ALTRU HEALTH SYSTEM: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: ALTRU HEALTH SYSTEM (EIN 45-0310462)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2020-11-03
IRS object ID: 202033089349301043
Schema version: 2018v3.2
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-11-03T13:27:59-06:00	ReturnTs
Tax Period End	2018-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	450310328	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BRADY MARTZ AND ASSOCIATES PC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 14296	AddressLine1Txt
City	GRAND FORKS	CityNm
State Abbreviation	ND	StateAbbreviationCd
ZIP	582084296	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	450310462	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ALTRU HEALTH SYSTEM	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	ALTR	BusinessNameControlTxt
Phone	7017805200	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1200 S COLUMBIA RD	AddressLine1Txt
City	GRAND FORKS	CityNm
State Abbreviation	ND	StateAbbreviationCd
ZIP	582014036	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DR STEVEN WEISER	PersonNm
Person Title	PRESIDENT	PersonTitleTxt
Phone	7017805200	PhoneNum
Signature	2020-10-23	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	NICOLE HELDSTAB	PreparerPersonNm
PTIN	P01220683	PTIN
Phone	7017754685	PhoneNum
Preparation	2020-10-16	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	24.111.23.187	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-10-23	IPDt
IP Tm	08:01:52	IPTm
IP Timezone	CD	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	B9303B9D082645F0E9C5F4109FC0868A6B9608B2	AtSubmissionCreationDeviceId
At Submission Filing Device Id	6C39C89A0B916563EEFC9C4D81EC75D1023FE21F	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Amended Return	Yes (X)	AmendedReturnInd

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	ALTRU HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	DR STEVEN WEISER	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1200 S COLUMBIA RD	AddressLine1Txt
City	GRAND FORKS	CityNm
State Abbreviation	ND	StateAbbreviationCd
ZIP	582014036	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$599,973,053	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	ALTRU.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1970	FormationYr
Legal Domicile State	ND	LegalDomicileStateCd
Activity Or Mission	HEALTHCARE DELIVERY	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	3	VotingMembersIndependentCnt
Total Employee	4638	TotalEmployeeCnt
Total Volunteers	310	TotalVolunteersCnt
Total Gross UBI	$6,059,521	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$1,425,980	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,878,464	PYContributionsGrantsAmt
CY Contributions Grants	$6,701,741	CYContributionsGrantsAmt
PY Program Service Revenue	$555,999,359	PYProgramServiceRevenueAmt
CY Program Service Revenue	$570,773,013	CYProgramServiceRevenueAmt
PY Investment Income	$4,914,964	PYInvestmentIncomeAmt
CY Investment Income	$7,968,361	CYInvestmentIncomeAmt
PY Other Revenue	$155,431	PYOtherRevenueAmt
CY Other Revenue	$153,570	CYOtherRevenueAmt
PY Total Revenue	$563,948,218	PYTotalRevenueAmt
CY Total Revenue	$585,596,685	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,062,049	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,159,546	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$338,818,207	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$338,123,032	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$225,285,087	PYOtherExpensesAmt
CY Other Expenses	$246,874,130	CYOtherExpensesAmt
PY Total Expenses	$565,165,343	PYTotalExpensesAmt
CY Total Expenses	$586,156,708	CYTotalExpensesAmt
PY Revenues Less Expenses	-$1,217,125	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$560,023	CYRevenuesLessExpensesAmt
Total Assets BOY	$548,207,089	TotalAssetsBOYAmt
Total Assets EOY	$543,017,154	TotalAssetsEOYAmt
Total Liabilities BOY	$282,364,561	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$290,423,688	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$265,842,528	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$252,593,466	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	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 200,000 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.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$25,338,039	ExpenseAmt
Revenue	$29,295,315	RevenueAmt
Desc	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 2018, THERE WERE 661 HOSPITAL DISCHARGES.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$9,424,358	ExpenseAmt
Revenue	$28,980,335	RevenueAmt
Desc	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 2018, THERE WERE 1,055 HOSPITAL DISCHARGES.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$27,945,610	ExpenseAmt
Revenue	$58,099,432	RevenueAmt
Desc	GENERAL SURGERY - ALTRU'S TEAM OF GENERAL SURGEONS PERFORM INPATIENT AND OUTPATIENT SURGERY AND SEE PATIENTS AT ALTRU HOSPITAL, ALTRU MAIN CLINIC, AND SOME OF ALTRU'S REGIONAL CLINICS. IN 2018, THERE WERE 704 GENERAL SURGERY HOSPITAL DISCHARGES.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$450,540,426	ExpenseAmt
Grant	$1,159,546	GrantAmt
Revenue	$447,777,343	RevenueAmt
Desc	OTHER PROGRAM SERVICES INCLUDE OTHER PATIENT CARE PROGRAMS.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$450,540,426	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$1,159,546	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$447,777,343	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$513,248,433	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (1)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	107	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	4638	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	3	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THE ORGANIZATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	7017805203	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1200 SOUTH COLUMBIA ROAD	AddressLine1Txt
City	GRAND FORKS	CityNm
State Abbreviation	ND	StateAbbreviationCd
ZIP	58201	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
KRIS COMPTON
BOARD CHAIR	1.00	Yes (X)	Yes (X)	$0	$0	$0
LONNIE LAFFEN
VICE CHAIR	1.00	Yes (X)	Yes (X)	$0	$0	$0
PHILIP GISI
SECRETARY	1.00	Yes (X)	Yes (X)	$0	$0	$0
ALICE BREKKE
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
KRISTI HALL-JIRAN
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
KEITH OKESON
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
MATTHEW ROLLER MD
BOARD MEMBER/PHYSICIAN	40.00	Yes (X)		$576,056	$0	$45,008
BRADLEY BELLUK MD
BOARD MEMBER/PHYSICIAN	40.00	Yes (X)		$603,925	$0	$44,358
ERIC LUNN MD
BOARD MEMBER/PRESIDENT/PHY	40.00	Yes (X)	Yes (X)	$580,193	$0	$28,054
DAVID MOLMEN
BOARD MEMBER/CEO	40.00	Yes (X)	Yes (X)	$732,811	$0	$51,657
BRADLEY WEHE
BOARD MEMBER/COO	40.00	Yes (X)	Yes (X)	$516,271	$0	$45,565
DWIGHT THOMPSON
CFO/TREASURER	40.00		Yes (X)	$820,051	$0	$33,990
JOSHUA DEERE
MEDICAL DIRECTOR	40.00			$451,297	$0	$42,559	Yes (X)
KELLEE FISK
CHIEF PEOPLE OFFICER	40.00			$404,915	$0	$41,059	Yes (X)
YVONNE GOMEZ
MEDICAL DIRECTOR	40.00			$449,194	$0	$58,126	Yes (X)
WILLIAM MCKINNON MD
MEDICAL DIRECTOR	40.00			$366,581	$0	$74,636	Yes (X)
DENNIS REISNOUR
CHIEF STRATEGY OFFICER	40.00			$296,662	$0	$33,899	Yes (X)
HEATHER STRANDELL
ADMINISTRATIVE DIRECTOR	40.00			$269,546	$0	$17,698	Yes (X)
COLLEEN SWANK MD
CHIEF MEDICAL OFFICER	40.00			$571,880	$0	$5,433	Yes (X)
MARK WAIND
CHIEF INFORMATION OFFICER	40.00			$375,329	$0	$37,809	Yes (X)
JILL WILSON
ADMIN DIRECTOR	40.00			$247,443	$0	$43,792	Yes (X)
RABEEA ABOUFAKHER
MEDICAL DIRECTOR	40.00			$1,156,693	$0	$42,620	Yes (X)
JEREMY GARDNER
MEDICAL DIRECTOR	40.00			$770,635	$0	$79,328	Yes (X)
STEVEN WEISER
MEDICAL DIRECTOR	40.00			$534,849	$0	$72,983	Yes (X)
JANICE HAMSCHER
CHIEF NURSE OFFICER	40.00			$363,443	$0	$33,288	Yes (X)
MEGHAN COMPTON
CHIEF LEGAL COUNSEL	40.00			$295,337	$0	$54,016	Yes (X)
JENNIFER NUELLE-DIMOULAS
ADMIN DIRECTOR	40.00			$186,651	$0	$21,719	Yes (X)
JONATHAN HAUG
MEDICAL DIRECTOR	40.00			$587,135	$0	$48,772	Yes (X)
BARRY BJORGAARD
PHYSICIAN	40.00			$1,121,832	$0	$43,358		Yes (X)
IKECHUKWU ONYEKA
PHYSICIAN	40.00			$1,328,471	$0	$45,241		Yes (X)
ADAM NICHOLSON
PHYSICIAN	40.00			$1,001,695	$0	$46,197		Yes (X)
GRANT SEEGER
PHYSICIAN	40.00			$983,195	$0	$51,447		Yes (X)
SUNIL KARTHAM
PHYSICIAN	40.00			$957,220	$0	$49,447		Yes (X)
KENNETH VEIN
FORMER KEY EMPLOYEE	40.00			$358,000	$0	$2,700			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$16,907,310	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,194,759	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	440	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
MEDEFIS CONSOLIDATED
2121 N 117TH AVE STE 200	OMAHA	NE	68164	SERVICES	$11,043,118
COMPHEALTH MEDICAL STAFFING
PO BOX 713100	SALT LAKE CITY	UT	841713100	SERVICES	$6,984,179
WEATHERBY LOCUMS INC
PO BOX 75397	DALLAS	TX	753972633	SERVICES	$3,053,276
MAYO COLLABORATIVE SERVICES INC
PO BOX 9146	MINNEAPOLIS	MN	554809146	SERVICES	$2,802,281
EPIC SYSTEMS CORPORATION
PO BOX 88314	MILWAUKEE	WI	532880314	SERVICES	$2,494,568

