TRINITY HEALTH & AFFILIATES: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- TRINITY HEALTH & AFFILIATES (EIN 33-1007002)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2012-05-15
- IRS object ID
- 201221369349300987
- Schema version
- 2010v3.4
- 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 H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
- Affiliate Listing
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-05-15T08:27:31-05:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRADY MARTZ & ASSOCIATES PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | POST OFFICE BOX 848 | AddressLine1 |
| City | MINOT | City |
| State | ND | State |
| ZIP Code | 587020848 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-07-01 | 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 | 7018575178 | 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 | 7018575114 | Phone |
| Date Signed | 2012-05-11 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RICK AWALT CPA | Name |
| Phone | 7018520196 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | 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 | 587025020 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 246994118 | 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 |
| Year Formation | 2003 | YearFormation |
| State Legal Domicile | ND | StateLegalDomicile |
| Activity Or 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 AND HEALTH RELATED SERVICES. 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, AN 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 291 | TotalNbrVolunteers |
| Total Gross UBI | 1463013 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 994417 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2237788 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 236149423 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 242014918 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 129499 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1356665 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 173480 | OtherRevenuePriorYear |
| Other Revenue Current Year | 384049 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 237446819 | TotalRevenuePriorYear |
| Total Revenue Current Year | 245993420 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 389223 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 417699 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 106480912 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 112977763 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 684643 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 99903542 | OtherExpensePriorYear |
| Other Expenses Current Year | 125096428 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 206773677 | TotalExpensesPriorYear |
| Total Expenses Current Year | 238491890 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 30673142 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 7501530 | RevenuesLessExpensesCY |
| Total Assets BOY | 441154307 | TotalAssetsBOY |
| Total Assets EOY | 508339689 | TotalAssetsEOY |
| Total Liabilities BOY | 216139933 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 274590263 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 225014374 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 233749426 | 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 | 21613913 | Expense |
| Revenue | 20488003 | 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, PHYSICIAL THERAPY, SPEECH THERAPY, OCCUPATIONAL THERAPY, DIETETIC SERVICES, SOCIAL SERVICE AND ACTIVITIES OF DAILY LIVING ASSISTANCE, SPIRITUAL CARE AND RECREATIONAL ACTIVITIES. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 22002960 | Expense |
| Revenue | 66171734 | 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 COMPATIBILITIES, TOXICOLOGY AND NATURAL PRODUCT INFORMATION. SERVICES RANGE FROM MEDICATIONS DISPENSING TO PERFORMING COMPLEX PHARMACOKINETIC CALCULATIONS 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 | 10182506 | Expense |
| Revenue | 49685576 | Revenue |
| Description | TRINITY HOSPITALS LABORATORY IS STAFFED 24/7, 365 DAYS/YR 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 ND STATE FAIR; 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 |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 143774071 | Expense |
| Grants | 417699 | Grants |
| Revenue | 105669605 | Revenue |
