TRINITY HEALTH: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- TRINITY HEALTH (EIN 45-0226558)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-16
- IRS object ID
- 201131369349302033
- Schema version
- 2009v1.7
- 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 H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-16T09:50:32-05:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | 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 | PO 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 | 2009-07-01 | 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 | 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 | 2011-05-16 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Rick Awalt | Name |
| Phone | 7018520196 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | 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 | 82833613 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| 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 | PROVIDES HEALTH EDUCATION AND HEALTHCARE SERVICES FOR RESIDENTS OF CENTRAL AND NORTHWEST NORTH DAKOTA AND NORTHESTERN MONTANA. WE PROVIDED $453,661 CHARITY CARE COST ON 621,159 PATIENT VISITS AND 289,254 OF CLINIC SERVICES | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 3406 | TotalNbrEmployees |
| Total Nbr Volunteers | 291 | TotalNbrVolunteers |
| Total Gross UBI | 223356 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 62264104 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 69340026 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -1005703 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1943443 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 36275 | OtherRevenuePriorYear |
| Other Revenue Current Year | -46178 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 61294676 | TotalRevenuePriorYear |
| Total Revenue Current Year | 71237291 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 3079 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 3877 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 52683603 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 57836081 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 28697367 | OtherExpensePriorYear |
| Other Expenses Current Year | 30194866 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 81384049 | TotalExpensesPriorYear |
| Total Expenses Current Year | 88034824 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -20089373 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -16797533 | RevenuesLessExpensesCY |
| Total Assets BOY | 276348847 | TotalAssetsBOY |
| Total Assets EOY | 308801061 | TotalAssetsEOY |
| Total Liabilities BOY | 383421607 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 437186672 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -107072760 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -128385611 | NetAssetsOrFundBalancesEOY |
| 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 | 7892553 | Expense |
| Revenue | 10069555 | Revenue |
| Description | TRINITY HEALTH PROVIDES OPTOMETRY SERVICE FOR GENERAL EYECARE AND EYE TESTING FOR OPTICAL AIDS; OPHTHALMOLOGY WHO PROVIDE COMPREHENSIVE EYE AND VISION CARE, INCLUDING SURGERY TO REPAIR AND ENHANCE VISION AND OPTICAL SALE OF CONTACT LENS AND EYEGLASSES. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 6720845 | Expense |
| Revenue | 5823740 | 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 INTERPREATION IS USED BY REFERRING PHYSICIANS, WHO ARE LESS WELL-TRAINED TO PLAN AND MANAGE PATIENT CARE. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 4665161 | Expense |
| Revenue | 4024475 | Revenue |
| Description | TRINITY HEALTH HAS ORTHOPEDICS/MUSCULOSKELETAL SPECIALISTS WHO TREAT DISORDERS OF THE BONES, LIGAMENTS, TENDONS, AND SURGICAL REPLACEMENT OF THE JOINTS. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 56585857 | Expense |
| Grants | 3877 | Grants |
| Revenue | 49422256 | Revenue |
| Description | TRINITY HEALTH PROVIDES EDUCATION & HEALTHCARE SERVICES FOR RESIDENTS OF CENTRAL AND NORTHWEST NORTH DAKOTA AND NORTHEASTERN MONTANA. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 56585857 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 3877 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 49422256 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 75864416 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | 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 |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| 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 |
| Grants To Organizations | 0 | 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 | 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 |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 239 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 3406 | 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 |
| 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 | KEVIN SEEHAFER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7018575178 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | TRINITY HEALTH CENTER EAST | AddressLine1 |
| City | MINOT | City |
| State | ND | State |
| ZIP Code | 587025020 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (29 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 |
