Civic Intelligence

Trinity Healthshare Inc

990 • Fiscal year 2019 • EIN 83-1050344

Jan 01, 2019 to Dec 31, 2019 • Filed on Nov 12, 2020

5901 Peachtree Dunwoody Rd C-160Atlanta, GA 30328

(404) 400-1852

Siviq Scores

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

Liabilities / Assets

56th percentile

0.33x

Higher debt load relative to assets than 56% of similar nonprofits.

2019 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2019

Liabilities / Revenue

5th percentile

0.01x

Higher debt load relative to revenue than 5% of similar nonprofits.

2019 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2019

Net Margin

29th percentile

-1.0%

Higher net margin than 29% of similar nonprofits.

2019 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2019

Top Officer Pay

10th percentile

$135,000

Higher top officer pay than 10% of similar nonprofits.

Top officer pay equals 0.1% of source-year revenue.

2019 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2019

Asset Growth

1st percentile

-59%

Faster asset growth than 1% of similar nonprofits.

2019 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2018 to 2019

Revenue Growth

100th percentile

1023%

Faster revenue growth than 100% of similar nonprofits.

2019 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2018 to 2019

Assets

Down

$3,162,124

Down $4,528,336 (-59%) from 2018

Net Assets

Up

$2,113,301

Up $2,960,631 (+349%) from 2018

Liabilities

Down

$1,048,823

Down $7,488,967 (-88%) from 2018

Revenue

Up

$92,461,259

Up $84,230,153 (+1023%) from 2018

Expenses

Up

$93,372,976

Up $84,294,540 (+929%) from 2018

Net Income

Down

-$911,717

Down $64,387 (-7.6%) from 2018

Historical Trend

Balance Sheet Trend

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

$10M$5.0M$0-$5.0MAssets 2018: $7,690,460Liabilities 2018: $8,537,790Net Assets 2018: -$847,3302018Assets 2019: $3,162,124Liabilities 2019: $1,048,823Net Assets 2019: $2,113,3012019Assets 2020: $1,395,232Liabilities 2020: $224,858Net Assets 2020: $1,170,3742020Assets 2021: $1Liabilities 2021: $0Net Assets 2021: $02021

Highlighted filing

2019

Assets$3,162,124
Liabilities$1,048,823
Net Assets$2,113,301

Operations Trend

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

$150M$100M$50M$0-$50MRevenue 2018: $8,231,106Expenses 2018: $9,078,436Net Income 2018: -$847,3302018Revenue 2019: $92,461,259Expenses 2019: $93,372,976Net Income 2019: -$911,7172019Revenue 2020: $129,043,524Expenses 2020: $129,986,451Net Income 2020: -$942,9272020Revenue 2021: $35,022,978Expenses 2021: $37,078,666Net Income 2021: -$2,055,6882021

Highlighted filing

2019

Revenue$92,461,259
Expenses$93,372,976
Net Income-$911,717
Jump To
Filing Snapshot
Filing Period
Jan 1, 2019 to Dec 31, 2019
Signed
Nov 12, 2020
Return Version
2019v5.0
Gross Receipts
$92,461,259
Mission and Program Overview

Mission

Through god's guidance, bring together people of a common set of religious beliefs for the purpose of voluntarily sharing one another's medical expense burdens and so fulfill the law of christ.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$5,176,341--
Cash and Non-Interest-Bearing Accounts$850,207$3,146,446▲ $2,296,239
Prepaid Expenses and Deferred Charges$1,658,958$10,724▼ $1,648,234
Total Assets$7,690,460$3,162,124▼ $4,528,336
Other Assets Total$4,954$4,954→ $0
Liabilities
Other Liabilities$5,740,915--
Deferred Revenue$2,774,029--
Accounts Payable and Accrued Expenses$22,846$1,048,823▲ $1,025,977
Total Liabilities$8,537,790$1,048,823▼ $7,488,967
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$-847,330$2,113,301▲ $2,960,631
Total Net Assets Fund Balance$-847,330$2,113,301▲ $2,960,631
Total Liabilities and Net Assets / Fund Balance$7,690,460$3,162,124▼ $4,528,336
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
William H Thead IiiChairman, DiFT$135,000$135,000
A Joseph Guarino IiiPresident, DFT$77,692$77,692
J Christopher SizemoreSecretary, D-$4,500$4,500

