ALTRU HEALTH SYSTEM: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: ALTRU HEALTH SYSTEM (EIN 45-0310462)
Tax period: 2023-01-01 to 2023-12-31
Filed: 2024-11-06
IRS object ID: 202443119349303104
Schema version: 2023v5.1
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 F
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-11-06T13:56:35-06:00	ReturnTs
Tax Period End	2023-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	450310328	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BRADY MARTZ & ASSOCIATES PC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 14296	AddressLine1Txt
City	GRAND FORKS	CityNm
State Abbreviation	ND	StateAbbreviationCd
ZIP	582084296	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	450310462	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Business Name Control	ALTR	BusinessNameControlTxt
Phone	7017805200	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1200 S COLUMBIA RD	AddressLine1Txt
City	GRAND FORKS	CityNm
State Abbreviation	ND	StateAbbreviationCd
ZIP	582014036	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DEREK GOEBEL	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	7017805200	PhoneNum
Signature	2024-10-28	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	0	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	ASHLEY ENGEL	PreparerPersonNm
PTIN	P01220321	PTIN
Phone	7017754685	PhoneNum
Preparation	2024-10-28	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2024-10-15 13:58:12Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

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

Field	Value	IRS element (for citing)
Principal Officer	DEREK GOEBEL	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1200 S COLUMBIA RD	AddressLine1Txt
City	GRAND FORKS	CityNm
State Abbreviation	ND	StateAbbreviationCd
ZIP	582014036	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$739,309,450	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	ALTRU.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1970	FormationYr
Legal Domicile State	ND	LegalDomicileStateCd
Activity Or Mission	HEALTHCARE DELIVERY	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	5351	TotalEmployeeCnt
Total Volunteers	132	TotalVolunteersCnt
Total Gross UBI	$10,594,320	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$1,174,704	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$11,594,891	PYContributionsGrantsAmt
CY Contributions Grants	$4,564,765	CYContributionsGrantsAmt
PY Program Service Revenue	$600,338,365	PYProgramServiceRevenueAmt
CY Program Service Revenue	$661,117,768	CYProgramServiceRevenueAmt
PY Investment Income	$18,775,497	PYInvestmentIncomeAmt
CY Investment Income	$6,935,746	CYInvestmentIncomeAmt
PY Other Revenue	-$42,259	PYOtherRevenueAmt
CY Other Revenue	-$22,761	CYOtherRevenueAmt
PY Total Revenue	$630,666,494	PYTotalRevenueAmt
CY Total Revenue	$672,595,518	CYTotalRevenueAmt
PY Grants And Similar Paid	$534,987	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$415,474	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$346,726,282	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$352,109,865	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$145,746	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$235,728	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$235,728	CYTotalFundraisingExpenseAmt
PY Other Expenses	$264,466,780	PYOtherExpensesAmt
CY Other Expenses	$288,788,921	CYOtherExpensesAmt
PY Total Expenses	$611,873,795	PYTotalExpensesAmt
CY Total Expenses	$641,549,988	CYTotalExpensesAmt
PY Revenues Less Expenses	$18,792,699	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$31,045,530	CYRevenuesLessExpensesAmt
Total Assets BOY	$974,015,924	TotalAssetsBOYAmt
Total Assets EOY	$1,207,479,907	TotalAssetsEOYAmt
Total Liabilities BOY	$631,709,340	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$804,295,167	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$342,306,584	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$403,184,740	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	ALTRU HEALTH SYSTEM IS A COMMUNITY OF OVER 3,500 HEALTH PROFESSIONALS AND SUPPORT STAFF, AND WE'VE BEEN COMMITTED TO CARING FOR OUR REGION FOR MORE THAN 130 YEARS. SERVING OVER 230,000 RESIDENTS IN NORTHEAST NORTH DAKOTA AND NORTHWEST MINNESOTA, WE OFFER A WIDE ARRAY OF SERVICES TO MEET THE NEEDS OF COMMUNITY MEMBERS OF ALL AGES AND LEVELS OF HEALTH.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$66,372,880	ExpenseAmt
Revenue	$191,362,913	RevenueAmt
Desc	SURGICAL SERVICES - ALTRU OFFERS OUR PATIENTS SOME OF THE MOST ADVANCED, MINIMALLY INVASIVE SURGICAL SYSTEMS, SKILLFULLY OPERATED BY OUR EXPERT SURGEONS. ALTRU'S TEAM IS HIGHLY SPECIALIZED TO MANAGE ALL LEVELS OF SURGICAL NEEDS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$36,602,813	ExpenseAmt
Revenue	$93,460,599	RevenueAmt
Desc	CANCER SERVICES - ALTRU CANCER CENTER PROVIDES DIAGNOSIS, TREATMENT AND OTHER SERVICES FOR THE FULL SPECTRUM OF CANCER TYPES. ALTRU HEALTH SYSTEM IS ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS' COMMISSION ON CANCER AND RECOGNIZED AS ONE OF THE BEST CANCER HOSPITALS IN THE COUNTRY.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$34,266,045	ExpenseAmt
Revenue	$134,842,771	RevenueAmt
Desc	HEART & VASCULAR SERVICES - ALTRU OFFERS A TEAM OF MORE THAN 20 PROVIDERS ACROSS 5 SPECIALTIES AIMED AT COMPREHENSIVE HEART AND VASCULAR CARE. ALTRU IS CONSISTENTLY RANKED AS ONE OF THE BEST HOSPITALS FOR HEART FAILURE CARE BY U.S. NEWS & WORLD REPORT WHICH RECOGNIZES HOSPITALS THAT EXCEL IN TREATING THE MOST CHALLENGING PATIENTS.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$409,582,135	ExpenseAmt
Grant	$415,474	GrantAmt
Revenue	$227,784,882	RevenueAmt
Desc	OTHER PROGRAM SERVICES INCLUDE OTHER PATIENT CARE PROGRAMS.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$409,582,135	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$415,474	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$227,784,882	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$546,823,873	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	Yes (1)	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	142	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	5351	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	7	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THE ORGANIZATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	7017805203	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (40 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
KEITH OKESON
BOARD MEMBER (THROUGH MAY 2023)	1.00	Yes (X)	$0	$0	$0
ERIC HALVERSON
VICE CHAIR	1.00	Yes (X)	$0	$0	$0	Yes (X)
JOSHUA DEERE
BOARD MEMBER/PRESIDENT	40.00	Yes (X)	$705,201	$0	$342,800	Yes (X)	1.00
WILLIAM MCKINNON MD
BOARD MEMBER/PHYSICIAN	40.00	Yes (X)	$284,285	$0	$86,808
ANDREW SORBO
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
RUSSEL CRARY
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
SCOTT MEYER
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
JODY TREUER MD
BOARD MEMBER/PHYSICIAN	40.00	Yes (X)	$1,129,517	$0	$41,788
TAMMY PETERSON
SECRETARY	1.00	Yes (X)	$0	$0	$0	Yes (X)
TIMOTHY CURRY
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
TODD FORKEL
BOARD MEMBER/CEO	40.00	Yes (X)	$860,303	$0	$418,027	Yes (X)	1.00
KAREN MCLENNAN
CHAIR	1.00	Yes (X)	$0	$0	$0	Yes (X)
DOUGLAS ARVIN
CFO/TREASURER (THROUGH FEB 2023)	40.00		$82,333	$0	$4,811	Yes (X)	1.00
DEREK GOEBEL
CFO/TREASURER	40.00		$351,628	$0	$163,151	Yes (X)	1.00
A MARC NIELSEN
MEDICAL DIRECTOR	40.00		$396,958	$0	$55,470			Yes (X)
SUNIL KARTHAM
MEDICAL DIRECTOR	40.00		$791,304	$0	$83,013			Yes (X)
STAN SALWEI
DIRECTOR REVENUE CYCLE	40.00		$264,976	$0	$28,076			Yes (X)
MEVAN WIJETUNGA
MEDICAL DIRECTOR	40.00		$1,529,813	$0	$82,235			Yes (X)
MEGHAN COMPTON
CHIEF CLINIC OPERATIONS OFFICER	40.00		$563,926	$0	$250,504			Yes (X)
MATTHEW SCHUMACHER
DIRECTOR TECH & SUPPORT SVCS	40.00		$232,650	$0	$73,086			Yes (X)
MARLENE MILLER
DIRECTOR PEOPLE RESOURCES	40.00		$221,006	$0	$70,264			Yes (X)
KRISTI HALL-JIRAN
CHIEF PHILANTHROPY OFFICER	40.00		$344,421	$0	$135,025			Yes (X)
KARI JENSEN
DIRECTOR QUALITY & SAFETY	40.00		$195,196	$0	$69,961			Yes (X)
JONATHAN HAUG
MEDICAL DIRECTOR	40.00		$673,018	$0	$99,165			Yes (X)
JOEL LARSON
DIRECTOR LEGAL & PRIVACY/GENERAL COUNSEL	40.00		$248,481	$0	$50,543			Yes (X)
JEREMY GARDNER
MEDICAL DIRECTOR	40.00		$1,010,909	$0	$96,523			Yes (X)
JENNIFER ESTAD
SENIOR DIRECTOR CLINIC OPERATIONS	40.00		$244,948	$0	$49,993			Yes (X)
ALEXSANDAR TODOROVIC
DIRECTOR INFO SYSTEMS APPLICATIONS	40.00		$256,493	$0	$63,433			Yes (X)
ANNIE BONZER
DIRECTOR MARKETING & PUBLIC RELATIONS	40.00		$172,707	$0	$55,736			Yes (X)
CORY GEFFRE
CHIEF NURSING OFFICER & EVP HOSPITAL OPERATIONS	40.00		$429,012	$0	$213,779			Yes (X)
JENNIFER BERG
DIRECTOR TOTAL REWARDS	40.00		$179,998	$0	$64,847			Yes (X)
ERIN NAVARRO
DIRECTOR PHARMACY SVCS	40.00		$243,266	$0	$77,816			Yes (X)
HEATHER STRANDELL
SENIOR DIRECTOR CLINIC OPERATIONS	40.00		$306,802	$0	$60,256			Yes (X)
YVONNE GOMEZ
MEDICAL DIRECTOR	40.00		$512,807	$0	$71,337			Yes (X)
JOHN EICKMAN
PHYSICIAN	40.00		$1,468,780	$0	$13,115				Yes (X)
JASON GO
PHYSICIAN	40.00		$1,235,343	$0	$50,059				Yes (X)
ADAM NICHOLSON
PHYSICIAN	40.00		$1,213,105	$0	$50,059				Yes (X)
GRANT SEEGER
PHYSICIAN	40.00		$1,416,971	$0	$49,759				Yes (X)
IKECHUKWU ONYEKA
PHYSICIAN	40.00		$1,952,562	$0	$50,759				Yes (X)
MARK WAIND
FORMER KEY EMPLOYEE	40.00		$571,026	$0	$806					Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$20,089,745	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$3,023,004	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	589	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
PCLCOMMUNITY
7101 METRO BLVD	EDINA	MN	55439	SERVICES	$162,543,603
MEDEFIS CONSOLIDATED
PO BOX 5068	NEW YORK	NY	10087	SERVICES	$12,357,848
WEATHERBY LOCUMS INC
PO BOX 972633	DALLAS	TX	75397	SERVICES	$5,494,575
COMPHEALTH
PO BOX 972651	DALLAS	TX	75397	SERVICES	$3,694,615
SODEXO INC AND AFFILIATES
PO BOX 360170	PITTSBURGH	PA	15251	SERVICES	$3,305,971

