Civic Intelligence

Trinity Hospital Twin City

EIN 27-5401105 • 501(c)3 • Dennison, OH

Profile

As an affiliate of commonspirit health, we make the healing presence of god known in our world by improving the health of the people we serve, especially those who are vulnerable, while we advance social justice for all.

819 North First StreetDennison, OH 44621

www.trinitytwincity.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

89th percentile

0.86x

Higher debt load relative to assets than 89% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Liabilities / Revenue

75th percentile

0.71x

Higher debt load relative to revenue than 75% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Net Margin

16th percentile

-12%

Higher net margin than 16% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Top Officer Pay

100th percentile

$3,615,147

Higher top officer pay than 100% of similar nonprofits.

Top officer pay equals 15.1% of source-year revenue.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Asset Growth

34th percentile

-0.1%

Faster asset growth than 34% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Revenue Growth

26th percentile

-4.5%

Faster revenue growth than 26% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Assets

Down

$19,670,342

Down $12,660 (-0.1%) from 2023

Liabilities

Up

$16,853,682

Up $2,876,696 (+21%) from 2023

Net Assets

Down

$2,816,660

Down $2,889,356 (-51%) from 2023

Revenue

Down

$23,882,188

Down $1,135,357 (-4.5%) from 2023

Expenses

Down

$26,771,544

Down $853,725 (-3.1%) from 2023

Net Income

Down

-$2,889,356

Down $281,632 (-11%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$30M$20M$10M$0Assets 2018: $16,723,853Liabilities 2018: $10,937,451Net Assets 2018: $5,786,4022018Assets 2019: $16,654,768Liabilities 2019: $10,885,875Net Assets 2019: $5,768,8932019Assets 2021: $21,781,735Liabilities 2021: $13,536,663Net Assets 2021: $8,245,0722021Assets 2022: $20,670,866Liabilities 2022: $12,357,126Net Assets 2022: $8,313,7402022Assets 2023: $19,683,002Liabilities 2023: $13,976,986Net Assets 2023: $5,706,0162023Assets 2024: $19,670,342Liabilities 2024: $16,853,682Net Assets 2024: $2,816,6602024

Highlighted filing

2024

Assets$19,670,342
Liabilities$16,853,682
Net Assets$2,816,660

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$30M$20M$10M$0-$10MRevenue 2018: $24,562,287Expenses 2018: $26,850,672Net Income 2018: -$2,288,3852018Revenue 2019: $22,461,688Expenses 2019: $22,479,197Net Income 2019: -$17,5092019Revenue 2021: $22,507,593Expenses 2021: $25,313,689Net Income 2021: -$2,806,0962021Revenue 2022: $26,495,964Expenses 2022: $26,427,296Net Income 2022: $68,6682022Revenue 2023: $25,017,545Expenses 2023: $27,625,269Net Income 2023: -$2,607,7242023Revenue 2024: $23,882,188Expenses 2024: $26,771,544Net Income 2024: -$2,889,3562024

Highlighted filing

2024

Revenue$23,882,188
Expenses$26,771,544
Net Income-$2,889,356

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
May 12, 2025
Return Version
2023v6.0
Gross Receipts
$23,900,076
Mission and Program Overview

Mission

As an affiliate of commonspirit health, we make the healing presence of god known in our world by improving the health of the people we serve, especially those who are vulnerable, while we advance social justice for all.

Assure an effective health and human services ministry (continued on schedule o)

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$7,334,429$7,402,084▲ $67,655
Savings and Temporary Cash Investments$5,327,034$5,525,869▲ $198,835
Accounts Receivable$5,689,296$5,380,900▼ $308,396
Inventories for Sale or Use$525,291$528,981▲ $3,690
Intangible Assets$500,000$500,000→ $0
Prepaid Expenses and Deferred Charges$148,203$50,399▼ $97,804
Cash and Non-Interest-Bearing Accounts$2,150$2,151▲ $1
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Loans From Officers Directors-$0-
Total Assets$19,683,002$19,670,342▼ $12,660
Other Assets Total$156,599$279,958▲ $123,359
Liabilities
Accounts Payable and Accrued Expenses$1,272,609$13,720,432▲ $12,447,823
Other Liabilities$11,971,936$3,133,250▼ $8,838,686
Deferred Revenue$732,441$0▼ $732,441
Grants Payable-$0-
Mortgage Notes Payable Secured by Investment Property-$0-
Unsecured Notes Loans Payable-$0-
Escrow Account Liability-$0-
Tax Exempt Bond Liabilities-$0-
Total Liabilities$13,976,986$16,853,682▲ $2,876,696
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$5,210,223$2,320,867▼ $2,889,356
Net Assets With Donor Restrictions$495,793$495,793→ $0
Total Net Assets Fund Balance$5,706,016$2,816,660▼ $2,889,356
Total Liabilities and Net Assets / Fund Balance$19,683,002$19,670,342▼ $12,660

