TRINITY HEALTH & AFFILIATES: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- TRINITY HEALTH & AFFILIATES (EIN 33-1007002)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-05-15
- IRS object ID
- 201311359349307691
- Schema version
- 2011v1.5
- 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 G
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
- Affiliate Listing
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-15T16:29:22-05:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410746749 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| 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 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 331007002 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRINITY HEALTH & AFFILIATES | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | TRIN | NameControl |
| Phone | 7018575160 | Phone |
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 |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOHN M KUTCH | Name |
| Title | PRESIDENT/CEO | Title |
| Phone | 7018575160 | Phone |
| Date Signed | 2013-05-15 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KOREY BOELTER | Name |
| PTIN | P00775161 | PTIN |
| Phone | 6123764500 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JOHN M KUTCH | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| 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 | 300375688 | GrossReceipts |
| Group Return For Affiliates | 1 | GroupReturnForAffiliates |
| All Affiliates Included | 0 | AllAffiliatesIncluded |
| Group Exemption Number | 3904 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.TRINITYHEALTH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Activity Or Mission Description | MEETING THE NEEDS OF THE WHOLE PERSON THROUGH QUALITY HEALTH CARE AND HEALTH RELATED SERVICES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 314 | TotalNbrVolunteers |
| Total Gross UBI | 1491949 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 2237788 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2311018 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 242014918 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 289982315 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1356665 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1021896 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 384049 | OtherRevenuePriorYear |
| Other Revenue Current Year | 6040222 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 245993420 | TotalRevenuePriorYear |
| Total Revenue Current Year | 299355451 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 417669 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 574174 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 112977769 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 119323020 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 579086 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 125096428 | OtherExpensePriorYear |
| Other Expenses Current Year | 153472521 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 238491866 | TotalExpensesPriorYear |
| Total Expenses Current Year | 273369715 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 7501554 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 25985736 | RevenuesLessExpensesCY |
| Total Assets BOY | 508339689 | TotalAssetsBOY |
| Total Assets EOY | 569541785 | TotalAssetsEOY |
| Total Liabilities BOY | 274590263 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 309204107 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 233749426 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 260337678 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 145199097 | Expense |
| Grants | 574174 | Grants |
| Revenue | 142286571 | Revenue |
| Description | 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 WHICH IS VERIFIED BY THE AMERICAN COLLEGE OF SURGEONS AS A LEVEL 2 TRAUMA CENTER. THE FACILITY ALSO INCLUDES A NEONATAL INTENSIVE CARE UNIT, A KIDNEY DIALYSIS UNIT, AN INPATIENT REHABILITATION CENTER, AND INPATIENT PSYCHIATRIC UNIT AND A COMPREHENSIVE COMPLIMENT OF BOTH ACUTE CARE AND OUTPATIENT SERVICES ALONG WITH A SKILLED NURSING HOME FACILITY AND A CRITICAL ACCESS HOSPITAL IN KENMARE. TRINITY PROVIDED COMMUNITY EDUCATION PROGRAMS AND EVENTS, SCREENINGS AND SUPPORT OF UND FAMILY MEDICINE. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 24387501 | Expense |
| Grants | 0 | Grants |
| Revenue | 74682853 | Revenue |