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	66	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,821,133	RelatedOrganizationsAmt
Government Grants	$2,743,632	GovernmentGrantsAmt
Total Contributions	$4,564,765	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PATIENT SERVICE REVENUE	621110	$604,693,857	$604,693,857
PROGRAM SERVICE REVENUE	621110	$44,450,144	$30,857,484	$10,617,081	$2,975,579
340B REVENUE	621300	$11,899,824	$11,899,824
BIOMED SERVICES/SITE SERVICES FEE	541900	$73,943			$73,943

Field	Value	IRS element (for citing)
Total Program Service Revenue	$661,117,768	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,719,524	TotalRevenueColumnAmt
Exclusion	$6,719,524	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$80,248	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$129,666	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$49,418	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$49,418	TotalRevenueColumnAmt
Unrelated Business Revenue	-$49,418	UnrelatedBusinessRevenueAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$63,160,218	SecuritiesAmt
Other	$3,640,270	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$63,466,228	SecuritiesAmt
Other	$3,118,038	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$306,010	SecuritiesAmt
Other	$522,232	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$216,222	TotalRevenueColumnAmt
Exclusion	$216,222	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PRINTING SERVICES	561000	$12,458	$12,458
SNOW REMOVAL	812900	$8,493	$8,493
TELECOMMUNICATIONS	517000	$5,706	$5,706

Field	Value	IRS element (for citing)
Other Revenue Total	$26,657	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$672,595,518	TotalRevenueColumnAmt
Related Or Exempt Func Income	$647,451,165	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$10,594,320	UnrelatedBusinessRevenueAmt
Exclusion	$9,985,268	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$415,474	TotalAmt
Program Services	$415,474	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$14,110,545	TotalAmt
Program Services	$5,460,990	ProgramServicesAmt
Management And General	$8,649,555	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$278,217,077	TotalAmt
Program Services	$236,988,488	ProgramServicesAmt
Management And General	$41,228,589	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$16,274,863	TotalAmt
Program Services	$10,400,084	ProgramServicesAmt
Management And General	$5,874,779	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$25,874,315	TotalAmt
Program Services	$16,516,201	ProgramServicesAmt
Management And General	$9,358,114	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$17,633,065	TotalAmt
Program Services	$11,127,559	ProgramServicesAmt
Management And General	$6,505,506	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$235,728	TotalAmt
Fundraising	$235,728	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,251,564	TotalAmt
Management And General	$1,251,564	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$561,819	TotalAmt
Program Services	$463,475	ProgramServicesAmt
Management And General	$98,344	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$11,782,238	TotalAmt
Program Services	$8,802,090	ProgramServicesAmt
Management And General	$2,980,148	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,407,391	TotalAmt
Program Services	$2,121,284	ProgramServicesAmt
Management And General	$286,107	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,440,358	TotalAmt
Program Services	$3,823,840	ProgramServicesAmt
Management And General	$1,616,518	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$27,683,024	TotalAmt
Program Services	$19,453,589	ProgramServicesAmt
Management And General	$8,229,435	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,857,060	TotalAmt
Program Services	$2,517,512	ProgramServicesAmt
Management And General	$339,548	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
SUPPLIES	$144,389,933	$143,896,022	$493,911
UNRELATED BUSINESS TAX	$240,000	$240,000
PURCHASED SERVICES	$55,187,695	$48,579,517	$6,608,178
CONSULTING AND PROFESSI	$32,062,788	$31,714,459	$348,329

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,925,051	TotalAmt
Program Services	$4,303,289	ProgramServicesAmt
Management And General	$621,762	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$641,549,988	TotalAmt
Program Services	$546,823,873	ProgramServicesAmt
Management And General	$94,490,387	ManagementAndGeneralAmt
Fundraising	$235,728	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$961,710	BOYAmt
EOY	$1,839,060	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$25,102,866	BOYAmt
EOY	$58,345,875	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$82,325,054	BOYAmt
EOY	$108,901,146	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$421,180	BOYAmt
EOY	$436,948	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$9,640,362	BOYAmt
EOY	$12,071,647	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$5,067,551	BOYAmt
EOY	$4,790,352	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$971,943,062	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$473,618,405	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$325,745,127	BOYAmt
EOY	$498,324,657	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$384,317,857	BOYAmt
EOY	$367,752,950	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$86,054,258	BOYAmt
EOY	$91,341,088	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$54,379,959	BOYAmt
EOY	$63,676,184	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$974,015,924	BOYAmt
EOY	$1,207,479,907	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$67,377,559	BOYAmt
EOY	$90,843,071	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$2,117,015	BOYAmt
EOY	$1,631,917	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$532,377,996	BOYAmt
EOY	$672,358,790	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$29,836,770	BOYAmt
EOY	$39,461,389	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$631,709,340	BOYAmt
EOY	$804,295,167	EOYAmt

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

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$342,306,584	BOYAmt
EOY	$403,184,740	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$342,306,584	BOYAmt
EOY	$403,184,740	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$974,015,924	BOYAmt
EOY	$1,207,479,907	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$31,045,530	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$24,330,981	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$35,098	DonatedServicesAndUseFcltsAmt
Other Changes In Net Assets	$5,466,547	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$2,707,715	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$9,527,816	OtherCostOrOtherBasisAmt
Book Value	$12,235,531	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$279,370,068	OtherCostOrOtherBasisAmt
Depreciation	$216,968,378	DepreciationAmt
Book Value	$62,401,690	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$23,751,923	OtherCostOrOtherBasisAmt
Depreciation	$15,687,261	DepreciationAmt
Book Value	$8,064,662	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$275,324,983	OtherCostOrOtherBasisAmt
Depreciation	$240,962,766	DepreciationAmt
Book Value	$34,362,217	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$381,260,557	OtherCostOrOtherBasisAmt
Book Value	$381,260,557	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$498,324,657	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
INVESTMENT IN SUBSIDIARY	$39,205,408	C
EQUITY METHOD INVESTMENTS	$3,485,835	C
ALTERNATIVE INVESTMENTS	$48,649,845	C

Field	Value	IRS element (for citing)
Total Book Value Securities	$91,341,088	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
ASSETS HELD UNDER TRUST AGREEMENTS	$20,122,562
ROU ASSETS AND OTHER ASSETS	$8,854,923
UNAMORTIZED BOND ISSUE AND OTHER COSTS	$16,380,900
LEASE RECEIVABLE	$18,317,799

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$63,676,184	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
OTHER	$19,613,724
ESTIMATED THIRD PARTY LIABILITY	$6,900,000
SPECIAL ASSESSMENTS PAYABLE	$243,253
ASSET RETIREMENT OBLIGATION	$3,000,000
LEASE LIABILITY	$9,364,357
DUE TO AFFILIATES	$340,055

Field	Value	IRS element (for citing)
Total Liability	$39,461,389	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES THE ORGANIZATION'S POLICY IS TO EVALUATE THE LIKELIHOOD THAT ITS UNCERTAIN TAX POSITIONS WILL PREVAIL UPON EXAMINATION BASED ON THE EXTENT TO WHICH THOSE POSITIONS HAVE SUBSTANTIAL SUPPORT WITHIN THE INTERNAL REVENUE CODE AND REGULATIONS, REVENUE RULINGS, COURT DECISIONS AND OTHER EVIDENCE. IT IS THE OPINION OF MANAGEMENT THAT THE ORGANIZATION HAS NO SIGNIFICANT UNCERTAIN TAX POSITIONS THAT WOULD BE SUBJECT TO CHANGE UPON EXAMINATION. THE FEDERAL INCOME TAX RETURNS OF THE ORGANIZATION ARE SUBJECT TO EXAMINATION BY INTERNAL REVENUE SERVICE GENERALLY FOR THREE YEARS AFTER THEY WERE FILED; ALL FILINGS ARE CURRENT.	ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS,	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	INVESTMENT	TypeOfActivitiesConductedTxt
Region Total Expenditures	$6,661,865	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$6,661,865	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$6,661,865	TotalSpentAmt
Transfer To Foreign Corp	0	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Schedule G IRS990ScheduleG

