STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

ALTRU HEALTH SYSTEM: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
ALTRU HEALTH SYSTEM (EIN 45-0310462)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-11-14
IRS object ID
202333189349306098
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-11-14T11:14:13-06:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN450310328PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BRADY MARTZ & ASSOCIATES PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 14296AddressLine1Txt
CityGRAND FORKSCityNm
State AbbreviationNDStateAbbreviationCd
ZIP582084296ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN450310462EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ALTRU HEALTH SYSTEMBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlALTRBusinessNameControlTxt
Phone7017805200PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11200 S COLUMBIA RDAddressLine1Txt
CityGRAND FORKSCityNm
State AbbreviationNDStateAbbreviationCd
ZIP582014036ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDEREK GOEBELPersonNm
Person TitleCFOPersonTitleTxt
Phone7017805200PhoneNum
Signature2023-11-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDEREKPersonFirstNm
Person LastGOEBELPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonASHLEY ENGELPreparerPersonNm
PTINP01220321PTIN
Phone7017754685PhoneNum
Preparation2023-11-13PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1ALTRU HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerDEREK GOEBELPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11200 S COLUMBIA RDAddressLine1Txt
CityGRAND FORKSCityNm
State AbbreviationNDStateAbbreviationCd
ZIP582014036ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$727,494,193GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressALTRU.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1970FormationYr
Legal Domicile StateNDLegalDomicileStateCd
Activity Or MissionHEALTHCARE DELIVERYActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee4118TotalEmployeeCnt
Total Volunteers72TotalVolunteersCnt
Total Gross UBI$5,673,099TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$768,044NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,844,954PYContributionsGrantsAmt
CY Contributions Grants$11,594,891CYContributionsGrantsAmt
PY Program Service Revenue$599,169,946PYProgramServiceRevenueAmt
CY Program Service Revenue$600,338,365CYProgramServiceRevenueAmt
PY Investment Income$10,458,209PYInvestmentIncomeAmt
CY Investment Income$18,775,497CYInvestmentIncomeAmt
PY Other Revenue$137,928PYOtherRevenueAmt
CY Other Revenue-$42,259CYOtherRevenueAmt
PY Total Revenue$613,611,037PYTotalRevenueAmt
CY Total Revenue$630,666,494CYTotalRevenueAmt
PY Grants And Similar Paid$2,382,215PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$534,987CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$333,168,941PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$346,726,282CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$201,567PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$145,746CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$145,746CYTotalFundraisingExpenseAmt
PY Other Expenses$246,328,404PYOtherExpensesAmt
CY Other Expenses$264,466,780CYOtherExpensesAmt
PY Total Expenses$582,081,127PYTotalExpensesAmt
CY Total Expenses$611,873,795CYTotalExpensesAmt
PY Revenues Less Expenses$31,529,910PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$18,792,699CYRevenuesLessExpensesAmt
Total Assets BOY$1,039,192,012TotalAssetsBOYAmt
Total Assets EOY$974,015,924TotalAssetsEOYAmt
Total Liabilities BOY$679,870,026TotalLiabilitiesBOYAmt
Total Liabilities EOY$631,709,340TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$359,321,986NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$342,306,584NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionALTRU HEALTH SYSTEM IS A COMMUNITY OF OVER 3,500 HEALTH PROFESSIONALS AND SUPPORT STAFF, AND WE'VE BEEN COMMITTED TO CARING FOR OUR REGION FOR MORE THAN 130 YEARS. SERVING OVER 230,000 RESIDENTS IN NORTHEAST NORTH DAKOTA AND NORTHWEST MINNESOTA, WE OFFER A WIDE ARRAY OF SERVICES TO MEET THE NEEDS OF COMMUNITY MEMBERS OF ALL AGES AND LEVELS OF HEALTH.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$27,808,940ExpenseAmt
Revenue$55,398,185RevenueAmt
DescONCOLOGY - ALTRU'S TEAM OF ONCOLOGISTS PROVIDE INPATIENT AND OUTPATIENT CANCER TREATMENT SERVICES TO PATIENTS WITHIN OUR SERVICE REGION AND ALSO PROVIDE OUTREACH CLINIC SERVICES TO COMMUNITIES THROUGHOUT OUR SERVICE AREA. IN 2022, THERE WERE 190 HOSPITAL DISCHARGES.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$14,838,061ExpenseAmt
Revenue$69,916,278RevenueAmt
DescCARDIOLOGY - ALTRU OFFERS COMPREHENSIVE SERVICES INCLUDING INTERVENTIONAL AND MEDICAL CARDIOLOGY. ADDITIONAL SERVICES INCLUDE ECHOCARDIOGRAPHY, CARDIAC STRESS TESTS, AND CARDIAC REHAB. ALTRU HAS BEEN RECOGNIZED THREE TIMES AS A "100 TOP HOSPITALS" FOR CARDIOVASCULAR CARE. OUR CARDIOLOGY TEAM ALSO PROVIDES OUTREACH CLINIC SERVICES TO COMMUNITIES THROUGHOUT OUR SERVICE AREA. IN 2022, THERE WERE 1,052 HOSPITAL DISCHARGES.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$28,922,109ExpenseAmt
Revenue$94,012,048RevenueAmt
DescGENERAL SURGERY - ALTRU'S TEAM OF GENERAL SURGEONS PERFORM INPATIENT AND OUTPATIENT SURGERY AND SEE PATIENTS AT ALTRU HOSPITAL, ALTRU CLINICS, AND SOME OF ALTRU'S REGIONAL CLINICS. IN 2022, THERE WERE 608 GENERAL SURGERY HOSPITAL DISCHARGES.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$455,088,475ExpenseAmt
Grant$534,987GrantAmt
Revenue$371,867,681RevenueAmt
DescOTHER PROGRAM SERVICES INCLUDE OTHER PATIENT CARE PROGRAMS.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$455,088,475TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$534,987TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$371,867,681TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$526,657,585TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional FundraisingYes (1)ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document103IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee4118EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7017805203PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11200 SOUTH COLUMBIA ROADAddressLine1Txt
CityGRAND FORKSCityNm
State AbbreviationNDStateAbbreviationCd
ZIP58201ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (38 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DANIEL ROLINE
SECRETARY1.00Yes (X)Yes (X)$0$0$0
DAVID MOLMEN
BOARD MEMBER/CEO (INTERIM THROUGH FEB 2022)40.00Yes (X)Yes (X)$235,708$0$17,716
ERIC HALVERSON
BOARD MEMBER1.00Yes (X)$0$0$0
JODY TREUER MD
BOARD MEMBER/PHYSICIAN40.00Yes (X)$1,076,205$0$45,038
JOSHUA DEERE
BOARD MEMBER/PRESIDENT40.00Yes (X)Yes (X)$626,427$0$212,178
KAREN THINGLESTAD
CHAIR1.00Yes (X)Yes (X)$0$0$0
KEITH OKESON
BOARD MEMBER1.00Yes (X)$0$0$0
LAURA BLOCK
BOARD MEMBER1.00Yes (X)$0$0$0
STEVEN WEISER MD
BOARD MEMBER/PRESIDENT (THROUGH FEB 2022)40.00Yes (X)Yes (X)$1,258,869$0$24,791
TODD FORKEL
BOARD MEMBER/CEO40.00Yes (X)Yes (X)$577,025$0$218,527
WILLIAM MCKINNON MD
BOARD MEMBER/PHYSICIAN40.00Yes (X)$423,090$0$80,920
DOUGLAS ARVIN
CFO/TREASURER40.00Yes (X)$549,545$0$24,962
ALEXSANDAR TODOROVIC
DIRECTOR INFO SYSTEMS APPLICATIONS40.00$265,474$0$48,767Yes (X)
ERIN NAVARRO
DIRECTOR PHARMACY SVCS40.00$241,766$0$60,683Yes (X)
HEATHER STRANDELL
SENIOR DIRECTOR CLINIC OPERATIONS40.00$247,352$0$36,216Yes (X)
JANICE HAMSCHER
CHIEF NURSING OFFICER40.00$1,272,581$0$32,396Yes (X)
JENNIFER BERG
DIRECTOR TOTAL REWARDS40.00$177,382$0$45,034Yes (X)
JENNIFER ESTAD
SENIOR DIRECTOR CLINIC OPERATIONS40.00$201,415$0$30,025Yes (X)
JEREMY GARDNER
MEDICAL DIRECTOR40.00$991,700$0$76,124Yes (X)
JOEL LARSON
DIRECTOR LEGAL & PRIVACY/GENERAL COUNSEL40.00$244,944$0$65,026Yes (X)
JONATHAN HAUG
MEDICAL DIRECTOR40.00$691,968$0$85,772Yes (X)
KARI JENSEN
DIRECTOR QUALITY & SAFETY40.00$194,320$0$57,097Yes (X)
KRISTI HALL-JIRAN
CHIEF PHILANTHROPY OFFICER40.00$358,461$0$85,929Yes (X)
MARK WAIND
CHIEF INFORMATION OFFICER40.00$582,005$0$45,390Yes (X)
MARLENE MILLER
DIRECTOR PEOPLE RESOURCES40.00$237,257$0$52,407Yes (X)
MATTHEW SCHUMACHER
DIRECTOR TECH & SUPPORT SVCS40.00$234,212$0$54,480Yes (X)
MEGHAN COMPTON
CHIEF CLINIC OPERATIONS OFFICER40.00$555,372$0$171,330Yes (X)
MEVAN WIJETUNGA
MEDICAL DIRECTOR40.00$1,532,778$0$41,338Yes (X)
REED REYMAN
EVP - REGIONAL DEVELOPMENT40.00$804,208$0$32,642Yes (X)
STAN SALWEI
DIRECTOR REV CYCLE/PRIMARY CARE SVCS40.00$215,345$0$45,368Yes (X)
SUNIL KARTHAM
MEDICAL DIRECTOR40.00$866,377$0$71,217Yes (X)
YVONNE GOMEZ
MEDICAL DIRECTOR40.00$524,094$0$52,181Yes (X)
BARRY BJORGAARD
PHYSICIAN40.00$1,288,649$0$47,788Yes (X)
GRANT SEEGER
PHYSICIAN40.00$1,424,848$0$52,497Yes (X)
IKECHUKWU ONYEKA
PHYSICIAN40.00$1,406,964$0$53,497Yes (X)
JASON GO
PHYSICIAN40.00$1,184,080$0$52,497Yes (X)
JOHN EICKMAN
PHYSICIAN40.00$1,510,254$0$15,250Yes (X)
KELLEE FISK
FORMER KEY EMPLOYEE40.00$651,678$0$8,815Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$22,652,353TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$2,043,898TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K528IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
PCLCOMMUNITY
7101 METRO BLVDEDINAMN55439SERVICES$85,991,305
MEDEFIS CONSOLIDATED
