ALTRU HEALTH SYSTEM: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: ALTRU HEALTH SYSTEM (EIN 45-0310462)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2017-11-13
IRS object ID: 201733179349305958
Schema version: 2016v3.0
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-11-13T14:27:04-06:00	ReturnTs
Tax Period End	2016-12-31	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	2016-01-01	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	DWIGHT THOMPSON	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	7017805200	PhoneNum
Signature	2017-11-13	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	2017-11-13	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	2017-11-13	IPDt
IP Tm	10:04:35	IPTm
IP Timezone	CS	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	FE28E9BC9A1DAD2B90CCAB591796B440CB405785	AtSubmissionCreationDeviceId
At Submission Filing Device Id	29A44E7C5AE4E0CA4B0EE2634078951EC08B4819	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2017-02-10 21:41:12Z	BuildTS

Form 990 IRS990

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	DAVID MOLMEN	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	$599,847,714	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	6	VotingMembersIndependentCnt
Total Employee	4714	TotalEmployeeCnt
Total Volunteers	309	TotalVolunteersCnt
Total Gross UBI	$4,235,633	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$1,415,592	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$4,371,202	PYContributionsGrantsAmt
CY Contributions Grants	$3,111,765	CYContributionsGrantsAmt
PY Program Service Revenue	$516,692,202	PYProgramServiceRevenueAmt
CY Program Service Revenue	$542,028,176	CYProgramServiceRevenueAmt
PY Investment Income	$1,754,115	PYInvestmentIncomeAmt
CY Investment Income	-$4,271,017	CYInvestmentIncomeAmt
PY Other Revenue	$158,133	PYOtherRevenueAmt
CY Other Revenue	$163,470	CYOtherRevenueAmt
PY Total Revenue	$522,975,652	PYTotalRevenueAmt
CY Total Revenue	$541,032,394	CYTotalRevenueAmt
PY Grants And Similar Paid	$301,740	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,023,468	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$307,765,281	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$323,595,510	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$196,488,504	PYOtherExpensesAmt
CY Other Expenses	$210,476,090	CYOtherExpensesAmt
PY Total Expenses	$504,555,525	PYTotalExpensesAmt
CY Total Expenses	$535,095,068	CYTotalExpensesAmt
PY Revenues Less Expenses	$18,420,127	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$5,937,326	CYRevenuesLessExpensesAmt
Total Assets BOY	$480,240,011	TotalAssetsBOYAmt
Total Assets EOY	$478,270,432	TotalAssetsEOYAmt
Total Liabilities BOY	$268,918,642	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$262,658,959	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$211,321,369	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$215,611,473	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	$17,176,606	ExpenseAmt
Revenue	$33,267,692	RevenueAmt
Desc	ORTHOPEDICS - ALTRU'S TEAM OF ORTHOPEDIC SURGEONS PROVIDE INPATIENT AND OUTPATIENT SURGICAL SERVICES TO PATIENTS WITH ISSUES RANGING FROM SIMPLE FRACTURES TO COMPLEX TRAUMATIC INJURIES. OUR ORTHOPEDIC SURGEONS ALSO PROVIDE OUTREACH CLINIC SERVICES TO COMMUNITIES THROUGHOUT OUR SERVICE AREA. IN 2016, THERE WERE 1,369 HOSPITAL DISCHARGES.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$10,714,406	ExpenseAmt
Revenue	$16,200,213	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 2016, THERE WERE 1,264 HOSPITAL DISCHARGES.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$10,688,470	ExpenseAmt
Revenue	$17,401,971	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 2016, THERE WERE 1,028 GENERAL SURGERY HOSPITAL DISCHARGES.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$438,579,076	ExpenseAmt
Grant	$1,023,468	GrantAmt
Revenue	$462,967,410	RevenueAmt
Desc	OTHER PROGRAM SERVICES INCLUDE OTHER PATIENT CARE PROGRAMS.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$438,579,076	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$1,023,468	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$462,967,410	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$477,158,558	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	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	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	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	123	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	4714	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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	6	IndependentVotingMemberCnt
Family Or Business Rln	0	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	DWIGHT THOMPSON	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 (33 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
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)		$526,659	$0	$38,943
BRADLEY BELLUK MD
BOARD MEMBER/PHYSICIAN	40.00	Yes (X)		$542,146	$0	$45,912
ERIC LUNN MD
BOARD MEMBER/PRESIDENT/PHY	40.00	Yes (X)	Yes (X)	$647,831	$0	$110,634
DAVID MOLMEN
BOARD MEMBER/CEO	40.00	Yes (X)	Yes (X)	$934,388	$0	$155,631
BRADLEY WEHE
BOARD MEMBER/COO	40.00	Yes (X)	Yes (X)	$555,265	$0	$122,833
DWIGHT THOMPSON
CFO/TREASURER	40.00		Yes (X)	$628,591	$0	$134,606
RENEE M AXTMAN RN
ADMIN DIR PRIMARY CARE	40.00			$275,506	$0	$69,388	Yes (X)
KERRY P CARLSON
FORMER ADM DIR MEDICAL SPECIALTY	40.00			$313,705	$0	$22,090	Yes (X)
SCOTT CHARETTE MD
MEDICAL DIRECTOR SURGICAL	40.00			$632,792	$0	$66,454	Yes (X)
JOSHUA DEERE
MEDICAL DIRECTOR	40.00			$422,374	$0	$63,834	Yes (X)
KELLEE FISK
CHIEF PEOPLE OFFICER	40.00			$443,644	$0	$116,374	Yes (X)
YVONNE GOMEZ
MEDICAL DIRECTOR	40.00			$347,879	$0	$60,483	Yes (X)
KELLY HAGEN RN
ADM DIR CARDIOLOGY & MUSCU	40.00			$262,430	$0	$63,826	Yes (X)
LAURA LIZAKOWSKI
PAST MEDICAL DIRECTOR	40.00			$303,079	$0	$53,223	Yes (X)
WILLIAM MCKINNON MD
MEDICAL DIRECTOR	40.00			$303,917	$0	$75,315	Yes (X)
MARGARET REED RN
CHIEF NURSE OFFICER	40.00			$317,323	$0	$20,548	Yes (X)
DENNIS REISNOUR
CHIEF STRATEGY OFFICER	40.00			$342,275	$0	$74,745	Yes (X)
HEATHER STRANDELL
ADMINISTRATIVE DIRECTOR	40.00			$230,598	$0	$70,190	Yes (X)
COLLEEN SWANK MD
CHIEF MEDICAL OFFICER	40.00			$468,631	$0	$120,897	Yes (X)
KENNETH VEIN
ADM DIR PLANT SERVICES	40.00			$328,205	$0	$87,260	Yes (X)
MARK WAIND
ADM DIR INFORMATION SERVIC	40.00			$366,818	$0	$114,238	Yes (X)
JILL WILSON
ADMIN DIRECTOR	40.00			$256,659	$0	$83,905	Yes (X)
RABEEA ABOUFAKHER
PHYSICIAN	40.00			$953,827	$0	$43,912		Yes (X)
ABDEL AHMED
PHYSICIAN	40.00			$911,630	$0	$0		Yes (X)
IKECHUKWU ONYEKA
PHYSICIAN	40.00			$1,319,010	$0	$46,462		Yes (X)
DARIN LEETUN
PHYSICIAN	40.00			$897,380	$0	$38,671		Yes (X)
ATILLA DALMI
PHYSICIAN	40.00			$924,556	$0	$46,462		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$14,457,118	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,946,836	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	418	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	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
COMPHEALTH MEDICAL STAFFING
PO BOX 713100	SALT LAKE CITY	UT	841713100	SERVICES	$5,413,559
HURON CONSULTING SERVICES LLC
3005 MOMENTUM PLACE	CHICAGO	IL	60689	SERVICES	$2,268,341
MAYO COLLABORATIVE SERVICES INC
PO BOX 9146	MINNEAPOLIS	MN	554809146	SERVICES	$2,261,167
EPIC SYSTEMS CORPORATION
PO BOX 88314	MILWAUKEE	WI	532880314	SERVICES	$2,211,604
MICROSOFT CORPORATION
1950 N STEMMONS FWY STE 5010	DALLAS	TX	75207	SERVICES	$2,071,447

