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ALTRU HEALTH FOUNDATION: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
ALTRU HEALTH FOUNDATION (EIN 45-0368330)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-14
IRS object ID
202233189349311858
Schema version
2021v4.2
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)
Return2022-11-14T14:06:13-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

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 Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN450368330EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ALTRU HEALTH FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlALTRBusinessNameControlTxt
Phone7017805600PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12501 DEMERS AVEAddressLine1Txt
CityGRAND FORKSCityNm
State AbbreviationNDStateAbbreviationCd
ZIP58201ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKRISTI HALL-JIRANPersonNm
Person TitleCHIEF PHILANTHROPY OFFICERPersonTitleTxt
Phone7017805600PhoneNum
Signature2022-11-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstKRISTIPersonFirstNm
Person LastHALL-JIRANPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonNICOLE HELDSTABPreparerPersonNm
PTINP01220683PTIN
Phone7017754685PhoneNum
Preparation2022-11-11PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKRISTI HALL-JIRANPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12501 DEMERS AVEAddressLine1Txt
CityGRAND FORKSCityNm
State AbbreviationNDStateAbbreviationCd
ZIP58201ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$12,847,334GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ALTRU.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1982FormationYr
Legal Domicile StateNDLegalDomicileStateCd
Activity Or MissionALTRU HEALTH FOUNDATION'S MISSION IS TO SUPPORT ALTRU HEALTH SYSTEM IN FULFILLING ITS MISSION OF ACHIEVING OPTIMUM HEALTH FOR ALL RESIDENTS RESIDING IN OUR REGION THROUGH FUNDING OF TECHNOLOGY, FACILITIES, MEDICAL EDUCATION, AND HEALTHCARE FOR THOSE IN NEED. THIS FULFILLS ALTRU HEALTH SYSTEM'S OVERALL MISSION OF IMPROVING HEALTH, ENRICHING LIFE.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee6TotalEmployeeCnt
Total Volunteers39TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,924,605PYContributionsGrantsAmt
CY Contributions Grants$2,636,432CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$665,296PYInvestmentIncomeAmt
CY Investment Income$2,409,589CYInvestmentIncomeAmt
PY Other Revenue$8,831PYOtherRevenueAmt
CY Other Revenue-$23,679CYOtherRevenueAmt
PY Total Revenue$2,598,732PYTotalRevenueAmt
CY Total Revenue$5,022,342CYTotalRevenueAmt
PY Grants And Similar Paid$1,839,302PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,773,407CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$435,586PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$508,096CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$60,000PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$201,567CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$687,031CYTotalFundraisingExpenseAmt
PY Other Expenses$158,269PYOtherExpensesAmt
CY Other Expenses$298,175CYOtherExpensesAmt
PY Total Expenses$2,493,157PYTotalExpensesAmt
CY Total Expenses$2,781,245CYTotalExpensesAmt
PY Revenues Less Expenses$105,575PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,241,097CYRevenuesLessExpensesAmt
Total Assets BOY$16,766,439TotalAssetsBOYAmt
Total Assets EOY$17,808,212TotalAssetsEOYAmt
Total Liabilities BOY$68,299TotalLiabilitiesBOYAmt
Total Liabilities EOY$93,189TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$16,698,140NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$17,715,023NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionIMPROVING HEALTH, ENRICHING LIFEWHY WE SERVE: TO SUPPORT ALTRU HEALTH SYSTEM IN FULFILLING ITS MISSION OF ACHIEVING OPTIMUM HEALTH FOR ALL RESIDENTS IN OUR REGION THROUGH THE FUNDING OF TECHNOLOGY, FACILITIES, MEDICAL EDUCATION AND HEALTH CARE FOR THOSE IN NEED. THIS FULFILLS ALTRU HEALTH SYSTEM'S OVERALL MISSION OF IMPROVING HEALTH, ENRICHING LIFE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,716,599ExpenseAmt
Grant$1,610,875GrantAmt
DescTHE PRIMARY PURPOSE OF ALTRU HEALTH FOUNDATION IS TO RAISE FUNDS FOR ALTRU HEALTH SYSTEM. TOTAL GRANTS AND DISBURSEMENTS TO ALTRU HEALTH SYSTEM AND AFFILIATES TOTALS $1,610,875 TO SUPPORT PATIENT NEEDS, PATIENT ASSISTANCE PROGRAMMING, CAPITAL EQUIPMENT NEEDS, PRESCRIPTION ASSISTANCE, AND SEVERAL DEPARTMENTS' PROGRAM AND GENERAL NEEDS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$142,980ExpenseAmt
Grant$162,533GrantAmt
DescGRANTS TO NON-ALTRU NONPROFIT ENTITIES TO FURTHER THEIR MISSIONS AND CONTINUE THEIR SERVICES TO THE REGION. GRANTS AND SCHOLARSHIPS TO INDIVIDUALS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$1,859,579TotalProgramServiceExpensesAmt
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 EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
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 Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional FundraisingYes (1)ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
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 ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document4IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee6EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
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 Members14GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
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 CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
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)
Phone7017805600PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12501 DEMERS AVEAddressLine1Txt
CityGRAND FORKSCityNm
State AbbreviationNDStateAbbreviationCd
ZIP58201ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
KRISTI HALL-JIRAN
DIRECTOR & CHIEF PHILANTHROPY OFFICER20.0020.00Yes (X)Yes (X)$0$333,908$76,491
SKIP GREENBERG
SECRETARY/TREASURER1.00Yes (X)Yes (X)$0$0$0
KAREN THINGELSTAD
HONORARY CHAIR1.00Yes (X)Yes (X)$0$0$0
KEITH LUND
CHAIR1.00Yes (X)Yes (X)$0$0$0
JENNY AREL
VICE CHAIR1.00Yes (X)Yes (X)$0$0$0
DAN MULROY
DIRECTOR1.00Yes (X)$0$0$0
DAVID ZAVORAL
DIRECTOR1.00Yes (X)$0$0$0
KATHRYN KESTER
DIRECTOR1.00Yes (X)$0$0$0
KRISTI MAGNUSON NELSON
DIRECTOR1.00Yes (X)$0$0$0
SADIE GARDNER
DIRECTOR1.00Yes (X)$0$0$0
KAMRIN MACKI
DIRECTOR1.0040.00Yes (X)$0$157,877$11,738
MATT WALKOWIAK
DIRECTOR1.00Yes (X)$0$0$0
DAVE MOLMEN
DIRECTOR (INTERIM CEO AHS)1.0040.00Yes (X)Yes (X)$0$528,397$217,698
STEVEN WEISER
DIRECTOR (PRESIDENT AHS)1.0040.00Yes (X)Yes (X)$0$800,037$260,751
DOUGLAS ARVIN
CFO/TREASURER1.0040.00Yes (X)$0$425,996$126,873
BRITTANY CAILLIER
DIRECTOR OF PHILANTHROPY40.00$126,909$0$46,628Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$126,909TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,246,215TotReportableCompRltdOrgAmt
Total Other Compensation$740,179TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

