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← TRINITY HEALTH & AFFILIATES

Form 990 for tax year 2023

Filed by TRINITY HEALTH & AFFILIATES.

Totals

Total revenue
$362,747,595
Total expenses
$375,697,481
Contributions and grants received
$2,368,169
Grants paid
$179,192
Program service revenue
$358,523,736
Investment income
$3,227,805
Other revenue
-$1,372,115
Total assets, end of year
$835,958,262
Total liabilities, end of year
$523,148,704
Net assets or fund balances, end of year
$312,809,558
Program services expenses (Part IX)
$325,034,040
Management and general expenses
$49,316,035
Fundraising expenses
$1,347,406
Program service expenses (Part III)
$325,034,040

Program services were 86.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1c · Fundraising events

    $44,125

  • 1e · Government grants (contributions)

    $184,124

  • 1f · All other contributions, gifts and grants

    $2,139,920

  • 1g · Noncash contributions included above

    $61,852

  • 2a · Program service revenue: NET PATIENT REVENUE

    total $339,186,614 · related or exempt $339,186,614

  • 2b · Program service revenue: OTHER PATIENT SERVICES

    total $14,317,139 · related or exempt $14,317,139

  • 2c · Program service revenue: DIETARY SERVICES

    total $2,004,876 · related or exempt $2,004,876

  • 2d · Program service revenue: ADMINISTRATIVE SERVICE

    total $1,848,705 · unrelated business $1,848,705

  • 2e · Program service revenue: LABORATORY SERVICES

    total $603,090 · unrelated business $603,090

  • 2f · All other program service revenue

    total $563,312 · unrelated business $563,312

  • 3 · Investment income

    total $1,700,361 · excluded $1,700,361

  • 6a · Gross rents

    real property $164,533

  • 6b · Less rental expenses

    real property $2,586,713

  • 6c · Rental income or loss

    real property -$2,422,180

  • 6d · Net rental income or loss

    total -$2,422,180 · excluded -$2,422,180

  • 7a · Gross sales of assets other than inventory

    other assets $1,649,796

  • 7b · Less cost or other basis and sales expenses

    other assets $122,352

  • 7c · Gain or loss

    other assets $1,527,444

  • 7d · Net gain or loss

    total $1,527,444 · excluded $1,527,444

  • 8a · Fundraising events: gross income

    $21,113

  • 8a · Fundraising events: contributions included on line 1c

    $44,125

  • 8b · Fundraising events: direct expenses

    $28,164

  • 8c · Net income from fundraising events

    total -$7,051 · excluded -$7,051

  • 11a · Other revenue: VENDOR REBATES

    total $1,057,116 · excluded $1,057,116

  • 11e · Other revenue, total

    $1,057,116

Functional expenses

Part IX, the statement of functional expenses.

  • 2 · Grants to domestic individuals

    total $179,192 · program services $179,192

  • 7 · Other salaries and wages

    total $108,800,666 · program services $92,555,631 · management and general $15,997,048 · fundraising $247,987

  • 8 · Pension plan contributions

    total $1,478,154 · program services $1,229,656 · management and general $246,480 · fundraising $2,018

  • 9 · Other employee benefits

    total $13,506,257 · program services $8,848,559 · management and general $4,623,226 · fundraising $34,472

  • 10 · Payroll taxes

    total $7,843,261 · program services $6,252,566 · management and general $1,571,777 · fundraising $18,918

  • 11b · Fees: legal

    total $2,200,939 · management and general $2,200,939

  • 11c · Fees: accounting

    total $577,549 · management and general $577,549

  • 11g · Fees: other

    total $59,456,809 · program services $53,950,703 · management and general $5,504,946 · fundraising $1,160

  • 12 · Advertising and promotion

    total $1,036,231 · program services $952,419 · management and general $14,596 · fundraising $69,216

  • 13 · Office expenses

    total $3,345,702 · program services $2,018,159 · management and general $1,293,511 · fundraising $34,032

  • 14 · Information technology

    total $7,034,799 · program services $1,063,383 · management and general $5,931,913 · fundraising $39,503

  • 15 · Royalties

    total $809 · program services $809

  • 16 · Occupancy

    total $11,824,125 · program services $5,847,734 · management and general $5,976,391

  • 17 · Travel

    total $177,093 · program services $177,018 · fundraising $75

  • 19 · Conferences, conventions and meetings

    total $275,050 · program services $151,833 · management and general $113,813 · fundraising $9,404

  • 20 · Interest

    total $19,035,888 · program services $17,661,767 · management and general $1,374,121

  • 22 · Depreciation, depletion and amortization

    total $39,600,448 · program services $38,244,778 · management and general $1,351,144 · fundraising $4,526

  • 23 · Insurance

    total $3,196,517 · program services $1,901,404 · management and general $1,295,113

  • 24a · Other expenses: MEDICAL SUPPLIES/DRUGS

    total $68,306,952 · program services $68,297,188 · management and general $9,764

  • 24b · Other expenses: BAD DEBT EXPENSE

    total $17,170,328 · program services $17,170,328

  • 24c · Other expenses: BOOKS & SUBSCRIPTIONS

    total $4,099,077 · program services $2,924,235 · management and general $1,131,110 · fundraising $43,732

