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TRINITY HEALTH: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
TRINITY HEALTH (EIN 45-0226558)
Tax period
2015-07-01 to 2016-06-30
Filed
2017-05-12
IRS object ID
201731329349306913
Schema version
2015v3.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2017-05-12T16:49:23-05:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1220 SOUTH SIXTH STREET SUITE 300AddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55402ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN450226558EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TRINITY HEALTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlTRINBusinessNameControlTxt
Phone7018575000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 5020AddressLine1Txt
CityMINOTCityNm
State AbbreviationNDStateAbbreviationCd
ZIP58702ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDENNIS C EMPEYPersonNm
Person TitleCHIEF FINANCIAL OFFICERPersonTitleTxt
Phone7018575000PhoneNum
Signature2017-05-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKURT BENNIONPreparerPersonNm
PTINP01469618PTIN
Phone6123764500PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJOHN M KUTCHPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 5020AddressLine1Txt
CityMINOTCityNm
State AbbreviationNDStateAbbreviationCd
ZIP58702ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$120,326,829GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.TRINITYHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1929FormationYr
Legal Domicile StateNDLegalDomicileStateCd
Activity Or MissionPROVIDE HEALTH EDUCATION & HEALTHCARE SERVICES TO RESIDENTS OF CENTRAL & NORTHWEST NORTH DAKOTAActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee3615TotalEmployeeCnt
Total Volunteers361TotalVolunteersCnt
Total Gross UBI$92,225TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$617NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$111,384,091PYProgramServiceRevenueAmt
CY Program Service Revenue$119,718,401CYProgramServiceRevenueAmt
PY Investment Income$1,807,436PYInvestmentIncomeAmt
CY Investment Income$590,060CYInvestmentIncomeAmt
PY Other Revenue-$271,779PYOtherRevenueAmt
CY Other Revenue-$96,511CYOtherRevenueAmt
PY Total Revenue$112,919,748PYTotalRevenueAmt
CY Total Revenue$120,211,950CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$105,561,387PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$114,062,290CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$27,205,514PYOtherExpensesAmt
CY Other Expenses$23,856,977CYOtherExpensesAmt
PY Total Expenses$132,766,901PYTotalExpensesAmt
CY Total Expenses$137,919,267CYTotalExpensesAmt
PY Revenues Less Expenses-$19,847,153PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$17,707,317CYRevenuesLessExpensesAmt
Total Assets BOY$67,308,338TotalAssetsBOYAmt
Total Assets EOY$64,003,594TotalAssetsEOYAmt
Total Liabilities BOY$98,585,131TotalLiabilitiesBOYAmt
Total Liabilities EOY$94,859,488TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$31,276,793NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$30,855,894NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTRINITY 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.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$108,840,101ExpenseAmt
Grant$0GrantAmt
Revenue$93,263,635RevenueAmt
DescTRINITY HEALTH PROVIDES EDUCATION AND HEALTHCARE SERVICES FOR RESIDENTS OF CENTRAL AND NORTHWEST NORTH DAKOTA AND NORTHEASTERN MONTANA.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$13,048,323ExpenseAmt
Grant$0GrantAmt
Revenue$12,451,316RevenueAmt
DescTRINITY HEALTH PROVIDES OPTOMETRY SERVICES FOR GENERAL EYECARE AND EYE TESTING FOR OPTICAL AIDS; OPHTHALMOLOGISTS WHO PROVIDE COMPREHENSIVE EYE AND VISION CARE, INCLUDING SURGERY TO REPAIR AND ENHANCE VISION; OPTOMETRISTS WHO PROVIDES GENERAL EYECARE AND EYE TESTING FOR OPTICAL AIDS AND OPTICAL SALE OF CONTACT LENS AND EYEGLASSES.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$10,248,221ExpenseAmt
Grant$0GrantAmt
Revenue$10,054,516RevenueAmt
DescTRINITY HEALTH RADIOLOGISTS ARE HIGHLY TRAINED AND SKILLED AT ASSESSING AND INTERPRETING X-RAYS, CT, NUCLEAR MEDICINE, ULTRASOUND, MRI SCANS, AND MAMMOGRAPHY IMAGES.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (2 entries)

ExpenseExpenseAmtGrantGrantAmtRevenueRevenueAmtDescDesc
$3,433,369$0$2,050,190TRINITY HEALTH HOSPITALISTS PROVIDE AND COORDINATE ALL ASPECTS OF INPATIENT AND OBSERVATION CARE FOR TRINITY HOSPITALS.
