TRINITY HEALTH: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- TRINITY HEALTH (EIN 45-0226558)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-05-15
- IRS object ID
- 201341359349306599
- 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 D
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
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 | 450226558 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRINITY HEALTH | 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 | 58702 | 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 | 2016-02-24 21:20:13Z | 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 | 58702 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 85835139 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.TRINITYHEALTH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1929 | YearFormation |
| State Legal Domicile | ND | StateLegalDomicile |
| Activity Or Mission Description | PROVIDE HEALTH EDUCATION & HEALTHCARE SERVICES TO RESIDENTS OF CENTRAL & NORTHWEST NORTH DAKOTA. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 3753 | TotalNbrEmployees |
| Total Nbr Volunteers | 314 | TotalNbrVolunteers |
| Total Gross UBI | 465583 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 102557 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 77122957 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 83879278 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2766347 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1265774 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -79455 | OtherRevenuePriorYear |
| Other Revenue Current Year | -224607 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 79809849 | TotalRevenuePriorYear |
| Total Revenue Current Year | 84920445 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 4029 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 25000 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 65844876 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 75318064 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 28539608 | OtherExpensePriorYear |
| Other Expenses Current Year | 29359991 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 94388513 | TotalExpensesPriorYear |
| Total Expenses Current Year | 104703055 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -14578664 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -19782610 | RevenuesLessExpensesCY |
| Total Assets BOY | 357232945 | TotalAssetsBOY |
| Total Assets EOY | 313704511 | TotalAssetsEOY |
| Total Liabilities BOY | 498252150 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 484477208 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -141019205 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -170772697 | 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 | 68734399 | Expense |
| Grants | 25000 | Grants |
| Revenue | 58895471 | Revenue |
| Description | TRINITY HEALTH PROVIDES EDUCATION AND HEALTHCARE SERVICES FOR RESIDENTS OF CENTRAL AND NORTHWEST NORTH DAKOTA AND NORTHEASTERN MONTANA. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 7657958 | Expense |
| Grants | 0 | Grants |
| Revenue | 10694435 | Revenue |
| Description | TRINITY HEALTH PROVIDES OPTOMETRY SERVICES FOR GENERAL EYECARE AND EYE TESTING FOR OPTICAL AIDS; OPHTHALMOLOGY WHO PROVIDE COMPREHENSIVE EYE AND VISION CARE, INCLUDING SURGERY TO REPAIR AND ENHANCE VISION; OPTOMETRY WHO PROVIDES GENERAL EYECARE AND EYE TESTING FOR OPTICAL AIDS AND OPTICAL SALE OF CONTACT LENS AND EYEGLASSES. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 7371940 | Expense |
| Grants | 0 | Grants |
| Revenue | 11270672 | Revenue |
| Description | TRINITY HEALTH RADIOLOGISTS ARE HIGHLY TRAINED AND SKILLED AT ASSESSING AND INTERPRETING X-RAYS, CT, NUCLEAR MEDICINE, ULTRASOUND, MRI SCANS, AND MAMMOGRAPHY IMAGES. THEIR INTERPRETATION IS USED BY REFERRING PHYSICIANS, WHO ARE LESS WELL-TRAINED TO PLAN AND MANAGE PATIENT CARE. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 5843637 | Expense |
| Grants | 0 | Grants |
| Revenue | 3018700 | Revenue |