| Description | TRINITY HOSPITALS PHARMACY DEPARTMENT PROVIDES COMPREHENSIVE PHARMACEUTICAL SERVICES 24 HOURS PER DAY TO PROVIDERS AND PATIENTS. THROUGH INVESTMENTS IN TECHNOLOGY, OUR MEDICATION MANAGEMENT PROCESS ENSURES THE SAFE AND EFFECTIVE ADMINISTRATION AND MONITORING OF ALL MEDICATIONS. IN ADDITION TO PROVIDING MEDICATIONS AND RELATED SUPPLIES, THE PHARMACY PROVIDES DRUG INFORMATION TO PATIENTS AND HEALTHCARE PROVIDERS, DOSING AND PHARMACOKENETIC SERVICES, ADVERSE DRUG REACTION MONITORING, DRUG-DRUG AND DRUG-FOOD INTERACTION OF INFORMATION, DRUG COMPATABILITIES, TOXICOLOGY AND ANTURAL PRODUCT INFORMATION. SERVICES RANGE FROM MEDICATION DISPENSING TO PERFORMING COMPLEX PHARMACOKINETIC CALCLUATIONS AND COMPOUNDING SPECIALIZED NUTRITION SOLUTIONS, CHEMOTHERAPY AND BIOLOGICAL REGIMENS. THE PHARMACY DEPARTMENT ALSO PARTICIPATED IN FMEA (FAILURE MODE EFFECT ANALYSIS) AND ROOT CAUSE ANALYSIS IN COOPERATION WITH OTHER DEPARTMENTS. RETROSPECTIVE AND CONCURRENT CHART REVIEWS ARE CONDUCTED TO ASSESS TIMELINESS AND APPROPRIATENESS OF THERAPY, AS WELL AS HOW WELL THE PATIENTS' NEEDS ARE BEING MET. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 20229749 | Expense |
| Grants | 0 | Grants |
| Revenue | 17825049 | Revenue |
| Description | TRINITY HOMES IS A 292 BED HOSPITAL BASED SKILLED NURSING FACILITY PARTICIPATING IN MEDICARE AND MEDICAID PROGRAMS. 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 SERVICE AND ACTIVITIES OF DAILY LIVING ASSISTANCE, SPIRITUAL CARE AND RECREATIONAL ACTIVITIES. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 10617572 | Expense |
| Grants | 0 | Grants |
| Revenue | 55187842 | Revenue |
| Description | TRINITY HOSPITALS LABORATORY IS STAFFED 24/7, 365 DAYS A YEAR TO SERVE HOSPITAL, CLINIC AND OUTREACH PATIENTS. OUR PURPOSE IS TO PROVIDE LABORATORY TESTING TO AID THE PROVIDER IN DIAGNOSIS, TREATMENT, AND FOLLOW-UP OF DISEASE AND WELLNESS. WE PROVIDE ROUTINE TESTING FREE OF CHARGE TO THE COMMUNITY "FREE CLINIC"; HAVE DONE PSA SCREENINGS AT THE NORTH DAKOTA STATE FARE; AND DO SOME SCREENING TESTS FOR COMPANIES IN TOWN. WE HAVE PHLEBOTOMIST WHO GOES TO ASSISTED LIVING FACILITIES, NURSING HOMES, AND PRIVATE HOMES TO DRAW BLOOD. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 10617572 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 55187842 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 200433919 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 1 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 2 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | MAX OWENS | NamePerson |
| Telephone Number | 7018575160 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 5020 | AddressLine1 |
| City | MINOT | City |
| State | ND | State |
| ZIP Code | 58702 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (21 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|
| PATRICK HOLIEN | ||||||||
| CHAIRMAN | 2.00 | X | X | 0 | 0 | 0 | ||
| TIMOTHY MIHALICK | ||||||||
| VICE CHAIRMAN | 2.00 | X | X | 0 | 0 | 0 | ||
| BLAINE DESLAURIERS | ||||||||
| TREASURER | 2.00 | X | X | 0 | 0 | 0 | ||
| KAREN KREBSBACH | ||||||||
| SECRETARY | 2.00 | X | X | 0 | 0 | 0 | ||
| DAVID FULLER | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| CLARA SUE PRICE | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| MARTIN ROTHBERG MD | ||||||||
| DIRECTOR | 40.00 | X | 0 | 802667 | 34771 | |||
| KEVIN COLLINS MD | ||||||||
| DIRECTOR | 40.00 | X | 0 | 969732 | 42143 | |||
| BORGI BEELER | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| JOHN COUGHLIN | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| STEVEN LYSNE | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| DARYL SOMERVILLE | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| JOHN M KUTCH | ||||||||
| PRESIDENT/CEO | 40.00 | X | X | 0 | 402846 | 33280 | ||
| ALISON REPNOW | ||||||||
| ASSISTANT SECRETARY | 40.00 | X | 0 | 41349 | 5962 | |||
| KEVIN SEEHAFER | ||||||||
| CFO (THRU OCTOBER 2011) | 40.00 | X | 0 | 213072 | 29773 | |||
| RANDY SCHWAN | ||||||||
| VICE PRESIDENT | 40.00 | 0 | 160940 | 23895 | X | |||
| PAUL SIMONSON | ||||||||
| VICE PRESIDENT | 40.00 | 0 | 222648 | 32922 | X | |||
| THOMAS WARSOCKI | ||||||||
| VICE PRESIDENT | 40.00 | 0 | 151996 | 25850 | X | |||
| DAVE KOHLMAN | ||||||||
| VICE PRESIDENT | 40.00 | 0 | 160640 | 26327 | X | |||
| JOHN SHEENAN MD | ||||||||
| FORMER DIRECTOR | 40.00 | 0 | 141676 | 32869 | X | |||
| JEFFREY VERHEY MD | ||||||||
| FORMER DIRECTOR | 40.00 | 0 | 520810 | 42143 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 3788376 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 329935 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Fundraising Events | 32581 | FundraisingEvents |
| Related Organizations | 25000 | RelatedOrganizations |
| All Other Contributions | 2253437 | AllOtherContributions |
| Noncash Contributions | 5345 | NoncashContributions |
| Total Contributions | 2311018 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| NET PATIENT REVENUE | 621110 | 286563827 | 286563827 | ||