$2,016,326$0$1,898,744TRINITY HEALTH'S ORAL AND MIXILLOFACIAL SURGERY PROGRAM TREATS MANY DISEASE, INJURIES AND DEFECTS IN THE HEAD, NECK, FACE, JAWS AND THE HARD AND SOFT TISSUES OF THE ORAL (MOUTH) AND CRANIO-MAXILLOFACIAL (JAWS AND FACE) REGION. IT IS AN INTERNATIONALLY RECOGNIZED SURGICAL SPECIALTY. IN MOST COUNTRIES AROUND THE WORLD, INCLUDING THE UNITED STATES, CANADA, AND AUSTRALIA, IT IS A RECOGNIZED SPECIALTY OF DENTISTRY; IN OTHERS, SUCH AS THE UK, IT IS RECOGNIZED AS A MEDICAL SPECIALTY.
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$5,449,695TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$3,948,934TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$137,586,340TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document185IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee3615EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDENNIS EMPEYPersonNm
Phone7018575160PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 5020AddressLine1Txt
CityMINOTCityNm
State AbbreviationNDStateAbbreviationCd
ZIP58702ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
PATRICK HOLIEN
CHAIRMAN2.002.50Yes (X)Yes (X)$0$0$0
STEVE LYSNE
VICE CHAIRMAN2.002.00Yes (X)Yes (X)$0$0$0
KAREN KREBSBACH
SECRETARY/TREASURER2.002.50Yes (X)Yes (X)$0$0$0
BORGI BEELER
DIRECTOR2.002.00Yes (X)$0$0$0
JOHN COUGHLIN
DIRECTOR2.002.00Yes (X)$0$0$0
SCOTT KNUTSON MD
DIRECTOR20.0020.00Yes (X)$532,265$0$14,760
BRENT MATTSON
DIRECTOR2.002.00Yes (X)$0$0$0
CLARA SUE PRICE
DIRECTOR2.002.00Yes (X)$0$0$0
MARTIN ROTHBERG MD
DIRECTOR20.0020.00Yes (X)$190,416$0$14,337
JOHN KUTCH
PRESIDENT & CEO12.0028.00Yes (X)Yes (X)$817,705$0$14,760
ALISON FRYE
ASSISTANT SECRETARY40.00Yes (X)$69,148$0$1,752
DENNIS EMPEY
VICE PRESIDENT & CFO12.0028.00Yes (X)$338,267$0$14,716
RANDY SCHWAN
VICE PRES. - MISSION INTEGRATION4.0036.00$199,607$0$8,619Yes (X)
PAUL SIMONSON
VICE PRES. - HUMAN RESOURCES4.0036.00$266,010$0$14,269Yes (X)
THOMAS WARSOCKI
VICE PRES. - PHYSICIAN OPERATIONS40.00$199,619$0$8,804Yes (X)
DAVE KOHLMAN
VICE PRES. - FACILITIES MANAGEMENT8.0032.00$199,229$0$8,783Yes (X)
KAREN ZIMMERMAN RN
VICE PRES. & CNO1.0040.00$178,123$0$7,807Yes (X)
TRENT CHASTAIN
VICE PRES. - REVENUE CYCLE12.0028.00$167,778$0$7,390Yes (X)
RHONDA WALTER VICE PRES -
TRINITY HOMES ADMINISTRATOR1.0040.00$178,396$0$7,773Yes (X)
RAVINDRA JOSHI MD
PHYSICIAN25.0015.00$1,909,190$0$14,760Yes (X)
SAMIR TURK MD
PHYSICIAN25.0015.00$1,394,154$0$14,760Yes (X)
MARC EICHLER MD
PHYSICIAN25.0015.00$1,214,307$0$960Yes (X)
MICHAEL MCMAHON
PHYSICIAN25.0015.00$1,201,517$0$14,760Yes (X)
PATANIT WATANABOONYAKHET
PHYSICIAN25.0015.00$1,169,125$0$14,760Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$10,224,856TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$183,770TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K306IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
PRINGLE & HERIGSTAD PC
PO BOX 1000MINOTND58702LEGAL SERVICES$448,574
CLIFTONLARSONALLEN LLP
220 SOUTH SIXTH STREET SUITE 300MINNEAPOLISMN55402ACCOUNTING/AUDITING SERVICES$419,283
REVSPRING INC
29241 BECK ROADWIXOMMI48393PATIENT BILLING/COMMUNICATION SERVICES$358,284
BRAVOZULU INC
PO BOX 633MORGANUT84050LOCUM SERVICES$140,000
DORSEY & WHITNEY LLP
PO BOX 1680MINNEAPOLISMN55480LEGAL SERVICES$139,404
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K54CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE621110$119,212,290$119,212,290
OTHER PATIENT REVENUE621110$401,372$401,372
OPTICAL SALES446199$104,739$104,739
FieldValueIRS element (for citing)
Total Program Service Revenue$119,718,401TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$116,389TotalRevenueColumnAmt
Exclusion$116,389ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$476,598TotalRevenueColumnAmt