| Description | TRINITY HEALTH HOSPITALISTS PROVIDE AND COORDINATE ALL ASPECTS OF INPATIENT AND OBSERVATION CARE FOR TRINITY HOSPITALS. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 5843637 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 3018700 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 89607934 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | 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 | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 1 | 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 | 1 | 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 | 272 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 3753 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| 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 | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | 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 | 1 | 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 (26 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | 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 | 802667 | 0 | 34771 | ||||
| KEVIN COLLINS MD | |||||||||
| DIRECTOR | 40.00 | X | 969732 | 0 | 42143 | ||||
| BORGI BEELER | |||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||||
| JOHN COUGHLIN | |||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||||
| STEVE LYNSE | |||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||||
| DARYL SOMERVILLE | |||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||||
| JOHN KUTCH | |||||||||
| PRESIDENT/CEO | 20.00 | X | X | 402846 | 0 | 33280 | |||
| ALISON REPNOW | |||||||||
| ASSISTANT SECRETARY | 40.00 | X | 41349 | 0 | 5962 | ||||
| KEVIN SEEHAFER | |||||||||
| CFO (THRU OCTOBER 2011) | 20.00 | X | 213072 | 0 | 29773 | ||||
| RANDY SCHWAN | |||||||||
| VICE PRESIDENT | 20.00 | 160940 | 0 | 23895 | X | ||||
| PAUL SIMONSON | |||||||||
| VICE PRESIDENT | 20.00 | 222649 | 0 | 32922 | X | ||||
| THOMAS WARSOCKI | |||||||||
| VICE PRESIDENT | 20.00 | 151996 | 0 | 25850 | X | ||||
| DAVE KOHLMAN | |||||||||
| VICE PRESIDENT | 20.00 | 160640 | 0 | 26327 | X | ||||
| JUAN ULLOA MD | |||||||||
| PHYSICIAN | 40.00 | 1148663 | 0 | 42143 | X | ||||
| MICHAEL MCMAHON MD | |||||||||
| PHYSICIAN | 40.00 | 1127799 | 0 | 42143 | X | ||||
| DAVID BILLINGS MD | |||||||||
| PHYSICIAN | 40.00 | 902524 | 0 | 42143 | X | ||||
| RAVINDRA JOSHI MD | |||||||||
| PHYSICIAN | 40.00 | 1270773 | 0 | 42143 | X | ||||
| SAMIR TURK MD | |||||||||
| PHYSICIAN | 40.00 | 1316552 | 0 | 42143 | X | ||||
| JOHN SHEEHAN MD | |||||||||
| FORMER DIRECTOR | 40.00 | 141676 | 0 | 32869 | X | ||||
| JEFFREY VERHEY MD | |||||||||
| FORMER DIRECTOR | 40.00 | 520810 | 0 | 42143 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 9554688 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 540650 | TotalOtherCompensation |
| Number Individuals GT100 K | 226 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| COMMUNITY AMBULANCE SERVICE OF MINOT | |||||
| PO BOX 2195 | MINOT | ND | 58702 | AMBULANCE SERVICES | 2558065 |
| DELTA LOCUM TENES LP | |||||
| PO BOX 678082 | DALLAS | TX | 75267 | LOCUM PHYSICIAN SERVICES | 1707971 |
| COMPHEALTH MEDICAL STAFFING | |||||
| PO BOX 972651 | DALLAS | TX | 75397 | LOCUM PHYSICIAN SERVICES | 1651845 |
| UNITED BLOOD SERVICE | |||||
| PO BOX 53022 | PHOENIX | AZ | 85072 | BLOOD SERVICES | 1576494 |
| CREATIVE RADIOLOGY SOLUTIONS PC | |||||
| 1724 13TH STREET NW | MINOT | ND | 58703 | LOCUM PHYSICIAN SERVICES | 1200000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 55 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| NET PATIENT REVENUE | 621110 | 80765999 | 80765999 | |
| OTHER PATIENT REVENUE | 621110 | 2647696 | 2647696 | |
| OPTICAL SALES | 446199 | 365583 | 365583 | |
| MAOPS & B&B/NORTHWEST | 561000 | 100000 | 100000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 83879278 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 767413 | TotalRevenueColumn |
| Exclusion | $767,413 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 401519 | TotalRevenueColumn |
| Exclusion | $401,519 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 837013 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 914694 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -77681 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -77681 | TotalRevenueColumn |
| Exclusion | -$77,681 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 96842 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 96842 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 96842 | TotalRevenueColumn |
| Exclusion | $96,842 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | JOINT VENTURE REVENUE | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | -146926 | TotalRevenueColumn |
