2017-11-13T14:27:04-06:00 2016-12-31 450310328 BRADY MARTZ AND ASSOCIATES PC PO BOX 14296 GRAND FORKS ND 582084296 990 2016-01-01 450310462 ALTRU HEALTH SYSTEM ALTR 7017805200 1200 S COLUMBIA RD GRAND FORKS ND 582014036 DWIGHT THOMPSON CFO 7017805200 2017-11-13 1 NICOLE HELDSTAB P01220683 7017754685 2017-11-13 24.111.23.187 2017-11-13 10:04:35 CS P FE28E9BC9A1DAD2B90CCAB591796B440CB405785 29A44E7C5AE4E0CA4B0EE2634078951EC08B4819 2016 2017-02-10 21:41:12Z ALTRU HOSPITAL DAVID MOLMEN 1200 S COLUMBIA RD GRAND FORKS ND 582014036 599847714 0 X ALTRU.ORG X 1970 ND HEALTHCARE DELIVERY 11 6 4714 309 4235633 1415592 4371202 3111765 516692202 542028176 1754115 -4271017 158133 163470 522975652 541032394 301740 1023468 0 0 307765281 323595510 0 0 0 196488504 210476090 504555525 535095068 18420127 5937326 480240011 478270432 268918642 262658959 211321369 215611473 X 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 4,000 HEALTH PROFESSIONALS AND SUPPORT STAFF COMMITTED TO SERVING THE REGION FOR MORE THAN 100 YEARS. 0 0 17176606 33267692 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. OUR ORTHOPEDIC SURGEONS ALSO PROVIDE OUTREACH CLINIC SERVICES TO COMMUNITIES THROUGHOUT OUR SERVICE AREA. IN 2016, THERE WERE 1,369 HOSPITAL DISCHARGES. 10714406 16200213 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 2016, THERE WERE 1,264 HOSPITAL DISCHARGES. 10688470 17401971 GENERAL SURGERY - ALTRU'S TEAM OF GENERAL SURGEONS PERFORM INPATIENT AND OUTPATIENT SURGERY AND SEE PATIENTS AT ALTRU HOSPITAL, ALTRU MAIN CLINIC, AND SOME OF ALTRU'S REGIONAL CLINICS. IN 2016, THERE WERE 1,028 GENERAL SURGERY HOSPITAL DISCHARGES. 438579076 1023468 462967410 OTHER PROGRAM SERVICES INCLUDE OTHER PATIENT CARE PROGRAMS. 438579076 1023468 462967410 477158558 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 123 0 4714 1 1 1 0 0 0 0 0 0 0 0 0 X 11 6 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X DWIGHT THOMPSON 7017805203 1200 SOUTH COLUMBIA ROAD GRAND FORKS ND 58201 KRIS COMPTON BOARD CHAIR 1.00 X X 0 0 0 LONNIE LAFFEN VICE CHAIR 1.00 X X 0 0 0 PHILIP GISI SECRETARY 1.00 X X 0 0 0 ALICE BREKKE BOARD MEMBER 1.00 X 0 0 0 KRISTI HALL-JIRAN BOARD MEMBER 1.00 X 0 0 0 KEITH OKESON BOARD MEMBER 1.00 X 0 0 0 MATTHEW ROLLER MD BOARD MEMBER/PHYSICIAN 40.00 X 526659 0 38943 BRADLEY BELLUK MD BOARD MEMBER/PHYSICIAN 40.00 X 542146 0 45912 ERIC LUNN MD BOARD MEMBER/PRESIDENT/PHY 40.00 X X 647831 0 110634 DAVID MOLMEN BOARD MEMBER/CEO 40.00 X X 934388 0 155631 BRADLEY WEHE BOARD MEMBER/COO 40.00 X X 555265 0 122833 DWIGHT THOMPSON CFO/TREASURER 40.00 X 628591 0 134606 RENEE M AXTMAN RN ADMIN DIR PRIMARY CARE 40.00 X 275506 0 69388 KERRY P CARLSON FORMER ADM DIR MEDICAL SPECIALTY 40.00 X 313705 0 22090 SCOTT CHARETTE MD MEDICAL DIRECTOR SURGICAL 40.00 X 632792 0 66454 JOSHUA DEERE MEDICAL DIRECTOR 40.00 X 422374 0 63834 KELLEE FISK CHIEF PEOPLE OFFICER 40.00 X 443644 0 116374 YVONNE GOMEZ MEDICAL DIRECTOR 40.00 X 347879 0 60483 KELLY HAGEN RN ADM DIR CARDIOLOGY & MUSCU 40.00 X 262430 0 63826 LAURA LIZAKOWSKI PAST MEDICAL DIRECTOR 40.00 X 303079 0 53223 WILLIAM MCKINNON MD MEDICAL DIRECTOR 40.00 X 303917 0 75315 MARGARET REED RN CHIEF NURSE OFFICER 40.00 X 317323 0 20548 DENNIS REISNOUR CHIEF STRATEGY OFFICER 40.00 X 342275 0 74745 HEATHER STRANDELL ADMINISTRATIVE DIRECTOR 40.00 X 230598 0 70190 COLLEEN SWANK MD CHIEF MEDICAL OFFICER 40.00 X 468631 0 120897 KENNETH VEIN ADM DIR PLANT SERVICES 40.00 X 328205 0 87260 MARK WAIND ADM DIR INFORMATION SERVIC 40.00 X 366818 0 114238 JILL WILSON ADMIN DIRECTOR 40.00 X 256659 0 83905 RABEEA ABOUFAKHER PHYSICIAN 40.00 X 953827 0 43912 ABDEL AHMED PHYSICIAN 40.00 X 911630 0 0 IKECHUKWU ONYEKA PHYSICIAN 40.00 X 1319010 0 46462 DARIN LEETUN PHYSICIAN 40.00 X 897380 0 38671 ATILLA DALMI PHYSICIAN 40.00 X 924556 0 46462 14457118 0 1946836 418 0 1 0 COMPHEALTH MEDICAL STAFFING PO BOX 713100 SALT LAKE CITY UT 841713100 SERVICES 5413559 HURON CONSULTING SERVICES LLC 3005 MOMENTUM PLACE CHICAGO IL 60689 SERVICES 2268341 MAYO COLLABORATIVE SERVICES INC PO BOX 9146 MINNEAPOLIS MN 554809146 SERVICES 2261167 EPIC SYSTEMS CORPORATION PO BOX 88314 MILWAUKEE WI 532880314 SERVICES 2211604 MICROSOFT CORPORATION 