|---|---|---|---|---|---|---|---|---|---|
| JOHN M KUTCH | |||||||||
| PRESIDENT/CEO/DIRECTOR | 20.00 | X | X | 190955 | 0 | 33282 | |||
| MARTIN ROTHBERG | |||||||||
| MD/DIRECTOR | 40.00 | X | 922611 | 0 | 57474 | ||||
| KEVIN B COLLINS | |||||||||
| MD/DIRECTOR | 40.00 | X | 725477 | 0 | 56416 | ||||
| BLAINE DESLAURIERS | |||||||||
| FINANCE DIRECTOR | 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 | ||||
| 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 B SOMERVILLIE | |||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||||
| KEVIN SEEHAFER | |||||||||
| CFO VP | 20.00 | X | 245617 | 0 | 40180 | ||||
| NANCY HOLMES | |||||||||
| SENIOR VP | 20.00 | 246409 | 0 | 37894 | X | ||||
| RANDY SCHWAN | |||||||||
| VP | 20.00 | 162276 | 0 | 35594 | X | ||||
| PAUL SIMONSON | |||||||||
| VP | 20.00 | 219093 | 0 | 43416 | X | ||||
| THOMAS WARSOCKI | |||||||||
| VP | 20.00 | 148262 | 0 | 33635 | X | ||||
| DAVID WITTMEIER | |||||||||
| VP | 40.00 | 194624 | 0 | 39820 | X | ||||
| MARGERT SMOTHERS | |||||||||
| ADMINISTER KENMARE HOSPITAL | 40.00 | 103640 | 0 | 18847 | X | ||||
| SAMIR M TURK MD | |||||||||
| CARDIOLOGY PHYSICIAN | 40.00 | 1205254 | 0 | 63373 | X | ||||
| CHARLES B STILERMAN MD | |||||||||
| NEUROSURGERY PHYSICIAN | 40.00 | 837028 | 0 | 58034 | X | ||||
| JOSHI RAVINDRA P MD | |||||||||
| ORTHOPEDICS PHYSICIAN | 40.00 | 1293674 | 0 | 64655 | X | ||||
| BRUCE B SWENSON MD | |||||||||
| GASTROENTEROLOGY PHYSICIAN | 40.00 | 895373 | 0 | 58880 | X | ||||
| DAVID BILLINGS | |||||||||
| OBSTETRICS & GYNECOLOGY | 40.00 | 838006 | 0 | 58048 | X | ||||
| TERRY HOFF | |||||||||
| former PRESIDENT/DIRECTOR | 20.00 | 749011 | 0 | 48066 | X | ||||
| LOWELL HERFINDAHL | |||||||||
| former VP | 20.00 | 155551 | 0 | 33448 | X | ||||
| JULIE WALDERA | |||||||||
| former VP | 20.00 | 116826 | 0 | 25497 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 8997785 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 754077 | TotalOtherCompensation |
| Number Individuals GT100 K | 145 | 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 |
|---|---|---|---|---|---|
| DELTA LOCUM TENENS | |||||
| PO BOX 678082 | DALLAS | TX | 752678082 | PHYSICIAN SERVICE LOCUM | 2602704 |
| COMPHEALTH MEDICAL STAFFING | |||||
| PO BOX 972625 | DALLAS | TX | 753972625 | PHYSICIAN SERVICE LOCUM | 2499389 |
| COMMUNITY AMBULANCE SERVICE OF MINOT | |||||
| PO BOX 2195 | MINOT | ND | 587022195 | AMBULANCE SERIVE | 1998903 |
| UNITED BLOOD SERVVICES | |||||
| PO BOX 53022 | PHOENIX | AZ | 85072 | BLOOD SERVICE | 1778346 |
| ON ASSIGNMENT HEALTHCARE STAFFING | |||||
| PO BOX 633307 | CINCINNATI | OH | 452633397 | PHYSICIAN SERVICE LOCUM | 1476374 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 40 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| revenue | 621110 | 46698725 | 46698725 | |
| MEDICARE/MEDICAID REVE | 621110 | 22417945 | 22417945 | |
| optical sales | 446199 | 119356 | 119356 | |
| maops & B&B/NORTHWEST | 561000 | 104000 | 104000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 69340026 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 929566 | TotalRevenueColumn |
| Related Or Exempt Function Income | 929566 | RelatedOrExemptFunctionIncome |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 350663 | TotalRevenueColumn |
| Related Or Exempt Function Income | 350663 | RelatedOrExemptFunctionIncome |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 282332 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 160048 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 122284 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 122284 | TotalRevenueColumn |
| Related Or Exempt Function Income | 122284 | RelatedOrExemptFunctionIncome |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 11714891 | Securities |
| Other | 384597 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 11335174 | Securities |
| Other | 101100 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 379717 | Securities |
| Other | 283497 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 663214 | TotalRevenueColumn |
| Related Or Exempt Function Income | 663214 | RelatedOrExemptFunctionIncome |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | JOINT VENTURE INCOME / | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | -168462 | TotalRevenueColumn |
| Related Or Exempt Function Income | -168462 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | -168462 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 71237291 | TotalRevenueColumn |
| Related Or Exempt Function Income | 71013935 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 223356 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3877 | Total |
| Program Services | 3877 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3546523 | Total |
| Program Services | 1752978 | ProgramServices |
| Management And General | 1793545 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 47832231 | Total |
| Program Services | 47786047 | ProgramServices |
| Management And General | 46184 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2779212 | Total |
| Program Services | 2700408 | ProgramServices |
| Management And General | 78804 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1621502 | Total |