Board Members and Trustees

NameTitle
David R TheadSecretary, T

Highest Paid Contractors

ContractorServicesLocationCompensation
Aliera Healthcare INCManagement990 HAMMOND DRIVE STE 700, Atlanta, GA 30328$32,138,105
Baker Hostetler LLPLegal Services1170 PEACHTREE STREET STE 2400, Atlanta, GA 30309$1,824,784
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$92,461,259
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-911,717
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$38,167,072
Salaries, Compensation, and Employee Benefits$228,795
Grants and Similar Amounts Paid$97,000
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Benefits to Members$54,880,109--$54,880,109
Fees for Services Management$32,138,105--$32,138,105
Advertising$3,365,803--$3,365,803
Fees for Services Legal$15,877$1,824,785-$1,840,662
Fees for Services Other$213,774$36,698-$250,472
Current Officers, Directors, Trustees, and Key Employees-$217,192-$217,192
Grants to Domestic Orgs$97,000--$97,000
Fees for Services Accounting-$89,730-$89,730
Occupancy-$59,652-$59,652
Other Expenses$57,471$150,000-$57,471
Information Technology-$39,814-$39,814
Payroll Taxes-$11,603-$11,603
Travel-$6,708-$6,708
Office Expenses-$1,595-$1,595
Total Functional Expenses$90,935,199$2,437,777$0$93,372,976
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
CHILDREN'S BURN FOUNDATIONSherman Oaks, CA501(c)Sponsor$10,000
Childrens Cancer CenterTampa, FL501(c)Fundraising$10,000
Providence Healthcare FoundationSpokane, WA501(c)Housing$10,000
Ronald Mcdonald HouseNew Hyde Park, NY501(c)Housing$10,000
Ronald Mcdonald HousePalo Alto, CA501(c)Housing$10,000
Ronald Mcdonald HouseSeattle, WA501(c)Housing$10,000
Baylor Scott & White Central TX FunTemple, TX501(c)Nicu Family Support$9,000
Faith Driven Life ChurchEast Point, GA501(c)Sponsor$7,500
Ronald Mcdonald HouseDallas, TX501(c)Housing$5,500
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
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
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
Yes
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI

Line(s) 13 and 14: in 2020 the board caused the adoption of a written whistleblower policy and a written document destruction policy even though the organization currently still has only two (2) full time employees.

Form 990, Page 6, Part VI, Line 2

William h. Thead iii david r. Thead chairman secretary siblings

Form 990, Page 6, Part VI, Line 3

The organization engaged aliera healthcare, inc. To provide it with a variety of management services. In 2019, aliera was paid 32,138,105 for these services. On december 4, 2019, the organization completed and signed contractual agreements to take effect january 1, 2020, with four service vendors of a health care services holding company to assist with its program services.

Form 990, Page 6, Part VI, Line 4

The organization amended its bylaws in 2019 to provide for more detailed provisions on nonprofit corporate governance, corporate structure, its health care sharing programs and specific protections concerning its section 501(c)(3) tax-exempt status.

Form 990, Page 6, Part VI, Line 8B

In 2019, the organization had no committees in place that would act on behalf of the governing body.

Form 990, Page 6, Part VI, Line 11B

The form 990 is prepared by an independent cpa firm which sends a draft return to counsel and the board of directors for review. A meeting between all parties is scheduled to review the tax return in detail. Any changes decided on at this meeting will be incorporated into the final return before submission to the irs.

Form 990, Page 6, Part VI, Line 12C

The written conflict of interest policy is reviewed annually by the board and any relevant parties. Additionally, the policy is reviewed with any new board member(s) or key employee(s) upon their addition to the organization.

Form 990, Page 6, Part VI, Line 15A

The board of directors reviewed salary data from comparable industry sources, including similar organizations. The salary paid was at - or in most cases well below - industry standards.

Form 990, Page 6, Part VI, Line 19

Documents were available upon request.

Form 990, Part VII

Line 1a: through july 16, 2019, the organization had only one employee, the chairman of the board of directors (the "board"). On july 17, 2019, the organization hired its second employee as its president, who is a nationally known expert in the field of health care sharing ministries like that operated by the organization. This substantially enhanced the organization's ability to carry out its tax exempt charitable ministry. An independent director was added on october 23, 2019. As of this filing date, the board had been expanded from three (3) directors in 2019 to five (5) directors, the third, fourth and fifth such directors being independent, thus enabling the organization to make board decisions through the majority vote of independent directors. The board of directors will continue to aggressively recruit qualified and independent board members.