1950 N STEMMONS FWY STE 5010 DALLAS TX 75207 SERVICES 2071447 99 1631175 1277432 203158 3111765 NET SERVICE TO PATIENTS 621110 521132690 517060527 4072163 PROGRAM SERVICE REVENUE 621110 20533992 19946526 587466 RESEARCH GRANTS 621500 321498 321498 BIOMED SERVICES/SITE SERVICES FEE 900099 39996 39996 542028176 3220248 3220248 49763094 1560961 50453422 8361898 -690328 -6800937 -7491265 -7491265 RENTAL OFFICE SPACE/PARKING LOT 531120 146279 146279 TELECOMMUNICATIONS 517000 15696 15696 SNOW REMOVAL 812900 1495 1495 163470 541032394 529837286 4235633 3847710 1002628 1002628 20840 20840 11255714 2899690 8356024 261766095 241291958 20474137 8883183 8188381 694802 25629379 23624767 2004612 16061139 14397112 1664027 2119862 2119862 2466941 1565979 900962 8356928 8356928 26928469 26928469 2621274 2621274 UNRELATED BUSINESS TAX 1189667 1189667 SUPPLIES 84747106 84310307 436799 PURCHASED SERVICES 35619903 21280895 14339008 FEES 26911595 22461407 4450188 19514345 14898394 4615951 535095068 477158558 57936510 0 11741 11316 48045316 45170789 67569816 62838655 460271 458157 7384227 6973914 596118 2410452 499005630 306568111 199252081 192437519 126924021 134311511 29996420 33658119 480240011 478270432 46673606 48388679 314982 523483 193582611 187252933 28347443 26493864 268918642 262658959 X 211321369 215611473 211321369 215611473 480240011 478270432 X 5937326 5700354 -7347576 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 7360071 7360071 247833884 123638461 124195423 10295489 6005311 4290178 228231514 176924339 51307175 5284672 5284672 192437519 ASSETS HELD BY TRUSTEE 1073845 UNAMORTIZED BOND ISSUE AND OTHER COSTS 6233455 ASSETS HELD UNDER TRUST AGREEMENTS 19418408 ASSETS HELD UNDER BOND INDENTURE AGREEMENTS 6837150 DUE FROM AFFILIATES 95261 33658119 DUE TO AFFILIATES 184767 POST RETIREMENT HEALTH BENEFIT 10878007 OTHER 12035005 ESTIMATED THIRD PARTY LIABILITY 2635765 SPECIAL ASSESSMENTS PAYABLE 760320 26493864 X PART X, LINE 2: 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. 1 1 X 1 X 1 X 1 1 1 0 1 1 2445008 2445008 0.00460 20016397 20016397 0.03740 1017567 1017567 0.00190 23478972 23478972 0.04390 907359 907359 0.00170 663027 663027 0.00120 222189 222189 0.00040 107375 107375 0.00020 1899950 1899950 0.00350 25378922 25378922 0.04740 1 9148528 0 124341171 375910924 -251569753 X 1 1 3 1 ALTRU HOSPITAL 1200 S COLUMBIA RD GRAND FORKS ND 582066002 X X X 2 ALTRU REHABILITATION CENTER 1300 S COLUMBIA RD GRAND FORKS ND 582066002 X 3 ALTRU SPECIALTY CENTER 4500 S WASHINGTON ST GRAND FORKS ND 58201 X X ALTRU HOSPITAL 1 0 0 1 X X X X X X X X X 16 1 1 1 1 X WWW.ALTRU.ORG 0 0 1 X 150.000000000000 250.000000000000 X X X X X X 1 1 X X X 1 X WWW.ALTRU.ORG X WWW.ALTRU.ORG X WWW.ALTRU.ORG X X X X 1 X X 1 X X X X X X 1 X 0 1 ALTRU REHABILITATION CENTER 2 0 0 1 X X X X X X X X X 16 1 1 1 1 X WWW.ALTRU.ORG 0 0 1 X 150.000000000000 250.000000000000 X X X X X X 1 1 X X X 1 X WWW.ALTRU.ORG X WWW.ALTRU.ORG X WWW.ALTRU.ORG X X X X 1 X X 1 X X X X X X 1 X 0 1 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 TO GET THEIR INSIGHT ABOUT THE HEALTH OF THE COMMUNITY AND HOW IT CAN BE IMPROVED. IT WAS AGREED TO USE THE PROCESS FROM THE ASSOCIATION FOR COMMUNITY HEALTH IMPROVEMENT (SIX 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:COMMUNITY VIOLENCE INTERVENTION CENTERUNITED WAYGRAND FORKS PUBLIC SCHOOLSUNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINEUNIVERSITY OF NORTH DAKOTANORTHEAST HUMAN SERVICE CENTERGRAND FORKS POLICE DEPARTMENTGRAND FORKS FIRE DEPARTMENTALTRU FAMILY YMCAGRAND FORKS PARK DISTRICTGRAND FORKS AIR FORCE BASELIPP, CARLSON, WITUCKI & ASSOCIATESGRAND FORKS SENIOR CENTERTHIRD STREET CLINICGRAND FORKS CITY COUNCILFAITH COMMUNITYGLOBAL FRIENDS COALITIONVALLEY COMMUNITY HEALTH CENTERPOLK COUNTY PUBLIC HEALTHGRAND FORKS COUNTY COMMISSIONTHE ADVISORY COMMITTEE ENGAGED STUDENTS FROM THE UNIVERSITY OF NORTH DAKOTA'S MASTER OF PUBLIC HEALTH PROGRAM WITH THE ASSISTANCE OF DR. RAYMOND GOLDSTEEN, PROFESSOR AND DIRECTOR OF THE DEPARTMENT OF POPULATION HEALTH. THE STUDENT TEAM CONDUCTED A COMMUNITY SURVEY ALONG WITH FOCUS GROUPS WITH COMMUNITY LEADERS TO GET THEIR INSIGHT ABOUT THE HEALTH OF GRAND