2021-11-15T17:26:26-06:00 2020-12-31 450310328 BRADY MARTZ & ASSOCIATES PC PO BOX 14296 GRAND FORKS ND 582084296 990 2020-01-01 450310462 ALTRU HEALTH SYSTEM ALTR 7017805200 1200 S COLUMBIA RD GRAND FORKS ND 582014036 DOUGLAS ARVIN CFO 7017805200 2021-11-15 1 DOUGLAS ARVIN 999009999 NICOLE HELDSTAB P01220683 7017754685 2021-11-15 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z ALTRU HOSPITAL DOUGLAS ARVIN 1200 S COLUMBIA RD GRAND FORKS ND 582014036 676328795 0 X ALTRU.ORG X 1970 ND HEALTHCARE DELIVERY 10 5 4638 161 5928964 1167921 6523415 31563667 586994537 567894421 21652292 4857235 160745 150119 615330989 604465442 1231281 1251903 0 0 357173657 320085870 0 50000 50000 264877829 252770704 623282767 574158477 -7951778 30306965 610029430 713951165 346941347 401155788 263088083 312795377 X IMPROVING HEALTH, ENRICHING LIFE.WHY WE SERVE: TO ACHIEVE OPTIMUM HEALTH FOR ALL RESIDENTS IN OUR REGION.HOW WE SERVE: BY PROVIDING HEALTH EDUCATION, PREVENTIVE SERVICES, EARLY INTERVENTION, AND APPROPRIATE CARE.WHOM WE SERVE: THE MORE THAN 235,000 RESIDENTS OF NORTHEAST NORTH DAKOTA AND NORTHWEST MINNESOTA.WHO WE ARE: A COMMUNITY OF OVER 4,000 HEALTH PROFESSIONALS AND SUPPORT STAFF COMMITTED TO SERVING THE REGION FOR MORE THAN 100 YEARS. 0 0 30086414 31208669 ONCOLOGY - 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 2020, THERE WERE 215 HOSPITAL DISCHARGES. 9948215 28291518 CARDIOLOGY - 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 2020, THERE WERE 928 HOSPITAL DISCHARGES. 21377901 40527739 GENERAL 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 2020, THERE WERE 663 GENERAL SURGERY HOSPITAL DISCHARGES. 457034743 1251903 461220394 OTHER PROGRAM SERVICES INCLUDE OTHER PATIENT CARE PROGRAMS. 457034743 1251903 461220394 518447273 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 1 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 1 1 1 0 0 1 99 0 4638 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 10 5 1 1 0 0 0 0 0 1 1 1 0 1 1 1 1 1 1 1 1 0 X THE ORGANIZATION 7017805203 1200 SOUTH COLUMBIA ROAD GRAND FORKS ND 58201 JODY TREUER BOARD MEMBER/PHYSICIAN 40.00 X 1088690 0 54069 STEVEN WEISER BOARD MEMBER/PRESIDENT 40.00 X X 582360 0 270661 BRADLEY WEHE BOARD MEMBER/CEO (THROUGH FEB 2020) 40.00 X X 862120 0 12402 WILLIAM MCKINNON MD BOARD MEMBER/PHYSICIAN 40.00 X 335521 0 122688 DAVID MOLMEN BOARD MEMBER/CEO (INTERIM) 40.00 X X 738676 0 78153 KRIS COMPTON BOARD CHAIR/VICE CHAIR 1.00 X X 0 0 0 LONNIE LAFFEN VICE CHAIR/CHAIR (THROUGH DEC 2020) 1.00 X X 0 0 0 PHILIP GISI SECRETARY (THROUGH MAY 2020) 1.00 X X 0 0 0 DANIEL ROLINE SECRETARY 1.00 X X 0 0 0 KEITH OKESON BOARD MEMBER 1.00 X 0 0 0 KAREN THINGLESTAD BOARD MEMBER 1.00 X 0 0 0 LAURA BLOCK BOARD MEMBER 1.00 X 0 0 0 ERIC HALVERSON BOARD MEMBER 1.00 X 0 0 0 SARA LUSIGNAN CFO/TREASURER (THROUGH FEB 2020) 40.00 X 448340 0 4281 CRAIG FAERBER INTERIM CFO - CONTRACTED 40.00 X 0 0 0 DOUGLAS ARVIN CFO/TREASURER (STARTING DEC 2020) 40.00 X 66569 0 0 REED REYMAN EVP - REGION 40.00 X 271779 0 125925 JEREMY GARDNER MEDICAL DIRECTOR 40.00 X 935666 0 107097 JONATHAN HAUG MEDICAL DIRECTOR 40.00 X 601852 0 124785 YVONNE GOMEZ MEDICAL DIRECTOR 40.00 X 444794 0 95953 JOSHUA DEERE MEDICAL DIRECTOR 40.00 X 494543 0 80182 KELLEE FISK CHIEF PEOPLE OFFICER 40.00 X 450022 0 185507 JANICE HAMSCHER CHIEF NURSE OFFICER 40.00 X 381935 0 175528 MARK WAIND CHIEF INFORMATION OFFICER 40.00 X 313213 0 161572 MEGHAN COMPTON CHIEF LEGAL COUNSEL 40.00 X 309614 0 138680 KRISTI HALL-JIRAN CHIEF PHILANTHROPY OFFICER 40.00 X 211212 0 87888 SUNIL KARTHAM MEDICAL DIRECTOR 40.00 X 641266 0 63693 HEATHER STRANDELL DIRECTOR PRIMARY CARE OPS 40.00 X 218173 0 63764 ALEXSANDER TODOROVIC DIRECTOR INFO SYSTEMS APPLICATIONS 40.00 X 191522 0 71528 JODI SORUM DIRECTOR PRIMARY CARE & POP. HEALTH 40.00 X 172217 0 56178 ERIN NAVARRO DIRECTOR PHARMACY SVCS 40.00 X 171633 0 74318 MATTHEW SCHUMACHER DIRECTOR TECH & SUPPORT SVCS 40.00 X 168223 0 83283 MEVAN WIJETUNGA PHYSICIAN 40.00 X 1279367 0 59015 GRANT SEEGER PHYSICIAN 40.00 X 1201604 0 59931 IKECHUKWU ONYEKA PHYSICIAN 40.00 X 1154689 0 60961 BARRY BJORGAARD PHYSICIAN 40.00 X 1162597 0 52305 BRANDON SPEIDEL PHYSICIAN 40.00 X 1114819 0 59240 16013016 0 2529587 422 