Trinity Health

Legal name: Trinity Health & Affiliates

Nonprofit profile at a glance

EIN
331007002
IRS 990 coverage
2009–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024
Location
Minot, ND, USA
Phone
701-418-8000
Rating
74
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Community Health Systems

Official website

Reported finances

Revenue
$385,754,703
Expenses
$392,290,144
Assets
$796,630,512
Liabilities
$505,201,776

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

17 people listed

Executive titles in this filing

  • JOHN KUTCH (PRESIDENT & CEO)

Highest reported compensation

  • JOHN KUTCH (PRESIDENT & CEO): $993,900 total reported compensation
  • SCOTT KNUTSON MD (DIRECTOR): $824,434 total reported compensation
  • JEFFREY SATHER MD (DIRECTOR): $764,265 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

To provide compassionate, high-quality healthcare services to the communities we serve, guided by the healing ministry of Jesus Christ.

What it reported doing in 2024

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.

Operating model

Revenue model
Earned-program. 98% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
  • Includes noncash contributions: Reported contributions include donated property or goods.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and fundraising costs are high for each dollar raised.

Rating breakdown

  • Financial Efficiency: 79
  • Transparency & Controls: 71
  • Accountability: 72
  • Sustainability: 42
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 88.2%; rating input score 88
  • Program expense ratio: 87.2%; rating input score 87
  • Fundraising efficiency: $3.26 raised per $1 spent on fundraising; rating input score 12; 12th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
  • Pay-setting controls: 0 of 6 controls in place; rating input score 0
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Missing
  • Foreign activity oversight: Limited
  • Grant itemization coverage: 100%; rating input score 100; 77th percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 66.7%; rating input score 67; 19th percentile among comparable filings
  • Governance controls: 7 of 9 controls in place; rating input score 78
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Fail
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -1.7%; rating input score 20; 20th percentile among comparable filings
  • Total-asset coverage ratio: 2.03; rating input score 64; 64th percentile among comparable filings
  • Liabilities to assets ratio: 0.63; rating input score 26; 26th percentile among comparable filings
  • Officer compensation ratio: 0%; rating input score 94; 94th percentile among comparable filings

Growth

  • Program expense growth: 3.3% per year; rating input score 100; 24th percentile among comparable filings
  • Revenue growth: 2.7% per year; rating input score 100; 20th percentile among comparable filings
  • Asset growth: 5.8% per year; rating input score 100; 42nd percentile among comparable filings

Details

  • What they do: 1 operating location identified
  • Where the money goes: 88.2% of revenue deployed · 87.2% of spending went to programs
  • Governance: 6 of 9 board members independent · 7 of 9 filing controls reported
  • Programs: 2 filed program accomplishments · $342M in reported program spending
  • Leadership: top reported pay $994K · 17 people listed · 0 of 6 pay-setting controls reported
  • Consistency: 36 of 36 current checks pass
  • Schedules: 13 filed schedules · includes major donors, grants, and executive pay
  • Filing history: 16 filing years from 2009 to 2024
  • Contacts: How to reach this organization
  • Money network: 2 filed money-flow records
  • Related organizations: 5 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • High — Financial Efficiency: Fundraising efficiency scored 12/100.
  • High — Sustainability: Operating margin scored 20/100.
  • Review — Accountability: Governance controls: 2 of 9 not reported.
  • High — Sustainability: Liabilities to assets ratio scored 26/100.