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ALTRU HEALTH SYSTEM: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ALTRU HEALTH SYSTEM (EIN 45-0310462)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-13
IRS object ID
201223189349304792
Schema version
2011v1.2
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-11-13T18:46:42-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN450310328EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BRADY MARTZ AND ASSOCIATES PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 14296AddressLine1
CityGRAND FORKSCity
StateNDState
ZIP Code582084296ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN450310462EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ALTRU HEALTH SYSTEMBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlALTRNameControl
Phone7017805200Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11200 S COLUMBIA RDAddressLine1
CityGRAND FORKSCity
StateNDState
ZIP Code582014036ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDAVID MOLMENName
TitleCEOTitle
Phone7017805200Phone
Date Signed2012-11-12DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMARK MILLERName
PTINP00014209PTIN
Phone7017754685Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1ALTRU HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonDAVID MOLMENNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11200 S COLUMBIA RDAddressLine1
CityGRAND FORKSCity
StateNDState
ZIP Code582014036ZIPCode
FieldValueIRS element (for citing)
Gross Receipts484919481GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteALTRU.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1970YearFormation
State Legal DomicileNDStateLegalDomicile
Activity Or Mission DescriptionHEALTHCARE DELIVERYActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees4162TotalNbrEmployees
Total Nbr Volunteers353TotalNbrVolunteers
Total Gross UBI2329256TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1769870ContributionsGrantsPriorYear
Contributions Grants Current Year2217753ContributionsGrantsCurrentYear
Program Service Revenue Prior Year398290568ProgramServiceRevenuePriorYear
Program Service Revenue CY424145122ProgramServiceRevenueCY
Investment Income Prior Year3874572InvestmentIncomePriorYear
Investment Income Current Year4921726InvestmentIncomeCurrentYear
Other Revenue Prior Year441490OtherRevenuePriorYear
Other Revenue Current Year423148OtherRevenueCurrentYear
Total Revenue Prior Year404376500TotalRevenuePriorYear
Total Revenue Current Year431707749TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year68673GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY106934GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year235908618SalariesEtcPriorYear
Salaries Etc Current Year249507009SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year145094004OtherExpensePriorYear
Other Expenses Current Year165196637OtherExpensesCurrentYear
Total Expenses Prior Year381071295TotalExpensesPriorYear
Total Expenses Current Year414810580TotalExpensesCurrentYear
Revenues Less Expenses Prior Year23305205RevenuesLessExpensesPriorYear
Revenues Less Expenses CY16897169RevenuesLessExpensesCY
Total Assets BOY371999674TotalAssetsBOY
Total Assets EOY380667327TotalAssetsEOY
Total Liabilities BOY227020666TotalLiabilitiesBOY
Total Liabilities EOY235692188TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY144979008NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY144975139NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionIMPROVING HEALTH, ENRICHING LIFE.WHY WE SERVE: TO ACHIEVE OPTIMUM HEALTH FOR ALL RESIDENTS IN OUR REGION.HOW WE SERVE: BY PROVIDING HEALTH EDUCATION, PREVENTIVE SERVICES, EARLY INTERVENTION, AND APPROPRIATE CARE.WHOM WE SERVE: THE MORE THAN 200,000 RESIDENTS OF NORTHEAST NORTH DAKOTA AND NORTHWEST MINNESOTA.WHO WE ARE: A COMMUNITY OF OVER 3,000 HEALTH PROFESSIONALS AND SUPPORT STAFF COMMITTED TO SERVING THE REGION FOR MORE THAN 100 YEARS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense18652584Expense
Revenue22086073Revenue
DescriptionORTHOPEDICS - ALTRU'S TEAM OF ORTHOPEDIC SURGEONS PROVIDE INPATIENT AND OUTPATIENT SURGICAL SERVICES TO PATIENTS WITH ISSUES RANGING FROM SIMPLE FRACTURES TO COMPLEX TRAUMATIC INJURIES. IN 2011 THERE WERE 1,658 HOSPITAL DISCHARGES.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense16539952Expense
Revenue18626589Revenue
DescriptionCARDIOLOGY - ALTRU OFFERS COMPREHENSIVE SERVICES INCLUDING INTERVENTIONAL AND MEDICAL CARDIOLOGY. ADDITIONAL SERVICES INCLUDE ECHOCARDIOGRAPHY, CARDIAC STRESS TESTS, AND CARDIAC REHAB. ALTRU HAS BEEN RECOGNIZED THREE TIMES AS A "100 TOP HOSPITALS" FOR CARDIOVASCULAR CARE. OUR CARDIOLOGY TEAM ALSO PROVIDES OUTREACH CLINIC SERVICES TO COMMUNITIES THROUGHOUT OUR SERVICE AREA. IN 2011 THERE WERE 1,947 HOSPITAL DISCHARGES.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense10324126Expense
Revenue14155204Revenue
DescriptionGENERAL SURGERY - ALTRU'S TEAM OF GENERAL SURGEONS PERFORM INPATIENT AND OUTPATIENT SURGERY FROM ELEVEN OPERATING ROOM SUITES IN ALTRU HOSPITAL. IN 2011 THERE WERE 920 GENERAL SURGERY HOSPITAL DISCHARGES.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense332278022Expense
Revenue366084337Revenue
DescriptionOTHER PROGRAM SERVICES INCLUDE OTHER PATIENT CARE PROGRAMS AND GENERAL & ADMINISTRATIVE.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp332278022TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev366084337TotalOfOtherProgramServiceRev
Total Program Service Expense377794684TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109684NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees4162NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1DWIGHT THOMPSONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7017805203TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11200 SOUTH COLUMBIA ROADAddressLine1
CityGRAND FORKSCity
StateNDState
ZIP Code58201ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
LONNIE LAFFEN
SECRETARY1.00XX000
JOHN SNUSTAD
VICE CHAIR1.00XX000
DARRELL LARSON ESQ
BOARD CHAIR1.00XX000
CASEY RYAN MD
BOARD MEMBER/PRESIDENT/PHY40.00XX483208039874
DAVID MOLMEN
BOARD MEMBER/CEO40.00XX454107042840
TIMOTHY P SAYLER
BOARD MEMBER/COO40.00XX13290708823
BRADLEY WEHE
BOARD MEMBER/COO40.00XX254434043599
BRADLEY BELLUK MD
BOARD MEMBER/PHYSICIAN40.00X489453038971
KRIS COMPTON
BOARD MEMBER1.00X000
PHILIP GISI
BOARD MEMBER1.00X000
JAMES HARGREAVES DO
BOARD MEMBER/PHYSICIAN40.00X544925038835
ALICE BREKKE
BOARD MEMBER1.00X000
MATTHEW ROLLER MD
BOARD MEMBER/PHYSICIAN40.00X414091038816
DWIGHT THOMPSON
CFO/TREASURER40.00X328185043505
JAMES VANLOOY MD
CHIEF MEDICAL EXECUTIVE40.00300787033720X
MARGARET REED RN
CHIEF NURSE EXECUTIVE40.00218830017944X
RENEE M AXTMAN RN
ADMIN DIR PRIMARY CARE40.00185825032456X
LELAND LINDQUIST
ADMINISTRATIVE DIR HUMAN R40.00227847030856X
JACQUELYN WALSH
ADMIN DIR SURGICAL&CLINICA40.00168318027425X
DENNIS REISNOUR
ADM DIR CORP DEVELOPMENT40.00197687019757X
KENNETH VEIN
ADM DIR PLANT SERVICES40.00176390033358X
MARK WAIND
ADM DIR INFORMATION SERVIC40.00182006025571X
KERRY P CARLSON
ADM DIR MEDICAL SPECIALTY40.00162350029470X
KELLY HAGEN RN
ADM DIR CARDIOLOGY & MUSCU40.00153515028548X
MICKEY SYRQUIN
PHYSICIAN40.001045651038979X
IKECHUKWU ONYEKA
PHYSICIAN40.001036941043179X
ABDEL AHMED
PHYSICIAN40.001729448043434X
SRINIVAS PULAGAM
PHYSICIAN40.00948687042778X
RANDALL SMITH
PHYSICIAN40.00911015038979X
FieldValueIRS element (for citing)
Total Reportable Comp From Org10746607TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation781717TotalOtherCompensation
Number Individuals GT100 K263NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
DELPHI HEALTHCARE PARTNERS INC
170 SOUTHPORT DRMORRISVILLENC27560LOCUM TENENS SERVICES2272352
EPIC SYSTEMS CORPORATION
PO BOX 88314MILWAUKEEWI532880314SERVICES2235736
MAYO COLLABORATIVE SERVICES INC
PO BOX 9146MINNEAPOLISMN554809146SERVICES1475661
C & R CLEANERS AND LAUNDRY
1010 N 5TH STGRAND FORKSND58203SERVICES1026783
CLARITY COVERDALE FURY ADV
120 S 6TH ST STE 1300MINNEAPOLISMN55402ADVERTISING946289