| Description | TRINITY HEALTH & AFFILIATES PROVIDES HOSPITAL SERVICES TO CENTRAL AND NORTHWEST NORTH DAKOTA AND NORTHEASTERN MONTANA. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 143774071 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 417699 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 105669605 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 197573450 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 1 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| 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 | 0 | 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 | 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 | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 5 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| 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 | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | 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 | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JAMIE TOWNSEND | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | 587025020 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (36 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 |
|---|---|---|---|---|---|---|---|---|---|
| BLAINE E DESLAURIERS | |||||||||
| TREASURER | 2.00 | X | X | 0 | 0 | 0 | |||
| DAVID FULLER | |||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||||
| PATRICK HOLIEN | |||||||||
| CHAIRMAN | 2.00 | X | X | 0 | 0 | 0 | |||
| KAREN KREBSBACH | |||||||||
| SECRETARY | 2.00 | X | X | 0 | 0 | 0 | |||
| PHILIP LOWE | |||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||||
| TIMOTHY MIHALICK | |||||||||
| VICE CHAIRMAN | 2.00 | X | X | 0 | 0 | 0 | |||
| CLARA SUE PRICE | |||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||||
| MARTIN ROTHBERG MD | |||||||||
| DIRECTOR | 2.00 | X | 0 | 938535 | 53938 | ||||
| JOHN M KUTCH | |||||||||
| PRESIDENT/DIRECTOR | 20.00 | X | X | 0 | 363778 | 48150 | |||
| KEVIN COLLINS | |||||||||
| MD DIRECTOR | 40.00 | X | 0 | 655219 | 52442 | ||||
| BORGI BEELER | |||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||||
| JOHN COUGHLIN | |||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||||
| STEVEN D LYSNE | |||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||||
| DARYL SOMERVILLE | |||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||||
| KEVIN SEEHAFER | |||||||||
| CFO VICE PRESIDENT | 20.00 | X | 0 | 249412 | 41884 | ||||
| DAVID KOHLMAN | |||||||||
| VICE PRESIDENT | 20.00 | 0 | 119905 | 31418 | X | ||||
| RHONDA TANBERG | |||||||||
| ADMINISTRATOR | 40.00 | 0 | 107804 | 13835 | X | ||||
| RANDY SCHWAN | |||||||||
| VICE PRESIDENT | 20.00 | 0 | 165842 | 37534 | X | ||||
| PAUL SIMONSON | |||||||||
| VICE PRESIDENT | 20.00 | 0 | 222498 | 45486 | X | ||||
| THOMAS WARSOCKI | |||||||||
| VICE PRESIDENT | 20.00 | 0 | 156688 | 36852 | X | ||||
| SHAWNA SMOTHERS | |||||||||
| ADMINISTRATOR | 40.00 | 0 | 101490 | 13794 | X | ||||
| JOHN NELSON | |||||||||
| MD EMERGENCY MEDICINE | 40.00 | 0 | 479092 | 49888 | X | ||||
| JEFFREY SATHER | |||||||||
| MD EMERGENCY MEDICINE | 40.00 | 0 | 525267 | 50557 | X | ||||
| SCOTT KNUDSON | |||||||||
| MD EMERGENCY MEDICINE | 40.00 | 0 | 436997 | 49278 | X | ||||
| DANIAL R PADGETT | |||||||||
| MD HOSPITALISTS | 40.00 | 0 | 427487 | 39940 | X | ||||
| ASITHA R DIAS | |||||||||
| MD EMERGENCY MEDICINE | 40.00 | 0 | 362794 | 48202 | X | ||||
| TERRY G HOFF | |||||||||
| FORMER PRESIDENT/DIRECTOR | 20.00 | 0 | 20095 | 6175 | X | ||||
| JAMES JENSEN | |||||||||
| FORMER HONOROARY DIRECTOR | 2.00 | 0 | 0 | 0 | X | ||||
| JOHN SHEEHAN MD | |||||||||
| FORMER DIRECTOR | 2.00 | 0 | 141094 | 34331 | X | ||||
| JEFFREY VERHEY | |||||||||
| FORMER HONOROARY DIRECTOR | 2.00 | 0 | 532310 | 50660 | X | ||||
| CHESTER REITEN | |||||||||
| FORMER HONOROARY DIRECTOR | 2.00 | 0 | 0 | 0 | X | ||||
| ERNEST SELLAND | |||||||||
| FORMER HONOROARY DIRECTOR | 2.00 | 0 | 0 | 0 | X | ||||
| NANCY HOLMES | |||||||||
| FORMER SENIOR VICE PRESIDENT | 20.00 | 0 | 214674 | 35397 | X | ||||
| NICOLA ROED | |||||||||
| FORMER VICE PRESIDENT | 20.00 | 0 | 101248 | 9581 | X | ||||
| JULIE WALDERA | |||||||||
| FORMER VICE PRESIDENT | 20.00 | 0 | 30508 | 3473 | X | ||||
| RICK WITTMEIER | |||||||||
| FORMER ADMINISTRATOR | 40.00 | 0 | 192939 | 41339 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 6185969 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 731634 | 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 |
| All Other Contributions | 2237788 | AllOtherContributions |
| Noncash Contributions | 11144 | NoncashContributions |