PO BOX 5068NEW YORKNY10087SERVICES$20,446,560
WEATHERBY LOCUMS INC
PO BOX 972633DALLASTX75397SERVICES$3,815,140
SODEXO INC AND AFFILIATES
PO BOX 360170PITTSBURGHPA15251SERVICES$3,625,297
COMPHEALTH
PO BOX 972651DALLASTX75397SERVICES$2,085,197
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K92CntrctRcvdGreaterThan100KCnt
Related Organizations$1,351,371RelatedOrganizationsAmt
Government Grants$10,243,520GovernmentGrantsAmt
Total Contributions$11,594,891TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
NET PATIENT SERVICE REVENUE621110$562,743,338$562,743,338
PROGRAM SERVICE REVENUE621110$19,508,098$10,424,407$5,715,358$3,368,333
340B REVENUE621300$18,026,447$18,026,447
BIOMED SERVICES/SITE SERVICES FEE541900$60,482$60,482
FieldValueIRS element (for citing)
Total Program Service Revenue$600,338,365TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,341,617TotalRevenueColumnAmt
Exclusion$6,341,617ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$125,911RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$192,424RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$66,513RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$66,513TotalRevenueColumnAmt
Unrelated Business Revenue-$66,513UnrelatedBusinessRevenueAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$86,761,666SecuritiesAmt
Other$22,307,489OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$87,786,865SecuritiesAmt
Other$8,848,410OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$1,025,199SecuritiesAmt
Other$13,459,079OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,433,880TotalRevenueColumnAmt
Exclusion$12,433,880ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PRINTING SERVICES561000$9,849$9,849
SNOW REMOVAL812900$8,493$8,493
TELECOMMUNICATIONS517000$5,912$5,912
FieldValueIRS element (for citing)
Other Revenue Total$24,254OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$630,666,494TotalRevenueColumnAmt
Related Or Exempt Func Income$591,194,192RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$5,673,099UnrelatedBusinessRevenueAmt
Exclusion$22,204,312ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$534,987TotalAmt
Program Services$534,987ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$16,863,592TotalAmt
Program Services$5,230,257ProgramServicesAmt
Management And General$11,633,335ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$279,864,869TotalAmt
Program Services$236,870,093ProgramServicesAmt
Management And General$42,994,776ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$11,414,328TotalAmt
Program Services$9,443,876ProgramServicesAmt
Management And General$1,970,452ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$22,220,453TotalAmt
Program Services$18,258,609ProgramServicesAmt
Management And General$3,961,844ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$16,363,040TotalAmt
Program Services$13,196,763ProgramServicesAmt
Management And General$3,166,277ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$145,746TotalAmt
Fundraising$145,746FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,115,420TotalAmt
Management And General$1,115,420ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$767,127TotalAmt
Program Services$621,109ProgramServicesAmt
Management And General$146,018ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$10,338,562TotalAmt
Program Services$7,792,398ProgramServicesAmt
Management And General$2,546,164ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,284,028TotalAmt
Program Services$2,035,786ProgramServicesAmt
Management And General$248,242ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$5,525,280TotalAmt
Program Services$3,883,529ProgramServicesAmt
Management And General$1,641,751ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$27,986,103TotalAmt
Program Services$19,654,714ProgramServicesAmt
Management And General$8,331,389ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,443,334TotalAmt
Program Services$3,960,405ProgramServicesAmt
Management And General$482,929ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$121,681,143$121,204,019$477,124
UNRELATED BUSINESS TAX$239,761$239,761
PURCHASED SERVICES$48,789,924$43,428,992$5,360,932
CONSULTING AND PROFESSI$36,447,161$36,024,382$422,779

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,848,937TotalAmt
Program Services$4,277,905ProgramServicesAmt
Management And General$571,032ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$611,873,795TotalAmt
Program Services$526,657,585ProgramServicesAmt
Management And General$85,070,464ManagementAndGeneralAmt
Fundraising$145,746FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$322,263BOYAmt
EOY$961,710EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$43,857,237BOYAmt
EOY$25,102,866EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$75,687,802BOYAmt
EOY$82,325,054EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$453,859BOYAmt
EOY$421,180EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$9,267,938BOYAmt
EOY$9,640,362EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$6,644,891BOYAmt
EOY$5,067,551EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$775,714,771LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$449,969,644LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$221,381,287BOYAmt
EOY$325,745,127EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$598,984,874BOYAmt
EOY$384,317,857EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$33,599,757BOYAmt
EOY$86,054,258EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$48,992,104BOYAmt
EOY$54,379,959EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,039,192,012BOYAmt
EOY$974,015,924EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$96,576,719BOYAmt
EOY$67,377,559EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$2,262,914BOYAmt
EOY$2,117,015EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$542,006,380BOYAmt
EOY$532,377,996EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$39,024,013BOYAmt
EOY$29,836,770EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$679,870,026BOYAmt
EOY$631,709,340EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$359,321,986BOYAmt
EOY$342,306,584EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$359,321,986BOYAmt
EOY$342,306,584EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,039,192,012BOYAmt
EOY$974,015,924EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$18,792,699ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$36,216,406NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$408,305OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$4,286,737InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$9,527,816OtherCostOrOtherBasisAmt
Book Value$13,814,553BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$278,041,041OtherCostOrOtherBasisAmt
Depreciation$203,573,723DepreciationAmt
Book Value$74,467,318BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$23,454,970OtherCostOrOtherBasisAmt
Depreciation$13,442,923DepreciationAmt
Book Value$10,012,047BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$271,310,402OtherCostOrOtherBasisAmt
Depreciation$232,952,998DepreciationAmt
Book Value$38,357,404BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$189,093,805OtherCostOrOtherBasisAmt
Book Value$189,093,805BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$325,745,127TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
INVESTMENT IN SUBSIDIARY$36,304,132C
EQUITY METHOD INVESTMENTS$4,031,971C
ALTERNATIVE INVESTMENTS$45,718,155C
FieldValueIRS element (for citing)
Total Book Value Securities$86,054,258TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
ASSETS HELD UNDER TRUST AGREEMENTS$16,526,910
ROU ASSETS AND OTHER ASSETS$7,049,122
UNAMORTIZED BOND ISSUE AND OTHER CO$12,564,577
DUE FROM AFFIALIATES$59,073
LEASE RECEIVABLE$18,180,277
FieldValueIRS element (for citing)
Total Book Value Other Assets$54,379,959TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
OTHER$16,274,973
ESTIMATED THIRD PARTY LIABILITY$2,000,000
SPECIAL ASSESSMENTS PAYABLE$363,075
ASSET RETIREMENT OBLIGATION$3,000,000
LEASE LIABILITY$8,198,722
FieldValueIRS element (for citing)
Total Liability$29,836,770TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationACCOUNTING FOR UNCERTAINTY IN INCOME TAXES THE ORGANIZATION'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 ORGANIZATION HAS NO SIGNIFICANT UNCERTAIN TAX POSITIONS THAT WOULD BE SUBJECT TO CHANGE UPON EXAMINATION. THE FEDERAL INCOME TAX RETURNS OF THE ORGANIZATION ARE SUBJECT TO EXAMINATION BY INTERNAL REVENUE SERVICE GENERALLY FOR THREE YEARS AFTER THEY WERE FILED; ALL FILINGS ARE CURRENT.ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCENTRAL AMERICA AND THE CARIBBEANRegionTxt
Type Of Activities ConductedINVESTMENTTypeOfActivitiesConductedTxt
Region Total Expenditures$6,359,998RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$6,359,998SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$6,359,998TotalSpentAmt
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp OwnershipYes (1)ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART III ACCOUNTING METHOD:FormAndLineReferenceDesc

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Email SolicitationsYes (X)EmailSolicitationsInd
Phone SolicitationsYes (X)PhoneSolicitationsInd