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	86	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,614,599	RelatedOrganizationsAmt
Government Grants	$1,758,743	GovernmentGrantsAmt
All Other Contributions	$3,328,399	AllOtherContributionsAmt
Noncash Contributions	$3,269,467	NoncashContributionsAmt
Total Contributions	$6,701,741	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET SERVICE TO PATIENTS	621110	$534,879,267	$528,973,316	$5,905,951
PROGRAM SERVICE REVENUE	621110	$35,872,638	$35,179,109		$693,529
BIOMED SERVICES/SITE SERVICES FEE	900099	$21,108			$21,108

Field	Value	IRS element (for citing)
Total Program Service Revenue	$570,773,013	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,143,347	TotalRevenueColumnAmt
Exclusion	$7,143,347	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$15,201,382	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$14,311,092	SecuritiesAmt
Other	$65,276	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$890,290	SecuritiesAmt
Other	-$65,276	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$825,014	TotalRevenueColumnAmt
Exclusion	$825,014	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
RENTAL OFFICE SPACE/PARKING LOT	531120	$146,279	$146,279
TELECOMMUNICATIONS	517000	$5,642	$5,642
SNOW REMOVAL	812900	$1,649	$1,649

Field	Value	IRS element (for citing)
Other Revenue Total	$153,570	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$585,596,685	TotalRevenueColumnAmt
Related Or Exempt Func Income	$564,152,425	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$6,059,521	UnrelatedBusinessRevenueAmt
Exclusion	$8,682,998	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,142,948	TotalAmt
Program Services	$1,142,948	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$16,598	TotalAmt
Program Services	$16,598	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$12,113,267	TotalAmt
Program Services	$5,103,583	ProgramServicesAmt
Management And General	$7,009,684	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$262,744,973	TotalAmt
Program Services	$238,578,573	ProgramServicesAmt
Management And General	$24,166,400	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$17,120,617	TotalAmt
Program Services	$15,567,291	ProgramServicesAmt
Management And General	$1,553,326	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$29,429,163	TotalAmt
Program Services	$26,759,103	ProgramServicesAmt
Management And General	$2,670,060	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$16,715,012	TotalAmt
Program Services	$14,845,300	ProgramServicesAmt
Management And General	$1,869,712	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$578,347	TotalAmt
Program Services	$578,347	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,187,437	TotalAmt
Program Services	$3,187,437	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$5,701,751	TotalAmt
Program Services	$1,766,475	ProgramServicesAmt
Management And General	$3,935,276	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$7,665,782	TotalAmt
Program Services	$7,665,782	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$26,517,196	TotalAmt
Program Services	$26,517,196	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,333,026	TotalAmt
Program Services	$2,333,026	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
SUPPLIES	$102,242,191	$99,008,504	$3,233,687
UNRELATED BUSINESS TAX	$447,703	$447,703
PURCHASED SERVICES	$42,537,055	$25,623,527	$16,913,528
FEES	$31,034,965	$27,690,277	$3,344,688

