2025-10-29T13:45:13-05:00 2024-12-31 393647910 WIPFLI ADVISORY LLC 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2024-01-01 450310462 ALTRU HEALTH SYSTEM ALTR 7017805200 1200 S COLUMBIA ROAD GRAND FORKS ND 58201 DEREK GOEBEL CFO 7017805200 2025-10-29 1 1 MICHAEL J PETERSON CPA P01833529 2187224705 2025-10-29 2024 2025-03-06 01:10:19Z ALTRU HOSPITAL TODD FORKEL 1200 S COLUMBIA ROAD GRAND FORKS ND 58201 780401828 0 X WWW.ALTRU.ORG X 1970 ND HEALTHCARE DELIVERY. 11 7 3872 173 22728132 3936127 4564765 6062453 661117768 745823269 6935746 16225650 -22761 12276908 672595518 780388280 415474 424289 0 0 352109865 359362954 235728 93150 93150 288788921 373671628 641549988 733552021 31045530 46836259 1207479907 1249137230 804295167 789085182 403184740 460052048 X 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. 0 0 75470914 0 323825301 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. 39652380 0 143469912 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. 36979473 0 205174053 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. 450858299 424289 49878341 OTHER PROGRAM SERVICES INCLUDE OTHER PATIENT CARE PROGRAMS. 450858299 424289 49878341 602961066 1 1 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 1 0 0 0 0 0 1 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 151 0 3872 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 11 7 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X THE ORGANIZATION 7017805203 1200 S COLUMBIA ROAD GRAND FORKS ND 58201 TODD FORKEL BOARD MEMBER/CEO 40.00 1.00 X X 1066396 0 263946 JODY TREUER MD BOARD MEMBER/PHYSICIAN 40.00 X 1207404 0 46922 JOSHUA DEERE PRESIDENT 40.00 1.00 X X 869600 0 218327 REBECCA NOVACEK BOARD MEMBER/PHYSICIAN 40.00 X 635325 0 55863 WILLIAM MCKINNON MD BOARD MEM. (THRU MAY 24')/PHYSICIAN 40.00 X 304278 0 29099 KAREN MCLENNAN CHAIR 1.00 X 0 0 0 ERIC HALVERSON VICE CHAIR 1.00 X 0 0 0 TAMMY PETERSON SECRETARY 1.00 X 0 0 0 ANDREW SORBO BOARD MEMBER 1.00 X 0 0 0 RUSSEL CRARY BOARD MEMBER 1.00 X 0 0 0 SCOTT MEYER BOARD MEMBER 1.00 X 0 0 0 TIMOTHY CURRY BOARD MEMBER 1.00 X 0 0 0 DEREK GOEBEL CFO/TREASURER 40.00 1.00 X 543614 0 113801 MEVAN WIJETUNGA MEDICAL DIRECTOR 40.00 X 1715732 0 69066 JEREMY GARDNER MEDICAL DIRECTOR 40.00 X 1093680 0 70348 MEGHAN COMPTON CHIEF CLINIC OPERATIONS OFFICER 40.00 X 677647 0 161477 JONATHAN HAUG MEDICAL DIRECTOR 40.00 X 692966 0 72762 CORY GEFFRE CNO & EVP HOSPITAL OPERATIONS 40.00 X 572713 0 55828 YVONNE GOMEZ MEDICAL DIRECTOR 40.00 X 569876 0 42867 A MARC NIELSEN PHYSICIAN 40.00 X 529952 0 71883 SUNIL KARTHAM MED. DIREC./PHYSICIAN (THRU AUG. 24') 40.00 X 513977 0 39931 KRISTI HALL-JIRAN CHIEF PHILANTHROPY OFFICER 20.00 20.00 X 392382 0 86010 HEATHER STRANDELL SENIOR DIRECTOR CLINICAL OPERATIONS 40.00 X 322742 0 35000 IKECHUKWU ONYEKA PHYSICIAN 40.00 X 2343913 0 51016 GRANT SEEGER PHYSICIAN 40.00 X 1367960 0 54764 ISAAC TEA PHYSICIAN 40.00 X 1226347 0 37243 BARRY BJORGAARD PHYSICIAN 40.00 X 1204800 0 56706 BERNIE DALLUM PHYSICIAN 40.00 X 1149012 0 56871 19000316 0 1689730 616 0 1 0 PCLCOMMUNITY 7101 METRO BLVD EDINA MN 55439 CONSTRUCTION SERVICES 108979254 MEDEFIS CONSOLIDATED PO BOX 5068 NEW YORK NY 10087 CONTRACTED HEALTHCARE SERVICES 20367490 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 75397 CONTRACTED HEALTHCARE SERVICES 3354458 SODEXO INC AND AFFILIATES PO BOX 360170 PITTSBURGH PA 15251 CONTRACTED SERVICES 3351923 AMN HEALTHCARE LOCUM TENENS INC PO BOX 281923 ATLANTA GA 30384 CONTRACTED HEALTHCARE SERVICES 3118724 59 5343322 410230 308901 6062453 NET PATIENT SERVICE REVENUE 621110 705977182 705977182 RETAIL PHARMACY REVENUE 456110 21430888 21430888 340B REVENUE 621300 4137027 4137027 AESTHETIC SERVICES 541900 1283908 1283908 BIOMED SERVICES/SITE SERVICES FEE 541900 78496 78496 12915768 9178842 3736926 745823269 11470210 11470210 130186 13548 116638 116638 1852 114786 4037599 717841 0 0 4037599 717841 4755440 4755440 VENDOR REBATES 900099 3054556 3054556 SNOW REMOVAL 812900 7077 7077 TELECOMMUNICATIONS 517000 4407 4407 9094230 9094230 12160270 780388280 722347607 22728132 29250088 X 424289 424289 13141414 10455039 2686375 294444439 252696879 41747560 11351476 3018891 8332585 19865853 5283264 14582589 20559772 5467809 15091963 325685 9815 315870 93150 93150 1168193 1168193 109025590 79028476 29997114 7098718 5057919 2040799 301950 301950 10152806 6947025 3205781 722823 431650 291173 1359453 941152 418301 4571359 4543379 27980 21938776 15501905 6436871 1965896 47367 1918529 PHARMACEUTICALS 110723250 110723250 MEDICAL SUPPLIES 64361240 64100541 260699 BAD DEBT EXPENSE 38088223 38088223 DUES & SUBSCRIPTIONS 514859 194002 320857 1352807 191 1352616 733552021 602961066 130497805 93150 1839060 0 58345875 72936424 108901146 99693535 436948 447305 12071647 14499139 4790352 12394203 1031483078 385795788 498324657 645687290 367752950 244687700 91341088 90727403 63676184 68064231 1207479907 1249137230 90843071 76203926 1631917 1519747 672358790 652595069 39461389 58766440 804295167 789085182 X 403184740 460052048 403184740 460052048 1207479907 1249137230 X 46836259 9044305 986744 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 9499931 9499931 315039460 237087535 77951925 9740386 6650003 3090383 181156715 142058250 39098465 516046586 516046586 645687290 INVESTMENT IN SUBSIDIARY 38942844 C EQUITY METHOD INVESTMENTS 9636947 C ALTERNATIVE INVESTMENTS 42147612 C 90727403 ASSETS HELD UNDER TRUST AGREEMENTS 34511418 ROU ASSETS AND OTHER ASSETS 7460502 UNAMORTIZED BOND ISSUE AND OTHER COSTS 7653809 LEASE RECEIVABLE 18438502 68064231 OTHER 228137 ESTIMATED THIRD PARTY LIABILITY 1400000 SPECIAL ASSESSMENTS PAYABLE 201516 ASSET RETIREMENT OBLIGATION 3000000 LEASE LIABILITY 7928714 DUE TO AFFILIATES 25012101 457B PLAN LIABILITY 20995972 58766440 X X X X X X X 1 COURTNEY BAUGH 1215 WEST BURMA ROAD GOSPORT IN 47433 CAPITAL CAMPAIGN PLANNING AND IMPLEMENTATION 0 0 93150 -93150 93150 -93150 ND 1 1 X 1 X 1 X 1 1 0 1 1 6219653 6219653 0.00890 36275555 30992219 5283336 0.00760 1620730 1620730 0.00230 44115938 30992219 13123719 0.01880 693616 693616 0.00100 4177657 1325039 2852618 0.00410 32846 32846 0.00000 4904119 1325039 3579080 0.00510 49020057 32317258 16702799 0.02390 80740 80740 0.00010 80740 80740 0.00010 1 12721467 636073 132044899 127448577 4596322 X 1 1 2 1 ALTRU HOSPITAL 1200 S COLUMBIA RD GRAND FORKS ND 58206 X X X 2 ALTRU SPECIALTY CENTER 4500 WASHINGTON ST GRAND FORKS ND 58201 X X ALTRU HOSPITAL 1 0 0 1 X X X X X X X X X 22 0 1 1 1 X SEE PART V, SECTION C, LINE 7D X 1 23 1 HTTPS://WWW.ALTRU.ORG/ABOUT-US/COMMUNITY-HEALTH 0 1 X 150.000000000000 250.000000000000 X X X X X X 1 1 X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X 1 0 X X X X 1 X 0 1 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 54 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 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. 1 CITY OF GRAND FORKS 255 N 4TH ST GRAND FORKS ND 58203 456002085 GRAND FORKS, ND 42500 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) 30000 0 GENERAL SUPPORT GRAND FORKS PUBLIC SCHOOLS 2400 47TH AVE S GRAND FORKS ND 58201 456000607 GRAND FORKS, ND 27300 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 25100 0 ATHLETIC TRAINING SPONSORSHIP GRAND FORKS DOWNTOWN DEVELOPMENT ASSOCIATION 23 N 23RD ST STE 2 GRAND FORKS ND 58203 464711617 501(C)(6) 22500 0 GENERAL SUPPORT COMMUNITY VIOLENCE INTERVENTION CENTER INC 211 SOUTH 4TH ST GRAND FORKS ND 58201 450359167 501(C)(3) 15000 0 GENERAL SUPPORT ALTRU HEALTH FOUNDATION 2501 DEMERS AVE GRAND FORKS ND 58201 450368330 501(C)(3) 14673 0 GENERAL SUPPORT THE CHAMBER GRAND FORKSEAST GRAND FORKS 202 N 3RD ST GRAND FORKS ND 58203 202924979 501(C)(6) 11352 0 GENERAL SUPPORT GREATER GRAND FORKS YOUNG PROFESSIONALS 202 N 4TH ST GRAND FORKS ND 58203 320134204 501(C)(6) 10000 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) 7000 0 GENERAL SUPPORT GREATER NORTH DAKOTA CHAMBER OF COMMERCE 510 E MAIN AVE SUITE 3A BISMARCK ND 58501 450141100 501(C)(6) 6888 0 GENERAL SUPPORT 6 5 PART I, LINE 2: 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. 1 X X X X X 1 1 0 0 0 0 0 0 0 IKECHUKWU ONYEKA PHYSICIAN 2341636 0 0 0 2277 0 17250 0 33766 0 2394929 0 0 0 MEVAN WIJETUNGA MEDICAL DIRECTOR 1681060 0 31176 0 3496 0 30118 0 38948 0 1784798 0 31176 0 GRANT SEEGER PHYSICIAN 1346228 0 0 0 21732 0 17250 0 37514 0 1422724 0 0 0 TODD FORKEL BOARD MEMBER/CEO 765929 0 275700 0 24767 0 231033 0 32913 0 1330342 0 275700 0 ISAAC TEA PHYSICIAN 1225870 0 0 0 477 0 15480 0 21763 0 1263590 0 0 0 BARRY BJORGAARD PHYSICIAN 1177690 0 0 0 27110 0 17250 0 39456 0 1261506 0 0 0 JODY TREUER MD BOARD MEMBER/PHYSICIAN 1182823 0 0 0 24581 0 17250 0 29672 0 1254326 0 0 0 BERNIE DALLUM PHYSICIAN 1122516 0 0 0 26496 0 17250 0 39621 0 1205883 0 0 0 JEREMY GARDNER MEDICAL DIRECTOR 1038622 0 54264 0 794 0 31727 0 38621 0 1164028 0 46764 0 JOSHUA DEERE PRESIDENT 621291 0 224779 0 23530 0 188499 0 29828 0 1087927 0 224779 0 MEGHAN COMPTON CHIEF CLINIC OPERATIONS OFFICER 502934 0 153386 0 21327 0 122857 0 38620 0 839124 0 