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	99	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,631,175	RelatedOrganizationsAmt
Government Grants	$1,277,432	GovernmentGrantsAmt
All Other Contributions	$203,158	AllOtherContributionsAmt
Total Contributions	$3,111,765	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET SERVICE TO PATIENTS	621110	$521,132,690	$517,060,527	$4,072,163
PROGRAM SERVICE REVENUE	621110	$20,533,992	$19,946,526		$587,466
RESEARCH GRANTS	621500	$321,498	$321,498
BIOMED SERVICES/SITE SERVICES FEE	900099	$39,996			$39,996

Field	Value	IRS element (for citing)
Total Program Service Revenue	$542,028,176	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,220,248	TotalRevenueColumnAmt
Exclusion	$3,220,248	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$49,763,094	SecuritiesAmt
Other	$1,560,961	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$50,453,422	SecuritiesAmt
Other	$8,361,898	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$690,328	SecuritiesAmt
Other	-$6,800,937	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$7,491,265	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$7,491,265	RelatedOrExemptFuncIncomeAmt

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	$15,696	$15,696
SNOW REMOVAL	812900	$1,495	$1,495

Field	Value	IRS element (for citing)
Other Revenue Total	$163,470	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$541,032,394	TotalRevenueColumnAmt
Related Or Exempt Func Income	$529,837,286	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$4,235,633	UnrelatedBusinessRevenueAmt
Exclusion	$3,847,710	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,002,628	TotalAmt
Program Services	$1,002,628	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$20,840	TotalAmt
Program Services	$20,840	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$11,255,714	TotalAmt
Program Services	$2,899,690	ProgramServicesAmt
Management And General	$8,356,024	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$261,766,095	TotalAmt
Program Services	$241,291,958	ProgramServicesAmt
Management And General	$20,474,137	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$8,883,183	TotalAmt
Program Services	$8,188,381	ProgramServicesAmt
Management And General	$694,802	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$25,629,379	TotalAmt
Program Services	$23,624,767	ProgramServicesAmt
Management And General	$2,004,612	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$16,061,139	TotalAmt
Program Services	$14,397,112	ProgramServicesAmt
Management And General	$1,664,027	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,119,862	TotalAmt
Program Services	$2,119,862	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,466,941	TotalAmt
Program Services	$1,565,979	ProgramServicesAmt
Management And General	$900,962	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$8,356,928	TotalAmt
Program Services	$8,356,928	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$26,928,469	TotalAmt
Program Services	$26,928,469	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,621,274	TotalAmt
Program Services	$2,621,274	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
UNRELATED BUSINESS TAX	$1,189,667	$1,189,667
SUPPLIES	$84,747,106	$84,310,307	$436,799
PURCHASED SERVICES	$35,619,903	$21,280,895	$14,339,008
FEES	$26,911,595	$22,461,407	$4,450,188

