2026-05-14T15:13:21-05:00 2025-06-30 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2024-07-01 331007002 TRINITY HEALTH & AFFILIATES TRIN 7018587142 PO BOX 5020 MINOT ND 587025020 ROBIN NICHOLS CFO 7018587142 2026-05-13 1 1 KURT BENNION CPA P01469618 4252506100 2026-05-13 2024 2025-03-06 01:10:19Z JOHN M KUTCH PO BOX 5020 MINOT ND 587025020 388010905 1 1 3904 X WWW.TRINITYHEALTH.ORG X 2001 ND MEETING THE NEEDS OF THE WHOLE PERSON THROUGH QUALITY HEALTH CARE AND HEALTH RELATED SERVICES. 9 6 0 80 2425513 0 2368169 4444862 358523736 380491758 3227805 1835472 -1372115 -1017389 362747595 385754703 179192 222238 0 0 131628338 128750502 0 0 1363624 243889951 263317404 375697481 392290144 -12949886 -6535441 835958262 796630512 523148704 505201776 312809558 291428736 X 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. 0 0 321524655 222238 356189645 TRINITY HEALTH & AFFILIATES PROVIDES HOSPITAL SERVICES TO CENTRAL AND NORTHWEST NORTH DAKOTA AND NORTHEASTERN MONTANA. TRINITY HOSPITALS IS THE LARGEST HOSPITAL PROVIDER IN NORTHWEST NORTH DAKOTA, WITH AN ACUTE CARE FACILITY THAT IS VERIFIED BY THE AMERICAN COLLEGE OF SURGEONS AS A LEVEL 2 TRAUMA CENTER. TRINITY SERVES AS A REFERRAL CENTER FOR THE FOLLOWING SERVICES: HEART, NEURO, GENERAL AND ROBOTIC SURGERY, CANCER AND CARDIAC CARE, OPHTHALMOLOGY AND RETINAL SURGERY, ADVANCED DIAGNOSTICS, NEWBORN INTENSIVE CARE, ORTHOPEDICS, SPORTS MEDICINE, INPATIENT REHABILITATION, BEHAVIORAL HEALTH, KIDNEY DIALYSIS AND LITHOTRIPSY. TRINITY HOSPITAL INCLUDES A JOINT REPLACEMENT AND GERIATRIC CENTER, CARDIAC CENTER, STROKE CENTER AND NEUROSURGERY CENTER. (SEE SCHEDULE O)TRINITY HOSPITAL - ST. JOSEPH'S INCLUDES AN INPATIENT REHABILITATION UNIT, KIDNEY DYALISIS UNIT, INPATIENT MENTAL HEALTH, OUTPATIENT BEHAVIORAL HEALTH, AND BOTH INPATIENT AND OUTPATIENT CHEMICAL DEPENDENCY UNITS. TRINITY'S NORTHSTAR CRITICAIR HELICOPTER PROVIDES CRITICAL CARE TRANSPORT WITHIN A 150-MILE RADIUS OF TRINITY HOSPITAL. TRINITY ALSO PROVIDES GROUND AMBULANCE SERVICES TO THE CITY OF MINOT AND THE SURROUNDING AREA THROUGH COMMUNITY AMBULANCE SERVICE OF MINOT, INC. 20517038 0 21876600 TRINITY HOMES IS A 161-BED HOSPITAL-BASED SKILLED NURSING FACILITY PARTICIPATING IN THE MEDICARE AND MEDICAID PROGRAMS. TRINITY HOMES INCLUDES AN ALZHEIMER'S SPECIAL CARE UNIT AND 13 RETIREMENT APARTMENTS. RESIDENTS OF TRINITY HOMES, UNDER THE DIRECTION OF THEIR PHYSICIAN, ARE ABLE TO RECEIVE SKILLED NURSING CARE, PHYSICAL THERAPY, SPEECH THERAPY, OCCUPATIONAL THERAPY, DIETETIC SERVICES, SOCIAL SERVICES, AND ACTIVITIES OF DAILY LIVING ASSISTANCE, SPIRITUAL CARE AND RECREATIONAL ACTIVITIES. 342041693 1 1 0 1 0 0 0 0 1 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 1 1 1 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 1 0 0 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 0 X 9 6 0 1 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 0 0 0 X ROBIN NICHOLS 7014187142 PO BOX 5020 MINOT ND 58702 JOHN KUTCH PRESIDENT & CEO 28.00 12.00 X X 0 961951 31949 SCOTT KNUTSON MD DIRECTOR 20.00 20.00 X 0 792485 31949 JEFFREY SATHER MD DIRECTOR 20.00 20.00 X 0 738779 25486 BUFFIE SALO VP - AMBULATORY CARE STRATEGIES (THROUGH 4/25/25) 40.00 0.00 X 0 230816 12772 WADE PETERSON VP - LTC & ANCILLARY SERVICES 40.00 0.00 X 0 214098 12489 PAMELA HOPKINS VP - MARKETING/COMMUNICATIONS 0.00 40.00 X 0 205324 12401 CHRISTOPHER VAN GELS VP - FACILITIES MANAGEMENT 32.00 8.00 X 0 176257 29563 JENNY MARCHINIAK VP - HUMAN RESOURCES (THROUGH 07/01/24) 0.00 4.00 X 0 170556 7495 ALISON FRYE EXECUTIVE ASSISTANT 28.00 12.00 X 0 90468 28312 ROBIN NICHOLS CFO 28.00 12.00 X 0 0 0 PATRICK HOLIEN CHAIRMAN 2.50 2.00 X X 0 0 0 CLARA SUE PRICE VICE CHAIR 2.50 2.00 X X 0 0 0 KAREN KREBSBACH - SECRETARY /TREASURER (THROUGH 6/25/25) 2.50 2.00 X X 0 0 0 BRENT MATTSON SECRETARY/TREASURER 2.50 2.00 X X 0 0 0 BORGI BEELER FINANCE CHAIR 2.50 2.00 X 0 0 0 JOHN COUGHLIN DIRECTOR 2.50 2.00 X 0 0 0 DAVID HOGUE DIRECTOR 2.50 2.00 X 0 0 0 0 3580734 192416 0 0 1 0 0 14000 455506 6130 3969226 55599 4444862 NET PATIENT REVENUE 621110 363901249 363901249 OTHER PATIENT SERVICES 621110 12311688 12311688 DIETARY SERVICES 722320 1853308 1853308 ADMINISTRATIVE SERVICE 561000 1150537 1150537 OTHER UBIT SERVICES 900099 639129 639129 635847 635847 380491758 1828556 1828556 302280 2241779 -1939499 -1939499 -1939499 6916 0 6916 6916 6916 14863 14000 14423 440 440 VENDOR REBATES 900099 921670 921670 921670 385754703 