| Total Contributions | 2237788 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PATIENT CARE | 541610 | 124045206 | 124045206 | |
| MEDICARE/MEDICAID | 541610 | 115265978 | 115265978 | |
| DIETARY SERVICE | 722320 | 1607965 | 1240721 | 367244 |
| ADMINSTRATIVE & SUPPOR | 561000 | 634601 | 634601 | |
| LABORATORY SERVICE | 621500 | 347355 | 347355 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 113813 | TotalRevenueColumn |
| Unrelated Business Revenue | 113813 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 242014918 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1261421 | TotalRevenueColumn |
| Exclusion | $1,261,421 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 51397 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 53397 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -2000 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -2000 | TotalRevenueColumn |
| Related Or Exempt Function Income | -2000 | RelatedOrExemptFunctionIncome |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1019882 | Securities |
| Other | 3420 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 927162 | Securities |
| Other | 896 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 92720 | Securities |
| Other | 2524 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 95244 | TotalRevenueColumn |
| Related Or Exempt Function Income | 95244 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 9875 | GrossIncomeFundraisingEvents |
| Fundraising Direct Expenses | 19243 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -9368 | TotalRevenueColumn |
| Exclusion | -$9,368 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| VENDOR REBATE | 900099 | 351374 | 351374 |
| TUITION & FEES | 900099 | 44043 | 44043 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 395417 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 245993420 | TotalRevenueColumn |
| Related Or Exempt Function Income | 241040566 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1463013 | UnrelatedBusinessRevenue |
| Exclusion | $1,252,053 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 382110 | Total |
| Program Services | 382110 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35589 | Total |
| Program Services | 35589 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 94871562 | Total |
| Program Services | 77812744 | ProgramServices |
| Management And General | 16991624 | ManagementAndGeneral |
| Fundraising | 67194 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4357428 | Total |
| Program Services | 3537074 | ProgramServices |
| Management And General | 816572 | ManagementAndGeneral |
| Fundraising | 3782 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7224818 | Total |
| Program Services | 4998220 | ProgramServices |
| Management And General | 2216867 | ManagementAndGeneral |
| Fundraising | 9731 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6523955 | Total |
| Program Services | 5441565 | ProgramServices |
| Management And General | 1077357 | ManagementAndGeneral |
| Fundraising | 5033 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 186978 | Total |
| Program Services | 1770 | ProgramServices |
| Management And General | 185208 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 90971 | Total |
| Management And General | 90971 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8311019 | Total |
| Program Services | 4287219 | ProgramServices |
| Management And General | 4016076 | ManagementAndGeneral |
| Fundraising | 7724 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1378834 | Total |
| Management And General | 1378834 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2370328 | Total |
| Program Services | 1716550 | ProgramServices |
| Management And General | 653778 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 385311 | Total |
| Program Services | 188050 | ProgramServices |
| Management And General | 196320 | ManagementAndGeneral |
| Fundraising | 941 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4298676 | Total |
| Program Services | 2709981 | ProgramServices |
| Management And General | 1542670 | ManagementAndGeneral |
| Fundraising | 46025 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11080558 | Total |
| Program Services | 4814243 | ProgramServices |
| Management And General | 6265400 | ManagementAndGeneral |
| Fundraising | 915 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 714675 | Total |
| Program Services | 365242 | ProgramServices |
| Management And General | 349433 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| SUPPLIES | 47143908 | 45560733 | 1343329 | 239846 |
