Civic Intelligence

Trinity Health & Affiliates

EIN 33-1007002 • 501(c)3 • Minot, ND

Profile

Trinity health is committed to preserving and improving the quality of health of the people we serve. Our mission is to excel at meeting the needs of the whole person through the provision of quality health care and health related services.

PO Box 5020Minot, ND 58702-5020

www.trinityhealth.org

Siviq Scores

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

Liabilities / Assets

55th percentile

0.63x

Higher debt load relative to assets than 55% of similar nonprofits.

NTEE E • $250M-$1B nonprofits • Source year 2024

Liabilities / Revenue

87th percentile

1.44x

Higher debt load relative to revenue than 87% of similar nonprofits.

NTEE E • $250M-$1B nonprofits • Source year 2024

Net Margin

23rd percentile

-3.6%

Higher net margin than 23% of similar nonprofits.

NTEE E • $250M-$1B nonprofits • Source year 2024

Top Officer Pay

19th percentile

$982,737

Higher top officer pay than 19% of similar nonprofits.

Top officer pay equals 0.3% of source-year revenue.

NTEE E • $250M-$1B nonprofits • Source year 2024

Asset Growth

12th percentile

-3.2%

Faster asset growth than 12% of similar nonprofits.

NTEE E • $250M-$1B nonprofits • Annualized from 2023 to 2024

Revenue Growth

14th percentile

-1.5%

Faster revenue growth than 14% of similar nonprofits.

NTEE E • $250M-$1B nonprofits • Annualized from 2023 to 2024

Assets

Down

$835,958,262

Down $27,232,794 (-3.2%) from 2023

Liabilities

Down

$523,148,704

Down $7,407,258 (-1.4%) from 2023

Net Assets

Down

$312,809,558

Down $19,825,536 (-6.0%) from 2023

Revenue

Down

$362,747,595

Down $5,694,582 (-1.5%) from 2023

Expenses

Up

$375,697,481

Up $34,735,800 (+10%) from 2023

Net Income

Down

-$12,949,886

Down $40,430,382 (-147%) from 2023

Trend Graphs

Balance Sheet Trend

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

$1.0B$500M$0Assets 2010: $441,154,307Liabilities 2010: $216,139,933Net Assets 2010: $225,014,3742010Assets 2011: $508,339,689Liabilities 2011: $274,590,263Net Assets 2011: $233,749,4262011Assets 2012: $569,541,785Liabilities 2012: $309,204,107Net Assets 2012: $260,337,6782012Assets 2013: $655,440,720Liabilities 2013: $376,839,020Net Assets 2013: $278,601,7002013Assets 2014: $204,703,659Liabilities 2014: $47,296,519Net Assets 2014: $157,407,1402014Assets 2015: $240,116,969Liabilities 2015: $54,627,826Net Assets 2015: $185,489,1432015Assets 2016: $256,607,242Liabilities 2016: $51,921,017Net Assets 2016: $204,686,2252016Assets 2017: $253,406,674Liabilities 2017: $41,939,113Net Assets 2017: $211,467,5612017Assets 2018: $669,932,345Liabilities 2018: $481,837,654Net Assets 2018: $188,094,6912018Assets 2019: $708,816,874Liabilities 2019: $501,014,226Net Assets 2019: $207,802,6482019Assets 2020: $772,285,376Liabilities 2020: $523,942,903Net Assets 2020: $248,342,4732020Assets 2021: $820,361,355Liabilities 2021: $505,716,098Net Assets 2021: $314,645,2572021Assets 2022: $839,517,479Liabilities 2022: $509,441,651Net Assets 2022: $330,075,8282022Assets 2023: $863,191,056Liabilities 2023: $530,555,962Net Assets 2023: $332,635,0942023Assets 2024: $835,958,262Liabilities 2024: $523,148,704Net Assets 2024: $312,809,5582024