FORKS AND POLK COUNTY COMMUNITIES AND HOW IT CAN BE IMPROVED. ALTRU REHABILITATION CENTER 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 TO GET THEIR INSIGHT ABOUT THE HEALTH OF THE COMMUNITY AND HOW IT CAN BE IMPROVED. IT WAS AGREED TO USE THE PROCESS FROM THE ASSOCIATION FOR COMMUNITY HEALTH IMPROVEMENT (SIX 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:COMMUNITY VIOLENCE INTERVENTION CENTERUNITED WAYGRAND FORKS PUBLIC SCHOOLSUNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINEUNIVERSITY OF NORTH DAKOTANORTHEAST HUMAN SERVICE CENTERGRAND FORKS POLICE DEPARTMENTGRAND FORKS FIRE DEPARTMENTALTRU FAMILY YMCAGRAND FORKS PARK DISTRICTGRAND FORKS AIR FORCE BASELIPP, CARLSON, WITUCKI & ASSOCIATESGRAND FORKS SENIOR CENTERTHIRD STREET CLINICGRAND FORKS CITY COUNCILFAITH COMMUNITYGLOBAL FRIENDS COALITIONVALLEY COMMUNITY HEALTH CENTERPOLK COUNTY PUBLIC HEALTHGRAND FORKS COUNTY COMMISSIONTHE ADVISORY COMMITTEE ENGAGED STUDENTS FROM THE UNIVERSITY OF NORTH DAKOTA'S MASTER OF PUBLIC HEALTH PROGRAM WITH THE ASSISTANCE OF DR. RAYMOND GOLDSTEEN, PROFESSOR AND DIRECTOR OF THE DEPARTMENT OF POPULATION HEALTH. THE STUDENT TEAM CONDUCTED A COMMUNITY SURVEY ALONG WITH FOCUS GROUPS WITH COMMUNITY LEADERS 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 REHABILITATION CENTER ALTRU REHABILITATION CENTER PART V, SECTION B, LINE 6A: ALTRU HEALTH SYSTEM ALTRU HOSPITAL PART V, SECTION B, LINE 6B: GRAND FORKS PUBLIC HEALTH ALTRU REHABILITATION CENTER PART V, SECTION B, LINE 6B: GRAND FORKS PUBLIC HEALTH ALTRU HOSPITAL PART V, SECTION B, LINE 11: ALTRU HEALTH SYSTEM DEVELOPED A LIST OF APPROXIMATELY SIXTY SIGNIFICANT ISSUES/NEEDS WITH THE INPUT OF THE ADVISORY COMMITTEE. FROM THIS LIST, THE HEALTH ISSUES WERE RANKED BY PRIORITY, AND THE TOP 5 AREAS WERE IDENTIFIED FOR AREAS OF IMPROVEMENT. LIMITED FINANCIAL, COMMUNITY, AND PERSONNEL RESOURCES DID NOT ALLOW ALTRU HEALTH SYSTEM TO ADDRESS ALL OF THE IDENTIFIED NEEDS FOR THE 2016 CHNA. THE IMPLEMENTATION STRATEGY ADDRESSING THE NEEDS IDENTIFIED IN THE 2016 CHNA WILL BE ADOPTED IN 2017. ALTRU REHABILITATION CENTER PART V, SECTION B, LINE 11: ALTRU HEALTH SYSTEM DEVELOPED A LIST OF APPROXIMATELY SIXTY SIGNIFICANT ISSUES/NEEDS WITH THE INPUT OF THE ADVISORY COMMITTEE. FROM THIS LIST, THE HEALTH ISSUES WERE RANKED BY PRIORITY, AND THE TOP 5 AREAS WERE IDENTIFIED FOR AREAS OF IMPROVEMENT. LIMITED FINANCIAL, COMMUNITY, AND PERSONNEL RESOURCES DID NOT ALLOW ALTRU HEALTH SYSTEM TO ADDRESS ALL OF THE IDENTIFIED NEEDS FOR THE 2016 CHNA. THE IMPLEMENTATION STRATEGY ADDRESSING THE NEEDS IDENTIFIED IN THE 2016 CHNA WILL BE ADOPTED IN 2017. 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. ALTRU REHABILITATION CENTER 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. 56 1 - ALTRU MAIN CLINIC 1000 S COLUMBIA RD GRAND FORKS ND 582066003 OUTPATIENT DEPT OF ALTRU HOSP - CLINIC 2 - ALTRU CANCER CENTER 960 S COLUMBIA RD GRAND FORKS ND 582066003 OUTPATIENT DEPT OF ALTRU HOSP - CLINIC 3 - TRUYU AESTHETIC CENTER 3165 DEMERS AVE GRAND FORKS ND 582066003 OUTPATIENT DEPT OF ALTRU HOSP - CLINIC 4 - ALTRU FAMILY MEDICINE CENTER 1380 S COLUMBIA RD GRAND FORKS ND 582066003 OUTPATIENT DEPT OF ALTRU HOSP - CLINIC 5 - ALTRU FAMILY MEDICINE RESIDENCY 725 HAMLINE STREET GRAND FORKS ND 58203 OUTPATIENT CLINIC 6 - ALTRU FAMILY MEDICINE RESIDENCY PHARMACY 725 HAMLINE STREET GRAND FORKS ND 58203 OUTPATIENT PHARMACY 7 - ALTRU CLINIC - DRAYTON 1003 N MAIN DRAYTON ND 582254650 OUTPATIENT CLINIC/THERAPY 8 - ALTRU PSYCHIATRY CENTER 860 S COLUMBIA RD GRAND FORKS ND 582066002 OUTPATIENT DEPARTMENT - PSYCH SERVICES 9 - ALTRU HOSPITAL - CENTER COURT FITNESS 1600 32ND AVE S GRAND FORKS ND 58201 OUTPATIENT THERAPY 10 - ALTRU OUTPATIENT CENTER 411 2ND ST NW EAST GRAND FORKS MN 56721 OUTPATIENT THERAPY 11 - ALTRU CLINIC - CAVALIER 201 E 3RD AVE S CAVALIER ND 582200040 OUTPATIENT CLINIC 12 - ALTRU CLINIC - DEVILS LAKE 1001 7TH STREET NE DEVILS LAKE ND 583012719 OUTPATIENT CLINIC 13 - ALTRU CLINIC - CROOKSTON 400 SOUTH MINNESOTA CROOKSTON MN 567160606 OUTPATIENT DEPT OF ALTRU HOSP - CLINIC 14 - ALTRU CLINIC - RED LAKE FALLS 312 INTERNATIONAL DRIVE RED LAKE FALLS MN 567504662 OUTPATIENT DEPT OF ALTRU