FieldValueIRS element (for citing)
Number Of Contractors GT100 K53NumberOfContractorsGT100K
Related Organizations980686RelatedOrganizations
Government Grants944504GovernmentGrants
All Other Contributions292563AllOtherContributions
Total Contributions2217753TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
NET SERVICE TO PATIENT6211104135649064116587981906108
PROGRAM SERVICE REVENU621110100933008693209$1,400,091
RESEARCH GRANTS621500439030439030
BIOMED SERVICES/SITE S90009947886$47,886
FieldValueIRS element (for citing)
Total Program Service Revenue424145122TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4760560TotalRevenueColumn
Exclusion$4,760,560ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities53372898Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities52814160Securities
Other397572Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities558738Securities
Other-397572Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column161166TotalRevenueColumn
Related Or Exempt Function Income161166RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenue
FITNESS PROGRAM621990225311225311
RENTAL OFFICE SPACE/PA621300185940185940
TELECOMMUNICATIONS51700060076007

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column5890TotalRevenueColumn
Unrelated Business Revenue5890UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue423148TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column431707749TotalRevenueColumn
Related Or Exempt Function Income420952203RelatedOrExemptFunctionIncome
Unrelated Business Revenue2329256UnrelatedBusinessRevenue
Exclusion$6,208,537ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total103134Total
Program Services103134ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total3800Total
Program Services3800ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total5649233Total
Program Services1893533ProgramServices
Management And General3755700ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total200213171Total
Program Services184655319ProgramServices
Management And General15557852ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total13598355Total
Program Services12541675ProgramServices
Management And General1056680ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total17947711Total
Program Services16553058ProgramServices
Management And General1394653ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total12098539Total
Program Services10998318ProgramServices
Management And General1100221ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1177189Total
Program Services1177189ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total2298299Total
Program Services2133144ProgramServices
Management And General165155ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total6549920Total
Program Services6549920ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total20250608Total
Program Services20250608ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total2040381Total
Program Services2040381ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES6046549260074421391071
BAD DEBTS2902826629028266
PURCHASED SERVICES27288722182842279004495
FEES84387367630498808238

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total7659024Total
Program Services3877193ProgramServices
Management And General3781831ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total414810580Total
Program Services377794684ProgramServices
Management And General37015896ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY11676BOY
EOY11444EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY23407475BOY
EOY19610998EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY67962023BOY
EOY67851679EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY489594BOY
EOY510795EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY6492670BOY
EOY6106238EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY325706BOY
EOY369785EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis354294532LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec216534357LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY130833330BOY
EOY137760175EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY113283975BOY
EOY131687609EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY29193225BOY
EOY16758604EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY371999674BOY
EOY380667327EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY39489667BOY
EOY40435950EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY347935BOY
EOY385635EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY166477752BOY
EOY158529275EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY20705312BOY
EOY36341328EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY227020666BOY
EOY235692188EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY144979008BOY
EOY144975139EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY144979008BOY
EOY144975139EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY371999674BOY
EOY380667327EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses16897169ReconcilationRevenueExpenses
Reconcilation Other Changes-16901038ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis11008382OtherCostOrOtherBasis
Book Value11008382BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis160788584OtherCostOrOtherBasis
Depreciation94433854Depreciation
Book Value66354730BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis5876380OtherCostOrOtherBasis
Depreciation4433430Depreciation
Book Value1442950BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis165451163OtherCostOrOtherBasis
Depreciation117667073Depreciation
Book Value47784090BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis11170023OtherCostOrOtherBasis
Book Value11170023BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings137760175TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
DUE TO AFFILIATES$59,052
POST RETIREMENT HEALTH BENEFIT$26,588,337
OTHER$5,330,707
ESTIMATED THIRD PARTY LIABILITY$4,029,513
SPECIAL ASSESSMENTS PAYABLE$333,719
FieldValueIRS element (for citing)
Total Of Amounts36341328TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationACCOUNTING FOR UNCERTAINTY IN INCOME TAXES THE ORGANIZATION'S POLICY IS TO EVALUATE THE LIKELIHOOD THAT ITS UNCERTAIN TAX POSITIONS WILL PREVAIL UPON EXAMINATION BASED ON THE EXTENT TO WHICH THOSE POSITIONS HAVE SUBSTANTIAL SUPPORT WITHIN THE INTERNAL REVENUE CODE AND REGULATIONS, REVENUE RULINGS, COURT DECISIONS AND OTHER EVIDENCE. IT IS THE OPINION OF MANAGEMENT THAT THE ORGANIZATION HAS NO SIGNIFICANT UNCERTAIN TAX POSITIONS THAT WOULD BE SUBJECT TO CHANGE UPON EXAMINATION. THE FEDERAL INCOME TAX RETURNS OF THE ORGANIZATION ARE SUBJECT TO EXAMINATION BY INTERNAL REVENUE SERVICE GENERALLY FOR THREE YEARS AFTER THEY WERE FILED.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent150XPcent150
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent250XPcent250
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense2197074TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense2197074NetCommunityBenefitExpense
Percent Of Total Expense0.00530PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense18530730TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense18530730NetCommunityBenefitExpense
Percent Of Total Expense0.04470PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense921005TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense921005NetCommunityBenefitExpense
Percent Of Total Expense0.00220PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense21648809TotalCommunityBenefitExpense
Net Community Benefit Expense21648809NetCommunityBenefitExpense
Percent Of Total Expense0.05220PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Persons Served698688PersonsServed
Total Community Benefit Expense364790TotalCommunityBenefitExpense
Direct Offsetting Revenue45DirectOffsettingRevenue
Net Community Benefit Expense364745NetCommunityBenefitExpense
Percent Of Total Expense0.00090PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Persons Served4813PersonsServed