  • 24d · Other expenses: FOOD

    total $2,563,451 · program services $2,563,451

  • 24e · All other expenses

    total $3,988,184 · program services $3,043,227 · management and general $102,594 · fundraising $842,363

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $25,131,423 · end of year $55,131,768

  • 2 · Savings and temporary cash investments

    beginning of year $51,209,945 · end of year $30,703,969

  • 3 · Pledges and grants receivable

    beginning of year $273,989 · end of year $151,449

  • 4 · Accounts receivable

    beginning of year $41,343,652 · end of year $44,663,023

  • 5 · Loans and receivables from officers and key people

    beginning of year $6,029,984 · end of year $6,200,470

  • 7 · Other notes and loans receivable

    beginning of year $15,973 · end of year $15,447

  • 8 · Inventories for sale or use

    beginning of year $9,431,566 · end of year $10,261,575

  • 9 · Prepaid expenses and deferred charges

    beginning of year $4,206,905 · end of year $5,131,485

  • 10a · Land, buildings and equipment: cost or other basis

    $897,991,154

  • 10b · Land, buildings and equipment: accumulated depreciation

    $272,938,116

  • 10c · Land, buildings and equipment, net

    beginning of year $642,686,401 · end of year $625,053,038

  • 11 · Investments: publicly traded securities

    beginning of year $58,698,769 · end of year $35,686,567

  • 13 · Investments: program-related

    beginning of year $68,070 · end of year $68,070

  • 15 · Other assets

    beginning of year $24,094,379 · end of year $22,891,401

  • 17 · Accounts payable and accrued expenses

    beginning of year $60,750,197 · end of year $59,323,989

  • 18 · Grants payable

    beginning of year $16,140 · end of year $10,140

  • 21 · Escrow or custodial account liability

    beginning of year $26,494 · end of year $16,022

  • 23 · Secured mortgages and notes payable

    beginning of year $440,607,625 · end of year $431,778,365

  • 25 · Other liabilities

    beginning of year $29,155,506 · end of year $32,020,188

  • 27 · Net assets without donor restrictions

    beginning of year $323,370,266 · end of year $302,447,066

  • 28 · Net assets with donor restrictions

    beginning of year $9,264,828 · end of year $10,362,492

Mission and programs · 2023

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.

Activities or mission (Part I)

MEETING THE NEEDS OF THE WHOLE PERSON THROUGH QUALITY HEALTH CARE AND HEALTH RELATED SERVICES.

  • TRINITY 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.

    Expenses $307,227,759 · Grants $179,192 · Revenue $335,632,709

  • TRINITY HOMES IS A 161-BED HOSPITAL-BASED SKILLED NURSING FACILITY PARTICIPATING IN THE MEDICARE AND MEDICAID PROGRAMS. TRINITY HOMES INCLUDES AN ALZHEIMER'S SPECIAL CARE UNIT AND 13 RETIREMENT APARTMENTS. RESIDENTS OF TRINITY HOMES, UNDER THE DIRECTION OF THEIR PHYSICIAN, ARE ABLE TO RECEIVE SKILLED NURSING CARE, PHYSICAL THERAPY, SPEECH THERAPY, OCCUPATIONAL THERAPY, DIETETIC SERVICES, SOCIAL SERVICES, AND ACTIVITIES OF DAILY LIVING ASSISTANCE, SPIRITUAL CARE AND RECREATIONAL ACTIVITIES.

    Expenses $17,806,281 · Revenue $19,875,920

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • John Kutch

    PRESIDENT & CEO

    Total calculated
    $982,737
    From this org
    $0
    From related orgs
    $953,052
    Other
    $29,685
    Hours/week
    28 + 12 related

    Schedule J breakdown matched by us

    Base
    $0 + $952,116 related
    Bonus
    $0
    Other
    $0 + $936 related
    Deferred
    $0 + $4,950 related
    Nontaxable benefits
    $0 + $24,735 related
    Filer's total
    $0 + $982,737 related

  • Scott Knutson MD

    DIRECTOR

    Total calculated
    $767,270
    From this org
    $0
    From related orgs
    $737,585
    Other
    $29,685
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    $0 + $730,255 related
    Bonus
    $0
    Other
    $0 + $7,330 related
    Deferred
    $0 + $4,950 related
    Nontaxable benefits
    $0 + $24,735 related
    Filer's total
    $0 + $767,270 related

  • Jeffrey Sather MD

    DIRECTOR

    Total calculated
    $752,162
    From this org
    $0
    From related orgs
    $728,448
    Other
    $23,714
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    $0 + $721,118 related
    Bonus
    $0
    Other
    $0 + $7,330 related
    Deferred
    $0 + $4,950 related
    Nontaxable benefits
    $0 + $18,764 related
    Filer's total
    $0 + $752,162 related

  • Glen Taylor Wilson - Vp

    CFO (UNTIL MAY 2024)