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$6,171,698$3,229,981$9,401,679
Equipment$957,758$3,236,420$4,194,178
Other Land Buildings$115,606$216,541$332,147
Land$156,670-$156,670
Leasehold Improvements$352$16,993$17,345

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2023$77,089---$77,089
2022$77,089---$77,089
2021$77,127--$38$77,089
2020$76,489$52,125-$51,487$77,127
2019$80,788$30,811-$35,110$76,489
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Tim Mcknight MdChief Medical OfficerFT$252,004$138,553$390,557
Dwayne RichardsonPresident, Trinity Hospital Twin City & Regional DFT-$288,043$288,043
Andrew Newburn MdPhysicianFT$238,499$38,474$276,973
Katelyn ObermillerNpFT$125,250$143,971$269,221
Stuart Brown MdPhysicianFT$171,340$69,989$241,329
Matthew Phillips MdPhysicianFT$215,066$14,881$229,947
Benjamin Turner MdPhysicianFT$194,984$22,062$217,046

Board Members and Trustees

NameTitle
Douglas SchaeferChair
Matt GrimshawPresident & CEO Ths/board Member
Dwayne RichardsonPresident, Trinity Hospital Twin CIT
Dan DailyVice Chair
Aaron Provenzano DoBoard Member
Claudia Bronsing SrBoard Member
Dennis WoltersBoard Member
Eric ExleyBoard Member
Jonathan BedwayBoard Member
Joseph LuckinoBoard Member
Karla Gregory-martinBoard Member
Michael BiasiBoard Member
Rita DuttonBoard Member
Sam Licata MdBoard Member
Jeffrey GrecoBoard Member (partial Year)
Charn Nandra MdBoard Member/cardiologist
Doug LawsonBoard Member/regional SVP
Dave WerkinCFO
Theresa GagliardiSecretary
David Skiviat SrTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Core Clinical PartnersEmergency Physician And Hospitalist Serv400 GALLERIA PARKWAY SE SUITE 960, Atlanta, GA 30339$1,939,410
TrubridgePatient Accounting ServicesPO BOX 850309, Mobile, AL 36685$945,627
Centimark CorporationRoofing RepairsPO BOX 536254, Pittsburgh, PA 15235$468,730
Lake Behavioral HealthBehavioral Health Services, Including In225 WEST CANTON, Winter Park, FL 32789$416,160
Amn Healthcare INCTemporary Staffing Services2735 COLLECTION CENTER DRIVE, Chicago, IL 60693$276,329
Revenue and Support

Revenue Composition

Contributions and Grants
$1,176,893
Program Service Revenue
$22,415,393
Investment Income
$931
Other Revenue
$288,971
Change in Net Assets
$-2,889,356
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$13,951,508
Other Expenses$12,820,036
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$9,905,662$523,367-$10,429,029
Fees for Services Other$5,508,900$1,377,225-$6,886,125
Other Employee Benefits$2,266,652$119,297-$2,385,949
Office Expenses$955,616$50,297-$1,005,913
Payments to Affiliates-$888,917-$888,917
Payroll Taxes$740,544$38,976-$779,520
Depreciation Depletion$536,486$28,236-$564,722
Occupancy$435,470$22,919-$458,389
Current Officers, Directors, Trustees, and Key Employees$341,075$15,935-$357,010
Interest$138,557$7,292-$145,849
Insurance-$127,108-$127,108
All Other Expenses$119,508$4,005-$123,513
Other Expenses$11,977$103,213$0$115,190
Advertising-$102,304-$102,304
Fees for Services Legal-$47,439-$47,439
Travel$16,800$884-$17,684
Fees for Services Accounting-$7,798-$7,798
Fees for Services Lobbying-$1,748-$1,748
Total Functional Expenses$22,527,958$4,243,586$0$26,771,544
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees-$0-
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Intercompany Payables$2,929,070
Operating Lease Liability$204,180
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

According to the articles of incorporation of trinity hospital twin city, the entity's sole member is trinity health system, an ohio nonprofit corporation.