| Exclusion | -$146,926 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | -146926 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 84920445 | TotalRevenueColumn |
| Related Or Exempt Function Income | 83413695 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 465583 | UnrelatedBusinessRevenue |
| Exclusion | $1,041,167 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25000 | Total |
| Program Services | 25000 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3642665 | Total |
| Program Services | 1849313 | ProgramServices |
| Management And General | 1793352 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 63670435 | Total |
| Program Services | 63641261 | ProgramServices |
| Management And General | 29174 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3224782 | Total |
| Program Services | 3139897 | ProgramServices |
| Management And General | 84885 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2192213 | Total |
| Program Services | 1935020 | ProgramServices |
| Management And General | 257193 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2587969 | Total |
| Program Services | 2458467 | ProgramServices |
| Management And General | 129502 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10476755 | Total |
| Program Services | 9943182 | ProgramServices |
| Management And General | 533573 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 773938 | Total |
| Program Services | 64458 | ProgramServices |
| Management And General | 709480 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 390630 | Total |
| Program Services | 263081 | ProgramServices |
| Management And General | 127549 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 193522 | Total |
| Program Services | 7807 | ProgramServices |
| Management And General | 185715 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4012974 | Total |
| Program Services | 898564 | ProgramServices |
| Management And General | 3114410 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 87056 | Total |
| Program Services | 80993 | ProgramServices |
| Management And General | 6063 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 61617 | Total |
| Program Services | 41742 | ProgramServices |
| Management And General | 19875 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 427887 | Total |
| Management And General | 427887 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1377758 | Total |
| Program Services | 532836 | ProgramServices |
| Management And General | 844922 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 626344 | Total |
| Program Services | 626344 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT EXEPENSE | 7733648 | 1264852 | 6468796 |
| MEDICAL SUPPLIES / DRUG | 2168350 | 2158590 | 9760 |
| CME | 565379 | 565379 | 0 |
| DUES & FEES | 444440 | 97362 | 347078 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19693 | Total |
| Program Services | 13786 | ProgramServices |
| Management And General | 5907 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 104703055 | Total |
| Program Services | 89607934 | ProgramServices |
| Management And General | 15095121 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 798817 | BOY |
| EOY | 1284055 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 357323 | BOY |
| EOY | 850449 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 303970913 | BOY |
| EOY | 2138844 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 16729 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5546734 | BOY |
| EOY | 2681901 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 476764 | BOY |
| EOY | 541869 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 157398 | BOY |
| EOY | 56058 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 57764721 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 25673272 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17240675 | BOY |
| EOY | 32091449 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7556389 | BOY |
| EOY | 10573565 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2447036 | BOY |
| EOY | 250000 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18680896 | BOY |
| EOY | 263219592 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 357232945 | BOY |
| EOY | 313704511 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 415048080 | BOY |
| EOY | 13030895 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 83204070 | BOY |