| BAD DEBT EXPENSE | 29438486 | 29420335 | 18151 | |
| PURCHASED SERVICE | 10990362 | 8093146 | 2698100 | 199116 |
| RENTAL/MAINTANCE | 10020987 | 5226242 | 4794745 | |
| MEDICAL DIRECTORS | 3067524 | 2600607 | 466917 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -4382189 | Total |
| Program Services | 382030 | ProgramServices |
| Management And General | -4850404 | ManagementAndGeneral |
| Fundraising | 86185 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 238491890 | Total |
| Program Services | 197573450 | ProgramServices |
| Management And General | 40233797 | ManagementAndGeneral |
| Fundraising | 684643 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13326538 | BOY |
| EOY | 19917936 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1404324 | BOY |
| EOY | 1425844 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2756 | BOY |
| EOY | 35465 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 321966850 | BOY |
| EOY | 398360380 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 843680 | BOY |
| EOY | 550182 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5669703 | BOY |
| EOY | 6225426 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2510493 | BOY |
| EOY | 2748412 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 200615442 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 138322635 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62223300 | BOY |
| EOY | 62292807 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11658298 | BOY |
| EOY | 12212523 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21548365 | BOY |
| EOY | 4570714 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 441154307 | BOY |
| EOY | 508339689 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22687588 | BOY |
| EOY | 41440652 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 981218 | BOY |
| EOY | 800114 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 192471127 | BOY |
| EOY | 232349497 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 216139933 | BOY |
| EOY | 274590263 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 220674527 | BOY |
| EOY | 228808953 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4244702 | BOY |
| EOY | 4845422 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 95145 | BOY |
| EOY | 95051 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 225014374 | BOY |
| EOY | 233749426 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 441154307 | BOY |
| EOY | 508339689 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 7501530 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 1233522 | 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 |
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) |
|---|---|---|
| Political Expenditures | 51462 | PoliticalExpenditures |
| 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 | $51,462 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 51462 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATIONS DIRECT AND INDIRECT POLITICAL CAMPAIGN ACTIVITIES: | PART I-A, LINE 1: | LOBBYING ACTIVITIES CONSIST OF PORTION OF ANNUAL MEMBERSHIP DUES IDENTIFIED ON RENEWAL AS ASSOCIATED WITH LOBBYING ACTIVITY. ASSOCIATIONS INCLUDE ND HEALTHCARE ASSOCIATION, AMERICAN HOSPITAL ASSOCIATION, ND LONG TERM CARE ASSOCIATION, NATIONAL HOSPICE ASSOCIATION AND HEALTH POLICY CONSORTIUM. |
| EXPLANATION OF OTHER LOBBYING ACTIVITIES: | PART II-B, LINE 1I: | LOBBYING ACTIVITIES CONSIST OF PORTION OF ANNUAL MEMBERSHIP DUES IDENTIFIED ON RENEWAL AS ASSOCIATED WITH LOBBYING ACTIVITY. ASSOCIATIONS INCLUDE ND HOSPITAL ASSOCIATION, AMERICAL HOSPITAL ASSOCIATION, ND LONG TERM CARE ASSOCIATION, NATIONAL HOSPICE ASSOCIATION, HEALTH POLICY CONSORTIUM, AND SECTION 508 HOSPITAL COALITION. |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 1 | AgentTrusteeEtc |
| Beginning Balance | 226156 | BeginningBalance |
| Additions During Year | 35881 | AdditionsDuringYear |
| Distributions During Year | 2962 | DistributionsDuringYear |
| Ending Balance | 259075 | EndingBalance |
| Included On FS | 0 | IncludedOnFS |
Current Year CurrentYear
| 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 Minus1 Year CurrentYearMinus1Year
| 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 Minus2 Years CurrentYearMinus2Years
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 0.30000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.70000 | 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 | 355000 | OtherCostOrOtherBasis |