Highlighted filing

2024

Assets$835,958,262
Liabilities$523,148,704
Net Assets$312,809,558

Operations Trend

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

$400M$200M$0-$200MExpenses 2010: $206,773,6772010Expenses 2011: $238,491,8902011Expenses 2012: $273,369,7152012Expenses 2013: $271,294,9652013Revenue 2014: $354,555,120Expenses 2014: $281,695,301Net Income 2014: $72,859,8192014Revenue 2015: $304,581,894Expenses 2015: $266,631,873Net Income 2015: $37,950,0212015Revenue 2016: $320,274,641Expenses 2016: $284,490,233Net Income 2016: $35,784,4082016Revenue 2017: $326,909,495Expenses 2017: $285,766,508Net Income 2017: $41,142,9872017Revenue 2018: $343,256,289Expenses 2018: $289,483,280Net Income 2018: $53,773,0092018Revenue 2019: $375,446,621Expenses 2019: $320,987,176Net Income 2019: $54,459,4452019Revenue 2020: $370,250,445Expenses 2020: $304,760,827Net Income 2020: $65,489,6182020Revenue 2021: $399,267,245Expenses 2021: $324,160,781Net Income 2021: $75,106,4642021Revenue 2022: $386,974,298Expenses 2022: $343,413,803Net Income 2022: $43,560,4952022Revenue 2023: $368,442,177Expenses 2023: $340,961,681Net Income 2023: $27,480,4962023Revenue 2024: $362,747,595Expenses 2024: $375,697,481Net Income 2024: -$12,949,8862024

Highlighted filing

2024

Revenue$362,747,595
Expenses$375,697,481
Net Income-$12,949,886

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$836$523$313$363$376$12.9
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$863$531$333$368$341$27.5
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$840$509$330$387$343$43.6
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$820$506$315$399$324$75.1
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$772$524$248$370$305$65.5
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$709$501$208$375$321$54.5
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$670$482$188$343$289$53.8
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$253$41.9$211$327$286$41.1
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$257$51.9$205$320$284$35.8
2015Detailed filing. Detailed filing data is available for this year.$240$54.6$185$305$267$38.0
2014XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$205$47.3$157$355$282$72.9
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$655$377$279$271
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$570$309$260$273
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$508$275$234$238
2010XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$441$216$225$207
Latest Detailed Filing

The latest 2024 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2022 below.

Jump To
Filing Snapshot
Filing Period
Jul 1, 2021 to Jun 30, 2022
Signed
May 12, 2023
Return Version
2021v4.2
Gross Receipts
$389,869,768
Mission and Program Overview

Mission

Trinity health is committed to preserving and improving the quality of health of the people we serve. Our mission is to excel at meeting the needs of the whole person through the provision of quality health care and health related services.

Meeting the needs of the whole person through quality health care and health related services.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$371,443,967$547,953,115▲ $176,509,148
Investments in Publicly Traded Securities$284,615,474$125,255,869▼ $159,359,605
Savings and Temporary Cash Investments$59,434,325$69,955,505▲ $10,521,180
Accounts Receivable$41,755,533$39,397,938▼ $2,357,595
Cash and Non-Interest-Bearing Accounts$28,979,348$25,366,935▼ $3,612,413
Inventories for Sale or Use$10,057,923$9,452,543▼ $605,380
Receivables From Officers Etc$6,013,905$6,089,338▲ $75,433
Prepaid Expenses and Deferred Charges$5,407,325$5,280,402▼ $126,923
Pledges and Grants Receivable$190,090$282,430▲ $92,340
Investments Program Related$50,000$68,070▲ $18,070
Other Notes and Loans Receivable, Net$15,991$15,973▼ $18
Total Assets$820,361,355$839,517,479▲ $19,156,124
Other Assets Total$12,397,474$10,399,361▼ $1,998,113
Liabilities
Mortgage Notes Payable Secured by Investment Property$419,464,016$419,149,863▼ $314,153
Accounts Payable and Accrued Expenses$62,832,393$71,569,572▲ $8,737,179
Other Liabilities$21,043,774$18,674,112▼ $2,369,662
Deferred Revenue$2,318,866--
Escrow Account Liability$43,909$28,964▼ $14,945
Grants Payable$13,140$19,140▲ $6,000
Total Liabilities$505,716,098$509,441,651▲ $3,725,553
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$305,921,672$320,382,125▲ $14,460,453
Net Assets With Donor Restrictions$8,723,585$9,693,703▲ $970,118
Total Net Assets Fund Balance$314,645,257$330,075,828▲ $15,430,571
Total Liabilities and Net Assets / Fund Balance$820,361,355$839,517,479▲ $19,156,124