| Program Services | 1354553 | ProgramServices |
| Management And General | 266949 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2056613 | Total |
| Program Services | 1927712 | ProgramServices |
| Management And General | 128901 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1218 | Total |
| Management And General | 1218 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1756494 | Total |
| Program Services | 572112 | ProgramServices |
| Management And General | 1184382 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 95183 | Total |
| Management And General | 95183 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 844307 | Total |
| Program Services | 775367 | ProgramServices |
| Management And General | 68940 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29017 | Total |
| Program Services | 14127 | ProgramServices |
| Management And General | 14890 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 44634 | Total |
| Management And General | 44634 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1063155 | Total |
| Program Services | 943320 | ProgramServices |
| Management And General | 119835 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 607216 | Total |
| Program Services | 607216 | ProgramServices |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL DIRECTOR | 11830265 | 11820731 | 9534 |
| allocation distribution | 4763464 | 4763464 | |
| bad debt expense | 2695761 | 2695761 | |
| SUPPLIES | 2537188 | 2471470 | 65718 |
| RENTAL & MAINTENANCE | 2437652 | 1907037 | 530615 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1489312 | Total |
| Program Services | 1227461 | ProgramServices |
| Management And General | 261851 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 88034824 | Total |
| Program Services | 75864416 | ProgramServices |
| Management And General | 12170408 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 301126 | BOY |
| EOY | 414816 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8933359 | BOY |
| EOY | 353132 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 219125368 | BOY |
| EOY | 264229495 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1248941 | BOY |
| EOY | 1735549 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 320727 | BOY |
| EOY | 366249 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27824 | BOY |
| EOY | 45721 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 38172313 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 23171933 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14002640 | BOY |
| EOY | 15000380 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7556389 | BOY |
| EOY | 7556389 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1607506 | BOY |
| EOY | 1956022 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23224967 | BOY |
| EOY | 17143308 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 276348847 | BOY |
| EOY | 308801061 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 292969995 | BOY |
| EOY | 349387089 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 89862031 | BOY |
| EOY | 87507905 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 589581 | BOY |
| EOY | 291678 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 383421607 | BOY |
| EOY | 437186672 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -111145296 | BOY |
| EOY | -128385611 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3702946 | BOY |
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 369590 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -107072760 | BOY |
| EOY | -128385611 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 276348847 | BOY |
| EOY | 308801061 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtc |
| Beginning Balance | 220253 | BeginningBalance |
| Distributions During Year | 220253 | DistributionsDuringYear |
| Included On FS | 0 | IncludedOnFS |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 305323 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 0 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 305323 | OtherExpenditures |
Current Year Minus1 Year CurrentYearMinus1Year
| 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) |
|---|---|---|
| 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 | 6823304 | OtherCostOrOtherBasis |
| Book Value | 6823304 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7978552 | OtherCostOrOtherBasis |
| Depreciation | 5420745 | Depreciation |
| Book Value | 2557807 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1297489 | OtherCostOrOtherBasis |
| Depreciation | 1200442 | Depreciation |
| Book Value | 97047 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 21390966 | OtherCostOrOtherBasis |
| Depreciation | 16096404 | Depreciation |
| Book Value | 5294562 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 682002 | OtherCostOrOtherBasis |
| Depreciation | 454342 | Depreciation |
| Book Value | 227660 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 15000380 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (5 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| ACCRUED INTERST | 233053 |
| DEFERRED DEBT EXPENSE | 1103938 |
| FUNDS HELD BY TRUSTEE | 5621080 |
| PRINCIPAL MUTUAL | 9935237 |