| DIETARY SERVICES | 722320 | 1711107 | 371780 | $1,339,327 | |
| ADMINISTRATIVE SERVICE | 561000 | 621200 | 621200 | ||
| OTHER PATIENT SERVICES | 621110 | 587212 | 587212 | ||
| LABORATORY SERVICES | 621500 | 356615 | 356615 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 142354 | TotalRevenueColumn |
| Unrelated Business Revenue | 142354 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 289982315 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 449287 | TotalRevenueColumn |
| Exclusion | $449,287 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 49826 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 38801 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 11025 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 11025 | TotalRevenueColumn |
| Exclusion | $11,025 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 1542543 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 969934 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 572609 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 572609 | TotalRevenueColumn |
| Exclusion | $572,609 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 17133 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 32581 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 11502 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5631 | TotalRevenueColumn |
| Exclusion | $5,631 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| FLOOD RECOVERY FUNDS | 900099 | 5559023 | $5,559,023 |
| VENDOR REBATES | 900099 | 464543 | $464,543 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 6023566 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 299355451 | TotalRevenueColumn |
| Related Or Exempt Function Income | 287151039 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1491949 | UnrelatedBusinessRevenue |
| Exclusion | $8,401,445 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 80570 | Total |
| Program Services | 80570 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 493604 | Total |
| Program Services | 493604 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 99219062 | Total |
| Program Services | 73462628 | ProgramServices |
| Management And General | 25673942 | ManagementAndGeneral |
| Fundraising | 82492 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4943539 | Total |
| Program Services | 3321374 | ProgramServices |
| Management And General | 1619095 | ManagementAndGeneral |
| Fundraising | 3070 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8251579 | Total |
| Program Services | 6457655 | ProgramServices |
| Management And General | 1778354 | ManagementAndGeneral |
| Fundraising | 15570 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6908840 | Total |
| Program Services | 5111180 | ProgramServices |
| Management And General | 1791752 | ManagementAndGeneral |
| Fundraising | 5908 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 451806 | Total |
| Program Services | 13093 | ProgramServices |
| Management And General | 438713 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 159333 | Total |
| Management And General | 159333 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31847384 | Total |
| Program Services | 16992990 | ProgramServices |
| Management And General | 14816897 | ManagementAndGeneral |
| Fundraising | 37497 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3890605 | Total |
| Program Services | 1272469 | ProgramServices |
| Management And General | 2613716 | ManagementAndGeneral |
| Fundraising | 4420 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9123804 | Total |
| Program Services | 3407166 | ProgramServices |
| Management And General | 5325694 | ManagementAndGeneral |
| Fundraising | 390944 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 532399 | Total |
| Program Services | 367499 | ProgramServices |
| Management And General | 164900 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8395177 | Total |
| Program Services | 4889982 | ProgramServices |
| Management And General | 3505195 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 190294 | Total |
| Program Services | 139426 | ProgramServices |
| Management And General | 50868 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 380876 | Total |
| Program Services | 172855 | ProgramServices |
| Management And General | 207361 | ManagementAndGeneral |
| Fundraising | 660 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4185713 | Total |
| Program Services | 89474 | ProgramServices |
| Management And General | 4054388 | ManagementAndGeneral |
| Fundraising | 41851 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11151174 | Total |
| Program Services | 3492655 | ProgramServices |