Exclusion$476,598ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$106,083RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$83,994RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$22,089RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$22,089TotalRevenueColumnAmt
Unrelated Business Revenue-$12,514UnrelatedBusinessRevenueAmt
Exclusion$34,603ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$27,958OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$30,885OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$2,927OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$2,927TotalRevenueColumnAmt
Exclusion-$2,927ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescJOINT VENTURE REVENUEDesc
Business900099BusinessCd
Total Revenue Column-$118,600TotalRevenueColumnAmt
Exclusion-$118,600ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total-$118,600OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$120,211,950TotalRevenueColumnAmt
Related Or Exempt Func Income$119,613,662RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$92,225UnrelatedBusinessRevenueAmt
Exclusion$506,063ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,777,551TotalAmt
Program Services$1,051,002ProgramServicesAmt
Management And General$2,726,549ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$98,707,664TotalAmt
Program Services$97,001,100ProgramServicesAmt
Management And General$1,706,564ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,027,076TotalAmt
Program Services$2,975,860ProgramServicesAmt
Management And General$51,216ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,267,791TotalAmt
Program Services$3,721,630ProgramServicesAmt
Management And General$546,161ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,282,208TotalAmt
Program Services$3,979,482ProgramServicesAmt
Management And General$302,726ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$65TotalAmt
Management And General$65ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$600TotalAmt
Program Services$600ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,457,278TotalAmt
Program Services$14,235,198ProgramServicesAmt
Management And General-$9,777,920ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$564,953TotalAmt
Program Services$203,040ProgramServicesAmt
Management And General$361,913ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$539,734TotalAmt
Program Services$56,542ProgramServicesAmt
Management And General$483,192ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$195,654TotalAmt
Program Services$12,492ProgramServicesAmt
Management And General$183,162ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,352,562TotalAmt
Program Services$851,581ProgramServicesAmt
Management And General$3,500,981ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$48,200TotalAmt
Program Services$43,990ProgramServicesAmt
Management And General$4,210ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$73,279TotalAmt
Program Services$41,302ProgramServicesAmt
Management And General$31,977ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$424,634TotalAmt
Program Services$240,294ProgramServicesAmt
Management And General$184,340ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,984,985TotalAmt
Program Services$1,577,045ProgramServicesAmt
Management And General$1,407,940ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total-$26,240TotalAmt
Program Services-$26,240ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
UBI TAXES-$20,000-$20,000
BAD DEBT EXPENSE$4,897,724-$5,228,292$10,126,016
MED. SUPPLIES & DRUGS$3,778,175$3,285,843$492,332
CONT. MEDICAL EDUCATION$748,577$748,577

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$836,797TotalAmt