378066245 2425513 818083 X 7995 7995 214243 214243 106225142 90476402 15469537 279203 1392941 1158800 232612 1529 13453614 8711965 4699042 42607 7678805 6115380 1543840 19585 583964 583964 653829 653829 73506875 67874595 5631694 586 542465 477818 21048 43599 3111451 1837703 1245079 28669 6967007 1169943 5752839 44225 13885068 6820713 7064355 201781 201725 56 397278 139458 250916 6904 18387696 16969675 1418021 39870854 37936626 1931672 2556 3104110 1819194 1284916 MEDICAL SUPPLIES/DRUGS 74382367 74371045 11322 BAD DEBT EXPENSE 18341568 18341568 BOOKS & SUBSCRIPTIONS 3600863 2496640 1053700 50523 FOOD 2368951 2368951 3411277 2531254 36441 843582 392290144 342041693 48884827 1363624 55131768 39865896 30703969 32952585 151449 57391 44663023 51451400 6200470 6569341 15447 15447 10261575 11030844 5131485 4780445 902050060 310864960 625053038 591185100 35686567 36612478 68070 68070 22891401 22041515 835958262 796630512 59323989 56437264 10140 10140 16022 16789 431778365 422694463 32020188 26043120 523148704 505201776 X 302447066 280846193 10362492 10582543 312809558 291428736 835958262 796630512 X -6535441 1249341 -16094722 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 71380 71380 0 PART II-B, LINE 1: LOBBYING ACTIVITIES CONSIST OF A PORTION OF OUR ANNUAL MEMBERSHIP DUES IDENTIFIED UPON RENEWAL AS ASSOCIATED WITH LOBBYING ACTIVITY. ASSOCIATIONS INCLUDE NORTH DAKOTA HOSPITAL ASSOCIATION, AMERICAN HOSPITAL ASSOCIATION, NORTH DAKOTA LONG TERM CARE ASSOCIATION, NORTH DAKOTA HOSPICE ORGANIZATION, HEALTH POLICY CONSORTIUM, NORTH DAKOTA ASSOCIATION FOR HOME CARE, AND NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION. 1 377127 11852 7500 381479 1 X 3079361 63321 3142682 2998770 80591 3079361 2734982 263788 2998770 2638524 96458 2734982 2329446 309078 2638524 0.00000 0.49250 0.50750 0 0 3177342 3177342 634651174 108864719 525786455 19447 19447 0 244377139 201980794 42396345 19824958 19824958 591185100 ESTIMATED 3RD PARTY SETTLEMENTS 3916881 DEFERRED COMPENSATION PLAN 13666975 RIGHT-OF-USE LEASE LIABILITIES 8459264 26043120 X PART IV, LINE 1B: TO PROVIDE PUBLIC EDUCATION FOR HOSPICE CARE. PART IV, LINE 2B: RESIDENT TRUST FUNDS ARE HELD BY TRINITY HOMES. THESE FUNDS ARE TRACKED SEPARATELY FROM THE ORGANIZATIONS AND ARE HELD IN A SEPARATE BANK ACCOUNT. PART V, LINE 4: THE PURPOSE OF THE ENDOWMENT FUNDS IS TO SUPPORT STAFF EDUCATION AND SCHOLARSHIPS AND THE PURCHASE OF NEW EQUIPMENT. PART X, LINE 2: TRINITY HOSPITALS, TRINITY HOMES, TRINITY HEALTH FOUNDATION, TRINITY KENMARE HOSPITAL, AND COMMUNITY AMBULANCE SERVICE HAVE ALL BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS A NONPROFIT CORPORATION AS DESCRIBED IN SEC. 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND ARE EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SEC. 501(A) OF THE IRC. ALL UNRELATED BUSINESS INCOME GENERATED BY TRINITY IS SUBJECT TO FEDERAL INCOME TAX UNDER SECTION 511 OF THE IRC. TRINITY'S POLICY IS TO EVALUATE THE LIKELIHOOD THAT ITS UNCERTAIN TAX POSITIONS WILL PREVAIL UPON EXAMINATION BASED ON THE EXTENT TO WHICH THOSE POSITIONS HAVE SUBSTANTIAL SUPPORT WITHIN THE INTERNAL REVENUE CODE AND REGULATIONS, REVENUE RULINGS, COURT DECISIONS, AND OTHER EVIDENCE. IT IS THE OPINION OF MANAGEMENT THAT THE COMPANY HAS NO SIGNIFICANT UNCERTAIN TAX POSITIONS THAT WOULD BE SUBJECT TO CHANGE UPON EXAMINATION. TRINITY'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. BUILDING HOPE 28863 14000 14863 2393 8540 2193 1297 28863 14000 14863 2393 8540 2193 1297 14423 440 1 1 X 1 X 275.000000000000 1 X 275.000000000000 1 1 0 1 1 3881797 3881797 0.01040 26341571 24189178 2152393 0.00580 30223368 24189178 6034190 0.01620 118914 3405 115509 0.00030 2402 2402 0.00000 121316 3405 117911 0.00030 30344684 24192583 6152101 0.01650 91 1092 1092 0.00000 91 1092 1092 0.00000 1 18341568 0 82780335 110765720 -27985385 X 1 1 3 1 TRINITY HOSPITAL 2305 37TH AVE SW MINOT ND 58701 WWW.TRINITYHEALTH.ORG 5055 X X X X 2 TRINITY HOSPITAL-ST JOSEPH'S 407 3RD STREET SE MINOT ND 58701 WWW.TRINITYHEALTH.ORG 5036 X X 3 TRINITY KENMARE HOSPITAL PO BOX 697 KENMARE ND 587460697 WWW.TRINITYHEALTH.ORG 5028 X X X TRINITY HOSPITAL 1 0 0 1 X X X X X X X X X 24 1 1 0 1 X HTTP://WWW.TRINITYHEALTH.ORG/PATIENTS-VISITORS/ X 1 24 0 1 0 1 X 275.000000000000 275.000000000000 X X X X X 1 1 X X X X 1 X