| Management And General | 7657988 | ManagementAndGeneral |
| Fundraising | 531 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 846783 | Total |
| Program Services | 63454 | ProgramServices |
| Management And General | 783329 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| MEDICAL SUPPLIES / DRUG | 45362726 | 45111351 | 251375 | |
| BAD DEBT EXPENSE | 35113936 | 35117803 | -3867 | |
| DUES & FEES | 1583142 | 238005 | 1345127 | 10 |
| BOOKS & SUBSCRIPTIONS | 181675 | 99450 | 82225 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 75694 | Total |
| Program Services | 39236 | ProgramServices |
| Management And General | 36458 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 273369715 | Total |
| Program Services | 200433919 | ProgramServices |
| Management And General | 72356710 | ManagementAndGeneral |
| Fundraising | 579086 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19917936 | BOY |
| EOY | 6811547 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1425844 | BOY |
| EOY | 4921844 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35465 | BOY |
| EOY | 4420 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 398360380 | BOY |
| EOY | 77468571 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 550182 | BOY |
| EOY | 662488 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6225426 | BOY |
| EOY | 7105650 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2748412 | BOY |
| EOY | 2099290 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 219008431 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 147387770 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62292807 | BOY |
| EOY | 71620661 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12212523 | BOY |
| EOY | 12138104 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4570714 | BOY |
| EOY | 386709210 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 508339689 | BOY |
| EOY | 569541785 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41440652 | BOY |
| EOY | 50504887 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 144000 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22455 | BOY |
| EOY | 29574 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 4200846 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 981285 | BOY |
| EOY | 58607 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 232145871 | BOY |
| EOY | 254266193 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 274590263 | BOY |
| EOY | 309204107 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 228808953 | BOY |
| EOY | 252711681 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4845422 | BOY |
| EOY | 7515013 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 95051 | BOY |
| EOY | 110984 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 233749426 | BOY |
| EOY | 260337678 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 508339689 | BOY |
| EOY | 569541785 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 25985736 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 602516 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
| General Explanation | SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: 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) | GeneralExplanation |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $46,049 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 46049 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | LOBBYING ACTIVITIES CONSIST OF A PORTION OF OUR ANNUAL MEMBERSHIP DUES IDENTIFIED UPON RENEWAL AS ASSOCIATED WITH LOBBYING ACTIVITY. ASSOCIATIONS INCLUDE NORTH DAKOTA HEALTHCARE ASSOCIATION, AMERICAN HOSPITAL ASSOCIATION, NORTH DAKOTA LONG TERM CARE ASSOCIATION, NATIONAL HOSPICE ASSOCATION, HEALTH POLICY CONSORTIUM, AND SECTION 508 HOSPITAL COALITION. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 1 | AgentTrusteeEtc |
| Beginning Balance | 259075 | BeginningBalance |
| Additions During Year | 13909 | AdditionsDuringYear |
| Distributions During Year | 2135 | DistributionsDuringYear |
| Ending Balance | 270849 | EndingBalance |
| Included On FS | 1 | IncludedOnFS |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 95051 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 7202 | InvestmentEarningsOrLosses |
| End Of Year Balance | 102253 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 95145 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 3902 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 3693 | GrantsOrScholarships |
| Other Expenditures | 303 | OtherExpenditures |
| End Of Year Balance | 95051 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 305323 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -214179 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 4001 | GrantsOrScholarships |