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

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1527 MADISON AVENUE 5TH FLOORAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10022ZIPCd
FieldValueIRS element (for citing)
ServicesPROFESSIONAL FUNDRAISERServicesDesc
Compensation$201,587CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Fundraising$395,826FundraisingAmt
Related Organizations$134,214RelatedOrganizationsAmt
Government Grants$490,441GovernmentGrantsAmt
All Other Contributions$1,615,951AllOtherContributionsAmt
Noncash Contributions$49,035NoncashContributionsAmt
Total Contributions$2,636,432TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$274,861TotalRevenueColumnAmt
Exclusion$274,861ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$9,854,536SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$7,719,808SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$2,134,728SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,134,728TotalRevenueColumnAmt
Exclusion$2,134,728ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$81,505FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$395,826ContriRptFundraisingEventAmt
Fundraising Direct Expenses$105,184FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$23,679TotalRevenueColumnAmt
Exclusion-$23,679ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,022,342TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,385,910ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,738,407TotalAmt
Program Services$1,738,407ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$35,000TotalAmt
Program Services$35,000ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$405,663TotalAmt
Management And General$135,221ManagementAndGeneralAmt
Fundraising$270,442FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$11,933TotalAmt
Management And General$3,978ManagementAndGeneralAmt
Fundraising$7,955FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$63,795TotalAmt
Management And General$21,265ManagementAndGeneralAmt
Fundraising$42,530FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$26,705TotalAmt
Management And General$8,902ManagementAndGeneralAmt
Fundraising$17,803FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$5,500TotalAmt
Management And General$5,500ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$201,567TotalAmt
Fundraising$201,567FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$22,656TotalAmt
Management And General$12,567ManagementAndGeneralAmt
Fundraising$10,089FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$69TotalAmt
Fundraising$69FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$10,385TotalAmt
Fundraising$10,385FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
PURCHASED SERVICES$180,308$86,172$24,509$69,627
PUBLIC RELATIONS$56,564$56,564
FEES$21,305$21,305
MISCELLANEOUS$1,388$1,388