In Person SolicitationsYes (X)InPersonSolicitationsInd
Solicitation Of Non Govt GrantsYes (X)SolicitationOfNonGovtGrantsInd
Special Fundraising EventsYes (X)SpecialFundraisingEventsInd
Agrmt Prof Fundraising ActyYes (1)AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

Organization Business Name OrganizationBusinessName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY COUNSELLING SERVICE CO LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1527 MADISON AVENUE 5TH FLOORAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10022ZIPCd
FieldValueIRS element (for citing)
ActivityCAPITAL CAMPAIGN PLANNING AND IMPLEMENTATIONActivityTxt
Fundraiser Control Of Funds0FundraiserControlOfFundsInd
Gross Receipts$0GrossReceiptsAmt
Retained By Contractor$145,746RetainedByContractorAmt
Net To Organization-$145,746NetToOrganizationAmt
FieldValueIRS element (for citing)
Total Retained By Contractors$145,746TotalRetainedByContractorsAmt
Total Net To Organization-$145,746TotalNetToOrganizationAmt
Licensed StatesNDLicensedStatesCd

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent150Yes (X)Percent150Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent250Yes (X)Percent250Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,648,665TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,648,665NetCommunityBenefitExpnsAmt
Total Expense0.00430TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$33,784,521TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$29,588,802DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,195,719NetCommunityBenefitExpnsAmt
Total Expense0.00690TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$754,083TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$754,083NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$37,187,269TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$29,588,802DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,598,467NetCommunityBenefitExpnsAmt
Total Expense0.01240TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$759,098TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$759,098NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,117,763TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,117,763NetCommunityBenefitExpnsAmt
Total Expense0.00180TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,417TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,417NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,012TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$9,012NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,893,290TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,893,290NetCommunityBenefitExpnsAmt
Total Expense0.00300TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$39,080,559TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$29,588,802DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,491,757NetCommunityBenefitExpnsAmt
Total Expense0.01540TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Reimbursed By Medicare$132,081,289ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$437,012,215CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$304,930,926MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities3HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCd
ALTRU HOSPITAL
11200 S COLUMBIA RDGRAND FORKSND582066002Yes (X)Yes (X)Yes (X)A
ALTRU REHABILITATION CENTER
24500 S WASHINGTON STGRAND FORKSND582066002Yes (X)A
ALTRU SPECIALTY CENTER
34500 S WASHINGTON STGRAND FORKSND58201Yes (X)Yes (X)A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ALTRU HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted22CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.ALTRU.ORGOwnWebsiteURLTxt
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt20ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.ALTRU.ORGStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care150.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care250.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.ALTRU.ORGFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.ALTRU.ORGFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.ALTRU.ORGFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Collection Activities0CollectionActivitiesInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross ChargesYes (1)GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION BFACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:- FACILITY 1: ALTRU HOSPITAL, - FACILITY 2: ALTRU REHABILITATION CENTER, - FACILITY 3: ALTRU SPECIALTY CENTER
ALTRU HOSPITAL PART V, SECTION B, LINE 5:ALTRU HEALTH SYSTEM AND THE GRAND FORKS PUBLIC HEALTH DEPARTMENT ENGAGED MULTIPLE PARTNERS TO CONDUCT SURVEYS AND FOCUS GROUPS WITH COMMUNITY LEADERS AND SPECIAL POPULATIONS TO GET THEIR INSIGHT ABOUT THE HEALTH OF THE COMMUNITY AND HOW IT CAN BE IMPROVED. IT WAS AGREED TO USE THE UPDATED PROCESS FROM THE ASSOCIATION FOR COMMUNITY HEALTH IMPROVEMENT (NINE STEP COMMUNITY HEALTH ASSESSMENT PROCESS).A COMMUNITY-BASED ADVISORY COMMITTEE WAS FORMED TO WORK WITH ALTRU AND GRAND FORKS PUBLIC HEALTH ON THE ASSESSMENT. LEADERSHIP FROM ALTRU AND GRAND FORKS PUBLIC HEALTH SERVED ON THE ADVISORY COMMITTEE, ALONG WITH INDIVIDUALS REPRESENTING THE FOLLOWING AGENCIES/ORGANIZATIONS:ALLUMAALTRU FAMILY YMCAALTRU HEALTH SYSTEMCHAMBER OF GRAND FORKS AND EAST GRAND FORKSCITY OF EAST GRAND FORKSCITY OF GRAND FORKSCOMMUNITY VIOLENCE INTERVENTION CENTEREAST GRAND FORKS PUBLIC SCHOOLSGRAND FORKS AIR FORCE BASEGRAND FORKS HERALDGRAND FORKS HOUSING AUTHORITYGRAND FORKS PARKS AND RECREATIONGRAND FORKS FIRE DEPARTMENTGRAND FORKS PARK DISTRICTGRAND FORKS POLICE DEPARTMENTGRAND FORKS PUBLIC SCHOOLSGRAND FORKS SENIOR CENTERGRAND FORKS ECONOMIC DEVELOPMENT CORPORATIONKORSMO FAMILY DENTISTRYNORTHEAST HUMAN SERVICE CENTERNORTHLANDS RESCUE MISSIONPOLK COUNTY PUBLIC HEALTHQUALITY HEALTH ASSOCIATESSAFE KIDSSHAREHOUSESPECTRA HEALTHTURTLE RIVER STATE PARKUNIVERSITY OF NORTH DAKOTA MASTERS OF PUBLIC HEALTH PROGRAMUNITED WAYGRAND FORKS PUBLIC HEALTH AND ALTRU HEALTH SYSTEM ENGAGED A STUDENT TEAM AT THE UNIVERSITY OF NORTH DAKOTA'S MASTER OF PUBLIC HEALTH PROGRAM WITH THE ASSISTANCE OF ASHLEY EVENSON, MPH, ASSISTANT DIRECTOR WITH THE PUBLIC HEALTH PROGRAM. THE STUDENT AND FACULTY TEAM CONDUCTED A COMMUNITY SURVEY ALONG WITH FOCUS GROUPS WITH COMMUNITY LEADERS AND SPECIAL POPULATIONS TO GET THEIR INSIGHT ABOUT THE HEALTH OF GRAND FORKS AND POLK COUNTY COMMUNITIES AND HOW IT CAN BE IMPROVED.
ALTRU HOSPITAL PART V, SECTION B, LINE 6A:ALTRU 1300 COLUMBIA
ALTRU HOSPITAL PART V, SECTION B, LINE 6B:GRAND FORKS PUBLIC HEALTH
ALTRU HOSPITAL PART V, SECTION B, LINE 11:UPON APPROVAL OF THE PRIORITIES BY THE GOVERNING BODIES, A SMALL WORKGROUP OF COMMUNITY STAKEHOLDERS WAS ASSEMBLED TO DEVELOP THE FRAME FOR IMPROVEMENT OVER THE NEXT THREE YEARS. THESE STAKEHOLDERS REPRESENTED ALTRU HEALTH SYSTEM, GRAND FORKS PUBLIC HEALTH, SPECTRA HEALTH, MENTAL HEALTH MATTERS, BLUE ZONES PROJECT GRAND FORKS AND GRAND FORKS REGION ECONOMIC DEVELOPMENT CORPORATION. WITH THIS ASSESSMENT/IMPROVEMENT CYCLE, STAKEHOLDER CONVERSATIONS CHANGED TO REFLECT THE VERY DIFFERENT DYNAMICS IN THE COMMUNITY AND REGION POST PANDEMIC. THE INFLUENCE OF MENTAL HEALTH FACTORS ACROSS ALL PRIORITIES, THE FOCUS ON HEALTH EQUITY AND THE LINGERING IMPACTS OF THE PANDEMIC ARE IMPACTING HOW WE VIEW COMMUNITY WELL-BEING AND HOW WE NEED TO RESPOND WITH IMPROVEMENT INITIATIVES. IN ADDITION, THERE ARE NEW AND DIFFERENT COMMUNITY RESOURCES AT PLAY THAT WILL BE IMPORTANT TO THIS WORK AND HOW IT IS SUSTAINED. THE OVERARCHING STRATEGIES TO ADDRESS THE PRIORITIES IDENTIFIED ARE DIRECTED TOWARD COMMUNITY INFRASTRUCTURE TO ADDRESS SOCIAL DETERMINANTS OF HEALTH AND COMMUNITY BUILDING THROUGH HEALTHY CONNECTIONS:O STRATEGY 1: LEVERAGE COMMUNITY INFRASTRUCTURE TO ADDRESS SOCIAL DETERMINANTS OF HEALTH TO IMPROVE HEALTH EQUITY.O STRATEGY 2: EMPOWER COMMUNITY BUILDING AMONG INDIVIDUALS THROUGH HEALTHY CONNECTIONS AND NEIGHBORHOOD NETWORKS. ALTRU AND GRAND FORKS PUBLIC HEALTH WILL BE WORKING WITH BLUE ZONES PROJECT GRAND FORKS TO ADDRESS THESE BROAD STRATEGIES. THE INFRASTRUCTURE AND TEAM THAT HAS BEEN ASSEMBLED WILL BE LEVERAGED TO ACHIEVE MANY OF THE SAME OUTCOMES AS IDENTIFIED BY THE IMPROVEMENT PLAN/IMPLEMENTATION STRATEGY.THE SIX PRIORITIES IDENTIFIED IN THE COMMUNITY HEALTH ASSESSMENT ARE COMPLEX AND INTERWOVEN. THE CURRENT IMPROVEMENT PLAN/IMPLEMENTATION STRATEGY TAKES A DIFFERENT APPROACH THAN PREVIOUS IMPROVEMENT PLANS USING THE OVERARCHING COMMUNITY STRATEGIES THAT "LIVE UPSTREAM" WITH A PREVENTION FOCUS AND THE POTENTIAL TO HAVE IMPACT ACROSS THE PRIORITIES VERSUS ADDRESSING EACH INDIVIDUALLY. WITH THIS APPROACH, THE PRIORITY AREAS OF WORKFORCE DEVELOPMENT AND CHILDCARE WILL NOT BE AS DIRECTLY IMPACTED BY THE STRATEGIES AND TACTICS IDENTIFIED HERE. THERE ARE CONSIDERABLE LOCAL AND STATE RESOURCES ADDRESSING THESE AREAS, AND THE WORK GROUP FELT THAT WE COULD DEFER TO THESE OTHER ENTITIES CURRENTLY ENGAGED TO MAKE IMPROVEMENTS ON THESE TWO TOPICS. ADDITIONALLY, ACCESS TO CARE HAS LONG BEEN A PRIORITY OF ALTRU, GRAND FORKS PUBLIC HEALTH, AND OTHER COMMUNITY PARTNERS. THE WORK GROUP FELT THAT THE FOCUS OF THESE ORGANIZATIONS WILL CONTINUE INDEPENDENT OF THIS CHIP. THE WORK IDENTIFIED HERE CAN SUPPLEMENT AND SUPPORT THE VALUABLE GROUND THAT HAS BEEN GAINED.