| End Of Year Balance | 95145 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 313288 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -5031 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 2934 | GrantsOrScholarships |
| End Of Year Balance | 305232 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.00000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.00000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2155215 | OtherCostOrOtherBasis |
| Book Value | 2155215 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 44142215 | OtherCostOrOtherBasis |
| Depreciation | 23432235 | Depreciation |
| Book Value | 20709980 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 19447 | OtherCostOrOtherBasis |
| Depreciation | 19447 | Depreciation |
| Book Value | 0 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 163594551 | OtherCostOrOtherBasis |
| Depreciation | 123936088 | Depreciation |
| Book Value | 39658463 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 9097003 | OtherCostOrOtherBasis |
| Book Value | 9097003 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 71620661 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| INVESTMENT IN UMCSC UNIT | 50000 |
| DUE FROM AFFILIATES | 386659210 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 386709210 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO AFFILIATES | $248,289,418 |
| ESTIMATED 3RD PARTY SETTLEMENTS | $5,976,775 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 254266193 | TotalOfAmounts |
| Total Revenue | 299355451 | TotalRevenue |
| Total Expenses | 273369715 | TotalExpenses |
| Excess Or Deficit For Year | 25985736 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -571088 | NetUnrealizedGLOnInvestments |
| Prior Period Adjustments | 2402316 | PriorPeriodAdjustments |
| Other | -$1,228,712 | OtherAmount |
| Total Adjustments | 602516 | TotalAdjustments |
| Excess Or Deficit Per FS | 26588252 | ExcessOrDeficitPerFS |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART IV, LINE 1B: | TO PROVIDE PUBLIC EDUCATION FOR HOSPICE CARE. | |
| PART IV, LINE 2B: | RESIDENT TRUST FUNDS ARE RESIDENT FUNDS 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 PROVIDE FUNDS FOR STAFF EDUCATION AND SCHOLARSHIPS AND FOR THE PURCHASE OF NEW EQUIPMENT. | DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: |
| PART X: | TRINITY HEALTH AND THE FOLLOWING SUBSIDIARIES, TRINITY HOSPITALS, TRINITY HOMES, TRINITY HEALTH FOUNDATION, TRINITY KENMARE HOSPITAL AND COMMUNITY ABMULANCE SERVICE HAVE ALL BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND IS EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE IRC. ALL UNRELATED BUSINESS INCOME GENERATED BY TRINITY IS SUBJECT TO FEDERAL INCOME TAX UNDER 511 OF THE IRC. TRINITY'S POLICY IS TO EVALUATE THE LIKELIHOOD THAT ITS UNCERTAIN TAX POSITIONS WILL PREVAIL UPON EXAMINATION BASED ON THE EXTENT TO WHICH THOSE POSITIONS HAVE SUBSTANTIAL SUPPORT WITHIN THE INTERNAL REVENUE CODE AND REGULATIONS, REVENUE RULINGS, COURT DECISIONS, AND OTHER EVIDENCE. IT IS THE OPINION OF MANAGEMENT THAT THE COMPANY HAS NO SIGNIFICANT UNCERTAIN TAX POSITIONS THAT WOULD BE SUBJECT TO CHANGE UPON EXAMINATION. TRINITY'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE TAX RETURNS FOR THE YEARS 2009 TO 2011 ARE OPEN TO EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: |
| NET ASSETS RELEASED FROM RESTRICTIONS -1,228,712. | PART XI, LINE 8 - OTHER ADJUSTMENTS: |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GOLF | NameOfEvent1 |
| Gross Receipts Event1 | 49714 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 32581 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 17133 | GrossRevenueEvent1 |
| Food And Beverage Event1 | 4306 | FoodAndBeverageEvent1 |
| Entertainment Event1 | 5500 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 1696 | OtherDirectExpensesEvent1 |
| Gross Receipts Total | 49714 | GrossReceiptsTotal |
| Charitable Contributions Total | 32581 | CharitableContributionsTotal |
| Gross Revenue Total Events | 17133 | GrossRevenueTotalEvents |
| Food And Beverage Total Events | 4306 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 5500 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 1696 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 11502 | DirectExpenseSummaryEvents |
