ALTRU HEALTH SYSTEM: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: ALTRU HEALTH SYSTEM (EIN 45-0310462)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-11-01
IRS object ID: 201133059349300703
Schema version: 2010v3.4
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-11-01T08:03:02-05:00	Timestamp
Tax Period End Date	2010-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BRADY MARTZ AND ASSOCIATES PC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 14296	AddressLine1
City	GRAND FORKS	City
State	ND	State
ZIP Code	582084296	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	450310462	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	ALTRU HEALTH SYSTEM	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	ALTR	NameControl
Phone	7017805200	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1200 S COLUMBIA RD	AddressLine1
City	GRAND FORKS	City
State	ND	State
ZIP Code	582014036	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	DAVID MOLMEN	Name
Title	CEO	Title
Phone	7017805200	Phone
Date Signed	2011-10-24	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	PETER HOISTAD	Name
Phone	7017754685	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

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

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	DAVID MOLMEN	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1200 S COLUMBIA RD	AddressLine1
City	GRAND FORKS	City
State	ND	State
ZIP Code	582014036	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	423018365	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	ALTRU.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1970	YearFormation
State Legal Domicile	ND	StateLegalDomicile
Activity Or Mission Description	HEALTHCARE DELIVERY	ActivityOrMissionDescription
Nbr Voting Members Governing Body	11	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	6	NbrIndependentVotingMembers
Total Nbr Employees	4108	TotalNbrEmployees
Total Nbr Volunteers	344	TotalNbrVolunteers
Total Gross UBI	2338689	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1992352	ContributionsGrantsPriorYear
Contributions Grants Current Year	1769870	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	387027222	ProgramServiceRevenuePriorYear
Program Service Revenue CY	398290568	ProgramServiceRevenueCY
Investment Income Prior Year	3294228	InvestmentIncomePriorYear
Investment Income Current Year	3874572	InvestmentIncomeCurrentYear
Other Revenue Prior Year	438722	OtherRevenuePriorYear
Other Revenue Current Year	441490	OtherRevenueCurrentYear
Total Revenue Prior Year	392752524	TotalRevenuePriorYear
Total Revenue Current Year	404376500	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	62962	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	68673	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	226898441	SalariesEtcPriorYear
Salaries Etc Current Year	235908618	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	148676153	OtherExpensePriorYear
Other Expenses Current Year	145094004	OtherExpensesCurrentYear
Total Expenses Prior Year	375637556	TotalExpensesPriorYear
Total Expenses Current Year	381071295	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	17114968	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	23305205	RevenuesLessExpensesCY
Total Assets BOY	305326675	TotalAssetsBOY
Total Assets EOY	371999674	TotalAssetsEOY
Total Liabilities BOY	190056742	TotalLiabilitiesBOY
Total Liabilities EOY	227020666	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	115269933	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	144979008	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	IMPROVING HEALTH, ENRICHING LIFE.WHY WE SERVE: TO ACHIEVE OPTIMUM HEALTH FOR ALL RESIDENTS IN OUR REGION.HOW WE SERVE: BY PROVIDING HEALTH EDUCATION, PREVENTIVE SERVICES, EARLY INTERVENTION, AND APPROPRIATE CARE.WHOM WE SERVE: THE MORE THAN 200,000 RESIDENTS OF NORTHEAST NORTH DAKOTA AND NORTHWEST MINNESOTA.WHO WE ARE: A COMMUNITY OF OVER 3,000 HEALTH PROFESSIONALS AND SUPPORT STAFF COMMITTED TO SERVING THE REGION FOR MORE THAN 100 YEARS.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	17555778	Expense
Revenue	21812238	Revenue
Description	ORTHOPEDICS - ALTRU'S TEAM OF ORTHOPEDIC SURGEONS PROVIDE INPATIENT AND OUTPATIENT SURGICAL SERVICES TO PATIENTS WITH ISSUES RANGING FROM SIMPLE FRACTURES TO COMPLEX TRAUMATIC INJURIES. IN 2010 THERE WERE 1,673 HOSPITAL DISCHARGES.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	13608082	Expense