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,781,245TotalAmt
Program Services$1,859,579ProgramServicesAmt
Management And General$234,635ManagementAndGeneralAmt
Fundraising$687,031FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$241,948BOYAmt
EOY$151,773EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$189,711BOYAmt
EOY$718,449EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$360BOYAmt
EOY$450EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$105,393LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$96,997LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$18,781BOYAmt
EOY$8,396EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$15,149,388BOYAmt
EOY$16,107,462EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,166,251BOYAmt
EOY$821,682EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$16,766,439BOYAmt
EOY$17,808,212EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$26,899BOYAmt
EOY$58,816EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$41,400BOYAmt
EOY$34,373EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$68,299BOYAmt
EOY$93,189EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,678,071BOYAmt
EOY$2,765,237EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$14,020,069BOYAmt
EOY$14,949,786EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$16,698,140BOYAmt
EOY$17,715,023EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$16,766,439BOYAmt
EOY$17,808,212EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$2,241,097ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$1,154,620NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$69,594OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
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)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1ALTRU HEALTH SYSTEMBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN450310462EIN
Organization Type3OrganizationTypeCd
Governing Document ListedYes (1)GoverningDocumentListedInd
Support$1,608,942SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$1,608,942SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing Doc0ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported OrgYes (1)SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstYes (1)PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt OrgYes (1)OperateBenefitNonSuprtOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, SECTION A, LINE 1:ALTRU HEALTH FOUNDATION IS A TYPE 1 SUPPORTING ORGANIZATION THAT SUPPORTS ALTRU HEALTH SYSTEM IN FULFILLING ITS MISSION OF ACHIEVING OPTIMUM HEALTH FOR ALL RESIDENTS IN THE REGION THROUGH THE FUNDING OF TECHNOLOGY, FACILITIES, MEDICAL EDUCATION AND HEALTH CARE FOR THOSE IN NEED. ALTRU HEALTH STYSTEM IS SPECIFIED IN THE FOUNDATION'S GOVERNING DOCUMENTS AND OTHER ORGANIZATIONS ARE DESIGNATED BY CLASS OR PURPOSE AS CLOSELY RELATED IN PURPOSE OR FUNCTION TO THE SUPPORTED ORGANIZATION.
PART IV, SECTION A, LINE 6:ALTRU HEALTH FOUNDATION PROVIDED GRANTS TO INDIVIDUALS FOR SCHOLARSHIPS IN THE AMOUNT OF $35,000 RELATED TO THE PROMOTION OF HEALTHCARE AND THE BENEFIT OF THE SUPPORTED ORGANIZATION.
PART IV, SECTION B, LINE 2:THE FOUNDATION PROVIDED BENEFITS TO PERMISSIBLE BENEFICIARIES THAT FULFILLED THE MISSION OF ALTRU HEALTH SYSTEM TO ACHIEVE OPTIMUM HEALTH FOR ALL RESIDENTS IN THE REGION THROUGH THE FUNDING OF TECHNOLOGY, FACILITIES, MEDICAL EDUCATION AND HEALTH CARE FOR THOSE IN NEED.