| EOY | 83067160 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 388379153 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 498252150 | BOY |
| EOY | 484477208 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -141019205 | BOY |
| EOY | -170772697 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -141019205 | BOY |
| EOY | -170772697 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 357232945 | BOY |
| EOY | 313704511 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -19782610 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -9970882 | 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 | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type1 | X | SupportingOrg509a3Type1 |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | 0 | ContribByControllingIndividual |
| Contribution By Related Party | 0 | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | 0 | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation (4 entries)
| EINEIN | Type Of OrganizationTypeOfOrganization | Listed In Governing DocListedInGoverningDoc | Supported Organization NotifiedSupportedOrganizationNotified | Organized In USOrganizedInUS | AmountAmount |
|---|---|---|---|---|---|
| TRINITY HOSPITALS | |||||
| 412002771 | 3 | 1 | 1 | 1 | $25,000 |
| TRINITY KENMARE HOSPITAL | |||||
| 412002769 | 3 | 1 | 1 | 1 | $0 |
| TRINITY HOMES | |||||
| 450404412 | 9 | 1 | 1 | 1 | $0 |
| TRINITY HEALTH FOUNDATION | |||||
| 450215346 | 11 | 1 | 1 | 1 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 4 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 25000 | SumOfAmounts |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 0 | BeginningOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 0 | BeginningOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 305323 | BeginningOfYearBalance |
| Other Expenditures | 305323 | OtherExpenditures |
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 | 305323 | EndOfYearBalance |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6823304 | OtherCostOrOtherBasis |
| Book Value | 6823304 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 8548247 | OtherCostOrOtherBasis |
| Depreciation | 5800399 | Depreciation |
| Book Value | 2747848 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3519796 | OtherCostOrOtherBasis |
| Depreciation | 1380448 | Depreciation |
| Book Value | 2139348 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 23841692 | OtherCostOrOtherBasis |
| Depreciation | 18021114 | Depreciation |
| Book Value | 5820578 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 15031682 | OtherCostOrOtherBasis |
| Depreciation | 471311 | Depreciation |
| Book Value | 14560371 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 32091449 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (5 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| FUNDS HELD BY TRUSTEE - BOND RESERVE | 7556390 |
| FUNDS HELD BY TRUSTEE - DEBT SERVICE | 5554772 |
| DEFERRED FINANCING COSTS | 889222 |
| PLEDGED INVESTMENTS FROM AFFILIATE | 5500000 |
| DUE FROM AFFILIATES | 243719208 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 263219592 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ASSET RETIREMENT OBLIGATION | $8,126,800 |
| DUE TO AFFILIATES | $380,252,353 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 388379153 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X: | ReturnReference |
| Explanation | 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. | Explanation |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRINITY HEALTH & AFFILIATES | BusinessNameLine1 |
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) |
|---|---|---|
| EIN Of Recipient | 331007002 | EINOfRecipient |
| IRC Section | 501(C)(3) | IRCSection |
| Amount Of Cash Grant | 25000 | AmountOfCashGrant |
| Purpose Of Grant | TO SUPPORT GENERAL OPERATIONS. | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
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: DONATIONS MADE DURING THE YEAR WERE TO A RELATED AFFILIATE UNDER COMMON MANAGEMENT AND WERE MONITORED AS PART OF THE INTERNAL FINANCIAL REPORTING PROCESS. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | X | FirstClassOrCharterTravel |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| 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 (15 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 | |||||||||||||
| 775584 | 0 | 27083 | 0 | 0 | 0 | 23704 | 0 | 11067 | 0 | 837438 | 0 | 0 | 0 |