0 1 0 HURON CONSULTING SERVICES LLC 3005 MOMENTUM PLACE CHICAGO IL 606895330 SERVICES 19859752 SODEXO INC AND AFFILIATES 9801 WASHINGTON BLVD GAITHERSBURG MD 20878 SERVICES 3934398 MAYO COLLABORATIVE SERVICES INC PO BOX 9146 MINNEAPOLIS MN 554809146 SERVICES 3926112 WEATHERBY LOCUMS INC PO BOX 75397 DALLAS TX 753972633 SERVICES 1860056 COMPHEALTH MEDICAL STAFFING PO BOX 713100 SALT LAKE CITY UT 841713100 SERVICES 1541608 62 1656679 29906988 31563667 NET SERVICE TO PATIENTS 621110 522239063 518015697 4223366 PROGRAM SERVICE REVENUE 621110 45568071 43232623 1555479 779969 BIOMED SERVICES/SITE SERVICES FEE 900099 87287 87287 567894421 6805970 6805970 69914618 69461798 2401555 452820 -2401555 -1948735 -1948735 RENTAL OFFICE SPACE/PARKING LOT 531120 136478 136478 SNOW REMOVAL 812900 8082 8082 TELECOMMUNICATIONS 517000 5559 5559 150119 604465442 561248320 5928964 5724491 1249118 1249118 2785 2785 13199839 3796873 9402966 255571653 246822104 8749549 12736829 12288201 448628 20228862 19516343 712519 18348687 17131399 1217288 50000 50000 978364 978364 435555 335377 100178 9806165 7162535 2643630 1769579 1362575 407004 8351662 5846163 2505499 30287519 21201264 9086255 2740621 2110278 630343 SUPPLIES 110968879 110047440 921439 UNRELATED BUSINESS TAX -201323 -201323 PURCHASED SERVICES 50031800 38524486 11507314 CONSULTING AND PROFESSI 31796704 26390121 5406583 5805179 4861534 943645 574158477 518447273 55661204 50000 381604 60207102 60406731 86018355 72283695 68049949 581035 558774 8177489 8818747 5745124 7069210 638288748 409953438 237708445 228335310 149056628 178500957 26987118 30836534 48701561 45556227 610029430 713951165 53466010 112059842 733391 734039 252194430 245179639 40547516 43182268 346941347 401155788 X 263088083 312795377 263088083 312795377 610029430 713951165 X 30306965 15466870 17549 3915910 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 9118416 9118416 292122570 183548777 108573793 23538441 10226080 13312361 253995257 216178581 37816676 59514064 59514064 228335310 ASSETS HELD BY TRUSTEE 797315 UNAMORTIZED BOND ISSUE AND OTHER COSTS 7516187 ASSETS HELD UNDER TRUST AGREEMENTS 18850480 DUE FROM AFFILIATES 50762 OTHER ASSETS 18341483 45556227 DUE TO AFFILIATES 77336 OTHER 21255256 ESTIMATED THIRD PARTY LIABILITY 4200275 SPECIAL ASSESSMENTS PAYABLE 535213 ASSET RETIREMENT OBLIGATION 3000000 LEASE LIABILITY 14114188 43182268 X PART X, LINE 2: ACCOUNTING 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. X 1 COMMUNITY COUNSELLING SERVICE CO LLC 527 MADISON AVENUE 5TH FLOOR NEW YORK NY 10022 FEASIBILITY STUDY FOR CAPITAL CAMPAIGN 0 0 50000 -50000 50000 -50000 ND 1 1 X 1 X 1 X 1 1 1 0 1 1 3079333 3079333 0.00540 19203101 19203101 0.03340 1176835 1176835 0.00200 23459269 23459269 0.04080 713219 713219 0.00120 776644 776644 0.00140 21441 21441 0.00000 66397 66397 0.00010 1577701 1577701 0.00270 25036970 25036970 0.04350 1 3056369 0 132295518 397390197 -265094679 X 1 1 3 1 ALTRU HOSPITAL 1200 S COLUMBIA RD GRAND FORKS ND 582066002 X X X A 2 ALTRU REHABILITATION CENTER 4500 S WASHINGTON ST GRAND FORKS ND 582066002 X A 3 ALTRU SPECIALTY CENTER 4500 S WASHINGTON ST GRAND FORKS ND 58201 X X A ALTRU HOSPITAL 0 0 1 X X X X X X X X X 19 1 1 1 1 X WWW.ALTRU.ORG 1 20 1 WWW.ALTRU.ORG 0 1 X 150.000000000000 250.000000000000 X X X X X X 1 1 X X X 1 X WWW.ALTRU.ORG X WWW.ALTRU.ORG X WWW.ALTRU.ORG X X X X 1 X X 1 X X X X X 1 X 0 1 PART V, SECTION B FACILITY 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 PROCESS FROM THE ASSOCIATION FOR COMMUNITY HEALTH IMPROVEMENT (SIX 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:ALTRU FAMILY YMCAGRAND FORKS CITY COUNCILCOMMUNITY VIOLENCE INTERVENTION CENTERGRAND FORKS PARK DISTRICTGRAND FORKS PUBLIC SCHOOLSGRAND FORKS AIR FORCE BASEGRAND FORKS FIRE DEPARTMENTGRAND FORKS POLICE DEPARTMENTGRAND FORKS SENIOR CENTERGLOBAL FRIENDS COALITIONNORTHEAST HUMAN SERVICE CENTERNORTHLANDS RESCUE MISSIONNORTHWESTERN MENTAL HEALTH CENTERPOLK COUNTY PUBLIC HEALTHQUALITY HEALTH ASSOCIATESSIMPLOTSPECTRA HEALTHTHE CHAMBERTURTLE RIVER STATE PARKUNIVERSITY OF NORTH DAKOTAUNITED WAYCITIES AREA TRANSITGRAND FORKS HERALDGRAND FORKS HOUSING AUTHORITYGRAND FORKS ECONOMIC DEVELOPMENT CORPINSPIRE PHARMACYTHE ADVISORY