Form 990, Part VI, Section A, Line 7A

According to the organization's bylaws, directors shall be appointed or refused by the corporate member. The corporate member may appoint one or more individuals to the board of directors, and may at any time remove, with or without cause, any member of the board of directors. According to the organization's bylaws, directors of the corporation shall be appointed by the corporate member no later than june 30 of each year. The names and qualifications of each individual accepted by the board of directors shall be submitted to the corporate member, who shall appoint or refuse each nominee in accordance with the corporate member's bylaws and with endorsement of the senior vice president of operations. The corporate member may unilaterally appoint one or more individuals to the board of directors should the board fail to furnish the corporate member with a list of individuals qualified to serve on the board of directors of the corporation. (chcf reserved rights) except as otherwise provided in the corporation's articles of incorporation or the laws of the state of organization, catholic health care federation ("chcf") shall have such rights as are reserved to the corporate member, acting in its capacity as the membership body of chcf, under the governance matrix.

Form 990, Part VI, Section A, Line 7B

The organization's corporate member is trinity health system. Pursuant to section 5.4 of the organization's bylaws, both trinity health system and commonspirit health (trinity health system's sole corporate member) have reserved powers as outlined in the commonspirit health governance matrix. Pursuant to the governance matrix the following rights are reserved to the commonspirit health board directly or through powers delegated to the commonspirit health chief executive officer: *substantial change in the mission or philosophy of the organization *amendment of the corporate documents of the organization *approve members of the organization's board *removal of a member of the governing body of the organization *approval of issuance of debt by the organization *approval of participation of the organization in a joint venture *approval of formation of a new corporation by the organization *approval of a merger involving the organization *approval of the sale of all or substantially all of the assets of the organization *to require the transfer of assets by the organization to commonspirit health to accomplish commonspirit health's goals and objectives, and to satisfy commonspirit health debts. *adoption of long range and strategic plans for the organization. Pursuant to section 5.5 of the organization's bylaws, trinity health system or commonspirit health may, in exercise of its approval powers, grant or withhold approval in whole or in part, or may, in its complete discretion, after consultation with the board and the president and chief executive officer of the organization, recommend such other or different actions as it deems appropriate. (chcf reserved rights) except as otherwise provided in the corporation's articles of incorporation or the laws of the state of organization, catholic health care federation ("chcf") shall have such rights as are reserved to the corporate member, acting in its capacity as the membership body of chcf, under the governance matrix.

Form 990, Part VI, Section B, Line 11B

Once the return is prepared, the return is reviewed by the chief financial officer. Subsequent to the cfo's review, the tax department files the return with the appropriate federal and state agencies, making any non-substantive changes necessary to effect e-filing. Any such changes are not re-submitted to the cfo.