183237 0 JONATHAN HAUG MEDICAL DIRECTOR 634592 0 57156 0 1218 0 34944 0 37818 0 765728 0 57156 0 REBECCA NOVACEK BOARD MEMBER/PHYSICIAN 634806 0 0 0 519 0 17250 0 38613 0 691188 0 0 0 DEREK GOEBEL CFO/TREASURER 398453 0 122210 0 22951 0 109558 0 4243 0 657415 0 122210 0 CORY GEFFRE CNO & EVP HOSPITAL OPERATIONS 414567 0 134057 0 24089 0 17250 0 38578 0 628541 0 134057 0 YVONNE GOMEZ MEDICAL DIRECTOR 510495 0 54537 0 4844 0 35909 0 6958 0 612743 0 54537 0 A MARC NIELSEN PHYSICIAN 515053 0 10392 0 4507 0 32692 0 39191 0 601835 0 0 0 SUNIL KARTHAM MED. DIREC./PHYSICIAN (THRU AUG. 24' 477993 0 33254 0 2730 0 17250 0 22681 0 553908 0 33254 0 KRISTI HALL-JIRAN CHIEF PHILANTHROPY OFFICER 276019 0 92593 0 23770 0 72347 0 13663 0 478392 0 92593 0 HEATHER STRANDELL SENIOR DIRECTOR CLINICAL OPERATIONS 278767 0 43350 0 625 0 29660 0 5340 0 357742 0 43350 0 WILLIAM MCKINNON MD BOARD MEM. (THRU MAY 24')/PHYSICIAN 117832 0 51960 0 134486 0 16572 0 12527 0 333377 0 51960 0 PART I, LINES 4A-B 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 A CITY OF GRAND FORKS 456002085 38546WCR9 2017-07-12 65233846 REFUND BONDS ISSUED IN 2005; FINANCE FACILITIES, INFRASTRUCTURE, EQUIPMENT 0 0 0 B CITY OF GRAND FORKS 456002085 2019-08-01 13520000 REFUND BONDS ISSUED IN 2011 AND 1996 0 0 0 C CITY OF GRAND FORKS 456002085 2021-09-28 456996976 REFUND BONDS ISSUED IN 2012 & 2020; FINANCE CONSTRUCTION OF HOSPITAL & EQUIP 0 0 0 D CITY OF GRAND FORKS 456002085 38546W8Q9 2023-09-19 150743489 FINANCE CONSTRUCTION AND EQUIPMENT 0 0 0 A 7615000 65861298 279825 19519 708166 40209015 24924958 2018 1 0 1 1 B 12420012 13520000 13520000 2019 1 0 1 1 C 1980000 456996976 9795533 2700766 3037028 2756830 147246875 150841735 31975656 1 0 0 1 D 150743489 48527 1353206 2350288 28178680 120148285 0 0 0 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 C 0 1 0 0 0.02990 0.02990 0 0 1 D 0 0 0 0 0 0 1 A 0 0 0 1 0 0 0 0 0 B 0 1 0 0 0 0 0 0 0 C 0 1 0 0 0 0 0 0 0 D 0 1 0 0 0 0 0 0 0 A 0 B 0 C 0 D 0 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: CITY OF GRAND FORKS DATE THE REBATE COMPUTATION WAS PERFORMED: 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. 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. ALTRU 2018 LLC DBA ALTRU CARE FLIGHT 1200 S COLUMBIA ROAD GRAND FORKS ND 58201 833031289 AIR AMBULANCE SERVICE ND 8839715 2744580 ALTRU HEALTH SYSTEM ALTRU HEALTH FOUNDATION 2501 DEMERS AVE GRAND FORKS ND 58201 450368330 FUNDRAISING ND 501(C)(3) LINE 12B, II ALTRU HEALTH SYSTEM 1 DAK-MINN BLOOD BANK 1200 S COLUMBIA ROAD GRAND FORKS ND 58201 363453164 BLOOD BANK ND 501(C)(3) LINE 12D, III-O N/A 0 ALTRU ALLIANCE 1200 S COLUMBIA ROAD GRAND FORKS ND 58201 237389089 SUPPORT HOSPITAL AND AFFILIATES ND 501(C)(3) LINE 12C, III-FI N/A 0 ALTRU SPEACIALTY SERVICES INC 1200 S COLUMBIA ROAD GRAND FORKS ND 58201 450395652 DME SALES, RETAIL PHARMACY ND ALTRU HEALTH SYSTEM C 1795292 38885665 1.00000 1 1 1 1 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 1 ALTRU HEALTH FOUNDATION C 5343322 CASH