Program Services$254,497ProgramServicesAmt
Management And General$582,300ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$137,919,267TotalAmt
Program Services$137,586,340ProgramServicesAmt
Management And General$332,927ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,267,572BOYAmt
EOY$427,313EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$256,610BOYAmt
EOY$257,165EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$14,100,320BOYAmt
EOY$13,483,844EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$1,957,584BOYAmt
EOY$1,804,125EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$571,913BOYAmt
EOY$536,468EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$76,698BOYAmt
EOY$152,675EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$69,540,556LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$36,588,933LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$34,703,987BOYAmt
EOY$32,951,623EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$711,839BOYAmt
EOY$652,711EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$13,661,815BOYAmt
EOY$13,737,670EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$67,308,338BOYAmt
EOY$64,003,594EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$17,933,553BOYAmt
EOY$18,211,998EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$71,729,498BOYAmt
EOY$67,541,070EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,922,080BOYAmt
EOY$9,106,420EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$98,585,131BOYAmt
EOY$94,859,488EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$31,276,793BOYAmt
EOY-$30,855,894EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$31,276,793BOYAmt
EOY-$30,855,894EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$67,308,338BOYAmt
EOY$64,003,594EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$17,707,317ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$18,128,216OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type3 Func IntYes (X)SupportingOrgType3FuncIntInd
Supported Organizations4SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (4 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
TRINITY HOSPITALS
4120027713Yes (1)$0$0
TRINITY KENMARE HOSPITAL
41200276930$0$0
TRINITY HOMES
4504044129Yes (1)$0$0
COMMUNITY AMBULANCE SERVICE OF MINOT
45036359390$0$0
FieldValueIRS element (for citing)
Supported Organizations Total4SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing Doc0ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt OrgYes (1)OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp

FieldValueIRS element (for citing)
Timely Provided Documents0TimelyProvidedDocumentsInd
Officers Close Relationship0OfficersCloseRelationshipInd
Supported Org Voice Investment0SupportedOrgVoiceInvestmentInd

Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp

FieldValueIRS element (for citing)
Parent Supported OrgYes (X)ParentSupportedOrgInd
Appoint Elect Majority OfficerYes (1)AppointElectMajorityOfficerInd
Exercise Direction PoliciesYes (1)ExerciseDirectionPoliciesInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, SECTION A, LINE 1:TRINITY KENMARE HOSPITAL AND COMMUNITY AMBULANCE SERVICE OF MINOT ARE NOT SPECIFICALLY LISTED IN TRINITY HEALTH'S GOVERNING DOCUMENTS AS SUPPORTED ORGANIZATIONS OF TRINITY HEALTH. HOWEVER, TRINITY HEALTH'S PURPOSE IS TO SUPPORT ALL OF THE TAX-EXEMPT SUBSIDIARIES OF TRINITY HEALTH, WHICH INCLUDES TRINITY KENMARE HOSPITAL AND COMMUNITY ABMULANCE SERVICE OF MINOT. TRINITY KENMARE HOSPITAL IS A TAX-EXEMPT 501(C)(3) HOSPITAL THAT IS CONTROLLED BY TRINITY HEALTH. COMMUNITY AMBULANCE SERVICE OF MINOT IS A 509(A)(2) PUBLIC CHARITY THAT IS CONTROLLED BY TRINITY HEALTH.