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$19,514,345	TotalAmt
Program Services	$14,898,394	ProgramServicesAmt
Management And General	$4,615,951	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$535,095,068	TotalAmt
Program Services	$477,158,558	ProgramServicesAmt
Management And General	$57,936,510	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$11,741	BOYAmt
EOY	$11,316	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$48,045,316	BOYAmt
EOY	$45,170,789	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$67,569,816	BOYAmt
EOY	$62,838,655	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$460,271	BOYAmt
EOY	$458,157	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$7,384,227	BOYAmt
EOY	$6,973,914	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$596,118	BOYAmt
EOY	$2,410,452	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$499,005,630	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$306,568,111	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$199,252,081	BOYAmt
EOY	$192,437,519	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$126,924,021	BOYAmt
EOY	$134,311,511	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$29,996,420	BOYAmt
EOY	$33,658,119	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$480,240,011	BOYAmt
EOY	$478,270,432	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$46,673,606	BOYAmt
EOY	$48,388,679	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$314,982	BOYAmt
EOY	$523,483	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$193,582,611	BOYAmt
EOY	$187,252,933	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$28,347,443	BOYAmt
EOY	$26,493,864	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$268,918,642	BOYAmt
EOY	$262,658,959	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$211,321,369	BOYAmt
EOY	$215,611,473	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$211,321,369	BOYAmt
EOY	$215,611,473	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$480,240,011	BOYAmt
EOY	$478,270,432	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$5,937,326	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$5,700,354	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$7,347,576	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	$7,360,071	OtherCostOrOtherBasisAmt
Book Value	$7,360,071	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$247,833,884	OtherCostOrOtherBasisAmt
Depreciation	$123,638,461	DepreciationAmt
Book Value	$124,195,423	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,295,489	OtherCostOrOtherBasisAmt
Depreciation	$6,005,311	DepreciationAmt
Book Value	$4,290,178	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$228,231,514	OtherCostOrOtherBasisAmt
Depreciation	$176,924,339	DepreciationAmt
Book Value	$51,307,175	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,284,672	OtherCostOrOtherBasisAmt
Book Value	$5,284,672	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$192,437,519	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
ASSETS HELD BY TRUSTEE	$1,073,845
UNAMORTIZED BOND ISSUE AND OTHER COSTS	$6,233,455
ASSETS HELD UNDER TRUST AGREEMENTS	$19,418,408
ASSETS HELD UNDER BOND INDENTURE AGREEMENTS	$6,837,150
DUE FROM AFFILIATES	$95,261

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$33,658,119	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$184,767
POST RETIREMENT HEALTH BENEFIT	$10,878,007
OTHER	$12,035,005
ESTIMATED THIRD PARTY LIABILITY	$2,635,765
SPECIAL ASSESSMENTS PAYABLE	$760,320

Field	Value	IRS element (for citing)
Total Liability	$26,493,864	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	$2,445,008	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,445,008	NetCommunityBenefitExpnsAmt
Total Expense	0.00460	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,016,397	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$20,016,397	NetCommunityBenefitExpnsAmt
Total Expense	0.03740	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,017,567	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,017,567	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,478,972	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$23,478,972	NetCommunityBenefitExpnsAmt
Total Expense	0.04390	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$907,359	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$907,359	NetCommunityBenefitExpnsAmt
Total Expense	0.00170	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$663,027	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$663,027	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$222,189	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$222,189	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$107,375	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$107,375	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,899,950	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,899,950	NetCommunityBenefitExpnsAmt
Total Expense	0.00350	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$25,378,922	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$25,378,922	NetCommunityBenefitExpnsAmt
Total Expense	0.04740	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$9,148,528	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$124,341,171	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$375,910,924	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$251,569,753	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
ALTRU HOSPITAL
1	1200 S COLUMBIA RD	GRAND FORKS	ND	582066002	Yes (X)	Yes (X)	Yes (X)
ALTRU REHABILITATION CENTER
2	1300 S COLUMBIA RD	GRAND FORKS	ND	582066002	Yes (X)
ALTRU SPECIALTY CENTER
3	4500 S WASHINGTON ST	GRAND FORKS	ND	58201	Yes (X)	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Implementation Strategy AdoptImplementationStrategyAdoptInd	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Income Level CriteriaIncomeLevelCriteriaInd	Asset Level CriteriaAssetLevelCriteriaInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Residency CriteriaResidencyCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit Report To Credit AgencyPermitReportToCreditAgencyInd	Permit Legal Judicial ProcessPermitLegalJudicialProcessInd	Collection ActivitiesCollectionActivitiesInd	Reporting To Credit AgencyReportingToCreditAgencyInd	Engaged Legal Judicial ProcessEngagedLegalJudicialProcessInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back Medicaid Medcr PrvtLookBackMedicaidMedcrPrvtInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd
ALTRU HOSPITAL
1	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	16	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	WWW.ALTRU.ORG	0	0	Yes (1)	Yes (X)	150.000000000000	250.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	WWW.ALTRU.ORG	Yes (X)	WWW.ALTRU.ORG	Yes (X)	WWW.ALTRU.ORG	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (1)
ALTRU REHABILITATION CENTER
2	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	16	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	WWW.ALTRU.ORG	0	0	Yes (1)	Yes (X)	150.000000000000	250.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	WWW.ALTRU.ORG	Yes (X)	WWW.ALTRU.ORG	Yes (X)	WWW.ALTRU.ORG	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (1)