HOSP - CLINIC 15 - ALTRU CLINIC - ERSKINE 23076 347TH ST SE ERSKINE MN 565354201 OUTPATIENT DEPT OF ALTRU HOSP - CLINIC 16 - ALTRU CLINIC - FERTILE MILL STREET MAIN FERTILE MN 565404215 OUTPATIENT DEPT OF ALTRU HOSP - CLINIC 17 - ALTRU CLINIC - ROSEAU 711 DELMORE DRIVE ROSEAU MN 567511534 OUTPATIENT CLINIC 18 - ALTRU CLINIC - WARROAD 412 MAIN AVE NE WARROAD MN 567632342 OUTPATIENT CLINIC 19 - ALTRU CLINIC - GREENBUSH 19120 200TH ST GREENBUSH MN 567269280 OUTPATIENT CLINIC 20 - UNITY MEDICAL CENTER 164 WEST 13TH STREET GRAFTON ND 58237 HOME HEALTH/HOSPICE 21 - FIRST CARE HEALTH CENTER PO BOX I PARK RIVER ND 58270 HOME HEALTH/HOSPICE/THERAPY 22 - NELSON COUNTY HEALTH SYSTEM BOX 367 MCVILLE ND 58254 HOME HEALTH/HOSPICE 23 - CO CAVALIER CLINIC 201 E 3RD AVE S CAVALIER ND 58220 HOME HEALTH/HOSPICE 24 - ALTRU HOME SVCS-NORTH VALLEY HOME HEALTH 109 S MINNESOTA ST WARREN MN 56762 HOME HEALTH/HOSPICE 25 - ANETA PARKVIEW HEALTH CENTER BOX 287 ANETA ND 58212 OUTREACH CLINIC 26 - CAVALIER COUNTY MEMORIAL 909 2ND ST LANGDON ND 58249 OUTREACH CLINIC 27 - CENTRAL BOILER 20502 160TH ST GREENBUSH MN 56726 OUTREACH CLINIC 28 - COOPERSTOWN MEDICAL CENTER 1200 ROBERTS ST COOPERSTOWN ND 58425 OUTREACH CLINIC 29 - DEVILS LAKE GOOD SAMARITAN 302 7TH AVE DEVILS LAKE ND 58301 OUTREACH CLINIC 30 - FIRST CARE HEALTH CENTER 115 VIVIAN ST PARK RIVER ND 58270 OUTREACH CLINIC 31 - FRIENDSHIP 554 W 12TH ST GRAFTON ND 58327 OUTREACH CLINIC 32 - 4TH CORP 120 11TH ST NEW ROCKFORD ND 58356 OUTREACH CLINIC 33 - GRIGGS COUNTY HOSPITAL 1200 ROBERTS AVE NE COOPERSTOWN ND 58425 OUTREACH CLINIC 34 - HATTON PRAIRIE VILLAGE 930 DAKOTA AVE HATTON ND 58240 OUTREACH CLINIC 35 - HEARTLAND CARE CENTER 620 14TH AVE NE DEVILS LAKE ND 58301 OUTREACH CLINIC 36 - KARLSTAD HEALTH CARE 304 WASHINGTON AVE W KARLSTAD MN 56732 OUTREACH CLINIC 37 - KITTSON MEMORIAL HEALTH CARE CENTER 1010 S BIRCH HALLOCK MN 56728 OUTREACH CLINIC 38 - KITTSON MEMORIAL CLINIC OF KARLSTAD 1ST AND ROOSEVELT KARLSTAD MN 56732 OUTREACH CLINIC 39 - LAKE REGION CORP 224 3TH ST NW DEVILS LAKE ND 583012908 OUTREACH CLINIC 40 - LAKOTA GOOD SAMARITAN 608 4TH AVE SW HWY 2 LAKOTA ND 583447500 OUTREACH CLINIC 41 - MAPLE MANOR CARE CENTER 1116 9TH AVE LANGDON ND 58249 OUTREACH CLINIC 42 - MCINTOSH MANOR NURSING HOME 600 RIVERSIDE AVE NE MCINTOSH MN 56556 OUTREACH CLINIC 43 - NELSON COUNTY CARE CENTER 108 E NYHUS AVE MCVILLE ND 58254 OUTREACH CLINIC 44 - NELSON COUNTY HEALTH SYSTEM 200 NORTH MAIN MCVILLE ND 58254 OUTREACH CLINIC 45 - NORTHWOOD DEACONESS 4 N PART ST NORTHWOOD ND 58267 OUTREACH CLINIC 46 - OAKLAND PARK COMMUNITIES INC 123 BAKEN STREET THIEF RIVER FALLS MN 56701 OUTREACH CLINIC 47 - PEMBILIER NURSING CENTER 500 DELANO AVE WALHALLA ND 58282 OUTREACH CLINIC 48 - PEMBINA COUNTY MEMORIAL HOSPITAL 301 MOUNTAIN STREET E CAVALIER ND 58220 OUTREACH CLINIC 49 - PIONEER MEMORIAL CARE CENTER 23028 347TH ST SE ERSKINE MN 565359466 OUTREACH CLINIC 50 - REM-GRAFTON 817 HILL AVE GRAFTON ND 58327 OUTREACH CLINIC 51 - VALLEY 4000 4004 24TH AVE SOUTH GRAND FORKS ND 58201 OUTREACH CLINIC 52 - VALLEY MEMORIAL HOMES 2900 14TH AVE SOUTH GRAND FORKS ND 58201 OUTREACH CLINIC 53 - WEDGEWOOD MANOR 804 MAIN STREET WEST CAVALIER ND 58220 OUTREACH CLINIC 54 - CENTER FOR PREVENTION & GENETICS 4401 S 11TH ST GRAND FORKS ND 58201 OUTREACH CLINIC 55 - ALTRU CLINIC - EAST GRAND FORKS 607 DEMERS AVE EAST GRAND FORKS MN 56721 OUTPATIENT DEPT OF ALTRU HOSP - CLINIC 56 - ALTRU PROFESSIONAL CENTER 4440 S WASHINGTON ST GRAND FORKS ND 58201 OUTPATIENT CLINIC PART I, LINE 6A: PREPARATION OF ANNUAL COMMUNITY BENEFIT REPORT: ALTRU HEALTH SYSTEM PREPARES ANNUALLY A COMMUNITY BENEFIT REPORT BASED ON FORMS DESIGNED BY THE CATHOLIC HEALTH ORGANIZATION. ONCE ALL REPORTING FORMS HAVE BEEN COMPILED FOR THE YEAR, THE CATHOLIC HEALTH ORGANIZATION'S REFERENCE GUIDE FROM "A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT" IS USED TO DETERMINE WHAT ITEMS SHOULD BE REPORTED INTO WHAT CATEGORY. THE COMMUNITY BENEFIT REPORT IS PUBLISHED AS A PART OF THE CORPORATION'S ANNUAL REPORT, WHICH IS PLACED ON OUR WEB SITE FOR PUBLIC ACCESS. PART I, LINE 7: 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 $9,148,528CHARITY 