    Total calculated
    $452,445
    From this org
    $0
    From related orgs
    $428,731
    Other
    $23,714
    Hours/week
    32 + 8 related

    Schedule J breakdown matched by us

    Base
    $0 + $427,795 related
    Bonus
    $0
    Other
    $0 + $936 related
    Deferred
    $0 + $4,950 related
    Nontaxable benefits
    $0 + $18,764 related
    Filer's total
    $0 + $452,445 related

  • Thomas Warsocki - Vice Pres

    PHYSICIAN OPER. (UNTIL DEC. 2023)

    Total calculated
    $302,564
    From this org
    $0
    From related orgs
    $274,564
    Other
    $28,000
    Hours/week
    14 + 26 related

    Schedule J breakdown matched by us

    Base
    $0 + $273,628 related
    Bonus
    $0
    Other
    $0 + $936 related
    Deferred
    $0 + $4,217 related
    Nontaxable benefits
    $0 + $23,783 related
    Filer's total
    $0 + $302,564 related

  • Renae Lenertz - Vice Pres

    HUMAN RESOURCES (UNTIL JAN. 2024)

    Total calculated
    $281,965
    From this org
    $0
    From related orgs
    $273,463
    Other
    $8,502
    Hours/week
    28 + 12 related

    Schedule J breakdown matched by us

    Base
    $0 + $272,599 related
    Bonus
    $0
    Other
    $0 + $864 related
    Deferred
    $0 + $4,236 related
    Nontaxable benefits
    $0 + $4,266 related
    Filer's total
    $0 + $281,965 related

  • Wade Peterson

    VICE PRESIDENT - NCF ADMINISTATOR

    Total calculated
    $220,377
    From this org
    $0
    From related orgs
    $208,864
    Other
    $11,513
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $207,236 related
    Bonus
    $0
    Other
    $0 + $1,628 related
    Deferred
    $0 + $2,980 related
    Nontaxable benefits
    $0 + $8,533 related
    Filer's total
    $0 + $220,377 related

  • Buffie Salo - Vice Pres

    AMBULATORY CARE STRATEGIES

    Total calculated
    $174,307
    From this org
    $0
    From related orgs
    $166,243
    Other
    $8,064
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $154,070 related
    Bonus
    $0
    Other
    $0 + $12,173 related
    Deferred
    $0 + $2,487 related
    Nontaxable benefits
    $0 + $5,577 related
    Filer's total
    $0 + $174,307 related

  • Alison Frye

    EXECUTIVE ASSISTANT

    Total calculated
    $115,160
    From this org
    $0
    From related orgs
    $88,920
    Other
    $26,240
    Hours/week
    28 + 12 related

  • Patrick Holien

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    2.5 + 2 related

  • Steve Lysne

    VICE CHAIR (UNTIL DEC. 2023)

    Total calculated
    $0
    Hours/week
    2.5 + 2 related

  • Clara Sue Price

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    2.5 + 2 related

  • Karen Krebsbach

    SECRETARY/TREASURER

    Total calculated
    $0
    Hours/week
    2.5 + 2 related

  • Borgi Beeler

    FINANCE CHAIR

    Total calculated
    $0
    Hours/week
    2.5 + 2 related

  • John Coughlin

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2.5 + 2 related

  • David Hogue

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2.5 + 2 related

  • Brent Mattson

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2.5 + 2 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
JOHN KUTCH, PRESIDENT & CEO, IS COMPENSATED BY TRINITY HEALTH, A RELATED ORGANIZATION. TRINITY HEALTH USES THE FOLLOWING METHODS TO DETERMINE THE COMPENSATION FOR JOHN: 1. COMPENSATION COMMITTEE 2. INDEPENDENT COMPENSATION CONSULTANT 3. FORM 990 OF OTHER ORGANIZATIONS 4. COMPENSATION SURVEY OR STUDY 5. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
PART I, LINE 4B
DURING FY24, JOHN KUTCH PARTICIPATED IN A CAP-EX PROGRAM INSTEAD OF A TRADITIONAL SERP, PAID FOR BY TRINITY HOSPITALS, A PART OF TRINITY HEALTH & AFFILIATES. AT JUNE 30, 2024, THE ARRANGEMENT WAS VALUED AT $6,200,470 AND WAS INCLUDED IN OTHER ASSETS ON THE CONSOLIDATED FINANCIAL STATEMENTS.
PART I, LINE 5
PHYSICIANS RECEIVE INCENTIVE COMPENSATION FROM TRINITY HEALTH, A RELATED ORGANIZATION, BASED ON MULTIPLE FACTORS INCLUDING THE NUMBER OF PATIENTS SERVED AND RELATIVE VALUE UNITS (RVUS), WHICH IS CLOSELY CONNECTED TO REVENUES.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • MEDICAL ARTS OUTPATIENT SERVICES INC

    C · RETAIL PHARMACY & DURABLE MEDICAL EQUIPMENT · ND

  • B&B DRUG INC

    C · RETAIL DRUG STORE · ND

Provenance

Return type
form_990
Tax year
2023
Filed
7 May 2025
IRS schema version
2023v6.0
Source object
202511299349303521

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