HTTPS://WWW.TRINITYHEALTH.ORG/TRINITY-HEALTH-BILLING/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.TRINITYHEALTH.ORG/TRINITY-HEALTH-BILLING/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.TRINITYHEALTH.ORG/TRINITY-HEALTH-BILLING/FINANCIAL-ASSISTANCE/ X X X X X X 1 X 0 X X X X 1 X 0 0 TRINITY HOSPITAL ST JOSEPH'S 2 0 0 1 X X X X X X X X X 24 1 1 0 1 X WWW.TRINITYHEALTH.ORG/PATIENTS-VISITORS/ X 1 24 0 1 0 1 X 275.000000000000 275.000000000000 X X X X X 1 1 X X X X 1 X HTTPS://WWW.TRINITYHEALTH.ORG/TRINITY-HEALTH-BILLING/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.TRINITYHEALTH.ORG/TRINITY-HEALTH-BILLING/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.TRINITYHEALTH.ORG/TRINITY-HEALTH-BILLING/FINANCIAL-ASSISTANCE/ X X X X X X 1 X 0 X X X X 1 X 0 0 TRINITY KENMARE HOSPITAL 3 0 0 1 X X X X X X X X X 24 1 1 0 1 X WWW.TRINITYHEALTH.ORG/PATIENTS-VISITORS/ X 1 24 0 1 0 1 X 275.000000000000 275.000000000000 X X X X X 1 1 X X X X 1 X HTTPS://WWW.TRINITYHEALTH.ORG/TRINITY-HEALTH-BILLING/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.TRINITYHEALTH.ORG/TRINITY-HEALTH-BILLING/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.TRINITYHEALTH.ORG/TRINITY-HEALTH-BILLING/FINANCIAL-ASSISTANCE/ X X X X X X 1 X 0 X X X X 1 X 0 0 TRINITY HOSPITAL PART V, SECTION B, LINE 5: THE COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") PROCESS PRIMARILY INVOLVED INTERVIEWS IN WINTER 2024 WITH VARIOUS COMMUNITY LEADERS, MEDICAL PROFESSIONALS, AND CITY AND COUNTY GOVERNMENT OFFICIALS. PARTICIPANTS INCLUDED THE CITY OF MINOT, FIRST DISTRICT HEALTH UNIT, MINOT AIR FORCE BASE, MINOT COMMISSION ON AGING, MINOT PUBLIC SCHOOL DISTRICT, WARD COUNTY JAIL, WARD COUNTY SHERIFF'S DEPARTMENT, AND WARD COUNTY SOCIAL SERVICES. TRINITY HOSPITAL ST. JOSEPH'S PART V, SECTION B, LINE 5: THE COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") PROCESS PRIMARILY INVOLVED INTERVIEWS IN WINTER 2024 WITH VARIOUS COMMUNITY LEADERS, MEDICAL PROFESSIONALS, AND CITY AND COUNTY GOVERNMENT OFFICIALS. PARTICIPANTS INCLUDED THE CITY OF MINOT, FIRST DISTRICT HEALTH UNIT, MINOT AIR FORCE BASE, MINOT COMMISSION ON AGING, MINOT PUBLIC SCHOOL DISTRICT, WARD COUNTY JAIL, WARD COUNTY SHERIFF'S DEPARTMENT, AND WARD COUNTY SOCIAL SERVICES. TRINITY KENMARE HOSPITAL PART V, SECTION B, LINE 5: THE COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") PROCESS PRIMARILY INVOLVED INTERVIEWS IN WINTER 2024 WITH VARIOUS COMMUNITY LEADERS, MEDICAL PROFESSIONALS, AND CITY AND COUNTY GOVERNMENT OFFICIALS. PARTICIPANTS INCLUDED THE CITY OF KENMARE, FIRST DISTRICT HEALTH UNIT, KENMARE POLICE DEPARTMENT, NORTH CENTRAL HUMAN SERVICE CENTER, AND WARD COUNTY SOCIAL SERVICES. TRINITY HOSPITAL PART V, SECTION B, LINE 6A: TRINITY HOSPITAL CONDUCTED ITS CHNA IN COLLABORATION WITH TRINITY HOSPITAL-ST. JOSEPH'S AND TRINITY KENMARE HOSPITAL. BECAUSE OF THEIR IDENTICAL COMMUNITIES AND RELATIONSHIP WITHIN TRINITY HEALTH, TRINITY HOSPITAL AND TRINITY HOSPITAL-ST. JOSEPH'S PRODUCED A JOINT COMMUNITY HEALTH NEEDS ASSESSMENT REPORT. TRINITY HOSPITAL ST. JOSEPH'S PART V, SECTION B, LINE 6A: TRINITY HOSPITAL-ST. JOSEPH'S CONDUCTED ITS CHNA IN COLLABORATION WITH TRINITY HOSPITAL AND TRINITY KENMARE HOSPITAL. BECAUSE OF THEIR IDENTICAL COMMUNITIES AND RELATIONSHIP WITHIN TRINITY HEALTH, TRINITY HOSPITAL AND TRINITY HOSPITAL-ST. JOSEPH'S PRODUCED A JOINT COMMUNITY HEALTH NEEDS ASSESSMENT REPORT. TRINITY KENMARE HOSPITAL PART V, SECTION B, LINE 6A: TRINITY KENMARE HOSPITAL CONDUCTED ITS CHNA IN COLLABORATION WITH TRINITY HOSPITAL AND TRINITY HOSPITAL-ST. JOSEPH'S. TRINITY HOSPITAL PART V, SECTION B, LINE 11: IN TRINITY HOSPITAL'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT, THE IDENTIFIED SIGNIFICANT COMMUNITY HEALTH NEEDS WERE ACCESS TO CARE, SUBSTANCE ABUSE, AND MENTAL HEALTH. TRINITY HOSPITAL ST. JOSEPH'S PART V, SECTION B, LINE 11: IN TRINITY HOSPITAL - ST. JOSEPH'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT, THE IDENTIFIED SIGNIFICANT COMMUNITY HEALTH NEEDS WERE ACCESS TO CARE, SUBSTANCE ABUSE AND MENTAL HEALTH. TRINITY KENMARE HOSPITAL PART V, SECTION B, LINE 11: IN TRINITY KENMARE HOSPITAL'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT, THE IDENTIFIED SIGNIFICANT COMMUNITY HEALTH NEEDS WERE ACCESS TO HEALTH CARE CARE SERVICES, SUBSTANCE ABUSE, AND MENTAL HEALTH. TRINITY HOSPITAL PART V, SECTION B, LINE 13H: OTHER CRITERIA USED BY TRINITY HOSPITAL TO DETERMINE ELIGIBILITY UNDER THEIR FAP: 1. ELIGIBILITY FOR MEDICARE OR MEDICAID IS ALSO CONSIDERED IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE.2. TRINITY