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 REHABILITATION CENTER	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 REHABILITATION CENTER	PART V, SECTION B, LINE 6A: ALTRU HEALTH SYSTEM
ALTRU HOSPITAL	PART V, SECTION B, LINE 6B: GRAND FORKS PUBLIC HEALTH
ALTRU REHABILITATION CENTER	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. LIMITED FINANCIAL, COMMUNITY, AND PERSONNEL RESOURCES DID NOT ALLOW ALTRU HEALTH SYSTEM TO ADDRESS ALL OF THE IDENTIFIED NEEDS FOR THE 2016 CHNA. THE IMPLEMENTATION STRATEGY ADDRESSING THE NEEDS IDENTIFIED IN THE 2016 CHNA WILL BE ADOPTED IN 2017.
ALTRU REHABILITATION CENTER	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. LIMITED FINANCIAL, COMMUNITY, AND PERSONNEL RESOURCES DID NOT ALLOW ALTRU HEALTH SYSTEM TO ADDRESS ALL OF THE IDENTIFIED NEEDS FOR THE 2016 CHNA. THE IMPLEMENTATION STRATEGY ADDRESSING THE NEEDS IDENTIFIED IN THE 2016 CHNA WILL BE ADOPTED IN 2017.
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.
ALTRU REHABILITATION CENTER	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	56	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (56 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - ALTRU MAIN CLINIC
1000 S COLUMBIA RD	GRAND FORKS	ND	582066003	OUTPATIENT DEPT OF ALTRU HOSP - CLINIC
2 - ALTRU CANCER CENTER
960 S COLUMBIA RD	GRAND FORKS	ND	582066003	OUTPATIENT DEPT OF ALTRU HOSP - CLINIC
3 - TRUYU AESTHETIC CENTER
3165 DEMERS AVE	GRAND FORKS	ND	582066003	OUTPATIENT DEPT OF ALTRU HOSP - CLINIC
4 - ALTRU FAMILY MEDICINE CENTER
1380 S COLUMBIA RD	GRAND FORKS	ND	582066003	OUTPATIENT DEPT OF ALTRU HOSP - CLINIC
5 - ALTRU FAMILY MEDICINE RESIDENCY
725 HAMLINE STREET	GRAND FORKS	ND	58203	OUTPATIENT CLINIC
6 - ALTRU FAMILY MEDICINE RESIDENCY PHARMACY
725 HAMLINE STREET	GRAND FORKS	ND	58203	OUTPATIENT PHARMACY
7 - ALTRU CLINIC - DRAYTON
1003 N MAIN	DRAYTON	ND	582254650	OUTPATIENT CLINIC/THERAPY
8 - ALTRU PSYCHIATRY CENTER
860 S COLUMBIA RD	GRAND FORKS	ND	582066002	OUTPATIENT DEPARTMENT - PSYCH SERVICES
9 - ALTRU HOSPITAL - CENTER COURT FITNESS
1600 32ND AVE S	GRAND FORKS	ND	58201	OUTPATIENT THERAPY
10 - ALTRU OUTPATIENT CENTER
411 2ND ST NW	EAST GRAND FORKS	MN	56721	OUTPATIENT THERAPY
11 - ALTRU CLINIC - CAVALIER
201 E 3RD AVE S	CAVALIER	ND	582200040	OUTPATIENT CLINIC
12 - ALTRU CLINIC - DEVILS LAKE
1001 7TH STREET NE	DEVILS LAKE	ND	583012719	OUTPATIENT CLINIC
13 - ALTRU CLINIC - CROOKSTON
400 SOUTH MINNESOTA	CROOKSTON	MN	567160606	OUTPATIENT DEPT OF ALTRU HOSP - CLINIC
14 - ALTRU CLINIC - RED LAKE FALLS
312 INTERNATIONAL DRIVE	RED LAKE FALLS	MN	567504662	OUTPATIENT DEPT OF ALTRU HOSP - CLINIC
15 - ALTRU CLINIC - ERSKINE
23076 347TH ST SE	ERSKINE	MN	565354201	OUTPATIENT DEPT OF ALTRU HOSP - CLINIC
16 - ALTRU CLINIC - FERTILE
MILL STREET MAIN	FERTILE	MN	565404215	OUTPATIENT DEPT OF ALTRU HOSP - CLINIC
17 - ALTRU CLINIC - ROSEAU
711 DELMORE DRIVE	ROSEAU	MN	567511534	OUTPATIENT CLINIC
18 - ALTRU CLINIC - WARROAD
412 MAIN AVE NE	WARROAD	MN	567632342	OUTPATIENT CLINIC
19 - ALTRU CLINIC - GREENBUSH
19120 200TH ST	GREENBUSH	MN	567269280	OUTPATIENT CLINIC
20 - UNITY MEDICAL CENTER
164 WEST 13TH STREET	GRAFTON	ND	58237	HOME HEALTH/HOSPICE
21 - FIRST CARE HEALTH CENTER
PO BOX I	PARK RIVER	ND	58270	HOME HEALTH/HOSPICE/THERAPY
22 - NELSON COUNTY HEALTH SYSTEM
BOX 367	MCVILLE	ND	58254	HOME HEALTH/HOSPICE
23 - CO CAVALIER CLINIC
201 E 3RD AVE S	CAVALIER	ND	58220	HOME HEALTH/HOSPICE
24 - ALTRU HOME SVCS-NORTH VALLEY HOME HEALTH
109 S MINNESOTA ST	WARREN	MN	56762	HOME HEALTH/HOSPICE
25 - ANETA PARKVIEW HEALTH CENTER