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

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,486,477BeginningYearBalanceAmt
Contributions$67,200ContributionsAmt
Investment Earnings Or Losses$309,176InvestmentEarningsOrLossesAmt
Other Expenditures$89,900OtherExpendituresAmt
End Year Balance$5,772,953EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,012,831BeginningYearBalanceAmt
Contributions$80,855ContributionsAmt
Investment Earnings Or Losses$459,980InvestmentEarningsOrLossesAmt
Other Expenditures$67,189OtherExpendituresAmt
End Year Balance$5,486,477EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,383,072BeginningYearBalanceAmt
Contributions$99,863ContributionsAmt
Investment Earnings Or Losses$569,326InvestmentEarningsOrLossesAmt
Other Expenditures$39,430OtherExpendituresAmt
End Year Balance$5,012,831EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,518,153BeginningYearBalanceAmt
Contributions$195,986ContributionsAmt
Investment Earnings Or Losses-$241,360InvestmentEarningsOrLossesAmt
Other Expenditures$89,707OtherExpendituresAmt
End Year Balance$4,383,072EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,990,343BeginningYearBalanceAmt
Contributions$199,413ContributionsAmt
Investment Earnings Or Losses$392,769InvestmentEarningsOrLossesAmt
Other Expenditures$64,372OtherExpendituresAmt
End Year Balance$4,518,153EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.67668PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.32332TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$105,393OtherCostOrOtherBasisAmt
Depreciation$96,997DepreciationAmt
Book Value$8,396BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$8,396TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
DUE TO AFFILIATES$2,707
AMOUNTS HELD FOR OTHERS$14,097
CHARITABLE GIFT ANNUITIES$17,569
FieldValueIRS element (for citing)
Total Liability$34,373TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:THE ORGANIZATION INTENDS TO USE THE ENDOWMENT FUNDS FOR PATIENT HEALTH CARE, PATIENT SUPPORT PROGRAMS, FINANCIAL ASSISTANCE, EDUCATIONAL PROGRAMS AND GENERAL USE.
PART X, LINE 2: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 THE INTERNAL REVENUE SERVICE GENERALLY FOR THREE YEARS AFTER THEY WERE FILED; ALL FILINGS ARE CURRENT.

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsYes (X)MailSolicitationsInd
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$780,600GrossReceiptsAmt
Retained By Contractor$201,587RetainedByContractorAmt
Net To Organization$579,013NetToOrganizationAmt
FieldValueIRS element (for citing)
Total Gross Receipts$780,600TotalGrossReceiptsAmt
Total Retained By Contractors$201,587TotalRetainedByContractorsAmt
Total Net To Organization$579,013TotalNetToOrganizationAmt
Licensed StatesNDLicensedStatesCd
Licensed StatesMNLicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GOLF TOURNAMENTEvent1Nm
Gross Receipts Event1$129,251GrossReceiptsEvent1Amt
Charitable Contri Event1$112,251CharitableContriEvent1Amt
Gross Revenue Event1$17,000GrossRevenueEvent1Amt
Cash Prizes Event1$2,270CashPrizesEvent1Amt
Rent Facility Costs Event1$11,816RentFacilityCostsEvent1Amt
Food And Beverage Event1$6,744FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$4,344OtherDirectExpensesEvent1Amt
Event2GALAEvent2Nm
Gross Receipts Event2$348,080GrossReceiptsEvent2Amt
Charitable Contri Event2$283,575CharitableContriEvent2Amt
Gross Revenue Event2$64,505GrossRevenueEvent2Amt
Cash Prizes Event2$1,425CashPrizesEvent2Amt
Rent Facility Costs Event2$5,000RentFacilityCostsEvent2Amt
Food And Beverage Event2$31,850FoodAndBeverageEvent2Amt
Entertainment Event2$5,990EntertainmentEvent2Amt
Other Direct Expenses Event2$35,745OtherDirectExpensesEvent2Amt
Gross Receipts Total$477,331GrossReceiptsTotalAmt
Charitable Contributions Tot$395,826CharitableContributionsTotAmt
Gross Revenue Total Events$81,505GrossRevenueTotalEventsAmt
Cash Prizes Total Events$3,695CashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$16,816RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$38,594FoodAndBeverageTotalEventsAmt
Entertainment Total Events$5,990EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$40,089OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$105,184DirectExpenseSummaryEventsAmt
Net Income Summary-$23,679NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
ALTRU HEALTH SYSTEM
1200 S COLUMBIA RDGRAND FORKSND58201450310462501(C)(3)$1,608,942$0FACILITY ENHANCEMENTS, PROGRAM SUPPORT, EDUCATIONAL SUPPORT, PATIENT NEEDS, EMPLOYEE SUPPORT, EQUIPMENT NEEDS OF MEDICAL DEPARTMENTS, GENERAL PROGRAM NEEDS.
THIRD STREET CLINIC
360 DIVISION AVEGRAND FORKSND58201450433253501(C)(3)$75,000$0GENERAL SUPPORT
HOSPICE OF THE RED RIVER VALLEY
1701 38TH ST S STE 101FARGOND58103450349152501(C)(3)$36,980$0GENERAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org3Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeSCHOLARSHIPSGrantTypeTxt
Recipient43RecipientCnt
Cash Grant$35,000CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationUSE OF GRANT FUNDS ARE MONITORED BECAUSE FUNDS ARE PAID TO RELATED ENTITIES FOR REIMBURSEMENT OF EXPENSES INCURRED.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 Payment0SeverancePaymentInd
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 (6 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
STEVEN WEISER
DIRECTOR (PRESIDENT AHS)$0$560,304$0$148,499$0$91,234$0$228,191$0$35,711$0$1,063,939$0$148,499
DAVE MOLMEN
DIRECTOR (INTERIM CEO AHS)$0$435,093$0$28,868$0$64,436$0$189,743$0$30,539$0$748,679$0$28,863
DOUGLAS ARVIN
CFO/TREASURER$0$404,232$0$3,213$0$18,551$0$117,440$0$12,517$0$555,953$0$0
KRISTI HALL-JIRAN
DIRECTOR & CHIEF PHILANTHROPY OFFICE$0$211,956$0$50,532$0$71,420$0$74,078$0$5,047$0$413,033$0$50,532
BRITTANY CAILLIER
DIRECTOR OF PHILANTHROPY$125,303$0$0$0$1,606$0$25,930$0$22,231$0$175,070$0$0$0
KAMRIN MACKI
DIRECTOR$0$141,748$0$0$0$16,129$0$8,478$0$4,919$0$171,274$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 4BFormAndLineReferenceDesc
ExplanationDAVE MOLMEN, $17,088, 457(F)ExplanationTxt