| Net Income Summary | 5631 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent150 | X | Pcent150 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent250 | X | Pcent250 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 0 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2137527 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2137527 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00900 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 17530061 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 17193830 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 336231 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00140 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 19667588 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 17193830 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2473758 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01040 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 19667588 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 17193830 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2473758 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01040 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 26 | NumberOfActivitiesOrPrograms |
| Persons Served | 4640 | PersonsServed |
| Total Community Building Expense | 93751 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 93751 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 26 | NumberOfActivitiesOrPrograms |
| Persons Served | 4640 | PersonsServed |
| Total Community Building Expense | 93751 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 93751 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $35,117,803 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 70816039 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 58997794 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 11818245 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 3 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (3 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Teaching HospitalTeachingHospital | Er24 HoursEr24Hours | Critical Access HospitalCriticalAccessHospital |
|---|---|---|---|---|---|---|---|---|---|
| TRINITY HOSPITAL | |||||||||
| 1 | ONE BURDICK EXPRESSWAY WEST | MINOT | ND | 58701 | X | X | X | X | |
| TRINITY HOSPITAL ST JOSEPH'S | |||||||||
| 2 | 407 3RD STREET SE | MINOT | ND | 58701 | X | X | |||
| TRINITY KENMARE HOSPITAL | |||||||||
| 3 | PO BOX 697 | KENMARE | ND | 587460697 | X | X | X | ||
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (3 entries)
| Hospital Facility NumberHospitalFacilityNumber | Eligibility Criteria ExplainedEligibilityCriteriaExplained | Uses FPG FreeUsesFPGFree | FPG Free PercentFPGFreePercent | Uses FPG DiscountedUsesFPGDiscounted | FPG Discount PercentFPGDiscountPercent | Explains BasisExplainsBasis | Income LevelIncomeLevel | Asset LevelAssetLevel | Insurance StatusInsuranceStatus | Medicaid MedicareMedicaidMedicare | Explains Application MethodExplainsApplicationMethod | Includes Publicity MeasuresIncludesPublicityMeasures | Posted In Emergency RoomPostedInEmergencyRoom | Posted In Admission OfficePostedInAdmissionOffice | Provided On AdmissionProvidedOnAdmission | Available On RequestAvailableOnRequest | Other PublicityOtherPublicity | Actions On NonpaymentActionsOnNonpayment | Collection ActivitiesCollectionActivities | Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy | Used Other MethodUsedOtherMethod | Amounts Generally BilledAmountsGenerallyBilled | Gross ChargesGrossCharges |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TRINITY HOSPITAL | |||||||||||||||||||||||
| 1 | 1 | 1 | 150.000000000000 | 1 | 250.000000000000 | 1 | X | X | X | X | 1 | 1 | X | X | X | X | X | 1 | 0 | 1 | X | 0 | 0 |
| TRINITY HOSPITAL ST JOSEPH'S | |||||||||||||||||||||||
| 2 | 1 | 1 | 150.000000000000 | 1 | 250.000000000000 | 1 | X | X | X | X | 1 | 1 | X | X | X | X | X | 1 | 0 | 1 | X | 0 | 0 |
| TRINITY KENMARE HOSPITAL | |||||||||||||||||||||||
| 3 | 1 | 1 | 150.000000000000 | 1 | 250.000000000000 | 1 | X | X | X | X | 1 | 1 | X | X | X | X | X | 1 | 0 | 1 | X | 0 | 0 |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 13 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (13 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| TRINITY HOMES | ||||
| 305 8TH AVENUE NE | MINOT | ND | 58701 | SKILLED NURSING HOME |
| 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 |
| PLAZA 16 | ||||
| 2815 16TH STREET SW | MINOT | ND | 58701 | PROVIDER-BASED CLINIC |
| TRINITY COMMUNITY CLINIC KENMARE | ||||
| 307 1ST AVENUE NW | KENMARE | ND | 58746 | RURAL HEALTH CLINIC |
| TRINITY HOSPITALS HOME HEALTHHOSPICE | ||||
| 1015 SOUTH BROADWAY SUITE 306 | MINOT | ND | 58701 | HOME HEALTH & HOSPICE |
| TRINITY HOSPITALS | ||||
| HOSPITAL ROAD | BELCOURT | ND | 58316 | DIALYSIS SERVICES |
Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)
| ExplanationExplanation | IdentifierIdentifier |
|---|---|
| PART I, LINE 7: TRINITY'S COMMUNITY BENEFIT EXPENSES AND REVENUES WERE CALCULATED USING THE IRS WORKSHEETS PROVIDED IN THE INSTRUCTIONS TO THE 2011 FORM 990, SCHEDULE H. | |