BOX 287	ANETA	ND	58212	OUTREACH CLINIC
26 - CAVALIER COUNTY MEMORIAL
909 2ND ST	LANGDON	ND	58249	OUTREACH CLINIC
27 - CENTRAL BOILER
20502 160TH ST	GREENBUSH	MN	56726	OUTREACH CLINIC
28 - COOPERSTOWN MEDICAL CENTER
1200 ROBERTS ST	COOPERSTOWN	ND	58425	OUTREACH CLINIC
29 - DEVILS LAKE GOOD SAMARITAN
302 7TH AVE	DEVILS LAKE	ND	58301	OUTREACH CLINIC
30 - FIRST CARE HEALTH CENTER
115 VIVIAN ST	PARK RIVER	ND	58270	OUTREACH CLINIC
31 - FRIENDSHIP
554 W 12TH ST	GRAFTON	ND	58327	OUTREACH CLINIC
32 - 4TH CORP
120 11TH ST	NEW ROCKFORD	ND	58356	OUTREACH CLINIC
33 - GRIGGS COUNTY HOSPITAL
1200 ROBERTS AVE NE	COOPERSTOWN	ND	58425	OUTREACH CLINIC
34 - HATTON PRAIRIE VILLAGE
930 DAKOTA AVE	HATTON	ND	58240	OUTREACH CLINIC
35 - HEARTLAND CARE CENTER
620 14TH AVE NE	DEVILS LAKE	ND	58301	OUTREACH CLINIC
36 - KARLSTAD HEALTH CARE
304 WASHINGTON AVE W	KARLSTAD	MN	56732	OUTREACH CLINIC
37 - KITTSON MEMORIAL HEALTH CARE CENTER
1010 S BIRCH	HALLOCK	MN	56728	OUTREACH CLINIC
38 - KITTSON MEMORIAL CLINIC OF KARLSTAD
1ST AND ROOSEVELT	KARLSTAD	MN	56732	OUTREACH CLINIC
39 - LAKE REGION CORP
224 3TH ST NW	DEVILS LAKE	ND	583012908	OUTREACH CLINIC
40 - LAKOTA GOOD SAMARITAN
608 4TH AVE SW HWY 2	LAKOTA	ND	583447500	OUTREACH CLINIC
41 - MAPLE MANOR CARE CENTER
1116 9TH AVE	LANGDON	ND	58249	OUTREACH CLINIC
42 - MCINTOSH MANOR NURSING HOME
600 RIVERSIDE AVE NE	MCINTOSH	MN	56556	OUTREACH CLINIC
43 - NELSON COUNTY CARE CENTER
108 E NYHUS AVE	MCVILLE	ND	58254	OUTREACH CLINIC
44 - NELSON COUNTY HEALTH SYSTEM
200 NORTH MAIN	MCVILLE	ND	58254	OUTREACH CLINIC
45 - NORTHWOOD DEACONESS
4 N PART ST	NORTHWOOD	ND	58267	OUTREACH CLINIC
46 - OAKLAND PARK COMMUNITIES INC
123 BAKEN STREET	THIEF RIVER FALLS	MN	56701	OUTREACH CLINIC
47 - PEMBILIER NURSING CENTER
500 DELANO AVE	WALHALLA	ND	58282	OUTREACH CLINIC
48 - PEMBINA COUNTY MEMORIAL HOSPITAL
301 MOUNTAIN STREET E	CAVALIER	ND	58220	OUTREACH CLINIC
49 - PIONEER MEMORIAL CARE CENTER
23028 347TH ST SE	ERSKINE	MN	565359466	OUTREACH CLINIC
50 - REM-GRAFTON
817 HILL AVE	GRAFTON	ND	58327	OUTREACH CLINIC
51 - VALLEY 4000
4004 24TH AVE SOUTH	GRAND FORKS	ND	58201	OUTREACH CLINIC
52 - VALLEY MEMORIAL HOMES
2900 14TH AVE SOUTH	GRAND FORKS	ND	58201	OUTREACH CLINIC
53 - WEDGEWOOD MANOR
804 MAIN STREET WEST	CAVALIER	ND	58220	OUTREACH CLINIC
54 - CENTER FOR PREVENTION & GENETICS
4401 S 11TH ST	GRAND FORKS	ND	58201	OUTREACH CLINIC
55 - ALTRU CLINIC - EAST GRAND FORKS
607 DEMERS AVE	EAST GRAND FORKS	MN	56721	OUTPATIENT DEPT OF ALTRU HOSP - CLINIC
56 - ALTRU PROFESSIONAL CENTER
4440 S WASHINGTON ST	GRAND FORKS	ND	58201	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 $9,148,528CHARITY 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: NOTES 1 AND 13 TO THE AUDITED FINANCIAL STATEMENTS REPORT ON BAD DEBT EXPENSE. NOTE 1 - ACCOUNTS RECEIVABLE: "PATIENT RECEIVABLES ARE UNCOLLATERALIZED PATIENT AND THIRD-PARTY PAYOR OBLIGATIONS. PAYMENTS ON PATIENT RECEIVABLES ARE ALLOCATED TO THE SPECIFIC CLAIMS IDENTIFIED IN THE REMITTANCE ADVICE OR, IF UNSPECIFIED, ARE APPLIED TO THE EARLIEST UNPAID CLAIM.PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, ALTRU HEALTH SYSTEM ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, ALTRU RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.ALTRU'S PROCESS FOR CALCULATING THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS HAS NOT SIGNIFICANTLY CHANGED FROM DECEMBER 31, 2015 TO DECEMBER 31, 2016. ALTRU DOES NOT MAINTAIN A MATERIAL ALLOWANCE FOR DOUBTFUL ACCOUNTS FROM THIRD-PARTY PAYORS, NOR DID IT HAVE SIGNIFICANT WRITE OFFS FROM THIRD-PARTY PAYORS. ALTRU HAS NOT SIGNIFICANTLY CHANGED ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING FISCAL YEARS 2015 OR 2016.NOTE 13 - "...NEITHER THE CHARITY CARE NOR THE UNCOMPENSATED CARE AMOUNTS INCLUDE BAD DEBTS AS SHOWN IN THE STATEMENT OF OPERATIONS."
