	MethodOfAmountDeterminationTxt

Affiliate Listing AffiliateListing

Affiliate Listing AffiliateListingGrp (4 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	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