HOSPITAL MAY PRESUMPTIVELY DETERMINE AN INDIVIDUAL'S ELIGIBILITY FOR CHARITY CARE UNDER THIS POLICY WITHOUT A COMPLETED APPLICATION IF THE HOSPITAL IS ABLE TO VERFIY INCOME FROM A RELIABLE THIRD PARTY, I.E. SOCIAL SECURITY, MEDICAID, ETC. TRINITY HOSPITAL ST. JOSEPH'S PART V, SECTION B, LINE 13H: OTHER CRITERIA USED BY TRINITY HOSPITAL TO DETERMINE ELIGIBILITY UNDER THEIR FAP: 1. ELIGIBILITY FOR MEDICARE OR MEDICAID IS ALSO CONSIDERED IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE.2. TRINITY HOSPITAL MAY PRESUMPTIVELY DETERMINE AN INDIVIDUAL'S ELIGIBILITY FOR CHARITY CARE UNDER THIS POLICY WITHOUT A COMPLETED APPLICATION IF THE HOSPITAL IS ABLE TO VERFIY INCOME FROM A RELIABLE THIRD PARTY, I.E. SOCIAL SECURITY, MEDICAID, ETC. TRINITY KENMARE HOSPITAL PART V, SECTION B, LINE 13H: OTHER CRITERIA USED BY TRINITY HOSPITAL TO DETERMINE ELIGIBILITY UNDER THEIR FAP: 1. ELIGIBILITY FOR MEDICARE OR MEDICAID IS ALSO CONSIDERED IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE.2. TRINITY HOSPITAL MAY PRESUMPTIVELY DETERMINE AN INDIVIDUAL'S ELIGIBILITY FOR CHARITY CARE UNDER THIS POLICY WITHOUT A COMPLETED APPLICATION IF THE HOSPITAL IS ABLE TO VERFIY INCOME FROM A RELIABLE THIRD PARTY, I.E. SOCIAL SECURITY, MEDICAID, ETC. TRINITY HOSPITAL PART V, SECTION B, LINE 16J: PATIENTS IDENTIFIED AS POSSIBLE FINANCIAL ASSISTANCE CASES ARE ASKED TO COMPLETE A FINANCIAL ASSISTANCE FORM AND ARE REFERRED TO THE APPROPRIATE COUNSELOR. TRINITY HOSPITAL ST. JOSEPH'S PART V, SECTION B, LINE 16J: PATIENTS IDENTIFIED AS POSSIBLE FINANCIAL ASSISTANCE CASES ARE ASKED TO BE COMPLETE A FINANCIAL ASSISTANCE FORM AND ARE REFERRED TO THE APPROPRIATE COUNSELOR. TRINITY KENMARE HOSPITAL PART V, SECTION B, LINE 16J: PATIENTS IDENTIFIED AS POSSIBLE FINANCIAL ASSISTANCE CASES ARE ASKED TO BE COMPLETE A FINANCIAL ASSISTANCE FORM AND ARE REFERRED TO THE APPROPRIATE COUNSELOR. 22 1 - TRINITY HOMES 305 8TH AVENUE NE MINOT ND 58701 SKILLED NURSING HOME 2 - TRINITY HOSPITALS HOME HEALTHHOSPICE 1015 SOUTH BROADWAY SUITE 306 MINOT ND 58701 HOME HEALTH & HOSPICE 3 - TRINITY HOSPITALS HOSPITAL ROAD BELCOURT ND 58316 DIALYSIS SERVICES 4 - TCC-BELCOURT (KDU) 1310 HOSPITAL LOOP ROAD BELCOURT ND 58316 DIALYSIS SERVICES 5 - ORAL & FACIAL SURGERY CENTER-PLAZA 16 2815 16TH STREET SW MINOT ND 58701 ORAL & FACIAL SURGICAL SERVICES 6 - TRINITY REGIONAL EYECARE-WILLISTON 1321 W DAKOTA PARKWAY WILLISTON ND 55801 EYE HEALTH SERVICES 7 - TRINITY REGIONAL EYECARE-DEVIL'S LAKE 404 HWY 2 EAST DEVILS LAKE ND 58301 EYE HEALTH SERVICES 8 - VISION GALLERIA AT TRINITY - PLAZA 16 2815 16TH STREET SW MINOT ND 58702 OPTICAL AND CONTACT LENS DISPENSARY 9 - WESTERN DAKOTA SURGERY 1321 W DAKOTA PARKWAY WILLISTON ND 58801 SURGICAL SERVICES 10 - TRINITY HEALTH CENTER-MEDICAL ARTS 400 BURDICK EXPRESSWAY EAST MINOT ND 58701 PROVIDER-BASED CLINIC 11 - TRINITY HEALTH CENTER-WEST 101 3RD AVENUE SW MINOT ND 58701 PROVIDER-BASED CLINIC 12 - TRINITY HEALTH CENTER-RIVERSIDE 1900 8TH AVENUE SE MINOT ND 58701 PROVIDER-BASED CLINIC 13 - TRINITY HEALTH CENTER-TOWN & COUNTRY 831 SOUTH BROADWAY MINOT ND 58701 PROVIDER-BASED CLINIC 14 - TRINITY HEALTH SOUTH RIDGE 1500 24TH AVENUE SW MINOT ND 58701 PROVIDER-BASED CLINIC 15 - TCC-WESTERN DAKOTA 1321 WEST DAKOTA PARKWAY WILLISTON ND 58801 PROVIDER-BASED CLINIC 16 - TRINITY HEALTH CENTER-3RD STREET 420 3RD ST SE MINOT ND 58701 PROVIDER-BASED CLINIC 17 - TRINITY COMMUNITY CLINIC KENMARE 307 1ST AVENUE NW KENMARE ND 58746 RURAL HEALTH CLINIC 18 - TCC-GARRISON PO BOX 1179 GARRISION ND 585401179 RURAL HEALTH CLINIC 19 - TRINITY HEALTH EAST RIDGE 1250 21ST AVENUE SE MINOT ND 58701 PROVIDER-BASED CLINIC 20 - TCC-MOHALL 504 1ST ST SW MOHALL ND 58760 RURAL HEALTH CLINIC 21 - TCC-NEW TOWN PO BOX 1029 NEW TOWN ND 587631029 RURAL HEALTH CLINIC 22 - TCC-VELVA PO BOX 70 VELVA ND 587900070 RURAL HEALTH CLINIC PART I, LINE 3C: TO BE ELIGIBLE FOR FREE CARE UNDER TRINITY HEALTH'S FINANCIAL ASSISTANCE POLICY, THE SERVICES MUST BE MEDICALLY NECESSARY, THE PERSON'S HOUSEHOLD INCOME MUST BE BELOW 275% OF FEDERAL POVERTY GUIDELINES, THEY MUST RESIDE WITHIN TRINITY HEALTH'S SERVICE AREA, THEY MUST EXHAUST OTHER FINANCIAL ASSISTANCE OPPORTUNITIES (E.G.: MEDICARE, MEDICAID), AND THEY MUST PROVIDE A COMPLETE FINANCIAL ASSISTANCE APPLICATION. SPECIAL CONSIDERATION IS GIVEN WHEN INCOME LEVELS EXCEED THE INCOME GUIDELINES FOR CHARITY CARE AND THE HEALTHCARE EXPENSES EXCEED A SIGNIFICANT