Civic Intelligence

Trinity Health

990 • Fiscal year 2018 • EIN 45-0226558

Jul 01, 2017 to Jun 30, 2018 • Filed on May 14, 2019

Organization ProfileWWW.TRINITYHEALTH.ORG

View Organization Page

PO Box 5020Minot, ND 58702

(701) 857-5160

Siviq Scores

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

Liabilities / Assets

49th percentile

0.51x

Higher debt load relative to assets than 49% of similar nonprofits.

2018 filings • NTEE E • $100M-$250M nonprofits • Source year 2018

Liabilities / Revenue

23rd percentile

0.21x

Higher debt load relative to revenue than 23% of similar nonprofits.

2018 filings • NTEE E • $100M-$250M nonprofits • Source year 2018

Net Margin

6th percentile

-21%

Higher net margin than 6% of similar nonprofits.

2018 filings • NTEE E • $100M-$250M nonprofits • Source year 2018

Top Officer Pay

72nd percentile

$1,822,413

Higher top officer pay than 72% of similar nonprofits.

Top officer pay equals 1.5% of source-year revenue.

2018 filings • NTEE E • $100M-$250M nonprofits • Source year 2018

Asset Growth

5th percentile

-19%

Faster asset growth than 5% of similar nonprofits.

2018 filings • NTEE E • $100M-$250M nonprofits • Annualized from 2017 to 2018

Revenue Growth

59th percentile

8.1%

Faster revenue growth than 59% of similar nonprofits.

2018 filings • NTEE E • $100M-$250M nonprofits • Annualized from 2017 to 2018

Balance Sheet
Liabilities / Assets49th percentile

Assets

Down

$50,225,056

Down $11,845,367 (-19%) from 2017

Net Assets

Up

$24,445,160

Up $47,218,828 (+207%) from 2017

Liabilities

Down

$25,779,896

Down $59,064,195 (-70%) from 2017

Revenue And Expenses
Liabilities / Revenue23rd percentileNet Margin6th percentile

Revenue

Up

$124,874,353

Up $9,311,052 (+8.1%) from 2017

Expenses

Up

$150,676,855

Up $10,131,808 (+7.2%) from 2017

Net Income

Down

-$25,802,502

Down $820,756 (-3.3%) from 2017

Historical Trend

Balance Sheet Trend

Asset Growth5th percentile

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

$600M$400M$200M$0-$200MAssets 2010: $308,801,061Liabilities 2010: $437,186,672Net Assets 2010: -$128,385,6112010Assets 2011: $357,232,945Liabilities 2011: $498,252,150Net Assets 2011: -$141,019,2052011Assets 2012: $313,704,511Liabilities 2012: $484,477,208Net Assets 2012: -$170,772,6972012Assets 2013: $373,375,142Liabilities 2013: $557,136,062Net Assets 2013: -$183,760,9202013Assets 2014: $80,825,122Liabilities 2014: $99,900,869Net Assets 2014: -$19,075,7472014Assets 2015: $67,308,338Liabilities 2015: $98,585,131Net Assets 2015: -$31,276,7932015Assets 2016: $64,003,594Liabilities 2016: $94,859,488Net Assets 2016: -$30,855,8942016Assets 2017: $62,070,423Liabilities 2017: $84,844,091Net Assets 2017: -$22,773,6682017Assets 2018: $50,225,056Liabilities 2018: $25,779,896Net Assets 2018: $24,445,1602018Assets 2019: $53,019,858Liabilities 2019: $29,160,792Net Assets 2019: $23,859,0662019Assets 2020: $47,275,469Liabilities 2020: $29,419,239Net Assets 2020: $17,856,2302020Assets 2021: $47,519,080Liabilities 2021: $28,063,604Net Assets 2021: $19,455,4762021Assets 2022: $50,060,301Liabilities 2022: $27,303,779Net Assets 2022: $22,756,5222022Assets 2023: $46,473,946Liabilities 2023: $19,577,404Net Assets 2023: $26,896,5422023Assets 2024: $42,717,971Liabilities 2024: $20,577,687Net Assets 2024: $22,140,2842024

