ALTRU HEALTH SYSTEM: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: ALTRU HEALTH SYSTEM (EIN 45-0310462)
Tax period: 2024-01-01 to 2024-12-31
Filed: 2025-10-29
IRS object ID: 202533029349301648
Schema version: 2024v5.2
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 G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-10-29T13:45:13-05:00	ReturnTs
Tax Period End	2024-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	393647910	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	WIPFLI ADVISORY LLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1502 LONDON ROAD SUITE 200	AddressLine1Txt
City	DULUTH	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55812	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-01-01	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 ROAD	AddressLine1Txt
City	GRAND FORKS	CityNm
State Abbreviation	ND	StateAbbreviationCd
ZIP	58201	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DEREK GOEBEL	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	7017805200	PhoneNum
Signature	2025-10-29	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MICHAEL J PETERSON CPA	PreparerPersonNm
PTIN	P01833529	PTIN
Phone	2187224705	PhoneNum
Preparation	2025-10-29	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	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	TODD FORKEL	PrincipalOfficerNm

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$780,401,828	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.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	7	VotingMembersIndependentCnt
Total Employee	3872	TotalEmployeeCnt
Total Volunteers	173	TotalVolunteersCnt
Total Gross UBI	$22,728,132	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$3,936,127	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$4,564,765	PYContributionsGrantsAmt
CY Contributions Grants	$6,062,453	CYContributionsGrantsAmt
PY Program Service Revenue	$661,117,768	PYProgramServiceRevenueAmt
CY Program Service Revenue	$745,823,269	CYProgramServiceRevenueAmt
PY Investment Income	$6,935,746	PYInvestmentIncomeAmt
CY Investment Income	$16,225,650	CYInvestmentIncomeAmt
PY Other Revenue	-$22,761	PYOtherRevenueAmt
CY Other Revenue	$12,276,908	CYOtherRevenueAmt
PY Total Revenue	$672,595,518	PYTotalRevenueAmt
CY Total Revenue	$780,388,280	CYTotalRevenueAmt
PY Grants And Similar Paid	$415,474	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$424,289	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$352,109,865	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$359,362,954	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$235,728	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$93,150	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$93,150	CYTotalFundraisingExpenseAmt
PY Other Expenses	$288,788,921	PYOtherExpensesAmt
CY Other Expenses	$373,671,628	CYOtherExpensesAmt
PY Total Expenses	$641,549,988	PYTotalExpensesAmt
CY Total Expenses	$733,552,021	CYTotalExpensesAmt
PY Revenues Less Expenses	$31,045,530	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$46,836,259	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,207,479,907	TotalAssetsBOYAmt
Total Assets EOY	$1,249,137,230	TotalAssetsEOYAmt
Total Liabilities BOY	$804,295,167	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$789,085,182	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$403,184,740	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$460,052,048	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	ALTRU HEALTH SYSTEM IS A COMMUNITY OF OVER 3,400 HEALTH PROFESSIONALS AND SUPPORT STAFF, AND WE'VE BEEN COMMITTED TO CARING FOR OUR REGION FOR MORE THAN 130 YEARS. SERVING OVER 230,000 RESIDENTS IN NORTHEAST NORTH DAKOTA AND NORTHWEST MINNESOTA, WE OFFER A WIDE ARRAY OF SERVICES TO MEET THE NEEDS OF COMMUNITY MEMBERS OF ALL AGES AND LEVELS OF HEALTH.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$75,470,914	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$323,825,301	RevenueAmt
Desc	SURGICAL SERVICES - ALTRU OFFERS OUR PATIENTS SOME OF THE MOST ADVANCED, MINIMALLY INVASIVE SURGICAL SYSTEMS, SKILLFULLY OPERATED BY OUR EXPERT SURGEONS. ALTRU'S TEAM IS HIGHLY SPECIALIZED TO MANAGE ALL LEVELS OF SURGICAL NEEDS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$39,652,380	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$143,469,912	RevenueAmt
Desc	CANCER SERVICES - ALTRU CANCER CENTER PROVIDES DIAGNOSIS, TREATMENT AND OTHER SERVICES FOR THE FULL SPECTRUM OF CANCER TYPES. ALTRU HEALTH SYSTEM IS ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS' COMMISSION ON CANCER AND RECOGNIZED AS ONE OF THE BEST CANCER HOSPITALS IN THE COUNTRY.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$36,979,473	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$205,174,053	RevenueAmt
Desc	HEART & VASCULAR SERVICES - ALTRU OFFERS A TEAM OF MORE THAN 20 PROVIDERS ACROSS 5 SPECIALTIES AIMED AT COMPREHENSIVE HEART AND VASCULAR CARE. ALTRU IS CONSISTENTLY RANKED AS ONE OF THE BEST HOSPITALS FOR HEART FAILURE CARE BY U.S. NEWS & WORLD REPORT WHICH RECOGNIZES HOSPITALS THAT EXCEL IN TREATING THE MOST CHALLENGING PATIENTS.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$450,858,299	ExpenseAmt
Grant	$424,289	GrantAmt
Revenue	$49,878,341	RevenueAmt
Desc	OTHER PROGRAM SERVICES INCLUDE OTHER PATIENT CARE PROGRAMS.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$450,858,299	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$424,289	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$49,878,341	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$602,961,066	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
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	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	Yes (1)	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	0	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 With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	151	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	3872	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	7	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	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
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 S COLUMBIA ROAD	AddressLine1Txt
City	GRAND FORKS	CityNm
State Abbreviation	ND	StateAbbreviationCd
ZIP	58201	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
TODD FORKEL
BOARD MEMBER/CEO	40.00	1.00	Yes (X)	Yes (X)	$1,066,396	$0	$263,946
JODY TREUER MD
BOARD MEMBER/PHYSICIAN	40.00		Yes (X)		$1,207,404	$0	$46,922
JOSHUA DEERE
PRESIDENT	40.00	1.00	Yes (X)	Yes (X)	$869,600	$0	$218,327
REBECCA NOVACEK
BOARD MEMBER/PHYSICIAN	40.00		Yes (X)		$635,325	$0	$55,863
WILLIAM MCKINNON MD
BOARD MEM. (THRU MAY 24')/PHYSICIAN	40.00		Yes (X)		$304,278	$0	$29,099
KAREN MCLENNAN
CHAIR	1.00		Yes (X)		$0	$0	$0
ERIC HALVERSON
VICE CHAIR	1.00		Yes (X)		$0	$0	$0
TAMMY PETERSON
SECRETARY	1.00		Yes (X)		$0	$0	$0
ANDREW SORBO
BOARD MEMBER	1.00		Yes (X)		$0	$0	$0
RUSSEL CRARY
BOARD MEMBER	1.00		Yes (X)		$0	$0	$0
SCOTT MEYER
BOARD MEMBER	1.00		Yes (X)		$0	$0	$0
TIMOTHY CURRY
BOARD MEMBER	1.00		Yes (X)		$0	$0	$0
DEREK GOEBEL
CFO/TREASURER	40.00	1.00		Yes (X)	$543,614	$0	$113,801
MEVAN WIJETUNGA
MEDICAL DIRECTOR	40.00				$1,715,732	$0	$69,066	Yes (X)
JEREMY GARDNER
MEDICAL DIRECTOR	40.00				$1,093,680	$0	$70,348	Yes (X)
MEGHAN COMPTON
CHIEF CLINIC OPERATIONS OFFICER	40.00				$677,647	$0	$161,477	Yes (X)
JONATHAN HAUG
MEDICAL DIRECTOR	40.00				$692,966	$0	$72,762	Yes (X)
CORY GEFFRE
CNO & EVP HOSPITAL OPERATIONS	40.00				$572,713	$0	$55,828	Yes (X)
YVONNE GOMEZ
MEDICAL DIRECTOR	40.00				$569,876	$0	$42,867	Yes (X)
A MARC NIELSEN
PHYSICIAN	40.00				$529,952	$0	$71,883	Yes (X)
SUNIL KARTHAM
MED. DIREC./PHYSICIAN (THRU AUG. 24')	40.00				$513,977	$0	$39,931	Yes (X)
KRISTI HALL-JIRAN
CHIEF PHILANTHROPY OFFICER	20.00	20.00			$392,382	$0	$86,010	Yes (X)
HEATHER STRANDELL
SENIOR DIRECTOR CLINICAL OPERATIONS	40.00				$322,742	$0	$35,000	Yes (X)
IKECHUKWU ONYEKA
PHYSICIAN	40.00				$2,343,913	$0	$51,016		Yes (X)
GRANT SEEGER
PHYSICIAN	40.00				$1,367,960	$0	$54,764		Yes (X)
ISAAC TEA
PHYSICIAN	40.00				$1,226,347	$0	$37,243		Yes (X)
BARRY BJORGAARD
PHYSICIAN	40.00				$1,204,800	$0	$56,706		Yes (X)
BERNIE DALLUM
PHYSICIAN	40.00				$1,149,012	$0	$56,871		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$19,000,316	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,689,730	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	616	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
PCLCOMMUNITY
7101 METRO BLVD	EDINA	MN	55439	CONSTRUCTION SERVICES	$108,979,254
MEDEFIS CONSOLIDATED
PO BOX 5068	NEW YORK	NY	10087	CONTRACTED HEALTHCARE SERVICES	$20,367,490
WEATHERBY LOCUMS INC
PO BOX 972633	DALLAS	TX	75397	CONTRACTED HEALTHCARE SERVICES	$3,354,458
SODEXO INC AND AFFILIATES
PO BOX 360170	PITTSBURGH	PA	15251	CONTRACTED SERVICES	$3,351,923
AMN HEALTHCARE LOCUM TENENS INC
PO BOX 281923	ATLANTA	GA	30384	CONTRACTED HEALTHCARE SERVICES	$3,118,724