MULTIPLE OF THE HOUSEHOLD'S ANNUAL INCOME. PART I, LINE 7: TRINITY'S COMMUNITY BENEFIT EXPENSES AND REVENUES WERE CALCULATED USING THE IRS WORKSHEETS PROVIDED IN THE INSTRUCTIONS TO THE 2024 FORM 990, SCHEDULE H. PART I, LN 7 COL(F): $18,341,568 OF BAD DEBT EXPENSE WAS EXCLUDED IN CALCULATING THE PERCENTAGES REPORTED IN PART I, LINE 7, COLUMN F.IN FURTHERANCE OF ITS CHARITABLE PURPOSE, TRINITY PROVIDES A WIDE VARIETY OF BENEFITS TO THE COMMUNITY, INCLUDING OFFERING VARIOUS COMMUNITY-BASED SERVICE PROGRAMS SUCH AS FREE CLINICS, HEALTH SCREENINGS, IN-HOME CAREGIVER SERVICES, SOCIAL SERVICE AND SUPPORT COUNSELING FOR PATIENTS AND FAMILIES, PASTORAL CARE, CRISIS INTERVENTION, TRANSPORTATION TO AND FROM THE HOSPITAL CAMPUSES, AND THE DONATION OF SPACE FOR USE BY COMMUNITY GROUPS. ADDITIONALLY, A LARGE NUMBER OF HEALTH-RELATED EDUCATIONAL PROGRAMS ARE PROVIDED FOR THE BENEFIT OF THE COMMUNITY, INCLUDING HEALTH ENHANCEMENTS AND WELLNESS, CLASSES ON SPECIFIC CONDITIONS, TELEPHONE INFORMATION SERVICES, AND COSTS RELATED TO PROGRAMS DESIGNED TO IMPROVE THE GENERAL STANDARDS OF THE HEALTH OF THE COMMUNITY. THE COST OF PROVIDING THE ABOVE SERVICES IS NOT INCLUDED IN TRINITY'S CHARITY CARE AMOUNT. PART III, LINE 2: TRINITY PROVIDES MEDICAL CARE WITHOUT CHARGE OR AT REDUCED CHARGE TO RESIDENTS OF ITS COMMUNITY THROUGH THE PROVISION OF CHARITY CARE. INCLUDED IN TRINITY'S DEFINITION OF CHARITY CARE ARE THE FOLLOWING: (A) SERVICES PROVIDED TO THE UNINSURED OR UNDERINSURED AND (B) SERVICES PROVIDED TO PATIENTS EXPRESSING A WILLINGNESS TO PAY BUT WHO ARE DETERMINED TO BE UNABLE TO PAY BECAUSE OF SOCIOECONOMIC FACTORS.TRINITY MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. THOSE RECORDS INCLUDE THE AMOUNT OF CHARGES FORGONE FOR CHARITY CARE.AMOUNTS DO NOT INCLUDE THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS OR THE DIFFERENCE BETWEEN PUBLIC PROGRAM PAYMENTS (PRIMARILY MEDICARE AND MEDICAID) AND THE RELATED COSTS OF PROVIDING SUCH SERVICES. TRINITY USES THE COST-TO-CHARGE RATIO TO DETERMINE THE AMOUNTS REPORTED IN LINE 2. PART III, LINE 3: TRINITY IS REPORTING $0 ON LINE 3 BECAUSE THE ORGANIZATION DOES NOT HAVE A RELIABLE ESTIMATE OF THE PORTION OF BAD DEBT EXPENSE ATTRIBUTABLE TO INDIVIDUALS WHO WOULD QUALIFY FOR FINANCIAL ASSISTANCE BUT DID NOT COMPLETE AN APPLICATION. PART III, LINE 4: SEE THE "ACCOUNTS RECEIVABLE AND ALLOWANCE FOR CREDIT LOSSES NOTE ON PAGE 9 OF THE ATTACHED FINANCIAL STATEMENTS. PART III, LINE 8: THE MEDICARE ALLOWABLE COSTS REPORTED ON PART III, LINE 6 WAS DERIVED USING TRINITY HOSPITALS AND KENMARE'S 6/30/25 MEDICARE COST REPORTS. PART III, LINE 9B: IT IS THE POLICY OF TRINITY TO PROVIDE MEDICAL SERVICES TO THE COMMUNITY AND REGION REGARDLESS OF THE CUSTOMER'S ABILITY TO PAY THROUGH CONSISTENT BILLING PRACTICES. ACCOUNTS WILL BE MONITORED TO ENSURE THAT CUSTOMERS ARE BILLED FOR ONLY THOSE SERVICES PROVIDED. TRINITY, THROUGH VERIFICATION OF INFORMATION, IS REQUIRED TO PROVIDE TIMELY AND ACCURATE BILLING, COLLECTION, AND PATIENT ACCOUNT MAINTENANCE. INFORMATION REGARDING TRINITY'S BILLING AND PAYMENT GUIDELINES, WHICH INCLUDES FINANCIAL ASSISTANCE PROGRAMS, ARE AVAILABLE AT REGISTRATION AND BUSINESS SERVICES LOCATIONS. THIS INFORMATION IS COMMUNICATED VERBALLY OR THROUGH THE USE OF THE TRINITY BILLING & PAYMENT GUIDELINES BROCHURE. TO ENHANCE VERBAL COMMUNICATIONS, INTERPRETERS ARE PROVIDED AS NECESSARY. PART VI, LINE 2: TRINITY HEALTH COMPLETES A THOROUGH COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS, IN COMPLIANCE WITH SECTION 501(R). TRINITY'S FIRST COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED DURING THE YEAR ENDED JUNE 30, 2013. THE SECOND WAS COMPLETED DURING THE YEAR ENDED JUNE 30, 2016, THE THIRD WAS COMPLETED DURING THE YEAR ENDED JUNE 30, 2019, THE FOURTH WAS COMPLETED DURING THE YEAR END JUNE 30, 2022, AND THE FIFTH WAS COMPLETED DURING THE YEAR END JUNE 30, 2025. THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT FOR BOTH YEARS IS AVAILABLE ONLINE AT HTTP://WWW.TRINITYHEALTH.ORG/PATIENTS-VISITORS/. PART VI, LINE 3: TRINITY HEALTH'S HOSPITALS WIDELY PUBLICIZE FINANCIAL ASSISTANCE INFORMATION IN ALL OF THE METHODS REQUIRED UNDER SECTION 501(R) AND RELATED REGULATIONS. EXAMPLES INCLUDE INFORMATION ON BILLING STATEMENTS, INFORMATION POSTED IN ADMISSIONS AREAS AND EMERGENCY ROOMS, AND INFORMATION PROVIDED AT ADMISSION. IN ADDITION, PATIENT ACCESS AND BUSINESS OFFICE STAFF ATTEMPT TO IDENTIFY ALL CASES THAT WILL QUALIFY FOR FINANCIAL ASSISTANCE AT THE TIME OF ADMISSION. PATIENTS IDENTIFIED AS POSSIBLE FINANCIAL ASSISTANCE CASES ARE ASKED TO COMPLETE A FINANCIAL ASSISTANCE FORM AND ARE REFERRED TO THE APPROPRIATE COUNSELOR. PART VI, LINE 4: ALTHOUGH TRINITY HOSPITAL AND TRINITY HOSPITAL - ST. JOSEPH'S ARE LOCATED IN MINOT, NORTH DAKOTA, WE HAVE HISTORICALLY DEFINED OUR "COMMUNITY" AS A BROADER AREA THAT INCLUDES NORTHWESTERN NORTH DAKOTA AS WELL AS A PORTION OF NORTHEASTERN MONTANA. WITHIN THIS BROADER COMMUNITY, APPROXIMATELY TWO-THIRDS OF OUR INPATIENTS AND OUTPATIENTS RESIDE WITHIN IN AND IMMEDIATELY AROUND THE CITY OF MINOT AND WARD COUNTY. UNDERSTANDING OUR COMMUNITY REQUIRES AN UNDERSTANDING OF NORTH DAKOTA'S OIL RESERVES. UNDERLYING NORTHWESTERN NORTH DAKOTA IS A MASSIVE ROCK FORMATION, REFERRED TO AS THE BAKKEN SHALE, WHICH HOLDS AN ESTIMATED 18 BILLION BARRELS OF CRUDE OIL. WHEN THIS RESOURCE WAS FIRST DISCOVERED IN 1951, RECOVERING IT WAS FINANCIALLY UNFEASIBLE BECAUSE THE OIL WAS EMBEDDED IN THE STONE. THEN, AROUND 2008, EVERYTHING CHANGED. NEW DRILLING TECHNOLOGY CALLED HYDRAULIC FRACTURING, OR 'FRACKING', BECAME WIDESPREAD, AND OIL PRODUCTION TOOK OFF. THE OIL RIGS AND SUPPORT SYSTEMS HAVE RESCULPTED THE LANDSCAPE, MILLIONS OF DOLLARS HAVE BEEN INVESTED ON INFRASTRUCTURE UPGRADES ACROSS THE AREA.ALTHOUGH MUCH OF THE OIL FIELD ACTIVITY OCCURS TO THE WEST OF MINOT, OUR COMMUNITY HAS BEEN SIGNIFICANTLY IMPACTED BY THE FLUCTUATION OF PEOPLE INTO AND OUT OF OUR COMMUNITY. DEMAND FOR ALMOST EVERY GOOD, FROM HOUSING TO CLOTHING TO FOOD, TO HUMAN CAPITAL HAS FLUCTUATED, AND OUR COMMUNITY HAS STRUGGLED WITH THESE FLUCTUATIONS. PART VI, LINE 5: IN FURTHERANCE OF ITS CHARITABLE PURPOSE, TRINITY PROVIDES A WIDE VARIETY OF BENEFITS TO THE COMMUNITY, INCLUDING OFFERING VARIOUS COMMUNITY-BASED SERVICE PROGRAMS SUCH AS FREE CLINICS, HEALTH SCREENINGS, IN-HOME CAREGIVER SERVICES, SOCIAL SERVICE AND SUPPORT COUNSELING FOR PATIENTS AND FAMILIES, PASTORAL CARE, CRISIS INTERVENTION, TRANSPORTATION TO AND FROM THE HOSPITAL CAMPUSES, AND THE DONATION OF SPACE FOR USE BY COMMUNITY GROUPS. ADDITIONALLY, A LARGE NUMBER OF HEALTH-RELATED EDUCATIONAL PROGRAMS ARE PROVIDED FOR THE BENEFIT OF THE COMMUNITY, INCLUDING HEALTH ENHANCEMENTS AND WELLNESS, CLASSES ON SPECIFIC CONDITIONS, TELEPHONE INFORMATION SERVICES, AND COSTS RELATED TO PROGRAMS DESIGNED TO IMPROVE THE GENERAL STANDARDS OF THE HEALTH OF THE COMMUNITY. PART VI, LINE 6: THIS FORM 990 INCLUDES TRINITY HOSPITAL, TRINITY HOSPITAL-ST. JOSEPH'S, AND TRINITY KENMARE HOSPITAL. THESE THREE HOSPITALS ARE PART OF TRINITY HEALTH SYSTEM. TRINITY HEALTH IS THE PARENT ORGANIZATION. THE SYSTEM ALSO INCLUDES TRINITY HEALTH FOUNDATION, TRINITY HOMES, AND COMMUNITY AMBULANCE SERVICE OF MINOT, ALL OF WHICH ARE TAX-EXEMPT 501(C)(3) ORGANIZATIONS, AS WELL AS MEDICAL ARTS OUTPATIENT SERVICES INC. AND B&B DRUG INC., BOTH OF WHICH ARE FOR-PROFIT C CORPORATIONS. PART VI, LINE 7, REPORTS FILED WITH STATES ND 1 MINOT BASEBALL LLC 1905 2ND ST SE SUITE S4 MINOT ND 58701 882553032 7995 0 N/A N/A SPONSORSHIP 0 1 HARDSHIP ASSISTANCE 16 42000 0 N/A N/A CANCER ASSISTANCE 110 172243 0 N/A N/A PART I, LINE 2: TRINITY HEALTH & AFFILIATES DOES NOT HAVE A PROCEDURE FOR MONITORING USE OF GRANT FUNDS. 0 1 0 1 1 0 0 0 0 JOHN KUTCH PRESIDENT & CEO 0 961015 0 0 0 936 0 5175 0 26774 0 993900 0 0 SCOTT KNUTSON MD DIRECTOR 0 792017 0 0 0 468 0 5175 0 26774 0 824434 0 0 JEFFREY SATHER MD DIRECTOR 0 738311 0 0 0 468 0 5175 0 20311 0 764265 0 0 BUFFIE SALO VP - AMBULATORY CARE STRATEGIES (THROUGH 4/25/25) 0 229880 0 0 0 936 0 3539 0 9233 0 243588 0 0 WADE PETERSON VP - LTC & ANCILLARY SERVICES 0 213630 0 0 0 468 0 3252 0 9237 0 226587 0 0 PAMELA HOPKINS VP - MARKETING/COMMUNICATIONS 0 204388 0 0 0 936 0 3164 0 9237 0 217725 0 0 CHRISTOPHER VAN GELS VP - FACILITIES MANAGEMENT 0 175321 0 0 0 936 0 2789 0 26774 0 205820 0 0 JENNY MARCHINIAK VP - HUMAN RESOURCES (THROUGH 07/01/24) 0 164356 0 0 0 6200 0 2521 0 4974 0 178051 0 0 PART I, LINE 3 JOHN KUTCH, PRESIDENT & CEO, IS COMPENSATED BY TRINITY HEALTH, A RELATED ORGANIZATION. TRINITY HEALTH USES THE FOLLOWING METHODS TO DETERMINE THE COMPENSATION FOR JOHN: 1. COMPENSATION COMMITTEE 2. INDEPENDENT COMPENSATION CONSULTANT 3. FORM 990 OF OTHER ORGANIZATIONS 4. COMPENSATION SURVEY OR STUDY 5. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINE 4B DURING FY25, JOHN KUTCH PARTICIPATED IN A CAP-EX PROGRAM INSTEAD OF A TRADITIONAL SERP, PAID FOR BY TRINITY HOSPITALS, A PART OF TRINITY HEALTH & AFFILIATES. AT JUNE 30, 2025, THE ARRANGEMENT WAS VALUED AT $6,569,341 AND WAS INCLUDED IN OTHER ASSETS ON THE CONSOLIDATED FINANCIAL STATEMENTS. PART I, LINE 5 PHYSICIANS RECEIVE INCENTIVE COMPENSATION FROM TRINITY HEALTH, A RELATED ORGANIZATION, BASED ON MULTIPLE FACTORS INCLUDING THE NUMBER OF PATIENTS SERVED AND RELATIVE VALUE UNITS (RVUS), WHICH IS CLOSELY CONNECTED TO REVENUES. A WARD COUNTY NORTH DAKOTA 456002248 2017-09-27 56875000 REFUND SERIES 2006 BONDS; HOSPITAL CONSTRUCTION 0 0 0 B WARD COUNTY NORTH DAKOTA 456002248 394023EW8 2017-12-28 382748522 HOSPITAL CONSTRUCTION 0 0 0 A 40554400 56875000 510395 9960000 46404605 2019 1 0 0 1 B 382748522 24843239 36638679 3562519 382868361 2019 0 0 0 1 A 0 1 0 0 0.00000 0.00630 0.00630 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 1 SEE PART VI 0 0 1 A 1 B 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: WARD COUNTY, NORTH DAKOTA DATE THE REBATE COMPUTATION WAS PERFORMED: 06/01/2022 ISSUER NAME: WARD COUNTY, NORTH DAKOTA DATE THE REBATE COMPUTATION WAS PERFORMED: 06/01/2023 SCHEDULE K, PART IV, LINE 5, COLUMN B: CAPITALIZED INTEREST FUND: WELLS FARGO SECURITIES, LLC; 2.0 YEARS; NO* PROJECT FUND: BAYERISCHE LANDESBANK; 2.6 YEARS; YES PROJECT FUND: NATIXIS FUNDING CORP; 2.6 YEARS; NO** DEBT SERVICE RESERVE FUND: TD SECURITIES; 2.6 YEARS; YES DEBT SERVICE RESERVE FUND: WELLS FARGO SECURITIES, LLC; 0.5 YEARS; YES *THE INVESTMENT IN THE CAPITALIZED INTEREST FUND DID NOT TECHNICALLY SATISFY THE SAFE HARBORS FOR GIC'S BECAUSE THE CONTRACT WAS AWARDD TO THE LOWEST BONA FIDE OFFER RATHER THAN TO THE HIGHEST YIELDING BONA FIDE OFFER. **THE PROJECT FUND INVESTMENT WAS SPLIT BETWEEN TWO CONTRACTS WITH SEPARATE PROVIDERS TO ACHIEVE DIVERSIFICATION OF COUNTERPARTY EXPOSURE. AS REQUIRED BY THE TERMS OF THE SOLICITATION, THE BID FROM BAYERISCHE LANDESBANK, AS THE WINNING BIDDER WITH RESPECT TO THE FIRST CONTRACT, WAS AUTOMATICALLY DISQUALIFIED WITH RESPECT TO THE SECOND CONTRACT. JOHN KUTCH CURRENT OFFICER SEE PART VI X 6915850 6569341 0 1 1 6569341 SCHEDULE L, PART II: TRINITY HEALTH PROVIDES SUPPLEMENTAL RETIREMENT BENEFITS FOR JOHN KUTCH, PRESIDENT & CEO, THROUGH AN ALTERNATIVE FUNDING ARRANGEMENT THE IRS CALLS "COLLATERAL ASSIGNMENT SPLIT DOLLAR" (CASD). ALTHOUGH THE IRS REQUIRES REPORTING IN THE LOAN SECTION OF SCHEDULE L, CASD IS NOT AN ACTUAL LOAN - NO FUNDS ARE TRANSFERRED TO JOHN. RATHER, THE "LOAN" TREATMENT APPLIES BECAUSE AFTER JOHN HAS RECEIVED RETIREMENT BENEFITS, TRINITY HEALTH RECOVERS ALL OF ITS OUTLAYS PLUS INTEREST.THE RECOVERY RIGHT IS A KEY ADVANTAGE OF CASD FOR TRINITY HEALTH. RATHER THAN PAYING RETIREMENT BENEFITS TO JOHN THAT WOULD NEVER BE RECOVERED, UNDER CASD TRINITY HEALTH RECOVERS NOT ONLY ITS OUTLAYS, BUT ALSO CONSIDERATION FOR THE TIME VALUE OF MONEY. CASD WORKS AS FOLLOWS: TRINITY HEALTH DEPOSITS FUNDS INTO A CASH VALUE LIFE INSURANCE POLICY ON JOHN KUTCH'S LIFE. DURING LIFE, TO THE EXTENT JOHN FULFILLS SERVICE AND VESTING REQUIREMENTS, JOHN CAN BORROW AGAINST VALUES IN THE POLICY TO SUPPLEMENT RETIREMENT INCOME. POLICY PERFORMANCE IS CLOSELY MONITORED. IF POLICY PERFORMANCE LAGS, JOHN'S BORROWING RIGHTS ARE REDUCED TO PROTECT TRINITY HEALTH'S RECOVERY RIGHTS. AT JOHN KUTCH'S DEATH, THE POLICY DEATH PROCEEDS ARE FIRST USED TO REPAY TRINITY HEALTH ITS DEPOSITS PLUS COMPOUNDED INTEREST (AT THE IRS LONG-TERM APPLICABLE FEDERAL RATE). JOHN'S BENEFICIARY THEN RECEIVES ANY PROJECTED RETIREMENT BORROWING JOHN DID NOT ACCESS DURING LIFE. ANY REMAINING DEATH PROCEEDS WILL ALSO BE DIVIDED BETWEEN TRINITY HEALTH AND JOHN'S BENEFICIARY. X 19624 FMV X 1 7350 FMV X MISCELLANEOUS 30 11950 FMV X PRIZES 19 11525 FMV X GIFT CARDS 4 5150 FMV 0 0 0 0 PART I, COLUMN (B): THE NUMBER OF CONTRIBUTIONS WAS USED IN PART I. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE IS COMPOSED OF THE OFFICERS OF THE BOARD OF DIRECTORS, EACH VESTED WITH FULL VOTING AUTHORITY. THEY MEET AS NEEDED TO PLAN FOR THE BOARD'S WORK AND TO FULFILL TASKS ASSIGNED TO THEM BY THE BOARD. THE EXECUTIVE COMMITTEE IS AUTHORIZED TO ACT AND MAKE DECISIONS ON BEHALF OF THE ENTIRE BOARD WHEN URGENT MATTERS ARISE BETWEEN REGULARLY SCHEDULED BOARD MEETINGS. THE EXECUTIVE COMMITTEE IS OBLIGATED TO PRESENT ITS ACTIONS TO THE ENTIRE BOARD IF A DECISION HAS BEEN MADE IN ITS ABSENCE. FORM 990, PART VI, SECTION A, LINE 3 DURING FISCAL YEAR 2025, ROBIN NICHOLS PROVIDED CFO SERVICES TO THE ORGANIZATION. ROBIN NICHOLS WAS COMPENSATED THROUGH A MANAGEMENT AGREEMENT WITH WARBIRD HEALTHCARE ADVISORS. TRINITY HEALTH PAID WARBIRD $211,801 FOR CFO SERVICES DURING FISCAL YEAR 2025. FORM 990, PART VI, SECTION A, LINE 6 TRINITY HEALTH IS THE SOLE MEMBER OF EACH CORPORATION INCLUDED IN THIS GROUP RETURN. FORM 990, PART VI, SECTION A, LINE 7A AT EACH ANNUAL MEETING, THE SOLE MEMBER, TRINITY HEALTH, APPOINTS THE BOARD OF DIRECTORS. AT LEAST SEVEN OF THE BOARD OF DIRECTORS ALSO SERVE AS A MEMBER OF THE BOARD OF DIRECTORS OF TRINITY HEALTH. IN THE BYLAWS OF TRINITY HEALTH FOUNDATION, THIS OVERLAP ONLY NEEDS TO BE THREE. ANY DIRECTOR WHO CEASES TO BE A MEMBER OF THE TRINITY HEALTH BOARD OF DIRECTORS AUTOMATICALLY BECOMES DISQUALIFIED FROM SERVING AS A DIRECTOR OF THE AFFILIATES' BOARD AND IS REPLACED WITH ANOTHER BOARD MEMBER CURRENTLY SERVING ON THE BOARD OF TRINITY HEALTH, UNLESS THERE ARE AT LEAST A MINIMUM OF SEVEN (OR THREE IN THE CASE OF TRINITY HEALTH FOUNDATION) OTHER BOARD MEMBERS CURRENTLY SERVING AS A DIRECTOR OF TRINITY HEALTH. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING POWERS ARE RESERVED EXCLUSIVELY TO THE SOLE MEMBER, TRINITY HEALTH: (A) APPROVE THE APPOINTMENT OF OFFICERS; (B) APPROVE ANY AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS; (C) APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS; (D) APPROVE THE SELECTION OF AUDITORS AND LEGAL COUNSEL; (E) APPROVE ANY STRATEGIC PLANS ADOPTED; (F) APPROVE ANY UNBUDGETED BORROWING, ANY ENCUMBRANCE OF ASSETS, AND ANY EXPENDITURES FOR CAPITAL IMPROVEMENTS WHERE THE AMOUNT EXCEEDS FIVE PERCENT OF THE CAPITAL BUDGET PREVIOUSLY APPROVED; (G) CHANGE THE NUMBER OF DIRECTORS OF THE BOARD OF DIRECTORS; AND (H) APPROVE ANY ACTION THAT IS NOT IN THE ORDINARY COURSE OF BUSINESS. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO BEING FILED WITH THE IRS, A COPY OF THE FORM 990 WAS GIVEN TO THE GOVERNING BODY OF TRINITY HEALTH & AFFILIATES FOR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C ALL SALARIED EMPLOYEES (AT MANAGER LEVEL AND ABOVE AS DETERMINED BY TRINITY) AND SUCH OTHER EMPLOYEES AS FROM TIME TO TIME MAY BE DIRECTED TO DO SO, ARE REQUIRED TO COMPLETE TRINITY HEALTH'S CONFLICT OF INTEREST STATEMENT ON AN ANNUAL BASIS. ANY EMPLOYEE WHO HAS ASSUMED, OR IS ABOUT TO ASSUME, A FINANCIAL OR OTHER INTEREST OR RELATIONSHIP THAT MIGHT INVOLVE A CONFLICT OF INTEREST MUST IMMEDIATELY INFORM HIS/HER SUPERVISOR, A MEMBER OF THE COMPLIANCE COMMITTEE, OR THE COMPLIANCE OFFICER. ISSUES INVOLVING CONFLICT OF INTEREST SHALL BE REVIEWED AND A DETERMINATION OF EACH SHALL BE MADE BY THE TRINITY COMPLIANCE COMMITTEE. IF A CONFLICT EXISTS, THE CONFLICTED PERSON MUST ABSTAIN FROM DISCUSSION OF AND VOTING ON THE CONFLICTED TOPIC. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS OF TRINITY HEALTH REVIEWED COMPENSATION INFORMATION FOR THE CEO, WHICH HAD BEEN PREVIOUSLY PREPARED BY DELOITTE AND TOURCHE. DELOITTE AND TOUCHE ANALYZED FOUR COMPENSATION SURVEYS OF HEALTH CARE EMPLOYERS AND REVIEWED FORM 990 FILINGS FOR A PEER GROUP ANALYSIS. IN 2022, THE EXECUTIVE COMMITTEE OF THE BOD OF TRINITY HEALTH REVIEWED COMPENSATION INFORMATION FOR THE CEO, WHICH WAS COMPARED TO ANNUAL SURVEY RESULTS OF WAGE SUVERY CONDUCTED BY LOCKTON BENEFITS CONSULTING. FORM 990, PART VI, SECTION C, LINE 19 ON OUR WEBSITE WWW.TRINITYHEALTH.ORG WE LIST OUR BOARD OF DIRECTORS, MISSION, VISION, VALUES AND OUR ANNUAL REPORT WHICH INCLUDES FINANCIAL INFORMATION. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G MEDICAL PROFESSIONALS: PROGRAM SERVICE EXPENSES 67,874,595. MANAGEMENT AND GENERAL EXPENSES 5,631,694. FUNDRAISING EXPENSES 586. TOTAL EXPENSES 73,506,875. FORM 990, PART XI, LINE 9: NET ASSET TRANSFERS -16,094,722. FORM 990 PART XII, LINE 2C: THE ORGANIZATION'S PROCESS FOR SELECTING AN INDEPENDENT AUDITOR AND FOR OVERSEEING THE FINANCIAL STATEMENT AUDIT DID NOT CHANGE DURING THE YEAR. TRINITY HEALTH PO BOX 5020 MINOT ND 58702 450226558 HEALTHCARE ND 501(C)(3) LINE 12C, III-FI N/A 0 TRINITY 1922 FOUNDATION PO BOX 5020 MINOT ND 58702 474591148 FUNDRAISING ND 501(C)(3) LINE 12A, I TRINITY HEALTH 0 MEDICAL ARTS OUTPATIENT SERVICES INC PO BOX 2216 MINOT ND 58702 450278212 RETAIL PHARMACY & DURABLE MEDICAL EQUIPMENT ND N/A C 0 B&B DRUG INC PO BOX 5020 MINOT ND 58702 450260565 RETAIL DRUG STORE ND N/A C 0 0 0 1 0 0 0 0 0 0 1 0 1 1 1 1 0 0 1 0