Highlighted filing

2018

Assets$50,225,056
Liabilities$25,779,896
Net Assets$24,445,160
Open 2018 Filing

Operations Trend

Revenue Growth59th percentile

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

$200M$150M$100M$50M$0-$50MExpenses 2010: $88,034,8242010Expenses 2011: $94,388,5132011Expenses 2012: $104,703,0552012Expenses 2013: $109,648,2472013Revenue 2014: $100,108,056Expenses 2014: $129,712,053Net Income 2014: -$29,603,9972014Revenue 2015: $112,919,748Expenses 2015: $132,766,901Net Income 2015: -$19,847,1532015Revenue 2016: $120,211,950Expenses 2016: $137,919,267Net Income 2016: -$17,707,3172016Revenue 2017: $115,563,301Expenses 2017: $140,545,047Net Income 2017: -$24,981,7462017Revenue 2018: $124,874,353Expenses 2018: $150,676,855Net Income 2018: -$25,802,5022018Revenue 2019: $123,822,134Expenses 2019: $153,549,917Net Income 2019: -$29,727,7832019Revenue 2020: $125,369,443Expenses 2020: $154,630,443Net Income 2020: -$29,261,0002020Revenue 2021: $127,823,873Expenses 2021: $149,154,787Net Income 2021: -$21,330,9142021Revenue 2022: $137,909,003Expenses 2022: $154,665,885Net Income 2022: -$16,756,8822022Revenue 2023: $135,819,793Expenses 2023: $151,268,159Net Income 2023: -$15,448,3662023Revenue 2024: $136,578,494Expenses 2024: $148,001,914Net Income 2024: -$11,423,4202024

Highlighted filing

2018

Revenue$124,874,353
Expenses$150,676,855
Net Income-$25,802,502
Open 2018 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2017 to Jun 30, 2018
Signed
May 14, 2019
Return Version
2017v2.3
Gross Receipts
$125,035,629
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$31,683,260$29,288,681▼ $2,394,579
Accounts Receivable$15,065,350$17,960,291▲ $2,894,941
Other Notes and Loans Receivable, Net$1,884,667$1,611,328▼ $273,339
Cash and Non-Interest-Bearing Accounts$593,651$500,148▼ $93,503
Inventories for Sale or Use$519,925$396,443▼ $123,482
Savings and Temporary Cash Investments$257,863$258,982▲ $1,119
Prepaid Expenses and Deferred Charges$192,267$209,183▲ $16,916
Total Assets$62,070,423$50,225,056▼ $11,845,367
Other Assets Total$11,873,440$0▼ $11,873,440
Liabilities
Tax Exempt Bond Liabilities$58,031,728--
Accounts Payable and Accrued Expenses$17,521,603$16,304,796▼ $1,216,807
Other Liabilities$9,290,760$9,475,100▲ $184,340
Total Liabilities$84,844,091$25,779,896▼ $59,064,195
Net Assets / Fund Balance
Unrestricted Net Assets$-22,773,668$24,445,160▲ $47,218,828
Total Net Assets Fund Balance$-22,773,668$24,445,160▲ $47,218,828
Total Liabilities and Net Assets / Fund Balance$62,070,423$50,225,056▼ $11,845,367

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$13,744,989$30,801,448$44,546,437
Buildings$6,805,622$7,114,334$13,919,956
Land$6,795,229-$6,795,229
Leasehold Improvements$1,887,700$3,891,692$5,779,392
Other Land Buildings$55,141-$55,141
Compensation and Service Providers
Top Officer Pay72nd percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Ravindra Joshi MdPhysicianPT$850,000$972,413$1,822,413
Samir Turk MdPhysicianPT$1,265,002$219,117$1,484,119
Patanit Watanaboonyakhet MdPhysicianPT$330,000$1,033,915$1,363,915
Charles Wood MdPhysicianPT$1,198,228$33,001$1,231,229
Michael Mcmahon MdPhysicianPT$500,001$730,748$1,230,749
John KutchPresident & CEOPT$797,156$38,386$835,542
Martin Rothberg MdDirectorPT$717,651$63,003$780,654
Scott Knutson MdDirectorPT$541,454$62,483$603,937
Dennis EmpeyVice President & CFOPT$354,586$24,919$379,505
Paul SimonsonVice Pres. - Human Resources-$260,178$31,667$291,845
Glen Taylor WilsonVice Pres. - Clinical IntegrationFT$264,719$13,354$278,073
Philip PattersonVice Pres. & CAO (through Feb 2018)-$251,845$11,203$263,048
Thomas WarsockiVice Pres. - Physician OperationsFT$202,375$26,471$228,846
Randy SchwanVice Pres. - Mission Integration-$206,020$16,167$222,187
Dave KohlmanVice Pres. - Facilities ManagementPT$189,770$26,409$216,179
Rhonda WalterVice Pres. - Ncf Administrator-$174,978$23,635$198,613
Trent Chastain Vice Pres -Revenue Cycle (through March 2018)PT$170,051$19,573$189,624
Karen Zimmerman RnVice Pres. & CNO-$171,824$6,346$178,170
Alison FryeAssistant SecretaryFT$69,167$19,601$88,768