Revenue	18032640	Revenue
Description	CARDIOLOGY - ALTRU OFFERS COMPREHENSIVE SERVICES INCLUDING INTERVENTIONAL AND MEDICAL CARDIOLOGY. ADDITIONAL SERVICES INCLUDE ECHOCARDIOGRAPHY, CARDIAC STRESS TESTS, AND CARDIAC REHAB. ALTRU HAS BEEN RECOGNIZED THREE TIMES AS A "100 TOP HOSPITALS" FOR CARDIOVASCULAR CARE. OUR CARDIOLOGY TEAM ALSO PROVIDES OUTREACH CLINIC SERVICES TO COMMUNITIES THROUGHOUT OUR SERVICE AREA. IN 2010 THERE WERE 1,717 HOSPITAL DISCHARGES.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	9242009	Expense
Revenue	14066914	Revenue
Description	GENERAL SURGERY - ALTRU'S TEAM OF GENERAL SURGEONS PERFORM INPATIENT AND OUTPATIENT SURGERY FROM ELEVEN OPERATING ROOM SUITES IN ALTRU HOSPITAL. IN 2010 THERE WERE 1,001 GENERAL SURGERY HOSPITAL DISCHARGES.	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	307524870	Expense
Revenue	340903727	Revenue
Description	OTHER PROGRAM SERVICES INCLUDE OTHER PATIENT CARE AND GENERAL & ADMINISTRATIVE	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	307524870	TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev	340903727	TotalOfOtherProgramServiceRev
Total Program Service Expense	347930739	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	0	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	100	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	4108	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	11	NbrVotingGoverningBodyMembers
Number Independent Voting Members	6	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Field	Value	IRS element (for citing)
Telephone Number	7017805200	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1200 SOUTH COLUMBIA ROAD	AddressLine1
City	GRAND FORKS	City
State	ND	State
ZIP Code	58201	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (32 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
KRIS COMPTON
BOARD MEMBER	1.00	X	0	0	0
PHILIP GISI
BOARD MEMBER	1.00	X	0	0	0
DONALD DEBELTZ MD
BOARD MEMBER/PHYSICIAN	40.00	X	457594	0	30990
JAMES HARGREAVES DO
BOARD MEMBER/PHYSICIAN	40.00	X	405651	0	26466
ALICE BREKKE
BOARD MEMBER	1.00	X	0	0	0
MATTHEW ROLLER MD
BOARD MEMBER/PHYSICIAN	1.00	X	401041	0	29341
JUDITH PAUKERT
BOARD MEMBER	1.00	X	0	0	0
LONNIE LAFFEN
SECRETARY	1.00	X	0	0	0	X
JOHN SNUSTAD
VICE CHAIR	1.00	X	0	0	0	X
DARRELL LARSON ESQ
BOARD CHAIR	1.00	X	0	0	0	X
CASEY RYAN MD
BOARD MEMBER/PRESIDENT/PHY	40.00	X	455701	0	26990	X
DAVID MOLMEN
BOARD MEMBER/CEO	40.00	X	390152	0	29990	X
TIMOTHY P SAYLER
BOARD MEMBER/COO	40.00	X	273701	0	26417	X
DWIGHT THOMPSON
CFO/TREASURER	40.00		318258	0	30990	X
JAMES VANLOOY MD
CHIEF MEDICAL EXECUTIVE	40.00		296085	0	26890		X
MARGARET REED RN
CHIEF NURSE EXECUTIVE	40.00		203297	0	15078		X
RENEE M AXTMAN RN
ADMIN DIR PRIMARY CARE	40.00		189153	0	17962		X
ROBERT THOMPSON MD MBA
EXECUTIVE MEDICAL DIRECTOR	40.00		199808	0	0		X
LELAND LINDQUIST
ADMINISTRATIVE DIR HUMAN R	40.00		227093	0	17254		X
JACQUELYN WALSH
ADMIN DIR SURGICAL&CLINICA	40.00		172192	0	11569		X
DENNIS REISNOUR
ADM DIR CORP DEVELOPMENT	40.00		180755	0	15898		X
KENNETH VEIN
ADM DIR PLANT SERVICES	40.00		174761	0	13776		X
MARK WAIND
ADM DIR INFORMATION SERVIC	40.00		167746	0	12574		X
BRADLEY WEHE
ADM DIR REGIONAL OPERATIONS	40.00		181351	0	16301		X
KERRY P CARLSON
ADM DIR MEDICAL SPECIALTY CARE	40.00		162070	0	14002		X
KELLY HAGEN RN
ADM DIR CARDIOLOGY & MUSCULOSKELETAL	40.00		155204	0	12808		X
CYNTHIA BRASETH
ADM DIR SUPPORT SERVICES	40.00		176422	0	4688		X
MOHAMED CHEBACLO
PHYSICIAN	40.00		1026186	0	24387			X
MICKEY SYRQUIN
PHYSICIAN	40.00		1074367	0	22387			X
IKECHUKWU ONYEKA
PHYSICIAN	40.00		947647	0	26587			X
RONALD BROCKMAN
PHYSICIAN	40.00		876128	0	25187			X
ABDEL AHMED
PHYSICIAN	40.00		1619948	0	27387			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	10732311	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	505919	TotalOtherCompensation
Number Individuals GT100 K	221	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
EPIC SYSTEMS CORPORATION
PO BOX 88314	MILWAUKEE	WI	532880314	SERVICES	4755388
DELPHI HEALTHCARE PARTNERS INC
170 SOUTHPORT DR	MORRISVILLE	NC	27560	LOCUM TENENS SERVICES	2272352
MAYO COLLABORATIVE SERVICES INC
PO BOX 9146	MINNEAPOLIS	MN	554809146	SERVICES	1367916
COMPHEALTH MEDICAL STAFFING INC
PO BOX 972670	DALLAS	TX	753972670	LOCUM TENENS SERVICES	1348364
C & R CLEANERS AND LAUNDRY
1010 N 5TH ST	GRAND FORKS	ND	58203	SERVICES	948032