| FUNDS HELD BLDG & EQUIP | 250000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 17143308 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | adjustment to market | Description |
| Amount | $291,678 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 291678 | TotalOfAmounts |
| Total Revenue | 71237291 | TotalRevenue |
| Total Expenses | 88034824 | TotalExpenses |
| Excess Or Deficit For Year | -16797533 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 1138879 | NetUnrealizedGLOnInvestments |
| Other | -$5,654,197 | OtherAmount |
| Total Adjustments | -4515318 | TotalAdjustments |
| Excess Or Deficit Per FS | -21312851 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 73024679 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 1138879 | NetUnrealizedGainsInvestments |
| Other Revenues | 648509 | OtherRevenues |
| Revenue Not Rptd F990 | 1787388 | RevenueNotRptdF990 |
| Revenue Subtotal | 71237291 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 71237291 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 88194872 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 160048 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 160048 | ExpensesNotRptdF990 |
| Expenses Subtotal | 88034824 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 88034824 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Part X: | Description of Uncertain Tax Positions Under FIN 48: | 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. |
| Part XI, Line 8 - Other Adjustments: | earnings from affiliates: 348517. transfer of assests from foundation to health: -6002714. | |
| Part XII, Line 2d - Other Adjustments: | RENT EXPENSE: 160048. CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF FOUNDATION: 488461. | |
| Part XIII, Line 2d - Other Adjustments: | rent expense: 160048. |
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 |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 0 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 453661 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 453661 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00520 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 453661 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 453661 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00520 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 2370 | PersonsServed |
| Total Community Benefit Expense | 19058 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 19058 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 2370 | PersonsServed |
| Total Community Benefit Expense | 19058 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 19058 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 2370 | PersonsServed |
| Total Community Benefit Expense | 472719 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 472719 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00540 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $1,792,508 | BadDebtExpenseAmount |
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV (2 entries)
| Address Line1Address/AddressLine1 | Address Line2Address/AddressLine2 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | OtherOther |
|---|---|---|---|---|---|
| TRINITY HEALTH CENTER MEDICAL ARTS | |||||
| 400 BURDICK EXPRESSWAY EAST 4TH | FLOOR | MINOT | ND | 58701 | ASC |
| TRINITY COMMUNITY CLINIC-WESTERN DAKOTA | |||||
| 1102 MAIN STREET | WILLISTON | ND | 58801 | ASC | |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Footnote | 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. | BadDebtFootnote |
| Debt Collection Policy | 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. | DebtCollectionPolicy |
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 |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| 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 (16 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN M KUTCH | |||||||||||||
| 168011 | 0 | 0 | 0 | 22944 | 0 | 0 | 0 | 33282 | 0 | 224237 | 0 | 0 | 0 |
| MARTIN ROTHBERG | |||||||||||||
| 686157 | 0 | 52084 | 0 | 184370 | 0 | 0 | 0 | 57474 | 0 | 980085 | 0 | 0 | 0 |
| KEVIN B COLLINS | |||||||||||||
| 293743 | 0 | 423759 | 0 | 7975 | 0 | 0 | 0 | 56416 | 0 | 781893 | 0 | 0 | 0 |
| KEVIN SEEHAFER | |||||||||||||
| 242755 | 0 | 0 | 0 | 2862 | 0 | 0 | 0 | 40180 | 0 | 285797 | 0 | 0 | 0 |
| NANCY HOLMES | |||||||||||||
| 244609 | 0 | 0 | 0 | 1800 | 0 | 0 | 0 | 37894 | 0 | 284303 | 0 | 0 | 0 |
| RANDY SCHWAN | |||||||||||||
| 162276 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 35594 | 0 | 197870 | 0 | 0 | 0 |
| PAUL SIMONSON | |||||||||||||
| 217293 | 0 | 0 | 0 | 1800 | 0 | 0 | 0 | 43416 | 0 | 262509 | 0 | 0 | 0 |
| DAVID WITTMEIER | |||||||||||||
| 192824 | 0 | 0 | 0 | 1800 | 0 | 0 | 0 | 39820 | 0 | 234444 | 0 | 0 | 0 |
| SAMIR M TURK MD | |||||||||||||
| 945179 | 0 | 202112 | 0 | 57963 | 0 | 0 | 0 | 63373 | 0 | 1268627 | 0 | 0 | 0 |
| CHARLES B STILERMAN MD | |||||||||||||
| 647140 | 0 | 120833 | 0 | 69055 | 0 | 0 | 0 | 58034 | 0 | 895062 | 0 | 0 | 0 |
| JOSHI RAVINDRA P MD | |||||||||||||
| 845724 | 0 | 357454 | 0 | 90496 | 0 | 0 | 0 | 64655 | 0 | 1358329 | 0 | 0 | 0 |
| BRUCE B SWENSON MD | |||||||||||||
| 586086 | 0 | 305232 | 0 | 4055 | 0 | 0 | 0 | 58880 | 0 | 954253 | 0 | 0 | 0 |