| Book Value | 355000 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 45233465 | OtherCostOrOtherBasis |
| Depreciation | 22908188 | Depreciation |
| Book Value | 22325277 | 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 | 152327414 | OtherCostOrOtherBasis |
| Depreciation | 115395000 | Depreciation |
| Book Value | 36932414 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2680116 | OtherCostOrOtherBasis |
| Book Value | 2680116 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 62292807 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| RESIDENT TRUST | $22,455 |
| CURRENT PORTION OF LONG-TERM LIABILITY | $181,171 |
| OTHER CURRENT LIABILITY | $13,140 |
| DUE FROM AFFILIATES | $232,132,731 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 232349497 | TotalOfAmounts |
| Total Revenue | 245993420 | TotalRevenue |
| Total Expenses | 238491890 | TotalExpenses |
| Excess Or Deficit For Year | 7501530 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 1155549 | NetUnrealizedGLOnInvestments |
| Other | $77,973 | OtherAmount |
| Total Adjustments | 1233522 | TotalAdjustments |
| Excess Or Deficit Per FS | 8735052 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 247221609 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 1155549 | NetUnrealizedGainsInvestments |
| Other Revenues | 72640 | OtherRevenues |
| Revenue Not Rptd F990 | 1228189 | RevenueNotRptdF990 |
| Revenue Subtotal | 245993420 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 245993420 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 238564530 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 72640 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 72640 | ExpensesNotRptdF990 |
| Expenses Subtotal | 238491890 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 238491890 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART IV, LINE 1B: | PUBLIC EDUCATION FOR HOSPICE CARE. | |
| 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: | UNDER PROFESSIONAL STANDARDS, THE COMPANY'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. THE FEDERAL INCOME TAX RETURNS OF THE COMPANY ARE SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED. | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: |
| CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF MAOPS 77,973. | PART XI, LINE 8 - OTHER ADJUSTMENTS: | |
| RENT EXPENSE 53,397. FUNDRAISER 19,243. | PART XII, LINE 2D - OTHER ADJUSTMENTS: | |
| RENT 53,397. FUNDRAISER 19,243. | PART XIII, LINE 2D - OTHER ADJUSTMENTS: |
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 |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 125.000000000000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 125.000000000000 | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 0 | AmountsBudgetedForCharityCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 0 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 1205790 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1205790 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00510 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 1205790 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1205790 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00510 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 16 | NumberOfActivitiesOrPrograms |
| Persons Served | 5711 | PersonsServed |
| Total Community Benefit Expense | 111659 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 111659 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 16 | NumberOfActivitiesOrPrograms |
| Persons Served | 5711 | PersonsServed |
| Total Community Benefit Expense | 111659 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 111659 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 18 | NumberOfActivitiesOrPrograms |
| Persons Served | 5711 | PersonsServed |
| Total Community Benefit Expense | 1317449 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1317449 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00560 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $10,236,309 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 70821739 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 60446011 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 10375728 | 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 | 12 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (12 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Teaching HospitalTeachingHospital | Er24 HoursEr24Hours | OtherOther | Critical Access HospitalCriticalAccessHospital |