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

Fundraiser Activity Info FundraiserActivityInfoGrp

Organization Business Name OrganizationBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	COMMUNITY COUNSELLING SERVICE CO LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	527 MADISON AVENUE 5TH FLOOR	AddressLine1Txt
City	NEW YORK	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10022	ZIPCd

Field	Value	IRS element (for citing)
Activity	CAPITAL CAMPAIGN PLANNING AND IMPLEMENTATION	ActivityTxt
Fundraiser Control Of Funds	0	FundraiserControlOfFundsInd
Gross Receipts	$0	GrossReceiptsAmt
Retained By Contractor	$235,728	RetainedByContractorAmt
Net To Organization	-$235,728	NetToOrganizationAmt

Field	Value	IRS element (for citing)
Total Retained By Contractors	$235,728	TotalRetainedByContractorsAmt
Total Net To Organization	-$235,728	TotalNetToOrganizationAmt
Licensed States	ND	LicensedStatesCd

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent150	Yes (X)	Percent150Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent250	Yes (X)	Percent250Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,571,917	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,571,917	NetCommunityBenefitExpnsAmt
Total Expense	0.00250	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$34,497,663	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$27,399,827	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,097,836	NetCommunityBenefitExpnsAmt
Total Expense	0.01110	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$959,121	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$959,121	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$37,028,701	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$27,399,827	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,628,874	NetCommunityBenefitExpnsAmt
Total Expense	0.01510	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$918,752	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$918,752	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,341,731	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,558,435	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,783,296	NetCommunityBenefitExpnsAmt
Total Expense	0.00280	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$203,232	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$203,232	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,478,715	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,558,435	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,920,280	NetCommunityBenefitExpnsAmt
Total Expense	0.00450	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$41,507,416	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$28,958,262	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,549,154	NetCommunityBenefitExpnsAmt
Total Expense	0.01960	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Reimbursed By Medicare	$139,672,760	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$143,765,386	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$4,092,626	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
ALTRU HOSPITAL
1	1200 S COLUMBIA RD	GRAND FORKS	ND	582066002	Yes (X)	Yes (X)	Yes (X)	A
ALTRU SPECIALTY CENTER
2	4500 S WASHINGTON ST	GRAND FORKS	ND	58201	Yes (X)	Yes (X)		A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.ALTRU.ORG	OwnWebsiteURLTxt
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	23	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.ALTRU.ORG	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	150.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	250.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.ALTRU.ORG	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.ALTRU.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.ALTRU.ORG	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Collection Activities	0	CollectionActivitiesInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	Yes (1)	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: ALTRU HOSPITAL, - FACILITY 2: ALTRU SPECIALTY CENTER
ALTRU HOSPITAL PART V, SECTION B, LINE 5:	ALTRU HEALTH SYSTEM AND THE GRAND FORKS PUBLIC HEALTH DEPARTMENT ENGAGED MULTIPLE PARTNERS TO CONDUCT SURVEYS AND FOCUS GROUPS WITH COMMUNITY LEADERS AND SPECIAL POPULATIONS TO GET THEIR INSIGHT ABOUT THE HEALTH OF THE COMMUNITY AND HOW IT CAN BE IMPROVED. IT WAS AGREED TO USE THE UPDATED PROCESS FROM THE ASSOCIATION FOR COMMUNITY HEALTH IMPROVEMENT (NINE STEP COMMUNITY HEALTH ASSESSMENT PROCESS).A COMMUNITY-BASED ADVISORY COMMITTEE WAS FORMED TO WORK WITH ALTRU AND GRAND FORKS PUBLIC HEALTH ON THE ASSESSMENT. LEADERSHIP FROM ALTRU AND GRAND FORKS PUBLIC HEALTH SERVED ON THE ADVISORY COMMITTEE, ALONG WITH INDIVIDUALS REPRESENTING THE FOLLOWING AGENCIES/ORGANIZATIONS:ALLUMAALTRU FAMILY YMCAALTRU HEALTH SYSTEMCHAMBER OF GRAND FORKS AND EAST GRAND FORKSCITY OF EAST GRAND FORKSCITY OF GRAND FORKSCOMMUNITY VIOLENCE INTERVENTION CENTEREAST GRAND FORKS PUBLIC SCHOOLSGRAND FORKS AIR FORCE BASEGRAND FORKS HERALDGRAND FORKS HOUSING AUTHORITYGRAND FORKS PARKS AND RECREATIONGRAND FORKS FIRE DEPARTMENTGRAND FORKS PARK DISTRICTGRAND FORKS POLICE DEPARTMENTGRAND FORKS PUBLIC SCHOOLSGRAND FORKS SENIOR CENTERGRAND FORKS ECONOMIC DEVELOPMENT CORPORATIONKORSMO FAMILY DENTISTRYNORTHEAST HUMAN SERVICE CENTERNORTHLANDS RESCUE MISSIONPOLK COUNTY PUBLIC HEALTHQUALITY HEALTH ASSOCIATESSAFE KIDSSHAREHOUSESPECTRA HEALTHTURTLE RIVER STATE PARKUNIVERSITY OF NORTH DAKOTA MASTERS OF PUBLIC HEALTH PROGRAMUNITED WAYGRAND FORKS PUBLIC HEALTH AND ALTRU HEALTH SYSTEM ENGAGED A STUDENT TEAM AT THE UNIVERSITY OF NORTH DAKOTA'S MASTER OF PUBLIC HEALTH PROGRAM WITH THE ASSISTANCE OF ASHLEY EVENSON, MPH, ASSISTANT DIRECTOR WITH THE PUBLIC HEALTH PROGRAM. THE STUDENT AND FACULTY TEAM CONDUCTED A COMMUNITY SURVEY ALONG WITH FOCUS GROUPS WITH COMMUNITY LEADERS AND SPECIAL POPULATIONS TO GET THEIR INSIGHT ABOUT THE HEALTH OF GRAND FORKS AND POLK COUNTY COMMUNITIES AND HOW IT CAN BE IMPROVED.
ALTRU HOSPITAL PART V, SECTION B, LINE 6A:	ALTRU 1300 COLUMBIA
ALTRU HOSPITAL PART V, SECTION B, LINE 6B:	GRAND FORKS PUBLIC HEALTH
ALTRU HOSPITAL PART V, SECTION B, LINE 11:	UPON APPROVAL OF THE PRIORITIES BY THE GOVERNING BODIES, A SMALL WORKGROUP OF COMMUNITY STAKEHOLDERS WAS ASSEMBLED TO DEVELOP THE FRAME FOR IMPROVEMENT OVER THE NEXT THREE YEARS. THESE STAKEHOLDERS REPRESENTED ALTRU HEALTH SYSTEM, GRAND FORKS PUBLIC HEALTH, SPECTRA HEALTH, MENTAL HEALTH MATTERS, BLUE ZONES PROJECT GRAND FORKS AND GRAND FORKS REGION ECONOMIC DEVELOPMENT CORPORATION. WITH THIS ASSESSMENT/IMPROVEMENT CYCLE, STAKEHOLDER CONVERSATIONS CHANGED TO REFLECT THE VERY DIFFERENT DYNAMICS IN THE COMMUNITY AND REGION POST PANDEMIC. THE INFLUENCE OF MENTAL HEALTH FACTORS ACROSS ALL PRIORITIES, THE FOCUS ON HEALTH EQUITY AND THE LINGERING IMPACTS OF THE PANDEMIC ARE IMPACTING HOW WE VIEW COMMUNITY WELL-BEING AND HOW WE NEED TO RESPOND WITH IMPROVEMENT INITIATIVES. IN ADDITION, THERE ARE NEW AND DIFFERENT COMMUNITY RESOURCES AT PLAY THAT WILL BE IMPORTANT TO THIS WORK AND HOW IT IS SUSTAINED.THE OVERARCHING STRATEGIES TO ADDRESS THE PRIORITIES IDENTIFIED ARE DIRECTED TOWARD COMMUNITY INFRASTRUCTURE TO ADDRESS SOCIAL DETERMINANTS OF HEALTH AND COMMUNITY BUILDING THROUGH HEALTHY CONNECTIONS:STRATEGY 1: LEVERAGE COMMUNITY INFRASTRUCTURE TO ADDRESS SOCIAL DETERMINANTS OF HEALTH TO IMPROVE HEALTH EQUITY.STRATEGY 2: EMPOWER COMMUNITY BUILDING AMONG INDIVIDUALS THROUGH HEALTHY CONNECTIONS AND NEIGHBORHOOD NETWORKS. THE SIX PRIORITIES IDENTIFIED IN THE COMMUNITY HEALTH ASSESSMENT ARE COMPLEX AND INTERWOVEN. THE CURRENT IMPROVEMENT PLAN/IMPLEMENTATION STRATEGY TAKES A DIFFERENT APPROACH THAN PREVIOUS IMPROVEMENT PLANS USING THE OVERARCHING COMMUNITY STRATEGIES THAT "LIVE UPSTREAM" WITH A PREVENTION FOCUS AND THE POTENTIAL TO HAVE IMPACT ACROSS THE PRIORITIES VERSUS ADDRESSING EACH INDIVIDUALLY. WITH THIS APPROACH, THE PRIORITY AREAS OF WORKFORCE DEVELOPMENT AND CHILDCARE WILL NOT BE AS DIRECTLY IMPACTED BY THE STRATEGIES AND TACTICS IDENTIFIED HERE. THERE ARE CONSIDERABLE LOCAL AND STATE RESOURCES ADDRESSING THESE AREAS, AND THE WORK GROUP FELT THAT WE COULD DEFER TO THESE OTHER ENTITIES CURRENTLY ENGAGED TO MAKE IMPROVEMENTS ON THESE TWO TOPICS. ADDITIONALLY, ACCESS TO CARE HAS LONG BEEN A PRIORITY OF ALTRU, GRAND FORKS PUBLIC HEALTH, AND OTHER COMMUNITY PARTNERS. THE WORK GROUP FELT THAT THE FOCUS OF THESE ORGANIZATIONS WILL CONTINUE INDEPENDENT OF THIS CHIP. THE WORK IDENTIFIED HERE CAN SUPPLEMENT AND SUPPORT THE VALUABLE GROUND THAT HAS BEEN GAINED.
ALTRU HOSPITAL PART V, SECTION B, LINE 24:	ALL PATIENTS ARE CHARGED THE GROSS CHARGE REGARDLESS OF INSURANCE STATUS. ADJUSTMENTS MAY BE APPLIED PROVIDING THE PATIENTS APPLY FOR AND QUALIFY FOR CHARITY CARE.