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	39	NumberOfContractorsGT100K
Related Organizations	760845	RelatedOrganizations
Government Grants	858038	GovernmentGrants
All Other Contributions	150987	AllOtherContributions
Total Contributions	1769870	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
NET SERVICE TO PATIENT	621110	389501893	387604694	1897199
PROGRAM SERVICE REVENU	621110	8329396	7043491		$1,285,905
RESEARCH GRANTS	621500	413627	413627
BIOMED SERVICES/SITE S	900099	45652			$45,652

Field	Value	IRS element (for citing)
Total Program Service Revenue	398290568	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	4120865	TotalRevenueColumn
Exclusion	$4,120,865	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	18395572	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	18460131	Securities
Other	181734	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	-64559	Securities
Other	-181734	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-246293	TotalRevenueColumn
Related Or Exempt Function Income	-246293	RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Unrelated Business RevenueUnrelatedBusinessRevenue
FITNESS PROGRAM	621990	243686	243686
RENTAL OFFICE SPACE/PA	621300	185940	185940
TELECOMMUNICATIONS	517000	6201	6201

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	5663	TotalRevenueColumn
Unrelated Business Revenue	5663	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Other Revenue	441490	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	404376500	TotalRevenueColumn
Related Or Exempt Function Income	394815519	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	2338689	UnrelatedBusinessRevenue
Exclusion	$5,452,422	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	65073	Total
Program Services	65073	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	3600	Total
Program Services	3600	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	5595773	Total
Program Services	1702535	ProgramServices
Management And General	3893238	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	189696609	Total
Program Services	175403920	ProgramServices
Management And General	14292689	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	12888359	Total
Program Services	11917286	ProgramServices
Management And General	971073	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	16099838	Total
Program Services	14886796	ProgramServices
Management And General	1213042	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	11628039	Total
Program Services	10583994	ProgramServices
Management And General	1044045	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	1100882	Total
Program Services	1100882	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	2229097	Total
Program Services	2114619	ProgramServices
Management And General	114478	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	6514114	Total
Program Services	6514114	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	18133868	Total
Program Services	18133868	ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
SUPPLIES	57780164	57277533	502631
PURCHASED SERVICES	23713177	16869422	6843755
BAD DEBTS	18475082	18475082
FEES	7276262	6472089	804173
OTHER	6289244	2827812	3461432

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	3582114	Total
Program Services	3582114	ProgramServices

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	381071295	Total
Program Services	347930739	ProgramServices
Management And General	33140556	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
EOY	11676	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	28699650	BOY
EOY	23407475	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	57058830	BOY
EOY	67962023	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	347326	BOY
EOY	489594	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	5712762	BOY
EOY	6492670	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	399407	BOY
EOY	325706	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	329329535	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	198496205	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	118771382	BOY
EOY	130833330	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	78450120	BOY
EOY	113283975	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	15887198	BOY
EOY	29193225	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	305326675	BOY
EOY	371999674	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	32535546	BOY
EOY	39489667	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	286609	BOY
EOY	347935	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	142396898	BOY
EOY	166477752	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	14837689	BOY
EOY	20705312	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	190056742	BOY
EOY	227020666	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	115269933	BOY
EOY	144979008	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	115269933	BOY
EOY	144979008	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	305326675	BOY
EOY	371999674	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	23305205	ReconcilationRevenueExpenses
Reconcilation Other Changes	6403870	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	10868382	OtherCostOrOtherBasis
Book Value	10868382	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	155187540	OtherCostOrOtherBasis
Depreciation	88661618	Depreciation
Book Value	66525922	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	5423064	OtherCostOrOtherBasis
Depreciation	4258599	Depreciation
Book Value	1164465	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	156422016	OtherCostOrOtherBasis
Depreciation	105575988	Depreciation
Book Value	50846028	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1428533	OtherCostOrOtherBasis
Book Value	1428533	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	130833330	TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescription	Book ValueBookValue
ASSETS HELD BY TRUSTEE	2123152
UNAMORTIZED BOND ISSUE COSTS	4035096
INVESTMENTS	3537372
ASSETS HELD UNDER BOND INDENTURE AGREEMENTS	19439743
DUE FROM AFFILIATES	57862

Field	Value	IRS element (for citing)
Total Book Value Other Assets	29193225	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
DUE TO AFFILIATES	$23,580
POST RETIREMENT HEALTH BENEFIT	$11,498,238
OTHER	$5,829,274
ESTIMATED THIRD PARTY LIABILITY	$3,354,220

Field	Value	IRS element (for citing)
Total Of Amounts	20705312	TotalOfAmounts
Total Revenue	404376500	TotalRevenue
Total Expenses	381071295	TotalExpenses
Excess Or Deficit For Year	23305205	ExcessOrDeficitForYear
Net Unrealized GL On Investments	6352734	NetUnrealizedGLOnInvestments
Other	$51,136	OtherAmount
Total Adjustments	6403870	TotalAdjustments
Excess Or Deficit Per FS	29709075	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	410910968	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	6352734	NetUnrealizedGainsInvestments
Revenue Not Rptd F990	6352734	RevenueNotRptdF990
Revenue Subtotal	404558234	RevenueSubtotal
Other Revenues Not Included	-181734	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	-181734	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	404376500	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	381297560	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	226265	OtherExpensesIncluded
Expenses Not Rptd F990	226265	ExpensesNotRptdF990
Expenses Subtotal	381071295	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	381071295	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X:	ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES THE COMPANY'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 COMPANY HAS NO SIGNIFICANT UNCERTAIN TAX POSITIONS THAT WOULD BE SUBJECT TO CHANGE UPON EXAMINATION.
PART XI, LINE 8 - OTHER ADJUSTMENTS:		APPLICATION OF FASB ASC TOPIC 715 UNREALIZED IMPAIRMENT LOSS
PART XII, LINE 4B - OTHER ADJUSTMENTS:		LOSS ON DISPOSAL OF EQUIPMENT
PART XIII, LINE 2D - OTHER ADJUSTMENTS:		LOSS ON DISPOSAL OF EQUIPMENT IMPAIRMENT LOSS