ALTRU HOSPITAL PART V, SECTION B, LINE 24:ALL PATIENTS ARE CHARGED THE GROSS CHARGE REGARDLESS OF INSURANCE STATUS. ADJUSTMENTS MAY BE APPLIED PROVIDING THE PATIENTS APPLY FOR AND QUALIFY FOR CHARITY CARE.
FieldValueIRS element (for citing)
Facility55FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (55 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - ALTRU CANCER CENTER
960 S COLUMBIA RDGRAND FORKSND582066003OUTPATIENT DEPT OF ALTRU HOSP - CLINIC
2 - TRUYU AESTHETIC CENTER
3165 DEMERS AVEGRAND FORKSND582066003OUTPATIENT DEPT OF ALTRU HOSP - CLINIC
3 - ALTRU FAMILY MEDICINE CENTER
1380 S COLUMBIA RDGRAND FORKSND582066003OUTPATIENT DEPT OF ALTRU HOSP - CLINIC
4 - ALTRU FAMILY MEDICINE RESIDENCY
725 HAMLINE STREETGRAND FORKSND58203OUTPATIENT CLINIC
5 - ALTRU FAMILY MEDICINE RESIDENCY PHARMACY
725 HAMLINE STREETGRAND FORKSND58203OUTPATIENT PHARMACY
6 - ALTRU CLINIC - DRAYTON
1003 N MAINDRAYTONND582254650OUTPATIENT CLINIC/THERAPY
7 - ALTRU 860 COLUMBIA
860 S COLUMBIA RDGRAND FORKSND582066002OUTPATIENT DEPARTMENT - PSYCH SERVICES
8 - ALTRU OUTPATIENT CENTER
411 2ND ST NWEAST GRAND FORKSMN56721OUTPATIENT THERAPY
9 - ALTRU CLINIC - CAVALIER
201 E 3RD AVE SCAVALIERND582200040OUTPATIENT CLINIC
10 - ALTRU CLINIC - DEVILS LAKE
1001 7TH STREET NEDEVILS LAKEND583012719OUTPATIENT CLINIC
11 - ALTRU CLINIC - CROOKSTON
400 SOUTH MINNESOTACROOKSTONMN567160606OUTPATIENT DEPT OF ALTRU HOSP - CLINIC
12 - ALTRU CLINIC - RED LAKE FALLS
312 INTERNATIONAL DRIVERED LAKE FALLSMN567504662OUTPATIENT DEPT OF ALTRU HOSP - CLINIC
13 - ALTRU CLINIC - ERSKINE
113 VANCE AVE NERSKINEMN565354201OUTPATIENT DEPT OF ALTRU HOSP - CLINIC
14 - ALTRU CLINIC - FERTILE
101 S MILL STFERTILEMN565404215OUTPATIENT DEPT OF ALTRU HOSP - CLINIC
15 - ALTRU CLINIC - ROSEAU
711 DELMORE DRIVEROSEAUMN567511534OUTPATIENT CLINIC
16 - ALTRU CLINIC - WARROAD
412 MAIN AVE NEWARROADMN567632342OUTPATIENT CLINIC
17 - ALTRU CLINIC - GREENBUSH
19120 200TH STGREENBUSHMN567269280OUTPATIENT CLINIC
18 - UNITY MEDICAL CENTER
164 WEST 13TH STREETGRAFTONND58237HOME HEALTH/HOSPICE
19 - FIRST CARE HEALTH CENTER
PO BOX IPARK RIVERND58270HOME HEALTH/HOSPICE/THERAPY
20 - NELSON COUNTY HEALTH SYSTEM
BOX 367MCVILLEND58254HOME HEALTH/HOSPICE
21 - CO ALTRU CLINIC - CAVALIER
201 E 3RD AVE SCAVALIERND58220HOME HEALTH/HOSPICE
22 - ALTRU HOME SVCS-NORTH VALLEY HOME HEALTH
109 S MINNESOTA STWARRENMN56762HOME HEALTH/HOSPICE
23 - ANETA PARKVIEW HEALTH CENTER
BOX 287ANETAND58212OUTREACH CLINIC
24 - CAVALIER COUNTY MEMORIAL
909 2ND STLANGDONND58249OUTREACH CLINIC
25 - CENTRAL BOILER
20502 160TH STGREENBUSHMN56726OUTREACH CLINIC
26 - COOPERSTOWN MEDICAL CENTER
1200 ROBERTS STCOOPERSTOWNND58425OUTREACH CLINIC
27 - DEVILS LAKE GOOD SAMARITAN
302 7TH AVEDEVILS LAKEND58301OUTREACH CLINIC
28 - FIRST CARE HEALTH CENTER
115 VIVIAN STPARK RIVERND58270OUTREACH CLINIC
29 - FRIENDSHIP
554 W 12TH STGRAFTONND58327OUTREACH CLINIC
30 - 4TH CORP
120 11TH STNEW ROCKFORDND58356OUTREACH CLINIC
31 - GRIGGS COUNTY HOSPITAL
1200 ROBERTS AVE NECOOPERSTOWNND58425OUTREACH CLINIC
32 - HATTON PRAIRIE VILLAGE
930 DAKOTA AVEHATTONND58240OUTREACH CLINIC
33 - HEARTLAND CARE CENTER
620 14TH AVE NEDEVILS LAKEND58301OUTREACH CLINIC
34 - KARLSTAD HEALTH CARE
304 WASHINGTON AVE WKARLSTADMN56732OUTREACH CLINIC
35 - KITTSON MEMORIAL HEALTH CARE CENTER
1010 S BIRCHHALLOCKMN56728OUTREACH CLINIC
36 - KITTSON MEMORIAL CLINIC OF KARLSTAD
1ST AND ROOSEVELTKARLSTADMN56732OUTREACH CLINIC
37 - LAKE REGION CORP
224 3TH ST NWDEVILS LAKEND583012908OUTREACH CLINIC
38 - LAKOTA GOOD SAMARITAN
608 4TH AVE SW HWY 2LAKOTAND583447500OUTREACH CLINIC
39 - MAPLE MANOR CARE CENTER
1116 9TH AVELANGDONND58249OUTREACH CLINIC
40 - MCINTOSH MANOR NURSING HOME
600 RIVERSIDE AVE NEMCINTOSHMN56556OUTREACH CLINIC
41 - NELSON COUNTY CARE CENTER
108 E NYHUS AVEMCVILLEND58254OUTREACH CLINIC
42 - NELSON COUNTY HEALTH SYSTEM
200 NORTH MAINMCVILLEND58254OUTREACH CLINIC
43 - NORTHWOOD DEACONESS
4 N PARK STNORTHWOODND58267OUTREACH CLINIC
44 - OAKLAND PARK COMMUNITIES INC
123 BAKEN STREETTHIEF RIVER FALLSMN56701OUTREACH CLINIC
45 - PEMBILIER NURSING CENTER
500 DELANO AVEWALHALLAND58282OUTREACH CLINIC
46 - PEMBINA COUNTY MEMORIAL HOSPITAL
301 MOUNTAIN STREET ECAVALIERND58220OUTREACH CLINIC
47 - PIONEER MEMORIAL CARE CENTER
23028 347TH ST SEERSKINEMN565359466OUTREACH CLINIC
48 - REM-GRAFTON
817 HILL AVEGRAFTONND58327OUTREACH CLINIC
49 - VALLEY 4000
4004 24TH AVE SOUTHGRAND FORKSND58201OUTREACH CLINIC
50 - VALLEY MEMORIAL HOMES
2900 14TH AVE SOUTHGRAND FORKSND58201OUTREACH CLINIC
51 - WEDGEWOOD MANOR
804 MAIN STREET WESTCAVALIERND58220OUTREACH CLINIC
52 - CENTER FOR PREVENTION & GENETICS
4401 S 11TH STGRAND FORKSND58201OUTREACH CLINIC
53 - ALTRU CLINIC - EAST GRAND FORKS
607 DEMERS AVEEAST GRAND FORKSMN56721OUTPATIENT DEPT OF ALTRU HOSP - CLINIC
54 - ALTRU PROFESSIONAL CENTER
4440 S WASHINGTON STGRAND FORKSND58201OUTPATIENT CLINIC
55 - ALTRU CLINIC - THIEF RIVER FALLS
1845 HWY 59 S STE 800THIEF RIVER FALLSMN56701OUTPATIENT CLINIC

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 6A:PREPARATION OF ANNUAL COMMUNITY BENEFIT REPORT: ALTRU HEALTH SYSTEM PREPARES ANNUALLY A COMMUNITY BENEFIT REPORT BASED ON FORMS DESIGNED BY THE CATHOLIC HEALTH ORGANIZATION. ONCE ALL REPORTING FORMS HAVE BEEN COMPILED FOR THE YEAR, THE CATHOLIC HEALTH ORGANIZATION'S REFERENCE GUIDE FROM "A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT" IS USED TO DETERMINE WHAT ITEMS SHOULD BE REPORTED INTO WHAT CATEGORY. THE COMMUNITY BENEFIT REPORT IS PUBLISHED AS A PART OF THE CORPORATION'S ANNUAL REPORT, WHICH IS PLACED ON OUR WEB SITE FOR PUBLIC ACCESS.
