Civic Intelligence

Trinity Health System Group

990 • Fiscal year 2018 • EIN 30-0752920

Jul 01, 2017 to Jun 30, 2018 • Filed on May 13, 2019

380 Summit AvenueSteubenville, OH 43952

(740) 283-7000

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

19th percentile

0.09x

Higher debt load relative to assets than 19% of similar nonprofits.

2018 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2018

Liabilities / Revenue

9th percentile

0.09x

Higher debt load relative to revenue than 9% of similar nonprofits.

2018 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2018

Net Margin

57th percentile

7.3%

Higher net margin than 57% of similar nonprofits.

2018 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2018

Top Officer Pay

74th percentile

$1,555,388

Higher top officer pay than 74% of similar nonprofits.

Top officer pay equals 0.6% of source-year revenue.

2018 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2018

Asset Growth

5th percentile

-12%

Faster asset growth than 5% of similar nonprofits.

2018 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2017 to 2018

Revenue Growth

29th percentile

0.4%

Faster revenue growth than 29% of similar nonprofits.

2018 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2017 to 2018

Assets

Down

$270,839,254

Down $37,571,445 (-12%) from 2017

Net Assets

Up

$247,051,584

Up $19,816,156 (+8.7%) from 2017

Liabilities

Down

$23,787,670

Down $57,387,601 (-71%) from 2017

Revenue

Up

$261,998,504

Up $1,153,173 (+0.4%) from 2017

Expenses

Down

$242,899,040

Down $661,439 (-0.3%) from 2017

Net Income

Up

$19,099,464

Up $1,814,612 (+10%) from 2017

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$400M$300M$200M$100M$0Assets 2012: $200,007,015Liabilities 2012: $89,456,929Net Assets 2012: $110,550,0862012Assets 2013: $210,743,667Liabilities 2013: $71,822,690Net Assets 2013: $138,920,9772013Assets 2014: $223,236,413Liabilities 2014: $80,245,224Net Assets 2014: $142,991,1892014Assets 2015: $225,459,769Liabilities 2015: $82,343,378Net Assets 2015: $143,116,3912015Assets 2016: $289,619,546Liabilities 2016: $89,465,058Net Assets 2016: $200,154,4882016Assets 2017: $308,410,699Liabilities 2017: $81,175,271Net Assets 2017: $227,235,4282017Assets 2018: $270,839,254Liabilities 2018: $23,787,670Net Assets 2018: $247,051,5842018Assets 2019: $279,385,616Liabilities 2019: $23,599,514Net Assets 2019: $255,786,1022019Assets 2020: $322,194,187Liabilities 2020: $74,626,121Net Assets 2020: $247,568,0662020Assets 2021: $371,217,232Liabilities 2021: $75,421,448Net Assets 2021: $295,795,7842021Assets 2022: $333,491,881Liabilities 2022: $54,670,877Net Assets 2022: $278,821,0042022Assets 2023: $375,790,264Liabilities 2023: $116,796,880Net Assets 2023: $258,993,3842023Assets 2024: $371,738,176Liabilities 2024: $110,667,882Net Assets 2024: $261,070,2942024

Highlighted filing

2018

Assets$270,839,254
Liabilities$23,787,670
Net Assets$247,051,584

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$300M$200M$100M$0-$100MExpenses 2012: $207,226,2802012Revenue 2013: $229,719,669Expenses 2013: $217,169,908Net Income 2013: $12,549,7612013Revenue 2014: $234,076,644Expenses 2014: $223,249,637Net Income 2014: $10,827,0072014Revenue 2015: $256,054,442Expenses 2015: $243,282,290Net Income 2015: $12,772,1522015Revenue 2016: $127,818,733Expenses 2016: $120,752,555Net Income 2016: $7,066,1782016Revenue 2017: $260,845,331Expenses 2017: $243,560,479Net Income 2017: $17,284,8522017Revenue 2018: $261,998,504Expenses 2018: $242,899,040Net Income 2018: $19,099,4642018Revenue 2019: $237,978,477Expenses 2019: $227,241,257Net Income 2019: $10,737,2202019Revenue 2020: $236,437,007Expenses 2020: $235,491,647Net Income 2020: $945,3602020Revenue 2021: $276,048,727Expenses 2021: $255,826,601Net Income 2021: $20,222,1262021Revenue 2022: $277,072,077Expenses 2022: $274,075,367Net Income 2022: $2,996,7102022Revenue 2023: $255,785,594Expenses 2023: $277,136,047Net Income 2023: -$21,350,4532023Revenue 2024: $275,182,091Expenses 2024: $284,696,924Net Income 2024: -$9,514,8332024

Highlighted filing

2018

Revenue$261,998,504
Expenses$242,899,040
Net Income$19,099,464
Jump To
Filing Snapshot
Filing Period
Jul 1, 2017 to Jun 30, 2018
Signed
May 13, 2019
Return Version
2017v2.2
Gross Receipts
$261,998,504
Mission and Program Overview

Mission

A community partner dedicated to excellence in serving the health needs of the tri-state area.