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent150	X	Pcent150
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent250	X	Pcent250
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	0	ExpensesExceededBudget
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1449057	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	1449057	NetCommunityBenefitExpense
Percent Of Total Expense	0.00380	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	17175750	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	17175750	NetCommunityBenefitExpense
Percent Of Total Expense	0.04510	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1020605	TotalCommunityBenefitExpense
Net Community Benefit Expense	1020605	NetCommunityBenefitExpense
Percent Of Total Expense	0.00270	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	19645412	TotalCommunityBenefitExpense
Net Community Benefit Expense	19645412	NetCommunityBenefitExpense
Percent Of Total Expense	0.05160	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Persons Served	751704	PersonsServed
Total Community Benefit Expense	317389	TotalCommunityBenefitExpense
Direct Offsetting Revenue	36000	DirectOffsettingRevenue
Net Community Benefit Expense	281389	NetCommunityBenefitExpense
Percent Of Total Expense	0.00070	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Persons Served	1837	PersonsServed
Total Community Benefit Expense	548509	TotalCommunityBenefitExpense
Net Community Benefit Expense	548509	NetCommunityBenefitExpense
Percent Of Total Expense	0.00140	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	79122	TotalCommunityBenefitExpense
Net Community Benefit Expense	79122	NetCommunityBenefitExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Persons Served	212679	PersonsServed
Total Community Benefit Expense	205439	TotalCommunityBenefitExpense
Net Community Benefit Expense	205439	NetCommunityBenefitExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Persons Served	966220	PersonsServed
Total Community Benefit Expense	1150459	TotalCommunityBenefitExpense
Direct Offsetting Revenue	36000	DirectOffsettingRevenue
Net Community Benefit Expense	1114459	NetCommunityBenefitExpense
Percent Of Total Expense	0.00280	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Persons Served	966220	PersonsServed
Total Community Benefit Expense	20795871	TotalCommunityBenefitExpense
Direct Offsetting Revenue	36000	DirectOffsettingRevenue
Net Community Benefit Expense	20759871	NetCommunityBenefitExpense
Percent Of Total Expense	0.05440	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$18,475,082	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	88275450	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	255587703	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-167312253	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	68	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (68 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Er24 HoursEr24Hours	OtherOther
ALTRU HOSPITAL
1	1200 S COLUMBIA RD	GRAND FORKS	ND	582066002	X	X	X
ALTRU REHABILITATION CENTER
2	1300 S COLUMBIA RD	GRAND FORKS	ND	582066002	X
ALTRU CLINIC - MAIN CLINIC
3	1000 S COLUMBIA RD	GRAND FORKS	ND	582066003				OUTPATIENT DEPT OF ALTRU HOSP - CLINIC
ALTRU CANCER CENTER
4	960 S COLUMBIA RD	GRAND FORKS	ND	582066003				OUTPATIENT DEPT OF ALTRU HOSP - CLINIC
TRUYU AESTHETIC CENTER
5	3165 DEMERS AVE	GRAND FORKS	ND	582066003				OUTPATIENT DEPT OF ALTRU HOSP - CLINIC
ALTRU CLINIC - FAMILY MEDICINE CENTER
6	1380 S COLUMBIA ROAD	GRAND FORKS	ND	582066003				OUTPATIENT DEPT OF ALTRU HOSP - CLINIC
GRAND FORKS FAMILY MEDICINE RESIDENCY
7	725 HAMLINE STREET	GRAND FORKS	ND	58203				OUTPATIENT CLINIC
GF FAMILY MEDICINE RESIDENCY PHARMACY
8	725 HAMLINE STREET	GRAND FORKS	ND	58203				OUTPATIENT PHARMACY
ALTRU CLINIC - DRAYTON
9	809 MAIN	DRAYTON	ND	582254650				OUTPATIENT CLINIC
ALTRU PSYCHIATRIC SERVICES
10	860 S COLUMBIA ROAD	GRAND FORKS	ND	582066002				OUTPATIENT DEPARTMENT - PSYCH SERVICES
ALTRU HOSPITAL - CENTER COURT FITNESS
11	1600 32ND AVE S	GRAND FORKS	ND	58201				OUTPATIENT THERAPY
ALTRU OUTREACH THERAPY
12	411 2ND ST NW	EAST GRAND FORKS	MN	56721				OUTPATIENT THERAPY
ALTRU HOSPITAL - OUTREACH WARREN
13	109 S MAIN ST	WARREN	MN	56762				OUTPATIENT THERAPY
ALTRU CLINIC - CAVALIER
14	201 E 3RD AVE S	CAVALIER	ND	582200040				OUTPATIENT CLINIC
ALTRU CLINIC - LAKE REGION
15	1001 7TH STREET NE	DEVILS LAKE	ND	583012719				OUTPATIENT CLINIC
ALTRU CLINIC - NEW ROCKFORD
16	6 8TH ST N	NEW ROCKFORD	ND	58356				OUTPATIENT CLINIC
ALTRU CLINIC - LAKOTA
17	608 4TH AVE SW HWY 2	LAKOTA	ND	58344				OUTPATIENT CLINIC
ALTRU CLINIC - CROOKSTON
18	400 SOUTH MINNESOTA	CROOKSTON	MN	567160606				OUTPATIENT DEPT OF ALTRU HOSP - CLINIC
ALTRU CLINIC - RED LAKE FALLS
19	312 8TH ST SW	RED LAKE FALLS	MN	567504662				OUTPATIENT DEPT OF ALTRU HOSP - CLINIC
ALTRU CLINIC - ERSKINE
20	113 VANCE AVE N	ERSKINE	MN	565354201				OUTPATIENT DEPT OF ALTRU HOSP - CLINIC
ALTRU CLINIC - FERTILE
21	101 S MILL ST	FERTILE	MN	565404215				OUTPATIENT DEPT OF ALTRU HOSP - CLINIC
ALTRU CLINIC - ROSEAU
22	711 DELMORE DRIVE	ROSEAU	MN	567511534				OUTPATIENT CLINIC
ALTRU CLINIC - WARROAD
23	412 MAIN AVE NE	WARROARD	MN	567632342				OUTPATIENT CLINIC
ALTRU CLINIC - GREENBUSH
24	6TH MCKENZIE	GREENBUSH	MN	56726				OUTPATIENT CLINIC
ALTRU CLINIC - KARLSTAD
25	1ST ROOSEVELT	KARLSTAD	MN	56732				OUTPATIENT CLINIC
UNITY MEDICAL CENTER
26	164 WEST 13TH STREET	GRAFTON	ND	58237				HOME HEALTH/HOSPICE
FIRST CARE HEALTH CENTER
27	PO BOX I	PARK RIVER	ND	58270				HOME HEALTH/HOSPICE
UNION HOSPITAL
28	42 6TH AVE SE	MAYVILLE	ND	58257				HOME HEALTH/HOSPICE
NELSON COUNTY HEALTH SYSTEM
29	BOX 367	MCVILLE	ND	58254				HOME HEALTH/HOSPICE
WARREN HOSPITAL
30	1ST ROOSEVELT	KARLSTAD	MN	56732				HOME HEALTH/HOSPICE
CO CAVALIER CLINIC
31	201 E 3RD AVE S	CAVALIER	ND	58220				HOME HEALTH/HOSPICE
ALTRU HOME SVCS-NORTH VALLEY HOME HEALTH
32	109 S MINNESOTA ST	WARREN	MN	56762				HOME HEALTH/HOSPICE
ANETA PARKVIEW HEALTH CENTER
33	BOX 287	ANETA	ND	58212				OUTREACH CLINIC
CAVALIER COUNTY MEMORIAL
34	909 2ND ST	LANGDON	ND	58249				OUTREACH CLINIC
CENTRAL BOILER
35	20502 160TH ST	GREENBUSH	MN	56726				OUTREACH CLINIC
COOPERSTOWN MEDICAL CENTER
36	1200 ROBERTS ST	COOPERSTOWN	ND	58425				OUTREACH CLINIC
DEVILS LAKE GOOD SAMARITAN
37	302 7TH AVE	DEVILS LAKE	ND	58301				OUTREACH CLINIC
FIRST CARE HEALTH CENTER
38	115 VIVIAN ST	PARK RIVER	ND	58270				OUTREACH CLINIC
FRIENDSHIP
39	554 W 12TH ST	GRAFTON	ND	58327				OUTREACH CLINIC
4TH CORP
40	120 11TH ST	NEW ROCKFORD	ND	58356				OUTREACH CLINIC
GRIGGS COUNTY HOSPITAL
41	1200 ROBERTS AVE NE	COOPERSTOWN	ND	58425				OUTREACH CLINIC
HATTON PRAIRIE VILLAGE
42	930 DAKOTA AVE	HATTON	ND	58240				OUTREACH CLINIC
HEARTLAND CARE CENTER
43	620 14TH AVE NE	DEVILS LAKE	ND	58301				OUTREACH CLINIC
KARLSTAD HEALTH CARE
44	304 WASHINGTON AVE W	KARLSTAD	MN	56732				OUTREACH CLINIC
KITTSON MEMORIAL HEALTH CARE CENTER
45	1010 S BIRCH	HALLOCK	MN	56728				OUTREACH CLINIC
KITTSON MEMORIAL CLINIC OF KARLSTAD
46	1ST AND ROOSEVELT	KARLSTAD	MN	56732				OUTREACH CLINIC
LAKE REGION CORP
47	224 3RD ST NW	DEVILS LAKE	ND	583012908				OUTREACH CLINIC
LAKOTA GOOD SAMARITAN
48	608 4TH AVE SW HWY 2	LAKOTA	ND	583447500				OUTREACH CLINIC
LAKOTA HEALTH CENTER
49	117 2 ST W	LAKOTA	ND	58344				OUTREACH CLINIC
LUTHER MEMORIAL HOME
50	750 MAIN ST	MAYVILLE	ND	58257				OUTREACH CLINIC
MADDOCK SCHOOL SYSTEM
51	PO BOX 398	MADDOCK	ND	58348				OUTREACH CLINIC
MAPLE MANOR CARE CENTER
52	1116 9TH AVE	LANGDON	ND	58249				OUTREACH CLINIC
MCINTOSH MANOR NURSING HOME
53	600 RIVERSIDE AVE NE	MCINTOSH	MN	56556				OUTREACH CLINIC
MERCY HOSPITAL
54	1031 7TH ST NE	DEVILS LAKE	ND	58301				OUTREACH CLINIC
NELSON COUNTY CARE CENTER
55	108 E NYHUS AVE	MCVILLE	ND	58254				OUTREACH CLINIC
NELSON COUNTY HEALTH SYSTEM
56	200 NORTH MAIN	MCVILLE	ND	58254				OUTREACH CLINIC
NORTHWEST REGIONAL
57	PO BOX 9	NEWFOLDEN	MN	56738				OUTREACH CLINIC
NORTHWOOD DEACONESS
58	4 N PART ST	NORTHWOOD	ND	58267				OUTREACH CLINIC
OAKLAND PARK COMMUNITIES INC
59	123 BAKEN STREET	THEIF RIVER FALLS	MN	56701				OUTREACH CLINIC
OAKLAND PARK NURSING HOME
60	123 BAKEN STREET	THEIF RIVER FALLS	MN	56701				OUTREACH CLINIC
PEMBILIER NURSING CENTER
61	500 DELANO AVE	WALHALLA	ND	58282				OUTREACH CLINIC
PEMBINA COUNTY MEMORIAL HOSPITAL
62	301 MOUNTAIN STREET E	CAVALIER	ND	58220				OUTREACH CLINIC
PIONEER MEMORIAL CARE CENTER
63	23028 347TH ST SE	ERSKINE	MN	565359466				OUTREACH CLINIC
REM-GRAFTON
64	817 HILL AVE	GRAFTON	ND	58327				OUTREACH CLINIC
UNION HOSPITAL
65	42 6TH AVE SE	MAYVILLE	ND	58257				OUTREACH CLINIC
VALLEY 4000
66	4004 24TH AVE SOUTH	GRAND FORKS	ND	58201				OUTREACH CLINIC
VALLEY MEMORIAL HOMES
67	2900 14TH AVE SOUTH	GRAND FORKS	ND	58201				OUTREACH CLINIC
WEDGEWOOD MANOR
68	804 MAIN STREET WEST	CAVALIER	ND	58220				OUTREACH CLINIC