PART I, LINE 7:CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST: THE METHODOLOGY USED TO DETERMINE THE REPORTED AMOUNTS FOR THE CHARITY CARE IS A COST-TO-CHARGE RATIO BASED ON GROSS CHARGES WRITTEN OFF PURSUANT TO OUR CHARITY CARE AND MEANS-TESTED PROGRAMS ELIGIBILITY CRITERIA. OTHER COMMUNITY BENEFIT IS DETERMINED FROM INFORMATION THAT WAS COMPILED ON FORMS DESIGNED BY THE CATHOLIC HEALTH ORGANIZATION AND USING THEIR REFERENCE GUIDE, "A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT," TO DETERMINE WHICH CATEGORY THE AMOUNTS ARE PROPERLY REPORTED UNDER.
PART II, COMMUNITY BUILDING ACTIVITIES:NONE DOCUMENTED ON FORM 990.
PART III, LINE 2:NO BAD DEBT EXPENSE WAS REPORTED IN OPERATING EXPENSE AS NOTED IN THE NET PATIENT SERVICE REVENUE NOTE IN THE FINANICAL STATEMENTS. DISCOUNTS AND ALLOWANCES ARE ACCOUNTED FOR SEPARATELY FROM BAD DEBT EXPENSE.
PART III, LINE 3:IT IS POLICY TO MAKE FINANICAL ASSISTANCE AVAILABLE TO PATIENTS WHO FIT THE FINANICAL ASSISTANCE CRITERIA. IT IS THE ORGANIZATION'S GOAL TO MAKE CERTAIN THAT THEY ARE PROACTIVE IN THE DETERMINATION OF FINANCIAL ASSISTANCE. ALL EFFORTS ARE MADE TO ENSURE THAT FINANCIAL ASSISTANCE ELIGIGLE PATIENTS DO NOT PROGRESS TO BAD DEBTS AND THEREFORE NO DOLLAR AMOUNT FOR BAD DEBT IS INCLUDED.
PART III, LINE 4:THE AUDITED FINANICAL STATEMENTS DO NOT INCLUDE A BAD DEBT FOOTNOTE. THE ORGANIZATION REPORTS BAD DEBT IN ACCORDANCE WITH GAAP.
PART III, LINE 8:NONE OF THE SHORTFALL SHOWN ON PART III, LINE 7 OF $304,930,926 HAS BEEN TREATED AS COMMUNITY BENEFIT AS REPORTED ON SCHEDULE H. THE SOURCE OF THE AMOUNT SHOWN ON PART III, LINE 6 COMES FROM THE MEDICARE ALLOWABLE COSTS REPORTED IN ALTRU'S MEDICARE COST REPORT SUBMITTED FOR THE FISCAL YEAR ENDING DECEMBER 31, 2022, UTILIZING THE FOLLOWING WORKSHEETS: WORKSHEETS B PART I, H-7 PARTS 1&2, I-4, AND K-6.
PART III, LINE 9B:PROVISION FOR COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE ARE FOUND IN ALTRU'S POLICY 2614 "FINANICAL ASSISTANCE." ALTRU'S COMMUNITY CARE PROGRAM IS DESIGNED TO PROVIDE FINANCIAL ASSISTANCE TO THOSE WHO HAVE NO INSURANCE AND/OR LIMITED MEANS TO PAY FOR THEIR MEDICAL SERVICES AND DO NOT QUALIFY FOR OTHER PROGRAMS. IN ADDITION TO QUALITY HEALTHCARE, PATIENTS OF ALTRU HEALTH SYSTEM ARE PROVIDED FINANCIAL COUNSELING REGARDING THEIR MEDICAL BILLS, BY SOMEONE WHO CAN UNDERSTAND AND OFFER POSSIBLE SOLUTIONS FOR THOSE WHO CANNOT PAY IN FULL. PROGRAMS ARE ALSO AVAILABLE FOR UNINSURED PATIENTS, AND FOR THOSE FOUND TO BE IN MEDICAL HARDSHIP.
PART VI, LINE 2:NEEDS ASSESSMENT: ALTRU HEALTH SYSTEM'S MISSION - IMPROVING HEALTH, ENRICHING LIFE - CONFIRMS THAT OUR RESPONSIBILITY TO THE REGION GOES BEYOND PROVIDING QUALITY HEALTHCARE SERVICES. ALL OF OUR RESOURCES ARE DEVOTED TO IMPROVING HEALTH IN THE COMMUNITIES WE SERVE. AT ALTRU, GOOD HEALTH MEANS THAT EVERY INDIVIDUAL SHOULD ENJOY THE BEST ACHIEVABLE AND SO SHOULD OUR COMMUNITIES. ALTRU'S FOURTH CYCLE OF OUR COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED IN 2022; THE ASSESSMENT WAS APPROVED BY OUR BOARD OF DIRECTORS ON DECEMBER 19, 2022. AS A RESULT OF THE ASSESSMENT, ALTRU PRIORITIZED AND IS FOCUSING ON THE FOLLOWING SIX ISSUES: 1)MENTAL HEALTH - IMPROVE THE MENTAL WELL-BEING OF ALL RESIDENTS AND BUILD RESILIENCE. 2) WORKFORCE - COLLABORATE ACROSS SECTORS TO EXPAND THE AVAILABLE WORKFORCE. 3) ACCESS TO CARE - INCREASE ACCESS TO PRIMARY, SPECIALTY, BEHAVIORAL, AND ORAL HEALTH CARE WITH A FOCUS ON REDUCING BARRIERS. 4) SUBSTANCE USE - REDUCE THE PREVALENCE OF SUBSTANCE USE INCLUDING ALCOHOL, TOBACCO AND OTHER DRUGS. 5) CHILD CARE - DEVELOP STRATEGIES TO MEET THE CHILDCARE NEEDS OF THE REGION WITH A FOCUS ON ACCESS AND AFFORDABILITY. 6) OBESITY - REDUCE THE PREVALENCE OF OBESITY IN THE POPULATION THROUGH INCREASED ACCESS TO SUPPORTIVE SERVICES AND REDUCED COST BURDEN.
PART VI, LINE 3:PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:ALTRU HAS SEVERAL AVENUES IN WHICH INFORMATION REGARDING FINANCIAL ASSISTANCE PROGRAMS IS COMMUNICATED TO PATIENTS. UNINSURED AND SELF-PAY PATIENTS IN THE HOSPITAL RECEIVE A VISIT FROM PATIENT REPRESENTATIVES AFTER INTAKE. DURING THIS MEETING, THEY ARE INFORMED OF VARIOUS FEDERAL, STATE AND COMMUNITY-BASED PROGRAMS THAT MAY PROVIDE ASSISTANCE. UNINSURED OR SELF-PAY PATIENTS FROM OUTPATIENTS RECEIVE CONTACT FROM PATIENT REPRESENTATIVES BY PHONE OR EMAIL INFORMING THEM OF POTENTIAL SOURCES OF FINANCIAL ASSISTANCE. BOTH SETS OF PATIENTS ARE ALSO PROVIDED INFORMATION ON HOW TO MOVE FORWARD IN APPLYING FOR THE PROGRAMS. IF PATIENTS ARE FOUND TO BE STRUGGLING WITH MEDICAL EXPENSES, OUR CREDIT AND COLLECTIONS REPRESENTATIVES UTILIZE LETTERS AND PHONE CALLS TO INFORM THEM OF VARIOUS RESOURCES THAT MAY PROVIDE ASSISTANCE.FINANCIAL ASSISTANCE INFORMATION IS ALSO AVAILABLE TO THE PUBLIC AS A WHOLE. ALTRU'S WEBSITE, ALTRU.ORG, INCLUDES FINANCIAL ASSISTANCE CONTACT INFORMATION AND ELIGIBILITY GUIDELINES. PATIENTS MAY REVIEW THIS ON THEIR OWN AND CONTACT AGENCIES THAT MAY PROVIDE ASSISTANCE BASED ON THEIR CIRCUMSTANCES. ALSO, ALTRU DISTRIBUTES BROCHURES FEATURING OUR COMMUNITY CARE PROGRAM AND OTHER FEDERAL AND STATE PROGRAMS. THESE BROCHURES ARE AVAILABLE TO BOTH PATIENTS AND VISITORS IN WAITING ROOMS OF OUR INPATIENT AND OUTPATIENT FACILITIES AS WELL AS IN ALL BUSINESS OFFICE LOCATIONS.