| DAVID BILLINGS | |||||||||||||
| 440332 | 0 | 393619 | 0 | 4055 | 0 | 0 | 0 | 58048 | 0 | 896054 | 0 | 0 | 0 |
| TERRY HOFF | |||||||||||||
| 545887 | 0 | 0 | 0 | 203124 | 0 | 0 | 0 | 48066 | 0 | 797077 | 0 | 0 | 0 |
| LOWELL HERFINDAHL | |||||||||||||
| 150082 | 0 | 0 | 0 | 5469 | 0 | 0 | 0 | 33448 | 0 | 188999 | 0 | 0 | 0 |
| JULIE WALDERA | |||||||||||||
| 116826 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 25497 | 0 | 142323 | 0 | 0 | 0 |
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 | 934023EM0 | CUSIPNumber |
| Date Issued | 2006-11-01 | DateIssued |
| Issue Price | 88455263 | IssuePrice |
| Description Of Purpose | SEE SCHEDULE O | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Proceeds | 78145000 | TotalProceeds |
| Amount In Reserve Fund | 6538606 | AmountInReserveFund |
| Amount Unspent | 203858 | AmountUnspent |
| Issuance Costs From Proceeds | 712412 | IssuanceCostsFromProceeds |
| Current Refunding | 0 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 0 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 0 | 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 |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Bond Counsel Routinely Engaged | 0 | BondCounselRoutinelyEngaged |
| Percentage Of Prvt Business Re UBI | 0.01810 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.01810 | TotalPrivateBusinessUse |
| Post Issuance Compliance Procdrs | 0 | 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 |
Schedule L IRS990ScheduleL
Loan Table LoanTable (3 entries)
| Purpose Of LoanPurposeOfLoan | Loan From OrganizationLoanFromOrganization | Original PrincipalOriginalPrincipalAmount | Balance DueBalanceDue | DefaultDefault | Approved By BoardApprovedByBoard | Written AgreementWrittenAgreement |
|---|---|---|---|---|---|---|
| CHARLES B STILLERMAN | ||||||
| RECRUITMENT & RETENTION | X | $105,000 | 105000 | 0 | 1 | 1 |
| RAVINDRA JOSHI | ||||||
| RECRUITMENT & RETENTION | X | $100,000 | 33333 | 0 | 1 | 1 |
| KEVIN B COLLINS | ||||||
| RECRUITMENT & RETENTION | X | $150,000 | 96959 | 0 | 1 | 1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 235292 | TotalBalanceDue |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Form 990, Part VI, Section B, line 11 | BEFORE THE FORM 990 IS FILED WITH THE IRS, THE GOVERNING BODY OF TRINITY HEALTH IS GIVEN A COPY OF THE FORM 990 TO 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 our Conflict of Interest Statement yearly. |
| Form 990, Part VI, Section B, line 15 | 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 C, line 18 | We would make our FORM 990, forms 1023, and 990-t available if someone would ask to see it. |
| Form 990, Part VI, Section C, line 19 | On our web site 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 available upon request. |
| FORM 990, SCHEDULE K, PART I, BOX (F) | 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 DAKOT HEALTH CARE FACILITIES REVENUE REFUNDING BONDS (TRINITY OBLIGATED GROUP) SERIES 1996A (THE "SERIES 1996A BONDS" AND TOGETHER WITH THE SERIES 2002 BONDS, THE "REFUNDABLE 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. |
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 |
|---|---|---|---|---|---|---|---|---|---|
| COMMUNITY AMBULANCE SERVICE OF MINOT INC | |||||||||
| PO BOX 2195 | MINOT | ND | 587022195 | 450363593 | TO PROVIDE AMBULANCE SERVICE TO THE MINOT AREA | ND | 501(c)(3) | YES | TRINITY HEALTH |
| MOUNTRAIL COUNTY MEDICAL CTR | |||||||||
| PO BOX 399 | STANLEY | ND | 587840399 | 450447670 | PROVIDE MEDICAL SERVICES TO THE AREA | ND | 501(c)(3) | YES | TRINITY HEALTH AND BETHEL HOME |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST ANDREW'S BOTTINEAU CLINIC LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 316 OHMER STREET | AddressLine1 |
| City | BOTTINEAU | City |
| State | ND | State |
| ZIP Code | 58318 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 450451306 | EIN |
| Primary Activity | PHYSICIAN CLINIC | PrimaryActivity |
| Legal Domicile State | ND | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST ANDREW'S HEALTH CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | INVESTMENT | PredominantIncomeType |
| Share Of Total Income | -168462 | ShareOfTotalIncome |
| Share Of EOY Assets | -49734 | ShareOfEOYAssets |
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 1 | GeneralOrManagingPartner |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | B & B DRUG INC | BusinessNameLine1 |
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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 450260565 | EIN |
| Primary Activity | RETAIL DRUG STORY | 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 | 257519 | ShareOfTotalIncome |
| Share Of EOY Assets | 1454598 | 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 | 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 | 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 (6 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| B & B DRUG INC | |
| A | 28900 |
| B & B DRUG INC | |
| F | 117117 |
| B & B DRUG INC | |
| G | 1018628 |
| b & B DRUG INC | |
| K | 212370 |
| community ambulance service of minot inc | |
| K | 1998903 |
| st andrew's bottineau clinic llc | |
| B | 168462 |
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