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$24,628,677	TotalAmt
Program Services	$16,416,763	ProgramServicesAmt
Management And General	$8,211,914	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$586,156,708	TotalAmt
Program Services	$513,248,433	ProgramServicesAmt
Management And General	$72,908,275	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$13,120	BOYAmt
EOY	$1,182,824	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$32,548,213	BOYAmt
EOY	$33,347,813	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$74,258,859	BOYAmt
EOY	$71,372,757	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$438,170	BOYAmt
EOY	$469,416	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$7,485,482	BOYAmt
EOY	$8,385,316	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$356,779	BOYAmt
EOY	$583,558	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$573,416,984	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$351,871,959	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$198,545,852	BOYAmt
EOY	$221,545,025	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$160,151,970	BOYAmt
EOY	$152,003,774	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$20,765,106	BOYAmt
EOY	$24,243,096	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$53,643,538	BOYAmt
EOY	$29,883,575	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$548,207,089	BOYAmt
EOY	$543,017,154	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$44,914,358	BOYAmt
EOY	$55,351,066	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$591,481	BOYAmt
EOY	$1,349,246	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$215,620,975	BOYAmt
EOY	$209,011,862	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$21,237,747	BOYAmt
EOY	$24,711,514	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$282,364,561	BOYAmt
EOY	$290,423,688	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$265,842,528	BOYAmt
EOY	$252,593,466	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$265,842,528	BOYAmt
EOY	$252,593,466	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$548,207,089	BOYAmt
EOY	$543,017,154	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$560,023	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$11,786,637	NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments	-$350,997	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$551,405	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,118,416	OtherCostOrOtherBasisAmt
Book Value	$9,118,416	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$268,489,195	OtherCostOrOtherBasisAmt
Depreciation	$144,642,471	DepreciationAmt
Book Value	$123,846,724	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,967,049	OtherCostOrOtherBasisAmt
Depreciation	$7,599,219	DepreciationAmt
Book Value	$4,367,830	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$243,711,930	OtherCostOrOtherBasisAmt
Depreciation	$199,630,269	DepreciationAmt
Book Value	$44,081,661	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$40,130,394	OtherCostOrOtherBasisAmt
Book Value	$40,130,394	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$221,545,025	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
ASSETS HELD BY TRUSTEE	$945,822
UNAMORTIZED BOND ISSUE AND OTHER COSTS	$7,375,171
ASSETS HELD UNDER TRUST AGREEMENTS	$15,973,839
DUE FROM AFFILIATES	$279,028
OTHER ASSETS	$5,309,715

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$29,883,575	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$77,541
POST RETIREMENT HEALTH BENEFIT	$7,020,952
OTHER	$15,006,305
ESTIMATED THIRD PARTY LIABILITY	$2,000,000
SPECIAL ASSESSMENTS PAYABLE	$606,716

Field	Value	IRS element (for citing)
Total Liability	$24,711,514	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent150	Yes (X)	Percent150Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent250	Yes (X)	Percent250Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,540,575	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,540,575	NetCommunityBenefitExpnsAmt
Total Expense	0.00770	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,956,838	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$20,956,838	NetCommunityBenefitExpnsAmt
Total Expense	0.03580	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$614,477	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$614,477	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$26,111,890	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$26,111,890	NetCommunityBenefitExpnsAmt
Total Expense	0.04450	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,064,272	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,064,272	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$638,284	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$638,284	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$36,626	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$36,626	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$203,150	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$203,150	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,942,332	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,942,332	NetCommunityBenefitExpnsAmt
Total Expense	0.00330	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$28,054,222	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$28,054,222	NetCommunityBenefitExpnsAmt
Total Expense	0.04780	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$7,754,284	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$135,714,491	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$400,151,042	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$264,436,551	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	3	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
ALTRU HOSPITAL
1	1200 S COLUMBIA RD	GRAND FORKS	ND	582066002	Yes (X)	Yes (X)	Yes (X)	A
ALTRU REHABILITATION CENTER
2	1300 S COLUMBIA RD	GRAND FORKS	ND	582066002	Yes (X)			A
ALTRU SPECIALTY CENTER
3	4500 S WASHINGTON ST	GRAND FORKS	ND	58201	Yes (X)	Yes (X)		A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ALTRU HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	16	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.ALTRU.ORG	OwnWebsiteURLTxt
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	17	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.ALTRU.ORG	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	150.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	250.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.ALTRU.ORG	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.ALTRU.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.ALTRU.ORG	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit Report To Credit Agency	Yes (X)	PermitReportToCreditAgencyInd
Permit Legal Judicial Process	Yes (X)	PermitLegalJudicialProcessInd
Collection Activities	Yes (1)	CollectionActivitiesInd
Reporting To Credit Agency	Yes (X)	ReportingToCreditAgencyInd
Engaged Legal Judicial Process	Yes (X)	EngagedLegalJudicialProcessInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	Yes (1)	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 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:COMMUNITY VIOLENCE INTERVENTION CENTERUNITED WAYGRAND FORKS PUBLIC SCHOOLSUNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINEUNIVERSITY OF NORTH DAKOTANORTHEAST HUMAN SERVICE CENTERGRAND FORKS POLICE DEPARTMENTGRAND FORKS FIRE DEPARTMENTALTRU FAMILY YMCAGRAND FORKS PARK DISTRICTGRAND FORKS AIR FORCE BASELIPP, CARLSON, WITUCKI & ASSOCIATESGRAND FORKS SENIOR CENTERTHIRD STREET CLINICGRAND FORKS CITY COUNCILFAITH COMMUNITYGLOBAL FRIENDS COALITIONVALLEY COMMUNITY HEALTH CENTERPOLK COUNTY PUBLIC HEALTHGRAND FORKS COUNTY COMMISSIONTHE ADVISORY COMMITTEE ENGAGED STUDENTS FROM THE UNIVERSITY OF NORTH DAKOTA'S MASTER OF PUBLIC HEALTH PROGRAM WITH THE ASSISTANCE OF DR. RAYMOND GOLDSTEEN, PROFESSOR AND DIRECTOR OF THE DEPARTMENT OF POPULATION HEALTH. THE STUDENT TEAM CONDUCTED A COMMUNITY SURVEY ALONG WITH FOCUS GROUPS WITH COMMUNITY LEADERS 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 REHABILITATION CENTER
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 SIXTY SIGNIFICANT ISSUES/NEEDS WITH THE INPUT OF THE ADVISORY COMMITTEE. FROM THIS LIST, THE HEALTH ISSUES WERE RANKED BY PRIORITY, AND THE TOP 5 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 2016 CHNA.
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.