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	59	CntrctRcvdGreaterThan100KCnt
Related Organizations	$5,343,322	RelatedOrganizationsAmt
Government Grants	$410,230	GovernmentGrantsAmt
All Other Contributions	$308,901	AllOtherContributionsAmt
Total Contributions	$6,062,453	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PATIENT SERVICE REVENUE	621110	$705,977,182	$705,977,182
RETAIL PHARMACY REVENUE	456110	$21,430,888		$21,430,888
340B REVENUE	621300	$4,137,027	$4,137,027
AESTHETIC SERVICES	541900	$1,283,908		$1,283,908
BIOMED SERVICES/SITE SERVICES FEE	541900	$78,496			$78,496

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$12,915,768	TotalRevenueColumnAmt
Related Or Exempt Func Income	$9,178,842	RelatedOrExemptFuncIncomeAmt
Exclusion	$3,736,926	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$745,823,269	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,470,210	TotalRevenueColumnAmt
Exclusion	$11,470,210	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$130,186	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$13,548	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$116,638	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$116,638	TotalRevenueColumnAmt
Unrelated Business Revenue	$1,852	UnrelatedBusinessRevenueAmt
Exclusion	$114,786	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$4,037,599	SecuritiesAmt
Other	$717,841	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$4,037,599	SecuritiesAmt
Other	$717,841	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,755,440	TotalRevenueColumnAmt
Exclusion	$4,755,440	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
VENDOR REBATES	900099	$3,054,556	$3,054,556
SNOW REMOVAL	812900	$7,077		$7,077
TELECOMMUNICATIONS	517000	$4,407		$4,407

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,094,230	TotalRevenueColumnAmt
Exclusion	$9,094,230	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$12,160,270	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$780,388,280	TotalRevenueColumnAmt
Related Or Exempt Func Income	$722,347,607	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$22,728,132	UnrelatedBusinessRevenueAmt
Exclusion	$29,250,088	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$424,289	TotalAmt
Program Services	$424,289	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$13,141,414	TotalAmt
Program Services	$10,455,039	ProgramServicesAmt
Management And General	$2,686,375	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$294,444,439	TotalAmt
Program Services	$252,696,879	ProgramServicesAmt
Management And General	$41,747,560	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$11,351,476	TotalAmt
Program Services	$3,018,891	ProgramServicesAmt
Management And General	$8,332,585	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$19,865,853	TotalAmt
Program Services	$5,283,264	ProgramServicesAmt
Management And General	$14,582,589	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$20,559,772	TotalAmt
Program Services	$5,467,809	ProgramServicesAmt
Management And General	$15,091,963	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$325,685	TotalAmt
Program Services	$9,815	ProgramServicesAmt
Management And General	$315,870	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$93,150	TotalAmt
Fundraising	$93,150	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,168,193	TotalAmt
Management And General	$1,168,193	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$109,025,590	TotalAmt
Program Services	$79,028,476	ProgramServicesAmt
Management And General	$29,997,114	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,098,718	TotalAmt
Program Services	$5,057,919	ProgramServicesAmt
Management And General	$2,040,799	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$301,950	TotalAmt
Management And General	$301,950	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$10,152,806	TotalAmt
Program Services	$6,947,025	ProgramServicesAmt
Management And General	$3,205,781	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$722,823	TotalAmt
Program Services	$431,650	ProgramServicesAmt
Management And General	$291,173	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,359,453	TotalAmt
Program Services	$941,152	ProgramServicesAmt
Management And General	$418,301	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,571,359	TotalAmt
Program Services	$4,543,379	ProgramServicesAmt
Management And General	$27,980	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$21,938,776	TotalAmt
Program Services	$15,501,905	ProgramServicesAmt
Management And General	$6,436,871	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,965,896	TotalAmt
Program Services	$47,367	ProgramServicesAmt
Management And General	$1,918,529	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
PHARMACEUTICALS	$110,723,250	$110,723,250
MEDICAL SUPPLIES	$64,361,240	$64,100,541	$260,699
BAD DEBT EXPENSE	$38,088,223	$38,088,223
DUES & SUBSCRIPTIONS	$514,859	$194,002	$320,857

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,352,807	TotalAmt
Program Services	$191	ProgramServicesAmt
Management And General	$1,352,616	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$733,552,021	TotalAmt
Program Services	$602,961,066	ProgramServicesAmt
Management And General	$130,497,805	ManagementAndGeneralAmt
Fundraising	$93,150	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,839,060	BOYAmt
EOY	$0	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$58,345,875	BOYAmt
EOY	$72,936,424	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$108,901,146	BOYAmt
EOY	$99,693,535	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$436,948	BOYAmt
EOY	$447,305	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$12,071,647	BOYAmt
EOY	$14,499,139	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,790,352	BOYAmt
EOY	$12,394,203	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,031,483,078	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$385,795,788	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$498,324,657	BOYAmt
EOY	$645,687,290	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$367,752,950	BOYAmt
EOY	$244,687,700	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$91,341,088	BOYAmt
EOY	$90,727,403	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$63,676,184	BOYAmt
EOY	$68,064,231	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,207,479,907	BOYAmt
EOY	$1,249,137,230	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$90,843,071	BOYAmt
EOY	$76,203,926	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$1,631,917	BOYAmt
EOY	$1,519,747	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$672,358,790	BOYAmt
EOY	$652,595,069	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$39,461,389	BOYAmt
EOY	$58,766,440	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$804,295,167	BOYAmt
EOY	$789,085,182	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$403,184,740	BOYAmt
EOY	$460,052,048	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$403,184,740	BOYAmt
EOY	$460,052,048	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,207,479,907	BOYAmt
EOY	$1,249,137,230	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$46,836,259	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$9,044,305	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$986,744	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	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

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	$9,499,931	OtherCostOrOtherBasisAmt
Book Value	$9,499,931	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$315,039,460	OtherCostOrOtherBasisAmt
Depreciation	$237,087,535	DepreciationAmt
Book Value	$77,951,925	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,740,386	OtherCostOrOtherBasisAmt
Depreciation	$6,650,003	DepreciationAmt
Book Value	$3,090,383	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$181,156,715	OtherCostOrOtherBasisAmt
Depreciation	$142,058,250	DepreciationAmt
Book Value	$39,098,465	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$516,046,586	OtherCostOrOtherBasisAmt
Book Value	$516,046,586	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$645,687,290	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
INVESTMENT IN SUBSIDIARY	$38,942,844	C
EQUITY METHOD INVESTMENTS	$9,636,947	C
ALTERNATIVE INVESTMENTS	$42,147,612	C

Field	Value	IRS element (for citing)
Total Book Value Securities	$90,727,403	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
ASSETS HELD UNDER TRUST AGREEMENTS	$34,511,418
ROU ASSETS AND OTHER ASSETS	$7,460,502
UNAMORTIZED BOND ISSUE AND OTHER COSTS	$7,653,809
LEASE RECEIVABLE	$18,438,502

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$68,064,231	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
OTHER	$228,137
ESTIMATED THIRD PARTY LIABILITY	$1,400,000
SPECIAL ASSESSMENTS PAYABLE	$201,516
ASSET RETIREMENT OBLIGATION	$3,000,000
LEASE LIABILITY	$7,928,714
DUE TO AFFILIATES	$25,012,101
457B PLAN LIABILITY	$20,995,972

Field	Value	IRS element (for citing)
Total Liability	$58,766,440	TotalLiabilityAmt

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	Yes (X)	MailSolicitationsInd
Email Solicitations	Yes (X)	EmailSolicitationsInd
Phone Solicitations	Yes (X)	PhoneSolicitationsInd
In Person Solicitations	Yes (X)	InPersonSolicitationsInd
Solicitation Of Non Govt Grants	Yes (X)	SolicitationOfNonGovtGrantsInd
Solicitation Of Govt Grants	Yes (X)	SolicitationOfGovtGrantsInd
Special Fundraising Events	Yes (X)	SpecialFundraisingEventsInd
Agrmt Prof Fundraising Acty	Yes (1)	AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

Field	Value	IRS element (for citing)
Person	COURTNEY BAUGH	PersonNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1215 WEST BURMA ROAD	AddressLine1Txt
City	GOSPORT	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	47433	ZIPCd

Field	Value	IRS element (for citing)
Activity	CAPITAL CAMPAIGN PLANNING AND IMPLEMENTATION	ActivityTxt
Fundraiser Control Of Funds	0	FundraiserControlOfFundsInd
Gross Receipts	$0	GrossReceiptsAmt
Retained By Contractor	$93,150	RetainedByContractorAmt
Net To Organization	-$93,150	NetToOrganizationAmt

Field	Value	IRS element (for citing)
Total Retained By Contractors	$93,150	TotalRetainedByContractorsAmt
Total Net To Organization	-$93,150	TotalNetToOrganizationAmt
Licensed States	ND	LicensedStatesCd