Form 990, Part VI, Section B, Line 12C

The organization has a conflicts of interest ("coi") policy (the "policy") in place to protect the interests of commonspirit health ("commonspirit") in circumstances that may result in a conflict between personal interests of a person and the interests of the organization and those it serves. Commonspirit's coi policy applies to commonspirit, its direct affiliates and subsidiaries and any related entity the governing documents of which require the entity to comply with commonspirit policy (collectively the "system entities"). The following persons are required to disclose actual or potential conflicts of interest at least annually (via a formal system-administered survey) if the person's affiliation with commonspirit continues: - members of corporate and community boards of system entities - members of committees of corporate and community boards of system entities - members of the executive leadership team ("elt") of commonspirit - corporate officers of system entities - employed physicians and advanced practice providers - key employees and highest compensated employees as specified by the internal revenue service for form 990 purposes who are not otherwise included in the categories above - employees of system entities at the vice president level and above - all individuals engaged in research at institutions owned or operated by a system entity - select employees as determined from time to time by leadership disclosure, review, and management of perceived, potential, or actual conflicts of interest are accomplished through a defined coi disclosure review process. Each person is required to promptly and fully disclose any situation or circumstance that may create a conflict of interest as soon as she/he becomes aware of it. In addition, at the inception of an individual's relationship with commonspirit (e.g. Hiring, board appointment), and for certain positions, annually thereafter, written conflict of interest disclosure forms must be completed. A failure to disclose may result in disciplinary or corrective actions. Reported potential or actual conflicts of interest are initially reviewed by legal, corporate responsibility or research integrity staff. If necessary, a conflict of interest management plan is developed, which plan shall be subject to acceptance by the appropriate direct manager, supervisor, medical staff office, board or board committee (for board, board committee, elt or corporate officer conflicts), or other appropriate individual or body. Once accepted, the conflict of interest management plan is communicated to the person with the actual or potential conflict and the individual must conduct themselves in conformity with the plan. In the event that a transactional conflict interest arises in connection with a system entity board meeting, the conflicted individual must disclose that conflict prior to or at the beginning of the meeting in which the matter is to be considered. The conflicted individual is excluded from voting on the transaction and is prohibited from using personal influence with respect to the matter, but is not prohibited from providing input if requested to do so.

Form 990, Part VI, Section C, Line 19

An individual may inspect the tax returns and/or tax exempt applications along with schedules, attachments, and documents (articles or bylaws) during normal posted business hours with the presence of administration. Requests for copies can be submitted in writing to: administration c/o trinity hospital twin city, 819 n first street, dennison, ohio 44621. Written requests are responded to within 30 days of receipt and in person requests are attempted to be honored on the day received.

Filing and Contact Details

Filer

Filer Name
Trinity Hospital Twin City
EIN
27-5401105
Phone
7409222800
Address
819 NORTH FIRST STREET, DENNISON, OH 44621

Signing Officer

Name
Dave Werkin
Title
CFO
Phone
7409222800
Signed
2025-05-12
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Dwayne Richardson
Formed
1912
Legal Domicile
Oh
Voting Board Members
17
Independent Board Members
13
Employees
241
Volunteers
28

Preparer

Firm
Commonspirit Health
Address
198 INVERNESS DRIVE WEST, ENGLEWOOD, CO 80112
Preparer
Mark Stocki
Phone
3032989100
Supplemental Narrative

Additional Explanations

Form 990, Part I, Line 1 (continued)

Faithful to the teaching of the catholic church and to the sponsorship philosophy and values of the sisters of st. Francis.

Form 990, Part IX, Line 11G

Other fees for services: program service expenses 1,934,649. Management and general expenses 483,662. Fundraising expenses 0. Total expenses 2,418,311. Consulting: program service expenses 22,700. Management and general expenses 5,675. Fundraising expenses 0. Total expenses 28,375. Contract labor: program service expenses 641,011. Management and general expenses 160,253. Fundraising expenses 0. Total expenses 801,264. Purchased services: program service expenses 2,910,540. Management and general expenses 727,635. Fundraising expenses 0. Total expenses 3,638,175.

Financial Statement Notes

PART V, LINE 4:

0% of the contributions are related to the federal grant that was awarded in previous fiscal years by hrsa. This grant ended in july '19. The rest of the contributions consist of donations. $27,819 of the end of year balance is the only portion of this account that appears to somewhat meet the definition of 'endowment' as it was donated and restricted for capital use by our previous governing body although none of the dollars in this account are invested, this is strictly a cash account.

PART X, LINE 2:

Trinity hospital twin city's financial information is included in commonspirit health's consolidated audited financial statements, which includes the following disclosure: commonspirit reviews its tax positions quarterly and has determined that there are no material uncertain tax positions that require recognition in the accompanying consolidated financial statements.

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/MissionDesc0AS AN AFFILIATE OF COMMONSPIRIT HEALTH, WE MAKE THE HEALING PRESENCE OF GOD KNOWN IN OUR WORLD BY IMPROVING THE HEALTH OF THE PEOPLE WE SERVE, ESPECIALLY THOSE WHO ARE VULNERABLE, WHILE WE ADVANCE SOCIAL JUSTICE FOR ALL.
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