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	150.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	250.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Posted In Emergency Room	X	PostedInEmergencyRoom
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	1	ActionsOnNonpayment
Permit Report To Credit Agency	X	PermitReportToCreditAgency
Permit Lawsuit	X	PermitLawsuit
Permit Lien On Residence	X	PermitLienOnResidence
Permit Body Attachment	X	PermitBodyAttachment
Collection Activities	1	CollectionActivities
Report To Credit Agency	X	ReportToCreditAgency
Lawsuit	X	Lawsuit
Lien On Residence	X	LienOnResidence
Body Attachment	X	BodyAttachment
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	1	GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

ExplanationExplanation	IdentifierIdentifier
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 $18,475,082.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 - "ACCOUNTS RECEIVABLE ARE CARRIED AT ORIGINAL AMOUNTS BILLED LESS AN ESTIMATE MADE FOR CONTRACTUAL DISCOUNTS AND DOUBTFUL RECEIVABLES BASED ON A REVIEW OF ALL OUTSTANDING AMOUNTS ON A MONTHLY BASIS. MANAGEMENT DETERMINES THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND CONTRACTUAL DISCOUNTS BY USING HISTORICAL EXPERIENCE APPLIED TO THE PAYOR SOURCE. ACCOUNTS RECEIVABLE ARE WRITTEN OFF WHEN DEEMED UNCOLLECTIBLE. RECOVERIES OF ACCOUNTS RECEIVABLE PREVIOUSLY WRITTEN OFF ARE RECORDED WHEN RECEIVED." 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 $167,312,253 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, 2010, 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 18C: GROSS CHARGES ARE NOT ADJUSTED FOR UNINSURED PATIENTS IN ER UNLESS THEY APPLY FOR AND QUALIFY FOR CHARITY CARE.	N/A
PART V, SECTION B, LINE 19D: GROSS CHARGES ARE NOT ADJUSTED FOR UNINSURED PATIENTS IN ER UNLESS THEY APPLY FOR AND QUALIFY FOR CHARITY CARE.	N/A
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.	N/A
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 2010 FOR OUR PRIMARY MARKET WAS 82 PERCENT BASED ON CLAIMS DATA FROM BLUE CROSS BLUE SHIELD OF NORTH DAKOTA. ALMOST 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 14,700 STUDENTS. 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 2010, ALTRU'S HOSPITAL MARKET SHARE IN THIS SERVICE AREA WAS AROUND 53 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 21 PERCENT ACCORDING TO 2010 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 2010 SHOWS APPROXIMATELY 11 PERCENT OF DISCHARGES WERE FOR MEDICAID AND 13 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 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 6: 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 7: ALTRU HEALTH SYSTEM IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM.PART VI, LINE 8: ALTRU HEALTH SYSTEM IS NOT REQUIRED TO FILE OUR COMMUNITY BENEFIT REPORT WITH ANY OUTSIDE ORGANIZATIONS BUT HAS MADE OUR REPORT AVAILABLE TO ANYONE ON OUR WEB SITE.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
COMMUNITY VIOLENCE INTERVENTION CENTER
211 S 4TH ST STE 207	GRAND FORKS	ND	58201	450359167	501(C)(3)	7500	PLEDGE FOR DREAM MAKER SOCIETY
UNIVERSITY OF NORTH DAKOTA FOUNDATION
3100 UNIVERSITY AVE STOP 8157	GRAND FORKS	ND	58202	450348296	501(C)(3)	9810	STUDENT SCHOLARSHIP FUND
UNITED WAY
1402 24TH AVE S STE 400	GRAND FORKS	ND	58201	450255772	501(C)(3)	10000	CORPORATE SPONSORSHIP OF UNITED WAY

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	3	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	SCHEDULE I, PART I, LINE 2: UNIVERSITY OF NORTH DAKOTA FOUNDATION - SCHOLARSHIPS ARE DIRECTED BY THE UND FOUNDATION AS PART OF THE UND 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. UNITED WAY - FUNDS ARE USED BY UNITED WAY AS PART OF THE BUILDING BLOCKS PROGRAM. UNITED WAY'S BOARD DETERMINES USE OF THE FUNDS UNDER THEIR ALLOCATION PROCESS.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	1	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (25 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DONALD DEBELTZ MD
445250	0	0	0	12344	0	22387	0	8603	0	488584	0	0	0
JAMES HARGREAVES DO
393168	0	0	0	12483	0	22387	0	4079	0	432117	0	0	0
MATTHEW ROLLER MD
390189	0	0	0	10852	0	22387	0	6954	0	430382	0	0	0
CASEY RYAN MD
443358	0	0	0	12343	0	22387	0	4603	0	482691	0	0	0
DAVID MOLMEN
377857	0	0	0	12295	0	22387	0	7603	0	420142	0	0	0
TIMOTHY P SAYLER
261788	0	0	0	11913	0	18814	0	7603	0	300118	0	0	0
DWIGHT THOMPSON
306096	0	0	0	12162	0	22387	0	8603	0	349248	0	0	0
JAMES VANLOOY MD
284779	0	0	0	11306	0	22387	0	4503	0	322975	0	0	0
MARGARET REED RN
201142	0	0	0	2155	0	14078	0	1000	0	218375	0	0	0
RENEE M AXTMAN RN
177867	0	0	0	11286	0	12962	0	5000	0	207115	0	0	0
ROBERT THOMPSON MD MBA
192088	0	0	0	7720	0	0	0	0	0	199808	0	27754	0
LELAND LINDQUIST
215536	0	0	0	11557	0	15304	0	1950	0	244347	0	0	0
JACQUELYN WALSH
161711	0	0	0	10481	0	11569	0	0	0	183761	0	0	0
DENNIS REISNOUR
178812	0	0	0	1943	0	12648	0	3250	0	196653	0	0	0
KENNETH VEIN
164092	0	0	0	10669	0	11826	0	1950	0	188537	0	0	0
MARK WAIND
159197	0	0	0	8549	0	11374	0	1200	0	180320	0	0	0
BRADLEY WEHE
170185	0	0	0	11166	0	12401	0	3900	0	197652	0	0	0
KERRY P CARLSON
151046	0	0	0	11024	0	11002	0	3000	0	176072	0	0	0
KELLY HAGEN RN
144839	0	0	0	10365	0	7808	0	5000	0	168012	0	0	0
CYNTHIA BRASETH
95543	0	0	0	80879	0	2099	0	2589	0	181110	0	0	0
MOHAMED CHEBACLO
1014375	0	0	0	11811	0	22387	0	2000	0	1050573	0	0	0
MICKEY SYRQUIN
1062810	0	0	0	11557	0	22387	0	0	0	1096754	0	0	0
IKECHUKWU ONYEKA
935836	0	0	0	11811	0	22387	0	4200	0	974234	0	0	0
RONALD BROCKMAN
863642	0	0	0	12486	0	22387	0	2800	0	901315	0	0	0
ABDEL AHMED
1607462	0	0	0	12486	0	22387	0	5000	0	1647335	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Return Reference	PART I, LINES 4A-B	ReturnReference
Explanation	CYNTHIA BRASETH RECEIVED SEVERANCE PAY OF $75,318. ROBERT THOMPSON, MD, MBA, BOARD MEMBER AND ADMINISTRATIVE MEDICAL DIRECTOR, RECEIVED A DISTRIBUTION FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN OF $27,754.	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
CITY OF GRAND FORKS
456002085	38546WAW0	2005-12-01	40000000	CAPITAL EXPENDITURES, FUND DEBT SERVICE FUND	0	0	0
CITY OF GRAND FORKS
456002085	38546WAZ3	2007-08-15	30755173	REFUND BONDS ISSUED JUNE 17, 1997 AND MARCH 23, 2000	0	0	0
CITY OF GRAND FORKS
456002085		2010-08-20	30000000	CAPITAL EXPENDITURES, FUND DEBT SERVICE FUND	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Refunding EscrowRefundingEscrow	Amount UnspentAmountUnspent
40000000	3530596	425000	1506870	34537534	2007	0	1	1
30755173	3075517	395763			2007	1	1	1	27283893
30000000		203750		17030360		0	0	1		12765890

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
0	0	0	0	0
0	0	0	0	0
0	0	0	0	0

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
0	0	0	0	0	0
0	0	0	0	0	0
0	1	0	0	0	0