Filing and Contact Details

Filer

Filer Name
Trinity Healthshare Inc
EIN
83-1050344
Phone
4044001852
Address
5901 PEACHTREE DUNWOODY RD C-160, ATLANTA, GA 30328

Signing Officer

Name
William H Thead Iii
Title
Chairman, Director
Phone
4044001852
Signed
2020-11-12
Discuss with paid preparer
Yes

Organization Details

Principal Officer
William H Thead Iii
Formed
2018
Legal Domicile
De
Voting Board Members
3
Independent Board Members
1
Employees
2

Preparer

Firm
Forrestall Cpas LLC
Address
5328 LANIER ISLANDS PKWY STE 201, BUFORD, GA 30518-9056
Preparer
Jeff Forrestall
Phone
7709458328
Supplemental Narrative

Additional Explanations

Form 990, Part X

The organization is reporting 'beginning of year' amounts that are consistent with what was filed as part of the organization's 2018 form 990. For 2019, the organization has corrected its accounting to more accurately reflect asset and liability amounts.

Form 990, Part XI, Line 9

As noted for part x, the organization has corrected its accounting to more accurately reflect asset and liability amounts and has not yet amended its 2018 form 990 (and its 2018 ending 'net assets or fund balances' as reported on line 4). As such, a prior period adjustment amount is reported to properly reflect the 2019 ending 'net assets or fund balances'.

Form 990, Page 12, Part XII, Line 2C

The 2018 audit firm selection was performed by aliera healthcare, inc. For 2019 the audit oversight and selection was performed by the organizations's board of directors.