COMMITTEE ENGAGED STACY SCHWIMMER, A STUDENT FROM THE UNIVERSITY OF NORTH DAKOTA'S MASTER OF PUBLIC HEALTH PROGRAM WITH THE ASSISTANCE OF DR. DONALD WARNE, MD, MPH, PROFESSOR AND DIRECTOR OF THE DEPARTMENT OF POPULATION HEALTH. THE STUDENT AND FACULTY TEAM, MELANIE NADEAU, MPH, PHD, PROFESSOR AND ASSISTANT DIRECTOR OF THE DEPARTMENT OF POPULATION HEALTH, AND ASHLEE NELSON AND ZACHARY HOGGARATH, GRADUATE RESEARCH ASSISTANTS, 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: ALTRU HEALTH SYSTEM DEVELOPED A LIST OF APPROXIMATELY SEVENTEEN SIGNIFICANT ISSUES/NEEDS WITH THE INPUT OF THE ADVISORY COMMITTEE. FROM THIS LIST, THE HEALTH ISSUES WERE RANKED BY PRIORITY, AND THE TOP 6 AREAS WERE IDENTIFIED FOR AREAS OF IMPROVEMENT. THE ADVISORY COMMITTEE AND A SMALLER COMMITTEE COMPRISED OF INDIVIDUALS FROM ALTRU HEALTH SYSTEM, GRAND FORKS PUBLIC HEALTH DEPARTMENT, GRAND FORKS SUBSTANCE ABUSE PREVENTION COALITION, POLK COUNTY PUBLIC HEALTH, AND QUALITY HEALTH ASSOCIATES OF NORTH DAKOTA ARE WORKING ON THE ONGOING IMPROVEMENT PLANNING / IMPLEMENTATION STRATEGY DEVELOPMENT. THE COMMITTEE WILL BE CONDUCTING IMPLEMENTATION ACTIVITIES AND PROVIDING UPDATES ANNUALLY TO KEY STAKEHOLDERS TO DOCUMENT PROGRESS. LIMITED FINANCIAL, COMMUNITY, AND PERSONNEL RESOURCES DID NOT ALLOW ALTRU HEALTH SYSTEM TO ADDRESS ALL OF THE IDENTIFIED NEEDS FOR THE 2019 CHNA. THE IMPLEMENTATION STRATEGY ADDRESSING THE NEEDS IDENTIFIED IN THE 2019 CHNA WAS ADOPTED IN 2020. DUE TO COVID RELATED DEMANDS, ALTRU'S RESOURCES WERE NOT ABLE TO BE FOCUSED ON THE CHNA GOALS IN 2020. RESOURCES WERE DEDICATED TO A BLUE ZONE ASSESSMENT WEEK WITH THE PUBLIC HEALTH TEAM, WHICH COULD ULTIMATELY IMPACT THE OBESITY, SUBSTANCE ABUSE AND MENTAL HEALTH PRIORITIES ACROSS OUR COMMUNITIES. 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. 55 1 - ALTRU CANCER CENTER 960 S COLUMBIA RD GRAND FORKS ND 582066003 OUTPATIENT DEPT OF ALTRU HOSP - CLINIC 2 - TRUYU AESTHETIC CENTER 3165 DEMERS AVE GRAND FORKS ND 582066003 OUTPATIENT DEPT OF ALTRU HOSP - CLINIC 3 - ALTRU FAMILY MEDICINE CENTER 1380 S COLUMBIA RD GRAND FORKS ND 582066003 OUTPATIENT DEPT OF ALTRU HOSP - CLINIC 4 - ALTRU FAMILY MEDICINE RESIDENCY 725 HAMLINE STREET GRAND FORKS ND 58203 OUTPATIENT CLINIC 5 - ALTRU FAMILY MEDICINE RESIDENCY PHARMACY 725 HAMLINE STREET GRAND FORKS ND 58203 OUTPATIENT PHARMACY 6 - ALTRU CLINIC - DRAYTON 1003 N MAIN DRAYTON ND 582254650 OUTPATIENT CLINIC/THERAPY 7 - ALTRU 860 COLUMBIA 860 S COLUMBIA RD GRAND FORKS ND 582066002 OUTPATIENT DEPARTMENT - PSYCH SERVICES 8 - ALTRU OUTPATIENT CENTER 411 2ND ST NW EAST GRAND FORKS MN 56721 OUTPATIENT THERAPY 9 - ALTRU CLINIC - CAVALIER 201 E 3RD AVE S CAVALIER ND 582200040 OUTPATIENT CLINIC 10 - ALTRU CLINIC - DEVILS LAKE 1001 7TH STREET NE DEVILS LAKE ND 583012719 OUTPATIENT CLINIC 11 - ALTRU CLINIC - CROOKSTON 400 SOUTH MINNESOTA CROOKSTON MN 567160606 OUTPATIENT DEPT OF ALTRU HOSP - CLINIC 12 - ALTRU CLINIC - RED LAKE FALLS 312 INTERNATIONAL DRIVE RED LAKE FALLS MN 567504662 OUTPATIENT DEPT OF ALTRU HOSP - CLINIC 13 - ALTRU CLINIC - ERSKINE 113 VANCE AVE N ERSKINE MN 565354201 OUTPATIENT DEPT OF ALTRU HOSP - CLINIC 14 - ALTRU CLINIC - FERTILE 101 S MILL ST FERTILE MN 565404215 OUTPATIENT DEPT OF ALTRU HOSP - CLINIC 15 - ALTRU CLINIC - ROSEAU 711 DELMORE DRIVE ROSEAU MN 567511534 OUTPATIENT CLINIC 16 - ALTRU CLINIC - WARROAD 412 MAIN AVE NE WARROAD MN 567632342 OUTPATIENT CLINIC 17 - ALTRU CLINIC - GREENBUSH 19120 200TH ST GREENBUSH MN 567269280 OUTPATIENT CLINIC 18 - UNITY MEDICAL CENTER 164 WEST 13TH STREET GRAFTON ND 58237 HOME HEALTH/HOSPICE 19 - FIRST CARE HEALTH CENTER PO BOX I PARK RIVER ND 58270 HOME HEALTH/HOSPICE/THERAPY 20 - NELSON COUNTY HEALTH SYSTEM BOX 367 MCVILLE ND 58254 HOME HEALTH/HOSPICE 21 - CO ALTRU CLINIC - CAVALIER 201 E 3RD AVE S CAVALIER ND 58220 HOME HEALTH/HOSPICE 22 - ALTRU HOME SVCS-NORTH VALLEY HOME HEALTH 109 S MINNESOTA ST WARREN MN 56762 HOME HEALTH/HOSPICE 23 - ANETA PARKVIEW HEALTH CENTER BOX 287 ANETA ND 58212 OUTREACH CLINIC 24 - CAVALIER COUNTY MEMORIAL 909 2ND ST LANGDON ND 58249 OUTREACH CLINIC 25 - CENTRAL BOILER 20502 160TH ST GREENBUSH MN 56726 OUTREACH CLINIC 26 - COOPERSTOWN MEDICAL CENTER 1200 ROBERTS ST COOPERSTOWN ND 58425 OUTREACH CLINIC 27 - DEVILS LAKE GOOD SAMARITAN 302 7TH AVE DEVILS LAKE ND 58301 OUTREACH CLINIC 28 - FIRST CARE HEALTH CENTER 115 VIVIAN ST PARK RIVER ND 58270 OUTREACH CLINIC 29 - FRIENDSHIP 554 W 12TH ST GRAFTON ND 58327 OUTREACH CLINIC 30 - 4TH CORP 120 11TH ST NEW ROCKFORD ND 58356 OUTREACH CLINIC 31 - GRIGGS COUNTY HOSPITAL 1200 ROBERTS AVE NE COOPERSTOWN ND 58425 OUTREACH CLINIC 32 - HATTON PRAIRIE VILLAGE 930 DAKOTA AVE HATTON ND 58240 OUTREACH CLINIC 33 - HEARTLAND CARE CENTER 620 14TH AVE NE DEVILS LAKE ND 58301 OUTREACH CLINIC 34 - KARLSTAD HEALTH CARE 304 WASHINGTON AVE W KARLSTAD MN 56732 OUTREACH CLINIC 35 - KITTSON MEMORIAL HEALTH CARE CENTER 1010 S BIRCH HALLOCK MN 56728 OUTREACH CLINIC 36 - KITTSON MEMORIAL CLINIC OF KARLSTAD 1ST AND ROOSEVELT KARLSTAD MN 56732 OUTREACH CLINIC 37 - LAKE REGION CORP 224 3TH ST NW DEVILS LAKE ND 583012908 OUTREACH CLINIC 38 - LAKOTA GOOD SAMARITAN 608 4TH AVE SW HWY 2 LAKOTA ND 583447500 OUTREACH CLINIC 39 - MAPLE MANOR CARE CENTER 1116 9TH AVE LANGDON ND 58249 OUTREACH CLINIC 40 - MCINTOSH MANOR NURSING HOME 600 RIVERSIDE AVE NE MCINTOSH MN 56556 OUTREACH CLINIC 41 - NELSON COUNTY CARE CENTER 108 E NYHUS AVE MCVILLE ND 58254 OUTREACH CLINIC 42 - NELSON COUNTY HEALTH SYSTEM 200 NORTH MAIN MCVILLE ND 58254 OUTREACH CLINIC 43 - NORTHWOOD DEACONESS 4 N PARK ST NORTHWOOD ND 58267 OUTREACH CLINIC 44 - OAKLAND PARK COMMUNITIES INC 123 BAKEN STREET THIEF RIVER FALLS MN 56701 OUTREACH CLINIC 45 - PEMBILIER NURSING CENTER 500 DELANO AVE WALHALLA ND 58282 OUTREACH CLINIC 46 - PEMBINA COUNTY MEMORIAL HOSPITAL 301 MOUNTAIN STREET E CAVALIER ND 58220 OUTREACH CLINIC 47 - PIONEER MEMORIAL CARE CENTER 23028 347TH ST SE ERSKINE MN 565359466 OUTREACH CLINIC 48 - REM-GRAFTON 817 HILL AVE GRAFTON ND 58327 OUTREACH CLINIC 49 - VALLEY 4000 4004 24TH AVE SOUTH GRAND FORKS ND 58201 OUTREACH CLINIC 50 - VALLEY MEMORIAL HOMES 2900 14TH AVE SOUTH GRAND FORKS ND 58201 OUTREACH CLINIC 51 - WEDGEWOOD MANOR 804 MAIN STREET WEST CAVALIER ND 58220 OUTREACH CLINIC 52 - CENTER FOR PREVENTION & GENETICS 4401 S 11TH ST GRAND FORKS ND 58201 OUTREACH CLINIC 53 - ALTRU CLINIC - EAST GRAND FORKS 607 DEMERS AVE EAST GRAND FORKS MN 56721 OUTPATIENT DEPT OF ALTRU HOSP - CLINIC 54 - ALTRU PROFESSIONAL CENTER 4440 S WASHINGTON ST GRAND FORKS ND 58201 OUTPATIENT CLINIC 55 - ALTRU CLINIC - THIEF RIVER FALLS 1845 HWY 59 S STE 800 THIEF RIVER FALLS MN 56701 OUTPATIENT CLINIC 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: COLUMN (F) - PERCENT OF TOTAL EXPENSES: IN DETERMINING THE DENOMINATOR FOR THE PERCENT OF TOTAL EXPENSE CALCULATION, THE AMOUNT REPORTED ON FORM 990, PART IX, LINE 25, COLUMN (A) WAS REDUCED BY BAD DEBTS EXPENSE OF $3,056,369.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 4: FOOTNOTE DISCLOSURE REGARDING BAD DEBTS EXPENSE: NOTE 1 ON PAGE 10, 16 ON PAGES 33-34 AND 18 ON PAGES 34-36 TO THE AUDITED FINANCIAL STATEMENTS REPORT ON BAD DEBT EXPENSE. PART III, LINE 8: NONE OF THE SHORTFALL SHOWN ON PART III, LINE 7 OF $265,094,679 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, 2020, 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 POLICIES 2611 "DEDUCTIONS FROM REVENUES AND 2614 "CHARITY CARE." 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 THIRD CYCLE OF OUR COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED IN 2019; THE ASSESSMENT WAS APPROVED BY OUR BOARD OF DIRECTORS ON DECEMBER 16, 2019. AS A RESULT OF THE ASSESSMENT, ALTRU PRIORITIZED AND IS FOCUSING ON THE FOLLOWING SIX ISSUES: 1) SUBSTANCE USE - REDUCE THE PREVALENCE OF SUBSTANCE USE INCLUDING ALCOHOL, TOBACCO, AND OTHER DRUGS; 2) MENTAL HEALTH - PROMOTE MENTAL HEALTH AND BUILDING RESILIENCE; 3) OBESITY - REDUCE THE PREVALENCE OF OBESITY IN OUR POPULATION; 4) TRANSPORTATION - IMPROVE THE QUALITY OF AND ACCESS TO TRANSPORTATION; 5) COST OF HEALTH CARE - REDUCE THE BURDEN OF THE COST OF HEALTH CARE; 6) HOUSING - INCREASE THE AVAILABILITY OF AFFORDABLE HOUSING, INCLUDING PERMANENT SUPPORTIVE OPTIONS. 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 235,000 PERSONS (SOURCE: OPTUM POPULATION AGE SEGMENTATION ANALYSIS) 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 71,825 PEOPLE (SOURCE: OPTUM 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 2020 FOR OUR ENTIRE SERVICE AREA WAS 42 PERCENT BASED ON CLAIMS DATA. 84 PERCENT OF ALTRU HOSPITAL'S MEDICAL STAFF IS COMPRISED OF PROVIDERS WHO ARE EMPLOYED BY ALTRU HEALTH SYSTEM. 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 13,615 (FALL 2020). 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 163,447 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 235,000. 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 51% MEDICARE - TYPE OF POLICY 25%MEDICAID - TYPE OF POLICY 10%SELF-PAY 6%OTHER 8%TOTAL 100%ALSO, FROM OPTUM, OUR TOTAL SERVICE AREA'S INCOME BY HOUSEHOLD IS AS FOLLOWS:INCOME RANGE 2020 PERCENTAGES$ < $ 5,000 3% $ 5,000 - $ 9,999 4%$ 10,000 - $ 14,999 5%$ 15,000 - $ 19,999 4%$ 20,000 - $ 24,999 5%$ 25,000 - $ 29,999 5%$ 30,000 - $ 34,999 4%$ 35,000 - $ 39,999 4%$ 40,000 - $ 44,999 4%$ 45,000 - $ 49,999 4%$ 50,000 - $ 54,999 4%$ 55,000 - $ 59,999 5%$ 60,000 - $ 64,999 4%$ 65,000 - $ 69,999 3%$ 70,000 - $ 74,999 4%$ 75,000 - $ 79,999 3%$ 80,000 - $ 84,999 3%$ 85,000 - $ 89,999 3%$ 90,000 - $ 94,999 3%$ 95,000 - $ 99,999 3%$100,000 - $124,999 10%$125,000 - $149,999 6%$150,000 - $199,999 5%$ > $200,000 5%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. 1 ALTRU FAMILY YMCA 215 N 7TH ST GRAND FORKS ND 58203 450226434 501(C)(3) 52000 YMCA PROJECT; FIRECRACKER ROAD RACE CHAMBER OF GRAND FORKS EAST GRAND FORKS 202 N 3RD ST GRAND FORKS ND 58203 202924979 501(C)(6) 10699 2020 SUPPORT CITY OF GRAND FORKS 255 N 4TH ST GRAND FORKS ND 58203 456002085 GRAND FORKS, ND 121438 SOCIAL DETOX FACILITY DAKOTA MEDICAL FOUNDATION 4141 28TH AVE S FARGO ND 58104 456012318 501(C)(3) 5000 ZAZULA SPONSORSHIP GRAND FORKS DOWNTOWN DEVELOPMENT ASSOCIATION 23 N 3RD ST STE 2 GRAND FORKS ND 58203 464711617 501(C)(6) 5000 GREENWAY TAKEOVER FESTIVAL, VISIONARY PARTNERSHIP GRAND FORKS PARK DISTRICT FOUNDATION 1060 47TH AVE S GRAND FORKS ND 58201 260625504 501(C)(3) 185500 WELLNESS CENTER AND HEROES AND LEGENDS GREATER GRAND FORKS YOUNG PROFESSIONALS 202 NORTH 3RD ST GRAND FORKS ND 58203 320134204 501(C)(6) 10000 GGFYP VISIONARY SPONSORSHIP MAYVILLE STATE UNIVERSITY FOUNDATION 330 3RD ST NE MAYVILLE ND 58257 456013477 501(C)(3) 8333 ARTIFICIAL TURF RE ARENA INC ONE RALPH ENGLESTAD DR GRAND FORKS ND 58203 113666663 501(C)(3) 98500 GAME DAY SPONSORSHIPS UND FOUNDATION 3100 UNIVERSITY AVE STOP 8157 GRAND FORKS ND 58202 450348296 501(C)(3) 481871 UND ATHLETICS HIGH PERFORMANCE CENTER; ALTRU TURF FUND UND GRANTS AND CONTRACT ADMIN TWAMLEY HALL 100 264 CENTENNIAL DR STOP 7306 GRAND FORKS ND 58202 456002491 501(C)(3) 60000 SIM-ND PROJECT UNITED WAY - GF EGF 1407 24TH AVE S STE 400 GRAND FORKS ND 58201 450255772 501(C)(3) 20000 CORPORATE GIFT 2020 CITY OF EAST GRAND FORKS 600 DEMERS AVE NW EAST GRAND FORKS MN 56721 416005112 EAST GRAND FORKS, MN 90000 WELLNESS PROGRAM GRAND FORKS MARATHON INC PO BOX 14867 GRAND FORKS ND 58203 273739718 501(C)(3) 17280 PRESENTING SPONSOR GRAND FORKS FOUNDATION FOR EDUCATION 2400 47TH AVE S GRAND FORKS ND 58201 450404011 501(C)(3) 10425 TEARS DONATION COMMUNITY VIOLENCE INTERVENTION CENTER 211 SOUTH 4TH ST GRAND FORKS ND 58201 450359167 501(C)(3) 50000 SPONSORSHIP/SUPPORT 13 3 PART I, LINE 2: COMMUNITY VIOLENCE INTERVENTION CENTER - FUNDS WERE GRANTED WITH THE DIRECTION THAT CVIC WAS ABLE TO USE FUNDS AS NEEDED. CVIC DETERMINES THE RECIPIENTS OF THE ASSISTANCE PROVIDED THROUGH THOSE FUNDS. RE ARENA, INC. - ALTRU REVIEWS THE SPONSORSHIPS WITH RE ARENA/UNIVERSITY OF NORTH DAKOTA OFFICIALS PRIOR TO THE EVENTS AND HAS REPRESENTATIVES ATTEND THE EVENTS TO ACKNOWLEDGE THE PROPRIETY OF THE ANNOUNCEMENTS MADE REGARDING THE SPONSORSHIP OF THE DAY'S EVENT. UND FOUNDATION - FUNDS GRANTED WITH THE DIRECTION THAT THEY WERE ABLE TO USE THE FUNDS AS NEEDED TOWARDS THE UND ATHLECTICS HIGH PERFORMANCE CENTER AND THE ALTRU TURF FUND. ALTRU RECEIVED NAMING RIGHTS AND SIGNAGE. GREATER GRAND FORKS YOUNG PROFESSIONALS - FUNDS GRANTED WITH THE DIRECTION THAT THEY WERE ABLE TO USE THE FUNDS AS NEEDED. GRAND FORKS PARK DISTRICT FOUNDATION - FUNDS GRANTED WITH THE DIRECTION THAT THEY WERE ABLE TO USE THE FUNDS AS NEEDED TOWARDS THE WELLNESS CENTER FACILITY PROJECT. ALTRU FAMILY YMCA - FUNDS GRANTED WITH THE DIRECTION THAT THEY WERE ABLE TO USE THE FUNDS AS NEEDED TOWARDS THE YMCA PROJECT. ALTRU RECEIVED NAMING RIGHTS AND SIGNAGE. CITY OF GRAND FORKS - FUNDS GRANTED WITH THE DIRECTION THAT THEY WERE ABLE TO USE THE FUNDS AS NEEDED TOWARDS A SOCIAL DETOX FACILITY. GRAND FORKS DOWNTOWN DEVELOPMENT ASSOCIATION - FUNDS GRANTED WITH THE DIRECTION THAT THEY WERE ABLE TO USE THE FUNDS AS NEEDED. UNITED WAY - GF EGF - FUNDS GRANTED WITH THE DIRECTION THAT THEY WERE ABLE TO USE THE FUNDS AS NEEDED. CHAMBER OF GRAND FORKS EAST GRAND FORKS - FUNDS GRANTED WITH THE DIRECTION THAT THEY WERE ABLE TO USE THE FUNDS AS NEEDED. MAYVILLE STATE UNIVERSITY FOUNDATION - FUNDS GRANTED WITH THE DIRECTION THAT THEY WERE ABLE TO USE THE FUNDS AS NEEDED TOWARDS ARTIFICIAL TURF. DAKOTA MEDICAL FOUNDATION - FUNDS GRANTED WITH THE DIRECTION THAT THEY WERE ABLE TO USE THE FUNDS AS NEEDED TOWARDS RECOVERY REINVENTED. UND GRANTS AND CONTRACT ADMIN - FUNDS GRANTED WITH THE DIRECTION THAT THEY WERE ABLE TO USE THE FUNDS AS NEEDED FOR THE SIM-ND PROJECT. CITY OF EAST GRAND FORKS, MN - FUNDS GRANTED WITH THE DIRECTION THAT THEY WERE ABLE TO USE THE FUNDS AS NEEDED FOR THE WELLNESS PROGRAM. GRAND FORKS MARATHON INC - FUNDS GRANTED WITH THE DIRECTION THAT THEY WERE ABLE TO USE THE FUNDS AS NEEDED FOR A PRESENTING SPONSOR. GRAND FORKS FOUNDATION FOR EDUCATION - FUNDS GRANTED WITH THE DIRECTION THAT THEY WERE ABLE TO USE THE FUNDS AS NEEDED FOR TEARS. X X X X X X 1 1 0 0 0 0 0 0 0 MEVAN WIJETUNGA PHYSICIAN 1243794 0 0 0 35573 0 25554 0 36684 0 1341605 0 0 0 GRANT SEEGER PHYSICIAN 1181856 0 0 0 19748 0 24720 0 38434 0 1264758 0 0 0 IKECHUKWU ONYEKA PHYSICIAN 1120043 0 0 0 34646 0 26500 0 37684 0 1218873 0 0 0 BARRY BJORGAARD PHYSICIAN 1116943 0 0 0 45654 0 25100 0 30428 0 1218125 0 0 0 BRANDON SPEIDEL PHYSICIAN 1075572 0 0 0 39247 0 26279 0 36184 0 1177282 0 0 0 JODY TREUER BOARD MEMBER/PHYSICIAN 1042621 0 0 0 46069 0 28864 0 28428 0 1145982 0 0 0 JEREMY GARDNER MEDICAL DIRECTOR 908295 0 7500 0 19871 0 72637 0 37684 0 1045987 0 0 0 BRADLEY WEHE BOARD MEMBER/CEO (THROUGH FEB 2020) 57095 0 0 0 805025 0 7929 0 5072 0 875121 0 0 0 STEVEN WEISER BOARD MEMBER/PRESIDENT 495791 0 60000 0 26569 0 238200 0 35684 0 856244 0 0 0 DAVID MOLMEN BOARD MEMBER/CEO (INTERIM) 103698 0 0 0 634978 0 50198 0 30178 0 819052 0 0 0 JONATHAN HAUG MEDICAL DIRECTOR 574481 0 7500 0 19871 0 92325 0 35684 0 729861 0 0 0 SUNIL KARTHAM MEDICAL DIRECTOR 602018 0 0 0 39248 0 30232 0 36684 0 708182 0 0 0 KELLEE FISK CHIEF PEOPLE OFFICER 332758 0 25000 0 92264 0 157737 0 30899 0 638658 0 0 0 JOSHUA DEERE MEDICAL DIRECTOR 447827 0 7500 0 39216 0 54977 0 28379 0 577899 0 0 0 JANICE HAMSCHER CHIEF NURSE OFFICER 340347 0 0 0 41588 0 155854 0 22807 0 560596 0 0 0 YVONNE GOMEZ MEDICAL DIRECTOR 417340 0 0 0 27454 0 87138 0 11995 0 543927 0 0 0 MARK WAIND CHIEF INFORMATION OFFICER 272568 0 0 0 40645 0 139432 0 25141 0 477786 0 0 0 WILLIAM MCKINNON MD BOARD MEMBER/PHYSICIAN 281059 0 7500 0 46962 0 103063 0 22577 0 461161 0 0 0 SARA LUSIGNAN CFO/TREASURER (THROUGH FEB 2020) 48313 0 0 0 400027 0 1477 0 3388 0 453205 0 400000 0 MEGHAN COMPTON CHIEF LEGAL COUNSEL 305777 0 0 0 3837 0 100450 0 41308 0 451372 0 0 0 REED REYMAN EVP - REGION 250250 0 0 0 21529 0 108950 0 19831 0 400560 0 0 0 KRISTI HALL-JIRAN CHIEF PHILANTHROPY OFFICER 168049 0 0 0 43163 0 85476 0 4773 0 301461 0 0 0 HEATHER STRANDELL DIRECTOR PRIMARY CARE OPS 192357 0 15000 0 10816 0 61264 0 4776 0 284213 0 0 0 ALEXSANDER TODOROVIC DIRECTOR INFO SYSTEMS APPLICATIONS 169488 0 8100 0 13934 0 54909 0 18745 0 265176 0 0 0 MATTHEW SCHUMACHER DIRECTOR TECH & SUPPORT SVCS 149706 0 7500 0 11017 0 50823 0 34445 0 253491 0 0 0 ERIN NAVARRO DIRECTOR PHARMACY SVCS 159018 0 7400 0 5215 0 48067 0 28213 0 247913 0 0 0 JODI SORUM DIRECTOR PRIMARY CARE & POP. HEALTH 145421 0 7200 0 19596 0 48215 0 9868 0 230300 0 0 0 PART I, LINES 4A-B SARA LUSIGNAN, $400,000, SEVERANCE BRAD WEHE, $798,000, SEVERENCE DAVE MOLMEN, $608,185, 457(F) A CITY OF GRAND FORKS 456002085 38546WCC2 2012-05-01 117025978 REFUND BONDS ISSUED IN 1997, AND 2010A/2010B; INFRASTRUCTURE, EQUIPMENT 0 0 0 B CITY OF GRAND FORKS 456002085 38546WCR9 2017-07-12 65233846 REFUND BONDS ISSUED IN 2005; FINANCE FACILITIES, INFRASTRUCTURE, EQUIPMENT 0 0 0 C CITY OF GRAND FORKS 456002085 000000000 2017-09-06 21720835 REFUND BONDS ISSUED IN 2007 0 0 0 D CITY OF GRAND FORKS 456002085 000000000 2019-08-01 13520000 REFUND BONDS ISSUED IN 2011 AND 1996 0 0 0 A 2615000 117042920 83269 1295167 66185853 49461776 2012 1 0 1 1 B 3770000 65583211 381082 19519 708177 40209015 436286 2018 0 1 0 1 C 9320702 21775310 82447 2017 1 0 1 1 D 3840000 13520000 56736 2019 1 0 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 D 0 0 0 0 0 0 0 A 0 0 0 1 1 0 0 0 0 B 0 1 0 0 0 0 0 0 0 C 0 1 0 0 0 0 0 0 0 D 0 1 0 0 0 0 0 0 0 A 0 B 0 C 0 D 0 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: CITY OF GRAND FORKS DATE THE REBATE COMPUTATION WAS PERFORMED: 01/23/2017 SCHEDULE K, PART II, PROCEEDS, LINE 3: (A) TOTAL PROCEEDS OF ISSUE CONSIST OF SALES PROCEEDS OF $117,025,978 PLUS $16,941 OF INVESTMENT PROCEEDS. (B) TOTAL PROCEEDS OF ISSUE CONSIST OF SALES PROCEEDS OF $65,233,846 PLUS $349,365 OF INVESTMENT PROCEEDS. (C) TOTAL PROCEEDS OF ISSUE CONSIST OF SALES PROCEEDS OF $21,720,835 PLUS $54,475.04 OF INVESTMENT PROCEEDS. A CITY OF GRAND FORKS 456002085 000000000 2020-11-27 19000000 REFINANCE LOAN UNSED TO FUND CONSTRUCTION COSTS OF REPLACEMENT HOSPITAL 0 0 0 B CITY OF GRAND FORKS 456002085 000000000 2020-11-27 10000000 REFINANCE LOAN UNSED TO FUND CONSTRUCTION COSTS OF REPLACEMENT HOSPITAL 0 0 0 C CITY OF GRAND FORKS 456002085 000000000 2020-11-27 11000000 REFINANCE LOAN UNSED TO FUND CONSTRUCTION COSTS OF REPLACEMENT HOSPITAL 0 0 0 A 19000000 123826 2020 0 0 1 1 B 10000000 65172 2020 0 0 1 1 C 11000000 71689 2020 0 0 1 1 A 0 1 0 0 1 0 0 0 0 B 0 1 0 0 1 0 0 0 0 C 0 1 0 0 1 0 0 0 0 MEGHAN COMPTON FAMILY MEMBER OF KRIS COMPTON, OFFICER 451372 COMPENSATION 0 JLG ARCHITECTS LONNIE LAFFEN, DIRECTOR, IS PRESIDENT OF JLG 844321 ARCHITECTURAL FEES FOR THE NEW HOSPITAL DESIGN 0 EDGEWOOD OPCO LLC PHILIP GISI, DIRECTOR, IS PARTNER AND CEO 20000000 INVESTMENT IN EDGEWOOD OPCO, LLC BY WHOLLY OWNED SUBSIDIARY OF ALTRU 0 FORM 990, PART VI, SECTION A, LINE 2 BOARD MEMBER, KRIS COMPTON, IS THE MOTHER OF KEY EMPLOYEE, MEGHAN COMPTON. FORM 990, PART VI, SECTION A, LINE 3 ALTRU HEALTH SYSTEMS CONTRACTED WITH CMF HEALTHCARE CONSULTING, LLC, TO PROVIDE LEADERSHIP AND GUIDANCE TO THE FINANCE TEAM AS INTERIM CFO. CRAIG FAERBER SERVED IN THIS POSITION FROM FEBRUARY TO NOVEMBER 2020. FORM 990, PART VI, SECTION B, LINE 11B AN ELECTRONIC COPY OF THE RETURN WAS SENT TO THE BOARD MEMBERS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT 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 15 LINE 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 2020. LINE 15B: FOR SCHEDULE O: 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. AS SHOWN IN SCHEDULE L, BOARD MEMBER KRIS COMPTON IS THE MOTHER OF MEGHAN COMPTON, A MEMBER OF THE EXECUTIVE TEAM (BUT NOT THE PRESIDENT OR CEO). AS SUCH, KRIS COMPTON PARTICIPATES AS A BOARD MEMBER TO APPROVE ANNUAL GOALS AT BEGINNING OF YEAR AND THEREAFTER RECUSES HERSELF FROM THE DECISION TO APPROVE THE BONUS BASED ON THE SYSTEM GOAL OUTCOMES AT END OF YEAR, DUE TO HER IDENTIFIED CONFLICT. RHE PROCESS DESCRIBED ABOVE WAS FOLLOWED FOR ALL EXECUTIVES IN 2020. FORM 990, PART VI, SECTION C, LINE 18 THE 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 19 THE 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 VII CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC CRAIG FAERBER - C/O CMF HEALTHCARE CONSULTING, LLC; 4174 NAVAJO TRAIL NE, BROOKHAVEN, GA 30319. FORM 990, PART XI, LINE 9: APPLICATION OF FASB ASC TOPIC 715 3,915,914. ROUNDING -4. 