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	0	ExpensesExceedBudgetInd
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	$6,219,653	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,219,653	NetCommunityBenefitExpnsAmt
Total Expense	0.00890	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$36,275,555	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$30,992,219	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,283,336	NetCommunityBenefitExpnsAmt
Total Expense	0.00760	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,620,730	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,620,730	NetCommunityBenefitExpnsAmt
Total Expense	0.00230	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$44,115,938	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$30,992,219	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,123,719	NetCommunityBenefitExpnsAmt
Total Expense	0.01880	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$693,616	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$693,616	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,177,657	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,325,039	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,852,618	NetCommunityBenefitExpnsAmt
Total Expense	0.00410	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$32,846	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$32,846	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,904,119	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,325,039	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,579,080	NetCommunityBenefitExpnsAmt
Total Expense	0.00510	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$49,020,057	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$32,317,258	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,702,799	NetCommunityBenefitExpnsAmt
Total Expense	0.02390	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$80,740	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$80,740	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$80,740	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$80,740	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$12,721,467	BadDebtExpenseAmt
Bad Debt Expense Attributable	$636,073	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$132,044,899	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$127,448,577	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$4,596,322	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	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 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	58206	Yes (X)	Yes (X)	Yes (X)
ALTRU SPECIALTY CENTER
2	4500 WASHINGTON ST	GRAND FORKS	ND	58201	Yes (X)	Yes (X)

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)
Facility	1	FacilityNum
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	22	CHNAConductedYr
Take Into Account Others Input	0	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	SEE PART V, SECTION C, LINE 7D	OwnWebsiteURLTxt
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	23	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://WWW.ALTRU.ORG/ABOUT-US/COMMUNITY-HEALTH	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	SEE PART V, PAGE 8	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, PAGE 8	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, PAGE 8	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
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
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 (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION A:	FACILITY REPORTING GROUP A (ALTRU HOSPITAL) CONSISTS OF:- FACILITY 1: ALTRU HOSPITAL- FACILITY 2: ALTRU SPECIALTY CENTER
ALTRU HOSPITAL	PART V, SECTION B, LINE 5: ALTRU HEALTH SYSTEM AND THE GRAND FORKS PUBLIC HEALTH DEPARTMENT ENGAGED MULTIPLE PARTNERS TO CONDUCT SURVEYS AND FOCUS GROUPS WITH COMMUNITY LEADERS AND SPECIAL POPULATIONS TO GET THEIR INSIGHT ABOUT THE HEALTH OF THE COMMUNITY AND HOW IT CAN BE IMPROVED. IT WAS AGREED TO USE THE UPDATED PROCESS FROM THE ASSOCIATION FOR COMMUNITY HEALTH IMPROVEMENT (NINE STEP COMMUNITY HEALTH ASSESSMENT PROCESS). A COMMUNITY-BASED ADVISORY COMMITTEE WAS FORMED TO WORK WITH ALTRU AND GRAND FORKS PUBLIC HEALTH ON THE ASSESSMENT. LEADERSHIP FROM ALTRU AND GRAND FORKS PUBLIC HEALTH SERVED ON THE ADVISORY COMMITTEE, ALONG WITH INDIVIDUALS REPRESENTING THE FOLLOWING AGENCIES/ORGANIZATIONS:- ALLUMA- ALTRU FAMILY YMCA- ALTRU HEALTH SYSTEM- CHAMBER OF GRAND FORKS AND EAST GRAND FORKS- CITY OF EAST GRAND FORKS- CITY OF GRAND FORKS- COMMUNITY VIOLENCE INTERVENTION CENTER- EAST GRAND FORKS PUBLIC SCHOOLS- GRAND FORKS AIR FORCE BASE- GRAND FORKS HERALD- GRAND FORKS HOUSING AUTHORITY- GRAND FORKS PARKS AND RECREATION- GRAND FORKS FIRE DEPARTMENT- GRAND FORKS PARK DISTRICT- GRAND FORKS POLICE DEPARTMENT- GRAND FORKS PUBLIC SCHOOLS- GRAND FORKS SENIOR CENTER- GRAND FORKS ECONOMIC DEVELOPMENT CORPORATION- KORSMO FAMILY DENTISTRY- NORTHEAST HUMAN SERVICE CENTER- NORTHLANDS RESCUE MISSION- POLK COUNTY PUBLIC HEALTH- QUALITY HEALTH ASSOCIATES- SAFE KIDS- SHAREHOUSE- SPECTRA HEALTH- TURTLE RIVER STATE PARK- UNIVERSITY OF NORTH DAKOTA MASTER OF PUBLIC HEALTH PROGRAM- UNITED WAYGRAND FORKS PUBLIC HEALTH AND ALTRU HEALTH SYSTEM ENGAGED A STUDENT TEAM AT THE UNIVERSITY OF NORTH DAKOTA'S MASTER OF PUBLIC HEALTH PROGRAM WITH THE ASSISTANCE OF ASHLEY EVENSON, MPH, ASSISTANT DIRECTOR WITH THE PUBLIC HEALTH PROGRAM. THE STUDENT AND FACULTY TEAM CONDUCTED A COMMUNITY SURVEY ALONG WITH FOCUS GROUPS WITH COMMUNITY LEADERS AND SPECIAL POPULATIONS TO GET THEIR INSIGHT INTO THE HEALTH OF GRAND FORKS AND POLK COUNTY COMMUNITIES AND HOW IT CAN BE IMPROVED.
ALTRU HOSPITAL	PART V, SECTION B, LINE 6A: ALTRU 1300 COLUMBIA
ALTRU HOSPITAL	PART V, SECTION B, LINE 6B: GRAND FORKS PUBLIC HEALTH
ALTRU HOSPITAL	PART V, SECTION B, LINE 7D: PART V, SECTION B, LINE 7A:HTTPS://WWW.ALTRU.ORG/ABOUT-US/COMMUNITY-HEALTH
ALTRU HOSPITAL	PART V, SECTION B, LINE 11: SINCE 2023, ALTRU HAS PARTNERED WITH THE BLUE ZONES PROJECT TO SUPPORT AND ADVANCE COMMUNITY WELL-BEING THROUGHOUT GRAND FORKS. THIS COLLABORATION HAS BECOME A CORNERSTONE OF POSITIVE TRANSFORMATION, WITH THE BLUE ZONES PROJECT SERVING AS A PRIMARY CATALYST FOR CHANGE. WHILE THE INITIATIVE HAS CONCENTRATED ITS EFFORTS ON THE NEAR NORTH NEIGHBORHOOD DUE TO RESOURCE LIMITATIONS, ITS IMPACT HAS EXTENDED FAR BEYOND, TOUCHING MANY LIVES ACROSS THE BROADER GRAND FORKS COMMUNITY.TWO OF THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE 2023 COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) MENTAL HEALTH AND OBESITY HAVE BEEN ACTIVELY ADDRESSED THROUGH THE INNOVATIVE PROGRAMMING AND POLICY EFFORTS OF THE BLUE ZONES PROJECT. STRATEGIES HAVE INCLUDED COMMUNITY EDUCATION ON HEALTHY EATING, PURPOSE-DRIVEN WORKSHOPS, AND THE CREATION OF MOAIS - SOCIAL SUPPORT GROUPS FORMED AROUND SHARED INTERESTS - TO COMBAT LONELINESS AND FOSTER A GREATER SENSE OF BELONGING.TO FURTHER SUPPORT THESE HEALTH EFFORTS, THE GROW WELL GRAND CITIES COUNCIL WAS RECENTLY ESTABLISHED. THIS GROUP IS DEDICATED TO IMPROVING THE LOCAL FOOD ENVIRONMENT AND ENHANCING ACCESS TO HEALTHY, NUTRITIOUS FOODS. IN PARALLEL, A FOOD INSECURITY COMMITTEE WAS FORMED, DRAWING REPRESENTATIVES FROM VARIOUS SECTORS OF HEALTH AND WELLNESS TO COLLABORATIVELY ADDRESS HUNGER AND ITS ASSOCIATED CHALLENGES IN THE COMMUNITY.ALTRU HAS ALSO TAKEN SIGNIFICANT STEPS TO ALIGN WITH AND SUPPORT THESE COMMUNITY-WIDE INITIATIVES. THE ORGANIZATION HAS IMPLEMENTED A SOCIAL DETERMINANTS OF HEALTH (SDOH) SCREENING FOR ALL INPATIENTS AND INDIVIDUALS SEEN BY PRIMARY CARE PROVIDERS. THIS TOOL HAS BEEN INSTRUMENTAL IN IDENTIFYING INDIVIDUALS WITH URGENT NEEDS AND CONNECTING THEM TO ESSENTIAL SERVICES. IN ADDITION, ALTRU HEALTH SYSTEM HAS ESTABLISHED A HEALTH EQUITY COMMITTEE TO ADDRESS ANY BARRIERS TO RECEIVING CARE. IN RESPONSE TO RISING CONCERNS AROUND FOOD INSECURITY, ALTRU HAS ESTABLISHED AN EMERGENCY FOOD PANTRY, OFFERING IMMEDIATE FOOD SUPPORT TO PATIENTS WHO SCREEN POSITIVE FOR FOOD INSECURITY. THOSE INDIVIDUALS ARE ALSO CONNECTED TO BROADER COMMUNITY RESOURCES, INCLUDING LOCAL FOOD PANTRIES, TO ENSURE ONGOING SUPPORT AND NOURISHMENT. A VIDEO "HUNGER IS HERE, BUT SO ARE WE" WAS ALSO CREATED BY THE BLUE ZONE TEAM AND SUPPORTED BY ALTRU TO BRING AWARENESS TO THIS ISSUE.SOME SPECIFIC OUTCOMES ACHIEVED IN 2024 BY THE GRAND FORKS BLUE ZONES PROJECT ARE AS FOLLOWS: - OVER 1900 INDIVIDUALS ENGAGED IN SOME WAY WITH BZP. - NEARLY 300 PEOPLE JOINED A MOAI AND MORE THAN 500 STRENGTHENED THEIR SENSE OF PURPOSE AT A PURPOSE WORKSHOP. - 6 WORKSITES BECAME BLUE ZONES PROJECT APPROVED - 1 GROCERY STORE BECAME BLUE ZONES PROJECT APPROVED - 2 ORGANIZATIONS BECAME BLUE ZONES PROJECT APPROVED - 3 RESTAURANTS BECAME BLUE ZONES PROJECT APPROVED - 2 SCHOOLS BECAME BLUE ZONES PROJECT APPROVED IN THE POLICY AREA, WORK FOCUSED ON THE BUILT ENVIRONMENT, FOOD AND TOBACCO. BUILT ENVIRONMENT - COMPLETED INITIATIVES LIKE THE 3RD AND 4TH ST COUPLET STUDY AND BICYCLE AND PEDESTRIAN PLAN ADOPTION. - CONDUCTED ACTIVE TRANSPORTATION SUMMIT & REVIEW. - BOOSTED COMMUNITY ENGAGEMENT WITH EVENTS, MICRO-GRANTS, AND A PERMANENT PICKLEBALL COURT. - REVITALIZED SKIDMORE PARK WITH ADA UPGRADES, GARDENS, MURALS, AND COMMUNITY EVENTS FOOD - CREATED A FOOD POLICY COUNCIL, HOSTED TRAINING, AND SUPPORTED INITIATIVES LIKE ALTRU'S WELLNESS PANTRY AND HEALTHY VENDING AT CITY HALL. - BACKED THE FOOD SECURITY SUMMIT, HERS TRAINING, AND MINI-GRANTS FOR IMPROVING LOCAL PANTRIES. - CONDUCTED A SURVEY TO GUIDE FOOD EDUCATION AND LAUNCHED A FOOD HUB/FOOD HALL FEASIBILITY STUDY. TOBACCO - EDUCATED ON YOUTH TOBACCO USE IMPACTS. - PROMOTED CESSATION SERVICES FOR ALL AGES. - SUPPORTED YMCA SCHOLARSHIPS FOR GFPS YOUTH. THE PRIORITY AREAS OF WORKFORCE DEVELOPMENT AND CHILDCARE WILL NOT BE AS DIRECTLY IMPACTED BY THE STRATEGIES AND TACTICS IDENTIFIED IN THE 2023 IMPLEMENTATION STRATEGY. THERE ARE CONSIDERABLE LOCAL AND STATE RESOURCES ADDRESSING THESE AREAS, AND WE DEFER TO THESE OTHER ENTITIES CURRENTLY ENGAGED TO MAKE IMPROVEMENTS ON THESE TWO TOPICS.ADDITIONALLY, ACCESS TO CARE HAS LONG BEEN A PRIORITY OF ALTRU, GRAND FORKS PUBLIC HEALTH, AND OTHER COMMUNITY PARTNERS. THE FOCUS OF THESE ORGANIZATIONS CONTINUES INDEPENDENT OF THIS IMPLEMENTATION STRATEGY.
ALTRU HOSPITAL	PART V, SECTION B, LINE 24: ALL PATIENTS ARE CHARGED A GROSS CHARGE REGARDLESS OF INSURANCE STATUS. ADJUSTMENTS MAY BE APPLIED PROVIDING THE PATIENTS APPLY FOR AND QUALIFY FOR CHARITY CARE.
PART V, SECTION B, LINES 16A-C:	FINANCIAL ASSISTANCE POLICY URL:HTTPS://WWW.ALTRU.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCEFINANCIAL ASSISTANCE APPLICATION URL:HTTPS://WWW.ALTRU.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCEPLAIN LANGUAGE SUMMARY URL:HTTPS://WWW.ALTRU.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE

Field	Value	IRS element (for citing)
Facility	54	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (54 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - ALTRU CANCER CENTER
960 S COLUMBIA ROAD	GRAND FORKS	ND	582066003	OUTPATIENT DEPT OF ALTRU HOSP - CLINIC
2 - TRUYU AESTHETIC CENTER
3165 DEMERS AVENUE	GRAND FORKS	ND	582066003	OUTPATIENT DEPT OF ALTRU HOSP - CLINIC
3 - ALTRU FAMILY MEDICINE CENTER
1380 S COLUMBIA ROAD	GRAND FORKS	ND	582066003	OUTPATIENT DEPT OF ALTRU HOSP - CLINIC
4 - ALTRU FAMILY MEDICINE RESIDENCY
725 HAMLINE STREET	GRAND FORKS	ND	58203	OUTPATIENT CLINIC
5 - ALTRU FAMILY MEDICINE RESIDENCY PHARMACY
725 HAMLINE STREET	GRAND FORKS	ND	58203	OUTPATIENT PHARMACY
6 - ALTRU CLINIC - DRAYTON
1003 N MAIN	DRAYTON	ND	582254650	OUTPATIENT CLINIC/THERAPY
7 - ALTRU 860 COLUMBIA
860 S COLUMBIA ROAD	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 - ERSKINE
113 VANCE AVE N	ERSKINE	MN	565354201	OUTPATIENT DEPT OF ALTRU HOSP - CLINIC
13 - ALTRU CLINIC - FERTILE
101 S MILL ST	FERTILE	MN	565404215	OUTPATIENT DEPT OF ALTRU HOSP - CLINIC
14 - ALTRU CLINIC - ROSEAU
711 DELMORE DRIVE	ROSEAU	MN	567511534	OUTPATIENT CLINIC
15 - ALTRU CLINIC - WARROAD
412 MAINE AVE NE	WARROAD	MN	567632342	OUTPATIENT CLINIC
16 - ALTRU CLINIC - GREENBUSH
19120 200TH ST	GREENBUSH	MN	567269280	OUTPATIENT CLINIC
17 - UNITY MEDICAL CENTER
164 WEST 13TH STREET	GRAFTON	ND	58237	HOME HEALTH/HOSPICE
18 - FIRST CARE HEALTH CENTER
PO BOX I	PARK RIVER	ND	58270	HOME HEALTH/HOSPICE/THERAPY
19 - NELSON COUNTY HEALTH SYSTEM
PO BOX 367	MCVILLE	ND	58254	HOME HEALTH/HOSPICE
20 - CO ALTRU CLINIC - CAVALIER
201 E 3RD AVE S	CAVALIER	ND	58220	HOME HEALTH/HOSPICE
21 - ALTRU HOME SVCS-NORTH VALLEY HOME HEALTH
109 S MINNESOTA ST	WARREN	MN	56762	HOME HEALTH/HOSPICE
22 - ANETA PARKVIEW HEALTH CENTER
PO BOX 287	ANETA	ND	58212	OUTREACH CLINIC
23 - CAVALIER COUNTY MEMORIAL
909 2ND ST	LANGDON	ND	58249	OUTREACH CLINIC
24 - CENTRAL BOILER
20502 160TH ST	GREENBUSH	MN	56726	OUTREACH CLINIC
25 - COOPERSTOWN MEDICAL CENTER
1200 ROBERTS ST	COOPERSTOWN	ND	58425	OUTREACH CLINIC
26 - DEVILS LAKE GOOD SAMARITAN
302 7TH AVE	DEVILS LAKE	ND	58301	OUTREACH CLINIC
27 - FIRST CARE HEALTH CENTER
115 VIVIAN ST	PARK RIVER	ND	58270	OUTREACH CLINIC
28 - FRIENDSHIP
554 W 12TH ST	GRAFTON	ND	58327	OUTREACH CLINIC
29 - 4TH CORP
120 11TH ST	NEW ROCKFORD	ND	58356	OUTREACH CLINIC
30 - GRIGGS COUNTY HOSPITAL
1200 ROBERTS AVE NE	COOPERSTOWN	ND	58425	OUTREACH CLINIC
31 - HATTON PRAIRIE VILLAGE
930 DAKOTA AVE	HATTON	ND	58240	OUTREACH CLINIC
32 - HEARTLAND CARE CENTER
620 14TH AVE NE	DEVILS LAKE	ND	58301	OUTREACH CLINIC
33 - KARLSTAD HEALTH CARE
304 WASHINGTON AVE W	KARLSTAD	MN	56732	OUTREACH CLINIC
34 - KITTSON MEMORIAL HEALTH CARE CENTER
1010 S BIRCH	HALLOCK	MN	56728	OUTREACH CLINIC
35 - KITTSON MEMORIAL CLINIC OF KARLSTAD
1ST AND ROOSEVELT	KARLSTAD	MN	56732	OUTREACH CLINIC
36 - LAKE REGION CORP
224 3RD ST NW	DEVILS LAKE	ND	583012908	OUTREACH CLINIC
37 - LAKOTA GOOD SAMARITAN
608 4TH AVE SW HWY 2	LAKOTA	ND	583447500	OUTREACH CLINIC
38 - MAPLE MANOR CARE CENTER
1116 9TH AVE	LANGDON	ND	58249	OUTREACH CLINIC
39 - MCINTOSH MANOR NURSING HOME
600 RIVERSIDE AVE NE	MCINTOSH	MN	56556	OUTREACH CLINIC
40 - NELSON COUNTY CARE CENTER
108 E NYHUS AVE	MCVILLE	ND	58254	OUTREACH CLINIC
41 - NELSON COUNTY HEALTH SYSTEM
200 NORTH MAIN	MCVILLE	ND	58254	OUTREACH CLINIC
42 - NORTHWOOD DEACONESS
4 N PARK ST	NORTHWOOD	ND	58267	OUTREACH CLINIC
43 - OAKLAND PARK COMMUNITIES INC
123 BAKEN STREET	THIEF RIVER FALLS	MN	56701	OUTREACH CLINIC
44 - PEMBILIER NURSING CENTER
500 DELANO AVE	WALHALLA	ND	58282	OUTREACH CLINIC
45 - PEMBINA COUNTY MEMORIAL HOSPITAL
301 MOUNTAIN STREET E	CAVALIER	ND	58220	OUTREACH CLINIC
46 - PIONEER MEMORIAL CARE CENTER
23028 347TH ST SE	ERSKINE	MN	565359466	OUTREACH CLINIC
47 - REM-GRAFTON
817 HILL AVE	GRAFTON	ND	58327	OUTREACH CLINIC
48 - VALLEY 4000
4004 24TH AVE SOUTH	GRAND FORKS	ND	58201	OUTREACH CLINIC
49 - VALLEY MEMORIAL HOMES
2900 14TH AVE SOUTH	GRAND FORKS	ND	58201	OUTREACH CLINIC
50 - WEDGEWOOD MANOR
804 MAIN STREET WEST	CAVALIER	ND	58220	OUTREACH CLINIC
51 - CENTER FOR PREVENTION & GENETICS
4401 S 11TH ST	GRAND FORKS	ND	58201	OUTREACH CLINIC
52 - ALTRU CLINIC - EAST GRAND FORKS
607 DEMERS AVE	EAST GRAND FORKS	MN	56721	OUTPATIENT DEPT OF ALTRU HOSP - CLINIC
53 - ALTRU PROFESSIONAL CENTER
4440 S WASHINGTON ST	GRAND FORKS	ND	58201	OUTPATIENT CLINIC
54 - 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:	CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST: THE METHODOLOGY USED TO DETERMINE THE REPORTED AMOUNTS FOR THE CHARITY CARE IS A COST-TO-CHARGE RATIO BASED ON GROSS CHARGES WRITTEN OFF PURSUANT TO OUR CHARITY CARE AND MEANS-TESTED PROGRAMS ELIGIBILITY CRITERIA. OTHER COMMUNITY BENEFIT IS DETERMINED FROM INFORMATION THAT WAS COMPILED ON FORMS DESIGNED BY THE CATHOLIC HEALTH ORGANIZATION AND USING THEIR REFERENCE GUIDE, "A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT," TO DETERMINE WHICH CATEGORY THE AMOUNTS ARE PROPERLY REPORTED UNDER.
PART I, LINE 7, COLUMN (F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 38,088,223.
PART III, LINE 2:	THE COSTING METHODOLOGY USED ON FORM 990 IS BASED ON A COST-TO-CHARGE RATIO WHICH IS DEVELOPED BASED ON THE HOSPITAL'S TOTAL PATIENT SERVICES REVENUE DIVIDED BY OPERATING EXPENSES LESS THE PROVISION FOR BAD DEBTS. THIS COST-TO-CHARGE RATIO IS APPLIED AGAINST THE TOTAL CHARGES THAT WERE WRITTEN OFF DURING THE FISCAL YEAR TO ESTIMATE THE COST OF THE CARE OF PATIENTS THAT HAVE ACCOUNTS THAT ARE DEEMED TO BE BAD DEBTS TO THE HOSPITAL.
PART III, LINE 3:	IT IS POLICY TO MAKE FINANCIAL ASSISTANCE AVAILABLE TO PATIENTS WHO FIT THE FINANCIAL ASSISTANCE CRITERIA. IT IS THE ORGANIZATION'S GOAL TO MAKE CERTAIN THAT THEY ARE PROACTIVE IN THE DETERMINATION OF FINANCIAL ASSISTANCE. ALL EFFORTS ARE MADE TO ENSURE THAT FINANCIAL ASSISTANCE-ELIGIBLE PATIENTS DO NOT PROGRESS TO BAD DEBTS AND THEREFORE NO DOLLAR AMOUNT FOR BAD DEBT IS INCLUDED.
PART III, LINE 9B:	PROVISION FOR COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE ARE FOUND IN ALTRU'S POLICY 2614 "FINANCIAL ASSISTANCE." ALTRU'S COMMUNITY CARE PROGRAM IS DESIGNED TO PROVIDE FINANCIAL ASSISTANCE TO THOSE WHO HAVE NO INSURANCE AND/OR LIMITED MEANS TO PAY FOR THEIR MEDICAL SERVICES AND DO NOT QUALIFY FOR OTHER PROGRAMS. IN ADDITION TO QUALITY HEALTHCARE, PATIENTS OF ALTRU HEALTH SYSTEM ARE PROVIDED FINANCIAL COUNSELING REGARDING THEIR MEDICAL BILLS, BY SOMEONE WHO CAN UNDERSTAND AND OFFER POSSIBLE SOLUTIONS FOR THOSE WHO CANNOT PAY IN FULL. PROGRAMS ARE ALSO AVAILABLE FOR UNINSURED PATIENTS, AND FOR THOSE FOUND TO BE IN MEDICAL HARDSHIP.
PART VI, LINE 2:	ALTRU HEALTH SYSTEM'S MISSION - MAKING A DIFFERENCE FOR THOSE WE CARE FOR - CONFIRMS THAT OUR RESPONSIBILITY TO THE REGION GOES BEYOND PROVIDING QUALITY HEALTHCARE SERVICES. ALL OUR RESOURCES ARE DEVOTED TO IMPROVING HEALTH IN THE COMMUNITIES WE SERVE. AT ALTRU, GOOD HEALTH MEANS THAT EVERY INDIVIDUAL SHOULD ENJOY THE BEST ACHIEVABLE AND SO SHOULD OUR COMMUNITIES. ALTRU'S FOURTH CYCLE OF OUR COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED IN 2022; THE ASSESSMENT WAS APPROVED BY OUR BOARD OF DIRECTORS ON DECEMBER 19, 2022. AS A RESULT OF THE ASSESSMENT, ALTRU PRIORITIZED AND FOCUSED ON THE FOLLOWING SIX ISSUES: 1) MENTAL HEALTH - IMPROVE THE MENTAL WELL-BEING OF ALL RESIDENTS AND BUILD RESILIENCE. 2) WORKFORCE - COLLABORATE ACROSS SECTORS TO EXPAND THE AVAILABLE WORKFORCE. 3) ACCESS TO CARE - INCREASE ACCESS TO PRIMARY, SPECIALTY, BEHAVIORAL, AND ORAL HEALTH CARE WITH A FOCUS ON REDUCING BARRIERS. 4) SUBSTANCE USE - REDUCE THE PREVALENCE OF SUBSTANCE USE INCLUDING ALCOHOL, TOBACCO AND OTHER DRUGS. 5) CHILD CARE - DEVELOP STRATEGIES TO MEET THE CHILDCARE NEEDS OF THE REGION WITH A FOCUS ON ACCESS AND AFFORDABILITY. 6) OBESITY - REDUCE THE PREVALENCE OF OBESITY IN THE POPULATION THROUGH INCREASED ACCESS TO SUPPORTIVE SERVICES AND REDUCED COST BURDEN.
PART VI, LINE 3:	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: ALTRU HAS SEVERAL AVENUES IN WHICH INFORMATION REGARDING FINANCIAL ASSISTANCE PROGRAMS IS COMMUNICATED TO PATIENTS. UNINSURED AND SELF-PAY PATIENTS IN THE HOSPITAL RECEIVE A VISIT FROM PATIENT REPRESENTATIVES AFTER INTAKE. DURING THIS MEETING, THEY ARE INFORMED OF VARIOUS FEDERAL, STATE, AND COMMUNITY-BASED PROGRAMS THAT MAY PROVIDE ASSISTANCE. UNINSURED OR SELF-PAY PATIENTS FROM OUTPATIENTS RECEIVE CONTACT FROM PATIENT REPRESENTATIVES BY PHONE OR EMAIL INFORMING THEM OF POTENTIAL SOURCES OF FINANCIAL ASSISTANCE. BOTH SETS OF PATIENTS ARE ALSO PROVIDED INFORMATION ON HOW TO MOVE FORWARD IN APPLYING FOR THE PROGRAMS. IF PATIENTS ARE FOUND TO BE STRUGGLING WITH MEDICAL EXPENSES, OUR CREDIT AND COLLECTIONS REPRESENTATIVES UTILIZE LETTERS AND PHONE CALLS TO INFORM THEM OF VARIOUS RESOURCES THAT MAY BE ABLE TO PROVIDE ASSISTANCE. FINANCIAL ASSISTANCE INFORMATION IS ALSO AVAILABLE TO THE PUBLIC AS A WHOLE. ALTRU'S WEBSITE, ALTRU.ORG, INCLUDES FINANCIAL ASSISTANCE CONTACT INFORMATION AND ELIGIBILITY GUIDELINES. PATIENTS MAY REVIEW THIS ON THEIR OWN AND CONTACT AGENCIES THAT MAY PROVIDE ASSISTANCE BASED ON THEIR CIRCUMSTANCES. ALSO, ALTRU DISTRIBUTES BROCHURES FEATURING OUR COMMUNITY CARE PROGRAM AND OTHER FEDERAL AND STATE PROGRAMS. THESE BROCHURES ARE AVAILABLE TO BOTH PATIENTS AND VISITORS IN WAITING ROOMS OF OUR INPATIENT AND OUTPATIENT FACILITIES AS WELL AS IN ALL BUSINESS OFFICE LOCATIONS.
PART VI, LINE 4:	COMMUNITY INFORMATION: ALTRU HEALTH SYSTEM SERVES A 24-COUNTY AREA THAT IS DIVIDED INTO SEVEN DISTINCT SUB-SERVICE AREAS AND HAS A POPULATION OF APPROXIMATELY 229,000 PERSONS (SOURCE: OPTUM 2021 POPULATION AGE SEGMENTATION ANALYSIS, OPTUM HAD NOT UPDATED DATA FOR 2023 AT THE TIME OF RETURN PREPARATION) WHO RESIDE IN A DIVERSE AREA OF AGRICULTURE AND INDUSTRY. THE SERVICE AREA STRETCHES 265 MILES EAST AND WEST AND 120 MILES NORTH AND SOUTH. GRAND FORKS SITS IN THE CENTRAL SERVICE AREA IN THE MIDDLE OF THE RED RIVER VALLEY, ONE OF THE WORLD'S RICHEST AGRICULTURAL AREAS. PRINCIPAL CROPS INCLUDE SUGAR BEETS, POTATOES, EDIBLE BEANS, AND SMALL GRAINS SUCH AS WHEAT AND BARLEY. MUCH OF THE INDUSTRY IN THE AREA IS RELATED TO AGRICULTURE AND FOOD PROCESSING. THE CENTRAL SERVICE AREA, COMPRISED OF GRAND FORKS AND SURROUNDING COMMUNITIES WITHIN GRAND FORKS COUNTY, IS HOME TO APPROXIMATELY 73,327 PEOPLE (SOURCE: OPTUM 2021 POPULATION AGE SEGMENTATION ANALYSIS). LOCATED IN THIS SUB-SERVICE AREA ARE ALTRU HOSPITAL, ALTRU SPECIALTY CENTER, ALTRU REHABILITATION CENTER, ALTRU CANCER CENTER, AND 13 OTHER LOCATIONS THAT ARE HOME TO OUR PROVIDERS' CLINIC PRACTICES AND OTHER SERVICES OFFERED BY ALTRU. ALTRU HOSPITAL SERVES AS THE MAJOR REFERRAL CENTER FOR THE PEOPLE OF THE REGION. AS SUCH, IT PROVIDES A BROAD SPECTRUM OF PROGRAMS AND SERVICES. A FULL RANGE OF SERVICES ARE AVAILABLE FOR PATIENTS SUFFERING FROM CANCER, HEART DISEASE, END-STAGE RENAL DISEASE, NEUROLOGICAL DISORDERS, ALCOHOL OR CHEMICAL DEPENDENCY, HIGH RISK OBSTETRICAL COMPLICATIONS, AND PSYCHIATRIC DISORDERS. ALTRU HOSPITAL'S INPATIENT MARKET SHARE IN 2023 FOR OUR ENTIRE SERVICE AREA WAS 45 PERCENT BASED ON CLAIMS DATA. 70.9 PERCENT OF STAFF EMPLOYED BY ALTRU ARE MEDICAL STAFF WHICH IS DEFINED AS EMPLOYEES WHO WORK IN JOB FAMILY GROUPS OF: AMBULATORY SERVICES, HOSPITAL SERVICES, LAB, NURSING, NUTRITION, PATIENT SUPPORT SERVICES, PHARMACY, PROVIDERS, RADIOLOGY, SOCIAL WORK, AND THERAPY. ALSO LOCATED IN GRAND FORKS COUNTY IS NORTHWOOD COMMUNITY HEALTH CENTER (IN NORTHWOOD, ND). A COUPLE NOTABLE POPULATIONS ALTRU SERVES THAT ARE WITHIN OUR CENTRAL SERVICE AREA INCLUDE THE UNIVERSITY OF NORTH DAKOTA AND GRAND FORKS AIR FORCE BASE. THE UNIVERSITY OF NORTH DAKOTA IS THE STATE'S OLDEST INSTITUTION OF HIGHER LEARNING WITH AN ENROLLMENT OF 14,172 (FALL 2023). THE NUMBER OF RESIDENTS AT GRAND FORKS AIR FORCE BASE WAS COUNTED AT 2,002 (2020 CENSUS). THE EAST, NORTH, NORTHEAST, NORTHWEST, SOUTH AND WEST SERVICE AREAS INCLUDE 23 COUNTIES THAT HAVE A POPULATION OF 155,422 PEOPLE (SOURCE: 2021 OPTUM POPULATION AGE SEGMENTATION ANALYSIS); THIS AREA IS LARGELY RURAL AND AGRICULTURAL. WITHIN THIS AREA, ALTRU HAS ELEVEN REGIONAL CLINIC LOCATIONS. BEYOND THE CENTRAL SERVICE AREA, THERE ARE SEVERAL SMALL HOSPITALS LISTED BELOW. CAVALIER COUNTY MEMORIAL HOSPITAL: LANGDON, ND PEMBINA COUNTY HOSPITAL: CAVALIER, ND UNITY MEDICAL CENTER: GRAFTON, ND FIRST CARE HEALTH CENTER: PARK RIVER, ND NELSON COUNTY HEALTH SYSTEM: MCVILLE, ND KITTSON MEMORIAL HOSPITAL: HALLOCK, MN NORTH VALLEY HEALTH CENTER: WARREN, MN LAKEWOOD HEALTH CENTER: BAUDETTE, MN MERCY HOSPITAL: DEVILS LAKE, ND SANFORD- THIEF RIVER FALLS MEDICAL CENTER: THIEF RIVER FALLS, MN PRESENTATION MEDICAL CENTER: ROLLA, ND TOWNER COUNTY MEDICAL CENTER: CANDO, ND SANFORD MAYVILLE MEDICAL CENTER: MAYVILLE, ND LIFECARE MEDICAL CENTER: ROSEAU, MN QUENTIN N. BURDICK MEMORIAL HOSPITAL: BELCOURT, ALTRU HEALTH SYSTEM EMPLOYS MANY PROVIDERS WITHIN THE SUB-SERVICE AREAS. ALL OF THESE PROVIDERS ARE ON MEDICAL STAFFS OF COMMUNITY HOSPITALS THROUGHOUT THE REGION AND REFER PATIENTS TO ALTRU HOSPITAL AND ELSEWHERE FOR SPECIALTY CARE.AS PREVIOUSLY MENTIONED, ALTRU'S 24-COUNTY SERVICE AREA HAS A POPULATION OF APPROXIMATELY 229,000. USING DATA FROM OPTUM (A VENDOR SPECIALIZING IN HEALTH CARE PLANNING INFORMATION), THE INSURANCE COVERAGE FOR COMMUNITIES IN OUR SERVICE AREA IS ESTIMATED TO BE AS FOLLOWS:COVERAGE AS A PERCENT COMMERCIAL - 49% MEDICARE - TYPE OF POLICY - 23% MEDICAID TYPE OF POLICY - 13% SELF-PAY - 6% OTHER - 9% TOTAL - 100% ALSO, FROM OPTUM, OUR TOTAL SERVICE AREA'S INCOME BY HOUSEHOLD IS AS FOLLOWS: INCOME RANGE & PERCENTAGES:$< $5,000 - 3% $5,000 - $9,999 - 3% $10,000 - $14,999 - 5% $15,000 - $19,999 - 4% $20,000 - $24,999 - 4% $25,000 - $29,999 - 5% $30,000 - $34,999 - 5% $35,000 - $39,999 - 4% $40,000 - $44,999 - 4% $45,000 - $49,999 - 4% $50,000 - $54,999 - 5% $55,000 - $59,999 - 5% $60,000 - $64,999 - 4% $65,000 - $69,999 - 3% $70,000 - $74,999 - 3% $75,000 - $79,999 - 3% $80,000 - $84,999 - 3% $85,000 - $89,999 - 3%$90,000 - $94,999 - 3%$95,000 - $99,999 - 2% $100,000 - $124,999 - 10% $125,000 - $149,999 - 6%$150,000 - $199,999 - 5% $> $200,000 - 4% ACCORDING TO THE WEBSITE FOR HEALTH RESOURCES AND SERVICES ADMINISTRATION, THE FOLLOWING AREAS IN OUR SERVICE AREA ARE MUA'S: NORTH DAKOTA: BENSON COUNTY: WEST/NORTHWEST SERVICE AREA CAVALIER COUNTY: NORTH SERVICE AREA GRAND FORKS COUNTY: CENTRAL SERVICE AREANELSON COUNTY: WEST SERVICE AREA PEMBINA COUNTY: NORTH SERVICE AREA ROLETTE COUNTY: NORTHWEST SERVICE AREA TOWNER COUNTY: WEST/NORTHWEST SERVICE AREATRAILL COUNTY: SOUTH SERVICE AREA WALSH COUNTY: NORTH SERVICE AREA MINNESOTA: KITTSON COUNTY: NORTHEAST SERVICE AREA MARSHALL COUNTY: NORTHEAST SERVICE AREA POLK COUNTY: EAST SERVICE AREA ROSEAU COUNTY: NORTHEAST SERVICE AREA
PART VI, LINE 5:	ALL OF ALTRU'S RESOURCES ARE DEVOTED TO IMPROVING HEALTH IN THE COMMUNITIES WE SERVE. TO DO SO, WE KNOW THAT NOT ALL MEDICAL SERVICES WILL COME FROM STAFF EMPLOYED BY ALTRU HEALTH SYSTEM. ALTRU EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN OUR COMMUNITY FOR NEARLY ALL DEPARTMENTS. ALSO, OUR BOARD OF DIRECTORS IS MADE UP OF INDIVIDUALS FROM OUTSIDE ALTRU HEALTH SYSTEM. THESE PEOPLE ARE VOLUNTEERS WHO HAVE THE SAME DEDICATION AND FOCUS ON ALTRU'S MISSION AS OUR OWN STAFF.
PART VI, LINE 6:	ALTRU HEALTH SYSTEM IS PART OF AN AFFILIATED HEALTH CARE SYSTEM. IN SEPTEMBER 2011, ALTRU HEALTH SYSTEM BECAME THE FIRST MEMBER OF THE MAYO CLINIC CARE NETWORK. THIS IS A NON-OWNERSHIP RELATIONSHIP THAT BENEFITS 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 (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
CITY OF GRAND FORKS
255 N 4TH ST	GRAND FORKS	ND	58203	456002085	GRAND FORKS, ND	$42,500	$0	SOCIAL DETOX FACILITY AND COMMUNITY SHARPS PROGRAM
GRAND FORKS REGION ECONOMIC DEVELOPMENT CORPORATION
120 N 4TH ST	GRAND FORKS	ND	58203	450410198	501(C)(6)	$30,000	$0	GENERAL SUPPORT
GRAND FORKS PUBLIC SCHOOLS