PART III, LINE 8:	NONE OF THE SHORTFALL SHOWN ON PART III, LINE 7 OF $251,569,753 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, 2016, 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 (2016 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 103,456 PEOPLE (2016 ESTIMATE). LOCATED IN THIS MARKET IS 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 2016 FOR OUR PRIMARY MARKET WAS 76 PERCENT BASED ON CLAIMS DATA FROM 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 14,648 STUDENTS (FALL 2016). THE NUMBER OF RESIDENTS AT GRAND FORKS AIR FORCE BASE WAS COUNTED AT 2,367 IN THE 2010 CENSUS.WITH A POPULATION OF 35,582 (2016 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 2016, ALTRU'S HOSPITAL INPATIENT MARKET SHARE IN THIS SERVICE AREA WAS AROUND 65 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 31 PERCENT ACCORDING TO 2016 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 (2016 ESTIMATE). USING DATA FROM SG2(A VENDOR SPECIALIZING IN HEALTH CARE PLANNING INFORMATION), THE INSURANCE COVERAGE FOR COMMUNITIES IN OUR SERVICE AREA IS ESTIMATED TO BE AS FOLLOWS: 2016 PROJECTIONS AS A PERCENTMEDICAID 14,225 12%MEDICARE 23,792 21%MEDICARE-ADVANTAGE 8,864 8%COMMERCIAL 57,781 51%UNINSURED 9,026 8%A PERCENTAGE BREAKDOWN OF INPATIENT UTILIZATION FOR ALTRU HOSPITAL BASED ON DISCHARGES BY TYPE OF PAYER PER 2016 PROJECTION SHOWS APPROXIMATELY 13 PERCENT OF DISCHARGES WERE FOR MEDICAID AND 8 PERCENT WERE SELF PAY (UNINSURED). ALSO FROM SG2, OUR TOTAL SERVICE AREA'S INCOME BY HOUSEHOLD IS AS FOLLOWS:INCOME RANGE 2016 HOUSEHOLDS$ < $ 9,999 7,480 $ 10,000 - $ 14,999 5,401$ 15,000 - $ 19,999 5,103$ 20,000 - $ 24,999 4,904$ 25,000 - $ 29,999 4,460$ 30,000 - $ 39,999 4,632$ 35,000 - $ 39,999 4,564$ 40,000 - $ 44,999 4,510$ 45,000 - $ 49,999 4,261$ 50,000 - $ 59,999 7,513$ 60,000 - $ 74,999 10,027$ 75,000 - $ 99,999 12,180$100,000 - $124,999 7,911$125,000 - $149,999 4,238$150,000 - $199,999 3,069$ > $200,000 3,243ACCORDING 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 (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
COMMUNITY VIOLENCE INTERVENTION CENTER
211 S 4TH ST STE 207	GRAND FORKS	ND	58201	450359167	501(C)(3)	$25,000	2016 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)	$98,500	GAME DAY SPONSORSHIPS
UNITED WAY GRAND FORKSEAST GRAND FORKS
1407 24TH AVE S STE 400	GRAND FORKS	ND	58201	450255772	501(C)(3)	$10,500	CORPORATE GIFT
UND FOUNDATION
3100 UNIVERSITY AVE STOP 8157	GRAND FORKS	ND	58202	450348296	501(C)(3)	$435,838	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)	$11,000	GGFYP VISIONARY SPONSORSHIP
GRAND FORKS PARK DISTRICT FOUNDATION
1060 47TH AVE S	GRAND FORKS	ND	58201	260625504	501(C)(3)	$195,500	WELLNESS CENTER PROJECT; LEGENDS & HEROES PLEDGE
ALTRU FAMILY YMCA
215 N 7TH ST	GRAND FORKS	ND	58203	450226434	501(C)(3)	$72,000	YMCA PLAYGROUND; FIRECRACKER ROAD RACE
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	$21,000	SOCIAL DETOX FACILITY
LIFECARE MEDICAL CENTER
715 DELMORE DR	ROSEAU	MN	56751	411804205	501(C)(3)	$5,000	2016 PARTNERS FOR HEALTH EVENT SPONSORSHIP
GRAND FORKS DOWNTOWN DEVELOPMENT ASSOCIATION
23 N 3RD ST STE 2	GRAND FORKS	ND	58203	464711617	501(C)(6)	$5,000	SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	10	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt

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

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
SCHOLARSHIPS	14	$18,840
SPONSORSHIPS	3	$2,000

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. UNITED WAY GRAND FORKS/EAST GRAND FORKS - FUNDS WERE GRANTED TO THE ANNUAL CAMPAIGN AND UNITED WAY USES THE FUNDS AS NEEDED. UND FOUNDATION - SCHOLARSHIPS ARE DIRECTED BY UND AS PART OF THE SCHOLARSHIP PROGRAM AND ALTRU DOES NOT DIRECTLY DESIGNATE SCHOLARSHIP RECIPIENTS. 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 AND THE ICON SPORTS CENTER ICE ARENA. ALTRU FAMILY YMCA - FUNDS GRANTED WITH THE DIRECTION THAT THEY WERE ABLE TO USE THE FUNDS AS NEEDED. A REPRESENTATIVE ATTENDED THE EVENTS TO ACKNOWLEDGE THE PROPRIETY OF THE ANNOUNCEMENTS MADE REGARDING THE SPONSORSHIP OF THE DAY'S EVENT. 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. LIFECARE MEDICAL CENTER - FUNDS GRANTED WITH THE DIRECTION THAT THEY WERE ABLE TO USE THE FUNDS AS NEEDED. A REPRESENTATIVE ATTENDED THE EVENTS TO ACKNOWLEDGE THE PROPRIETY OF THE ANNOUNCEMENTS MADE REGARDING THE SPONSORSHIP OF THE DAY'S EVENT. GRAND FORKS DOWNTOWN DEVELOPMENT ASSOCIATION - FUNDS GRANTED WITH THE DIRECTION THAT THEY WERE ABLE TO USE THE FUNDS AS NEEDED.	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	0	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 (27 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	$490,136	$0	$0	$0	$36,523	$0	$24,055	$0	$17,249	$0	$567,963	$0	$0	$0
BRADLEY BELLUK MD
BOARD MEMBER/PHYSICIAN	$499,088	$0	$0	$0	$43,058	$0	$24,055	$0	$24,140	$0	$590,341	$0	$0	$0
ERIC LUNN MD
BOARD MEMBER/PRESIDENT/PHY	$410,473	$0	$193,500	$0	$43,858	$0	$104,347	$0	$8,535	$0	$760,713	$0	$0	$0
DAVID MOLMEN
BOARD MEMBER/CEO	$571,772	$0	$268,200	$0	$94,416	$0	$133,224	$0	$22,407	$0	$1,090,019	$0	$0	$0
BRADLEY WEHE
BOARD MEMBER/COO	$335,331	$0	$177,016	$0	$42,918	$0	$100,426	$0	$22,407	$0	$678,098	$0	$0	$0
DWIGHT THOMPSON
CFO/TREASURER	$341,888	$0	$134,566	$0	$152,137	$0	$118,640	$0	$15,966	$0	$763,197	$0	$0	$0
RENEE M AXTMAN RN
ADMIN DIR PRIMARY CARE	$204,441	$0	$61,088	$0	$9,977	$0	$46,981	$0	$23,935	$0	$346,422	$0	$0	$0
KERRY P CARLSON
FORMER ADM DIR MEDICAL SPECIALTY	$25,847	$0	$48,373	$0	$239,485	$0	$17,568	$0	$4,747	$0	$336,020	$0	$0	$0
SCOTT CHARETTE MD
MEDICAL DIRECTOR SURGICAL	$588,820	$0	$18,730	$0	$25,242	$0	$46,597	$0	$22,239	$0	$701,628	$0	$0	$0
JOSHUA DEERE
MEDICAL DIRECTOR	$370,717	$0	$33,340	$0	$18,317	$0	$43,977	$0	$22,006	$0	$488,357	$0	$0	$0
KELLEE FISK
CHIEF PEOPLE OFFICER	$283,074	$0	$132,604	$0	$27,966	$0	$100,408	$0	$18,076	$0	$562,128	$0	$0	$0
YVONNE GOMEZ
MEDICAL DIRECTOR	$282,767	$0	$39,888	$0	$25,224	$0	$54,196	$0	$8,261	$0	$410,336	$0	$0	$0
KELLY HAGEN RN
ADM DIR CARDIOLOGY & MUSCU	$207,239	$0	$54,097	$0	$1,094	$0	$41,419	$0	$23,878	$0	$327,727	$0	$0	$0
LAURA LIZAKOWSKI
PAST MEDICAL DIRECTOR	$267,209	$0	$18,452	$0	$17,418	$0	$39,320	$0	$15,586	$0	$357,985	$0	$0	$0
WILLIAM MCKINNON MD
MEDICAL DIRECTOR	$244,401	$0	$32,068	$0	$27,448	$0	$59,349	$0	$17,840	$0	$381,106	$0	$0	$0
MARGARET REED RN
CHIEF NURSE OFFICER	$262,279	$0	$0	$0	$55,044	$0	$19,571	$0	$2,255	$0	$339,149	$0	$0	$0
DENNIS REISNOUR
CHIEF STRATEGY OFFICER	$235,686	$0	$88,125	$0	$18,464	$0	$73,625	$0	$2,880	$0	$418,780	$0	$0	$0
HEATHER STRANDELL
ADMINISTRATIVE DIRECTOR	$180,398	$0	$42,450	$0	$7,750	$0	$67,690	$0	$3,794	$0	$302,082	$0	$0	$0
COLLEEN SWANK MD
CHIEF MEDICAL OFFICER	$322,986	$0	$127,125	$0	$18,520	$0	$98,490	$0	$24,549	$0	$591,670	$0	$0	$0
KENNETH VEIN
ADM DIR PLANT SERVICES	$202,114	$0	$61,595	$0	$64,496	$0	$71,294	$0	$17,506	$0	$417,005	$0	$0	$0
MARK WAIND
ADM DIR INFORMATION SERVIC	$346,690	$0	$0	$0	$20,128	$0	$96,807	$0	$19,368	$0	$482,993	$0	$0	$0
JILL WILSON
ADMIN DIRECTOR	$194,057	$0	$37,000	$0	$25,602	$0	$64,048	$0	$21,287	$0	$341,994	$0	$0	$0
RABEEA ABOUFAKHER
PHYSICIAN	$935,287	$0	$0	$0	$18,540	$0	$24,055	$0	$22,239	$0	$1,000,121	$0	$0	$0
ABDEL AHMED
PHYSICIAN	$0	$0	$0	$0	$911,630	$0	$0	$0	$0	$0	$911,630	$0	$0	$0
IKECHUKWU ONYEKA
PHYSICIAN	$1,300,268	$0	$0	$0	$18,742	$0	$24,055	$0	$24,789	$0	$1,367,854	$0	$0	$0
DARIN LEETUN
PHYSICIAN	$850,896	$0	$0	$0	$46,484	$0	$24,055	$0	$16,998	$0	$938,433	$0	$0	$0
ATILLA DALMI
PHYSICIAN	$888,746	$0	$0	$0	$35,810	$0	$24,055	$0	$24,789	$0	$973,400	$0	$0	$0