990, PAGE 1, HEADING ITEM C ALTRU 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 FORM 990, PART VIII, LINE 2B & 2D EXCLUSION AMOUNT BIOMED SERVICES $79,810 SITE SERVICE FEES $7,477 SUBTOTAL $87,287 PHARMACY SALES TO EMPLOYEES $81,223 HOUSING/SPACE RENTALS $652,528 VENDING MACHINE INCOME $44,501 SALE OF SCRAP/OTHER $1,717 SUBTOTAL $779,969 TOTAL EXCLUSION AMOUNT $867,256 RELATED OR EXEMPT FUNCTION INCOME HEARING CENTER $1,054,425 OCCUPATIONAL HEALTH $563,588 PURCHASE DISCOUNTS $125,913 REBATES $376,589 CONTRACT SERVICES, OUTREACH, EDUCATION $3,125,776 MEDICAL RECORDS TRANSCRIPT FEES $139,145 AFFILIATED OTHER REVENUE $621,078 340B PHARMACY REVENUE $26,285,960 DL HOSPITALIST CONTRACT REVENUE $762,400 SPORTS ADVANTAGE $202,814 EPIC RELATED FEES- CRITICAL ACCESS $1,771,553 MISCELLANEOUS REVENUE $8,203,383 TOTAL RELATED/EXEMPT INCOME $43,232,623 FORM 990, PART VIII, LINE 2B & 2D 1. BIOMED SERVICES: REVENUE EARNED THROUGH THE PROVISION OF SERVICES TO AREA HEALTH CARE FACILITIES NEEDING TO KEEP THEIR EQUIPMENT IN OPERATION IN ORDER TO PROVIDE THEIR PATIENTS WITH THEIR SERVICE. THE BIOMED PROGRAM PROVIDES SMALL REGIONAL HOSPITALS WITH A SERVICE OTHERWISE UNOBTAINABLE FROM ANYONE IN THE LOCAL AREA; IT IS OFTEN ON A PRIORITY BASIS. 2. SITE SERVICE FEES: FEES CHARGED FOR PROVIDING GROUNDS AND MAINTENANCE FOR THE AREA SURROUNDING THE HOSPITAL, INCLUDING FEES FOR SUCH SERVICES AS MAINTENANCE OF HOSPITAL PARKING LOT, SNOW SHOVELING, AND SNOW REMOVAL. 3. PHARMACY SALES TO EMPLOYEES: REVENUE INCURRED IN SALES STRICTLY FOR THE CONVENIENCE OF EMPLOYEES. 4. HOUSING/SPACE RENTALS: INCOME INCURRED THROUGH THE RENTAL OF SPACE TO THE AREA HEALTH EDUCATION CENTER WHICH IS REQUIRED TO BE ON-SITE TO WORK WITH OUR PHYSICIANS PROVIDING HEALTH CARE TO PATIENTS. 5. VENDING MACHINE INCOME: INCOME EARNED THROUGH THE OPERATION OF VENDING MACHINES IN THE BUILDINGS. 6. SALE OF SCRAP: INCOME EARNED THROUGH THE SALE OF ITEMS THAT ARE NOT FIXED ASSETS AND ARE OF DIMINISHED USE TO THE ORGANIZATION. 7. HEARING CENTER: REVENUE FROM THE PROVISION OF AUDIOLOGICAL SERVICES AND HEARING AIDS TO PATIENTS. 8. OCCUPATIONAL HEALTH: FEES FOR PROVIDING DRUG SCREENINGS FOR REGIONAL EMPLOYERS. 9. PURCHASE DISCOUNTS: THIS FIGURE REPRESENTS COST SAVINGS ON PURCHASES FROM SUPPLIERS FOR GOODS USED IN THE PROVISION OF HEALTH CARE SERVICES. 10. REBATES: REBATES RECEIVED BASED ON VOLUME OF PHARMACY PURCHASES. 11. CONTRACT SERVICES, OUTREACH, EDUCATION: REVENUES EARNED IN THE PROVISION OF COMMUNITY EDUCATION/WELLNESS PROGRAMS, PASTORAL COUNSELING SERVICES, AND CONTRACTED SERVICES WITH REGIONAL HEALTHCARE SYSTEMS TO BRING OUTREACH SERVICES INTO THEIR COMMUNITIES. 12. MEDICAL RECORD TRANSCRIPTION FEES: INCOME EARNED THROUGH THE CHARGING OF VARIOUS THIRD PARTY PAYERS FOR THE PHOTOCOPYING OF PATIENT RECORDS. INSURANCE COMPANIES AND PAYERS ARE CHARGED TO OFFSET THE COST OF COPYING. 13. OTHER REVENUE CHARGED TO AFFILIATED CORPORATIONS: REVENUE FROM THE PROVISION OF PATIENT SERVICES, SUCH AS PSYCH OR LABORATORY, TO THE PATIENTS OF OTHER CORPORATIONS, WHICH ARE AFFILIATED TO ALTRU HEALTH SYSTEM. 14. 340B PHARMACY REVENUE: INCOME EARNED FROM AREA PHARMACIES USING THE 340(B) BUYING CONTRACT TO PURCHASE PHARMACEUTICALS AT DISCOUNTED RATES. 15. DL HOSPITALIST CONTRACT REVENUE: INCOME FROM ALTRU PHYSICIANS PROVIDING HOSPITALIST SERVICES AT MERCY HOSPITAL, DEVILS LAKE. 16. SPORTS ADVANTAGE: EXOS PROGRAM FEES; PERFORMANCE TRAINING PROVIDED TO AREA ATHLETES AND COACHES 17. EPIC RELATED FEES FROM CRITICAL ACCESS HOSPITALS:ANNUAL FEES, INCLUDING ONE-TIME IMPLEMENTATION, OF AREA CRITICAL ACCESS HOSPITALS USING OUR EPIC VENDOR SOFTWARE FOR PATIENT BILLING 18. MISCELLANEOUS INCOME: INCLUDES A RETURN OF EXPENSES FROM AN INSURANCE POOL. ALSO INCLUDES INCOME EARNED THROUGH THE PROVISION OF SERVICES THAT ARE OPERATING IN THE HOSPITAL IN NATURE, BUT HAVE NO SPECIFIC COST CENTER IDENTIFICATIONS. AN EXAMPLE OF THIS WOULD BE IF THE DIRECTOR OF THE COMMUNICATIONS DEPARTMENT RECEIVED A SMALL TOKEN AMOUNT FOR FILLING OUT A SURVEY FROM SOME HEALTH CARE ORGANIZATION. ALTRU HEALTH FOUNDATION 2501 DEMERS AVE GRAND FORKS ND 58201 450368330 FUNDRAISING ND 501(C)(3) LINE 12B, II ALTRU HEALTH SYSTEM 1 DAK-MINN BLOOD BANK 1200 S COLUMBIA RD GRAND FORKS ND 58201 363453164 BLOOD BANK ND 501(C)(3) LINE 12D, III-O N/A 0 ALTRU ALLIANCE 1200 S COLUMBIA RD GRAND FORKS ND 58201 237389089 SUPPORT HOSPITAL AND AFFILIATES ND 501(C)(3) LINE 12C, III-FI N/A 0 ALTRU SPECIALTY SERVICES INC 1200 S COLUMBIA RD GRAND FORKS ND 58201 450395652 DME SALES, RETAIL PHARMACY ND ALTRU HEALTH SYSTEM C 11859946 40073649 1.00000 1 1 1 1 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 1 ALTRU HEALTH FOUNDATION C 1656679 CASH DONATED ALTRU HEALTH FOUNDATION O 122685 COMPENSATION TO RELATED ORG ALTRU SPECIALTY SERVICES A 136478 RENT PAYMENT RECEIVED