Field	Value	IRS element (for citing)
Facility	55	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (55 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
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 PSYCHIATRY CENTER
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
23076 347TH ST SE	ERSKINE	MN	565354201	OUTPATIENT DEPT OF ALTRU HOSP - CLINIC
14 - ALTRU CLINIC - FERTILE
MILL STREET MAIN	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 CAVALIER CLINIC
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 PART 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

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 $7,754,284CHARITY 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 9, 14 ON PAGE 32 AND 16 ON PAGE 33 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 $264,436,551 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, 2018, 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 COMMUNITY HEALTH NEEDS ASSESSMENT WAS APPROVED BY THE BOARD OF DIRECTORS ON SEPTEMBER 26, 2016. AS A RESULT OF THE ASSESSMENT, ALTRU PRIORITIZED AND IS FOCUSING ON THE FOLLOWING FIVE ISSUES: 1) ACCESS TO BEHAVIORAL HEALTH SERVICES, INCLUDING ADDICTION TREATMENT AND COUNSELING; 2) PRESCRIPTION AND ILLEGAL DRUG ABUSE; 3) RATE OF OBESITY; 4) BINGE DRINKING/EXCESSIVE DRINKING; AND 5) CARE COORDINATION AND ACCESS TO HEALTH CARE.
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 17-COUNTY AREA THAT IS DIVIDED INTO THREE DISTINCT SERVICE AREAS (PRIMARY, SECONDARY, AND REFERRAL) AND HAS A POPULATION OF APPROXIMATELY 224,000 PERSONS (2018 ESTIMATE) 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 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 PRIMARY SERVICE AREA, COMPRISED OF GRAND FORKS COUNTY (NORTH DAKOTA) AND POLK COUNTY (MINNESOTA), IS HOME TO 110,223 PEOPLE (2018 ESTIMATE). LOCATED IN THIS MARKET ARE ALTRU HOSPITAL, 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 2018 FOR OUR PRIMARY MARKET WAS 63 PERCENT BASED ON CLAIMS DATA FROM THE MINNESOTA HOSPITAL ASSOCIATION (MHA). ABOUT 80 PERCENT OF THE PHYSICIANS IN THE PRIMARY AREA 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 LOCATED IN OUR PRIMARY 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 ABOUT 14,406 STUDENTS (FALL 2018). THE NUMBER OF RESIDENTS AT GRAND FORKS AIR FORCE BASE WAS COUNTED AT 2,367 IN THE 2010 CENSUS.WITH A POPULATION OF 35,930 (2018 ESTIMATE), THE SECONDARY SERVICE AREA IS COMPRISED OF FIVE COUNTIES TO THE WEST, NORTH, AND EAST OF GRAND FORKS COUNTY: NELSON, WALSH, AND PEMBINA COUNTIES IN NORTH DAKOTA, AND MARSHALL AND KITTSON COUNTIES IN MINNESOTA; THIS AREA IS LARGELY RURAL AND AGRICULTURAL. WITHIN THIS AREA, ALTRU HAS FIVE REGIONAL CLINIC LOCATIONS; IT IS ALSO HOME TO SEVERAL SMALL HOSPITALS AS LISTED BELOW.SECONDARY SERVICE AREA HOSPITALS: LOCATIONUNITY MEDICAL CENTER: GRAFTON, NDFIRST CARE HEALTH CENTER: PARK RIVER, NDPEMBINA COUNTY MEMORIAL HOSPITAL: CAVALIER, NDNELSON COUNTY HEALTH SYSTEM: MCVILLE, NDKITTSON MEMORIAL HOSPITAL: HALLOCK, MNNORTH VALLEY HEALTH CENTER: WARREN, MNIN 2018, ALTRU'S HOSPITAL INPATIENT MARKET SHARE IN THIS SERVICE AREA WAS AROUND 43 PERCENT ACCORDING TO CLAIMS PROVIDED BY MHA. THE SYSTEM EMPLOYS MANY OF THE PHYSICIANS IN THE SECONDARY SERVICE AREA. ALL OF THESE PHYSICIANS ARE ON MEDICAL STAFFS OF COMMUNITY HOSPITALS THROUGHOUT THE REGION, AND REFER PATIENTS TO GRAND FORKS AND ELSEWHERE FOR SPECIALTY CARE.THE SYSTEM'S REFERRAL AREA IS COMPRISED OF TEN COUNTIES ENCIRCLING THE PRIMARY AND SECONDARY SERVICE AREAS (ROLETTE, TOWNER, BENSON, RAMSEY, CAVALIER, AND TRAILL COUNTIES IN NORTH DAKOTA AND ROSEAU, LAKE OF THE WOODS, PENNINGTON, AND RED LAKE COUNTIES IN MINNESOTA.) THIS REGION IS ALSO MOSTLY RURAL AND AGRICULTURAL AND INCLUDES SEVERAL SMALLER HOSPITALS AS LISTED SERVING THE PRIMARY CARE NEEDS OF THEIR COMMUNITIES. ALTRU HAS SIX REGIONAL CLINICS IN THIS SERVICE AREA AND ALTRU HOSPITAL'S INPATIENT MARKET SHARE IN THIS REGION IS ABOUT 32 PERCENT ACCORDING TO 2018 CLAIMS DATA PROVIDED BY MHA. ALTRU, ONCE AGAIN, EMPLOYS MANY OF THE PHYSICIANS IN THIS AREA, AND THESE PHYSICIANS HAVE PRACTICE PATTERNS SIMILAR TO THOSE OF THE PHYSICIANS IN OUR SECONDARY SERVICE AREA.REFERRAL SERVICE AREA HOSPITALS: LOCATIONCAVALIER COUNTY MEMORIAL HOSPITAL: LANGDON, NDHILLSBORO MEDICAL CENTER: HILLSBORO, NDLAKEWOOD HEALTH CENTER: BAUDETTE, MNMERCY HOSPITAL: DEVILS LAKE, NDSANFORD-THIEF RIVER FALLS MEDICAL CENTER: THIEF RIVER FALLS, MNPRESENTATION MEDICAL CENTER: ROLLA, NDTOWNER COUNTY MEDICAL CENTER: CANDO, NDSANFORD MAYVILLE MEDICAL CENTER: MAYVILLE, NDLIFECARE MEDICAL CENTER: ROSEAU, MNQUENTIN N. BURDICK MEMORIAL HOSPITAL: BELCOURT, NDAS PREVIOUSLY MENTIONED, ALTRU'S 17-COUNTY SERVICE AREA HAS A POPULATION OF APPROXIMATELY 224,000 (2018 ESTIMATE). 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: 2018 PROJECTIONS COVERED LIVES AS A PERCENTMEDICARE 33,700 26.3%COMMERCIAL 94,300 73.7%TOTAL LIVES 128,000 100%ALSO FROM OPTUM, OUR TOTAL SERVICE AREA'S INCOME BY HOUSEHOLD IS AS FOLLOWS:INCOME RANGE 2018 PERCENTAGES$ < $ 9,999 3.7% $ 10,000 - $ 14,999 5.0%$ 15,000 - $ 19,999 5.0%$ 20,000 - $ 24,999 5.2%$ 25,000 - $ 29,999 4.6%$ 30,000 - $ 39,999 4.5%$ 35,000 - $ 39,999 4.5%$ 40,000 - $ 44,999 5.5%$ 45,000 - $ 49,999 5.2%$ 50,000 - $ 59,999 9.5%$ 60,000 - $ 74,999 11.0%$ 75,000 - $ 99,999 14.0%$100,000 - $124,999 9.2%$125,000 - $149,999 4.8%$150,000 - $199,999 4.3%$ > $200,000 4.0%ACCORDING TO THE WEBSITE FOR HEALTH RESOURCES AND SERVICES ADMINISTRATION, THE FOLLOWING AREAS IN OUR SERVICE AREA ARE MUA'S:NORTH DAKOTA:BENSON COUNTY: BENSON SERVICE AREACAVALIER COUNTY: CAVALIER SERVICE AREAGRAND FORKS COUNTY: NORTHWOOD SERVICE AREA, GRAND FORKS SERVICE AREANELSON COUNTY: NELSON SERVICE AREAPEMBINA COUNTY: WALHALLA SERVICE AREAROLETTE COUNTY: ROLETTE SERVICE AREATOWNER COUNTY: CANDO CITY SERVICE AREATRAILL COUNTY: TRAILL SERVICE AREAWALSH COUNTY: PARK RIVER CITY SERVICE AREAMINNESOTA:KITTSON COUNTY: KITTSON SERVICE AREAMARSHALL COUNTY: MARSHALL SERVICE AREAPOLK COUNTY: POLK SERVICE AREARED LAKE COUNTY: RED LAKE SERVICE AREAROSEAU COUNTY: ROSEAU 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

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (15 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
COMMUNITY VIOLENCE INTERVENTION CENTER
211 S 4TH ST STE 207	GRAND FORKS	ND	58201	450359167	501(C)(3)	$40,000	2018 SUPPORT
UNIVERSITY OF MINNESOTA FOUNDATION
200 OAK ST SE STE 500	MINNEAPOLIS	MN	55455	416042488	501(C)(3)	$20,000	STUDENT SCHOLARSHIP FUND
RE ARENA INC
ONE RALPH ENGLESTAD DR	GRAND FORKS	ND	58203	113666663	501(C)(3)	$108,750	GAME DAY SPONSORSHIPS
UND FOUNDATION
3100 UNIVERSITY AVE STOP 8157	GRAND FORKS	ND	58202	450348296	501(C)(3)	$458,480	UND ATHLETICS HIGH PERFORMANCE CENTER; ALTRU TURF FUND
GREATER GRAND FORKS YOUNG PROFESSIONALS
202 NORTH 3RD ST	GRAND FORKS	ND	58203	320134204	501(C)(6)	$12,000	GGFYP VISIONARY SPONSORSHIP
GRAND FORKS PARK DISTRICT FOUNDATION
1060 47TH AVE S	GRAND FORKS	ND	58201	260625504	501(C)(3)	$175,500	WELLNESS CENTER PROJECT; LEGENDS & HEROES PLEDGE
ALTRU FAMILY YMCA
215 N 7TH ST	GRAND FORKS	ND	58203	450226434	501(C)(3)	$52,000	YMCA PROJECT; FIRECRACKER ROAD RACE; CATALOG SPONSOR
CITY OF EAST GRAND FORKS
600 DEMERS AVE NW	EAST GRAND FORKS	MN	56721	416005112	EAST GRAND FORKS, MN	$45,000	WELLNESS PROGRAM
CITY OF GRAND FORKS
255 N 4TH ST	GRAND FORKS	ND	58203	456002085	GRAND FORKS, ND	$50,600	SOCIAL DETOX FACILITY
GRAND FORKS DOWNTOWN DEVELOPMENT ASSOCIATION
23 N 3RD ST STE 2	GRAND FORKS	ND	58203	464711617	501(C)(6)	$32,500	GREENWAY TAKEOVER FESTIVAL, VISIONARY PARTNERSHIP
GRAND FORKS MARATHON INC
PO BOX 14867	GRAND FORKS	ND	58203	273739718	501(C)(3)	$20,000	PRESENTING SPONSOR
UND GRANTS AND CONTRACT ADMIN
TWAMLEY HALL 100 264 CENTENNIAL DR	GRAND FORKS	ND	58202	456002491	501(C)(3)	$25,000	SIM-ND PROJECT	STOP 7306
NORTHLAND COMMUNITY AND TECHNICAL COLLEGE-EGF
1312 HARMON PLACE	MINNEAPOLIS	MN	55403	411687554	501(C)(3)	$10,000	STUDENT SCHOLARSHIP FUND
MAYVILLE STATE UNIVERSITY FOUNDATION
330 3RD ST NE	MAYVILLE	ND	58257	456013477	501(C)(3)	$8,333	ARTIFICIAL TURF
CHAMBER OF GRAND FORKS EAST GRAND FORKS
202 N 3RD ST	GRAND FORKS	ND	58203	202924979	501(C)(6)	$10,000	2018 SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	12	Total501c3OrgCnt
Total Other Org	3	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
SCHOLARSHIPS	20	$14,700
SPONSORSHIPS	4	$1,898

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	UNIVERSITY OF MINNESOTA FOUNDATION - SCHOLARSHIPS ARE DIRECTED BY THE UNIVERSITY OF MINNESOTA FOUNDATION AS PART OF THE SCHOLARSHIP PROGRAM AND ALTRU DOES NOT DIRECTLY DESIGNATE SCHOLARSHIP RECIPIENTS. 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. 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. CITY OF EAST GRAND FORKS - FUNDS GRANTED WITH THE DIRECTION THAT THEY WERE ABLE TO USE THE FUNDS AS NEEDED. 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. GRAND FORKS REGIONAL ECONOMIC DEVELOPMENT CORPORATION - 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. NORTHLAND COMMUNITY AND TECHNICAL COLLEGE-EGF - FUNDS GRANTED WITH THE DIRECTION THAT THEY WERE ABLE TO USE THE FUNDS AS NEEDED. UND GRANTS AND CONTRACT ADMIN - FUNDS GRANTED WITH THE DIRECTION THAT THEY WERE ABLE TO USE THE FUNDS AS NEEDED. GRAND FORKS MARATHON - FUNDS GRANTED WITH THE DIRECTION THAT THEY WERE ABLE TO USE THE FUNDS AS NEEDED FOR A PRESENTING SPONSOR.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (28 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MATTHEW ROLLER MD
BOARD MEMBER/PHYSICIAN	$538,516	$0	$0	$0	$37,540	$0	$20,500	$0	$26,068	$0	$622,624	$0	$0	$0
BRADLEY BELLUK MD
BOARD MEMBER/PHYSICIAN	$559,888	$0	$0	$0	$44,037	$0	$20,500	$0	$25,338	$0	$649,763	$0	$0	$0
ERIC LUNN MD
BOARD MEMBER/PRESIDENT/PHY	$534,129	$0	$0	$0	$46,064	$0	$21,137	$0	$10,554	$0	$611,884	$0	$0	$0
DAVID MOLMEN
BOARD MEMBER/CEO	$597,420	$0	$0	$0	$135,391	$0	$21,210	$0	$34,084	$0	$788,105	$0	$0	$0
BRADLEY WEHE
BOARD MEMBER/COO	$421,686	$0	$0	$0	$94,585	$0	$20,824	$0	$28,350	$0	$565,445	$0	$0	$0
DWIGHT THOMPSON
CFO/TREASURER	$290,382	$0	$113,594	$0	$416,075	$0	$20,500	$0	$16,192	$0	$856,743	$0	$113,594	$0
JOSHUA DEERE
MEDICAL DIRECTOR	$405,139	$0	$17,151	$0	$29,007	$0	$20,551	$0	$23,489	$0	$495,337	$0	$17,151	$0
KELLEE FISK
CHIEF PEOPLE OFFICER	$327,571	$0	$25,000	$0	$52,344	$0	$16,789	$0	$27,771	$0	$449,475	$0	$0	$0
YVONNE GOMEZ
MEDICAL DIRECTOR	$415,121	$0	$7,898	$0	$26,175	$0	$51,209	$0	$8,342	$0	$508,745	$0	$7,898	$0
WILLIAM MCKINNON MD
MEDICAL DIRECTOR	$300,662	$0	$19,864	$0	$46,055	$0	$57,086	$0	$18,757	$0	$442,424	$0	$19,864	$0
DENNIS REISNOUR
CHIEF STRATEGY OFFICER	$235,229	$0	$16,849	$0	$44,584	$0	$16,500	$0	$20,551	$0	$333,713	$0	$16,849	$0
HEATHER STRANDELL
ADMINISTRATIVE DIRECTOR	$235,268	$0	$23,698	$0	$10,580	$0	$15,048	$0	$5,507	$0	$290,101	$0	$132	$0
COLLEEN SWANK MD
CHIEF MEDICAL OFFICER	$5,667	$0	$0	$0	$566,213	$0	$4,421	$0	$1,012	$0	$577,313	$0	$0	$0
MARK WAIND
CHIEF INFORMATION OFFICER	$293,629	$0	$0	$0	$81,700	$0	$20,909	$0	$20,353	$0	$416,591	$0	$0	$0
JILL WILSON
ADMIN DIRECTOR	$208,891	$0	$22,098	$0	$16,454	$0	$27,529	$0	$18,925	$0	$293,897	$0	$65	$0
RABEEA ABOUFAKHER
MEDICAL DIRECTOR	$1,137,653	$0	$0	$0	$19,040	$0	$20,529	$0	$23,651	$0	$1,200,873	$0	$0	$0
JEREMY GARDNER
MEDICAL DIRECTOR	$749,129	$0	$2,466	$0	$19,040	$0	$55,237	$0	$25,651	$0	$851,523	$0	$2,466	$0
STEVEN WEISER
MEDICAL DIRECTOR	$504,509	$0	$4,598	$0	$25,742	$0	$44,936	$0	$29,607	$0	$609,392	$0	$4,463	$0
JANICE HAMSCHER
CHIEF NURSE OFFICER	$319,612	$0	$0	$0	$43,831	$0	$16,888	$0	$19,860	$0	$400,191	$0	$0	$0
MEGHAN COMPTON
CHIEF LEGAL COUNSEL	$255,659	$0	$15,021	$0	$24,657	$0	$19,702	$0	$37,477	$0	$352,516	$0	$15,021	$0
JENNIFER NUELLE-DIMOULAS
ADMIN DIRECTOR	$186,270	$0	$0	$0	$381	$0	$8,088	$0	$15,817	$0	$210,556	$0	$0	$0
JONATHAN HAUG
MEDICAL DIRECTOR	$568,095	$0	$0	$0	$19,040	$0	$22,825	$0	$27,507	$0	$637,467	$0	$0	$0
BARRY BJORGAARD
PHYSICIAN	$1,067,226	$0	$11,389	$0	$43,217	$0	$20,500	$0	$24,418	$0	$1,166,750	$0	$0	$0
IKECHUKWU ONYEKA
PHYSICIAN	$1,284,931	$0	$0	$0	$43,540	$0	$20,500	$0	$26,301	$0	$1,375,272	$0	$0	$0
ADAM NICHOLSON
PHYSICIAN	$939,155	$0	$25,000	$0	$37,540	$0	$20,500	$0	$27,257	$0	$1,049,452	$0	$0	$0
GRANT SEEGER
PHYSICIAN	$964,155	$0	$0	$0	$19,040	$0	$20,500	$0	$32,507	$0	$1,036,202	$0	$0	$0
SUNIL KARTHAM
PHYSICIAN	$919,680	$0	$0	$0	$37,540	$0	$20,500	$0	$30,507	$0	$1,008,227	$0	$0	$0
KENNETH VEIN
FORMER KEY EMPLOYEE	$0	$0	$0	$0	$358,000	$0	$2,700	$0	$0	$0	$360,700	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 4A	FormAndLineReferenceDesc
Explanation	COLLEEN SWANK, $565,213 KENNETH VEIN, $358,000 DWIGHT THOMPSON, $312,000	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CITY OF GRAND FORKS
A	456002085	000000000	2011-08-02	$23,620,000	REFUND BONDS ISSUED IN MAY 19, 1994 AND JUNE 17, 1997	0	0	0
CITY OF GRAND FORKS
B	456002085	38546WCC2	2012-05-01	$117,025,978	REFUND BONDS ISSUED IN 1997, AND 2010A/2010B; INFRASTRUCTURE, EQUIPMENT	0	0	0
CITY OF GRAND FORKS
C	456002085	38546WCR9	2017-07-12	$65,233,846	REFUND BONDS ISSUED IN 2005; FINANCE FACILITIES, INFRASTRUCTURE, EQUIPMENT	0	0	0
CITY OF GRAND FORKS
D	456002085	000000000	2017-09-06	$21,720,835	REFUND BONDS ISSUED IN 2007	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding EscrowRefundingEscrowAmt	UnspentUnspentAmt
A	$16,700,000	$23,620,001	$132,001	Yes (1)	0	Yes (1)	Yes (1)
B	$1,495,000	$117,026,065	$1,295,167	Yes (1)	0	Yes (1)	Yes (1)	$447,684	$83,269	$66,185,853	$49,461,776	2012
C	$1,695,000	$65,335,308	$708,177	0	Yes (1)	0	0	$381,082	$19,519	$16,073,000			$24,569,957	$23,964,656
D	$3,507,914	$21,720,835	$82,447	Yes (1)	0	0	0						$21,638,388

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
B	0	0	0	0	0	0	0
C	0	0	0	0	0	0	0
D	0	0	0	0	0	0	0

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd
A	0	Yes (1)	0	0
B	0	0	Yes (1)	Yes (1)
C	Yes (1)	0	0	0
D	Yes (1)	0	0	0

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	0
B	0
C	0
D	0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 $23,620,000 PLUS $1 OF INVESTMENT EARNINGS. (B) TOTAL PROCEEDS OF ISSUE CONSIST OF SALES PROCEEDS OF $117,025,978 PLUS $87 OF INVESTMENT EARNINGS. (C) TOTAL PROCEEDS OF ISSUE CONSIST OF SALES PROCEEDS OF $65,233,846 PLUS $101,462 OF INVESTMENT EARNINGS.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
ALERUS FINANCIAL
KRIS COMPTON, OFFICER, WAS EMPLOYED AS THE CHIEF STRATEGY OFFICER	$1,468,948	ADVISOR FEES FOR INVESTMENTS AND EMPLOYEE BENEFIT PLAN MANAGEMENT	0
MEGHAN COMPTON
FAMILY MEMBER OF KRIS COMPTON, OFFICER	$349,353	COMPENSATION	0
JLG ARCHITECTS
LONNIE LAFFEN, DIRECTOR, IS PRESIDENT OF JLG	$10,445,092	ARCHITECTURAL FEES FOR THE NEW HOSPITAL DESIGN	0
EDGEWOOD OPCO LLC
PHILIP GISI, DIRECTOR, IS PARTNER AND CEO	$20,000,000	INVESTMENT IN EDGEWOOD OPCO, LLC BY WHOLLY OWNED SUBSIDIARY OF ALTRU	0