Field	Value	IRS element (for citing)
Facility	54	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (54 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - ALTRU CANCER CENTER
960 S COLUMBIA RD	GRAND FORKS	ND	582066003	OUTPATIENT DEPT OF ALTRU HOSP - CLINIC
2 - TRUYU AESTHETIC CENTER
3165 DEMERS AVE	GRAND FORKS	ND	582066003	OUTPATIENT DEPT OF ALTRU HOSP - CLINIC
3 - ALTRU FAMILY MEDICINE CENTER
1380 S COLUMBIA RD	GRAND FORKS	ND	582066003	OUTPATIENT DEPT OF ALTRU HOSP - CLINIC
4 - ALTRU FAMILY MEDICINE RESIDENCY
725 HAMLINE STREET	GRAND FORKS	ND	58203	OUTPATIENT CLINIC
5 - ALTRU FAMILY MEDICINE RESIDENCY PHARMACY
725 HAMLINE STREET	GRAND FORKS	ND	58203	OUTPATIENT PHARMACY
6 - ALTRU CLINIC - DRAYTON
1003 N MAIN	DRAYTON	ND	582254650	OUTPATIENT CLINIC/THERAPY
7 - ALTRU 860 COLUMBIA
860 S COLUMBIA RD	GRAND FORKS	ND	582066002	OUTPATIENT DEPARTMENT - PSYCH SERVICES
8 - ALTRU OUTPATIENT CENTER
411 2ND ST NW	EAST GRAND FORKS	MN	56721	OUTPATIENT THERAPY
9 - ALTRU CLINIC - CAVALIER
201 E 3RD AVE S	CAVALIER	ND	582200040	OUTPATIENT CLINIC
10 - ALTRU CLINIC - DEVILS LAKE
1001 7TH STREET NE	DEVILS LAKE	ND	583012719	OUTPATIENT CLINIC
11 - ALTRU CLINIC - CROOKSTON
400 SOUTH MINNESOTA	CROOKSTON	MN	567160606	OUTPATIENT DEPT OF ALTRU HOSP - CLINIC
12 - ALTRU CLINIC - ERSKINE
113 VANCE AVE N	ERSKINE	MN	565354201	OUTPATIENT DEPT OF ALTRU HOSP - CLINIC
13 - ALTRU CLINIC - FERTILE
101 S MILL ST	FERTILE	MN	565404215	OUTPATIENT DEPT OF ALTRU HOSP - CLINIC
14 - ALTRU CLINIC - ROSEAU
711 DELMORE DRIVE	ROSEAU	MN	567511534	OUTPATIENT CLINIC
15 - ALTRU CLINIC - WARROAD
412 MAIN AVE NE	WARROAD	MN	567632342	OUTPATIENT CLINIC
16 - ALTRU CLINIC - GREENBUSH
19120 200TH ST	GREENBUSH	MN	567269280	OUTPATIENT CLINIC
17 - UNITY MEDICAL CENTER
164 WEST 13TH STREET	GRAFTON	ND	58237	HOME HEALTH/HOSPICE
18 - FIRST CARE HEALTH CENTER
PO BOX I	PARK RIVER	ND	58270	HOME HEALTH/HOSPICE/THERAPY
19 - NELSON COUNTY HEALTH SYSTEM
BOX 367	MCVILLE	ND	58254	HOME HEALTH/HOSPICE
20 - CO ALTRU CLINIC - CAVALIER
201 E 3RD AVE S	CAVALIER	ND	58220	HOME HEALTH/HOSPICE
21 - ALTRU HOME SVCS-NORTH VALLEY HOME HEALTH
109 S MINNESOTA ST	WARREN	MN	56762	HOME HEALTH/HOSPICE
22 - ANETA PARKVIEW HEALTH CENTER
BOX 287	ANETA	ND	58212	OUTREACH CLINIC
23 - CAVALIER COUNTY MEMORIAL
909 2ND ST	LANGDON	ND	58249	OUTREACH CLINIC
24 - CENTRAL BOILER
20502 160TH ST	GREENBUSH	MN	56726	OUTREACH CLINIC
25 - COOPERSTOWN MEDICAL CENTER
1200 ROBERTS ST	COOPERSTOWN	ND	58425	OUTREACH CLINIC
26 - DEVILS LAKE GOOD SAMARITAN
302 7TH AVE	DEVILS LAKE	ND	58301	OUTREACH CLINIC
27 - FIRST CARE HEALTH CENTER
115 VIVIAN ST	PARK RIVER	ND	58270	OUTREACH CLINIC
28 - FRIENDSHIP
554 W 12TH ST	GRAFTON	ND	58327	OUTREACH CLINIC
29 - 4TH CORP
120 11TH ST	NEW ROCKFORD	ND	58356	OUTREACH CLINIC
30 - GRIGGS COUNTY HOSPITAL
1200 ROBERTS AVE NE	COOPERSTOWN	ND	58425	OUTREACH CLINIC
31 - HATTON PRAIRIE VILLAGE
930 DAKOTA AVE	HATTON	ND	58240	OUTREACH CLINIC
32 - HEARTLAND CARE CENTER
620 14TH AVE NE	DEVILS LAKE	ND	58301	OUTREACH CLINIC
33 - KARLSTAD HEALTH CARE
304 WASHINGTON AVE W	KARLSTAD	MN	56732	OUTREACH CLINIC
34 - KITTSON MEMORIAL HEALTH CARE CENTER
1010 S BIRCH	HALLOCK	MN	56728	OUTREACH CLINIC
35 - KITTSON MEMORIAL CLINIC OF KARLSTAD
1ST AND ROOSEVELT	KARLSTAD	MN	56732	OUTREACH CLINIC
36 - LAKE REGION CORP
224 3TH ST NW	DEVILS LAKE	ND	583012908	OUTREACH CLINIC
37 - LAKOTA GOOD SAMARITAN
608 4TH AVE SW HWY 2	LAKOTA	ND	583447500	OUTREACH CLINIC
38 - MAPLE MANOR CARE CENTER
1116 9TH AVE	LANGDON	ND	58249	OUTREACH CLINIC
39 - MCINTOSH MANOR NURSING HOME
600 RIVERSIDE AVE NE	MCINTOSH	MN	56556	OUTREACH CLINIC
40 - NELSON COUNTY CARE CENTER
108 E NYHUS AVE	MCVILLE	ND	58254	OUTREACH CLINIC
41 - NELSON COUNTY HEALTH SYSTEM
200 NORTH MAIN	MCVILLE	ND	58254	OUTREACH CLINIC
42 - NORTHWOOD DEACONESS
4 N PARK ST	NORTHWOOD	ND	58267	OUTREACH CLINIC
43 - OAKLAND PARK COMMUNITIES INC
123 BAKEN STREET	THIEF RIVER FALLS	MN	56701	OUTREACH CLINIC
44 - PEMBILIER NURSING CENTER
500 DELANO AVE	WALHALLA	ND	58282	OUTREACH CLINIC
45 - PEMBINA COUNTY MEMORIAL HOSPITAL
301 MOUNTAIN STREET E	CAVALIER	ND	58220	OUTREACH CLINIC
46 - PIONEER MEMORIAL CARE CENTER
23028 347TH ST SE	ERSKINE	MN	565359466	OUTREACH CLINIC
47 - REM-GRAFTON
817 HILL AVE	GRAFTON	ND	58327	OUTREACH CLINIC
48 - VALLEY 4000
4004 24TH AVE SOUTH	GRAND FORKS	ND	58201	OUTREACH CLINIC
49 - VALLEY MEMORIAL HOMES
2900 14TH AVE SOUTH	GRAND FORKS	ND	58201	OUTREACH CLINIC
50 - WEDGEWOOD MANOR
804 MAIN STREET WEST	CAVALIER	ND	58220	OUTREACH CLINIC
51 - CENTER FOR PREVENTION & GENETICS
4401 S 11TH ST	GRAND FORKS	ND	58201	OUTREACH CLINIC
52 - ALTRU CLINIC - EAST GRAND FORKS
607 DEMERS AVE	EAST GRAND FORKS	MN	56721	OUTPATIENT DEPT OF ALTRU HOSP - CLINIC
53 - ALTRU PROFESSIONAL CENTER
4440 S WASHINGTON ST	GRAND FORKS	ND	58201	OUTPATIENT CLINIC
54 - ALTRU CLINIC - THIEF RIVER FALLS
1845 HWY 59 S STE 800	THIEF RIVER FALLS	MN	56701	OUTPATIENT CLINIC

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 6A:	PREPARATION OF ANNUAL COMMUNITY BENEFIT REPORT: ALTRU HEALTH SYSTEM PREPARES ANNUALLY A COMMUNITY BENEFIT REPORT BASED ON FORMS DESIGNED BY THE CATHOLIC HEALTH ORGANIZATION. ONCE ALL REPORTING FORMS HAVE BEEN COMPILED FOR THE YEAR, THE CATHOLIC HEALTH ORGANIZATION'S REFERENCE GUIDE FROM "A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT" IS USED TO DETERMINE WHAT ITEMS SHOULD BE REPORTED INTO WHAT CATEGORY. THE COMMUNITY BENEFIT REPORT IS PUBLISHED AS A PART OF THE CORPORATION'S ANNUAL REPORT, WHICH IS PLACED ON OUR WEB SITE FOR PUBLIC ACCESS.
PART I, LINE 7:	CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST: THE METHODOLOGY USED TO DETERMINE THE REPORTED AMOUNTS FOR THE CHARITY CARE IS A COST-TO-CHARGE RATIO BASED ON GROSS CHARGES WRITTEN OFF PURSUANT TO OUR CHARITY CARE AND MEANS-TESTED PROGRAMS ELIGIBILITY CRITERIA. OTHER COMMUNITY BENEFIT IS DETERMINED FROM INFORMATION THAT WAS COMPILED ON FORMS DESIGNED BY THE CATHOLIC HEALTH ORGANIZATION AND USING THEIR REFERENCE GUIDE, "A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT," TO DETERMINE WHICH CATEGORY THE AMOUNTS ARE PROPERLY REPORTED UNDER.
PART II, COMMUNITY BUILDING ACTIVITIES:	NONE DOCUMENTED ON FORM 990.
PART III, LINE 2:	NO BAD DEBT EXPENSE WAS REPORTED IN OPERATING EXPENSE AS NOTED IN THE NET PATIENT SERVICE REVENUE NOTE IN THE FINANICAL STATEMENTS. DISCOUNTS AND ALLOWANCES ARE ACCOUNTED FOR SEPARATELY FROM BAD DEBT EXPENSE.
PART III, LINE 3:	IT IS POLICY TO MAKE FINANICAL ASSISTANCE AVAILABLE TO PATIENTS WHO FIT THE FINANICAL ASSISTANCE CRITERIA. IT IS THE ORGANIZATION'S GOAL TO MAKE CERTAIN THAT THEY ARE PROACTIVE IN THE DETERMINATION OF FINANCIAL ASSISTANCE. ALL EFFORTS ARE MADE TO ENSURE THAT FINANCIAL ASSISTANCE ELIGIGLE PATIENTS DO NOT PROGRESS TO BAD DEBTS AND THEREFORE NO DOLLAR AMOUNT FOR BAD DEBT IS INCLUDED.
PART III, LINE 4:	THE AUDITED FINANICAL STATEMENTS DO NOT INCLUDE A BAD DEBT FOOTNOTE. THE ORGANIZATION REPORTS BAD DEBT IN ACCORDANCE WITH GAAP.
PART III, LINE 8:	NONE OF THE SHORTFALL SHOWN ON PART III, LINE 7 OF $4,092,626 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, 2023, 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 POLICY 2614 "FINANICAL ASSISTANCE." ALTRU'S COMMUNITY CARE PROGRAM IS DESIGNED TO PROVIDE FINANCIAL ASSISTANCE TO THOSE WHO HAVE NO INSURANCE AND/OR LIMITED MEANS TO PAY FOR THEIR MEDICAL SERVICES AND DO NOT QUALIFY FOR OTHER PROGRAMS. IN ADDITION TO QUALITY HEALTHCARE, PATIENTS OF ALTRU HEALTH SYSTEM ARE PROVIDED FINANCIAL COUNSELING REGARDING THEIR MEDICAL BILLS, BY SOMEONE WHO CAN UNDERSTAND AND OFFER POSSIBLE SOLUTIONS FOR THOSE WHO CANNOT PAY IN FULL. PROGRAMS ARE ALSO AVAILABLE FOR UNINSURED PATIENTS, AND FOR THOSE FOUND TO BE IN MEDICAL HARDSHIP.
PART VI, LINE 2:	NEEDS ASSESSMENT: ALTRU HEALTH SYSTEM'S MISSION - MAKING A DIFFERENCE FOR THOSE WE CARE FOR - CONFIRMS THAT OUR RESPONSIBILITY TO THE REGION GOES BEYOND PROVIDING QUALITY HEALTHCARE SERVICES. ALL OF OUR RESOURCES ARE DEVOTED TO IMPROVING HEALTH IN THE COMMUNITIES WE SERVE. AT ALTRU, GOOD HEALTH MEANS THAT EVERY INDIVIDUAL SHOULD ENJOY THE BEST ACHIEVABLE AND SO SHOULD OUR COMMUNITIES. ALTRU'S FOURTH CYCLE OF OUR COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED IN 2022; THE ASSESSMENT WAS APPROVED BY OUR BOARD OF DIRECTORS ON DECEMBER 19, 2022. AS A RESULT OF THE ASSESSMENT, ALTRU PRIORITIZED AND IS FOCUSING ON THE FOLLOWING SIX ISSUES: 1)MENTAL HEALTH - IMPROVE THE MENTAL WELL-BEING OF ALL RESIDENTS AND BUILD RESILIENCE. 2) WORKFORCE - COLLABORATE ACROSS SECTORS TO EXPAND THE AVAILABLE WORKFORCE. 3) ACCESS TO CARE - INCREASE ACCESS TO PRIMARY, SPECIALTY, BEHAVIORAL, AND ORAL HEALTH CARE WITH A FOCUS ON REDUCING BARRIERS. 4) SUBSTANCE USE - REDUCE THE PREVALENCE OF SUBSTANCE USE INCLUDING ALCOHOL, TOBACCO AND OTHER DRUGS. 5) CHILD CARE - DEVELOP STRATEGIES TO MEET THE CHILDCARE NEEDS OF THE REGION WITH A FOCUS ON ACCESS AND AFFORDABILITY. 6) OBESITY - REDUCE THE PREVALENCE OF OBESITY IN THE POPULATION THROUGH INCREASED ACCESS TO SUPPORTIVE SERVICES AND REDUCED COST BURDEN.
PART VI, LINE 3:	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:ALTRU HAS SEVERAL AVENUES IN WHICH INFORMATION REGARDING FINANCIAL ASSISTANCE PROGRAMS IS COMMUNICATED TO PATIENTS. UNINSURED AND SELF-PAY PATIENTS IN THE HOSPITAL RECEIVE A VISIT FROM PATIENT REPRESENTATIVES AFTER INTAKE. DURING THIS MEETING, THEY ARE INFORMED OF VARIOUS FEDERAL, STATE AND COMMUNITY-BASED PROGRAMS THAT MAY PROVIDE ASSISTANCE. UNINSURED OR SELF-PAY PATIENTS FROM OUTPATIENTS RECEIVE CONTACT FROM PATIENT REPRESENTATIVES BY PHONE OR EMAIL INFORMING THEM OF POTENTIAL SOURCES OF FINANCIAL ASSISTANCE. BOTH SETS OF PATIENTS ARE ALSO PROVIDED INFORMATION ON HOW TO MOVE FORWARD IN APPLYING FOR THE PROGRAMS. IF PATIENTS ARE FOUND TO BE STRUGGLING WITH MEDICAL EXPENSES, OUR CREDIT AND COLLECTIONS REPRESENTATIVES UTILIZE LETTERS AND PHONE CALLS TO INFORM THEM OF VARIOUS RESOURCES THAT MAY PROVIDE ASSISTANCE.FINANCIAL ASSISTANCE INFORMATION IS ALSO AVAILABLE TO THE PUBLIC AS A WHOLE. ALTRU'S WEBSITE, ALTRU.ORG, INCLUDES FINANCIAL ASSISTANCE CONTACT INFORMATION AND ELIGIBILITY GUIDELINES. PATIENTS MAY REVIEW THIS ON THEIR OWN AND CONTACT AGENCIES THAT MAY PROVIDE ASSISTANCE BASED ON THEIR CIRCUMSTANCES. ALSO, ALTRU DISTRIBUTES BROCHURES FEATURING OUR COMMUNITY CARE PROGRAM AND OTHER FEDERAL AND STATE PROGRAMS. THESE BROCHURES ARE AVAILABLE TO BOTH PATIENTS AND VISITORS IN WAITING ROOMS OF OUR INPATIENT AND OUTPATIENT FACILITIES AS WELL AS IN ALL BUSINESS OFFICE LOCATIONS.
PART VI, LINE 4:	COMMUNITY INFORMATION:ALTRU HEALTH SYSTEM SERVES A 24-COUNTY AREA THAT IS DIVIDED INTO SEVEN DISTINCT SUB-SERVICE AREAS AND HAS A POPULATION OF APPROXIMATELY 229,000 PERSONS (SOURCE: OPTUM 2021 POPULATION AGE SEGMENTATION ANALYSIS, OPTUM HAD NOT UPDATED DATA FOR 2023 AT THE TIME OF RETURN PREPARATION) WHO RESIDE IN A DIVERSE AREA OF AGRICULTURE AND INDUSTRY. THE SERVICE AREA STRETCHES 265 MILES EAST AND WEST AND 120 MILES NORTH AND SOUTH. GRAND FORKS SITS IN THE CENTRAL SERVICE AREA IN THE MIDDLE OF THE RED RIVER VALLEY, ONE OF THE WORLD'S RICHEST AGRICULTURAL AREAS. PRINCIPAL CROPS INCLUDE SUGAR BEETS, POTATOES, EDIBLE BEANS, AND SMALL GRAINS SUCH AS WHEAT AND BARLEY. MUCH OF THE INDUSTRY IN THE AREA IS RELATED TO AGRICULTURE AND FOOD PROCESSING.THE CENTRAL SERVICE AREA, COMPRISED OF GRAND FORKS AND SURROUNDING COMMUNITIES WITHIN GRAND FORKS COUNTY, IS HOME TO APPROXIMATELY 73,327 PEOPLE (SOURCE: OPTUM 2021 POPULATION AGE SEGMENTATION ANALYSIS). LOCATED IN THIS SUB-SERVICE AREA ARE ALTRU HOSPITAL, ALTRU SPECIALTY CENTER, ALTRU REHABILITATION CENTER, ALTRU CANCER CENTER, AND 13 OTHER LOCATIONS THAT ARE HOME TO OUR PROVIDERS' CLINIC PRACTICES AND OTHER SERVICES OFFERED BY ALTRU. ALTRU HOSPITAL SERVES AS THE MAJOR REFERRAL CENTER FOR THE PEOPLE OF THE REGION. AS SUCH, IT PROVIDES A BROAD SPECTRUM OF PROGRAMS AND SERVICES. A FULL RANGE OF SERVICES ARE AVAILABLE FOR PATIENTS SUFFERING FROM CANCER, HEART DISEASE, END-STAGE RENAL DISEASE, NEUROLOGICAL DISORDERS, ALCOHOL OR CHEMICAL DEPENDENCY, HIGH RISK OBSTETRICAL COMPLICATIONS, AND PSYCHIATRIC DISORDERS. ALTRU HOSPITAL'S INPATIENT MARKET SHARE IN 2023 FOR OUR ENTIRE SERVICE AREA WAS 45 PERCENT BASED ON CLAIMS DATA. 70.9 PERCENT OF STAFF EMPLOYED BY ALTRU ARE MEDICAL STAFF WHICH IS DEFINED AS EMPLOYEES WHO WORK IN JOB FAMILY GROUPS OF: AMBULATORY SERVICES, HOSPITAL SERVICES, LAB, NURSING, NUTRITION, PATIENT SUPPORT SERVICES, PHARMACY, PROVIDERS, RADIOLOGY, SOCIAL WORK, AND THERAPY. ALSO LOCATED IN GRAND FORKS COUNTY IS NORTHWOOD COMMUNITY HEALTH CENTER (IN NORTHWOOD, ND). A COUPLE NOTABLE POPULATIONS ALTRU SERVES THAT ARE WITHIN OUR CENTRAL SERVICE AREA INCLUDE THE UNIVERSITY OF NORTH DAKOTA AND GRAND FORKS AIR FORCE BASE. THE UNIVERSITY OF NORTH DAKOTA IS THE STATE'S OLDEST INSTITUTION OF HIGHER LEARNING WITH AN ENROLLMENT OF 14,172 (FALL 2023). THE NUMBER OF RESIDENTS AT GRAND FORKS AIR FORCE BASE WAS COUNTED AT 2,002 (2020 CENSUS).THE EAST, NORTH, NORTHEAST, NORTHWEST, SOUTH AND WEST SERVICE AREAS INCLUDE 23 COUNTIES THAT HAVE A POPULATION OF 155,422 PEOPLE (SOURCE: 2021 OPTUM POPULATION AGE SEGMENTATION ANALYSIS); THIS AREA IS LARGELY RURAL AND AGRICULTURAL. WITHIN THIS AREA, ALTRU HAS ELEVEN REGIONAL CLINIC LOCATIONS. BEYOND THE CENTRAL SERVICE AREA, THERE ARE SEVERAL SMALL HOSPITALS LISTED BELOW. CAVALIER COUNTY MEMORIAL HOSPITAL: LANGDON, ND PEMBINA COUNTY HOSPITAL: CAVALIER, ND UNITY MEDICAL CENTER: GRAFTON, ND FIRST CARE HEALTH CENTER: PARK RIVER, ND NELSON COUNTY HEALTH SYSTEM: MCVILLE, ND KITTSON MEMORIAL HOSPITAL: HALLOCK, MN NORTH VALLEY HEALTH CENTER: WARREN, MN LAKEWOOD HEALTH CENTER: BAUDETTE, MN MERCY HOSPITAL: DEVILS LAKE, ND SANFORD-THIEF RIVER FALLS MEDICAL CENTER: THIEF RIVER FALLS, MN PRESENTATION MEDICAL CENTER: ROLLA, ND TOWNER COUNTY MEDICAL CENTER: CANDO, ND SANFORD MAYVILLE MEDICAL CENTER: MAYVILLE, ND LIFECARE MEDICAL CENTER: ROSEAU, MN QUENTIN N. BURDICK MEMORIAL HOSPITAL: BELCOURT, NDALTRU HEALTH SYSTEM EMPLOYS MANY PROVIDERS WITHIN THE SUB-SERVICE AREAS. ALL OF THESE PROVIDERS ARE ON MEDICAL STAFFS OF COMMUNITY HOSPITALS THROUGHOUT THE REGION AND REFER PATIENTS TO ALTRU HOSPITAL AND ELSEWHERE FOR SPECIALITY CARE.AS PREVIOUSLY MENTIONED, ALTRU'S 24-COUNTY SERVICE AREA HAS A POPULATION OF APPROXIMATELY 229,000. USING DATA FROM OPTUM (A VENDOR SPECIALIZING IN HEALTH CARE PLANNING INFORMATION), THE INSURANCE COVERAGE FOR COMMUNITIES IN OUR SERVICE AREA IS ESTIMATED TO BE AS FOLLOWS: COVERAGE AS A PERCENT COMMERCIAL 49% MEDICARE - TYPE OF POLICY 23%MEDICAID - TYPE OF POLICY 13%SELF-PAY 6%OTHER 9%TOTAL 100%ALSO, FROM OPTUM, OUR TOTAL SERVICE AREA'S INCOME BY HOUSEHOLD IS AS FOLLOWS:INCOME RANGE 2021 PERCENTAGES$ < $ 5,000 3% $ 5,000 - $ 9,999 3%$ 10,000 - $ 14,999 5%$ 15,000 - $ 19,999 4%$ 20,000 - $ 24,999 4%$ 25,000 - $ 29,999 5%$ 30,000 - $ 34,999 5%$ 35,000 - $ 39,999 4%$ 40,000 - $ 44,999 4%$ 45,000 - $ 49,999 4%$ 50,000 - $ 54,999 5%$ 55,000 - $ 59,999 5%$ 60,000 - $ 64,999 4%$ 65,000 - $ 69,999 3%$ 70,000 - $ 74,999 3%$ 75,000 - $ 79,999 3%$ 80,000 - $ 84,999 3%$ 85,000 - $ 89,999 3%$ 90,000 - $ 94,999 3%$ 95,000 - $ 99,999 2%$100,000 - $124,999 10%$125,000 - $149,999 6%$150,000 - $199,999 5%$ > $200,000 4%ACCORDING TO THE WEBSITE FOR HEALTH RESOURCES AND SERVICES ADMINISTRATION, THE FOLLOWING AREAS IN OUR SERVICE AREA ARE MUA'S:NORTH DAKOTA:BENSON COUNTY: WEST/NORTHWEST SERVICE AREACAVALIER COUNTY: NORTH SERVICE AREAGRAND FORKS COUNTY: CENTRAL SERVICE AREANELSON COUNTY: WEST SERVICE AREAPEMBINA COUNTY: NORTH SERVICE AREAROLETTE COUNTY: NORTHWEST SERVICE AREATOWNER COUNTY: WEST/NORTHWEST SERVICE AREATRAILL COUNTY: SOUTH SERVICE AREAWALSH COUNTY: NORTH SERVICE AREAMINNESOTA:KITTSON COUNTY: NORTHEAST SERVICE AREAMARSHALL COUNTY: NORTHEAST SERVICE AREAPOLK COUNTY: EAST SERVICE AREAROSEAU COUNTY: NORTHEAST SERVICE AREA
PART VI, LINE 5:	ALL OF ALTRU'S RESOURCES ARE DEVOTED TO IMPROVING HEALTH IN THE COMMUNITIES WE SERVE. TO DO SO, WE KNOW THAT NOT ALL MEDICAL SERVICES WILL COME FROM STAFF EMPLOYED BY ALTRU HEALTH SYSTEM. ALTRU EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN OUR COMMUNITY FOR NEARLY ALL DEPARTMENTS. ALSO, OUR BOARD OF DIRECTORS IS MADE UP OF INDIVIDUALS FROM OUTSIDE ALTRU HEALTH SYSTEM. THESE PEOPLE ARE VOLUNTEERS WHO HAVE THE SAME DEDICATION AND FOCUS ON ALTRU'S MISSION AS OUR OWN STAFF.
PART VI, LINE 6:	ALTRU HEALTH SYSTEM IS PART OF AN AFFILIATED HEALTH CARE SYSTEM. IN SEPTEMBER 2011, ALTRU HEALTH SYSTEM BECAME THE FIRST MEMBER OF THE MAYO CLINIC CARE NETWORK. THIS IS A NON-OWNERSHIP RELATIONSHIP THAT BENFITS THE ORGANIZATION'S PHYSICIANS AND PATIENTS FROM ENHANCED ACCESS TO MAYO PHYSICIANS AND CLINICAL RESOURCES. MORE SPECIFICALLY, PHYSICIANS HAVE ACCESS TO MAYO CLINIC'S EVIDENCE-BASED DISEASE MANAGEMENT PROTOCOLS, CLINIC CARE GUIDELINES, AND TREATMENT RECOMMENDATIONS AND REFERENCE MATERIALS FOR COMPLEX MEDICAL CONDITIONS.PART VI, LINE 7: ALTRU HEALTH SYSTEM IS NOT REQUIRED TO FILE OUR COMMUNITY BENEFIT REPORT WITH ANY OUTSIDE ORGANIZATIONS BUT HAS MADE OUR REPORT AVAILABLE TO ANYONE ON OUR WEB SITE.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (14 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
CITY OF GRAND FORKS
255 N 4TH ST	GRAND FORKS	ND	58203	456002085	GRAND FORKS, ND	$91,798	$0	SOCIAL DETOX FACILITY AND COMMUNITY SHARPS PROGRAM
ALTRU HEALTH FOUNDATION
2501 DEMERS AVE	GRAND FORKS	ND	58201	450368330	501(C)(3)	$79,479	$0	SAFE KIDS GRANT
GRAND FORKS PUBLIC SCHOOLS
2400 47TH AVE S	GRAND FORKS	ND	58201	456000607	GRAND FORKS, ND	$75,000	$0	MAINTENANCE AND REPAIR OF CUSHMAN TRACK AND FIELD
GRAND FORKS REGION ECONOMIC DEVELOPMENT CORPORATION
120 N 4TH ST	GRAND FORKS	ND	58203	450410198	501(C)(6)	$30,000	$0	GENERAL SUPPORT
CHAMBER OF GRAND FORKS EAST GRAND FORKS
202 N 3RD ST	GRAND FORKS	ND	58203	202924979	501(C)(6)	$17,949	$0	GENERAL SUPPORT
UND FOUNDATION
3100 UNIVERSITY AVE STOP 8157	GRAND FORKS	ND	58202	450348296	501(C)(3)	$15,000	$0	GENERAL SUPPORT
DEVILS LAKE PUBLIC SCHOOLS
1601 COLLEGE DRIVE NORTH	DEVILS LAKE	ND	58301	456001342	DEVILS LAKE, ND	$10,417	$0	ATHLETIC TRAINING SPONSORSHIP
GRAND FORKS FOUNDATION FOR EDUCATION
2400 47TH AVE S	GRAND FORKS	ND	58201	450404011	501(C)(3)	$10,000	$0	CAREER IMPACT ACADEMY DONATION
GREATER GRAND FORKS YOUNG PROFESSIONALS
202 NORTH 3RD ST	GRAND FORKS	ND	58203	320134204	501(C)(6)	$10,000	$0	GENERAL SUPPORT
COMMUNITY VIOLENCE INTERVENTION CENTER
211 SOUTH 4TH ST	GRAND FORKS	ND	58201	450359167	501(C)(3)	$10,000	$0	GENERAL SUPPORT
BIO GIRLS
4225 38TH ST S 202	FARGO	ND	58104	810792142	501(C)(3)	$7,500	$0	GENERAL SUPPORT
COMMUNITY FOUNDATION OF GF EGF & REGION
620 DEMERS AVE	GRAND FORKS	ND	58201	450448088	501(C)(3)	$6,000	$0	GENERAL SUPPORT
GREATER NORTH DAKOTA CHAMBER OF COMMERCE
510 E MAIN AVE SUITE 3A	BISMARCK	ND	58501	450141100	501(C)(6)	$5,875	$0	GENERAL SUPPORT
UNITED WAY - GF EGF
1407 24TH AVE S STE 400	GRAND FORKS	ND	58201	450255772	501(C)(3)	$5,600	$0	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	10	Total501c3OrgCnt
Total Other Org	4	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (31 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
IKECHUKWU ONYEKA
PHYSICIAN	$1,920,240	$0	$0	$0	$32,322	$0	$16,500	$0	$37,558	$0	$2,006,620	$0	$0	$0
MEVAN WIJETUNGA
MEDICAL DIRECTOR	$1,524,879	$0	$0	$0	$4,934	$0	$47,676	$0	$37,858	$0	$1,615,347	$0	$0	$0
JOHN EICKMAN
PHYSICIAN	$1,395,470	$0	$50,000	$0	$23,310	$0	$12,815	$0	$3,599	$0	$1,485,194	$0	$0	$0
GRANT SEEGER
PHYSICIAN	$1,393,661	$0	$0	$0	$23,310	$0	$16,500	$0	$36,558	$0	$1,470,029	$0	$0	$0
JASON GO
PHYSICIAN	$1,162,033	$0	$50,000	$0	$23,310	$0	$16,500	$0	$36,858	$0	$1,288,701	$0	$0	$0
TODD FORKEL
BOARD MEMBER/CEO	$729,397	$0	$119,069	$0	$11,837	$0	$388,617	$0	$32,708	$0	$1,281,628	$0	$119,069	$0
ADAM NICHOLSON
PHYSICIAN	$1,117,295	$0	$50,000	$0	$45,810	$0	$16,500	$0	$36,858	$0	$1,266,463	$0	$0	$0
JODY TREUER MD
BOARD MEMBER/PHYSICIAN	$1,111,600	$0	$0	$0	$17,917	$0	$16,500	$0	$28,587	$0	$1,174,604	$0	$0	$0
JEREMY GARDNER
MEDICAL DIRECTOR	$986,231	$0	$23,868	$0	$810	$0	$63,264	$0	$36,558	$0	$1,110,731	$0	$23,868	$0
JOSHUA DEERE
BOARD MEMBER/PRESIDENT	$578,794	$0	$103,367	$0	$23,040	$0	$317,357	$0	$28,742	$0	$1,051,300	$0	$103,367	$0
SUNIL KARTHAM
MEDICAL DIRECTOR	$750,024	$0	$18,720	$0	$22,560	$0	$49,754	$0	$36,558	$0	$877,616	$0	$18,720	$0
MEGHAN COMPTON
CHIEF CLINIC OPERATIONS OFFICER	$467,200	$0	$75,465	$0	$21,261	$0	$217,185	$0	$36,595	$0	$817,706	$0	$75,465	$0
JONATHAN HAUG
MEDICAL DIRECTOR	$638,933	$0	$33,275	$0	$810	$0	$73,656	$0	$28,808	$0	$775,482	$0	$33,275	$0
CORY GEFFRE
CHIEF NURSING OFFICER & EVP HOSPITAL	$394,402	$0	$0	$0	$34,610	$0	$180,220	$0	$36,788	$0	$646,020	$0	$0	$0
YVONNE GOMEZ
MEDICAL DIRECTOR	$476,602	$0	$32,931	$0	$3,274	$0	$71,037	$0	$3,562	$0	$587,406	$0	$32,931	$0
MARK WAIND
FORMER KEY EMPLOYEE	$15,331	$0	$0	$0	$555,695	$0	$806	$0	$0	$0	$571,832	$0	$0	$0
DEREK GOEBEL
CFO/TREASURER	$330,733	$0	$15,390	$0	$5,505	$0	$161,490	$0	$4,675	$0	$517,793	$0	$0	$0
KRISTI HALL-JIRAN
CHIEF PHILANTHROPY OFFICER	$273,306	$0	$47,385	$0	$23,730	$0	$132,968	$0	$5,059	$0	$482,448	$0	$47,385	$0
A MARC NIELSEN
MEDICAL DIRECTOR	$396,035	$0	$0	$0	$923	$0	$26,892	$0	$31,761	$0	$455,611	$0	$0	$0
WILLIAM MCKINNON MD
BOARD MEMBER/PHYSICIAN	$231,837	$0	$41,528	$0	$10,920	$0	$66,537	$0	$23,193	$0	$374,015	$0	$41,528	$0
HEATHER STRANDELL
SENIOR DIRECTOR CLINIC OPERATIONS	$266,264	$0	$39,937	$0	$601	$0	$57,149	$0	$5,896	$0	$369,847	$0	$19,937	$0
ERIN NAVARRO
DIRECTOR PHARMACY SVCS	$223,904	$0	$19,165	$0	$197	$0	$50,864	$0	$29,358	$0	$323,488	$0	$19,165	$0
ALEXSANDAR TODOROVIC
DIRECTOR INFO SYSTEMS APPLICATIONS	$237,477	$0	$18,487	$0	$529	$0	$52,946	$0	$12,986	$0	$322,425	$0	$18,487	$0
MATTHEW SCHUMACHER
DIRECTOR TECH & SUPPORT SVCS	$214,892	$0	$17,274	$0	$484	$0	$50,038	$0	$25,380	$0	$308,068	$0	$17,274	$0
JOEL LARSON
DIRECTOR LEGAL & PRIVACY/GENERAL COU	$229,421	$0	$18,844	$0	$216	$0	$48,941	$0	$3,981	$0	$301,403	$0	$18,844	$0
JENNIFER ESTAD
SENIOR DIRECTOR CLINIC OPERATIONS	$227,539	$0	$17,088	$0	$321	$0	$48,631	$0	$3,739	$0	$297,318	$0	$17,088	$0
STAN SALWEI
DIRECTOR REVENUE CYCLE	$173,601	$0	$15,178	$0	$76,197	$0	$11,642	$0	$18,072	$0	$294,690	$0	$15,178	$0
MARLENE MILLER
DIRECTOR PEOPLE RESOURCES	$204,617	$0	$15,933	$0	$456	$0	$46,453	$0	$26,037	$0	$293,496	$0	$15,933	$0
KARI JENSEN
DIRECTOR QUALITY & SAFETY	$177,642	$0	$17,305	$0	$249	$0	$41,266	$0	$30,644	$0	$267,106	$0	$17,305	$0
JENNIFER BERG
DIRECTOR TOTAL REWARDS	$166,995	$0	$12,848	$0	$155	$0	$40,726	$0	$25,981	$0	$246,705	$0	$12,848	$0
ANNIE BONZER
DIRECTOR MARKETING & PUBLIC RELATION	$160,329	$0	$12,252	$0	$126	$0	$38,370	$0	$19,091	$0	$230,168	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINES 4A-B	FormAndLineReferenceDesc
Explanation	STAN SALWEI, $75,569, SEVERANCE MARK WAIND, $554,789, SEVERANCE TODD FORKEL, $96,418, 457(F) CONTRIBUTION JOSHUA DEERE, $76,078, 457(F) CONTRIBUTION KRISTI HALL-JIRAN, $24,123, 457(F) CONTRIBUTION MEGHAN COMPTON, $47,299, 457(F) CONTRIBUTION DEREK GOEBEL, $30,499, 457(F) CONTRIBUTION CORY GEFFRE, $29,664, 457(F) CONTRIBUTION MEGHAN COMPTON, $16,611, 457(F) DISTRIBUTION	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CITY OF GRAND FORKS
A	456002085	38546WCR9	2017-07-12	$65,233,846	REFUND BONDS ISSUED IN 2005; FINANCE FACILITIES, INFRASTRUCTURE, EQUIPMENT	0	0	0
CITY OF GRAND FORKS
B	456002085	000000000	2017-09-06	$21,720,835	REFUND BONDS ISSUED IN 2007	0	0	0
CITY OF GRAND FORKS
C	456002085	000000000	2019-08-01	$13,520,000	REFUND BONDS ISSUED IN 2011 AND 1996	0	0	0
CITY OF GRAND FORKS
D	456002085	38546WDR8	2021-09-28	$456,996,976	REFUND BONDS ISSUED IN 2012 & 2020; FINANCE CONSTRUCTION OF HOSPITAL & EQUIP	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Credit EnhancementCreditEnhancementAmt	UnspentUnspentAmt
A	$65,861,298	$279,825	$19,519	$708,166	$40,209,015	$24,924,958	2018	Yes (1)	Yes (1)	Yes (1)
B	$21,775,310			$82,447			2017	Yes (1)	Yes (1)	Yes (1)
C	$13,520,000					$13,520,000	2019	Yes (1)	Yes (1)	Yes (1)
D	$456,996,976	$9,795,533	$2,700,766	$3,008,634	$147,246,875	$150,841,735		Yes (1)	0	Yes (1)	$2,756,830	$31,975,656