A community partner dedicated to excellence in serving the health needs of the tri-state area. The organization was, for the year ended 6/30/18, affiliated with catholic health initiatives ("chi"). Following the close of the 6/30/2018 tax year, on 2/1/19, in connection with the alignment of the catholic ministries of chi and dignity health, chi changed its name to commonspirit health.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments Other Securities$190,057,853$174,511,318▼ $15,546,535
Land, Buildings, and Equipment, Net$42,576,908$43,246,074▲ $669,166
Accounts Receivable$29,953,894$29,196,031▼ $757,863
Savings and Temporary Cash Investments$18,018,724$7,863,996▼ $10,154,728
Inventories for Sale or Use$4,171,930$3,801,651▼ $370,279
Investments in Publicly Traded Securities$6,652,810$1,318,931▼ $5,333,879
Prepaid Expenses and Deferred Charges$1,864,057$916,878▼ $947,179
Cash and Non-Interest-Bearing Accounts$51,311$223,685▲ $172,374
Intangible Assets$210,000$210,000→ $0
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Program Related$0--
Loans From Officers Directors$0$0→ $0
Total Assets$308,410,699$270,839,254▼ $37,571,445
Other Assets Total$14,853,212$9,550,690▼ $5,302,522
Liabilities
Mortgage Notes Payable Secured by Investment Property$37,510,370$0▼ $37,510,370
Accounts Payable and Accrued Expenses$13,572,467$14,467,449▲ $894,982
Other Liabilities$30,092,434$9,320,221▼ $20,772,213
Grants Payable-$0-
Unsecured Notes Loans Payable-$0-
Deferred Revenue-$0-
Escrow Account Liability-$0-
Tax Exempt Bond Liabilities-$0-
Total Liabilities$81,175,271$23,787,670▼ $57,387,601
Net Assets / Fund Balance
Unrestricted Net Assets$226,135,321$245,951,475▲ $19,816,154
Permanently Rstr Net Assets$1,077,000$1,077,000→ $0
Temporarily Rstr Net Assets$23,107$23,109▲ $2
Total Net Assets Fund Balance$227,235,428$247,051,584▲ $19,816,156
Total Liabilities and Net Assets / Fund Balance$308,410,699$270,839,254▼ $37,571,445

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$18,714,829$7,076,891$25,791,720
Equipment$11,313,748$10,693,975$22,007,723
Land$7,810,022-$7,810,022
Other Land Buildings$5,368,653$214,492$5,583,145
Leasehold Improvements$38,822$14,545$53,367
Other Securities$174,511,318--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2017$1,077,000-▲ $34,568-$1,077,000
2016$1,077,000-▲ $17,315-$1,077,000
2015$1,077,000-▲ $22,746-$1,077,000
2014$743,000$334,000▲ $7,560-$1,077,000
2013$743,000-▲ $43,168-$743,000
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
-PhysicianFT$600,018$418,752$1,018,770
-President & CEO (partial Year)FT$319,865-$319,865
-Chairman-$275-$275

Board Members and Trustees

NameTitle
-Former PRESIDENT & CEO
-President & CEO
-Vice Chairman
-Board Member
-CFO
-Secretary
-Treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Huron ConsultingConsultants3005 MOMENTUM PLACE, Chicago, IL 60689$1,604,349
Arup Labs INCLab500 CHIPETA WAY, Salt Lake City, UT 84108$1,189,097
Jefferson Investigators & SecuritySecurity1439 SUNSET BLVD, Steubenville, OH 43952$768,266
Alltran Health ServicesHealthcare Revenue Cycle MgmtPO BOX 856826, Minneapolis, MN 55485$766,033
Washington Healthcare StrategiesAnesthesiologistsPO BOX 463, Bridgeville, PA 15017$728,199
Revenue and Support

Revenue Composition

Contributions and Grants
$8,261,161
Program Service Revenue
$238,300,274
Investment Income
$12,334,943
Other Revenue
$3,102,126
All Other Contributions
$61,161
Change in Net Assets
$19,099,464
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$128,379,794
Salaries, Compensation, and Employee Benefits$108,899,469
Grants and Similar Amounts Paid$5,619,777
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$70,700,392$10,614,677-$81,315,069
Fees for Services Other$39,087,525$5,840,664$0$44,928,189
Other Employee Benefits$19,201,981$2,872,399-$22,074,380
Depreciation Depletion$5,752,577$859,580-$6,612,157
Occupancy$5,433,125$811,846-$6,244,971
Grants to Domestic Individuals$5,607,560--$5,607,560
Payroll Taxes$4,482,875$669,855-$5,152,730
Office Expenses$3,300,141$493,125-$3,793,266
Other Expenses$1,956,572$292,361-$2,248,933
Insurance$1,605,371$239,883-$1,845,254
All Other Expenses$1,440,652$215,269$0$1,655,921
Advertising$940,791$140,578-$1,081,369
Payments to Affiliates$873,316$130,496-$1,003,812
Current Officers, Directors, Trustees, and Key Employees-$357,290-$357,290
Travel$276,188$41,270-$317,458
Fees for Services Legal$230,635$34,463-$265,098
Interest$100,485$15,015-$115,500
Grants to Domestic Orgs$12,217--$12,217
Total Functional Expenses$218,888,043$24,010,997$0$242,899,040
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Insider Transactions and Loans

Loans and Receivables

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

Other Reported Liabilities

LiabilityAmount
Other current liabilities$6,364,609
Unclaimed Property$2,743,570
Intercompany Dept$142,432
Retirement Benefits Payable$54,979
Insurance Claims Reserve$14,631
Post Employment Benefits-
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 family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
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, Line 15 PROCESS FOR DETERMINING COMPENSATION

An external compensation consultant reviews annually the base salary, total cash, and total remuneration, as compared to market, for those identified as officers/key employees. This review is to determine reasonableness of the compensation. Note: the organization's ceo is employed by trinity health system with salary then charged to trinity health system group.