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 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: "PATIENT RECEIVABLES ARE UNCOLLATERALIZED PATIENT AND THIRD-PARTY PAYOR OBLIGATIONS. PAYMENTS ON PATIENT RECEIVABLES ARE ALLOCATED TO THE SPECIFIC CLAIMS IDENTIFIED IN THE REMITTANCE ADVICE OR, IF UNSPECIFIED, ARE APPLIED TO THE EARLIEST UNPAID CLAIM.PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, ALTRU HEALTH SYSTEM ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, ALTRU RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.ALTRU'S PROCESS FOR CALCULATING THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS HAS NOT SIGNIFICANTLY CHANGED FROM DECEMBER 31, 2015 TO DECEMBER 31, 2016. ALTRU DOES NOT MAINTAIN A MATERIAL ALLOWANCE FOR DOUBTFUL ACCOUNTS FROM THIRD-PARTY PAYORS, NOR DID IT HAVE SIGNIFICANT WRITE OFFS FROM THIRD-PARTY PAYORS. ALTRU HAS NOT SIGNIFICANTLY CHANGED ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING FISCAL YEARS 2015 OR 2016.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 $251,569,753 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, 2016, 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 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. ALTRU'S COMMUNITY HEALTH NEEDS ASSESSMENT WAS APPROVED BY THE BOARD OF DIRECTORS ON SEPTEMBER 26, 2016. AS A RESULT OF THE ASSESSMENT, ALTRU PRIORITIZED AND IS FOCUSING ON THE FOLLOWING FIVE ISSUES: 1) ACCESS TO BEHAVIORAL HEALTH SERVICES, INCLUDING ADDICTION TREATMENT AND COUNSELING; 2) PRESCRIPTION AND ILLEGAL DRUG ABUSE; 3) RATE OF OBESITY; 4) BINGE DRINKING/EXCESSIVE DRINKING; AND 5) CARE COORDINATION AND ACCESS TO HEALTH CARE. 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 APPROXIMATELY 224,000 PERSONS (2016 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 POLK COUNTY (MINNESOTA), IS HOME TO 103,456 PEOPLE (2016 ESTIMATE). LOCATED IN THIS MARKET IS ALTRU HOSPITAL, 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 2016 FOR OUR PRIMARY MARKET WAS 76 PERCENT BASED ON CLAIMS DATA FROM MHA. ABOUT 80 PERCENT OF THE PHYSICIANS IN THE PRIMARY AREA ARE EMPLOYED BY ALTRU HEALTH SYSTEM. ALSO LOCATED IN GRAND FORKS COUNTY IS NORTHWOOD COMMUNITY HEALTH CENTER (IN NORTHWOOD, ND). A COUPLE NOTABLE POPULATIONS ALTRU SERVES THAT ARE LOCATED IN OUR PRIMARY SERVICE AREA INCLUDE THE UNIVERSITY OF NORTH DAKOTA AND GRAND FORKS AIR FORCE BASE. THE UNIVERSITY OF NORTH DAKOTA IS THE STATE'S OLDEST INSTITUTION OF HIGHER LEARNING WITH AN ENROLLMENT OF ABOUT 14,648 STUDENTS (FALL 2016). THE NUMBER OF RESIDENTS AT GRAND FORKS AIR FORCE BASE WAS COUNTED AT 2,367 IN THE 2010 CENSUS.WITH A POPULATION OF 35,582 (2016 ESTIMATE), THE SECONDARY SERVICE AREA IS COMPRISED OF FIVE COUNTIES TO THE WEST, NORTH, AND EAST OF GRAND FORKS COUNTY: NELSON, WALSH, AND PEMBINA COUNTIES IN NORTH DAKOTA, AND 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, MNIN 2016, ALTRU'S HOSPITAL INPATIENT MARKET SHARE IN THIS SERVICE AREA WAS AROUND 65 PERCENT ACCORDING TO CLAIMS PROVIDED BY MHA. 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 SIX REGIONAL CLINICS IN THIS SERVICE AREA AND ALTRU HOSPITAL'S INPATIENT MARKET SHARE IN THIS REGION IS ABOUT 31 PERCENT ACCORDING TO 2016 CLAIMS DATA PROVIDED BY MHA. 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 224,000 (2016 ESTIMATE). USING DATA FROM SG2(A VENDOR SPECIALIZING IN HEALTH CARE PLANNING INFORMATION), THE INSURANCE COVERAGE FOR COMMUNITIES IN OUR SERVICE AREA IS ESTIMATED TO BE AS FOLLOWS: 2016 PROJECTIONS AS A PERCENTMEDICAID 14,225 12%MEDICARE 23,792 21%MEDICARE-ADVANTAGE 8,864 8%COMMERCIAL 57,781 51%UNINSURED 9,026 8%A PERCENTAGE BREAKDOWN OF INPATIENT UTILIZATION FOR ALTRU HOSPITAL BASED ON DISCHARGES BY TYPE OF PAYER PER 2016 PROJECTION SHOWS APPROXIMATELY 13 PERCENT OF DISCHARGES WERE FOR MEDICAID AND 8 PERCENT WERE SELF PAY (UNINSURED). ALSO FROM SG2, OUR TOTAL SERVICE AREA'S INCOME BY HOUSEHOLD IS AS FOLLOWS:INCOME RANGE 2016 HOUSEHOLDS$ < $ 9,999 7,480 $ 10,000 - $ 14,999 5,401$ 15,000 - $ 19,999 5,103$ 20,000 - $ 24,999 4,904$ 25,000 - $ 29,999 4,460$ 30,000 - $ 39,999 4,632$ 35,000 - $ 39,999 4,564$ 40,000 - $ 44,999 4,510$ 45,000 - $ 49,999 4,261$ 50,000 - $ 59,999 7,513$ 60,000 - $ 74,999 10,027$ 75,000 - $ 99,999 12,180$100,000 - $124,999 7,911$125,000 - $149,999 4,238$150,000 - $199,999 3,069$ > $200,000 3,243ACCORDING TO THE WEBSITE FOR HEALTH RESOURCES AND SERVICES ADMINISTRATION, THE FOLLOWING AREAS IN OUR SERVICE AREA ARE MUA'S:NORTH DAKOTA:BENSON COUNTY: BENSON SERVICE AREACAVALIER COUNTY: CAVALIER SERVICE AREAGRAND FORKS COUNTY: NORTHWOOD SERVICE AREA, GRAND FORKS SERVICE AREANELSON COUNTY: NELSON SERVICE AREAPEMBINA COUNTY: WALHALLA SERVICE AREAROLETTE COUNTY: ROLETTE SERVICE AREATOWNER COUNTY: CANDO CITY SERVICE AREATRAILL COUNTY: TRAILL SERVICE AREAWALSH COUNTY: PARK RIVER CITY SERVICE AREAMINNESOTA:KITTSON COUNTY: KITTSON SERVICE AREAMARSHALL COUNTY: MARSHALL SERVICE AREAPOLK COUNTY: POLK SERVICE AREARED LAKE COUNTY: RED LAKE SERVICE AREAROSEAU COUNTY: ROSEAU SERVICE AREA PART VI, LINE 5: ALL OF ALTRU'S RESOURCES ARE DEVOTED TO IMPROVING HEALTH IN THE COMMUNITIES WE SERVE. TO DO SO, WE KNOW THAT NOT ALL MEDICAL SERVICES WILL COME FROM STAFF EMPLOYED BY ALTRU HEALTH SYSTEM. ALTRU EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN OUR COMMUNITY FOR NEARLY ALL DEPARTMENTS. ALSO, OUR BOARD OF DIRECTORS IS MADE UP OF INDIVIDUALS FROM OUTSIDE ALTRU HEALTH SYSTEM. THESE PEOPLE ARE VOLUNTEERS WHO HAVE THE SAME DEDICATION AND FOCUS ON ALTRU'S MISSION AS OUR OWN STAFF. PART VI, LINE 6: ALTRU HEALTH SYSTEM IS PART OF AN AFFILIATED HEALTH CARE SYSTEM. IN SEPTEMBER 2011, ALTRU HEALTH SYSTEM BECAME THE FIRST MEMBER OF THE MAYO CLINIC CARE NETWORK. THIS IS A NON-OWNERSHIP RELATIONSHIP THAT BENFITS THE ORGANIZATION'S PHYSICIANS AND PATIENTS FROM ENHANCED ACCESS TO MAYO PHYSICIANS AND CLINICAL RESOURCES. MORE SPECIFICALLY, PHYSICIANS HAVE ACCESS TO MAYO CLINIC'S EVIDENCE-BASED DISEASE MANAGEMENT PROTOCOLS, CLINIC CARE GUIDELINES, AND TREATMENT RECOMMENDATIONS AND REFERENCE MATERIALS FOR COMPLEX MEDICAL CONDITIONS.PART VI, LINE 7: ALTRU HEALTH SYSTEM IS NOT REQUIRED TO FILE OUR COMMUNITY BENEFIT REPORT WITH ANY OUTSIDE ORGANIZATIONS BUT HAS MADE OUR REPORT AVAILABLE TO ANYONE ON OUR WEB SITE. 1 COMMUNITY VIOLENCE INTERVENTION CENTER 211 S 4TH ST STE 207 GRAND FORKS ND 58201 450359167 501(C)(3) 25000 2016 SUPPORT UNIVERSITY OF MINNESOTA FOUNDATION 200 OAK ST SE STE 500 MINNEAPOLIS MN 55455 416042488 501(C)(3) 20000 STUDENT SCHOLARSHIP FUND RE ARENA INC ONE RALPH ENGLESTAD DR GRAND FORKS ND 58203 113666663 501(C)(3) 98500 GAME DAY SPONSORSHIPS UNITED WAY GRAND FORKSEAST GRAND FORKS 1407 24TH AVE S STE 400 GRAND FORKS ND 58201 450255772 501(C)(3) 10500 CORPORATE GIFT UND FOUNDATION 3100 UNIVERSITY AVE STOP 8157 GRAND FORKS ND 58202 450348296 501(C)(3) 435838 UND ATHLETICS HIGH PERFORMANCE CENTER; ALTRU TURF FUND GREATER GRAND FORKS YOUNG PROFESSIONALS 202 NORTH 3RD ST GRAND FORKS ND 58203 320134204 501(C)(6) 11000 GGFYP VISIONARY SPONSORSHIP GRAND FORKS PARK DISTRICT FOUNDATION 1060 47TH AVE S GRAND FORKS ND 58201 260625504 501(C)(3) 195500 WELLNESS CENTER PROJECT; LEGENDS & HEROES PLEDGE ALTRU FAMILY YMCA 215 N 7TH ST GRAND FORKS ND 58203 450226434 501(C)(3) 72000 YMCA PLAYGROUND; FIRECRACKER ROAD RACE CITY OF EAST GRAND FORKS 600 DEMERS AVE NW EAST GRAND FORKS MN 56721 416005112 EAST GRAND FORKS, MN 45000 WELLNESS PROGRAM CITY OF GRAND FORKS 255 N 4TH ST GRAND FORKS ND 58203 456002085 GRAND FORKS, ND 21000 SOCIAL DETOX FACILITY LIFECARE MEDICAL CENTER 715 DELMORE DR ROSEAU MN 56751 411804205 501(C)(3) 5000 2016 PARTNERS FOR HEALTH EVENT SPONSORSHIP GRAND FORKS DOWNTOWN DEVELOPMENT ASSOCIATION 23 N 3RD ST STE 2 GRAND FORKS ND 58203 464711617 501(C)(6) 5000 SUPPORT 10 2 SCHOLARSHIPS 14 18840 SPONSORSHIPS 3 2000 PART I, LINE 2: UNIVERSITY OF MINNESOTA FOUNDATION - SCHOLARSHIPS ARE DIRECTED BY THE UNIVERSITY OF MINNESOTA FOUNDATION AS PART OF THE SCHOLARSHIP PROGRAM AND ALTRU DOES NOT DIRECTLY DESIGNATE SCHOLARSHIP RECIPIENTS. COMMUNITY VIOLENCE INTERVENTION CENTER - FUNDS WERE GRANTED WITH THE DIRECTION THAT CVIC WAS ABLE TO USE FUNDS AS NEEDED. CVIC DETERMINES THE RECIPIENTS OF THE ASSISTANCE PROVIDED THROUGH THOSE FUNDS. RE ARENA, INC. - ALTRU REVIEWS THE SPONSORSHIPS WITH RE ARENA/UNIVERSITY OF NORTH DAKOTA OFFICIALS PRIOR TO THE EVENTS AND HAS