| PART I, L7 COL(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.TRINITY ALSO 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 O 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 LINES 2 AND 3. | |
| PART III, LINE 4: FROM THE NOTE 1, "PATIENT AND RESIDENT ACCOUNTS RECEIVABLE, NET":"PATIENT RECEIVABLES DUE DIRECTLY FROM PATIENTS ARE CARRIED AT THE ORIGINAL CHARGE FOR THE SERVICE PROVIDED LESS AMOUNTS COVERED BY THIRD-PARTY PAYORS AND LESS AN ESTIMATED ALLOWANCE FOR DOUBTFUL RECEIVABLES BASED ON A REVIEW OF ALL OUTSTANDING AMOUNTS ON A MONTHLY BASIS. MANAGEMENT DETERMINES THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BY IDENTIFYING TROUBLED ACCOUNTS, BY HISTORICAL EXPERIENCE APPLIED TO AN AGING OF ACCOUNTS AND BY CONSIDERING THE PATIENTS' FINANCIAL HISTORY, CREDIT HISTORY AND CURRENT ECONOMIC CONDITIONS. AT JUNE 30, 2012, THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS WAS APPROXIMATELY $70,882,000."PATIENT RECEIVABLES ARE WRITTEN OFF WHEN DEEMED UNCOLLECTIBLE. RECOVERIES OF RECEIVABLES PREVIOUSLY WRITTEN OFF ARE RECORDED AS A RECOVERY OF BAD DEBT WHEN RECEIVED." | |
| 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 V, SECTION B, LINE 13G: PATIENTS IDENTIFIED AS POSSIBLE FINANCIAL ASSISTANCE CASES ARE ASKED TO BE COPMLETE A FINANCIAL ASSISTANCE FORM AND ARE REFERRED TO THE APPROPRIATE COUNSELOR. | TRINITY HOSPITAL |
| PART V, SECTION B, LINE 13G: PATIENTS IDENTIFIED AS POSSIBLE FINANCIAL ASSISTANCE CASES ARE ASKED TO BE COPMLETE A FINANCIAL ASSISTANCE FORM AND ARE REFERRED TO THE APPROPRIATE COUNSELOR. | TRINITY HOSPITAL ST. JOSEPH'S |
| PART V, SECTION B, LINE 13G: PATIENTS IDENTIFIED AS POSSIBLE FINANCIAL ASSISTANCE CASES ARE ASKED TO BE COPMLETE A FINANCIAL ASSISTANCE FORM AND ARE REFERRED TO THE APPROPRIATE COUNSELOR. | TRINITY KENMARE HOSPITAL |
| PART V, SECTION B, LINE 19D: THE HOSPITAL FACILITY USED THE AVERAGE OF ALL COMMERCIAL INSURANCE RATES WHEN CALCULATING THE MAXIMUM AMOUNT THAT CAN BE CHARGED. | TRINITY HOSPITAL |
| PART V, SECTION B, LINE 19D: 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 19D: THE HOSPITAL FACILITY USED THE AVERAGE OF ALL COMMERCIAL INSURANCE RATES WHEN CALCULATING THE MAXIMUM AMOUNT THAT CAN BE CHARGED. | TRINITY KENMARE HOSPITAL |
| 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 WILL BE COMPLETED BY JUNE 30, 2013. | |
| 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 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. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 0 | RecordsMaintained |
Recipient Table RecipientTable (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| MINOT FAMILY YMCA | |||||||
| PO BOX 69 | MINOT | ND | 58702 | 450237612 | 501(C)(3) | 50000 | FACILITY EXPANSION |
| NORSK HOSTFEST ASSOCIATION | |||||||
| PO BOX 1347 | MINOT | ND | 58702 | 450353644 | 501(C)(3) | 23400 | SPONSORSHIP |
| NORTH DAKOTA STATE FAIR | |||||||
| PO BOX 1796 | MINOT | ND | 58702 | 450215346 | 501(C)(3) | 7170 | SPONSORSHIP |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 3 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | INDIVIDUAL GRANTS WERE GIVEN FOR HARDSHIPS AND FLOOD RELIEF. | TypeOfGrant |
| Number Of Recipients | 715 | NumberOfRecipients |
| Amount Of Cash Grant | 493604 | AmountOfCashGrant |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: TRINITY HEALTH & AFFILIATES DOES NOT HAVE A PROCEDURE FOR MONITORING USE OF GRANT FUNDS. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | X | FirstClassOrCharterTravel |
| Written Policy Re T And E Expenses | 0 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 0 | SubstantiationRequired |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARTIN ROTHBERG MD | |||||||||||||
| 0 | 775584 | 0 | 27083 | 0 | 0 | 0 | 23704 | 0 | 11067 | 0 | 837438 | 0 | 0 |
| KEVIN COLLINS MD | |||||||||||||
| 0 | 441451 | 0 | 510611 | 0 | 17670 | 0 | 23704 | 0 | 18439 | 0 | 1011875 | 0 | 0 |
| JOHN M KUTCH | |||||||||||||
| 0 | 402846 | 0 | 0 | 0 | 0 | 0 | 23704 | 0 | 9576 | 0 | 436126 | 0 | 0 |
| KEVIN SEEHAFER | |||||||||||||
| 0 | 213072 | 0 | 0 | 0 | 0 | 0 | 22204 | 0 | 7569 | 0 | 242845 | 0 | 0 |
| RANDY SCHWAN | |||||||||||||
| 0 | 160940 | 0 | 0 | 0 | 0 | 0 | 17098 | 0 | 6797 | 0 | 184835 | 0 | 0 |
| PAUL SIMONSON | |||||||||||||
| 0 | 220848 | 0 | 0 | 0 | 1800 | 0 | 23686 | 0 | 9236 | 0 | 255570 | 0 | 0 |
| THOMAS WARSOCKI | |||||||||||||
| 0 | 151996 | 0 | 0 | 0 | 0 | 0 | 16789 | 0 | 9061 | 0 | 177846 | 0 | 0 |
| DAVE KOHLMAN | |||||||||||||
| 0 | 159289 | 0 | 0 | 0 | 1351 | 0 | 17243 | 0 | 9084 | 0 | 186967 | 0 | 0 |
| JOHN SHEENAN MD | |||||||||||||
| 0 | 137309 | 0 | 0 | 0 | 4367 | 0 | 14973 | 0 | 17896 | 0 | 174545 | 0 | 0 |