PART IV, SECTION E, LINE 3A:TRINITY HEALTH HAS THE POWER TO APPOINT ALL BOARD MEMBERS OF EACH OF THE SUPPORTED ORGANIZATIONS.
PART IV, SECTION E, LINE 3B:TRINITY HEALTH EMPLOYS THE OFFICERS, KEY EMPLOYEES AND OTHER INDIVIDUALS WHO MANAGE AND OPERATE EACH SUPPORTED ORGANIZATION. BECAUSE OF THIS MANAGEMENT RELATIONSHIP, AS WELL AS TRINITY HEALTH'S POWER TO APPOINT ALL BOARD MEMBERS OF EACH SUPPORTED ORGANIZATION, TRINITY HEALTH EXERCISES A SUBSTANTIAL DEGREE OF DIRECTION OVER THE POLICIES, PROGRAMS, AND ACTIVITIES OF EACH SUPPORTED ORGANIZATION.
PART IV, SECTION A, LINE 5A:COMMUNITY AMBULANCE SERVICE OF MINOT (EIN: 45-0363593) WAS ADDED TO THE GROUP EXEMPTION FOR THE YEAR ENDED JUNE 30, 2016 BECAUSE COMMUNITY AMBULANCE SERVICE OF MINOT MODIFIED ITS GOVERNING DOCUMENTS TO BECOME A PART OF TRINITY HEALTH AND GIVE CONTROL OVER ITS BOARD OF DIRECTORS TO TRINITY HEALTH. THIS CHANGE WAS APPROVED BY THE INTERNAL REVENUE SERVICE BASED ON TRINITY HEALTH'S ANNUAL LETTER TO THE IRS TO RENEW ITS GROUP EXEMPTION.
PART IV, SECTION D, LINE 2:SEE PART IV, SECTION E, LINES 3A AND 3B FOR INFORMATION ABOUT HOW TRINITY HEALTH MAINTAINS A CLOSE AND CONTINUOUS WORKING RELATIONSHIP WITH EACH SUPPORTED ORGANIZATION.

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,795,229OtherCostOrOtherBasisAmt
Book Value$6,795,229BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,919,956OtherCostOrOtherBasisAmt
Depreciation$6,509,259DepreciationAmt
Book Value$7,410,697BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,698,345OtherCostOrOtherBasisAmt
Depreciation$3,195,847DepreciationAmt
Book Value$2,502,498BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$43,124,059OtherCostOrOtherBasisAmt
Depreciation$26,883,827DepreciationAmt
Book Value$16,240,232BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,967OtherCostOrOtherBasisAmt
Book Value$2,967BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$32,951,623TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
ASSETS HELD BY TRUSTEE UNDER BOND RESERVE FUND$7,752,492
ASSETS HELD BY TRUSTEE FOR DEBT SERVICE$5,985,178
FieldValueIRS element (for citing)
Total Book Value Other Assets$13,737,670TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescASSET RETIREMENT OBLIGATIONDesc
Amt$9,106,420Amt
FieldValueIRS element (for citing)
Total Liability$9,106,420TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$114,926,760TotalRevEtcAuditedFinclStmtAmt
Other Revenue$205,521OtherRevenueAmt
Revenue Not Reported$205,521RevenueNotReportedAmt
Revenue Subtotal$114,721,239RevenueSubtotalAmt
Other Revenues Not Included$5,490,711OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$5,490,711RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$120,211,950TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$133,105,537TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$83,994OtherExpensesIncludedAmt
Expenses Not Reported$83,994ExpensesNotReportedAmt
Expenses Subtotal$133,021,543ExpensesSubtotalAmt
Other Expenses Not Included$4,897,724OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$4,897,724ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$137,919,267TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:TRINITY HEALTH HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND IS EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE IRC. ALL UNRELATED BUSINESS INCOME GENERATED BY TRINITY IS SUBJECT TO FEDERAL INCOME TAX UNDER 511 OF THE IRC. TRINITY'S POLICY IS TO EVALUATE THE LIKELIHOOD THAT ITS UNCERTAIN TAX POSITIONS WILL PREVAIL UPON EXAMINATION BASED ON THE EXTENT TO WHICH THOSE POSITIONS HAVE SUBSTANTIAL SUPPORT WITHIN THE INTERNAL REVENUE CODE AND REGULATIONS, REVENUE RULINGS, COURT DECISIONS, AND OTHER EVIDENCE. IT IS THE OPINION OF MANAGEMENT THAT THE COMPANY HAS NO SIGNIFICANT UNCERTAIN TAX POSITIONS THAT WOULD BE SUBJECT TO CHANGE UPON EXAMINATION. TRINITY'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES.
PART XI, LINE 2D - OTHER ADJUSTMENTS:LOSS ON DISPOSAL OF PROPERTY & EQUIPMENT 2,927. LOSS ON JOINT VENTURE 118,600. RENTAL EXPENSES 83,994.
PART XI, LINE 4B - OTHER ADJUSTMENTS:INVESTMENT INCOME 592,987. PROVISION FOR UNCOLLECTIBLE ACCOUNTS 4,897,724.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES 83,994.
PART XII, LINE 4B - OTHER ADJUSTMENTS:PROVISION FOR UNCOLLECTIBLE ACCOUNTS 4,897,724.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelYes (X)FirstClassOrCharterTravelInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgYes (1)CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsYes (1)CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
SCOTT KNUTSON MD
DIRECTOR$499,523$0$0$0$32,742$0$13,800$0$960$0$547,025$0$0$0
MARTIN ROTHBERG MD
DIRECTOR$187,099$0$0$0$3,317$0$13,800$0$537$0$204,753$0$0$0
JOHN KUTCH
PRESIDENT & CEO$716,733$0$100,000$0$972$0$13,800$0$960$0$832,465$0$0$0
DENNIS EMPEY
VICE PRESIDENT & CFO$331,487$0$0$0$6,780$0$13,800$0$916$0$352,983$0$0$0
RANDY SCHWAN
VICE PRES. - MISSION INTEGRATION$191,918$0$0$0$7,689$0$8,078$0$541$0$208,226$0$0$0
PAUL SIMONSON
VICE PRES. - HUMAN RESOURCES$253,554$0$0$0$12,456$0$13,800$0$469$0$280,279$0$0$0
THOMAS WARSOCKI
VICE PRES. - PHYSICIAN OPERATIONS$188,515$0$0$0$11,104$0$8,258$0$546$0$208,423$0$0$0
DAVE KOHLMAN
VICE PRES. - FACILITIES MANAGEMENT$190,930$0$0$0$8,299$0$8,233$0$550$0$208,012$0$0$0
KAREN ZIMMERMAN RN
VICE PRES. & CNO$174,290$0$0$0$3,833$0$7,302$0$505$0$185,930$0$0$0
TRENT CHASTAIN
VICE PRES. - REVENUE CYCLE$167,778$0$0$0$0$0$6,906$0$484$0$175,168$0$0$0
RHONDA WALTER VICE PRES -
TRINITY HOMES ADMINISTRATOR$174,166$0$3,744$0$486$0$7,278$0$495$0$186,169$0$0$0
RAVINDRA JOSHI MD
PHYSICIAN$878,782$0$914,053$0$116,355$0$13,800$0$960$0$1,923,950$0$0$0
SAMIR TURK MD
PHYSICIAN$1,222,124$0$155,097$0$16,933$0$13,800$0$960$0$1,408,914$0$0$0
MARC EICHLER MD
PHYSICIAN$737,668$0$0$0$476,639$0$0$0$960$0$1,215,267$0$0$0
MICHAEL MCMAHON
PHYSICIAN$514,808$0$681,592$0$5,117$0$13,800$0$960$0$1,216,277$0$0$0
PATANIT WATANABOONYAKHET
PHYSICIAN$342,450$0$825,425$0$1,250$0$13,800$0$960$0$1,183,885$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ATRINITY HEALTH HAS LEASED AN AIRPLANE AND PILOTS TO BE ABLE TO FLY PHYSICIANS TO VARIOUS CLINICS AROUND THE STATE. THE AIRPLANE IS PRIMARILY USED FOR THIS SERVICE, BUT IT IS ALSO USED BY ADMINISTRATIVE STAFF FOR TRAVELING TO MEETINGS THAT ARE OUTSIDE OF MINOT TO SAVE DRIVING TIME.
PART I, LINE 5PHYSICIANS RECEIVE INCENTIVE COMPENSATION BASED ON MULTIPLE FACTORS INCLUDING THE NUMBER OF PATIENTS SERVED, WHICH IS CLOSELY CONNECTED TO REVENUES.
PART I, LINE 7JOHN KUTCH, PRESIDENT & CEO, RECEIVED A NON-FIXED BONUS PAYMENT THAT WAS DETERMINED BY THE BOARD OF DIRECTORS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1COUNTY OF WARDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN456002248BondIssuerEIN
CUSIP934023EMOCUSIPNum
Bond Issued2006-11-01BondIssuedDt
Issue Price$88,455,263IssuePriceAmt
PurposeSEE PART VIPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$26,130,000RetiredAmt
Total Proceeds$88,455,263TotalProceedsAmt
In Reserve Fund$7,751,158InReserveFundAmt
Issuance Costs From Proceeds$1,077,014IssuanceCostsFromProceedsAmt
Capital Expenditures$10,000,000CapitalExpendituresAmt
Other Spent Proceeds$70,839,643OtherSpentProceedsAmt
Substantial Completion2006SubstantialCompletionYr
Current RefundingYes (1)CurrentRefundingInd
Advance RefundingYes (1)AdvanceRefundingInd
Final Allocation Made0FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease ArrangementsYes (1)AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (1)MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts0EngageBondCounselContractsInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Concerning UBI0.01810PrivateBusConcerningUBIPct
Total Private Business Use0.01810TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd0ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate DueYes (1)NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor Reqs0WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective Action0ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE K, PART I, COLUMN FFormAndLineReferenceDesc
ExplanationDESCRIPTION OF PURPOSE OF BONDS PROCEEDS OF THE SERIES 2006 BONDS WERE USED (I) TO CURRENTLY REFUND THE COUNTY OF WARD, NORTH DAKOTA, ADJUSTABLE RATE DEMAND HEALTH CARE REVENUE BONDS (TRINITY OBLIGATED GROUP) TAX-EXEMPT SERIES 2002A (THE "SERIES 2002 BONDS"), OUTSTANDING IN THE AMOUNT OF $58,615,000, (II) TO FUND A TERMINATION PAYMENT FOR THE INTEREST RATE SWAP ASSOCIATED WITH THE SERIES 2002 BONDS, (III) TO ADVANCE REFUND THE COUNTY OF WARD, NORTH DAKOTA HEALTH CARE FACILITIES REVENUE REFUNDING BONDS (TRINITY OBLIGATED GROUP) SERIES 1996A (THE "SERIES 1996A BONDS"), OUTSTANDING IN THE AMOUNT OF $9,400,000, (IV) TO FINANCE OR REIMBURSE THE CORPORATION FOR THE COSTS OF CERTAIN RENOVATION, REMODELING, AND EQUIPPING OF ITS HEALTH CARE FACILITIES (THE "PROJECT"), (V) TO FUND A DEPOSIT TO A DEBT SERVICE RESERVE FUND, AND (VI) TO PAY CERTAIN EXPENSES RELATING TO THE ISSUANCE OF THE SERIES 2006 BONDS AND THE REFUNDING OF THE SERIES 2002 BONDS AND THE SERIES 1996A BONDS.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonNICOLE KUTCHPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionSPOUSE OF CEORelationshipDescriptionTxt