| KEVIN COLLINS MD | |||||||||||||
| 441451 | 0 | 510611 | 0 | 17670 | 0 | 23704 | 0 | 18439 | 0 | 1011875 | 0 | 0 | 0 |
| JOHN KUTCH | |||||||||||||
| 402846 | 0 | 0 | 0 | 0 | 0 | 23704 | 0 | 9576 | 0 | 436126 | 0 | 0 | 0 |
| KEVIN SEEHAFER | |||||||||||||
| 213072 | 0 | 0 | 0 | 0 | 0 | 22204 | 0 | 7569 | 0 | 242845 | 0 | 0 | 0 |
| RANDY SCHWAN | |||||||||||||
| 160940 | 0 | 0 | 0 | 0 | 0 | 17098 | 0 | 6797 | 0 | 184835 | 0 | 0 | 0 |
| PAUL SIMONSON | |||||||||||||
| 220849 | 0 | 0 | 0 | 1800 | 0 | 23686 | 0 | 9236 | 0 | 255571 | 0 | 0 | 0 |
| THOMAS WARSOCKI | |||||||||||||
| 151996 | 0 | 0 | 0 | 0 | 0 | 16789 | 0 | 9061 | 0 | 177846 | 0 | 0 | 0 |
| DAVE KOHLMAN | |||||||||||||
| 159289 | 0 | 0 | 0 | 1351 | 0 | 17243 | 0 | 9084 | 0 | 186967 | 0 | 0 | 0 |
| JUAN ULLOA MD | |||||||||||||
| 496444 | 0 | 647852 | 0 | 4367 | 0 | 23704 | 0 | 18439 | 0 | 1190806 | 0 | 0 | 0 |
| MICHAEL MCMAHON MD | |||||||||||||
| 497956 | 0 | 625476 | 0 | 4367 | 0 | 23704 | 0 | 18439 | 0 | 1169942 | 0 | 0 | 0 |
| DAVID BILLINGS MD | |||||||||||||
| 441067 | 0 | 457090 | 0 | 4367 | 0 | 23704 | 0 | 18439 | 0 | 944667 | 0 | 0 | 0 |
| RAVINDRA JOSHI MD | |||||||||||||
| 842876 | 0 | 322318 | 0 | 105579 | 0 | 23704 | 0 | 18439 | 0 | 1312916 | 0 | 0 | 0 |
| SAMIR TURK MD | |||||||||||||
| 954494 | 0 | 220307 | 0 | 141751 | 0 | 23704 | 0 | 18439 | 0 | 1358695 | 0 | 0 | 0 |
| JOHN SHEEHAN MD | |||||||||||||
| 137309 | 0 | 0 | 0 | 4367 | 0 | 14973 | 0 | 17896 | 0 | 174545 | 0 | 0 | 0 |
| JEFFREY VERHEY MD | |||||||||||||
| 290443 | 0 | 130000 | 0 | 100367 | 0 | 23704 | 0 | 18439 | 0 | 562953 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINE 1A | ReturnReference |
| Explanation | 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. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COUNTY OF WARD ND HEALTH CARE FACILITIES REVENUE BONDS SERIES 2006 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 456002248 | IssuerEIN |
| CUSIP Number | 934023EMO | CUSIPNumber |
| Date Issued | 2006-11-01 | DateIssued |
| Issue Price | 78145000 | IssuePrice |
| Description Of Purpose | SEE PART VI | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amount Retired | 5320000 | AmountRetired |
| Total Proceeds | 78145000 | TotalProceeds |
| Amount In Reserve Fund | 6538606 | AmountInReserveFund |
| Refunding Escrow | 71402536 | RefundingEscrow |
| Issuance Costs From Proceeds | 712412 | IssuanceCostsFromProceeds |
| Amount Unspent | 203858 | AmountUnspent |
| Year Of Subst Completion | 2006 | YearOfSubstCompletion |
| Current Refunding | 0 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 0 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 1 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 1 | MngmentCntrctBondFinancdPrprty |
| Engage Bond Counsel Contracts | 0 | EngageBondCounselContracts |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Percentage Of Prvt Business Re UBI | 0.01810 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.01810 | TotalPrivateBusinessUse |
| Post Issuance Compliance Procdrs | 1 | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | 0 | Form8038TFiled |
| Variable Rate Issue | 0 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Exception To Rebate | 0 | ExceptionToRebate |
Form990 Schedule K Part VI Form990ScheduleKPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE K, PART I, COLUMN F | Identifier |
| Return Reference | DESCRIPTION OF PURPOSE OF BONDS | ReturnReference |
| Explanation | PROCEEDS OF THE SERIES 2006 BONDS WERE USED (I) TO CURRENTLY REFUND THE COUNTY OF WARD, NORTH DAKOTA, ADJUSTABLE RATE DEMAND HEALTH CARE REVENUE BONDS (TRINITY OBLIGATED GROUP) TAX-EXEMPT SERIES 2002A (THE "SERIES 2002 BONDS"), OUTSTANDING IN THE AMOUNT OF $58,615,000, (II) TO FUND A TERMINATION PAYMENT FOR THE INTEREST RATE SWAP ASSOCIATED WITH THE SERIES 2002 BONDS, (III) TO ADVANCE REFUND THE COUNTY OF WARD, NORTH DAKOTA HEALTH CARE FACILITIES REVENUE REFUNDING BONDS (TRINITY OBLIGATED GROUP) SERIES 1996A (THE "SERIES 1996A BONDS"), OUTSTANDING IN THE AMOUNT OF $9,400,000, (IV) TO FINANCE OR REIMBURSE THE CORPORATION FOR THE COSTS OF CERTAIN RENOVATION, REMODELING, AND EQUIPPING OF ITS HEALTH CARE FACILITIES (THE "PROJECT"), (V) TO FUND A DEPOSIT TO A DEBT SERVICE RESERVE FUND, AND (VI) TO PAY CERTAIN EXPENSES RELATING TO THE ISSUANCE OF THE SERIES 2006 BONDS AND THE REFUNDING OF THE SERIES 2002 BONDS AND THE SERIES 1996A BONDS. | Explanation |