|---|---|---|---|---|---|---|---|---|---|---|
| TRINITY HOSPITAL | ||||||||||
| 1 | ONE BURDICK EXPRESSWAY WEST | MINOT | ND | 58701 | X | X | X | X | TRINITY HOSPITALS | |
| TRINITY HOSPITAL ST JOSEPH'S | ||||||||||
| 2 | 407 3RD STREET SE | MINOT | ND | 58701 | X | X | TRINITY HOSPITALS | |||
| TRINITY KENMARE HOSPITAL | ||||||||||
| 3 | PO BOX 697 | KENMARE | ND | 587460697 | X | TRINITY HOSPITALS | X | |||
| TRINITY HOMES | ||||||||||
| 4 | 305 8TH AVENUE NE | MINOT | ND | 58701 | SKILLED NURSING HOME | |||||
| TRINITY HEALTH CENTER MEDICAL ARTS | ||||||||||
| 5 | 400 BURDICK EXPRESSWAY EAST | MINOT | ND | 58701 | PROVIDER BASED CLINIC | |||||
| TRINITY HEALTH CENTER-EAST | ||||||||||
| 6 | 20 BURDICK EXPRESSWAY WEST | MINOT | ND | 58701 | PROVIDER BASED CLINIC | |||||
| TRINITY HEALTH CENTER-WEST | ||||||||||
| 7 | 101 3RD AVENUE SW | MINOT | ND | 58701 | PROVIDER BASED CLINIC | |||||
| TRINITY REGIONAL EYECARE-MINOT CENTER | ||||||||||
| 8 | 120 BURDICK EXPRESSWAY EAST | MINOT | ND | 58701 | PROVIDER BASED CLINIC | |||||
| TRINITY HEALTH CENTER-RIVERSIDE | ||||||||||
| 9 | 1900 8TH AVENUE SE | MINOT | ND | 58701 | PROVIDER BASED CLINIC | |||||
| TRINITY HEALTH CENTER-TOWN & COUNTRY | ||||||||||
| 10 | 831 SOUTH BROADWAY | MINOT | ND | 58701 | PROVIDER BASED CLINIC | |||||
| TRINITY HOSPITALS HOME HEALTHHOSPICE | ||||||||||
| 11 | 1015 SOUTH BROADWAY STE 306 | MINOT | ND | 58701 | HOME HEALTH & HOSPICE | |||||
| TRINITY HOSPITALS | ||||||||||
| 12 | HOSPITAL ROAD | BELCOURT | ND | 58316 | DIALYSIS SERVICES | |||||
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part VI Form990ScheduleHPartVI (2 entries)
| ExplanationExplanation |
|---|
| PART III, LINE 4: 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 OF CHARITY CARE ARE THE FOLLOWING: (A) SERVICES PROVIDED TO THE UNINSURED OR UNDERINSURED AND (B) SERVICES PROVIDED TO PATIENTS EXPRESSING A WILLINGNESS TO PAY BUT WHO ARE DETERMINED TO BE UNABLE TO PAY BECAUSE OF SOCIOECONOMIC FACTORS.TRINITY MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. THOSE RECORDS INCLUDE THE AMOUNT OF CHARGES FOREGONE FOR CHARITY CARE. THE 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 9B: IT IS THE POLICY OF TRINITY TO PROVIDE MEDICAL SERVICES TO THE COMMUNITY AND REGION REGARDLESS OF THE CUSTOMERS 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 TRINITYS 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. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| ST LUKES HOSPITAL | |||||||
| PO BOX 10 | CROSBY | ND | 58730 | 450254692 | 501(C)(3) | 38430 | TRAINING |
| TIOGA MEDICAL CENTER | |||||||
| 710 WELO ST | TIOGA | ND | 58852 | 450308484 | 501(C)(3) | 35475 | TRAINING |
| TRINITY HEALTH | |||||||
| PO BOX 5020 | MINOT | ND | 58702 | 450226558 | 501(C)(3) | 105814 | ETC ENHANCEMENT, NURSE CALL SYSTEM, MOPS AND CANCER EXERCISE |
| NORSK HOSTFEST | |||||||
| PO BOX 1347 | MINOT | ND | 58702 | 450353644 | 501(C)(3) | 26400 | SPONSORSHIP |
| WESTERN ND CHARITY PRO AM | |||||||
| 7101 COUNTY ROAD WEST | MINOT | ND | 58701 | 450368024 | 501(C)(3) | 7000 | SPONSORSHIP |
| THE MINOT FAMILY YMCA | |||||||
| PO BOX 69 | MINOT | ND | 58702 | 450237612 | 501(C)(3) | 50500 | STUDIES |
| ND STATE FAIR CENTER | |||||||
| PO BOX 1796 | MINOT | ND | 58702 | 450215346 | 501(C)(3) | 15000 | SPONSORSHIP OF STATE FAIR ACTIVITY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 7 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | CASH | TypeOfGrant |
| Number Of Recipients | 129 | NumberOfRecipients |
| Amount Of Cash Grant | 35589 | 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 IN THE UNITED STATES. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| 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 (18 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 | 688264 | 0 | 52084 | 0 | 198187 | 0 | 0 | 0 | 53938 | 0 | 992473 | 0 | 980085 |
| JOHN M KUTCH | |||||||||||||
| 0 | 322087 | 0 | 0 | 0 | 41691 | 0 | 0 | 0 | 48150 | 0 | 411928 | 0 | 224237 |
| KEVIN COLLINS | |||||||||||||
| 0 | 290462 | 0 | 355373 | 0 | 9384 | 0 | 0 | 0 | 52442 | 0 | 707661 | 0 | 781893 |
| KEVIN SEEHAFER | |||||||||||||
| 0 | 245846 | 0 | 0 | 0 | 3566 | 0 | 0 | 0 | 41884 | 0 | 291296 | 0 | 285797 |
| RANDY SCHWAN | |||||||||||||
| 0 | 162276 | 0 | 0 | 0 | 3566 | 0 | 0 | 0 | 37534 | 0 | 203376 | 0 | 197870 |
| PAUL SIMONSON | |||||||||||||
| 0 | 220698 | 0 | 0 | 0 | 1800 | 0 | 0 | 0 | 45486 | 0 | 267984 | 0 | 262509 |
| THOMAS WARSOCKI | |||||||||||||