PART VI, LINE 4:COMMUNITY INFORMATION:ALTRU HEALTH SYSTEM SERVES A 24-COUNTY AREA THAT IS DIVIDED INTO SEVEN DISTINCT SUB-SERVICE AREAS AND HAS A POPULATION OF APPROXIMATELY 229,000 PERSONS (SOURCE: OPTUM 2021 POPULATION AGE SEGMENTATION ANALYSIS, OPTUM HAD NOT UPDATED DATA FOR 2022 AT THE TIME OF RETURN PREPARATION) WHO RESIDE IN A DIVERSE AREA OF AGRICULTURE AND INDUSTRY. THE SERVICE AREA STRETCHES 265 MILES EAST AND WEST AND 120 MILES NORTH AND SOUTH. GRAND FORKS SITS IN THE CENTRAL SERVICE AREA IN THE MIDDLE OF THE RED RIVER VALLEY, ONE OF THE WORLD'S RICHEST AGRICULTURAL AREAS. PRINCIPAL CROPS INCLUDE SUGAR BEETS, POTATOES, EDIBLE BEANS, AND SMALL GRAINS SUCH AS WHEAT AND BARLEY. MUCH OF THE INDUSTRY IN THE AREA IS RELATED TO AGRICULTURE AND FOOD PROCESSING.THE CENTRAL SERVICE AREA, COMPRISED OF GRAND FORKS AND SURROUNDING COMMUNITIES WITHIN GRAND FORKS COUNTY, IS HOME TO APPROXIMATELY 73,327 PEOPLE (SOURCE: OPTUM 2021 POPULATION AGE SEGMENTATION ANALYSIS). LOCATED IN THIS SUB-SERVICE AREA ARE ALTRU HOSPITAL, ALTRU SPECIALTY CENTER, ALTRU REHABILITATION CENTER, ALTRU CANCER CENTER, AND 13 OTHER LOCATIONS THAT ARE HOME TO OUR PROVIDERS' CLINIC PRACTICES AND OTHER SERVICES OFFERED BY ALTRU. ALTRU HOSPITAL SERVES AS THE MAJOR REFERRAL CENTER FOR THE PEOPLE OF THE REGION. AS SUCH, IT PROVIDES A BROAD SPECTRUM OF PROGRAMS AND SERVICES. A FULL RANGE OF SERVICES ARE AVAILABLE FOR PATIENTS SUFFERING FROM CANCER, HEART DISEASE, END-STAGE RENAL DISEASE, NEUROLOGICAL DISORDERS, ALCOHOL OR CHEMICAL DEPENDENCY, HIGH RISK OBSTETRICAL COMPLICATIONS, AND PSYCHIATRIC DISORDERS. ALTRU HOSPITAL'S INPATIENT MARKET SHARE IN 2022 FOR OUR ENTIRE SERVICE AREA WAS 42 PERCENT BASED ON CLAIMS DATA. 70 PERCENT OF STAFF EMPLOYED BY ALTRU ARE MEDICAL STAFF WHICH IS DEFINED AS EMPLOYEES WHO WORK IN JOB FAMILY GROUPS OF: AMBULATORY SERVICES, HOSPITAL SERVICES, LAB, NURSING, NUTRITION, PATIENT SUPPORT SERVICES, PHARMACY, PROVIDERS, RADIOLOGY, SOCIAL WORK, AND THERAPY. ALSO LOCATED IN GRAND FORKS COUNTY IS NORTHWOOD COMMUNITY HEALTH CENTER (IN NORTHWOOD, ND). A COUPLE NOTABLE POPULATIONS ALTRU SERVES THAT ARE WITHIN OUR CENTRAL SERVICE AREA INCLUDE THE UNIVERSITY OF NORTH DAKOTA AND GRAND FORKS AIR FORCE BASE. THE UNIVERSITY OF NORTH DAKOTA IS THE STATE'S OLDEST INSTITUTION OF HIGHER LEARNING WITH AN ENROLLMENT OF 13,876 (FALL 2022). THE NUMBER OF RESIDENTS AT GRAND FORKS AIR FORCE BASE WAS COUNTED AT 2,002 (2020 CENSUS).THE EAST, NORTH, NORTHEAST, NORTHWEST, SOUTH AND WEST SERVICE AREAS INCLUDE 23 COUNTIES THAT HAVE A POPULATION OF 155,422 PEOPLE (SOURCE: OPTUM POPULATION AGE SEGMENTATION ANALYSIS); THIS AREA IS LARGELY RURAL AND AGRICULTURAL. WITHIN THIS AREA, ALTRU HAS ELEVEN REGIONAL CLINIC LOCATIONS. BEYOND THE CENTRAL SERVICE AREA, THERE ARE SEVERAL SMALL HOSPITALS LISTED BELOW. CAVALIER COUNTY MEMORIAL HOSPITAL: LANGDON, ND PEMBINA COUNTY HOSPITAL: CAVALIER, ND UNITY MEDICAL CENTER: GRAFTON, ND FIRST CARE HEALTH CENTER: PARK RIVER, ND NELSON COUNTY HEALTH SYSTEM: MCVILLE, ND KITTSON MEMORIAL HOSPITAL: HALLOCK, MN NORTH VALLEY HEALTH CENTER: WARREN, MN LAKEWOOD HEALTH CENTER: BAUDETTE, MN MERCY HOSPITAL: DEVILS LAKE, ND SANFORD-THIEF RIVER FALLS MEDICAL CENTER: THIEF RIVER FALLS, MN PRESENTATION MEDICAL CENTER: ROLLA, ND TOWNER COUNTY MEDICAL CENTER: CANDO, ND SANFORD MAYVILLE MEDICAL CENTER: MAYVILLE, ND LIFECARE MEDICAL CENTER: ROSEAU, MN QUENTIN N. BURDICK MEMORIAL HOSPITAL: BELCOURT, NDALTRU HEALTH SYSTEM EMPLOYS MANY PROVIDERS WITHIN THE SUB-SERVICE AREAS. ALL OF THESE PROVIDERS ARE ON MEDICAL STAFFS OF COMMUNITY HOSPITALS THROUGHOUT THE REGION AND REFER PATIENTS TO ALTRU HOSPITAL AND ELSEWHERE FOR SPECIALITY CARE.AS PREVIOUSLY MENTIONED, ALTRU'S 24-COUNTY SERVICE AREA HAS A POPULATION OF APPROXIMATELY 229,000. USING DATA FROM OPTUM (A VENDOR SPECIALIZING IN HEALTH CARE PLANNING INFORMATION), THE INSURANCE COVERAGE FOR COMMUNITIES IN OUR SERVICE AREA IS ESTIMATED TO BE AS FOLLOWS: COVERAGE AS A PERCENT COMMERCIAL 57% MEDICARE - TYPE OF POLICY 21%MEDICAID - TYPE OF POLICY 10%SELF-PAY 5%OTHER 7%TOTAL 100%ALSO, FROM OPTUM, OUR TOTAL SERVICE AREA'S INCOME BY HOUSEHOLD IS AS FOLLOWS:INCOME RANGE 2021 PERCENTAGES$ < $ 5,000 3% $ 5,000 - $ 9,999 4%$ 10,000 - $ 14,999 5%$ 15,000 - $ 19,999 4%$ 20,000 - $ 24,999 4%$ 25,000 - $ 29,999 5%$ 30,000 - $ 34,999 5%$ 35,000 - $ 39,999 4%$ 40,000 - $ 44,999 4%$ 45,000 - $ 49,999 4%$ 50,000 - $ 54,999 5%$ 55,000 - $ 59,999 5%$ 60,000 - $ 64,999 4%$ 65,000 - $ 69,999 3%$ 70,000 - $ 74,999 3%$ 75,000 - $ 79,999 3%$ 80,000 - $ 84,999 3%$ 85,000 - $ 89,999 3%$ 90,000 - $ 94,999 3%$ 95,000 - $ 99,999 2%$100,000 - $124,999 10%$125,000 - $149,999 6%$150,000 - $199,999 5%$ > $200,000 4%ACCORDING TO THE WEBSITE FOR HEALTH RESOURCES AND SERVICES ADMINISTRATION, THE FOLLOWING AREAS IN OUR SERVICE AREA ARE MUA'S:NORTH DAKOTA:BENSON COUNTY: WEST/NORTHWEST SERVICE AREACAVALIER COUNTY: NORTH SERVICE AREAGRAND FORKS COUNTY: CENTRAL SERVICE AREANELSON COUNTY: WEST SERVICE AREAPEMBINA COUNTY: NORTH SERVICE AREAROLETTE COUNTY: NORTHWEST SERVICE AREATOWNER COUNTY: WEST/NORTHWEST SERVICE AREATRAILL COUNTY: SOUTH SERVICE AREAWALSH COUNTY: NORTH SERVICE AREAMINNESOTA:KITTSON COUNTY: NORTHEAST SERVICE AREAMARSHALL COUNTY: NORTHEAST SERVICE AREAPOLK COUNTY: EAST SERVICE AREAROSEAU COUNTY: NORTHEAST SERVICE AREA
PART VI, LINE 5:ALL OF ALTRU'S RESOURCES ARE DEVOTED TO IMPROVING HEALTH IN THE COMMUNITIES WE SERVE. TO DO SO, WE KNOW THAT NOT ALL MEDICAL SERVICES WILL COME FROM STAFF EMPLOYED BY ALTRU HEALTH SYSTEM. ALTRU EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN OUR COMMUNITY FOR NEARLY ALL DEPARTMENTS. ALSO, OUR BOARD OF DIRECTORS IS MADE UP OF INDIVIDUALS FROM OUTSIDE ALTRU HEALTH SYSTEM. THESE PEOPLE ARE VOLUNTEERS WHO HAVE THE SAME DEDICATION AND FOCUS ON ALTRU'S MISSION AS OUR OWN STAFF.
PART VI, LINE 6:ALTRU HEALTH SYSTEM IS PART OF AN AFFILIATED HEALTH CARE SYSTEM. IN SEPTEMBER 2011, ALTRU HEALTH SYSTEM BECAME THE FIRST MEMBER OF THE MAYO CLINIC CARE NETWORK. THIS IS A NON-OWNERSHIP RELATIONSHIP THAT BENFITS THE ORGANIZATION'S PHYSICIANS AND PATIENTS FROM ENHANCED ACCESS TO MAYO PHYSICIANS AND CLINICAL RESOURCES. MORE SPECIFICALLY, PHYSICIANS HAVE ACCESS TO MAYO CLINIC'S EVIDENCE-BASED DISEASE MANAGEMENT PROTOCOLS, CLINIC CARE GUIDELINES, AND TREATMENT RECOMMENDATIONS AND REFERENCE MATERIALS FOR COMPLEX MEDICAL CONDITIONS.PART VI, LINE 7: ALTRU HEALTH SYSTEM IS NOT REQUIRED TO FILE OUR COMMUNITY BENEFIT REPORT WITH ANY OUTSIDE ORGANIZATIONS BUT HAS MADE OUR REPORT AVAILABLE TO ANYONE ON OUR WEB SITE.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
GREATER GRAND FORKS YOUNG PROFESSIONALS
202 NORTH 3RD STGRAND FORKSND58203320134204501(C)(6)$10,000$0GGFYP VISIONARY SPONSORSHIP
FIRSTLINK
4357 13TH AVE S STE 107LFARGOND58107450419491501(C)(3)$10,000$0FUNDING FOR CARE AND SUPPORT PROGRAM PARTNERSHIP
DAKOTA MEDICAL FOUNDATION
4141 28TH AVE SFARGOND58104456012318501(C)(3)$12,500$0RECOVERY REINVENTED SAKAKAWEA SPONSORSHIP
UNITED WAY - GF EGF
1407 24TH AVE S STE 400GRAND FORKSND58201450255772501(C)(3)$20,600$02022 SUPPORT
CHAMBER OF GRAND FORKS EAST GRAND FORKS
202 N 3RD STGRAND FORKSND58203202924979501(C)(6)$25,770$02022 SUPPORT
LAKE REGION AMBULANCE SERVICE
5TH ST SEDEVILS LAKEND58301450283168501(C)(3)$31,387$0PURCHASE OF AN ALL TERRAIN AMBULANCE
CITY OF EAST GRAND FORKS
600 DEMERS AVE NWEAST GRAND FORKSMN56721416005112EAST GRAND FORKS, MN$45,000$0WELLNESS PROGRAM
CITY OF GRAND FORKS
255 N 4TH STGRAND FORKSND58203456002085GRAND FORKS, ND$87,335$0SOCIAL DETOX FACILITY, BACK THE BADGE, PSAP
GRAND FORKS PUBLIC SCHOOLS
2400 47TH AVE SGRAND FORKSND58201456000607GRAND FORKS, ND$225,000$0GENERAL SUPPORT AND SUPPORT REPLACEMENT, MAINTENANCE ADN REPAIR OF THE TRACK/TURF AT CUSMAN FIELD ATHLETIC COMPLEX
FieldValueIRS element (for citing)
Total501c3 Org7Total501c3OrgCnt
Total Other Org2TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE MAJORITY OF GRANTS AND OTHER ASSISTANCE PROVIDED BY ALTRU ARE TO SUPPORT GENERAL OPERATIONS OF THE RECIPIENT. MAJORITY OF RECIPIENTS ARE INVOLVED IN BETTERING THE COMMUNITY AND REGION WHICH ALIGNS WITH ALTRU'S MISSION. FOR MULTIYEAR GIFTS AND SPONSORSHIPS, ALTRU REQUIRES SIGNATURE OF A FORMAL DONATION AGREEMENT OR MEMORIUM OF UNDERSTANDING THAT LISTS THE TERMS OF THE GIFT. SINCE MOST GIFTS ARE GENERAL SUPPORT, THERE IS NO FORMAL TRACKING FUNDS ARE USED FOR SPECIFIC PURPOSE; HOWEVER, ALTRU IS ACTIVELY INVOLVED IN THE COMMUNITY AND EVALUATES SPONSORSHIP RELATIONSHIPS . RECIPIENTS ARE REQUESTED TO SEND ALTRU INVOICE FOR ANNUAL GIFT INSTALLMENT AS SET OUT IN DONATION AGREEMENT. APPROVAL PROCESS FOR INVOICE BUILT INTO ACCOUNTING SYSTEM BEFORE PAYMENTS ARE MADE WHICH SERVES TO MONITOR REQUESTS FOR FUNDS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (33 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MEVAN WIJETUNGA
MEDICAL DIRECTOR$1,495,028$0$0$0$37,750$0$15,250$0$29,548$0$1,577,576$0$0$0
JOHN EICKMAN
PHYSICIAN$1,489,214$0$0$0$21,040$0$15,250$0$3,223$0$1,528,727$0$0$0
GRANT SEEGER
PHYSICIAN$1,403,808$0$0$0$21,040$0$19,250$0$36,708$0$1,480,806$0$0$0
IKECHUKWU ONYEKA
PHYSICIAN$1,377,642$0$0$0$29,322$0$19,250$0$37,708$0$1,463,922$0$0$0
BARRY BJORGAARD
PHYSICIAN$1,237,592$0$0$0$51,057$0$19,250$0$31,874$0$1,339,773$0$0$0
JANICE HAMSCHER
CHIEF NURSING OFFICER$563,306$0$121,051$0$588,224$0$15,250$0$20,459$0$1,308,290$0$121,051$0
STEVEN WEISER MD
BOARD MEMBER/PRESIDENT (THROUGH FEB$81,439$0$210,524$0$966,906$0$19,250$0$6,105$0$1,284,224$0$210,524$0
JASON GO
PHYSICIAN$1,162,770$0$0$0$21,310$0$19,250$0$36,708$0$1,240,038$0$0$0
JODY TREUER MD
BOARD MEMBER/PHYSICIAN$1,026,383$0$0$0$49,822$0$19,250$0$29,248$0$1,124,703$0$0$0
JEREMY GARDNER
MEDICAL DIRECTOR$929,998$0$40,392$0$21,310$0$43,118$0$36,467$0$1,071,285$0$40,392$0
SUNIL KARTHAM
MEDICAL DIRECTOR$793,065$0$32,080$0$41,232$0$37,970$0$36,708$0$941,055$0$32,080$0
JOSHUA DEERE
BOARD MEMBER/PRESIDENT$546,287$0$38,600$0$41,540$0$186,390$0$29,247$0$842,064$0$38,600$0
REED REYMAN
EVP - REGIONAL DEVELOPMENT$342,053$0$79,196$0$382,959$0$15,250$0$20,675$0$840,133$0$79,196$0
TODD FORKEL
BOARD MEMBER/CEO$570,210$0$0$0$6,815$0$194,668$0$26,601$0$798,294$0$0$0
JONATHAN HAUG
MEDICAL DIRECTOR$615,520$0$55,138$0$21,310$0$52,525$0$36,708$0$781,201$0$55,138$0
MEGHAN COMPTON
CHIEF CLINIC OPERATIONS OFFICER$411,196$0$102,759$0$41,417$0$138,324$0$36,402$0$730,098$0$102,759$0
KELLEE FISK
FORMER KEY EMPLOYEE$0$0$121,802$0$529,876$0$7,492$0$1,577$0$660,747$0$623,995$0
MARK WAIND
CHIEF INFORMATION OFFICER$430,355$0$101,252$0$50,398$0$19,600$0$29,165$0$630,770$0$101,252$0
YVONNE GOMEZ
MEDICAL DIRECTOR$446,428$0$47,363$0$30,303$0$52,181$0$3,426$0$579,701$0$47,363$0
DOUGLAS ARVIN
CFO/TREASURER$411,569$0$107,774$0$30,202$0$15,250$0$13,126$0$577,921$0$107,774$0
WILLIAM MCKINNON MD
BOARD MEMBER/PHYSICIAN$301,955$0$71,779$0$49,356$0$60,778$0$23,249$0$507,117$0$71,779$0
KRISTI HALL-JIRAN
CHIEF PHILANTHROPY OFFICER$245,394$0$64,412$0$48,655$0$84,372$0$4,532$0$447,365$0$64,412$0
ALEXSANDAR TODOROVIC
DIRECTOR INFO SYSTEMS APPLICATIONS$205,924$0$37,763$0$21,787$0$34,578$0$16,679$0$316,731$0$37,763$0
JOEL LARSON
DIRECTOR LEGAL & PRIVACY/GENERAL COU$194,293$0$34,919$0$15,732$0$31,779$0$35,690$0$312,413$0$34,919$0
ERIN NAVARRO
DIRECTOR PHARMACY SVCS$193,767$0$32,772$0$15,227$0$32,972$0$30,092$0$304,830$0$32,772$0
MARLENE MILLER
DIRECTOR PEOPLE RESOURCES$178,006$0$31,793$0$27,458$0$29,083$0$25,682$0$292,022$0$31,793$0
MATTHEW SCHUMACHER
DIRECTOR TECH & SUPPORT SVCS$186,591$0$32,696$0$14,925$0$31,914$0$24,873$0$290,999$0$32,196$0
HEATHER STRANDELL
SENIOR DIRECTOR CLINIC OPERATIONS$200,389$0$31,539$0$15,424$0$33,716$0$4,862$0$285,930$0$31,539$0
STAN SALWEI
DIRECTOR REV CYCLE/PRIMARY CARE SVCS$157,497$0$30,116$0$27,732$0$26,632$0$20,835$0$262,812$0$30,116$0
DAVID MOLMEN
BOARD MEMBER/CEO (INTERIM THROUGH FE$45,942$0$172,077$0$17,689$0$12,960$0$4,847$0$253,515$0$172,077$0
KARI JENSEN
DIRECTOR QUALITY & SAFETY$154,151$0$27,767$0$12,402$0$28,559$0$30,472$0$253,351$0$0$0
JENNIFER ESTAD
SENIOR DIRECTOR CLINIC OPERATIONS$155,565$0$25,986$0$19,864$0$28,200$0$3,759$0$233,374$0$0$0
JENNIFER BERG
DIRECTOR TOTAL REWARDS$139,210$0$26,499$0$11,673$0$22,459$0$24,392$0$224,233$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINES 4A-BFormAndLineReferenceDesc
ExplanationKELLEE FISK, $502,193, SEVERANCE STEVEN WEISER, $939,699, SEVERANCE JANICE HAMSCHER, $541,473, SEVERANCE REED REYMAN, $345,736, SEVERANCE TODD FORKEL, $72,830, 457(F) CONTRIBUTION JOSHUA DEERE, $63,773, 457(F) CONTRIBUTION KRISTI HALL-JIRAN, $24,197, 457(F) CONTRIBUTION MEGHAN COMPTON, $47,609, 457(F) CONTRIBUTION DAVID MOLMEN, $58,133, 457(F) DISTRIBUTION JANICE HAMSCHER, $131,978, 457(F) DISTRIBUTION KELLEE FISK, $59, 457(F) DISTRIBUTION MARK WAIND, $75,229, 457(F) DISTRIBUTION REED REYMAN, $58,073, 457(F) DISTRIBUTIONExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