Transaction$26,306TransactionAmt
TransactionTHERAPISTTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1THE EXECUTIVE COMMITTEE CONSISTS OF THE BOARD OF DIRECTORS' CHAIR, VICE CHAIR, PRESIDENT, SECRETARY, TREASURER AND ONE ADDITIONAL MEMBER OF THE BOARD OF DIRECTORS ELECTED BY THE BOARD OF DIRECTORS AT ITS FIRST MEETING AFTER ITS ELECTION. THE EXECUTIVE COMMITTEE HAS THE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE CORPORATION DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD OF DIRECTORS, SUBJECT TO ANY PRIOR LIMITATION IMPOSED BY THE BOARD OF DIRECTORS AND WITH THE UNDERSTANDING THAT ALL MATTERS OF MAJOR IMPORTANCE WILL BE REFERRED TO THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11PRIOR TO BEING FILED WITH THE IRS, A COPY OF THE FORM 990 WAS GIVEN TO THE GOVERNING BODY OF TRINITY HEALTH FOR REVIEW. IT WILL BE FORMALLY REVIEWED AND APPROVED BY THE BOARD AT A MEETING AFTER THE 990 IS FILED.
FORM 990, PART VI, SECTION B, LINE 12CALL 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 15ATHE EXECUTIVE COMMITTEE REVIEWED COMPENSATION INFORMATION FOR THE CEO PREPARED BY DELOITTE & TOUCHE. DELOITTE & TOUCHE ANALYZED FOUR COMPENSATION SURVEYS OF HEALTH CARE EMPLOYERS AND REVIEWED FORM 990 FILINGS FOR A PEER GROUP ANALYSIS. THIS PROCESS WAS LAST PERFORMED IN 2015.
FORM 990, PART VI, SECTION C, LINE 19ON 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 XI, LINE 9:INTERCOMPANY TRANSFERS 18,128,216.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
COMMUNITY AMBULANCE SERVICE OF MINOT INC
PO BOX 2195MINOTND58702450363593AMBULANCE SERVICESND501(C)(3)LINE 9TRINITY HEALTHYes (1)
TRINITY HOSPITALS
PO BOX 5020MINOTND58702412002771MEDICAL SERVICESND501(C)(3)LINE 3TRINITY HEALTHYes (1)
TRINITY KENMARE HOSPITAL
PO BOX 5020MINOTND58702412002769MEDICAL SERVICESND501(C)(3)LINE 3TRINITY HEALTHYes (1)
TRINITY HOMES
PO BOX 5020MINOTND58702450404412SKILLED NURSING FACILITYND501(C)(3)LINE 9TRINITY HEALTHYes (1)
TRINITY HEALTH FOUNDATION
PO BOX 5020MINOTND58702450215346FUNDRAISINGND501(C)(3)LINE 11B, IITRINITY HEALTHYes (1)
TRINITY 1922 FOUNDATION
PO BOX 2195MINOTND58702474591148FUNDRAISINGND501(C)(3)LINE 7TRINITY HEALTHYes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
B&B DRUG INC
20 BURDICK EXPRESSWAY WESTMINOTND58701450260565RETAIL DRUG STORENDTRINITY HEALTHC$1,298,348$2,579,5631.00000Yes (1)
MEDICAL ARTS OUTPATIENT SERVICES INC
400 BURDICK EXPRESSWAY EASTMINOTND58701450278212RETAIL PHARMACY & DURABLE MEDICAL EQUIPMENTNDTRINITY HEALTHC$5,190,344$3,793,4521.00000Yes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other OrgYes (1)AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
B&B DRUG INC
A$25,667FMV
MEDICAL ARTS OUTPATIENT SERVICES INC
A$23,533FMV