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd
A	0	0	Yes (1)
B	0	Yes (1)	0
C	Yes (1)	0	0
D	Yes (1)	0	0

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMED	ISSUER NAME: CITY OF GRAND FORKS DATE THE REBATE COMPUTATION WAS PERFORMED: 12/23/2021
SCHEDULE K, PART II, PROCEEDS, LINE 3:	(A) TOTAL PROCEEDS OF ISSUE CONSIST OF SALES PROCEEDS OF $65,233,846 PLUS $627,452.32 OF INVESTMENT PROCEEDS. (B) TOTAL PROCEEDS OF ISSUE CONSIST OF SALES PROCEEDS OF $21,720,835 PLUS $54,475.04 OF INVESTMENT PROCEEDS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	CITY OF GRAND FORKS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	456002085	BondIssuerEIN
CUSIP	38546WEQ9	CUSIPNum
Bond Issued	2023-09-19	BondIssuedDt
Issue Price	$150,743,489	IssuePriceAmt
Purpose	FINANCE CONSTRUCTION AND EQUIPMENT	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	$150,743,489	TotalProceedsAmt
In Reserve Fund	$48,527	InReserveFundAmt
Issuance Costs From Proceeds	$1,353,206	IssuanceCostsFromProceedsAmt
Credit Enhancement	$2,350,288	CreditEnhancementAmt
Capital Expenditures	$28,178,680	CapitalExpendituresAmt
Unspent	$120,148,285	UnspentAmt
Refunding Tax Exempt Bonds	0	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	0	RefundingTaxableBondsInd
Final Allocation Made	0	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	0	MgmtContractBondFincdPropInd
Any Research Agreements	0	AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	Yes (1)	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	0	NoRebateDueInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	0	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	0	ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2	BOARD MEMBER, ERIC HALVERSON'S FATHER IS MARRIED TO KEY EMPLOYEE, YVONNE GOMEZ.
FORM 990, PART VI, SECTION B, LINE 11B	AN ELECTRONIC COPY OF THE RETURN WAS SENT TO THE BOARD MEMBERS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	CONFLICT OF INTEREST POLICY IS REVIEWED AND SIGNED OFF ANNUALLY BY ALL OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES. THESE FORMS ARE COLLECTED AND REVIEWED BY THE SECRETARY AND INTERNAL LEGAL COUNSEL. OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES ARE ALSO ADVISED TO REPORT SHOULD ANY CHANGES HAPPEN DURING THE YEAR.
FORM 990, PART VI, SECTION B, LINE 15	LINE 15A: ALTRU DETERMINES THE TOP MANAGEMENT OFFICIALS' COMPENSATION BY REVIEW AND APPROVAL BY A GOVERNING BODY WITHOUT CONFLICTS OF INTEREST, USING COMPARABLE COMPENSATION DATA FOR FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS (WITH RELEVANT COMPARABLES DOCUMENTED IN AN ANNUAL STATEMENT OF REASONABLENESS LETTER FROM ALTRU'S COMPENSATION CONSULTANT), AND MADE CONTEMPORANEOUS DOCUMENTATION OF THE DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENTS. ALTRU HAS A COMPENSATION COMMITTEE MADE UP OF COMMUNITY BOARD MEMBERS ALONG WITH THE PRESIDENT AND CEO. WE ALSO WORK WITH AN OUTSIDE CONSULTANT WHICH PROVIDES US WITH DATA ON FAIR MARKET COMPENSATION FOR THE ENTIRE EXECUTIVE STAFF. FOR DETERMINING THE COMPENSATION OF THE PRESIDENT AND CEO, THE COMMUNITY BOARD MEMBERS OBTAIN THE DATA FROM THE CONSULTANT, HAVE AN OPPORTUNITY TO DISCUSS WITH THE CONSULTANT AND HAVE ANY QUESTIONS ANSWERED AND THEN THEIR DECISION IS SHARED WITH THE NON-CONFLICTED BOARD MEMBERS FOR FINAL APPROVAL. THIS PROCESS WAS USED TO DETERMINE THE COMPENSATION FOR BOTH POSITIONS OF PRESIDENT AND CEO IN 2023. LINE 15B: ALTRU USES SIMILAR CRITERIA TO THE PROCESS DESCRIBED IN 15(A) ABOVE. THE PRESIDENT AND CEO DETERMINE THE SALARIES FOR EACH OF THE EXECUTIVES THAT REPORT TO THEM. ALTRU USES AN OUTSIDE COMPENSATION CONSULTANT WHICH PROVIDES DATA ON FAIR MARKET COMPENSATION FOR FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. THE PRESIDENT AND CEO PRESENT THEIR DECISIONS ON THE EXECUTIVE COMPENSATION TO THE BOARD, WHICH IS A GOVERNING BODY WITHOUT CONFLICTS OF INTEREST AS TO THE SUBJECT MATTER. THE BOARD DOES NOT RATIFY THE BASE COMPENSATION FOR THE EXECUTIVES THAT REPORT TO THE PRESIDENT AND CEO (THE PRESIDENT AND CEO HAVE FINAL SAY IN SETTING BASE COMPENSATION FOR THEIR EXECUTIVE TEAM BASED ON THE COMPENSATION DATA REFERENCED ABOVE), BUT THE BOARD DOES DETERMINE THE ANNUAL GOALS FOR THE ALTRU SYSTEM THAT ARE USED TO DETERMINE (BY FORMULA) POTENTIAL BONUS PAYOUTS FOR THE EXECUTIVE TEAM. THE PROCESS DESCRIBED ABOVE WAS FOLLOWED FOR ALL EXECUTIVES IN 2023.
FORM 990, PART VI, SECTION C, LINE 18	THE ORGANIZATIONS 990 AND 990-T PUBLIC INSPECTION COPIES ARE AVAILABLE UPON REQUEST. FORM 1023 IS AVAILABLE UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION'S FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC THROUGH PUBLISHED ANNUAL REPORTS. GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:	APPLICATION OF FASB TOPIC 715 2,565,270. EQUITY METHOD INCOME OF SUBSIDIARY 2,901,277.
990, PAGE 1, HEADING ITEM C	ALTRU CANCER CENTER, ALTRU FAMILY MEDICINE CENTER, ALTRU FAMILY MEDICINE RESIDENCY, TRUYU AESTHETIC CENTER, ALTRU REHAB HOSPITAL, ALTRU CARE FILGHT. 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 R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