Total Community Benefit Expense429378TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense429378NetCommunityBenefitExpense
Percent Of Total Expense0.00100PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Persons Served399PersonsServed
Total Community Benefit Expense203502TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense203502NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Persons Served30139PersonsServed
Total Community Benefit Expense188253TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense188253NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Persons Served734039PersonsServed
Total Community Benefit Expense1185923TotalCommunityBenefitExpense
Direct Offsetting Revenue45DirectOffsettingRevenue
Net Community Benefit Expense1185878NetCommunityBenefitExpense
Percent Of Total Expense0.00290PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Persons Served734039PersonsServed
Total Community Benefit Expense22834732TotalCommunityBenefitExpense
Direct Offsetting Revenue45DirectOffsettingRevenue
Net Community Benefit Expense22834687NetCommunityBenefitExpense
Percent Of Total Expense0.05510PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$29,028,266BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare94054708AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare272945327CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-178890619MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities2NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalEr24 HoursEr24Hours
ALTRU HOSPITAL
11200 S COLUMBIA RDGRAND FORKSND582066002XXX
ALTRU REHABILITATION CENTER
21300 S COLUMBIA RDGRAND FORKSND582066002X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumberEligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeFPG Free PercentFPGFreePercentUses FPG DiscountedUsesFPGDiscountedFPG Discount PercentFPGDiscountPercentExplains BasisExplainsBasisIncome LevelIncomeLevelAsset LevelAssetLevelMedical IndigencyMedicalIndigencyInsurance StatusInsuranceStatusUninsured DiscountUninsuredDiscountExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresPosted On WebsitePostedOnWebsitePosted In Emergency RoomPostedInEmergencyRoomAvailable On RequestAvailableOnRequestActions On NonpaymentActionsOnNonpaymentPermit Report To Credit AgencyPermitReportToCreditAgencyPermit LawsuitPermitLawsuitPermit Lien On ResidencePermitLienOnResidencePermit Body AttachmentPermitBodyAttachmentCollection ActivitiesCollectionActivitiesReport To Credit AgencyReportToCreditAgencyLawsuitLawsuitLien On ResidenceLienOnResidenceBody AttachmentBodyAttachmentNotified All PatientsNotifiedAllPatientsDocumented DeterminationDocumentedDeterminationNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyUsed Other MethodUsedOtherMethodAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossCharges
ALTRU HOSPITAL
111150.0000000000001250.0000000000001XXXXX11XXX1XXXX1XXXXXX1X01
ALTRU REHABILITATION CENTER
211150.0000000000001250.0000000000001XXXXX11XXX1XXXX1XXXXXX1X01

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities53NumberOfOtherFacilities

Other Facilities OtherFacilities (53 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
ALTRU MAIN CLINIC
1000 S COLUMBIA RDGRAND FORKSND582066003OUTPATIENT DEPT OF ALTRU HOSP - CLINIC
ALTRU CANCER CENTER
960 S COLUMBIA RDGRAND FORKSND582066003OUTPATIENT DEPT OF ALTRU HOSP - CLINIC
TRUYU AESTHETIC CENTER
3165 DEMERS AVEGRAND FORKSND582066003OUTPATIENT DEPT OF ALTRU HOSP - CLINIC
ALTRU FAMILY MEDICINE CENTER
1380 S COLUMBIA RDGRAND FORKSND582066003OUTPATIENT DEPT OF ALTRU HOSP - CLINIC
ALTRU FAMILY MEDICINE RESIDENCY
725 HAMLINE STREETGRAND FORKSND58203OUTPATIENT CLINIC
ALTRU FAMILY MEDICINE RESIDENCY PHARMACY
725 HAMLINE STREETGRAND FORKSND58203OUTPATIENT PHARMACY
ALTRU CLINIC - DRAYTON
1003 N MAINDRAYTONND582254650OUTPATIENT CLINIC/THERAPY
ALTRU PSYCHIATRY CENTER
860 S COLUMBIA RDGRAND FORKSND582066002OUTPATIENT DEPARTMENT - PSYCH SERVICES
ALTRU HOSPITAL - CENTER COURT FITNESS
1600 32ND AVE SGRAND FORKSND58201OUTPATIENT THERAPHY
ALTRU OUTPATIENT CENTER
411 2ND ST NWEAST GRAND FORKSMN56721OUTPATIENT THERAPHY
ALTRU CLINIC - CAVALIER
201 E 3RD AVE SCAVALIERND582200040OUTPATIENT CLINIC
ALTRU CLINIC - DEVILS LAKE
1001 7TH STREET NEDEVILS LAKEND583012719OUTPATIENT CLINIC
ALTRU CLINIC - CROOKSTON
400 SOUTH MINNESOTACROOKSTONMN567160606OUTPATIENT DEPT OF ALTRU HOSP - CLINIC
ALTRU CLINIC - RED LAKE FALLS
312 INTERNATIONAL DRIVERED LAKE FALLSMN567504662OUTPATIENT DEPT OF ALTRU HOSP - CLINIC
ALTRU CLINIC - ERSKINE
23076 347TH ST SEERSKINEMN565354201OUTPATIENT DEPT OF ALTRU HOSP - CLINIC
ALTRU CLINIC - FERTILE
MILL STREET MAINFERTILEMN565404215OUTPATIENT DEPT OF ALTRU HOSP - CLINIC
ALTRU CLINIC - ROSEAU
711 DELMORE DRIVEROSEAUMN567511534OUTPATIENT CLINIC
ALTRU CLINIC - WARROAD
412 MAIN AVE NEWARROADMN567632342OUTPATIENT CLINIC
ALTRU CLINIC - GREENBUSH
19120 200TH STGREENBUSHMN567269280OUTPATIENT CLINIC
UNITY MEDICAL CENTER
164 WEST 13TH STREETGRAFTONND58237HOME HEALTH/HOSPICE
FIRST CARE HEALTH CENTER
PO BOX IPARK RIVERND58270HOME HEALTH/HOSPICE/THERAPY
NELSON COUNTY HEALTH SYSTEM
BOX 367MCVILLEND58254HOME HEALTH/HOSPICE
CO CAVALIER CLINIC
201 E 3RD AVE SCAVALIERND58220HOME HEALTH/HOSPICE
ALTRU HOME SVCS-NORTH VALLEY HOME HEALTH
109 S MINNESOTA STWARRENMN56762HOME HEALTH/HOSPICE
ANETA PARKVIEW HEALTH CENTER
BOX 287ANETAND58212OUTREACH CLINIC
CAVALIER COUNTY MEMORIAL
909 2ND STLANGDONND58249OUTREACH CLINIC
CENTRAL BOILER
20502 160TH STGREENBUSHMN56726OUTREACH CLINIC
COOPERSTOWN MEDICAL CENTER
1200 ROBERTS STCOOPERSTOWNND58425OUTREACH CLINIC
DEVILS LAKE GOOD SAMARITAN
302 7TH AVEDEVILS LAKEND58301OUTREACH CLINIC
FIRST CARE HEALTH CENTER
115 VIVIAN STPARK RIVERND58270OUTREACH CLINIC
FRIENDSHIP
554 W 12TH STGRAFTONND58327OUTREACH CLINIC
4TH CORP
120 11TH STNEW ROCKFORDND58356OUTREACH CLINIC
GRIGGS COUNTY HOSPITAL
1200 ROBERTS AVE NECOOPERSTOWNND58425OUTREACH CLINIC
HATTON PRAIRIE VILLAGE
930 DAKOTA AVEHATTONND58240OUTREACH CLINIC
HEARTLAND CARE CENTER
620 14TH AVE NEDEVILS LAKEND58301OUTREACH CLINIC
KARLSTAD HEALTH CARE
304 WASHINGTON AVE WKARLSTADMN56732OUTREACH CLINIC
KITTSON MEMORIAL HEALTH CARE CENTER
1010 S BIRCHHALLOCKMN56728OUTREACH CLINIC
KITTSON MEMORIAL CLINIC OF KARLSTAD
1ST AND ROOSEVELTKARLSTADMN56732OUTREACH CLINIC
LAKE REGION CORP
224 3TH ST NWDEVILS LAKEND583012908OUTREACH CLINIC
LAKOTA GOOD SAMARITAN
608 4TH AVE SW HWY 2LAKOTAND583447500OUTREACH CLINIC
MAPLE MANOR CARE CENTER
1116 9TH AVELANGDONND58249OUTREACH CLINIC
MCINTOSH MANOR NURSING HOME
600 RIVERSIDE AVE NEMCINTOSHMN56556OUTREACH CLINIC
NELSON COUNTY CARE CENTER
108 E NYHUS AVEMCVILLEND58254OUTREACH CLINIC
NELSON COUNTY HEALTH SYSTEM
200 NORTH MAINMCVILLEND58254OUTREACH CLINIC
NORTHWOOD DEACONESS
4 N PART STNORTHWOODND58267OUTREACH CLINIC
OAKLAND PARK COMMUNITIES INC
123 BAKEN STREETTHIEF RIVER FALLSMN56701OUTREACH CLINIC
PEMBILIER NURSING CENTER
500 DELANO AVEWALHALLAND58282OUTREACH CLINIC
PEMBINA COUNTY MEMORIAL HOSPITAL
301 MOUNTAIN STREET ECAVALIERND58220OUTREACH CLINIC
PIONEER MEMORIAL CARE CENTER
23028 347TH ST SEERSKINEMN565359466OUTREACH CLINIC
REM-GRAFTON
817 HILL AVEGRAFTONND58327OUTREACH CLINIC
VALLEY 4000
4004 24TH AVE SOUTHGRAND FORKSND58201OUTREACH CLINIC
VALLEY MEMORIAL HOMES
2900 14TH AVE SOUTHGRAND FORKSND58201OUTREACH CLINIC
WEDGEWOOD MANOR
804 MAIN STREET WESTCAVALIERND58220OUTREACH CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

ExplanationExplanationIdentifierIdentifier
PART I, LINE 6A: PREPARATION OF ANNUAL COMMUNITY BENEFIT REPORT: ALTRU HEALTH SYSTEM PREPARES ANNUALLY A COMMUNITY BENEFIT REPORT BASED ON FORMS DESIGNED BY THE CATHOLIC HEALTH ORGANIZATION. ONCE ALL REPORTING FORMS HAVE BEEN COMPILED FOR THE YEAR, THE CATHOLIC HEALTH ORGANIZATION'S REFERENCE GUIDE FROM "A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT" IS USED TO DETERMINE WHAT ITEMS SHOULD BE REPORTED INTO WHAT CATEGORY. THE COMMUNITY BENEFIT REPORT IS PUBLISHED AS A PART OF THE CORPORATION'S ANNUAL REPORT, WHICH IS PLACED ON OUR WEB SITE FOR PUBLIC ACCESS.
PART I, LINE 7: COLUMN (F) - PERCENT OF TOTAL EXPENSES: IN DETERMINING THE DENOMINATOR FOR THE PERCENT OF TOTAL EXPENSE CALCULATION, THE AMOUNT REPORTED ON FORM 990, PART IX, LINE 25, COLUMN (A) WAS REDUCED BY BAD DEBTS EXPENSE OF $26,028,266.CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST: THE METHODOLOGY USED TO DETERMINE THE REPORTED AMOUNTS FOR THE CHARITY CARE IS A COST-TO-CHARGE RATIO BASED ON GROSS CHARGES WRITTEN OFF PURSUANT TO OUR CHARITY CARE AND MEANS-TESTED PROGRAMS ELIGIBILITY CRITERIA. OTHER COMMUNITY BENEFIT IS DETERMINED FROM INFORMATION THAT WAS COMPILED ON FORMS DESIGNED BY THE CATHOLIC HEALTH ORGANIZATION AND USING THEIR REFERENCE GUIDE, "A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT," TO DETERMINE WHICH CATEGORY THE AMOUNTS ARE PROPERLY REPORTED UNDER.
PART II: NONE DOCUMENTED ON FORM 990.
PART III, LINE 4: FOOTNOTE DISCLOSURE REGARDING BAD DEBTS EXPENSE: NOTES 1 AND 13 TO THE AUDITED FINANCIAL STATEMENTS REPORT ON BAD DEBT EXPENSE. NOTE 1 - CHANGE IN ACCOUNTING PRINCIPLES: "ALTRU HEALTH SYSTEM EARLY ADOPTED THE PROVISIONS OF ACCOUNTING STANDARDS UPDATE NO. 2011-07, HEALTHCARE ENTITIES (TOPIC 954) PRESENTATION AND DISCLOSURE OF PATIENT SERVICE REVENUE, PROVISION FOR BAD DEBTS, AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR CERTAIN HEALTHCARE ENTITIES IS ALLOWABLE. IN ACCORDANCE WITH THE IMPLEMENTATION GUIDANCE, ALTRU HEALTH SYSTEM APPLIED THE PRESENTATION REQUIREMENTS TO 2011 AND 2010. THE IMPACT ON 2011 WAS A DECREASE TO UNRESTRICTED OPERATING REVENUE OF $29,151,584 AND A DECREASE TO TOTAL EXPENSE OF $29,151,584. THE IMPACT OF 2010 WAS A DECREASE TO UNRESTRICTED OPERATING REVENUE OF $18,618,905 AND A DECREASE TO TOTAL EXPENSE OF $18,618,905. THERE WAS NO IMPACT ON OPERATING INCOME OR NET ASSETS." ACCOUNTS RECEIVABLE: "PATIENT RECEIVABLE ARE UNCOLLATERALIZED PATIENT AND THIRD-PARTY PAYOR OBLIGATIONS. PAYMENTS OF PATIENT RECEIVABLES ARE ALLOCATED TO THE SPECIFIC CLAIMS IDENTIFIED IN THE REMITTANCE ADVICE OR, IF UNSPECIFIED, ARE APPLIED TO THE EARLIEST UNPAID CLAIM.PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, ALTRU HEALTH SYSTEM ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, ALTRU RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.ALTRU'S PROCESS FOR CALCULATING THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS HAS NOT SIGNIFICANTLY CHANGED FROM DECEMBER 31, 2010 TO DECEMBER 31, 2011. ALTRU DOES NOT MAINTAIN A MATERIAL ALLOWANCE FOR DOUBTFUL ACCOUNTS FROM THIRD-PARTY PAYORS, NOR DID IT HAVE SIGNIFICANT WRITE OFFS FROM THIRD-PARTY PAYORS. ALTRU HAS NOT SIGNIFICANTLY CHANGED ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING FISCAL YEARS 2010 OR 2011.NOTE 13 - "...NEITHER THE CHARITY CARE NOR THE UNCOMPENSATED CARE AMOUNTS INCLUDE BAD DEBTS AS SHOWN IN THE STATEMENT OF OPERATIONS."
PART III, LINE 8: NONE OF THE SHORTFALL SHOWN ON PART III, LINE 7 OF $178,890,619 HAS BEEN TREATED AS COMMUNITY BENEFIT AS REPORTED ON SCHEDULE H. THE SOURCE OF THE AMOUNT SHOWN ON PART III, LINE 6 COMES FROM THE MEDICARE ALLOWABLE COSTS REPORTED IN ALTRU'S MEDICARE COST REPORT SUBMITTED FOR THE FISCAL YEAR ENDING DECEMBER 31, 2011, UTILIZING THE FOLLOWING WORKSHEETS: WORKSHEETS B PART I, H-7 PARTS 1&2, I-4, AND K-6.
PART III, LINE 9B: PROVISION FOR COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE ARE FOUND IN ALTRU'S POLICIES 2611 "DEDUCTIONS FROM REVENUES" AND 2614 "CHARITY CARE." ALTRU'S COMMUNITY CARE PROGRAM IS DESIGNED TO PROVIDE FINANCIAL ASSISTANCE TO THOSE WHO HAVE NO INSURANCE AND/OR LIMITED MEANS TO PAY FOR THEIR MEDICAL SERVICES AND DO NOT QUALIFY FOR OTHER PROGRAMS. IN ADDITION TO QUALITY HEALTHCARE, PATIENTS OF ALTRU HEALTH SYSTEM ARE PROVIDED FINANCIAL COUNSELING REGARDING THEIR MEDICAL BILLS, BY SOMEONE WHO CAN UNDERSTAND AND OFFER POSSIBLE SOLUTIONS FOR THOSE WHO CANNOT PAY IN FULL. PROGRAMS ARE ALSO AVAILABLE FOR UNINSURED PATIENTS, AND FOR THOSE FOUND TO BE IN MEDICAL HARDSHIP.
PART V, SECTION B, LINE 19D: N/A - GROSS CHARGES ARE NOT ADJUSTED FOR UNINSURED PATIENTS IN ER UNLESS THEY APPLY FOR AND QUALIFY FOR CHARITY CARE.ALTRU HOSPITAL
PART V, SECTION B, LINE 19D: N/A - GROSS CHARGES ARE NOT ADJUSTED FOR UNINSURED PATIENTS IN ER UNLESS THEY APPLY FOR AND QUALIFY FOR CHARITY CARE.ALTRU REHABILITATION CENTER
PART V, SECTION B, LINE 21: ALL PATIENTS ARE CHARGED THE GROSS CHARGE REGARDLESS OF INSURANCE STATUS. ADJUSTMENTS MAY BE APPLIED PROVIDING THE PATIENTS APPLY FOR AND QUALIFY FOR CHARITY CARE.ALTRU HOSPITAL
PART V, SECTION B, LINE 21: ALL PATIENTS ARE CHARGED THE GROSS CHARGE REGARDLESS OF INSURANCE STATUS. ADJUSTMENTS MAY BE APPLIED PROVIDING THE PATIENTS APPLY FOR AND QUALIFY FOR CHARITY CARE.ALTRU REHABILITATION CENTER
PART VI, LINE 2: NEEDS ASSESSMENT: ALTRU HEALTH SYSTEM'S MISSION - IMPROVING HEALTH, ENRICHING LIFE - CONFIRMS THAT OUR RESPONSIBILITY TO THE REGION GOES BEYOND PROVIDING QUALITY HEALTHCARE SERVICES. ALL OF OUR RESOURCES ARE DEVOTED TO IMPROVING HEALTH IN THE COMMUNITIES WE SERVE. AT ALTRU, GOOD HEALTH MEANS THAT EVERY INDIVIDUAL SHOULD ENJOY THE BEST ACHIEVABLE AND SO SHOULD OUR COMMUNITIES. MOVING FORWARD, BECAUSE OF STIPULATIONS DEFINED IN THE PATIENT PROTECTION AND AFFORDABLE CARE ACT, ALTRU WILL DEVELOP A FORMAL PROCESS FOR PERFORMING A COMMUNITY HEALTH NEEDS ASSESSMENT BASED ON OUR MISSION.
PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:ALTRU HAS SEVERAL AVENUES IN WHICH INFORMATION REGARDING FINANCIAL ASSISTANCE PROGRAMS IS COMMUNICATED TO PATIENTS. UNINSURED AND SELF-PAY PATIENTS IN THE HOSPITAL RECEIVE A VISIT FROM PATIENT REPRESENTATIVES AFTER INTAKE. DURING THIS MEETING, THEY ARE INFORMED OF VARIOUS FEDERAL, STATE AND COMMUNITY-BASED PROGRAMS THAT MAY PROVIDE ASSISTANCE. UNINSURED OR SELF-PAY PATIENTS FROM OUTPATIENTS RECEIVE CONTACT FROM PATIENT REPRESENTATIVES BY PHONE OR EMAIL INFORMING THEM OF POTENTIAL SOURCES OF FINANCIAL ASSISTANCE. BOTH SETS OF PATIENTS ARE ALSO PROVIDED INFORMATION ON HOW TO MOVE FORWARD IN APPLYING FOR THE PROGRAMS. IF PATIENTS ARE FOUND TO BE STRUGGLING WITH MEDICAL EXPENSES, OUR CREDIT AND COLLECTIONS REPRESENTATIVES UTILIZE LETTERS AND PHONE CALLS TO INFORM THEM OF VARIOUS RESOURCES THAT MAY PROVIDE ASSISTANCE.FINANCIAL ASSISTANCE INFORMATION IS ALSO AVAILABLE TO THE PUBLIC AS A WHOLE. ALTRU'S WEBSITE, ALTRU.ORG, INCLUDES FINANCIAL ASSISTANCE CONTACT INFORMATION AND ELIGIBILITY GUIDELINES. PATIENTS MAY REVIEW THIS ON THEIR OWN AND CONTACT AGENCIES THAT MAY PROVIDE ASSISTANCE BASED ON THEIR CIRCUMSTANCES. ALSO, ALTRU DISTRIBUTES BROCHURES FEATURING OUR COMMUNITY CARE PROGRAM AND OTHER FEDERAL AND STATE PROGRAMS. THESE BROCHURES ARE AVAILABLE TO BOTH PATIENTS AND VISITORS IN WAITING ROOMS OF OUR INPATIENT AND OUTPATIENT FACILITIES AS WELL AS IN ALL BUSINESS OFFICE LOCATIONS.
PART VI, LINE 4: COMMUNITY INFORMATION:ALTRU HEALTH SYSTEM SERVES A 17-COUNTY AREA THAT IS DIVIDED INTO THREE DISTINCT SERVICE AREAS (PRIMARY, SECONDARY, AND REFERRAL) AND HAS A POPULATION OF 219,405 PERSONS (2011 ESTIMATE) WHO RESIDE IN A DIVERSE AREA OF AGRICULTURE AND INDUSTRY. THE SERVICE AREA STRETCHES 265 MILES EAST AND WEST AND 120 MILES NORTH AND SOUTH. GRAND FORKS SITS IN THE MIDDLE OF THE RED RIVER VALLEY, ONE OF THE WORLD'S RICHEST AGRICULTURAL AREAS. PRINCIPAL CROPS INCLUDE SUGAR BEETS, POTATOES, EDIBLE BEANS, AND SMALL GRAINS SUCH AS WHEAT AND BARLEY. MUCH OF THE INDUSTRY IN THE AREA IS RELATED TO AGRICULTURE AND FOOD PROCESSING.THE PRIMARY SERVICE AREA, COMPRISED OF GRAND FORKS COUNTY (NORTH DAKOTA) AND EAST GRAND FORKS (MINNESOTA), IS HOME TO 77,215 PEOPLE (2011 ESTIMATE). LOCATED IN THIS MARKET IS ALTRU HOSPITAL, ALTRU REHABILITATION CENTER, ALTRU CANCER CENTER, AND SIX 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 2011 FOR OUR PRIMARY MARKET WAS 83 PERCENT BASED ON CLAIMS DATA FROM BLUE CROSS BLUE SHIELD OF NORTH DAKOTA. ABOUT 80 PERCENT OF THE PHYSICIANS IN THE PRIMARY AREA ARE EMPLOYED BY ALTRU HEALTH SYSTEM. ALSO LOCATED IN GRAND FORKS COUNTY IS NORTHWOOD COMMUNITY HEALTH CENTER (IN NORTHWOOD, ND). A COUPLE NOTABLE POPULATIONS ALTRU SERVES THAT ARE LOCATED IN OUR PRIMARY SERVICE AREA INCLUDE THE UNIVERSITY OF NORTH DAKOTA AND GRAND FORKS AIR FORCE BASE. THE UNIVERSITY OF NORTH DAKOTA IS THE STATE'S OLDEST INSTITUTION OF HIGHER LEARNING WITH AN ENROLLMENT OF ABOUT 14,100 STUDENTS (FALL 2011). THE NUMBER OF RESIDENTS AT GRAND FORKS AIR FORCE BASE WAS COUNTED AT 2,367 IN THE 2010 CENSUS.WITH A POPULATION OF 57,111 (2011 ESTIMATE), THE SECONDARY SERVICE AREA IS COMPRISED OF SIX COUNTIES TO THE WEST, NORTH, AND EAST OF GRAND FORKS COUNTY: NELSON, WALSH, AND PEMBINA COUNTIES IN NORTH DAKOTA, AND POLK, MARSHALL, AND KITTSON COUNTIES IN MINNESOTA; THIS AREA IS LARGELY RURAL AND AGRICULTURAL. WITHIN THIS AREA, ALTRU HAS FIVE REGIONAL CLINIC LOCATIONS; IT IS ALSO HOME TO SEVERAL SMALL HOSPITALS AS LISTED BELOW.SECONDARY SERVICE AREA HOSPITALS: LOCATIONUNITY MEDICAL CENTER: GRAFTON, NDFIRST CARE HEALTH CENTER: PARK RIVER, NDPEMBINA COUNTY MEMORIAL HOSPITAL: CAVALIER, NDNELSON COUNTY HEALTH SYSTEM: MCVILLE, NDKITTSON MEMORIAL HOSPITAL: HALLOCK, MNNORTH VALLEY HEALTH CENTER: WARREN, MNRIVERVIEW HOSPITAL: CROOKSTON, MNESSENTIA HEALTH: FOSSTON, MNIN 2011, ALTRU'S HOSPITAL INPATIENT MARKET SHARE IN THIS SERVICE AREA WAS AROUND 58 PERCENT ACCORDING TO CLAIMS PAID BY BLUE CROSS BLUE SHIELD OF NORTH DAKOTA. THE SYSTEM EMPLOYS MANY OF THE PHYSICIANS IN THE SECONDARY SERVICE AREA. ALL OF THESE PHYSICIANS ARE ON MEDICAL STAFFS OF COMMUNITY HOSPITALS THROUGHOUT THE REGION, AND REFER PATIENTS TO GRAND FORKS AND ELSEWHERE FOR SPECIALTY CARE.THE SYSTEM'S REFERRAL AREA IS COMPRISED OF TEN COUNTIES ENCIRCLING THE PRIMARY AND SECONDARY SERVICE AREAS (ROLETTE, TOWNER, BENSON, RAMSEY, CAVALIER, AND TRAILL COUNTIES IN NORTH DAKOTA AND ROSEAU, LAKE OF THE WOODS, PENNINGTON, AND RED LAKE COUNTIES IN MINNESOTA.) THIS REGION IS ALSO MOSTLY RURAL AND AGRICULTURAL AND INCLUDES SEVERAL SMALLER HOSPITALS AS LISTED SERVING THE PRIMARY CARE NEEDS OF THEIR COMMUNITIES. ALTRU HAS FIVE REGIONAL CLINICS IN THIS SERVICE AREA AND ALTRU HOSPITAL'S INPATIENT MARKET SHARE IN THIS REGION IS ABOUT 25 PERCENT ACCORDING TO 2011 CLAIMS PAID BY BLUE CROSS BLUE SHIELD OF NORTH DAKOTA. ALTRU, ONCE AGAIN, EMPLOYS MANY OF THE PHYSICIANS IN THIS AREA, AND THESE PHYSICIANS HAVE PRACTICE PATTERNS SIMILAR TO THOSE OF THE PHYSICIANS IN OUR SECONDARY SERVICE AREA.REFERRAL SERVICE AREA HOSPITALS: LOCATIONCAVALIER COUNTY MEMORIAL HOSPITAL: LANGDON, NDHILLSBORO MEDICAL CENTER: HILLSBORO, NDLAKEWOOD HEALTH CENTER: BAUDETTE, MNMERCY HOSPITAL: DEVILS LAKE, NDSANFORD-THIEF RIVER FALLS MEDICAL CENTER: THIEF RIVER FALLS, MNPRESENTATION MEDICAL CENTER: ROLLA, NDTOWNER COUNTY MEDICAL CENTER: CANDO, NDSANFORD MAYVILLE MEDICAL CENTER: MAYVILLE, NDLIFECARE MEDICAL CENTER: ROSEAU, MNQUENTIN N. BURDICK MEMORIAL HOSPITAL: BELCOURT, NDAS PREVIOUSLY MENTIONED, ALTRU'S 17-COUNTY SERVICE AREA HAS A POPULATION OF APPROXIMATELY 219,000. USING DATA FROM THOMSON REUTERS (A VENDOR SPECIALIZING IN HEALTH CARE PLANNING INFORMATION), THE INSURANCE COVERAGE FOR COMMUNITIES IN OUR SERVICE AREA IS ESTIMATED TO BE AS FOLLOWS: COVERAGE ESTIMATES AS A PERCENTMEDICAID 22,978 11%MEDICARE 31,437 15%DUAL ELIGIBLE 4,145 2%PRIVATE EMPLOYER SPONSORED 108,122 51%PRIVATE DIRECT 18,342 9%UNINSURED 28,749 13%A PERCENTAGE BREAKDOWN OF INPATIENT UTILIZATION FOR ALTRU HOSPITAL BASED ON DISCHARGES BY TYPE OF PAYER IN 2011 SHOWS APPROXIMATELY 11 PERCENT OF DISCHARGES WERE FOR MEDICAID AND 3 PERCENT WERE SELF PAY (UNINSURED). ALSO FROM THOMSON REUTERS, OUR TOTAL SERVICE AREA'S INCOME BY HOUSEHOLD IS AS FOLLOWS:INCOME RANGE 2011 HOUSEHOLDS$ 0 - $ 9,999 8,101$ 10,000 - $ 14,999 4,975$ 15,000 - $ 19,999 5,556$ 20,000 - $ 24,999 5,436$ 25,000 - $ 29,999 6,013$ 30,000 - $ 34,999 5,807$ 35,000 - $ 39,999 5,512$ 40,000 - $ 44,999 5,141$ 45,000 - $ 49,999 4,874$ 50,000 - $ 59,999 8,907$ 60,000 - $ 74,999 9,975$ 75,000 - $ 99,999 8,772$100,000 - $124,999 4,155$125,000 - $149,999 1,588$150,000 - $199,999 1,123$200,000 - $249,999 615$250,000 - $499,999 412$500,000 + 170ACCORDING TO THE WEBSITE FOR HEALTH RESOURCES AND SERVICES ADMINISTRATION, THE FOLLOWING AREAS IN OUR SERVICE AREA ARE MUA'S:NORTH DAKOTA:BENSON COUNTY: BENSON SERVICE AREACAVALIER COUNTY: CAVALIER SERVICE AREAGRAND FORKS COUNTY: NORTHWOOD SERVICE AREA, GRAND FORKS SERVICE AREANELSON COUNTY: NELSON SERVICE AREAPEMBINA COUNTY: WALHALLA SERVICE AREAROLETTE COUNTY: ROLETTE SERVICE AREATOWNER COUNTY: CANDO CITY SERVICE AREATRAILL COUNTY: TRAILL SERVICE AREAWALSH COUNTY: PARK RIVER CITY SERVICE AREAMINNESOTA:KITTSON COUNTY: KITTSON SERVICE AREAMARSHALL COUNTY: MARSHALL SERVICE AREAPOLK COUNTY: POLK SERVICE AREARED LAKE COUNTY: RED LAKE SERVICE AREAROSEAU COUNTY: ROSEAU SERVICE AREA
PART VI, LINE 5: ALL OF ALTRU'S RESOURCES ARE DEVOTED TO IMPROVING HEALTH IN THE COMMUNITIES WE SERVE. TO DO SO, WE KNOW THAT NOT ALL MEDICAL SERVICES WILL COME FROM STAFF EMPLOYED BY ALTRU HEALTH SYSTEM. ALTRU EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN OUR COMMUNITY FOR NEARLY ALL DEPARTMENTS. ALSO, OUR BOARD OF DIRECTORS IS MADE UP OF INDIVIDUALS FROM OUTSIDE ALTRU HEALTH SYSTEM. THESE PEOPLE ARE VOLUNTEERS WHO HAVE THE SAME DEDICATION AND FOCUS ON ALTRU'S MISSION AS OUR OWN STAFF.
PART VI, LINE 6: ALTRU HEALTH SYSTEM IS PART OF AN AFFILIATED HEALTH CARE SYSTEM. IN SEPTEMBER 2011, ALTRU HEALTH SYSTEM BECAME THE FIRST MEMBER OF THE MAYO CLINIC CARE NETWORK. THIS IS A NON-OWNERSHIP RELATIONSHIP THAT BENFITS THE ORGANIZATION'S PHYSICIANS AND PATIENTS FROM ENHANCED ACCESS TO MAYO PHYSICIANS AND CLINICAL RESOURCES. MORE SPECIFICALLY, PHYSICIANS HAVE ACCESS TO MAYO CLINIC'S EVIDENCE-BASED DISEASE MANAGEMENT PROTOCOLS, CLINIC CARE GUIDELINES, AND TREATMENT RECOMMENDATIONS AND REFERENCE MATERIALS FOR COMPLEX MEDICAL CONDITIONS.PART VI, LINE 7: ALTRU HEALTH SYSTEM IS NOT REQUIRED TO FILE OUR COMMUNITY BENEFIT REPORT WITH ANY OUTSIDE ORGANIZATIONS BUT HAS MADE OUR REPORT AVAILABLE TO ANYONE ON OUR WEB SITE.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
COMMUNITY VIOLENCE INTERVENTION CENTER
211 S 4TH ST STE 207GRAND FORKSND58201450359167501(C)(3)10000PLEDGE FOR DREAM MAKER SOCIETY
NORTHLAND COMMUNITY & TECHNICAL COLLEGE FOUNDATION
1101 HWY 1 EASTTHIEF RIVER FALLSMN56701411287038501(C)(3)10000STUDENT SCHOLARSHIP FUND
UNIVERSITY OF MINNESOTA FOUNDATION
200 OAK ST SE STE 500MINNEAPOLISMN55455416042488501(C)(3)10000STUDENT SCHOLARSHIP FUND
RE ARENA INC
ONE RALPH ENGLESTAD DRGRAND FORKSND5820311366666310000GAME DAY SPONSORSHIPS
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants3TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations1TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: NORTHLAND COMMUNITY & TECHNICAL COLLEGE FOUNDATION - SCHOLARSHIPS ARE DIRECTED BY THE NORTHLAND COMMUNITY & TECHNICAL COLLEGE FOUNDATION AS PART OF THE SCHOLARSHIP PROGRAM AND ALTRU DOES NOT DIRECTLY DESIGNATE SCHOLARSHIP RECIPIENTS. UNIVERSITY OF MINNESOTA FOUNDATION - SCHOLARSHIPS ARE DIRECTED BY THE UNIVERSITY OF MINNESOTA FOUNDATION AS PART OF THE SCHOLARSHIP PROGRAM AND ALTRU DOES NOT DIRECTLY DESIGNATE SCHOLARSHIP RECIPIENTS. COMMUNITY VIOLENCE INTERVENTION CENTER - FUNDS WERE GRANTED WITH THE DIRECTION THAT CVIC WAS ABLE TO USE FUNDS AS NEEDED. CVIC DETERMINES THE RECIPIENTS OF THE ASSISTANCE PROVIDED THROUGH THOSE FUNDS. RE ARENA, INC. - ALTRU REVIEWS THE SPONSORSHIPS WITH RE ARENA/UNIVERSITY OF NORTH DAKOTA OFFICIALS PRIOR TO THE EVENTS AND HAS REPRESENTATIVES ATTEND THE EVENTS TO ACKNOWLEDGE THE PROPRIETY OF THE ANNOUNCEMENTS MADE REGARDING THE SPONSORSHIP OF THE DAY'S EVENT.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (22 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
CASEY RYAN MD
441698000415100223870174870523082000
DAVID MOLMEN
413765000403420223870204530496947000
BRADLEY WEHE
237597000168370232420203570298033000
BRADLEY BELLUK MD
472152000173010223870165840528424000
JAMES HARGREAVES DO
503623000413020223870164480583760000
MATTHEW ROLLER MD
380723000333680223870164290452907000
DWIGHT THOMPSON
288309000398760223870211180371690000
JAMES VANLOOY MD
276919000238680223870113330334507000
MARGARET REED RN
20191700016913015189027550236774000
RENEE M AXTMAN RN
17634500094800134420190140218281000
LELAND LINDQUIST
204423000234240162250146310258703000
JACQUELYN WALSH
16080400075140120210154040195743000
DENNIS REISNOUR
17830200019385014009057480217444000
KENNETH VEIN
155204000211860128790204790209748000
MARK WAIND
17424500077610129560126150207577000
KERRY P CARLSON
150826000115240116870177830191820000
KELLY HAGEN RN
152961000554082510202970182063000
MICKEY SYRQUIN
10224090002324202238701659201084630000
IKECHUKWU ONYEKA
10031010003384002238702079201080120000
ABDEL AHMED
16897060003974202238702104701772882000
SRINIVAS PULAGAM
915201000334860223870203910991465000
RANDALL SMITH
887773000232420223870165920949994000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
CITY OF GRAND FORKS
45600208538546WAW02005-12-0140000000CAPITAL EXPENDITURES, FUND DEBT SERVICE FUND000
CITY OF GRAND FORKS
45600208538546WAZ32007-08-1530755173REFUND BONDS ISSUED JUNE 17, 1997 AND MARCH 23, 2000000
CITY OF GRAND FORKS
4560020852010-08-2030000000CAPITAL EXPENDITURES, FUND DEBT SERVICE FUND000
CITY OF GRAND FORKS
4560020852011-08-0223620000REFUND BONDS ISSUED MAY 19, 1994 AND JUNE 17, 1997000

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindRefunding EscrowRefundingEscrow
40000000353059642500015068703453753420070011
3075517330755173957632007101127283893
30000000203750297962500001
236200001030992011101123487901

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
00000.000000.000000.000000
00000.000000.000000.000000
00000.000000.000000.000000
00000.000000.000000.000000

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
000000
000000
010000
010000

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
DARRELL LARSON ESQ
BOARD CHAIR12338PROFESSIONAL SERVICES PROVIDED TO THE ORGANIZATION THROUGH A BUSINESS RELATIONSHIP - LEGAL FILE #11870
DARRELL LARSON ESQ
BOARD CHAIR4618PROFESSIONAL SERVICES PROVIDED TO THE ORGANIZATION THROUGH A BUSINESS RELATIONSHIP - LEGAL FILE #06760
DARRELL LARSON ESQ
BOARD CHAIR104593PROFESSIONAL SERVICES PROVIDED TO THE ORGANIZATION THROUGH A BUSINESS RELATIONSHIP - LEGAL FILE #11830

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
NEW TOOLS TO AID IN DELIVERY OF PROGRAM SERVICES:FORM 990, PART III,ALTRU HEALTH SYSTEM BECAME THE INAUGURAL MEMBER OF THE MAYO CLINIC CARE NETWORK IN SEPTEMBER 2011, FORMALIZING A LONG-STANDING RELATIONSHIP WITH MAYO CLINIC AND GAINING ACCESS TO TOOLS THAT WILL HELP KEEP PATIENTS CLOSER TO HOME DURING TREATMENT. WE HAVE TWO WAYS TO CONNECT ALTRU PHYSICIANS TO MAYO CLINIC. THE FIRST, ECONSULTS, ALLOWS OUR PHYSICIANS TO CONSULT WITH A MAYO CLINIC SPECIALIST FOR INPUT ON A PATIENT'S CARE PLAN. THIS IS DONE THROUGH A SECURE ONLINE NETWORK, KEEPING INFORMATION SAFE AND CONFIDENTIAL. THE SECOND, ASKMAYOEXPERT, IS A STATE-OF-THE-ART ELECTRONIC TOOL THAT PROVIDES ACCESS TO MAYO CLINIC'S KNOWLEDGE IN DISEASE MANAGEMENT, CLINICAL CARE GUIDELINES, TREATMENT RECOMMENDATIONS AND REFERENCE MATERIALS FOR A VARIETY OF MEDICAL CONDITIONS. ALTRU PHYSICIANS CAN ACCESS THIS DATABASE OF INFORMATION AT ANY TIME.
FORM 990, PART VI, SECTION A, LINE 2CFO/TREASURER, DWIGHT THOMPSON, HAS A FAMILY RELATIONSHIP WITH KEY EMPLOYEE, ROBERT THOMPSON, MD MBA.
FORM 990, PART VI, SECTION B, LINE 11FORM 990 IS REVIEWED FOR ACCURACY BY THE BOARD OF DIRECTORS AND APPROVED PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CCONFLICT OF INTEREST POLICY IS REVIEWED AND SIGNED OFF ANNUALLY BY ALL MEMBERS OF THE BOARD OF DIRECTORS. THESE FORMS ARE COLLECTED AND REVIEWED BY THE SECRETARY.
FORM 990, PART VI, SECTION B, LINE 15DETERMINATION OF THE COMPENSATION FOR THE PRESIDENT AND CEO ARE DETERMINED BY THE BOARD. SUBSTANTIATION OF THESE DISCUSSIONS APPEAR IN THE BOARD MINUTES. COMPENSATION OF KEY EMPLOYEES ARE DETERMINED BY A COMPENSATION COMMITTEE FORMED OF PHYSICIANS THAT REPORT TO THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 18THE ORGANIZATIONS 990 AND 990-T PUBLIC INSPECTION COPIES ARE AVAILABLE UPON REQUEST. FORM 1023 IS AVAILABLE UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC THROUGH PUBLISHED ANNUAL REPORTS AND VIA ITS WEB SITE. GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
CHANGES IN NET ASSETS OR FUND BALANCES:FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -1,687,038. APPLICATION OF FASB ASC TOPIC 715 -15,214,000. TOTAL TO FORM 990, PART XI, LINE 5: -16,901,038.
"DOING BUSINESS AS" CONTINUATIONHEADING ITEM CALTRU CLINIC-MAIN, ALTRU REHAB CENTER, ALTRU CANCER CENTER, ALTRU FAMILY MEDICINE CENTER, ALTRU FAMILY MEDICINE RESIDENCY, TRUYU AESTHETIC CENTER, ALTRU CLINIC-LAKE REGION, ALTRU CLINIC-CAVALIER, ALTRU CLINIC-DRAYTON, ALTRU CLINIC-CROOKSTON, ALTRU CLINIC-RED LAKE FALLS, ALTRU CLINIC-FERTILE, ALTRU CLINIC-ERSKINE, ALTRU CLINIC-ROSEAU, ALTRU CLINIC-WARROAD, ALTRU CLINIC-GREENBUSH, ALTRU CLINIC-KARLSTAD
SCHEDULE 1 - PROGRAM SERVICE REVENUE DETAILFORM 990, PART VIII, LINE 2B & 2DEXCLUSION AMOUNT BIOMED SERVICES $41,996 SITE SERVICE FEES $5,890 SUBTOTAL $47,886 CAFETERIA RECEIPTS $1,168,029 PHARMACY SALES TO EMPLOYEES $1,435 HOUSING/SPACE RENTALS $195,679 VENDING MACHINE INCOME $34,323 SALE OF SCRAP $625 SUBTOTAL $1,400,091 TOTAL EXCLUSION AMOUNT $1,447,977 RELATED OR EXEMPT FUNCTION INCOME CEPT REVENUE $127,890 HEARING CENTER $673,768 OCCUPATIONAL HEALTH $430,952 VHA SUPPLY CO - DISTRIBUTION $589,393 PURCHASE DISCOUNTS $66,486 REBATES $50,316 CONTRACT SERVICES, OUTREACH, EDUCATION $3,395,170 CPE FUND $5,477 MEDICAL RECORDS TRANSCRIPT FEES $236,642 AFFILIATED OTHER REVENUE $364,964 MISCELLANEOUS REVENUE $2,752,151 TOTAL RELATED/EXEMPT INCOME $8,693,209
SCHEDULE 2-PROGRAM SERVICE REVENUE DESCRIPTIONSFORM 990, PART VIII, LINE 2B & 2D1. CAFETERIA RECEIPTS: REVENUE INCURRED THROUGH THE PROVISION OF MEALS FOR EMPLOYEES WHO HAVE TO BE IN THE BUILDING DURING THEIR REGULAR WORKDAY. PURPOSE: PROVIDE THESE EMPLOYEES WITH A PLACE TO ACQUIRE AND CONSUME THEIR MEALS; NO ALTERNATIVES ARE AVAILABLE. 2. BIOMED SERVICES: REVENUE EARNED THROUGH THE PROVISION OF SERVICES TO AREA HEALTH CARE FACILITIES NEEDING TO KEEP THEIR EQUIPMENT IN OPERATION IN ORDER TO PROVIDE THEIR PATIENTS WITH THEIR SERVICE. THE BIOMED PROGRAM PROVIDES SMALL REGIONAL HOSPITALS WITH A SERVICE OTHERWISE UNOBTAINABLE FROM ANYONE IN THE LOCAL AREA; IT IS OFTEN ON A PRIORITY BASIS. 3. PHARMACY SALES TO EMPLOYEES: REVENUE INCURRED IN SALES STRICTLY FOR THE CONVENIENCE OF EMPLOYEES. 4. HOUSING/SPACE RENTALS: INCOME INCURRED THROUGH THE RENTAL OF SPACE TO THE AREA HEALTH EDUCATION CENTER WHICH IS REQUIRED TO BE ON-SITE TO WORK WITH OUR PHYSICIANS PROVIDING HEALTH CARE TO PATIENTS. 5. CEPT REVENUE: REVENUE EARNED FROM THE EVALUATION AND TREATMENT OF ADOLESCENTS THROUGH A MULTI-DISCIPLINARY APPROACH INCLUDING PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH PATHOLOGY, AND PSYCHOLOGY. 6. HEARING CENTER: REVENUE FROM THE PROVISION OF AUDIOLOGICAL SERVICES AND HEARING AIDS TO PATIENTS. 7. OCCUPATIONAL HEALTH: FEES FOR PROVIDING DRUG SCREENINGS FOR REGIONAL EMPLOYERS. 8. VHA SUPPLY DISTRIBUTION: REBATE RECEIVED BASED ON VOLUME OF SUPPLY PURCHASES. 9. PURCHASE DISCOUNTS: THIS FIGURE REPRESENTS COST SAVINGS ON PURCHASES FROM SUPPLIERS FOR GOODS USED IN THE PROVISION OF HEALTH CARE SERVICES. 10. REBATES: REBATES RECEIVED BASED ON VOLUME OF PHARMACY PURCHASES. 11. SITE SERVICE FEES: FEES CHARGED FOR PROVIDING GROUNDS AND MAINTENANCE FOR THE AREA SURROUNDING THE UNITED HOSPITAL, INCLUDING FEES FOR SUCH SERVICES AS MAINTENANCE OF HOSPITAL PARKING LOT, SNOW SHOVELING, AND SNOW REMOVAL. 12. VENDING MACHINE INCOME: INCOME EARNED THROUGH THE OPERATION OF VENDING MACHINES IN THE BUILDINGS. 13. CONTRACT SERVICES, OUTREACH, EDUCATION: REVENUES EARNED IN THE PROVISION OF COMMUNITY EDUCATION/WELLNESS PROGRAMS, PASTORAL COUNSELING SERVICES, AND CONTRACTED SERVICES WITH REGIONAL HEALTHCARE SYSTEMS TO BRING OUTREACH SERVICES INTO THEIR COMMUNITIES. 14. CPE FUND: CLINICAL PASTORAL EDUCATION INCOME FROM PASTORAL RESIDENTS. PROGRAM SPONSORED BY THE ASSOCIATION OF CLINICAL PASTORAL EDUCATION. 15. MEDICAL RECORD TRANSCRIPTION FEES: INCOME EARNED THROUGH THE CHARGING OF VARIOUS THIRD PARTY PAYERS FOR THE PHOTOCOPYING OF PATIENT RECORDS. INSURANCE COMPANIES AND PAYERS ARE CHARGED TO OFFSET THE COST OF COPYING. 16. SALE OF SCRAP: INCOME EARNED THROUGH THE SALE OF ITEMS THAT ARE NOT FIXED ASSETS AND ARE OF DIMINISHED USE TO THE ORGANIZATION. 17.OTHER REVENUE CHARGED TO AFFILIATED CORPORATIONS: REVENUE FROM THE PROVISION OF PATIENT SERVICES, SUCH AS PSYCH OR LABORATORY, TO THE PATIENTS OF OTHER CORPORATIONS, WHICH ARE AFFILIATED TO ALTRU HEALTH SYSTEM. 18. MISCELLANEOUS INCOME: INCLUDES PRINCIPALLY A RETURN OF EXPENSES FROM AN INSURANCE POOL. ALSO INCLUDES INCOME EARNED THROUGH THE PROVISION OF SERVICES THAT ARE OPERATING IN THE HOSPITAL IN NATURE, BUT HAVE NO SPECIFIC COST CENTER IDENTIFICATIONS. AN EXAMPLE OF THIS WOULD BE IF THE DIRECTOR OF THE COMMUNICATIONS DEPARTMENT RECEIVED A SMALL TOKEN AMOUNT FOR FILLING OUT A SURVEY FROM SOME HEALTH CARE ORGANIZATION.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
ALTRU HEALTH FOUNDATION
2501 DEMERS AVEGRAND FORKSND58201450368330FUNDRAISINGND501(C)(3)LINE 11A, IN/A0
ALTRU HEALTH RESOURCES
1200 S COLUMBIA RDGRAND FORKSND58201450368332CONGREGATE HOUSING, ASSISTED LIVINGND501(C)(3)LINE 11A, IN/A0
DAK-MINN BLOOD BANK
1200 S COLUMBIA RDGRAND FORKSND58201363453164BLOOD BANKND501(C)(3)LINE 11D, III-ON/A0
ALTRU ALLIANCE
1200 S COLUMBIA RDGRAND FORKSND58201237389089SUPPORT HOSPITAL AND AFFILIATESND501(C)(3)LINE 11B, IIN/A0

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1ALTRU SPECIALTY SERVICES INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11200 S COLUMBIA RDAddressLine1
CityGRAND FORKSCity
StateNDState
ZIP Code58201ZIPCode
FieldValueIRS element (for citing)
EIN450395652EIN
Primary ActivityDME SALES, RETAIL PHARMACYPrimaryActivity
Legal Domicile StateNDLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (10 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
ALTRU HEALTH FOUNDATION
C914053CASH DONATED
ALTRU HEALTH RESOURCES
D124536LOAN OUTSTANDING
ALTRU SPECIALTY SERVICES
A185940RENT PAYMENT RECEIVED
DAK-MINN BLOOD BANK
C66633CASH DONATED
DAK-MINN BLOOD BANK
N393878COMPENSATION TO RELATED ORG
ALTRU ALLIANCE
P71234AMOUNT REIMBURSED
ALTRU HEALTH RESOURCES
A2795INTEREST PAYMENT RECEIVED
ALTRU HEALTH RESOURCES
P159677AMOUNT REIMBURSED
ALTRU HEALTH RESOURCES
O103943AMOUNT REIMBURSED
ALTRU HEALTH RESOURCES
N585686COMPENSATION TO RELATED ORG