2400 47TH AVE S	GRAND FORKS	ND	58201	456000607	GRAND FORKS, ND	$27,300	$0	MAINTENANCE AND REPAIR OF CUSHMAN TRACK AND FIELD
DEVILS LAKE PUBLIC SCHOOLS
1601 COLLEGE DRIVE NORTH	DEVILS LAKE	ND	58301	456001342	DEVILS LAKE, ND	$25,100	$0	ATHLETIC TRAINING SPONSORSHIP
GRAND FORKS DOWNTOWN DEVELOPMENT ASSOCIATION
23 N 23RD ST STE 2	GRAND FORKS	ND	58203	464711617	501(C)(6)	$22,500	$0	GENERAL SUPPORT
COMMUNITY VIOLENCE INTERVENTION CENTER INC
211 SOUTH 4TH ST	GRAND FORKS	ND	58201	450359167	501(C)(3)	$15,000	$0	GENERAL SUPPORT
ALTRU HEALTH FOUNDATION
2501 DEMERS AVE	GRAND FORKS	ND	58201	450368330	501(C)(3)	$14,673	$0	GENERAL SUPPORT
THE CHAMBER GRAND FORKSEAST GRAND FORKS
202 N 3RD ST	GRAND FORKS	ND	58203	202924979	501(C)(6)	$11,352	$0	GENERAL SUPPORT
GREATER GRAND FORKS YOUNG PROFESSIONALS
202 N 4TH ST	GRAND FORKS	ND	58203	320134204	501(C)(6)	$10,000	$0	GENERAL SUPPORT
UNITED WAY OF GRAND FORKS EAST GRAND FORKS AND AREA INC
1407 24TH AVE S STE 400	GRAND FORKS	ND	58201	450255772	501(C)(3)	$7,000	$0	GENERAL SUPPORT
GREATER NORTH DAKOTA CHAMBER OF COMMERCE
510 E MAIN AVE SUITE 3A	BISMARCK	ND	58501	450141100	501(C)(6)	$6,888	$0	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	6	Total501c3OrgCnt
Total Other Org	5	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	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 (21 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
IKECHUKWU ONYEKA
PHYSICIAN	$2,341,636	$0	$0	$0	$2,277	$0	$17,250	$0	$33,766	$0	$2,394,929	$0	$0	$0
MEVAN WIJETUNGA
MEDICAL DIRECTOR	$1,681,060	$0	$31,176	$0	$3,496	$0	$30,118	$0	$38,948	$0	$1,784,798	$0	$31,176	$0
GRANT SEEGER
PHYSICIAN	$1,346,228	$0	$0	$0	$21,732	$0	$17,250	$0	$37,514	$0	$1,422,724	$0	$0	$0
TODD FORKEL
BOARD MEMBER/CEO	$765,929	$0	$275,700	$0	$24,767	$0	$231,033	$0	$32,913	$0	$1,330,342	$0	$275,700	$0
ISAAC TEA
PHYSICIAN	$1,225,870	$0	$0	$0	$477	$0	$15,480	$0	$21,763	$0	$1,263,590	$0	$0	$0
BARRY BJORGAARD
PHYSICIAN	$1,177,690	$0	$0	$0	$27,110	$0	$17,250	$0	$39,456	$0	$1,261,506	$0	$0	$0
JODY TREUER MD
BOARD MEMBER/PHYSICIAN	$1,182,823	$0	$0	$0	$24,581	$0	$17,250	$0	$29,672	$0	$1,254,326	$0	$0	$0
BERNIE DALLUM
PHYSICIAN	$1,122,516	$0	$0	$0	$26,496	$0	$17,250	$0	$39,621	$0	$1,205,883	$0	$0	$0
JEREMY GARDNER
MEDICAL DIRECTOR	$1,038,622	$0	$54,264	$0	$794	$0	$31,727	$0	$38,621	$0	$1,164,028	$0	$46,764	$0
JOSHUA DEERE
PRESIDENT	$621,291	$0	$224,779	$0	$23,530	$0	$188,499	$0	$29,828	$0	$1,087,927	$0	$224,779	$0
MEGHAN COMPTON
CHIEF CLINIC OPERATIONS OFFICER	$502,934	$0	$153,386	$0	$21,327	$0	$122,857	$0	$38,620	$0	$839,124	$0	$183,237	$0
JONATHAN HAUG
MEDICAL DIRECTOR	$634,592	$0	$57,156	$0	$1,218	$0	$34,944	$0	$37,818	$0	$765,728	$0	$57,156	$0
REBECCA NOVACEK
BOARD MEMBER/PHYSICIAN	$634,806	$0	$0	$0	$519	$0	$17,250	$0	$38,613	$0	$691,188	$0	$0	$0
DEREK GOEBEL
CFO/TREASURER	$398,453	$0	$122,210	$0	$22,951	$0	$109,558	$0	$4,243	$0	$657,415	$0	$122,210	$0
CORY GEFFRE
CNO & EVP HOSPITAL OPERATIONS	$414,567	$0	$134,057	$0	$24,089	$0	$17,250	$0	$38,578	$0	$628,541	$0	$134,057	$0
YVONNE GOMEZ
MEDICAL DIRECTOR	$510,495	$0	$54,537	$0	$4,844	$0	$35,909	$0	$6,958	$0	$612,743	$0	$54,537	$0
A MARC NIELSEN
PHYSICIAN	$515,053	$0	$10,392	$0	$4,507	$0	$32,692	$0	$39,191	$0	$601,835	$0	$0	$0
SUNIL KARTHAM
MED. DIREC./PHYSICIAN (THRU AUG. 24'	$477,993	$0	$33,254	$0	$2,730	$0	$17,250	$0	$22,681	$0	$553,908	$0	$33,254	$0
KRISTI HALL-JIRAN
CHIEF PHILANTHROPY OFFICER	$276,019	$0	$92,593	$0	$23,770	$0	$72,347	$0	$13,663	$0	$478,392	$0	$92,593	$0
HEATHER STRANDELL
SENIOR DIRECTOR CLINICAL OPERATIONS	$278,767	$0	$43,350	$0	$625	$0	$29,660	$0	$5,340	$0	$357,742	$0	$43,350	$0
WILLIAM MCKINNON MD
BOARD MEM. (THRU MAY 24')/PHYSICIAN	$117,832	$0	$51,960	$0	$134,486	$0	$16,572	$0	$12,527	$0	$333,377	$0	$51,960	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINES 4A-B	FormAndLineReferenceDesc
Explanation	SEVERANCE PAYMENT: WILLIAM MCKINNON, MD RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $110,523 DURING 2024. SUPPLEMENT NON-QUALIFIED RETIREMENT PLAN: THE ORGANIZATION OFFERS A 457(F) PLAN, OF WHICH, THE FOLLOWING INDIVIDUALS LISTED IN PART VII ARE PARTICIPANTS - MEGHAN COMPTON, JOSHUA DEERE, TODD FORKEL, CORY GEFFRE, DEREK GOEBEL, AND KRISTI HALL-JIRAN. DURING CALENDAR YEAR 2024, THE FOLLOWING INDIVIDUALS RECEIVED A DISTRIBUTION FROM THIS PLAN: MEGHAN COMPTON - $29,851	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	38546WCR9	2017-07-12	$65,233,846	REFUND BONDS ISSUED IN 2005; FINANCE FACILITIES, INFRASTRUCTURE, EQUIPMENT	0	0	0
CITY OF GRAND FORKS
B	456002085		2019-08-01	$13,520,000	REFUND BONDS ISSUED IN 2011 AND 1996	0	0	0
CITY OF GRAND FORKS
C	456002085		2021-09-28	$456,996,976	REFUND BONDS ISSUED IN 2012 & 2020; FINANCE CONSTRUCTION OF HOSPITAL & EQUIP	0	0	0
CITY OF GRAND FORKS
D	456002085	38546W8Q9	2023-09-19	$150,743,489	FINANCE CONSTRUCTION AND EQUIPMENT	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Credit EnhancementCreditEnhancementAmt	UnspentUnspentAmt
A	$7,615,000	$65,861,298	$279,825	$19,519	$708,166	$40,209,015	$24,924,958	2018	Yes (1)	Yes (1)	Yes (1)
B	$12,420,012	$13,520,000					$13,520,000	2019	Yes (1)	Yes (1)	Yes (1)
C	$1,980,000	$456,996,976	$9,795,533	$2,700,766	$3,037,028	$147,246,875	$150,841,735		Yes (1)	0	Yes (1)	$2,756,830	$31,975,656
D		$150,743,489	$48,527		$1,353,206	$28,178,680			0	0	Yes (1)	$2,350,288	$120,148,285