REPRESENTATIVES ATTEND THE EVENTS TO ACKNOWLEDGE THE PROPRIETY OF THE ANNOUNCEMENTS MADE REGARDING THE SPONSORSHIP OF THE DAY'S EVENT. UNITED WAY GRAND FORKS/EAST GRAND FORKS - FUNDS WERE GRANTED TO THE ANNUAL CAMPAIGN AND UNITED WAY USES THE FUNDS AS NEEDED. UND FOUNDATION - SCHOLARSHIPS ARE DIRECTED BY UND AS PART OF THE SCHOLARSHIP PROGRAM AND ALTRU DOES NOT DIRECTLY DESIGNATE SCHOLARSHIP RECIPIENTS. GREATER GRAND FORKS YOUNG PROFESSIONALS - FUNDS GRANTED WITH THE DIRECTION THAT THEY WERE ABLE TO USE THE FUNDS AS NEEDED. GRAND FORKS PARK DISTRICT FOUNDATION - FUNDS GRANTED WITH THE DIRECTION THAT THEY WERE ABLE TO USE THE FUNDS AS NEEDED TOWARDS THE WELLNESS CENTER FACILITY PROJECT AND THE ICON SPORTS CENTER ICE ARENA. ALTRU FAMILY YMCA - FUNDS GRANTED WITH THE DIRECTION THAT THEY WERE ABLE TO USE THE FUNDS AS NEEDED. A REPRESENTATIVE ATTENDED THE EVENTS TO ACKNOWLEDGE THE PROPRIETY OF THE ANNOUNCEMENTS MADE REGARDING THE SPONSORSHIP OF THE DAY'S EVENT. CITY OF EAST GRAND FORKS - FUNDS GRANTED WITH THE DIRECTION THAT THEY WERE ABLE TO USE THE FUNDS AS NEEDED. CITY OF GRAND FORKS - FUNDS GRANTED WITH THE DIRECTION THAT THEY WERE ABLE TO USE THE FUNDS AS NEEDED TOWARDS A SOCIAL DETOX FACILITY. LIFECARE MEDICAL CENTER - FUNDS GRANTED WITH THE DIRECTION THAT THEY WERE ABLE TO USE THE FUNDS AS NEEDED. A REPRESENTATIVE ATTENDED THE EVENTS TO ACKNOWLEDGE THE PROPRIETY OF THE ANNOUNCEMENTS MADE REGARDING THE SPONSORSHIP OF THE DAY'S EVENT. GRAND FORKS DOWNTOWN DEVELOPMENT ASSOCIATION - FUNDS GRANTED WITH THE DIRECTION THAT THEY WERE ABLE TO USE THE FUNDS AS NEEDED. X X X X X X 0 0 0 0 0 0 0 0 0 MATTHEW ROLLER MD BOARD MEMBER/PHYSICIAN 490136 0 0 0 36523 0 24055 0 17249 0 567963 0 0 0 BRADLEY BELLUK MD BOARD MEMBER/PHYSICIAN 499088 0 0 0 43058 0 24055 0 24140 0 590341 0 0 0 ERIC LUNN MD BOARD MEMBER/PRESIDENT/PHY 410473 0 193500 0 43858 0 104347 0 8535 0 760713 0 0 0 DAVID MOLMEN BOARD MEMBER/CEO 571772 0 268200 0 94416 0 133224 0 22407 0 1090019 0 0 0 BRADLEY WEHE BOARD MEMBER/COO 335331 0 177016 0 42918 0 100426 0 22407 0 678098 0 0 0 DWIGHT THOMPSON CFO/TREASURER 341888 0 134566 0 152137 0 118640 0 15966 0 763197 0 0 0 RENEE M AXTMAN RN ADMIN DIR PRIMARY CARE 204441 0 61088 0 9977 0 46981 0 23935 0 346422 0 0 0 KERRY P CARLSON FORMER ADM DIR MEDICAL SPECIALTY 25847 0 48373 0 239485 0 17568 0 4747 0 336020 0 0 0 SCOTT CHARETTE MD MEDICAL DIRECTOR SURGICAL 588820 0 18730 0 25242 0 46597 0 22239 0 701628 0 0 0 JOSHUA DEERE MEDICAL DIRECTOR 370717 0 33340 0 18317 0 43977 0 22006 0 488357 0 0 0 KELLEE FISK CHIEF PEOPLE OFFICER 283074 0 132604 0 27966 0 100408 0 18076 0 562128 0 0 0 YVONNE GOMEZ MEDICAL DIRECTOR 282767 0 39888 0 25224 0 54196 0 8261 0 410336 0 0 0 KELLY HAGEN RN ADM DIR CARDIOLOGY & MUSCU 207239 0 54097 0 1094 0 41419 0 23878 0 327727 0 0 0 LAURA LIZAKOWSKI PAST MEDICAL DIRECTOR 267209 0 18452 0 17418 0 39320 0 15586 0 357985 0 0 0 WILLIAM MCKINNON MD MEDICAL DIRECTOR 244401 0 32068 0 27448 0 59349 0 17840 0 381106 0 0 0 MARGARET REED RN CHIEF NURSE OFFICER 262279 0 0 0 55044 0 19571 0 2255 0 339149 0 0 0 DENNIS REISNOUR CHIEF STRATEGY OFFICER 235686 0 88125 0 18464 0 73625 0 2880 0 418780 0 0 0 HEATHER STRANDELL ADMINISTRATIVE DIRECTOR 180398 0 42450 0 7750 0 67690 0 3794 0 302082 0 0 0 COLLEEN SWANK MD CHIEF MEDICAL OFFICER 322986 0 127125 0 18520 0 98490 0 24549 0 591670 0 0 0 KENNETH VEIN ADM DIR PLANT SERVICES 202114 0 61595 0 64496 0 71294 0 17506 0 417005 0 0 0 MARK WAIND ADM DIR INFORMATION SERVIC 346690 0 0 0 20128 0 96807 0 19368 0 482993 0 0 0 JILL WILSON ADMIN DIRECTOR 194057 0 37000 0 25602 0 64048 0 21287 0 341994 0 0 0 RABEEA ABOUFAKHER PHYSICIAN 935287 0 0 0 18540 0 24055 0 22239 0 1000121 0 0 0 ABDEL AHMED PHYSICIAN 0 0 0 0 911630 0 0 0 0 0 911630 0 0 0 IKECHUKWU ONYEKA PHYSICIAN 1300268 0 0 0 18742 0 24055 0 24789 0 1367854 0 0 0 DARIN LEETUN PHYSICIAN 850896 0 0 0 46484 0 24055 0 16998 0 938433 0 0 0 ATILLA DALMI PHYSICIAN 888746 0 0 0 35810 0 24055 0 24789 0 973400 0 0 0 A CITY OF GRAND FORKS 456002085 38546WAW0 2005-12-01 40000000 CAPITAL EXPENDITURES, FUND DEBT SERVICE FUND 0 0 0 B CITY OF GRAND FORKS 456002085 38546WAZ3 2007-08-15 30755173 REFUND BONDS ISSUED JUNE 