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
DARRELL LARSON ESQ
BOARD CHAIR	19925	PROFESSIONAL SERVICES PROVIDED TO THE ORGANIZATION THROUGH A BUSINESS RELATIONSHIP - LEGAL FILE #4322	0
DARRELL LARSON ESQ
BOARD CHAIR	3896	PROFESSIONAL SERVICES PROVIDED TO THE ORGANIZATION THROUGH A BUSINESS RELATIONSHIP - LEGAL FILE #1187	0
DARRELL LARSON ESQ
BOARD CHAIR	2004	PROFESSIONAL SERVICES PROVIDED TO THE ORGANIZATION THROUGH A BUSINESS RELATIONSHIP - LEGAL FILE #0676	0
DARRELL LARSON ESQ
BOARD CHAIR	125421	PROFESSIONAL SERVICES PROVIDED TO THE ORGANIZATION THROUGH A BUSINESS RELATIONSHIP - LEGAL FILE #1183	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 2	CFO/TREASURER, DWIGHT THOMPSON, HAS A FAMILY RELATIONSHIP WITH KEY EMPLOYEE, ROBERT THOMPSON, MD MBA.
FORM 990, PART VI, SECTION B, LINE 11	FORM 990 IS REVIEWED FOR ACCURACY BY THE BOARD OF DIRECTORS AND APPROVED PRIOR TO FILING.
	CONFLICT OF INTEREST POLICY IS REVIEWED AND SIGNED OFF ANNUALLY BY ALL MEMBERS OF THE BOARD OF DIRECTORS. THESE FORMS ARE COLLECTED AND REVIEWED BY THE SECRETARY.	FORM 990, PART VI, SECTION B, LINE 12C
	DETERMINATION OF THE COMPENSATION FOR THE PRESIDENT AND CEO ARE DETERMINED BY THE BOARD. SUBSTANTIATION OF THESE DISCUSSIONS APPEAR IN THE BOARD MINUTES. COMPENSATION OF KEY EMPLOYEES ARE DETERMINED BY A COMPENSATION COMMITTEE FORMED OF PHYSICIANS THAT REPORT TO THE BOARD OF DIRECTORS.	FORM 990, PART VI, SECTION B, LINE 15
	THE ORGANIZATIONS 990 AND 990-T PUBLIC INSPECTION COPIES ARE AVAILABLE UPON REQUEST. FORM 1023 IS AVAILABLE UPON REQUEST.	FORM 990, PART VI, SECTION C, LINE 18
	THE ORGANIZATION'S FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC THROUGH PUBLISHED ANNUAL REPORTS AND VIA ITS WEB SITE. GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.	FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:	NET UNREALIZED GAINS ON INVESTMENTS: 6,352,734. APPLICATION OF FASB ASC TOPIC 715 95,667. UNREALIZED IMPAIRMENT LOSS -44,531. TOTAL TO FORM 990, PART XI, LINE 5: 6,403,870.	FORM 990, PART XI, LINE 5:
"DOING BUSINESS AS" CONTINUATION	ALTRU CLINIC-MAIN, ALTRU REHAB CENTER, ALTRU CANCER CENTER, ALTRU FAMILY MEDICINE CENTER, ALTRU FAMILY MEDICINE RESIDENCY, TRUYU AESTHETIC CENTER, ALTRU CLINIC-LAKE REGION, ALTRU CLINIC-CAVALIER, ALTRU CLINIC-DRAYTON, ALTRU CLINIC-CROOKSTON, ALTRU CLINIC-RED LAKE FALLS, ALTRU CLINIC-FERTILE, ALTRU CLINIC-ERSKINE, ALTRU CLINIC-ROSEAU, ALTRU CLINIC-WARROAD, ALTRU CLINIC-GREENBUSH, ALTRU CLINIC-KARLSTAD	HEADING ITEM C
SCHEDULE 1 - PROGRAM SERVICE REVENUE DETAIL	EXCLUSION AMOUNT BIOMED SERVICES $39,989 SITE SERVICE FEES $5,663 SUBTOTAL $45,652 CAFETERIA RECEIPTS $1,082,586 PHARMACY SALES TO EMPLOYEES $2,138 HOUSING/SPACE RENTALS $173,779 VENDING MACHINE INCOME $21,177 SALE OF SCRAP $6,225 SUBTOTAL $1,285,905 TOTAL EXCLUSION AMOUNT $1,331,557 RELATED OR EXEMPT FUNCTION INCOME CEPT REVENUE $126,000 HEARING CENTER $692,084 OCCUPATIONAL HEALTH $421,385 VHA SUPPLY CO - DISTRIBUTION $510,364 PURCHASE DISCOUNTS $48,230 REBATES $23,010 CONTRACT SERVICES, OUTREACH, EDUCATION $2,865,252 CPE FUND $6,500 MEDICAL RECORDS TRANSCRIPT FEES $155,671 AFFILIATED OTHER REVENUE $351,040 MISCELLANEOUS REVENUE $1,843,955 TOTAL RELATED/EXEMPT INCOME $7,043,491	FORM 990, PART VIII, LINE 2B & 2D
SCHEDULE 2-PROGRAM SERVICE REVENUE DESCRIPTIONS	1. 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.	FORM 990, PART VIII, LINE 2B & 2D

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg
ALTRU HEALTH FOUNDATION
2501 DEMERS AVE	GRAND FORKS	ND	58201	450368330	FUNDRAISING	ND	501(C)(3)	LINE 11A, I	N/A	0
ALTRU HEALTH RESOURCES
1200 S COLUMBIA RD	GRAND FORKS	ND	58201	450368332	CONGREGATE HOUSING, ASSISTED LIVING	ND	501(C)(3)	LINE 11A, I	N/A	0
DAK-MINN BLOOD BANK
1200 S COLUMBIA RD	GRAND FORKS	ND	58201	363453164	BLOOD BANK	ND	501(C)(3)	LINE 11D, III-O	N/A	0
ALTRU ALLIANCE
1200 S COLUMBIA RD	GRAND FORKS	ND	58201	237389089	SUPPORT HOSPITAL AND AFFILIATES	ND	501(C)(3)	LINE 11B, II	N/A	0

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	ALTRU SPECIALTY SERVICES INC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1200 S COLUMBIA RD	AddressLine1
City	GRAND FORKS	City
State	ND	State
ZIP Code	58201	ZIPCode

Field	Value	IRS element (for citing)
EIN	450395652	EIN
Primary Activity	DME SALES, RETAIL PHARMACY	PrimaryActivity
Legal Domicile State	ND	LegalDomicileState
Direct Controlling Entity NA	N/A	DirectControllingEntityNA
Type Of Entity	C	TypeOfEntity

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	1	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	1	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
ALTRU HEALTH FOUNDATION
C	643934	FAIR MARKET VALUE
ALTRU HEALTH RESOURCES
D	143945	FAIR MARKET VALUE
ALTRU SPECIALTY SERVICES
A	185940	FAIR MARKET VALUE
DAK-MINN BLOOD BANK
C	116911	FAIR MARKET VALUE
DAK-MINN BLOOD BANK
N	356278	FAIR MARKET VALUE
ALTRU ALLIANCE
P	58556	FAIR MARKET VALUE
ALTRU HEALTH RESOURCES
A	2911	FAIR MARKET VALUE