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$511,818,982-$511,818,982
Equipment$22,493,427$195,157,045$217,650,472
Buildings$10,463,364$34,747,782$45,211,146
Land$3,177,342-$3,177,342
Leasehold Improvements$0$19,447$19,447

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2021$2,638,524$96,458--$2,734,982
2020$2,329,446$309,078--$2,638,524
2019$2,082,983$246,463--$2,329,446
2018$1,692,368$390,615--$2,082,983
2017$1,692,368---$1,692,368
Compensation and Service Providers

Employees

NameTitleFull / Part TimeOtherTotal
Thomas WarsockiVice President - Physician OperationsPT$271,724$271,724
Dave KohlmanVice President - Facilities ManagementPT$262,614$262,614
Alison FryeExecutive AssistantPT$99,727$99,727

Board Members and Trustees

NameTitle
Patrick HolienChairman
John KutchPresident & CEO
Steve LysneVice Chair
Glen Taylor WilsonVice President & CFO
Karen Zimmerman RnVice President - CNO
Dave KohlmanVice President - Facilities Manageme
Renae LenertzVice President - Human Resources
Randy SchwanVice President - Mission Integration
Rhonda WalterVice President - Ncf Administator
Thomas WarsockiVice President - Physician Operation
Borgi BeelerDirector
Brent MattsonDirector
Clara Sue PriceDirector
David HogueDirector
Jeffrey Sather MdDirector
John CoughlinDirector
Scott Knutson MdDirector
Karen KrebsbachSecretary/treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$14,529,441
Program Service Revenue
$371,005,979
Investment Income
$2,932,449
Other Revenue
$-1,493,571
All Other Contributions
$1,547,006
Change in Net Assets
$43,560,495

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
No
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Other Non Cash Contri Table18$64,495Fair Market Value (FMV)
Clothing and Household Goods-$31,879Fair Market Value (FMV)
Other Non Cash Contri Table17$24,252Fair Market Value (FMV)
Other Non Cash Contri Table31$11,232Fair Market Value (FMV)
Works of Art1$600Fair Market Value (FMV)
Total Noncash Contributions67$132,458-
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$206,137,474
Salaries, Compensation, and Employee Benefits$136,997,407
Total Fundraising Expense$1,388,135
Grants and Similar Amounts Paid$278,922
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$90,480,930$22,221,510$265,463$112,967,903
Fees for Services Other$47,657,240$24,005,061$20,368$71,682,669
Other Employee Benefits$8,385,758$6,972,782$30,700$15,389,240
Occupancy$5,584,271$7,688,404-$13,272,675
Depreciation Depletion$6,803,779$1,876,353$7,054$8,687,186
Payroll Taxes$6,598,329$1,699,738$20,112$8,318,179
Information Technology$974,465$4,830,085$48,231$5,852,781
All Other Expenses$2,441,485$38,826$740,187$3,220,498
Office Expenses$2,004,879$1,105,719$29,912$3,140,510
Advertising$2,735,551$103,482$157,199$2,996,232
Other Expenses$2,110,598$1,291,327$68,851$2,110,598
Insurance$1,117,260$455,871-$1,573,131
Fees for Services Legal-$793,943-$793,943
Fees for Services Accounting-$385,660-$385,660
Conferences and Meetings$167,371$206,520$905$374,796
Pension Plan Contributions$590,613$-267,681$-847$322,085
Grants to Domestic Individuals$170,722--$170,722
Travel$128,791$62-$128,853
Grants to Domestic Orgs$108,200--$108,200
Interest$-339,035$49,338-$-289,697
Total Functional Expenses$268,565,331$73,460,337$1,388,135$343,413,803
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Minot Family YmcaMinot, ND501(c)(3)Support Operations$100,000
Iowa State UniversityAmes, IAGovtIowa State University Sporsorship$0
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$31,226
Fundraising Gross Income$9,073
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Golf for Life$25,845$5,087$1,094$3,993
Building Hope$31,828$3,986$1,559$2,427
Total Events$57,673$9,073$31,226$-22,153
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
Receivables from Officers, Directors, Trustees, and Key Employees$6,013,905$6,089,338▲ $75,433
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Deferred Compensation Plan$10,399,361
Estimated 3rd Party Settlements$8,274,751

Bond Issues

BondIssuerIssuedIssue PricePurpose
BWard County North Dakota2017-12-28$382,748,522HOSPITAL CONSTRUCTION
AWard County North Dakota2017-09-27$56,875,000Refund series 2006 bonds; hospital construction