Board Members and Trustees

NameTitle
Patrick HolienChairman
Steve LysneVice Chairman
Borgi BeelerDirector
Brent MattsonDirector
Clara Sue PriceDirector
John CoughlinDirector
Karen KrebsbachSecretary/treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Executive Air Taxi CorporationAircraft Charter ServicesPO BOX 1093, Bismarck, ND 58502$3,537,667
Pringle & Herigstad PCLegal ServicesPO BOX 1000, Minot, ND 58702$368,418
Cliftonlarsonallen LLPAccounting/auditing Services220 SOUTH SIXTH STREET SUITE 300, Minneapolis, MN 55402$367,363
Scribeamerica LLCScribe ServicesPO BOX 417756, Boston, MA 02241$321,180
Dorsey Whitney LLPLegal ServicesPO BOX 1680, Minneapolis, MN 55480$222,491
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$124,668,304
Investment Income
$294,692
Other Revenue
$-88,643
Change in Net Assets
$-25,802,502

Audited Revenue Reconciliation

Revenue per Audited Statements
$118,730,108
Revenue Not Reported on Financial Statements
$6,144,245
Revenue Not Reported on Form 990
$210,276
Other Revenue Adjustments
$6,144,245
Total Revenue per Audited Statements
$118,940,384
Total Revenue per Form 990
$124,874,353
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$123,442,195
Other Expenses$27,234,660
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$108,683,739$-2,876,327-$105,807,412
Other Employee Benefits$5,021,133$-113,265-$4,907,868
Current Officers, Directors, Trustees, and Key Employees$1,444,120$3,295,714-$4,739,834
Payroll Taxes$4,646,917$15,423-$4,662,340
Occupancy$4,486,133$-58,137-$4,427,996
Pension Plan Contributions$3,362,907$-38,166-$3,324,741
Fees for Services Other$2,628,357$600,468-$3,228,825
Depreciation Depletion$2,888,864$12,983-$2,901,847
Insurance$613,150--$613,150
Advertising$531,411$3,000-$534,411
Office Expenses$533,079$537-$533,616
Other Expenses$341,605$114,923-$456,528
Information Technology$424,955--$424,955
Interest$170,578$184,340-$354,918
Conferences and Meetings$126,078$571-$126,649
All Other Expenses$82,438--$82,438
Travel$40,561$82-$40,643
Total Functional Expenses$149,534,709$1,142,146$0$150,676,855

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$150,676,855
Total Expenses per Audited Statements$144,988,578
Expenses per Audited Statements$144,827,302
Expenses Not Reported on Financial Statements$5,849,553
Other Expense Adjustments$5,849,553
Expenses Not Reported on Form 990$161,276
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
No
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Nicole KutchSpouse of CEOTherapistNo$18,618
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Asset Retirement Obligation$9,475,100
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with family members
Yes
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
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 1

“The executive committee consists of the board of directors' chair, vice chair, president, secretary, treasurer and one additional member of the board of directors elected by the board of directors at its first meeting after its election. The executive committee has the power to transact all regular business of the organization during the period between meetings of the board of directors, subject to any prior limitation imposed by the board of directors and with the understanding that all matters of major importance will be referred to the board of directors.”

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

“Prior to being filed with the irs, a copy of the form 990 was given to the governing body of trinity health 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 15A

“The executive committee reviewed compensation information for the ceo prepared by deloitte & touche. Deloitte & touche analyzed four compensation surveys of health care employers and reviewed form 990 filings for a peer group analysis. This process was last performed in 2015.”

Form 990, Part VI, Section C, Line 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
EIN
45-0226558
Phone
7018575160
Address
PO BOX 5020, MINOT, ND 58702

Signing Officer

Name
John M Kutch
Title
President/CEO
Phone
7018575160
Signed
2019-05-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
John M Kutch
Formed
1929
Legal Domicile
Nd
Voting Board Members
10
Independent Board Members
7
Employees
3,571
Volunteers
327

Preparer

Firm
Cliftonlarsonallen Llp
Address
220 SOUTH SIXTH STREET SUITE 300, MINNEAPOLIS, MN 55402
Preparer
Kurt Bennion
Phone
6123764500
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

“Intercompany transfers 73,021,330.”

Financial Statement Notes

PART X, LINE 2:

“Trinity health has 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 is exempt from federal income taxes pursuant to section 501(a) of the irc. All unrelated business income generated by trinity is subject to federal income tax under 511 of the irc. Trinity's policy is to evaluate the likelihood that its uncertain tax positions will prevail upon examination based on the extent to which those positions have substantial support within the internal revenue code and regulations, revenue rulings, court decisions, and other evidence. It is the opinion of management that the company has no significant uncertain tax positions that would be subject to change upon examination. Trinity's income tax returns are subject to review and examination by federal, state, and local authorities.”

PART XI, LINE 2D - OTHER ADJUSTMENTS:

“Loss on joint venture 49,000. Rental expenses 161,276.”

PART XI, LINE 4B - OTHER ADJUSTMENTS:

“Provision for uncollectible accounts 5,849,553. Investment income 294,692.”