Form 990, Part VI, Line 12C CONFLICT OF INTEREST POLICY

The board chair or designee shall make such further investigation of any conflict of interest disclosures as he or she may deem appropriate. If the conflict involves the board chair, the vice chair will assume the chair's role outlined in the coi policy. Based on review and evaluation of the relevant facts and circumstances, the board chair will make an initial determination as to whether a conflict of interest exists and whether, pursuant to the coi policy, review and approval or other action by the board is required. A written record of the board chair's determination, including relevant facts and circumstances, will be made. The board chair shall then make an appropriate report to the executive committee of the board concerning such review, evaluation and determination. If a difference of opinion exists between the board chair and another trustee as to whether the facts and circumstances of a given situation constitute a conflict of interest or whether board review and approval or other action is required within the coi policy, the matter shall be submitted to the board's executive committee, which shall make a final determination as to the matter presented. Such determination, including relevant facts and circumstances, will be reflected in the executive committee minutes and will be reported to the board. The board shall carefully scrutinize and must in good faith approve or disapprove any transaction in which chi or a chi entity is a party and in which the trustee or corporate officer either: * has a material financial interest; or * is a trustee or corporate officer of the other party (other than a chi-affiliated organization). The board must approve the transaction by a majority of the trustees on the board, without counting the vote of any individual who has an interest in the transaction. In reviewing such transactions between chi or chi entities and vendors or other contractors who are, or are affiliated with, trustees or corporate officers, the board shall act no more or less favorably than it would in reviewing transactions with unrelated third parties. The transaction will not be approved unless the board determines that the transaction is fair to chi or the chi entity. The board shall carefully review and scrutinize any non-transactional conflict of interest (e.g., disclosure of nonpublic information, competition with chi or a chi entity, failure to disclose a corporate opportunity, excessive gifts or entertainment, etc.). By a majority vote of the disinterested trustees, the board shall take whatever action is deemed appropriate with respect to the trustee or corporate officer under the circumstances, including possible disciplinary or corrective action, in order to best protect the interests of chi or the chi entity. The board should consult with the general counsel of chi or his or her designee when considering disciplinary or corrective action. When any conflict of interest is considered by the board, the trustee or corporate officer, as appropriate, must disclose all of the material facts to the board. The trustee shall not vote and the trustee or corporate officer shall not use his or her personal influence on the matter. However, if requested, such trustee or corporate officer is not prevented from briefly stating his or her position in the matter, nor from answering pertinent questions from trustees, as his or her knowledge may be of significant importance. The trustee or corporate officer shall be excused from the meeting during discussion and vote on the conflict of interest. Minutes of the board shall reflect the following: the individual making the disclosure, the nature of the disclosure, discussion regarding any proposed transaction, the decision made by the board, and that the interested trustee or corporate officer was excused during the discussion, and that the interested trustee abstained from voting. If the board reasonably believes that a trustee or corporate officer has failed to disclose ei

Form 990, Part VI, Line 1A Delegate broad authority to A committee

Pursuant to article v, section 7 of the code of regulations of trinity health system group, the executive committee is composed of the board chair, the board vice chair, and the president, each of whom shall serve as a voting member of the executive committee. The executive committee shall consist of only directors of the corporation. Pursuant to appendix a of the corporation's code of regulations, the executive committee has and may exercise such powers as may be delegated to it by the board of directors. The executive committee also possesses the power to transact routine business of the corporation in the interim period between regularly scheduled meetings of the board of directors.

Form 990, Part VI, Line 6 Classes of members or stockholders

According to the code of regulations of trinity health system group, the entity's sole member is trinity health system, an ohio nonprofit organization. The members of the sole member are sylvania franciscan health, an ohio nonprofit organization and catholic health initiatives, a colorado nonprofit organization. Catholic health initiatives replaced tri-state health services, inc. As corporate member on february 2, 2016.

Form 990, Part VI, Line 7A Members or stockholders electing members of governing body

The members of the governing body shall consist of the members of the corporate member's governing body. Directors of the corporate member, and therefore of the filing organization, shall be appointed by the parent corporation no later than june 30 of each year. Prior to each annual meeting of the parent corporation, or such other meeting called for the purpose of appointing directors of the corporation, the governance committee shall select and submit to the board a slate of nominees qualified to serve on the board. The board shall review the names and qualifications of each individual on the recommended slate and shall vote to accept or refuse each nominee. The names and qualification of each individual accepted by the board shall then be submitted to the parent corporation, who shall then appoint or refuse each nominee with the recommendation of the president health system delivery and chief operating officer or other designee. Notwithstanding anything in this code of regulations to the contrary, the parent corporation may unilaterally appoint one or more individuals to the board should the board fail to furnish the parent corporation with a list of individuals qualified to serve on the board in accordance with this section.

Form 990, Part VI, Line 7B Decisions requiring approval by members or stockholders

Trinity health system group has one corporate member, trinity health system. Trinity health system must approve the following actions of the corporation or any of its subsidiaries as a condition before they become effective: 1) merger, consolidation, or substantial sale 2) creation of subsidiaries of affiliation with other entities 3) conveyancing real property or creating liens thereon 4) transfer of personal property, incurring or guaranteeing indebtedness or granting liens in excess of an amount prescribed from time to time by the members 5) approval of corporation or subsidiary trustees and directors based on agreed upon criteria 6) capital expenditures or grants in excess of an amount prescribed from time to time by the members 7) addition or termination of services 8) approval of selection of the slate of candidates for the office of ceo of the corporation or any of its subsidiaries provided, however, that a representative of each member will serve on the selection committee 9) approval of the annual budget and strategic plan for the corporation and its subsidiaries.