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IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt5HOUSING
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt6NICU FAMILY SUPPORT
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IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt0CHILDRENS CANCER CENTER
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt1RONALD MCDONALD HOUSE
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IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt5PROVIDENCE HEALTHCARE FOUNDATION
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt6BAYLOR SCOTT & WHITE CENTRAL TX FUN
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt7CHILDREN'S BURN FOUNDATION
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt8FAITH DRIVEN LIFE CHURCH
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IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt0GRANTS WERE GIVEN TO LONG ESTABLISHED LARGE 501(C)(3) PUBLIC ORGANIZATIONS AND DO NOT REQUIRE FURTHER REVIEW.
IRS990ScheduleI/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE I, PAGE 1, PART I, LINE 2
IRS990ScheduleI/Total501c3OrgCnt09
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0LINE(S) 13 AND 14: IN 2020 THE BOARD CAUSED THE ADOPTION OF A WRITTEN WHISTLEBLOWER POLICY AND A WRITTEN DOCUMENT DESTRUCTION POLICY EVEN THOUGH THE ORGANIZATION CURRENTLY STILL HAS ONLY TWO (2) FULL TIME EMPLOYEES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1WILLIAM H. THEAD III DAVID R. THEAD CHAIRMAN SECRETARY SIBLINGS
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE ORGANIZATION ENGAGED ALIERA HEALTHCARE, INC. TO PROVIDE IT WITH A VARIETY OF MANAGEMENT SERVICES. IN 2019, ALIERA WAS PAID 32,138,105 FOR THESE SERVICES. ON DECEMBER 4, 2019, THE ORGANIZATION COMPLETED AND SIGNED CONTRACTUAL AGREEMENTS TO TAKE EFFECT JANUARY 1, 2020, WITH FOUR SERVICE VENDORS OF A HEALTH CARE SERVICES HOLDING COMPANY TO ASSIST WITH ITS PROGRAM SERVICES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE ORGANIZATION AMENDED ITS BYLAWS IN 2019 TO PROVIDE FOR MORE DETAILED PROVISIONS ON NONPROFIT CORPORATE GOVERNANCE, CORPORATE STRUCTURE, ITS HEALTH CARE SHARING PROGRAMS AND SPECIFIC PROTECTIONS CONCERNING ITS SECTION 501(C)(3) TAX-EXEMPT STATUS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4IN 2019, THE ORGANIZATION HAD NO COMMITTEES IN PLACE THAT WOULD ACT ON BEHALF OF THE GOVERNING BODY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THE FORM 990 IS PREPARED BY AN INDEPENDENT CPA FIRM WHICH SENDS A DRAFT RETURN TO COUNSEL AND THE BOARD OF DIRECTORS FOR REVIEW. A MEETING BETWEEN ALL PARTIES IS SCHEDULED TO REVIEW THE TAX RETURN IN DETAIL. ANY CHANGES DECIDED ON AT THIS MEETING WILL BE INCORPORATED INTO THE FINAL RETURN BEFORE SUBMISSION TO THE IRS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6THE WRITTEN CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY BY THE BOARD AND ANY RELEVANT PARTIES. ADDITIONALLY, THE POLICY IS REVIEWED WITH ANY NEW BOARD MEMBER(S) OR KEY EMPLOYEE(S) UPON THEIR ADDITION TO THE ORGANIZATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7THE BOARD OF DIRECTORS REVIEWED SALARY DATA FROM COMPARABLE INDUSTRY SOURCES, INCLUDING SIMILAR ORGANIZATIONS. THE SALARY PAID WAS AT - OR IN MOST CASES WELL BELOW - INDUSTRY STANDARDS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8DOCUMENTS WERE AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt9LINE 1A: THROUGH JULY 16, 2019, THE ORGANIZATION HAD ONLY ONE EMPLOYEE, THE CHAIRMAN OF THE BOARD OF DIRECTORS (THE "BOARD"). ON JULY 17, 2019, THE ORGANIZATION HIRED ITS SECOND EMPLOYEE AS ITS PRESIDENT, WHO IS A NATIONALLY KNOWN EXPERT IN THE FIELD OF HEALTH CARE SHARING MINISTRIES LIKE THAT OPERATED BY THE ORGANIZATION. THIS SUBSTANTIALLY ENHANCED THE ORGANIZATION'S ABILITY TO CARRY OUT ITS TAX EXEMPT CHARITABLE MINISTRY. AN INDEPENDENT DIRECTOR WAS ADDED ON OCTOBER 23, 2019. AS OF THIS FILING DATE, THE BOARD HAD BEEN EXPANDED FROM THREE (3) DIRECTORS IN 2019 TO FIVE (5) DIRECTORS, THE THIRD, FOURTH AND FIFTH SUCH DIRECTORS BEING INDEPENDENT, THUS ENABLING THE ORGANIZATION TO MAKE BOARD DECISIONS THROUGH THE MAJORITY VOTE OF INDEPENDENT DIRECTORS. THE BOARD OF DIRECTORS WILL CONTINUE TO AGGRESSIVELY RECRUIT QUALIFIED AND INDEPENDENT BOARD MEMBERS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt10THE ORGANIZATION IS REPORTING 'BEGINNING OF YEAR' AMOUNTS THAT ARE CONSISTENT WITH WHAT WAS FILED AS PART OF THE ORGANIZATION'S 2018 FORM 990. FOR 2019, THE ORGANIZATION HAS CORRECTED ITS ACCOUNTING TO MORE ACCURATELY REFLECT ASSET AND LIABILITY AMOUNTS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt11AS NOTED FOR PART X, THE ORGANIZATION HAS CORRECTED ITS ACCOUNTING TO MORE ACCURATELY REFLECT ASSET AND LIABILITY AMOUNTS AND HAS NOT YET AMENDED ITS 2018 FORM 990 (AND ITS 2018 ENDING 'NET ASSETS OR FUND BALANCES' AS REPORTED ON LINE 4). AS SUCH, A PRIOR PERIOD ADJUSTMENT AMOUNT IS REPORTED TO PROPERLY REFLECT THE 2019 ENDING 'NET ASSETS OR FUND BALANCES'.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt12THE 2018 AUDIT FIRM SELECTION WAS PERFORMED BY ALIERA HEALTHCARE, INC. FOR 2019 THE AUDIT OVERSIGHT AND SELECTION WAS PERFORMED BY THE ORGANIZATIONS'S BOARD OF DIRECTORS.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 2
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PAGE 6, PART VI, LINE 4
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PAGE 6, PART VI, LINE 8B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PAGE 6, PART VI, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7FORM 990, PAGE 6, PART VI, LINE 15A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8FORM 990, PAGE 6, PART VI, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc9FORM 990, PART VII
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc10FORM 990, PART X
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc11FORM 990, PART XI, LINE 9
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc12FORM 990, PAGE 12, PART XII, LINE 2C
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