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	38546WAW0	2005-12-01	$40,000,000	CAPITAL EXPENDITURES, FUND DEBT SERVICE FUND	0	0	0
CITY OF GRAND FORKS
B	456002085	38546WAZ3	2007-08-15	$30,755,173	REFUND BONDS ISSUED JUNE 17, 1997 AND MARCH 23, 2000	0	0	0
CITY OF GRAND FORKS
C	456002085		2011-08-02	$23,620,000	REFUND BONDS ISSUED MAY 19, 1994 AND JUNE 17, 1997	0	0	0
CITY OF GRAND FORKS
D	456002085	38546WCC2	2012-05-01	$112,375,000	REFUND BONDS ISSUED 1992, 1997, AND 2010A/2010B; INFRASTRUCTURE, EQUIPMENT	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Refunding EscrowRefundingEscrowAmt
A	$11,700,000	$40,000,000	$3,530,586	$425,000	$1,506,870	$34,537,534	2007	0	Yes (1)	Yes (1)
B	$5,470,173	$30,755,173	$3,075,517	$395,763			2007	Yes (1)	Yes (1)	Yes (1)	$27,283,893
C	$11,880,000	$23,620,000		$103,099			2011	Yes (1)	Yes (1)	Yes (1)	$23,487,901
D	$1,495,000	$112,375,000		$2,487,053			2012	Yes (1)	Yes (1)	Yes (1)	$49,370,134

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd
A	0	Yes (1)	Yes (1)
B	0	Yes (1)	0
C	0	0	0
D	Yes (1)	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	DATE REBATE COMPUTATION PERFORMED	FormAndLineReferenceDesc
Explanation	ISSUER NAME: CITY OF GRAND FORKS DATE THE REBATE COMPUTATION WAS PERFORMED: 12/01/2016 ISSUER NAME: CITY OF GRAND FORKS DATE THE REBATE COMPUTATION WAS PERFORMED: 12/01/2016	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11B	FORM 990 IS REVIEWED AND APPROVED 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 -7,543,207. UNRELATED BUSINESS INCOME TAX EXPENSE - ACCRUED 195,631.
990, PAGE 1, HEADING ITEM C	ALTRU CLINIC-MAIN, 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
FORM 990, PART VIII, LINE 2B & 2D	EXCLUSION AMOUNT BIOMED SERVICES $32,830 SITE SERVICE FEES $7,166 SUBTOTAL $39,996 PHARMACY SALES TO EMPLOYEES $7,695 HOUSING/SPACE RENTALS $486,782 VENDING MACHINE INCOME $91,883 SALE OF SCRAP/OTHER $1,106 SUBTOTAL $587,466 TOTAL EXCLUSION AMOUNT $627,462 RELATED OR EXEMPT FUNCTION INCOME CEPT REVENUE $219,175 HEARING CENTER $1,027,630 OCCUPATIONAL HEALTH $610,170 VHA SUPPLY CO - DISTRIBUTION $1,112,026 PURCHASE DISCOUNTS $246,545 REBATES $213,625 CONTRACT SERVICES, OUTREACH, EDUCATION $3,436,523 MEDICAL RECORDS TRANSCRIPT FEES $208,487 AFFILIATED OTHER REVENUE $266,202 MISCELLANEOUS REVENUE $12,607,638 TOTAL RELATED/EXEMPT INCOME $19,948,021
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 UNITED 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. CPE FUND: CLINICAL PASTORAL EDUCATION INCOME FROM PASTORAL RESIDENTS. PROGRAM SPONSORED BY THE ASSOCIATION OF CLINICAL PASTORAL EDUCATION. 15. 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. 16. 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. 17. MISCELLANEOUS INCOME: INCLUDES PRINCIPALLY MONIES FROM MEDICARE & MEDICAID FOR UPGRADING EPIC AND MANDATED ELECTRONIC HEALTH RECORDS SOFTWARE SYSTEMS. 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 (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd
ALTRU HEALTH FOUNDATION
2501 DEMERS AVE	GRAND FORKS	ND	58201	450368330	FUNDRAISING	ND	501(C)(3)	LINE 12A, I	N/A	0
ALTRU HEALTH RESOURCES
1200 S COLUMBIA RD	GRAND FORKS	ND	58201	450368332	CONGREGATE HOUSING, ASSISTED LIVING	ND	501(C)(3)	LINE 12A, I	N/A	0
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 12B, II	N/A	0

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 NA	N/A	DirectControllingNACd
Entity Type	C	EntityTypeTxt
Controlled Organization	0	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	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	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ALTRU HEALTH FOUNDATION
C	$1,631,175	CASH DONATED
ALTRU HEALTH FOUNDATION
O	$3,136,877	COMPENSATION TO RELATED ORG
ALTRU SPECIALTY SERVICES
A	$146,279	RENT PAYMENT RECEIVED
DAK-MINN BLOOD BANK
O	$394,655	COMPENSATION TO RELATED ORG
ALTRU ALLIANCE
Q	$72,787	AMOUNT REIMBURSED
ALTRU HEALTH RESOURCES
P	$6,000	AMOUNT REIMBURSED
ALTRU HEALTH RESOURCES
O	$2,270,235	COMPENSATION TO RELATED ORG