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
B$382,748,522--$3,562,519
A$56,875,000$46,404,605$23,101,700$510,395

Bond Financing Compliance

No rebate due
No
Rebate not yet due
Yes
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
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 1A

The executive committee is composed of the officers of the board of directors, each vested with full voting authority. They meet as needed to plan for the board's work and to fulfill tasks assigned to them by the board. The executive committee is authorized to act and make decisions on behalf of the entire board when urgent matters arise between regularly scheduled board meetings. The executive committee is obligated to present its actions to the entire board if a decision has been made in its absence.

Form 990, Part VI, Section A, Line 6

Trinity health is the sole member of each corporation included in this group return.

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

At each annual meeting, the sole member, trinity health, appoints the board of directors. At least seven of the board of directors also serve as a member of the board of directors of trinity health. In the bylaws of trinity health foundation, this overlap only needs to be three. Any director who ceases to be a member of the trinity health board of directors automatically becomes disqualified from serving as a director of the affiliates' board and is replaced with another board member currently serving on the board of trinity health, unless there are at least a minimum of seven (or three in the case of trinity health foundation) other board members currently serving as a director of trinity health.

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

The following powers are reserved exclusively to the sole member, trinity health: (a) approve the appointment of officers; (b) approve any amendments to the articles of incorporation or bylaws; (c) approve the annual operating and capital budgets; (d) approve the selection of auditors and legal counsel; (e) approve any strategic plans adopted; (f) approve any unbudgeted borrowing, any encumbrance of assets, and any expenditures for capital improvements where the amount exceeds five percent of the capital budget previously approved; (g) change the number of directors of the board of directors; and (h) approve any action that is not in the ordinary course of business.

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

Prior to being filed with the irs, a copy of the form 990 was given to the governing body of trinity health & affiliates for review.

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

All salaried employees (at manager level and above as determined by trinity) and such other employees as from time to time may be directed to do so, are required to complete trinity health's conflict of interest statement on an annual basis. Any employee who has assumed, or is about to assume, a financial or other interest or relationship that might involve a conflict of interest must immediately inform his/her supervisor, a member of the compliance committee, or the compliance officer. Issues involving conflict of interest shall be reviewed and a determination of each shall be made by the trinity compliance committee. If a conflict exists, the conflicted person must abstain from discussion of and voting on the conflicted topic.

Form 990, Part VI, Section B, Line 15

The executive committee of the board of directors of trinity health reviewed compensation information for the ceo, which had been previously prepared by deloitte and tourche. Deloitte and touche analyzed four compensation surveys of health care employers and reviewed form 990 filings for a peer group analysis. In 2022, the executive committee of the bod of trinity health reviewed compensation information for the ceo, which was compared to annual survey results of wage suvery conducted by lockton benefits consulting.

Form 990, Part VI, Section C, Line 19

On our website www.trinityhealth.org we list our board of directors, mission, vision, values and our annual report which includes financial information. The governing documents and conflict of interest policy are made available upon request.

Filing and Contact Details

Filer

Filer Name
Trinity Health & Affiliates
EIN
33-1007002
Phone
7018575111
Address
PO BOX 5020, MINOT, ND 58702-5020

Signing Officer

Name
Taylor Wilson
Title
CFO
Phone
7018575111
Signed
2023-05-12
Discuss with paid preparer
Yes

Organization Details

Principal Officer
John M Kutch
Voting Board Members
11
Independent Board Members
8
Employees
0
Volunteers
37

Preparer

Firm
Cliftonlarsonallen Llp
Address
10700 NORTHUP WAY SUITE 200, BELLEVUE, WA 98004
Preparer
Kurt Bennion CPA
Phone
4252506100
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

Medical professionals: program service expenses 47,657,240. Management and general expenses 24,005,061. Fundraising expenses 20,368. Total expenses 71,682,669.

FORM 990, PART XI, LINE 9:

Net asset transfers -19,364,687.

FORM 990 PART XII, LINE 2C:

The organization's process for selecting an independent auditor and for overseeing the financial statement audit did not change during the year.

Financial Statement Notes

PART IV, LINE 1B:

To provide public education for hospice care.