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct
A	0	Yes (1)
B	0	Yes (1)
C	Yes (1)	Yes (1)	0.02990	0.02990
D	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	No Rebate DueNoRebateDueInd
A	0	Yes (1)
B	Yes (1)	0
C	Yes (1)	0
D	Yes (1)	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: 12/23/2021
SCHEDULE K, ENTITY 1, PART II, PROCEEDS, COLUMN A, LINE 3:	TOTAL PROCEEDS OF ISSUE CONSIST OF SALES PROCEEDS OF $65,233,846 PLUS $627,452 OF INVESTMENT PROCEEDS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11B	AN ELECTRONIC COPY OF THE RETURN WAS SENT TO THE BOARD MEMBERS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	CONFLICT OF INTEREST POLICY IS REVIEWED AND SIGNED OFF ANNUALLY BY ALL OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES. THESE FORMS ARE COLLECTED AND REVIEWED BY THE SECRETARY AND INTERNAL LEGAL COUNSEL. OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES ARE ALSO ADVISED TO REPORT SHOULD ANY CHANGES HAPPEN DURING THE YEAR. AN "INTERESTED PERSON" IS ANY DIRECTOR, PRINCIPAL OFFICER, OR COMMITTEE MEMBER WITH BOARD-DELEGATED POWERS WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST. THIS INCLUDES OWNERSHIP, INVESTMENT, OR COMPENSATION ARRANGEMENTS WITH ENTITIES INVOLVED IN TRANSACTIONS WITH THE CORPORATION. INTERESTED PERSONS MUST DISCLOSE THEIR FINANCIAL INTERESTS TO THE BOARD OR COMMITTEE. THE INTERESTED PERSON MUST LEAVE THE MEETING WHILE THEIR FINANCIAL INTEREST IS DISCUSSED AND VOTED UPON. THE BOARD OR COMMITTEE MAY APPOINT A DISINTERESTED PERSON TO INVESTIGATE ALTERNATIVES. IF NO BETTER ALTERNATIVE IS FOUND, THE BOARD OR COMMITTEE WILL VOTE ON WHETHER THE TRANSACTION IS IN THE CORPORATION'S BEST INTEREST. IF A MEMBER FAILS TO DISCLOSE A CONFLICT, THE BOARD OR COMMITTEE WILL INVESTIGATE AND TAKE APPROPRIATE ACTION. MINUTES MUST INCLUDE THE NAMES OF THOSE WITH FINANCIAL INTERESTS, THE NATURE OF THE INTERESTS, ACTIONS TAKEN, AND THE DECISIONS MADE.
FORM 990, PART VI, SECTION B, LINE 15	ALTRU DETERMINES THE TOP MANAGEMENT OFFICIALS' COMPENSATION BY REVIEW AND APPROVAL BY A GOVERNING BODY WITHOUT CONFLICTS OF INTEREST, USING COMPARABLE COMPENSATION DATA FOR FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS (WITH RELEVANT COMPARABLES DOCUMENTED IN AN ANNUAL STATEMENT OF REASONABLENESS LETTER FROM ALTRU'S COMPENSATION CONSULTANT), AND MADE CONTEMPORANEOUS DOCUMENTATION OF THE DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENTS. ALTRU HAS A COMPENSATION COMMITTEE MADE UP OF COMMUNITY BOARD MEMBERS ALONG WITH THE PRESIDENT AND CEO. WE ALSO WORK WITH AN OUTSIDE CONSULTANT WHICH PROVIDES US WITH DATA ON FAIR MARKET COMPENSATION FOR THE ENTIRE EXECUTIVE STAFF. FOR DETERMINING THE COMPENSATION OF THE PRESIDENT AND CEO, THE COMMUNITY BOARD MEMBERS OBTAIN THE DATA FROM THE CONSULTANT, HAVE AN OPPORTUNITY TO DISCUSS WITH THE CONSULTANT AND HAVE ANY QUESTIONS ANSWERED AND THEN THEIR DECISION IS SHARED WITH THE NON-CONFLICTED BOARD MEMBERS FOR FINAL APPROVAL. THIS PROCESS WAS USED TO DETERMINE THE COMPENSATION FOR BOTH POSITIONS OF PRESIDENT AND CEO IN 2024. ALTRU USES SIMILAR CRITERIA TO THE PROCESS DESCRIBED IN 15(A) ABOVE. THE PRESIDENT AND CEO DETERMINE THE SALARIES FOR EACH OF THE EXECUTIVES THAT REPORT TO THEM. ALTRU USES AN OUTSIDE COMPENSATION CONSULTANT WHICH PROVIDES DATA ON FAIR MARKET COMPENSATION FOR FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. THE PRESIDENT AND CEO PRESENT THEIR DECISIONS ON THE EXECUTIVE COMPENSATION TO THE BOARD, WHICH IS A GOVERNING BODY WITHOUT CONFLICTS OF INTEREST AS TO THE SUBJECT MATTER. THE BOARD DOES NOT RATIFY THE BASE COMPENSATION FOR THE EXECUTIVES THAT REPORT TO THE PRESIDENT AND CEO (THE PRESIDENT AND CEO HAVE FINAL SAY IN SETTING BASE COMPENSATION FOR THEIR EXECUTIVE TEAM BASED ON THE COMPENSATION DATA REFERENCED ABOVE), BUT THE BOARD DOES DETERMINE THE ANNUAL GOALS FOR THE ALTRU SYSTEM THAT ARE USED TO DETERMINE (BY FORMULA) POTENTIAL BONUS PAYOUTS FOR THE EXECUTIVE TEAM. THE PROCESS DESCRIBED ABOVE WAS FOLLOWED FOR ALL EXECUTIVES IN 2024.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION'S FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC THROUGH PUBLISHED ANNUAL REPORTS. GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. THE ORGANIZATION'S 990 AND 990-T PUBLIC INSPECTION COPIES ARE AVAILABLE UPON REQUEST. FORM 1023 IS AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11G	CONSULTING AND PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 3,441,871. MANAGEMENT AND GENERAL EXPENSES 1,770,938. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,212,809. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 37,668,977. MANAGEMENT AND GENERAL EXPENSES 6,142. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 37,675,119. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 37,917,628. MANAGEMENT AND GENERAL EXPENSES 28,220,034. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 66,137,662.
FORM 990, PART XI, LINE 9:	CHANGE IN PENSION OBLIGATION -1,616,568. CHANGE IN EQUITY OF UNCONSOLIDATED AFFILIATES 2,619,740. OTHER CHANGE IN NET ASSETS -16,428.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	ALTRU 2018 LLC DBA ALTRU CARE FLIGHT	BusinessNameLine1Txt

US Address USAddress

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

Field	Value	IRS element (for citing)
EIN	833031289	EIN
Primary Activities	AIR AMBULANCE SERVICE	PrimaryActivitiesTxt
Legal Domicile State	ND	LegalDomicileStateCd
Total Income	$8,839,715	TotalIncomeAmt
End Of Year Assets	$2,744,580	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

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

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 ROAD	GRAND FORKS	ND	58201	363453164	BLOOD BANK	ND	501(C)(3)	LINE 12D, III-O		0	N/A
ALTRU ALLIANCE
1200 S COLUMBIA ROAD	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 SPEACIALTY SERVICES INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1200 S COLUMBIA ROAD	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	$1,795,292	ShareOfTotalIncomeAmt
Share Of EOY Assets	$38,885,665	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

Other Organization Name OtherOrganizationName

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

Field	Value	IRS element (for citing)
Transaction Type	C	TransactionTypeTxt
Involved	$5,343,322	InvolvedAmt
Method Of Amount Determination	CASH	MethodOfAmountDeterminationTxt