Schedule M IRS990ScheduleM

Real Estate Other RealEstateOtherGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$3,269,467	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2	BOARD MEMBER, KRIS COMPTON, IS THE MOTHER OF KEY EMPLOYEE, MEGHAN COMPTON. BOARD MEMBERS, DWIGHT THOMPSON AND PHILIP GISI, HAVE A BUSINESS RELATIONSHIP IN THAT DWIGHT IS A BOARD MEMBER OF EDGEWOOD OPCO, AN ENTITY IN WHICH PHIL IS PARTNER AND CEO.
FORM 990, PART VI, SECTION B, LINE 11B	FORM 990 IS PROVIDED ELECTRONICALLY FOR REVIEW BY THE BOARD OF DIRECTORS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	CONFLICT 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 15	DETERMINATION OF THE COMPENSATION FOR THE PRESIDENT AND CEO ARE DETERMINED BY THE BOARD. SUBSTANTIATION OF THESE DISCUSSIONS APPEAR IN THE BOARD MINUTES. COMPENSATION OF KEY EMPLOYEES ARE DETERMINED BY A COMPENSATION COMMITTEE FORMED OF PHYSICIANS THAT REPORT TO THE BOARD OF DIRECTORS.
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 AND VIA ITS WEB SITE. GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:	APPLICATION OF FASB ASC TOPIC 715 -551,405.
990, PAGE 1, HEADING ITEM C	ALTRU REHAB CENTER, 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
AMENDED FORM 990	THE FORM 990 WAS AMENDED FOR THE FOLLOWING: - ON PART IV, LINES 28A, 28B, AND 28C WERE MARKED AS "YES". LINES 35A AND 35B WERE ALSO MARKED AS "YES". THE CORRESPONDING SCHEDULE L, PART IV, AND SCHEDULE R, PARTS II AND IV, WERE UPDATED. - ON PART VI, SECTION A, LINE 1B, THE NUMBER OF INDEPENDENT VOTING MEMBERS OF THE GOVERNING BODY WAS UPDATED TO CORRECTLY SHOW ONLY THREE MEMBERS AS INDEPENDENT. - PART VI, SECTION A, LINE 2, WAS MARKED AS "YES" WITH A CORRESPONDING EXPLANATION ADDED TO SCHEDULE O. - THE STATEMENT OF REVENUE WAS UPDATED TO REALLOCATE INCOME TO UNRELATED BUSINESS REVENUE, COLUMN C, DUE TO CHANGES MADE TO THE FORM 990-T AND SCHEDULES M. A SIMILAR CHANGE WAS MADE TO THE PROGRAM SERVICE ACCOMPLISHMENTS ON PART III, LINE 4D TO REDUCE PROGRAM SERVICE REVENUE. - SCHEDULE H WAS UPDATED TO INCLUDE THE APPROPRIATE EXPLANATIONS IN PART V FOR FACILITY REPORTING GROUP A. - SCHEDULE L, PART IV, WAS UPDATED TO INCLUDE BUSINESS TRANSACTIONS AMONG INTERESTED PERSONS AND THE ORGANIZATION. - SCHEDULE R, PART II, WAS UPDATED TO INCLUDE THE DIRECT CONTROLLING ENTITY INFORMATION FOR RELATED PARTY, ALTRU HEALTH FOUNDATION. - SCHEDULE R, PART IV, WAS UPDATED TO INCLUDE THE DIRECT CONTROLLING ENTITY INFORMATION FOR RELATED PARTY, ALTRU SPECIALTY SERVICES INC.
FORM 990, PART VIII, LINE 2B & 2D	EXCLUSION AMOUNT BIOMED SERVICES $13,848 SITE SERVICE FEES $7,260 SUBTOTAL $21,108 PHARMACY SALES TO EMPLOYEES $3,409 HOUSING/SPACE RENTALS $594,103 VENDING MACHINE INCOME $93,823 SALE OF SCRAP/OTHER $2,194 SUBTOTAL $693,529 TOTAL EXCLUSION AMOUNT $714,637 RELATED OR EXEMPT FUNCTION INCOME CEPT REVENUE $67,055 HEARING CENTER $1,120,953 OCCUPATIONAL HEALTH $541,816 VHA SUPPLY CO - DISTRIBUTION $1,306,113 PURCHASE DISCOUNTS $94,912 REBATES $283,323 CONTRACT SERVICES, OUTREACH, EDUCATION $5,910,598 MEDICAL RECORDS TRANSCRIPT FEES $179,185 AFFILIATED OTHER REVENUE $393,353 340B PHARMACY REVENUE $18,234,769 DL HOSPITALIST CONTRACT REVENUE $705,000 SPORTS ADVANTAGE $212,241 EPIC RELATED FEES- CRITICAL ACCESS $1,135,728 MISCELLANEOUS REVENUE $4,994,060 TOTAL RELATED/EXEMPT INCOME $35,179,109
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. CEPT REVENUE: REVENUE EARNED FROM THE EVALUATION AND TREATMENT OF ADOLESCENTS THROUGH A MULTI-DISCIPLINARY APPROACH INCLUDING PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH PATHOLOGY, AND PSYCHOLOGY. 8. HEARING CENTER: REVENUE FROM THE PROVISION OF AUDIOLOGICAL SERVICES AND HEARING AIDS TO PATIENTS. 9. OCCUPATIONAL HEALTH: FEES FOR PROVIDING DRUG SCREENINGS FOR REGIONAL EMPLOYERS. 10. VHA SUPPLY DISTRIBUTION: REBATE RECEIVED BASED ON VOLUME OF SUPPLY PURCHASES. 11. PURCHASE DISCOUNTS: THIS FIGURE REPRESENTS COST SAVINGS ON PURCHASES FROM SUPPLIERS FOR GOODS USED IN THE PROVISION OF HEALTH CARE SERVICES. 12. REBATES: REBATES RECEIVED BASED ON VOLUME OF PHARMACY PURCHASES. 13. 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. 14. 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. 15. 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. 16. 340B PHARMACY REVENUE: INCOME EARNED FROM AREA PHARMACIES USING THE 340(B) BUYING CONTRACT TO PURCHASE PHARMACEUTICALS AT DISCOUNTED RATES. 17. DL HOSPITALIST CONTRACT REVENUE: INCOME FROM ALTRU PHYSICIANS PROVIDING HOSPITALIST SERVICES AT MERCY HOSPITAL, DEVILS LAKE. 18. SPORTS ADVANTAGE: EXOS PROGRAM FEES; PERFORMANCE TRAINING PROVIDED TO AREA ATHLETES AND COACHES 19. 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 20. 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.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
ALTRU HEALTH FOUNDATION
2501 DEMERS AVE	GRAND FORKS	ND	58201	450368330	FUNDRAISING	ND	501(C)(3)	LINE 12B, II	ALTRU HEALTH SYSTEM	Yes (1)
DAK-MINN BLOOD BANK
1200 S COLUMBIA RD	GRAND FORKS	ND	58201	363453164	BLOOD BANK	ND	501(C)(3)	LINE 12D, III-O		0	N/A
ALTRU ALLIANCE
1200 S COLUMBIA RD	GRAND FORKS	ND	58201	237389089	SUPPORT HOSPITAL AND AFFILIATES	ND	501(C)(3)	LINE 12C, III-FI		0	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	ALTRU SPECIALTY SERVICES INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1200 S COLUMBIA RD	AddressLine1Txt
City	GRAND FORKS	CityNm
State Abbreviation	ND	StateAbbreviationCd
ZIP	58201	ZIPCd

Field	Value	IRS element (for citing)
EIN	450395652	EIN
Primary Activities	DME SALES, RETAIL PHARMACY	PrimaryActivitiesTxt
Legal Domicile State	ND	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	ALTRU HEALTH SYSTEM	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C	EntityTypeTxt
Share Of Total Income	$15,694,548	ShareOfTotalIncomeAmt
Share Of EOY Assets	$3,593,235	ShareOfEOYAssetsAmt
Ownership	1.00000	OwnershipPct
Controlled Organization	Yes (1)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ALTRU HEALTH FOUNDATION
C	$1,614,599	CASH DONATED
ALTRU HEALTH FOUNDATION
O	$2,467,231	COMPENSATION TO RELATED ORG
ALTRU SPECIALTY SERVICES
A	$146,279	RENT PAYMENT RECEIVED
DAK-MINN BLOOD BANK
O	$424,034	COMPENSATION TO RELATED ORG
ALTRU ALLIANCE
Q	$87,583	AMOUNT REIMBURSED