| 0 | 153122 | 0 | 0 | 0 | 3566 | 0 | 0 | 0 | 36852 | 0 | 193540 | 0 | 181897 |
| JOHN NELSON | |||||||||||||
| 0 | 384395 | 0 | 0 | 0 | 94697 | 0 | 0 | 0 | 49888 | 0 | 528980 | 0 | 512772 |
| JEFFREY SATHER | |||||||||||||
| 0 | 499925 | 0 | 20000 | 0 | 5342 | 0 | 0 | 0 | 50557 | 0 | 575824 | 0 | 537303 |
| SCOTT KNUDSON | |||||||||||||
| 0 | 432495 | 0 | 0 | 0 | 4502 | 0 | 0 | 0 | 49278 | 0 | 486275 | 0 | 475033 |
| DANIAL R PADGETT | |||||||||||||
| 0 | 205239 | 0 | 11200 | 0 | 211048 | 0 | 0 | 0 | 39940 | 0 | 467427 | 0 | 450254 |
| ASITHA R DIAS | |||||||||||||
| 0 | 205266 | 0 | 15900 | 0 | 141628 | 0 | 0 | 0 | 48202 | 0 | 410996 | 0 | 0 |
| TERRY G HOFF | |||||||||||||
| 0 | 20095 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 6175 | 0 | 26270 | 0 | 797077 |
| JOHN SHEEHAN MD | |||||||||||||
| 0 | 136727 | 0 | 0 | 0 | 4367 | 0 | 0 | 0 | 34331 | 0 | 175425 | 0 | 0 |
| JEFFREY VERHEY | |||||||||||||
| 0 | 293943 | 0 | 130000 | 0 | 108367 | 0 | 0 | 0 | 50660 | 0 | 582970 | 0 | 0 |
| NANCY HOLMES | |||||||||||||
| 0 | 205638 | 0 | 0 | 0 | 9036 | 0 | 0 | 0 | 35397 | 0 | 250071 | 0 | 284303 |
| NICOLA ROED | |||||||||||||
| 0 | 100320 | 0 | 0 | 0 | 928 | 0 | 0 | 0 | 9581 | 0 | 110829 | 0 | 0 |
| RICK WITTMEIER | |||||||||||||
| 0 | 191139 | 0 | 0 | 0 | 1800 | 0 | 0 | 0 | 41339 | 0 | 234278 | 0 | 234444 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | BEFORE THE FORM 990 IS FILED WITH THE IRS, THE GOVERNING BODY OF TRINITY HEALTH & AFFILIATES IS GIVEN A COPY OF THE FORM 990 TO REVIEW. | |
| 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 TOP COMPLETE OUR CONFLICT OF INTEREST STATEMENT YEARLY. | FORM 990, PART VI, SECTION B, LINE 12C | |
| THE EXECUTIVE COMMITTEE REVIEWED COMPENSATION INFORMATION FOR THE CHIEF EXECUTIVE OFFICER PREPARED BY DELOITTE & TOUCHE. DELOITTE & TOUCHE ANALYZED FOUR COMPENSATION SURVEYS OF HEALTH CARE EMPLOYERS AND REVIEWED FORM 990 FILINGS FOR A PEER GROUP ANALYSIS. | FORM 990, PART VI, SECTION B, LINE 15 | |
| WE WOULD MAKE OUR FORM 990, FORMS 1023, AND FORM 990-T AVAILABLE UPON REQUEST. | FORM 990, PART VI, SECTION C, LINE 18 | |
| ON OUR WEB SITE WWW.TRINITYHEALTH.ORG WE LIST OUR BOARD OF DIRECTORS, MISSION, VISION, VALUES AND OUR ANNUAL REPORT WHICH INCLUDES FINANICAL INFORMATION. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. | FORM 990, PART VI, SECTION C, LINE 19 | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | NET UNREALIZED GAINS ON INVESTMENTS: 1,155,549. CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF MAOPS 77,973. TOTAL TO FORM 990, PART XI, LINE 5: 1,233,522. | FORM 990, PART XI, LINE 5: |
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 AVE SW | AddressLine1 |
| City | MINOT | City |
| State | ND | State |
| ZIP Code | 58701 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 450363593 | EIN |
| Primary Activities | AMBULANCE SERVICE | 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
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEDICAL ARTS OUTPATIENT SERVICES INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 BURDICK EXPRESSWAY EAST | AddressLine1 |
| City | MINOT | City |
| State | ND | State |
| ZIP Code | 58701 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 450278212 | EIN |
| Primary Activity | RETAIL PHARMACY AND DURABLE MEDICAL EDUIPMENT | PrimaryActivity |
| Legal Domicile State | ND | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRINITY HEALTH | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C | TypeOfEntity |
| Share Of Total Income | 77972 | ShareOfTotalIncome |
| Share Of EOY Assets | 6068071 | ShareOfEOYAssets |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| 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 | 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 | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | 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 (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| MEDICAL ARTS OUTPATIENTS SERVICE INC | ||
| A | 88000 | FMV |
| MEDICAL ARTS OUTPATIENTS SERVICE INC | ||
| F | 28468 | FMV |
| MEDICAL ARTS OUTPATIENTS SERVICE INC | ||
| G | 123399 | FMV |
| MEDICAL ARTS OUTPATIENTS SERVICE INC | ||
| K | 441500 | FMV |
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 | 587025020 | 412002771 | TRIN |
| TRINTY KENMARE HOSPITAL | |||||
| PO BOX 5020 | MINOT | ND | 587025020 | 412002769 | TRIN |
| TRINITY HOMES | |||||
| PO BOX 5020 | MINOT | ND | 587025020 | 450404412 | TRIN |
| TRINITY HEALTH FOUNDATION | |||||
| PO BOX 5020 | MINOT | ND | 587025020 | 450215346 | TRIN |