Schedule L IRS990ScheduleL
Loan Table LoanTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | KEVIN COLLINS | NamePerson |
| Purpose Of Loan | RECRUITMENT & RETENTION | PurposeOfLoan |
| Loan From Organization | X | LoanFromOrganization |
| Original Principal | $150,000 | OriginalPrincipalAmount |
| Balance Due | 16729 | BalanceDue |
| Default | 0 | Default |
| Approved By Board | 1 | ApprovedByBoard |
| Written Agreement | 1 | WrittenAgreement |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 16729 | TotalBalanceDue |
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DARYL SOMERVILLE | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | OWNER OF MINOT TOWN AND COUNTRY INVESTORS, LLC | Relationship |
| Amount Of Transaction | 240319 | AmountOfTransaction |
| Description Of Transaction | TRINITY HEALTH PAID RENT TO MINOT TOWN AND COUNTRY INVESTORS, LLC | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 1 | THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE BOARD OF DIRECTORS' CHAIRMAN, VICE CHAIRMAN, PRESIDENT, 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 THE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE CORPORATION DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD OF DIRECTORS, SUBJECT TO ANY PRIOR LIMITATION IMPOSED BY THE BOARD OF DIRECTORS AND WITH THE UNDERSTANDING THAT AL LMATTERS OF MAJOR IMPORTANCE WILL BE REFERRED TO THE BOARD OF DIRECTORS. | |
| 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 FOR REVIEW. | |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL SALARIED EMPLOYEES (AT MANAGER LEVEL AND ABOVE AS DETERMINED BY TRINITY) AND SUCH OTHER EMPLOYEES AS FROM TIME TO TIME MAY BE DIRECTED TO DO SO, ARE REQUIRED TO COMPLETE TRINITY HEALTH'S CONFLICT OF INTEREST STATEMENT ON AN ANNUAL BASIS. ANY EMPLOYEE WHO HAS ASSUMED, OR IS ABOUT TO ASSUME, A FINANCIAL OR OTHER INTEREST OR RELATIONSHIP THAT MIGHT INVOLVE A CONFLICT OF INTEREST MUST IMMEDIATELY INFORM HIS/HER SUPERVISOR, A MEMBER OF THE COMPLIANCE COMMITTEE, OR THE COMPLIANCE OFFICER. ISSUES INVOLVING CONFLICT OF INTEREST SHALL BE REVIEWED AND A DETERMINATION OF EACH SHALL BE MADE BY THE TRINITY COMPLIANCE COMMITTEE. IF A CONFLICT EXISTS, THE CONFLICTED PERSON MUST ABSTAIN FROM DISCUSSION OF AND VOTING ON THE CONFLICTED TOPIC. | |
| FORM 990, PART VI, SECTION B, LINE 15A | THE EXECUTIVE COMMITTEE REVIEWED COMPENSATION INFORMATION FOR THE CEO PREPARED BY DELOITTE & TOUCHE. DELOITTE & TOUCHE ANALYZED FOUR COMPENSATION SURVEYS OF HEALTH CARE EMPLOYERS AND REVIEWED FORM 990 FILINGS FOR A PEER GROUP ANALYSIS. THIS PROCESS WAS LAST PERFORMED IN OCTOBER OF 2011. | |
| 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, ALSO SERVE ON THE BOARD OF DIRECTORS FOR TRINITY HEALTH & AFFILIATES, A RELATED ORGANIZATION. EACH BOARD MEMBER SERVES AN AVERAGE OF 2 HOURS PER WEEK SERVING ALL ORGANIZATIONS. JOHN KUTCH, PRESIDENT/CEO OF TRINITY HEALTH, ALSO SERVES AS THE PRESIDENT/CEO FOR TRINITY HEALTH & AFFILIATES, 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 GAINS ON INVESTMENTS: 78,345. PRIOR PERIOD ADJUSTMENTS: -10,049,227. TOTAL TO FORM 990, PART XI, LINE 5: -9,970,882. | CHANGES IN NET ASSETS OR FUND BALANCES: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| COMMUNITY AMBULANCE SERVICES OF MINOT INC | |||||||||||
| PO BOX 2195 | MINOT | ND | 58702 | 450363593 | AMBULANCE SERVICES | ND | 501(C)(3) | LINE 11A, I | TRINITY HEALTH | 1 | |
| MOUNTRAIL COUNTY MEDICAL CENTER | |||||||||||
| PO BOX 399 | STANLEY | ND | 58784 | 450447670 | MEDICAL SERVICES | ND | 501(C)(3) | LINE 3 | 0 | N/A | |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| B&B DRUG INC | ||||||||||||
| 20 BURDICK EXPRESSWAY WEST | MINOT | ND | 58701 | 450260565 | RETAIL DRUG STORE | ND | TRINITY HEALTH | C | 5301025 | 1528103 | 1.00000 | |
| MEDICAL ARTS OUTPATIENT SERVICES INC | ||||||||||||
| 400 BURDICK EXPRESSWAY EAST | MINOT | ND | 58701 | 450278212 | RETAIL PHARMACY & DURABLE MEDICAL EQUIPMENT | 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 | 1 | 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 | 1 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 1 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | 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 | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| B&B DRUG | ||
| A | 28000 | FMV |
| MEDICAL ARTS OUTPATIENT SERVICES INC | ||
| A | 16000 | FMV |
Comments