CITY OF GRAND FORKS
A45600208538546WCR92017-07-12$65,233,846REFUND BONDS ISSUED IN 2005; FINANCE FACILITIES, INFRASTRUCTURE, EQUIPMENT000
CITY OF GRAND FORKS
B4560020850000000002017-09-06$21,720,835REFUND BONDS ISSUED IN 2007000
CITY OF GRAND FORKS
C4560020850000000002019-08-01$13,520,000REFUND BONDS ISSUED IN 2011 AND 1996000
CITY OF GRAND FORKS
D45600208538546WDR82021-09-28$456,996,976REFUND BONDS ISSUED IN 2012 & 2020; FINANCE CONSTRUCTION OF HOSPITAL & EQUIP000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCredit EnhancementCreditEnhancementAmtUnspentUnspentAmt
A$5,745,000$65,861,298$286,267$19,519$708,166$40,209,015$24,924,9582018Yes (1)00Yes (1)
B$15,388,563$21,775,310$82,4472017Yes (1)0Yes (1)Yes (1)
C$8,027,779$13,520,000$13,520,0002019Yes (1)0Yes (1)Yes (1)
D$456,996,976$18,820,174$2,700,766$3,008,634$93,005,960$150,841,735Yes (1)00Yes (1)$2,756,830$174,719,715

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdIndPrivate Bus Use By OthersPrivateBusUseByOthersPctTotal Private Business UseTotalPrivateBusinessUsePct
A000000Yes (1)
B000000Yes (1)
C000000Yes (1)
D0Yes (1)0000Yes (1)0.029900.02990

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)00000
B00Yes (1)000000
C0Yes (1)0000000
D0Yes (1)0000000

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
A0
B0
C0
D0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMEDISSUER NAME: CITY OF GRAND FORKS DATE THE REBATE COMPUTATION WAS PERFORMED: 12/23/2021
SCHEDULE K, PART II, PROCEEDS, LINE 3:(A) TOTAL PROCEEDS OF ISSUE CONSIST OF SALES PROCEEDS OF $65,233,846 PLUS $627,452.32 OF INVESTMENT PROCEEDS. (B) TOTAL PROCEEDS OF ISSUE CONSIST OF SALES PROCEEDS OF $21,720,835 PLUS $54,475.04 OF INVESTMENT PROCEEDS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2BOARD MEMBER, ERIC HALVERSON'S FATHER IS MARRIED TO KEY EMPLOYEE, YVONNE GOMEZ.
FORM 990, PART VI, SECTION B, LINE 11BAN ELECTRONIC COPY OF THE RETURN WAS SENT TO THE BOARD MEMBERS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CCONFLICT OF INTEREST POLICY IS REVIEWED AND SIGNED OFF ANNUALLY BY ALL OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES. THESE FORMS ARE COLLECTED AND REVIEWED BY THE SECRETARY AND INTERNAL LEGAL COUNSEL. OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES ARE ALSO ADVISED TO REPORT SHOULD ANY CHANGES HAPPEN DURING THE YEAR.
FORM 990, PART VI, SECTION B, LINE 15LINE 15A: ALTRU DETERMINES THE TOP MANAGEMENT OFFICIALS' COMPENSATION BY REVIEW AND APPROVAL BY A GOVERNING BODY WITHOUT CONFLICTS OF INTEREST, USING COMPARABLE COMPENSATION DATA FOR FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS (WITH RELEVANT COMPARABLES DOCUMENTED IN AN ANNUAL STATEMENT OF REASONABLENESS LETTER FROM ALTRU'S COMPENSATION CONSULTANT), AND MADE CONTEMPORANEOUS DOCUMENTATION OF THE DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENTS. ALTRU HAS A COMPENSATION COMMITTEE MADE UP OF COMMUNITY BOARD MEMBERS ALONG WITH THE PRESIDENT AND CEO. WE ALSO WORK WITH AN OUTSIDE CONSULTANT WHICH PROVIDES US WITH DATA ON FAIR MARKET COMPENSATION FOR THE ENTIRE EXECUTIVE STAFF. FOR DETERMINING THE COMPENSATION OF THE PRESIDENT AND CEO, THE COMMUNITY BOARD MEMBERS OBTAIN THE DATA FROM THE CONSULTANT, HAVE AN OPPORTUNITY TO DISCUSS WITH THE CONSULTANT AND HAVE ANY QUESTIONS ANSWERED AND THEN THEIR DECISION IS SHARED WITH THE NON-CONFLICTED BOARD MEMBERS FOR FINAL APPROVAL. THIS PROCESS WAS USED TO DETERMINE THE COMPENSATION FOR BOTH POSITIONS OF PRESIDENT AND CEO IN 2022. LINE 15B: ALTRU USES SIMILAR CRITERIA TO THE PROCESS DESCRIBED IN 15(A) ABOVE. THE PRESIDENT AND CEO DETERMINE THE SALARIES FOR EACH OF THE EXECUTIVES THAT REPORT TO THEM. ALTRU USES AN OUTSIDE COMPENSATION CONSULTANT WHICH PROVIDES DATA ON FAIR MARKET COMPENSATION FOR FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. THE PRESIDENT AND CEO PRESENT THEIR DECISIONS ON THE EXECUTIVE COMPENSATION TO THE BOARD, WHICH IS A GOVERNING BODY WITHOUT CONFLICTS OF INTEREST AS TO THE SUBJECT MATTER. THE BOARD DOES NOT RATIFY THE BASE COMPENSATION FOR THE EXECUTIVES THAT REPORT TO THE PRESIDENT AND CEO (THE PRESIDENT AND CEO HAVE FINAL SAY IN SETTING BASE COMPENSATION FOR THEIR EXECUTIVE TEAM BASED ON THE COMPENSATION DATA REFERENCED ABOVE), BUT THE BOARD DOES DETERMINE THE ANNUAL GOALS FOR THE ALTRU SYSTEM THAT ARE USED TO DETERMINE (BY FORMULA) POTENTIAL BONUS PAYOUTS FOR THE EXECUTIVE TEAM. THE PROCESS DESCRIBED ABOVE WAS FOLLOWED FOR ALL EXECUTIVES IN 2022.
FORM 990, PART VI, SECTION C, LINE 18THE ORGANIZATIONS 990 AND 990-T PUBLIC INSPECTION COPIES ARE AVAILABLE UPON REQUEST. FORM 1023 IS AVAILABLE UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC THROUGH PUBLISHED ANNUAL REPORTS. GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:APPLICATION OF FASB TOPIC 715 408,305.
990, PAGE 1, HEADING ITEM CALTRU 1300 COLUMBIA, ALTRU CANCER CENTER, ALTRU FAMILY MEDICINE CENTER, ALTRU FAMILY MEDICINE RESIDENCY, TRUYU AESTHETIC CENTER, ALTRU CLINIC-LAKE REGION, ALTRU CLINIC-CAVALIER, ALTRU CLINIC-DRAYTON, ALTRU CLINIC-CROOKSTON, ALTRU CLINIC-RED LAKE FALLS, ALTRU CLINIC-FERTILE, ALTRU CLINIC-ERSKINE, ALTRU CLINIC-ROSEAU, ALTRU CLINIC-WARROAD, ALTRU CLINIC-GREENBUSH, ALTRU CLINIC-KARLSTAD

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
ALTRU HEALTH FOUNDATION
2501 DEMERS AVEGRAND FORKSND58201450368330FUNDRAISINGND501(C)(3)LINE 12B, IIALTRU HEALTH SYSTEMYes (1)
DAK-MINN BLOOD BANK
1200 S COLUMBIA RDGRAND FORKSND58201363453164BLOOD BANKND501(C)(3)LINE 12D, III-O0N/A
ALTRU ALLIANCE
1200 S COLUMBIA RDGRAND FORKSND58201237389089SUPPORT HOSPITAL AND AFFILIATESND501(C)(3)LINE 12C, III-FI0N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1ALTRU SPECIALTY SERVICES INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11200 S COLUMBIA RDAddressLine1Txt
CityGRAND FORKSCityNm
State AbbreviationNDStateAbbreviationCd
ZIP58201ZIPCd
FieldValueIRS element (for citing)
EIN450395652EIN
Primary ActivitiesDME SALES, RETAIL PHARMACYPrimaryActivitiesTxt
Legal Domicile StateNDLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1ALTRU HEALTH SYSTEMBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Share Of Total Income$13,727,648ShareOfTotalIncomeAmt
Share Of EOY Assets$41,468,218ShareOfEOYAssetsAmt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ALTRU HEALTH FOUNDATION
C$1,351,371CASH DONATED
ALTRU HEALTH FOUNDATION
O$170,074COMPENSATION TO RELATED ORG
ALTRU SPECIALTY SERVICES
A$125,911RENT PAYMENT RECEIVED
ALTRU HEALTH FOUNDATION
B$104,643CASH DONATED