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

US Address USAddress

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

Field	Value	IRS element (for citing)
EIN	833031289	EIN
Primary Activities	AIR AMBULANCE SERVICE	PrimaryActivitiesTxt
Legal Domicile State	ND	LegalDomicileStateCd
Total Income	$3,362,342	TotalIncomeAmt
End Of Year Assets	$5,514,469	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

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

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
ALTRU HEALTH FOUNDATION
2501 DEMERS AVE	GRAND FORKS	ND	58201	450368330	FUNDRAISING	ND	501(C)(3)	LINE 12B, II	ALTRU HEALTH SYSTEM	Yes (1)
DAK-MINN BLOOD BANK
1200 S COLUMBIA RD	GRAND FORKS	ND	58201	363453164	BLOOD BANK	ND	501(C)(3)	LINE 12D, III-O		0	N/A
ALTRU ALLIANCE
1200 S COLUMBIA RD	GRAND FORKS	ND	58201	237389089	SUPPORT HOSPITAL AND AFFILIATES	ND	501(C)(3)	LINE 12C, III-FI		0	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	ALTRU SPECIALTY SERVICES INC	BusinessNameLine1Txt

US Address USAddress

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

Field	Value	IRS element (for citing)
EIN	450395652	EIN
Primary Activities	DME SALES, RETAIL PHARMACY	PrimaryActivitiesTxt
Legal Domicile State	ND	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Entity Type	C	EntityTypeTxt
Share Of Total Income	$10,588,375	ShareOfTotalIncomeAmt
Share Of EOY Assets	$40,612,006	ShareOfEOYAssetsAmt
Ownership	1.00000	OwnershipPct
Controlled Organization	Yes (1)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ALTRU HEALTH FOUNDATION
C	$1,821,133	CASH DONATED
ALTRU HEALTH FOUNDATION
O	$186,809	COMPENSATION TO RELATED ORG
ALTRU SPECIALTY SERVICES
A	$80,248	RENT PAYMENT RECEIVED
ALTRU HEALTH FOUNDATION
B	$79,479	CASH DONATED