Trinity Health Systems Inc

Nonprofit profile at a glance

EIN
421222877
IRS 990 coverage
2010–2024
Forms available
Form 990 2024, Form 990-T 2024
Location
Fort Dodge, IA, USA
Phone
5155746607
Rating
46
Verdict
MIXED
Rating confidence
Moderate
Sector
Community Health Systems

Reported finances

Revenue
$3,875,692
Expenses
$3,979,469
Assets
$32,058,633
Liabilities
$1,678,323

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

Leadership & pay

19 people listed

Executive titles in this filing

  • LEAH GLASGO (BOARD MEMBER & MARKET PRESIDENT)
  • STEVEN COLERICK (CEO - BUENA VISTA REG. MED. CTR)
  • MATTHEW JOHNSON (CEO - LORING HOSPITAL)
  • JAMES ROETMAN (CEO - POCAHONTAS COMMUNITY HOSPITAL)
  • MICHELLE SLEITER (CEO - HUMBOLDT COUNTY MEMORIAL HOSP.)

Highest reported compensation

  • MICHAEL WILLERTH MD (BOARD MEMBER): $684,246 total reported compensation
  • LEAH GLASGO (BOARD MEMBER & MARKET PRESIDENT): $602,275 total reported compensation
  • JAMES ROETMAN (CEO - POCAHONTAS COMMUNITY HOSPITAL): $413,161 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 improve the health of the citizens of our communities and regions by providing quality healthcare in an efficient and cost-effective manner.

What it reported doing in 2024

Affiliate support servicestrinity health systems, inc. Is organized to support the missions of several related charitable, tax-exempt organizations including trinity regional medical center, trinity health foundation, trimark physicians group, and north central Iowa mental health center, inc. Dba berryhill center for mental health. The support services provided to these organizations are to construct, own, lease, manage, operate, provide and maintain any facilities, programs, services (management or otherwise) and related activities, in furtherance of health care or health education. Facilities include trinity regional medical center, and berryhill center for mental health and other establishments created to carry through health care and educational programs. The primary purpose of the corporation is to engage in and conduct charitable, educational, religious and scientific activities in accordance with previously stated purposes.

Operating model

Revenue model
Earned-program. 75% 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.

The verdict

MIXED - The filed numbers largely add up and most filed governance safeguards are in place. A relatively small share of available resources goes toward mission work and a relatively small share of total spending goes to programs.

Rating breakdown

  • Financial Efficiency: 21
  • Transparency & Controls: 69
  • Accountability: 74
  • Sustainability: 46
  • Growth: 0

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 23.9%; rating input score 24
  • Program expense ratio: 23.4%; rating input score 23
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 63rd 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: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 54.5%; rating input score 55; 8th percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -2.7%; rating input score 25; 25th percentile among comparable filings
  • Total-asset coverage ratio: 8.06; rating input score 89; 89th percentile among comparable filings
  • Liabilities to assets ratio: 0.05; rating input score 69; 69th percentile among comparable filings
  • Officer compensation ratio: 72.8%; rating input score 0; 0th percentile among comparable filings

Growth

  • Program expense growth: -12.2% per year; rating input score 0; 2nd percentile among comparable filings
  • Revenue growth: -2.2% per year; rating input score 0; 6th percentile among comparable filings
  • Asset growth: -1.9% per year; rating input score 0; 8th percentile among comparable filings

Details

  • Where the money goes: 23.9% of revenue deployed · 23.4% of spending went to programs
  • Governance: 6 of 11 board members independent · 9 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $929K in reported program spending
  • Leadership: top reported pay $684K · 19 people listed · 0 of 6 pay-setting controls reported
  • Consistency: 27 of 27 current checks pass
  • Schedules: 6 filed schedules · includes major donors and executive pay
  • Filing history: 14 filing years from 2010 to 2024
  • Contacts: How to reach this organization
  • Money network: 7 filed money-flow records
  • Related organizations: 79 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 — Financial Efficiency: Mission deployment rate scored 24/100.
  • High — Financial Efficiency: Program expense ratio scored 23/100.
  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • Review — Accountability: Independent voting board scored 55/100.
  • High — Growth: Program expense growth scored 0/100.
  • High — Growth: Revenue growth scored 0/100.
  • High — Sustainability: Operating margin scored 25/100.
  • High — Growth: Asset growth scored 0/100.
  • High — Sustainability: Officer compensation ratio scored 0/100.