| JEFFREY VERHEY MD | |||||||||||||
| 0 | 290443 | 0 | 130000 | 0 | 100367 | 0 | 23704 | 0 | 18439 | 0 | 562953 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART I, LINE 1A | TRINITY HEALTH OWNS THEIR OWN AIRPLANE AND DURING FY 2012 OFFICERS USED THIS PLANE FOR BUSINESS USE TRAVEL. BECAUSE THE USE WAS RESTRICTED FOR BUSINESS THIS DID NOT EFFECT THE OFFICER'S COMPENSATION. | |
| PART III | 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 | SUPPLEMENTAL INFORMATION |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 1 | THE EXECUTIVE COMMITTEE SHALL CONSISTE OF THE BOARD OF DIRECTORS CHAIRMAN, VICE CHAIRMAN, SECRETARY, TREASURER, AND ONE ADDITIONAL MEMBER OF THE BOARD OF DIRECTORS ELECTED BY THE BOARD OF DIRECTORS AT ITS FIRST MEETING AFTER ITS ELECTION. THE EXECUTIVE COMMITTEE SHALL HAVE POWER TO TRANSACT ALL REGULAR BUSINESS OF CORPORATION DURING THE PERIOD BETWEEN THE MEETINGS OF THE BOARD OF DIRECTORS, SUBJECT TO ANY PRIOR LIMITATION IMPOSED BY THE BOARD OF DIRECTORS AND WITH THE UNDERSTANDING THAT ALL MATTERS OF MAJOR IMPORTANCE WILL BE REFERRED TO THE BOARD OF DIRECTORS. | |
| FORM 990, PART VI, SECTION A, LINE 6 | TRINITY HEALTH SHALL BE 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, SHALL APPOINT THE BOARD OF DIRECTORS. AT LEAST SEVEN OF THE BOARD OF DIRECTORS SHALL 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 IS, AT THE TIME OF ELECTION, A MEMBER OF THE BOARD OF DIRECTORS OF TRINITY HEALTH SUBSEQUENTLY CEASES TO BE A MEMBER OF SUCH BOARD SHALL AUTOMATICALLY BECOME DISQUALIFIED FROM SERVING AS A DIRECTOR OF THE AFFILIATES' BOARD AND 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 SHALL BE RESERVED EXCLUSIVELY TO THE SOLE MEMBER, TRINITY HEALTH: (A) THE RIGHT TO APPROVE THE APPOINTMENT OF OFFICERS OF CORPORATION; (B) THE RIGHT TO APPROVE ANY AMENDMENTS TO THE ARTICLES OF INCORPORATION OF CORPORATION OR THESE BYLAWS; (C) THE RIGHT TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS OF CORPORATION; (D) THE RIGHT TO APPROVE THE SELECTION OF AUDITORS AND LEGAL COUNSEL FOR CORPORATION; (E) THE RIGHT TO APPROVE ANY STRATEGIC PLANS ADOPTED BY CORPORATION; (F) THE RIGHT TO 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) THE RIGHT TO CHANGE THE NUMBER OF DIRECTORS OF THE BOARD OF DIRECTORS OF CORPORATION; AND (H) THE RIGHT TO 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 IS EMAILED 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 VII, SECTION A | ALL OF THE BOARD MEMBERS OF TRINITY HEALTH & AFFILIATES, ALSO SERVE ON THE BOARD OF DIRECTORS FOR TRINITY HEALTH, A RELATED ORGANIZATION. EACH BOARD MEMBER SERVES AN AVERAGE OF 2 HOURS PER WEEK SERVING ALL ORGANIZATIONS. JOHN KUTCH, PRESIDENT/CEO OF TRINITY HEALTH & AFFILIATES, ALSO SERVES AS THE PRESIDENT/CEO FOR TRINITY HEALTH, A RELATED ORGANIZATION. ON AVERAGE, JOHN KUTCH WORKS 40 HOURS PER WEEK SERVING ALL ORGANIZATIONS. | BOARD OVERLAP |
| FORM 990, PART XI, LINE 5: | NET UNREALIZED LOSSES ON INVESTMENTS: -571,088. PRIOR PERIOD ADJUSTMENTS: 2,402,316. NET ASSETS RELEASED FROM RESTRICTIONS -1,228,712. TOTAL TO FORM 990, PART XI, LINE 5: 602,516. | CHANGES IN NET ASSETS OR FUND BALANCES: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY AMBULANCE SERVICE OF MINOT INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 305 11TH AVENUE SW | AddressLine1 |
| City | MINOT | City |
| State | ND | State |
| ZIP Code | 58701 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 450363593 | EIN |
| Primary Activities | AMBULANCE SERVICES | PrimaryActivities |
| Legal Domicile State | ND | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Public Charity Status | LINE 11A, I | PublicCharityStatus |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRINITY HEALTH | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Org | 0 | ControlledOrg |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MEDICAL ARTS OUTPATIENT SERVICES INC | ||||||||||||
| 400 BURDICK EXPRESSWAY EAST | MINOT | ND | 58701 | 450278212 | RETAIL PHARMACY & DURABLE MEDICAL EQUIPMENT | ND | TRINITY HOSPITALS | C | 11679074 | 6152277 | 1.00000 | |
| B&B DRUG INC | ||||||||||||
| 20 BURDICK EXPRESSWAY EAST | MINOT | ND | 58701 | 450260565 | RETAIL DRUG STORE | ND | C | N/A | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEDICAL ARTS OUTPATIENT SERVICES INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | A | TransactionType |
| Amount Involved | 72000 | AmountInvolved |
| Method Of Amt Determination | FMV | MethodOfAmtDetermination |
Affiliate Listing AffiliateListing
Affiliate Affiliate (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Name ControlNameControl |
|---|---|---|---|---|---|
| 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 |