17, 1997 AND MARCH 23, 2000 0 0 0 C CITY OF GRAND FORKS 456002085 2011-08-02 23620000 REFUND BONDS ISSUED MAY 19, 1994 AND JUNE 17, 1997 0 0 0 D CITY OF GRAND FORKS 456002085 38546WCC2 2012-05-01 112375000 REFUND BONDS ISSUED 1992, 1997, AND 2010A/2010B; INFRASTRUCTURE, EQUIPMENT 0 0 0 A 11700000 40000000 3530586 425000 1506870 34537534 2007 0 0 1 1 B 5470173 30755173 3075517 27283893 395763 2007 1 0 1 1 C 11880000 23620000 23487901 103099 2011 1 0 1 1 D 1495000 112375000 49370134 2487053 2012 1 0 1 1 A 0 0 0 1 1 0 0 0 0 B 0 0 0 1 0 0 0 0 0 C 0 0 0 0 0 0 0 0 0 D 0 0 1 0 1 0 0 0 0 A 0 B 0 C 0 D 0 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: CITY OF GRAND FORKS DATE THE REBATE COMPUTATION WAS PERFORMED: 12/01/2016 ISSUER NAME: CITY OF GRAND FORKS DATE THE REBATE COMPUTATION WAS PERFORMED: 12/01/2016 FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C 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 15 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 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 AND VIA ITS WEB SITE. GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: APPLICATION OF FASB ASC TOPIC 715 -7,543,207. UNRELATED BUSINESS INCOME TAX EXPENSE - ACCRUED 195,631. 990, PAGE 1, HEADING ITEM C 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 FORM 990, PART VIII, LINE 2B & 2D EXCLUSION AMOUNT BIOMED SERVICES $32,830 SITE SERVICE FEES $7,166 SUBTOTAL $39,996 PHARMACY SALES TO EMPLOYEES $7,695 HOUSING/SPACE RENTALS $486,782 VENDING MACHINE INCOME $91,883 SALE OF SCRAP/OTHER $1,106 SUBTOTAL $587,466 TOTAL EXCLUSION AMOUNT $627,462 RELATED OR EXEMPT FUNCTION INCOME CEPT REVENUE $219,175 HEARING CENTER $1,027,630 OCCUPATIONAL HEALTH $610,170 VHA SUPPLY CO - DISTRIBUTION $1,112,026 PURCHASE DISCOUNTS $246,545 REBATES $213,625 CONTRACT SERVICES, OUTREACH, EDUCATION $3,436,523 MEDICAL RECORDS TRANSCRIPT FEES $208,487 AFFILIATED OTHER REVENUE $266,202 MISCELLANEOUS REVENUE $12,607,638 TOTAL RELATED/EXEMPT INCOME $19,948,021 FORM 990, PART VIII, LINE 2B & 2D 1. 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. 2. 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. 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. VENDING MACHINE INCOME: INCOME EARNED THROUGH THE OPERATION OF VENDING MACHINES IN THE BUILDINGS. 6. SALE OF SCRAP: INCOME EARNED THROUGH THE SALE OF ITEMS THAT ARE NOT FIXED ASSETS AND ARE OF DIMINISHED USE TO THE ORGANIZATION. 7. 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. 8. HEARING CENTER: REVENUE FROM THE PROVISION OF AUDIOLOGICAL SERVICES AND HEARING AIDS TO PATIENTS. 9. OCCUPATIONAL HEALTH: FEES FOR PROVIDING DRUG SCREENINGS FOR REGIONAL EMPLOYERS. 10. VHA SUPPLY DISTRIBUTION: REBATE RECEIVED BASED ON VOLUME OF SUPPLY PURCHASES. 11. PURCHASE DISCOUNTS: THIS FIGURE REPRESENTS COST SAVINGS ON PURCHASES FROM SUPPLIERS FOR GOODS USED IN THE PROVISION OF HEALTH CARE SERVICES. 12. REBATES: REBATES RECEIVED BASED ON VOLUME OF PHARMACY PURCHASES. 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. 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. 17. MISCELLANEOUS INCOME: INCLUDES PRINCIPALLY MONIES FROM MEDICARE & MEDICAID FOR UPGRADING EPIC AND MANDATED ELECTRONIC HEALTH RECORDS SOFTWARE SYSTEMS. INCLUDES 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. ALTRU HEALTH FOUNDATION 2501 DEMERS AVE GRAND FORKS ND 58201 450368330 FUNDRAISING ND 501(C)(3) LINE 12A, 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 12A, I N/A 0 DAK-MINN BLOOD BANK 1200 S COLUMBIA RD GRAND FORKS ND 58201 363453164 BLOOD BANK ND 501(C)(3) LINE 12D, 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 12B, II N/A 0 ALTRU SPECIALTY SERVICES INC 1200 S COLUMBIA RD GRAND FORKS ND 58201 450395652 DME SALES, RETAIL PHARMACY ND N/A C 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 ALTRU HEALTH FOUNDATION C 1631175 CASH DONATED ALTRU HEALTH FOUNDATION O 3136877 COMPENSATION TO RELATED ORG ALTRU SPECIALTY SERVICES A 146279 RENT PAYMENT RECEIVED DAK-MINN BLOOD BANK O 394655 COMPENSATION TO RELATED ORG ALTRU ALLIANCE Q 72787 AMOUNT REIMBURSED ALTRU HEALTH RESOURCES P 6000 AMOUNT REIMBURSED ALTRU HEALTH RESOURCES O 2270235 COMPENSATION TO RELATED ORG