Form 990, Part VI, Line 11B Review of form 990 by governing body

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, Line 12C Conflict of interest policy

Catholic health initiatives ("chi") has a conflicts of interest ("coi") policy (the "policy") in place to maintain the integrity of all of its activities. The policy applies to chi board of stewardship trustees and members of its committees; all chi entity board and board committee members; all chi employees; and all chi research personnel (both employed and non-employed). Disclosure, review and management of perceived, potential or actual conflicts of interest are accomplished through a defined coi disclosure review process. Each person must promptly and fully disclose to his/her direct manager, supervisor, medical staff office, board or board committee chair any situation or circumstance that may create a conflict of interest. The person must disclose the actual or potential conflict as soon as she/he becomes aware of it. In any situation where the person may be in doubt, a full disclosure should be made to permit an impartial and objective determination. In addition to the general ongoing obligation, there are initial disclosure obligations. At the time of initial appointment, a copy of the policy shall be distributed to the board or committee member along with a conflict of interest disclosure. The board or committee member will complete and submit the disclosure. The completed disclosure shall be maintained in confidence and access shall be limited to persons who have a reasonable need to know the contents. At the time of hiring, a copy of the policy shall be distributed to all employees. In addition, a conflict of interest disclosure will be provided. The employee must complete and submit a conflict of interest disclosure. The completed disclosure shall be maintained in confidence and access shall be limited to persons who have a reasonable need to know the contents. In addition to the general ongoing and initial disclosure obligations, there is an annual disclosure obligation. On an annual basis, the following persons must complete a new conflict of interest disclosure: * board and board committee members; * employees at the level of vice president and above; * researchers * supply chain employees at the level of vice president and above and those employees involved in contracting regardless of employment level; * other employees as deemed applicable by chi leadership disclosures of perceived, potential or actual conflicts involving financial interests are forwarded to the conflicts of interest review committee ("c-circ"), national or regional legal services, national, entity, or research corporate responsibility program, or the executive committee of the board or board chair, for review depending on the position of the person involved. Among the factors that should be considered in determining whether a conflict exists are the nature and magnitude of the opportunity, transaction or arrangement, the degree to which it is related to chi's business, whether the person with the conflict is the ultimate decision-maker or holds significant influence over the ultimate decision-maker (i.e., degree of independence of the decision-making process), the unique nature of the opportunity, transaction or arrangement, the existence of other viable alternatives and the quality of those alternatives, and what is customary and reasonable in the health care or research industry. When a person has, or is considering initiating, a business interest or relationship outside of chi but is uncertain whether the interest constitutes a conflict of interest requiring disclosure under this policy, the person should consult with local corporate responsibility program (crp) staff or chi legal services group (lsg) staff, as appropriate. As appropriate, a coi management plan will be developed. With respect to those audiences for which the c-circ has review responsibility, the c-circ will facilitate development of any such coi management plan in collaboration with local crp staff or chi lsg staff, as appropriate. This plan will include documentation of

Form 990, Part VI, Line 19 Required documents available to the public

The organization's financial statements, conflict of interest policy and governing documents are available to the public upon request. The organization's financial statements are included in catholic health initiatives' consolidated audited financial statements that are available at www.catholichealthinitiatives.org.

Form 990, Part VIII, Line 11D Other Miscellaneous Revenue

Other Miscellaneous Revenue - Total Revenue: 1232418, Related or Exempt Function Revenue: , Unrelated Business Revenue: 103270, Revenue Excluded from Tax Under Sections 512, 513, or 514: 1129148;

Filing and Contact Details

Filer

Filer Name
Trinity Health System Group
EIN
30-0752920
Phone
7402837000
Address
380 SUMMIT AVENUE, STEUBENVILLE, OH 43952

Signing Officer

Name
Dave Werkin
Title
CFO
Signed
2019-05-13
Discuss with paid preparer
Yes

Organization Details

Voting Board Members
15
Independent Board Members
10
Employees
1,732
Volunteers
37

Preparer

Firm
Catholic Health Initiatives
Address
198 Inverness Drive West, ENGLEWOOD, CO 80112
Preparer
Mark Shelton
Phone
3032989100
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 1 MISSION STATEMENT

The mission of the corporation is to nurture the healing ministry of the church, supported by education and research. Fidelity to the gospel urges the corporation to emphasize human dignity and social justice as it creates healthier communities. The corporation, sponsored by a lay-religious partnership, calls other catholic sponsors and systems to unite to ensure the future of catholic health care. To fulfill this mission, the corporation, as a values-based organization, will assure the integrity of the ministry in both current and developing organizations and activities; research and develop new ministries that integrate health, education, pastoral, and social services; promote leadership development and formation for ministry throughout the entire organization; advocate for systemic changes with specific concern for persons who are poor, alienated, and underserved; and steward resources by general oversight of the entire organization.

Form 990, Part V, Line 3B FORM 990-T FILING

Trinity health system - trinity east (ein 34-0714474), trinity health system - trinity west (ein 34-0875691), and trinity hospital holding company (ein 34-1842025) are subordinate organizations of trinity health system group. Each of the subordinates files its own 990-t.

Form 990, Part IX, Line 11G Other Fees

Other Fees for Services - Total Expense: 7590725, Program Service Expense: 6603931, Management and General Expenses: 986794, Fundraising Expenses: 0; Consulting - Total Expense: 1569204, Program Service Expense: 1365207, Management and General Expenses: 203996, Fundraising Expenses: ; Contract Services - Total Expense: 4709617, Program Service Expense: 4097367, Management and General Expenses: 612250, Fundraising Expenses: ; Contract Labor - Total Expense: 162786, Program Service Expense: 141624, Management and General Expenses: 21162, Fundraising Expenses: ; Purchased Services - Total Expense: 30895857, Program Service Expense: 26879396, Management and General Expenses: 4016461, Fundraising Expenses: ;

Form 990, Part XI, Line 9 Other changes in net assets or fund balances

Pension adjustment - 3307055; chi capital resource pool - -2879676;

Financial Statement Notes

Schedule D, Part V, Line 4 Intended uses of endowment funds

The interest is unrestricted and used for hospital operations. The principal is restricted and not used.

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

Trinity health system group's financial information is included in the consolidated audited financial statements of catholic health initiatives (chi), a related organization. Chi's fin 48 (asc 740) footnote for the year ended june 30, 2018, reads as follows: "chi is a tax-exempt colorado corporation and has been granted an exemption from federal income tax under section 501(c)(3) of the internal revenue code. Chi owns certain taxable subsidiaries and engages in certain activities that are unrelated to its exempt purpose and therefore subject to income tax. Management reviews its tax positions annually and has determined that there are no material uncertain tax positions that require recognition in the accompanying consolidated financial statements."

Raw XML AppendixShowing 400 of 4,867 raw XML fields

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

Path#Value
IRS990/AccountantCompileOrReviewInd0false
IRS990/AccountsPayableAccrExpnssGrp/BOYAmt013572467
IRS990/AccountsPayableAccrExpnssGrp/EOYAmt014467449
IRS990/AccountsReceivableGrp/BOYAmt029953894
IRS990/AccountsReceivableGrp/EOYAmt029196031
IRS990/ActivitiesConductedPrtshpInd0false
IRS990/ActivityOrMissionDesc0A COMMUNITY PARTNER DEDICATED TO EXCELLENCE IN SERVING THE HEALTH NEEDS OF THE TRI-STATE AREA. THE ORGANIZATION WAS, FOR THE YEAR ENDED 6/30/18, AFFILIATED WITH CATHOLIC HEALTH INITIATIVES ("CHI"). FOLLOWING THE CLOSE OF THE 6/30/2018 TAX YEAR, ON 2/1/19, IN CONNECTION WITH THE ALIGNMENT OF THE CATHOLIC MINISTRIES OF CHI AND DIGNITY HEALTH, CHI CHANGED ITS NAME TO COMMONSPIRIT HEALTH.
IRS990/AdvertisingGrp/ManagementAndGeneralAmt0140578
IRS990/AdvertisingGrp/ProgramServicesAmt0940791
IRS990/AdvertisingGrp/TotalAmt01081369
IRS990/AllAffiliatesIncludedInd0true
IRS990/AllOtherContributionsAmt061161
IRS990/AllOtherExpensesGrp/FundraisingAmt00
IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt0215269
IRS990/AllOtherExpensesGrp/ProgramServicesAmt01440652
IRS990/AllOtherExpensesGrp/TotalAmt01655921
IRS990/AnnualDisclosureCoveredPrsnInd0true
IRS990/AuditCommitteeInd0true
IRS990/AuditedFinancialStmtAttInd0true
IRS990/BackupWthldComplianceInd0true
IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt0James Dumpman
IRS990/BooksInCareOfDetail/PhoneNum07402837000
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt0380 SUMMIT AVENUE
IRS990/BooksInCareOfDetail/USAddress/CityNm0STEUBENVILLE
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0OH
IRS990/BooksInCareOfDetail/USAddress/ZIPCd043952
IRS990/BusinessRlnWithFamMemInd0false
IRS990/BusinessRlnWithOfficerEntInd0false
IRS990/BusinessRlnWithOrgMemInd0false
IRS990/CashNonInterestBearingGrp/BOYAmt051311
IRS990/CashNonInterestBearingGrp/EOYAmt0223685
IRS990/ChangeToOrgDocumentsInd0false
IRS990/CntrctRcvdGreaterThan100KCnt056
IRS990/CollectionsOfArtInd0false
IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt0357290
IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt0357290
IRS990/CompensationFromOtherSrcsInd0false
IRS990/CompensationProcessCEOInd0true
IRS990/CompensationProcessOtherInd0true
IRS990/ConflictOfInterestPolicyInd0true
IRS990/ConservationEasementsInd0false
IRS990/ConsolidatedAuditFinclStmtInd0true
IRS990/ContractorCompensationGrp/CompensationAmt01604349
IRS990/ContractorCompensationGrp/CompensationAmt11189097
IRS990/ContractorCompensationGrp/CompensationAmt2768266
IRS990/ContractorCompensationGrp/CompensationAmt3766033
IRS990/ContractorCompensationGrp/CompensationAmt4728199
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt03005 MOMENTUM PLACE
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt1500 CHIPETA WAY
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt21439 SUNSET BLVD
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt3PO BOX 856826
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt4PO BOX 463
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm0CHICAGO
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm1SALT LAKE CITY
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm2STEUBENVILLE
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm3MINNEAPOLIS
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm4BRIDGEVILLE
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd0IL
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd1UT
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd2OH
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd3MN
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd4PA
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd060689
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd184108
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd243952
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd355485
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd415017
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt0HURON CONSULTING
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt1ARUP LABS INC
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt2JEFFERSON INVESTIGATORS & SECURITY
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt3ALLTRAN HEALTH SERVICES
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt4WASHINGTON HEALTHCARE STRATEGIES
IRS990/ContractorCompensationGrp/ServicesDesc0CONSULTANTS
IRS990/ContractorCompensationGrp/ServicesDesc1LAB
IRS990/ContractorCompensationGrp/ServicesDesc2SECURITY
IRS990/ContractorCompensationGrp/ServicesDesc3HEALTHCARE REVENUE CYCLE MGMT
IRS990/ContractorCompensationGrp/ServicesDesc4ANESTHESIOLOGISTS
IRS990/ContriRptFundraisingEventAmt00
IRS990/CostOfGoodsSoldAmt00
IRS990/CreditCounselingInd0false
IRS990/CYBenefitsPaidToMembersAmt00
IRS990/CYContributionsGrantsAmt08261161
IRS990/CYGrantsAndSimilarPaidAmt05619777
IRS990/CYInvestmentIncomeAmt012334943
IRS990/CYOtherExpensesAmt0128379794
IRS990/CYOtherRevenueAmt03102126
IRS990/CYProgramServiceRevenueAmt0238300274
IRS990/CYRevenuesLessExpensesAmt019099464
IRS990/CYSalariesCompEmpBnftPaidAmt0108899469
IRS990/CYTotalExpensesAmt0242899040
IRS990/CYTotalFundraisingExpenseAmt00
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt0261998504
IRS990/DecisionsSubjectToApprovaInd0true
IRS990/DeductibleArtContributionInd0false
IRS990/DeductibleNonCashContriInd0false
IRS990/DeferredRevenueGrp/EOYAmt00
IRS990/DelegationOfMgmtDutiesInd0false
IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt0859580
IRS990/DepreciationDepletionGrp/ProgramServicesAmt05752577
IRS990/DepreciationDepletionGrp/TotalAmt06612157
IRS990/Desc0OUTPATIENT SERVICES: THROUGH JUNE 2018, THE CENTER REALIZED 8,064 ACUTE ADMISSIONS AND 232,141 OUTPATIENT VISITS. IN LINE WITH TRINITY HEALTH SYSTEM'S VALUES, SERVICE, REVERENCE AND STEWARDSHIP, THE TONY TERAMANA CANCER CENTER CAN MEET THE NEEDS OF CANCER PATIENTS THROUGH A HOLISTIC APPROACH WHICH INCLUDES COMPASSION, CONCERN, DIGNITY AND RESPECT. THIS SERVICE IS DUE LARGELY TO THE GENEROSITY OF THE TONY TERAMANA FAMILY, WHOSE $1 MILLION GIFT MADE THIS CENTER A WORLD-CLASS CANCER TREATMENT FACILITY. TRINITY HEALTH SYSTEM'S CARDIAC REHABILITATION PROGRAM IS DESIGNED TO EFFECT LIFESTYLE CHANGE IN PATIENTS ENROLLED. THESE CHANGES ARE ACHIEVED THROUGH SAFE PHYSICAL CONDITIONING, SOUND EDUCATIONAL SESSIONS, AND GROUP SUPPORT, WHICH EMPHASIZE THE UNDERSTANDING OF RISK FACTORS ASSOCIATED WITH HEART DISEASE. THE PROGRAM'S GOAL IS TO ENHANCE THE QUALITY OF LIFE FOR THE PATIENT. AGE IS NOT A FACTOR. OUR SPECIALLY TRAINED STAFF WORK WITH PATIENTS, THEIR FAMILIES, AND PHYSICIANS TO DEVELOP A PERSONALIZED PROGRAM OF HEALTH AND WELLNESS. THE GOALS OF THE CARDIAC REHAB PROGRAM ARE INCREASED UNDERSTANDING OF HEART DISEASE, INCREASED ENDURANCE, DECREASED HEART RATE AND BLOOD PRESSURE, INCREASED MUSCULAR FITNESS, REDUCED CHOLESTEROL/TRIGLYCERIDE LEVELS, DECREASED BODY FAT, BETTER NUTRITION MANAGEMENT AND IMPROVED SENSE OF WELL-BEING. AN INTEGRAL PART OF THE OVERALL PROGRAM, EDUCATION, INCREASES A PATIENT'S UNDERSTANDING OF THEIR ILLNESS AND HELPS THEM TO IDENTIFY CURRENT HABITS THAT CAN NEGATIVELY AFFECT THEIR CARDIAC CONDITION. WE COVER ISSUES LIKE RISK FACTOR REDUCTION, ANGINA, HEART ATTACK, MEDICATION, DIETARY AND EXERCISE GUIDELINES, SMOKING, AND BREATHING AND RELAXATION METHODS. INDIVIDUALS ENROLLED IN THIS PHASE ARE REFERRED BY THEIR PHYSICIAN. AFTER AN ASSESSMENT OF CONDITION IS MADE, A PATIENT IS SCHEDULED FOR EXERCISE TRAINING WITH MONITORING. RISK FACTORS, DIET, AND LIFESTYLE CHANGES ARE ALSO DISCUSSED. CONVENIENT SESSIONS ARE SCHEDULED THREE TIMES PER WEEK AND LAST APPROXIMATELY ONE HOUR. ONCE THE OUTPATIENT PROGRAM IS CONCLUDED, PATIENTS MAY CONTINUE THIS PHASE IN ORDER TO INSURE THEIR QUALITY OF LIFE. THEIR ONGOING PARTICIPATION IN THE PROGRAM CAN OFFER THEM INCREASED ENDURANCE, DECREASED HEART RATE AND BLOOD PRESSURE, AND INCREASED MUSCULAR FITNESS. TRINITY WORKCARE IS THE OCCUPATIONAL HEALTH DEPARTMENT OF TRINITY HEALTH SYSTEM AND PROVIDES A COMPREHENSIVE OCCUPATIONAL HEALTH SERVICE TO THE BUSINESS COMMUNITY. OUR PROGRAM IS DESIGNED TO ASSIST THE CLIENT COMPANY DECREASE LOST WORK TIME, MEDICAL EXPENSES, INSURANCE PREMIUMS AND MAINTAIN COMPLIANCE WITH COMPANY AND GOVERNMENT REGULATIONS. WORKCARE SERVICES INCLUDE MEDICAL SURVEILLANCE, SUBSTANCE ABUSE TESTING, INJURY TREATMENT AND CASE MANAGEMENT, PHYSICAL THERAPY, WELLNESS PROMOTION AND EMPLOYEE ASSISTANCE PROGRAM. THROUGH JUNE 2018, THERE WERE 8,902 VISITS TO WORKCARE. OUTPATIENT OCCUPATIONAL THERAPY AT TRINITY IS PROVIDED BOTH AS AN EXTENSION OF SERVICES RECEIVED AS AN INPATIENT OR YOU CAN RECEIVE SERVICES AS A NEW PATIENT. WE ARE STAFFED TO PROVIDE EXPERTISE WITH ALL NEUROLOGICAL AND ORTHOPEDIC DISORDERS AND SPECIALIZE IN THE AREA OF HAND DISORDERS. WE PROVIDE EXERCISE, MODALITIES (PARAFFIN, ULTRASOUND, IONTOPHORESIS, FLUIDOTHERAPY AND E-STIM), FUNCTIONAL ACTIVITIES, SPLINTING/BRACING AND ADL TRAINING. PHYSICAL THERAPY ASSESSES YOUR MOVEMENT, STRENGTH AND ENDURANCE AND WILL HELP TO RESTORE QUALITY OF MUSCLE TONE, COORDINATION, BALANCE, STRENGTH, ENDURANCE, JOINT FLEXIBILITY AND FUNCTIONAL MOBILITY. OUR DEPARTMENT IS FULLY EQUIPPED TO ALLOW FOR PRIVATE TREATMENT. ADDITIONALLY A MODERN GYM IS UTILIZED FOR YOUR EXERCISE NEEDS. WE PROVIDE SPECIALIZED PROGRAMS IN EXERCISE, FUNCTIONAL ACTIVITIES AND MODALITIES. OUR SPEECH PATHOLOGY DEPARTMENT IS EQUIPPED TO RENDER A BROAD SPECTRUM OF DIAGNOSTIC AND REHABILITATIVE SERVICES TO CHILDREN, ADOLESCENTS AND ADULTS WITH DISORDERS ASSOCIATED WITH DECREASED COGNITIVE SKILLS, APHASIA, APRAXIA, DYSARTHRIA, VOICE, AND DELAYED SPEECH AND LANGUAGE.
IRS990/DescribedInSection501c3Ind0true
IRS990/DisregardedEntityInd0false
IRS990/DocumentRetentionPolicyInd0true
IRS990/DonorAdvisedFundInd0false
IRS990/ElectionOfBoardMembersInd0true
IRS990/EmployeeCnt01732
IRS990/EmploymentTaxReturnsFiledInd0true
IRS990/EngagedInExcessBenefitTransInd0false
IRS990/EscrowAccountLiabilityGrp/EOYAmt00
IRS990/ExpenseAmt0143334653
IRS990/FamilyOrBusinessRlnInd0false
IRS990/FederalGrantAuditRequiredInd0false
IRS990/FederatedCampaignsAmt00
IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt034463
IRS990/FeesForServicesLegalGrp/ProgramServicesAmt0230635
IRS990/FeesForServicesLegalGrp/TotalAmt0265098
IRS990/FeesForServicesOtherGrp/FundraisingAmt00
IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt05840664
IRS990/FeesForServicesOtherGrp/ProgramServicesAmt039087525
IRS990/FeesForServicesOtherGrp/TotalAmt044928189
IRS990/ForeignActivitiesInd0false
IRS990/ForeignFinancialAccountInd0false
IRS990/ForeignOfficeInd0false
IRS990/Form8282PropertyDisposedOfInd0true
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt055.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt15.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt22.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt32.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt42.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt52.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt62.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt72.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt82.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt92.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt102.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt112.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt122.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt1358.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt142.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt152.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt1655.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt170
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt180
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt190
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt200
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt210
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt220.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt05.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt155.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt22.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt32.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt42.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt52.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt62.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt72.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt82.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt92.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt1058.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt112.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt122.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt132.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt142.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt152.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt165.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt1740.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt1840.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt1940.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt2040.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt2140.0
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt220.0
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt0MATT GRIMSHAW
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt1JOSEPH TASSE
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt2MARK MORELLI
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt3JAMES PADDEN
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt4DAVID SKIVIAT SR
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt5ERIC EXLEY
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt6MICHAEL BIASI
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt7JOHN COLUMBUS MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt8DAN DAILY
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt9SISTER DIANA LYNN ECKEL
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt10JOHN FIGEL MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt11SHEILA HENDRICKS
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt12DOUGLAS SCHAEFER
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt13LARRY SCHUMACHER
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt14DENNIS WOLTERS
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt15MARK TROMBETTA
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt16DAVE WERKIN
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt17Kumar Amin MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt18Nasrollah Jahdi MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt19SATHISH MAGGE MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt20Ramana Murty MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt21BALDEV SEKHON MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt22FRED BROWER
IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd0X
IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd0X
IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd1X
IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd2X
IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd3X
IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd4X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd0X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd1X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd2X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd3X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd4X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd5X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd6X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd7X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd8X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd9X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd10X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd11X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd12X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd13X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd14X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd15X
IRS990/Form990PartVIISectionAGrp/OfficerInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd1X
IRS990/Form990PartVIISectionAGrp/OfficerInd2X
IRS990/Form990PartVIISectionAGrp/OfficerInd3X
IRS990/Form990PartVIISectionAGrp/OfficerInd4X
IRS990/Form990PartVIISectionAGrp/OfficerInd5X
IRS990/Form990PartVIISectionAGrp/OfficerInd6X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt024964
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt30
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt40
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt50
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt60
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt70
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt80
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt90
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1018783
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt110
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt120
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt13153141
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt140
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt150
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1620128
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1718873
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt180
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1918783
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt2019599
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt2118783
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt2219546
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt1319865
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt2275
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt711663
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt90
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10485268
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt110
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt120
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt130
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt140
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt150
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt160
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt171149158
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt181272799
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt191110504
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt201300975
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt21999987
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt220
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt0508994
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt90
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt100
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt110
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt120
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt131402247
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt140
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt150
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt16330615
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt170
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt180
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt190
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt200
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt210
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt22468292
IRS990/Form990PartVIISectionAGrp/TitleTxt0PRESIDENT & CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt1PRESIDENT & CEO (PARTIAL YEAR)
IRS990/Form990PartVIISectionAGrp/TitleTxt2CHAIRMAN
IRS990/Form990PartVIISectionAGrp/TitleTxt3Vice Chairman
IRS990/Form990PartVIISectionAGrp/TitleTxt4Treasurer
IRS990/Form990PartVIISectionAGrp/TitleTxt5SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt6Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt7Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt8Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt9Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt10Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt11Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt12Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt13BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt14BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt15BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt16CFO
IRS990/Form990PartVIISectionAGrp/TitleTxt17PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt18PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt19PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt20PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt21PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt22Former PRESIDENT & CEO
IRS990/Form990ProvidedToGvrnBodyInd0false
IRS990/Form990TFiledInd0true
IRS990/FormerOfcrEmployeesListedInd0true
IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd0X
IRS990/FSAuditedInd0true
IRS990/FundraisingActivitiesInd0false
IRS990/FundraisingAmt00
IRS990/FundraisingDirectExpensesAmt00
IRS990/FundraisingGrossIncomeAmt00
IRS990/GainOrLossGrp/OtherAmt0-269
IRS990/GainOrLossGrp/SecuritiesAmt08036885
IRS990/GamingActivitiesInd0false
IRS990/GamingDirectExpensesAmt00
IRS990/GamingGrossIncomeAmt00
IRS990/GoverningBodyVotingMembersCnt015
IRS990/GovernmentGrantsAmt00
IRS990/GrantAmt03573435
IRS990/GrantsPayableGrp/EOYAmt00
IRS990/GrantsToDomesticIndividualsGrp/ProgramServicesAmt05607560
IRS990/GrantsToDomesticIndividualsGrp/TotalAmt05607560
IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt012217
IRS990/GrantsToDomesticOrgsGrp/TotalAmt012217
IRS990/GrantsToIndividualsInd0true
IRS990/GrantsToOrganizationsInd0false
IRS990/GrantToRelatedPersonInd0false
IRS990/GrossAmountSalesAssetsGrp/OtherAmt0-269
IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt08036885
IRS990/GrossReceiptsAmt0261998504
IRS990/GrossRentsGrp/PersonalAmt00
IRS990/GrossRentsGrp/RealAmt0331869
IRS990/GrossSalesOfInventoryAmt00
IRS990/GroupExemptionNum05388
IRS990/GroupReturnForAffiliatesInd0true
IRS990/IncludeFIN48FootnoteInd0true
IRS990/IncmFromInvestBondProceedsGrp/ExclusionAmt0207796
IRS990/IncmFromInvestBondProceedsGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/IncmFromInvestBondProceedsGrp/TotalRevenueColumnAmt0207796
IRS990/IncmFromInvestBondProceedsGrp/UnrelatedBusinessRevenueAmt00
IRS990/IndependentAuditFinclStmtInd0false
IRS990/IndependentVotingMemberCnt010
IRS990/IndivRcvdGreaterThan100KCnt079
IRS990/IndoorTanningServicesInd0false
IRS990/InfoInScheduleOPartIXInd0X
IRS990/InfoInScheduleOPartVIIIInd0X
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartXIInd0X
IRS990/InsuranceGrp/ManagementAndGeneralAmt0239883
IRS990/InsuranceGrp/ProgramServicesAmt01605371
IRS990/InsuranceGrp/TotalAmt01845254
IRS990/IntangibleAssetsGrp/BOYAmt0210000
IRS990/IntangibleAssetsGrp/EOYAmt0210000
IRS990/InterestGrp/ManagementAndGeneralAmt015015
IRS990/InterestGrp/ProgramServicesAmt0100485
IRS990/InterestGrp/TotalAmt0115500
IRS990/InventoriesForSaleOrUseGrp/BOYAmt04171930
IRS990/InventoriesForSaleOrUseGrp/EOYAmt03801651
IRS990/InvestmentIncomeGrp/ExclusionAmt04053247
IRS990/InvestmentIncomeGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt04090531
IRS990/InvestmentIncomeGrp/UnrelatedBusinessRevenueAmt037284
IRS990/InvestmentInJointVentureInd0false
IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt0190057853
IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt0174511318
IRS990/InvestmentsProgramRelatedGrp/BOYAmt00
IRS990/InvestmentsPubTradedSecGrp/BOYAmt06652810
IRS990/InvestmentsPubTradedSecGrp/EOYAmt01318931
IRS990/IRPDocumentCnt0132
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipAccumDeprecAmt017999903
IRS990/LandBldgEquipBasisNetGrp/BOYAmt042576908
IRS990/LandBldgEquipBasisNetGrp/EOYAmt043246074
IRS990/LandBldgEquipCostOrOtherBssAmt061245977
IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt00
IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt00
IRS990/LessRentalExpensesGrp/PersonalAmt00
IRS990/LessRentalExpensesGrp/RealAmt00
IRS990/LoanOutstandingInd0false
IRS990/LoansFromOfficersDirectorsGrp/BOYAmt00
IRS990/LoansFromOfficersDirectorsGrp/EOYAmt00
IRS990/LobbyingActivitiesInd0true
IRS990/LocalChaptersInd0false
IRS990/MaterialDiversionOrMisuseInd0false
IRS990/MembershipDuesAmt00
IRS990/MembersOrStockholdersInd0true

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$372$111$261$275$285$9.51
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$376$117$259$256$277$21.4
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$333$54.7$279$277$274$3.00
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$371$75.4$296$276$256$20.2
2020Detailed filing. Detailed filing data is available for this year.$322$74.6$248$236$235$0.95
2019Detailed filing. Detailed filing data is available for this year.$279$23.6$256$238$227$10.7
2018Detailed filing. Detailed filing data is available for this year.$271$23.8$247$262$243$19.1
2017Detailed filing. Detailed filing data is available for this year.$308$81.2$227$261$244$17.3
2016Detailed filing. Detailed filing data is available for this year.$290$89.5$200$128$121$7.07
2015Detailed filing. Detailed filing data is available for this year.$225$82.3$143$256$243$12.8
2014XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$223$80.2$143$234$223$10.8
2013Detailed filing. Detailed filing data is available for this year.$211$71.8$139$230$217$12.5
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$200$89.5$111$207