PART IV, LINE 2B:

Resident trust funds are held by trinity homes. These funds are tracked separately from the organizations and are held in a separate bank account.

PART V, LINE 4:

The purpose of the endowment funds is to support staff education and scholarships and the purchase of new equipment.

PART X, LINE 2:

Trinity hospitals, trinity homes, trinity health foundation, trinity kenmare hospital, and community ambulance service have all been recognized by the internal revenue service (irs) as a nonprofit corporation as described in sec. 501(c)(3) of the internal revenue code (irc) and are exempt from federal income taxes pursuant to sec. 501(a) of the irc. All unrelated business income generated by trinity is subject to federal income tax under section 511 of the irc. Trinity's policy is to evaluate the likelihood that its uncertain tax positions will prevail upon examination based on the extent to which those positions have substantial support within the internal revenue code and regulations, revenue rulings, court decisions, and other evidence. It is the opinion of management that the company has no significant uncertain tax positions that would be subject to change upon examination. Trinity's income tax returns are subject to review and examination by federal, state, and local authorities.

Raw XML AppendixShowing 400 of 1,597 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
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IRS990/Desc0TRINITY HEALTH & AFFILIATES PROVIDES HOSPITAL SERVICES TO CENTRAL AND NORTHWEST NORTH DAKOTA AND NORTHEASTERN MONTANA. TRINITY HOSPITALS IS THE LARGEST HOSPITAL PROVIDER IN NORTHWEST NORTH DAKOTA, WITH AN ACUTE CARE FACILITY THAT IS VERIFIED BY THE AMERICAN COLLEGE OF SURGEONS AS A LEVEL 2 TRAUMA CENTER. TRINITY SERVES AS A REFERRAL CENTER FOR THE FOLLOWING SERVICES: HEART, NEURO, GENERAL AND ROBOTIC SURGERY, CANCER AND CARDIAC CARE, OPHTHALMOLOGY AND RETINAL SURGERY, ADVANCED DIAGNOSTICS, NEWBORN INTENSIVE CARE, ORTHOPEDICS, SPORTS MEDICINE, INPATIENT REHABILITATION, BEHAVIORAL HEALTH, KIDNEY DIALYSIS AND LITHOTRIPSY. TRINITY HOSPITAL INCLUDES A JOINT REPLACEMENT AND GERIATRIC CENTER, CARDIAC CENTER, STROKE CENTER AND NEUROSURGERY CENTER. (SEE SCHEDULE O)TRINITY HOSPITAL - ST. JOSEPH'S INCLUDES AN INPATIENT REHABILITATION UNIT, KIDNEY DYALISIS UNIT, INPATIENT MENTAL HEALTH, OUTPATIENT BEHAVIORAL HEALTH, AND BOTH INPATIENT AND OUTPATIENT CHEMICAL DEPENDENCY UNITS. TRINITY'S NORTHSTAR CRITICAIR HELICOPTER PROVIDES CRITICAL CARE TRANSPORT WITHIN A 150-MILE RADIUS OF TRINITY HOSPITAL. TRINITY ALSO PROVIDES GROUND AMBULANCE SERVICES TO THE CITY OF MINOT AND THE SURROUNDING AREA THROUGH COMMUNITY AMBULANCE SERVICE OF MINOT, INC.
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IRS990/Form990PartVIISectionAGrp/TitleTxt0PRESIDENT & CEO
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IRS990/Form990PartVIISectionAGrp/TitleTxt2DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt3VICE PRESIDENT & CFO
IRS990/Form990PartVIISectionAGrp/TitleTxt4VICE PRESIDENT - PHYSICIAN OPERATIONS
IRS990/Form990PartVIISectionAGrp/TitleTxt5VICE PRESIDENT - FACILITIES MANAGEMENT
IRS990/Form990PartVIISectionAGrp/TitleTxt6VICE PRESIDENT - MISSION INTEGRATION
IRS990/Form990PartVIISectionAGrp/TitleTxt7VICE PRESIDENT - NCF ADMINISTATOR
IRS990/Form990PartVIISectionAGrp/TitleTxt8VICE PRESIDENT - CNO
IRS990/Form990PartVIISectionAGrp/TitleTxt9VICE PRESIDENT - HUMAN RESOURCES
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IRS990/Form990PartVIISectionAGrp/TitleTxt12VICE CHAIR
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