PART XII, LINE 2D - OTHER ADJUSTMENTS:

“RENTAL EXPENSES 161,276.”

PART XII, LINE 4B - OTHER ADJUSTMENTS:

“Provision for uncollectible accounts 5,849,553.”

Raw XML AppendixShowing 400 of 1,142 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.

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IRS990/Form990PartVIISectionAGrp/PersonNm2KAREN KREBSBACH
IRS990/Form990PartVIISectionAGrp/PersonNm3BORGI BEELER
IRS990/Form990PartVIISectionAGrp/PersonNm4JOHN COUGHLIN
IRS990/Form990PartVIISectionAGrp/PersonNm5SCOTT KNUTSON MD
IRS990/Form990PartVIISectionAGrp/PersonNm6BRENT MATTSON
IRS990/Form990PartVIISectionAGrp/PersonNm7CLARA SUE PRICE
IRS990/Form990PartVIISectionAGrp/PersonNm8MARTIN ROTHBERG MD
IRS990/Form990PartVIISectionAGrp/PersonNm9JOHN KUTCH
IRS990/Form990PartVIISectionAGrp/PersonNm10ALISON FRYE
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IRS990/Form990PartVIISectionAGrp/PersonNm16KAREN ZIMMERMAN RN
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IRS990/Form990PartVIISectionAGrp/PersonNm19PHILIP PATTERSON
IRS990/Form990PartVIISectionAGrp/PersonNm20GLEN TAYLOR WILSON
IRS990/Form990PartVIISectionAGrp/PersonNm21RAVINDRA JOSHI MD
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IRS990/Form990PartVIISectionAGrp/PersonNm24MICHAEL MCMAHON MD
IRS990/Form990PartVIISectionAGrp/PersonNm25PATANIT WATANABOONYAKHET MD
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IRS990/Form990PartVIISectionAGrp/TitleTxt0CHAIRMAN
IRS990/Form990PartVIISectionAGrp/TitleTxt1VICE CHAIRMAN
IRS990/Form990PartVIISectionAGrp/TitleTxt2SECRETARY/TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt3DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt8DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt9PRESIDENT & CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt10ASSISTANT SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt11VICE PRESIDENT & CFO
IRS990/Form990PartVIISectionAGrp/TitleTxt12VICE PRES. - MISSION INTEGRATION
IRS990/Form990PartVIISectionAGrp/TitleTxt13VICE PRES. - HUMAN RESOURCES
IRS990/Form990PartVIISectionAGrp/TitleTxt14VICE PRES. - PHYSICIAN OPERATIONS
IRS990/Form990PartVIISectionAGrp/TitleTxt15VICE PRES. - FACILITIES MANAGEMENT
IRS990/Form990PartVIISectionAGrp/TitleTxt16VICE PRES. & CNO
IRS990/Form990PartVIISectionAGrp/TitleTxt17REVENUE CYCLE (THROUGH MARCH 2018)
IRS990/Form990PartVIISectionAGrp/TitleTxt18VICE PRES. - NCF ADMINISTRATOR
IRS990/Form990PartVIISectionAGrp/TitleTxt19VICE PRES. & CAO (THROUGH FEB 2018)
IRS990/Form990PartVIISectionAGrp/TitleTxt20VICE PRES. - CLINICAL INTEGRATION
IRS990/Form990PartVIISectionAGrp/TitleTxt21PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt22PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt23PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt24PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt25PHYSICIAN
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IRS990/MinutesOfCommitteesInd01
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IRS990/MissionDesc0TRINITY 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.
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IRS990/OperateHospitalInd00
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IRS990/OrganizationFollowsSFAS117Ind0X

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2018 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$50,225,056
Liabilities
$25,779,896
Net assets
$24,445,160
Revenue
$124,874,353
Expenses
$150,676,855
Net income
-$25,802,502
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$42.7$20.6$22.1$137$148$11.4
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$46.5$19.6$26.9$136$151$15.4
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$50.1$27.3$22.8$138$155$16.8
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$47.5$28.1$19.5$128$149$21.3
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$47.3$29.4$17.9$125$155$29.3
2019Facts available. Structured filing facts are available, but richer extracted sections are limited.$53.0$29.2$23.9$124$154$29.7
2018Detailed filing. Detailed filing data is available for this year.$50.2$25.8$24.4$125$151$25.8
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$62.1$84.8$22.8$116$141$25.0
2016Detailed filing. Detailed filing data is available for this year.$64.0$94.9$30.9$120$138$17.7
2015Detailed filing. Detailed filing data is available for this year.$67.3$98.6$31.3$113$133$19.8
2014Detailed filing. Detailed filing data is available for this year.$80.8$99.9$19.1$100$130$29.6
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$373$557$184$110
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$314$484$171$105
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$357$498$141$94.4
2010XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$309$437$128$88.0