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescVARIOUS ITEMS FOR GALA AUCTIONDesc
Contribution25ContributionCnt
Noncash Contributions Rpt F990$49,035NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 7AALTRU HEALTH FOUNDATION'S BOARD MEMBERS ARE NOMINATED BY ITS BOARD OF DIRECTORS WITH ELECTION BY THE ALTRU SYSTEM BOARD.
FORM 990, PART VI, SECTION A, LINE 7BAS THE SOLE CORPORATE MEMBER OF ALTRU HEALTH FOUNDATION, ALTRU HEALTH SYSTEM'S BOARD OF DIRECTORS CAN APPOINT ALL OF THE DIRECTORS AND MAKE GOVERNANCE DECISIONS.
FORM 990, PART VI, SECTION B, LINE 11BFORM 990 WAS ELECTRONICALLY REVIEWED FOR ACCURACY BY THE BOARD OF DIRECTORS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CCONFLICT OF INTEREST POLICY IS REVIEWED AND SIGNED OFF ANNUALLY BY ALL MEMBERS OF THE BOARD OF DIRECTORS. THESE FORMS ARE COLLECTED AND REVIEWED BY THE SECRETARY.
FORM 990, PART VI, SECTION B, LINE 15FORM 990, PART VI, SECTION B, LINE 15A: EXPLANATION: THE ORGANIZATIONS' TOP MANAGEMENT OFFICIAL WAS PAID BY ALTRU HEALTH SYSTEM, A RELATED PARTY. FORM 990, PART VI, SECTION B, LINE 15B: EXPLANATION: THERE ARE NO OTHER OFFICERS OR KEY EMPLOYEES OF THE ORGANIZATION.
FORM 990, PART VI, SECTION C, LINE 18THE ORGANIZATION'S 990 PUBLIC INSPECTION COPY IS AVAILABLE UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE ALSO MADE AVAILABLE TO THE PUBLIC VIA ALTRU'S WEB SITE, ALTRU.ORG.
FORM 990, PART XCERTAIN ITEMS ON THE 2020 BALANCE SHEET WERE RECLASSIFIED TO CONFORM TO THE 2021 PRESENTATION.
FORM 990, PART XI, LINE 9:BAD DEBT EXPENSE RELATED TO UNCOLLECTIBLE PLEDGES -69,594.
FORM 990, PART XII, LINE 2CTHERE HAS BEEN NO CHANGE IN THE OVERSIGHT OF THE AUDIT PROCESS DURING THE CURRENT YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
ALTRU HEALTH SYSTEM
1200 S COLUMBIA RDGRAND FORKSND58201450310462HOSPITAL/OUTPATIENT CAREND501(C)(3)LINE 3N/A0
ALTRU ALLIANCE
1200 S COLUMBIA RDGRAND FORKSND58201237389089SUPPORT OF ALTRU HOSPITAL AND AFFILIATESND501(C)(3)LINE 12C, III-FIN/A0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1ALTRU SPECIALTY SERVICESBusinessNameLine1Txt

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 NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
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 OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd