ALTRU HEALTH SYSTEM: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: ALTRU HEALTH SYSTEM (EIN 45-0310462)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-14
IRS object ID: 201313189349305151
Schema version: 2012v2.1
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 H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-14T14:28:24-06:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	450310328	EIN

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	450310462	EIN

Name Name

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

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

US Address USAddress

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

Officer Officer

Field	Value	IRS element (for citing)
Name	DWIGHT THOMPSON	Name
Title	CFO	Title
Phone	7017805200	Phone
Date Signed	2013-11-14	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	MARK MILLER	Name
PTIN	P00014209	PTIN
Phone	7017754685	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

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

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

Address Principal Officer US AddressPrincipalOfficerUS

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

Field	Value	IRS element (for citing)
Gross Receipts	513663015	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	ALTRU.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1970	YearFormation
State Legal Domicile	ND	StateLegalDomicile
Activity Or Mission Description	HEALTHCARE DELIVERY	ActivityOrMissionDescription
Nbr Voting Members Governing Body	11	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	6	NbrIndependentVotingMembers
Total Nbr Employees	4467	TotalNbrEmployees
Total Nbr Volunteers	336	TotalNbrVolunteers
Total Gross UBI	2900986	TotalGrossUBI
Net Unrelated Business Txbl Income	589	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	2217753	ContributionsGrantsPriorYear
Contributions Grants Current Year	2240058	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	424145122	ProgramServiceRevenuePriorYear
Program Service Revenue CY	463961841	ProgramServiceRevenueCY
Investment Income Prior Year	4921726	InvestmentIncomePriorYear
Investment Income Current Year	2230007	InvestmentIncomeCurrentYear
Other Revenue Prior Year	423148	OtherRevenuePriorYear
Other Revenue Current Year	416829	OtherRevenueCurrentYear
Total Revenue Prior Year	431707749	TotalRevenuePriorYear
Total Revenue Current Year	468848735	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	106934	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	267360	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	249507009	SalariesEtcPriorYear
Salaries Etc Current Year	273143881	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	165196637	OtherExpensePriorYear
Other Expenses Current Year	180398486	OtherExpensesCurrentYear
Total Expenses Prior Year	414810580	TotalExpensesPriorYear
Total Expenses Current Year	453809727	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	16897169	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	15039008	RevenuesLessExpensesCY
Total Assets BOY	380667327	TotalAssetsBOY
Total Assets EOY	453496991	TotalAssetsEOY
Total Liabilities BOY	235692188	TotalLiabilitiesBOY
Total Liabilities EOY	290811356	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	144975139	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	162685635	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	IMPROVING HEALTH, ENRICHING LIFE.WHY WE SERVE: TO ACHIEVE OPTIMUM HEALTH FOR ALL RESIDENTS IN OUR REGION.HOW WE SERVE: BY PROVIDING HEALTH EDUCATION, PREVENTIVE SERVICES, EARLY INTERVENTION, AND APPROPRIATE CARE.WHOM WE SERVE: THE MORE THAN 200,000 RESIDENTS OF NORTHEAST NORTH DAKOTA AND NORTHWEST MINNESOTA.WHO WE ARE: A COMMUNITY OF OVER 3,000 HEALTH PROFESSIONALS AND SUPPORT STAFF COMMITTED TO SERVING THE REGION FOR MORE THAN 100 YEARS.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	16961112	Expense
Revenue	22977684	Revenue
Description	ORTHOPEDICS - ALTRU'S TEAM OF ORTHOPEDIC SURGEONS PROVIDE INPATIENT AND OUTPATIENT SURGICAL SERVICES TO PATIENTS WITH ISSUES RANGING FROM SIMPLE FRACTURES TO COMPLEX TRAUMATIC INJURIES. IN 2012 THERE WERE 1,536 HOSPITAL DISCHARGES.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	12212587	Expense
Revenue	16608949	Revenue
Description	CARDIOLOGY - ALTRU OFFERS COMPREHENSIVE SERVICES INCLUDING INTERVENTIONAL AND MEDICAL CARDIOLOGY. ADDITIONAL SERVICES INCLUDE ECHOCARDIOGRAPHY, CARDIAC STRESS TESTS, AND CARDIAC REHAB. ALTRU HAS BEEN RECOGNIZED THREE TIMES AS A "100 TOP HOSPITALS" FOR CARDIOVASCULAR CARE. OUR CARDIOLOGY TEAM ALSO PROVIDES OUTREACH CLINIC SERVICES TO COMMUNITIES THROUGHOUT OUR SERVICE AREA. IN 2012 THERE WERE 1,639 HOSPITAL DISCHARGES.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	9821228	Expense
Revenue	14245444	Revenue
Description	GENERAL SURGERY - ALTRU'S TEAM OF GENERAL SURGEONS PERFORM INPATIENT AND OUTPATIENT SURGERY FROM ELEVEN OPERATING ROOM SUITES IN ALTRU HOSPITAL. IN 2012 THERE WERE 812 GENERAL SURGERY HOSPITAL DISCHARGES.	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	353323575	Expense
Grants	267360	Grants
Revenue	403083516	Revenue
Description	OTHER PROGRAM SERVICES INCLUDE OTHER PATIENT CARE PROGRAMS AND GENERAL & ADMINISTRATIVE.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	353323575	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	267360	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	403083516	TotalOfOtherProgramServiceRev
Total Program Service Expense	392318502	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	91	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	4467	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	11	NbrVotingGoverningBodyMembers
Number Independent Voting Members	6	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Field	Value	IRS element (for citing)
Telephone Number	7017805203	TelephoneNumber

Address US AddressUS

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

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
JOHN SNUSTAD
BOARD CHAIR	1.00	X	X	0	0	0
LONNIE LAFFEN
VICE CHAIR	1.00	X	X	0	0	0
DARRELL LARSON ESQ
BOARD MEMBER	1.00	X		0	0	0
CASEY RYAN MD
BOARD MEMBER/PRESIDENT/PHY	40.00	X	X	521471	0	38091
DAVID MOLMEN
BOARD MEMBER/CEO	40.00	X	X	499144	0	41091
BRADLEY WEHE
BOARD MEMBER/COO	40.00	X	X	312685	0	41591
BRADLEY BELLUK MD
BOARD MEMBER/PHYSICIAN	40.00	X		484257	0	37091
KRIS COMPTON
SECRETARY	1.00	X	X	0	0	0
PHILIP GISI
BOARD MEMBER	1.00	X		0	0	0
ALICE BREKKE
BOARD MEMBER	1.00	X		0	0	0
MATTHEW ROLLER MD
BOARD MEMBER/PHYSICIAN	40.00	X		405056	0	37091
DWIGHT THOMPSON
CFO/TREASURER	40.00		X	351334	0	40691
JAMES VANLOOY MD
CHIEF MEDICAL EXECUTIVE	40.00			151316	0	20016	X
MARGARET REED RN
CHIEF NURSE EXECUTIVE	40.00			227736	0	16308	X
RENEE M AXTMAN RN
ADMIN DIR PRIMARY CARE	40.00			186259	0	31305	X
LELAND LINDQUIST
ADMINISTRATIVE DIR HUMAN R	40.00			238191	0	32836	X
JACQUELYN WALSH
ADMIN DIR SURGICAL&CLINICA	40.00			179071	0	25647	X
DENNIS REISNOUR
ADM DIR CORP DEVELOPMENT	40.00			207731	0	18377	X
KENNETH VEIN
ADM DIR PLANT SERVICES	40.00			185988	0	30142	X
MARK WAIND
ADM DIR INFORMATION SERVIC	40.00			182367	0	24590	X
KERRY P CARLSON
ADM DIR MEDICAL SPECIALTY	40.00			165165	0	29950	X
KELLY HAGEN RN
ADM DIR CARDIOLOGY & MUSCU	40.00			165304	0	26114	X
ERIC LUNN
CHIEF MEDICAL EXECUTIVE	40.00			277015	0	32662	X
MARK SIEGEL
MEDICAL DIRECTOR OF CARE MGMT	40.00			226461	0	29967	X
MICKEY SYRQUIN
PHYSICIAN	40.00			1036809	0	37091		X
IKECHUKWU ONYEKA
PHYSICIAN	40.00			1000750	0	43891		X
ABDEL AHMED
PHYSICIAN	40.00			1815574	0	42079		X
BARRY BJORGAARD
PHYSICIAN	40.00			976985	0	39091		X
RANDALL SMITH
PHYSICIAN	40.00			850654	0	37091		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	10647323	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	752803	TotalOtherCompensation
Number Individuals GT100 K	288	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
COMPHEALTH MEDICAL STAFFING
PO BOX 713100	SALT LAKE CITY	UT	841713100	SERVICES	2945940
EPIC SYSTEMS CORPORATION
PO BOX 88314	MILWAUKEE	WI	532880314	SERVICES	2466366
DELPHI HEALTHCARE PARTNERS INC
170 SOUTHPORT DR	MORRISVILLE	NC	27560	LOCUM TENENS SERVICES	2272352
MAYO COLLABORATIVE SERVICES INC
PO BOX 9146	MINNEAPOLIS	MN	554809146	SERVICES	1401663
EXECUTIVE HEALTH RESOURCES INC
15 CAMPUS BOULEVARD	NEWTOWN SQUARE	PA	19073	SERVICES	1128570

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	33	NumberOfContractorsGT100K
Related Organizations	992460	RelatedOrganizations
Government Grants	984975	GovernmentGrants
All Other Contributions	262623	AllOtherContributions
Total Contributions	2240058	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
NET SERVICE TO PATIENTS	621110	446948762	444464605	2484157
PROGRAM SERVICE REVENUE	621110	16514269	14550017		$1,964,252
RESEARCH GRANTS	621500	454080	454080
BIOMED SERVICES/SITE SERVICES FEE	900099	44730			$44,730

Field	Value	IRS element (for citing)
Total Program Service Revenue	463961841	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	4783116	TotalRevenueColumn
Exclusion	$4,783,116	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	42261171	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	41589739	Securities
Other	3224541	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	671432	Securities
Other	-3224541	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-2553109	TotalRevenueColumn
Related Or Exempt Function Income	-2553109	RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Unrelated Business RevenueUnrelatedBusinessRevenue
FITNESS PROGRAM	621990	218326	218326
RENTAL OFFICE SPACE/PARKING LOT	621300	185940	185940
TELECOMMUNICATIONS	517000	6905	6905

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	5658	TotalRevenueColumn
Unrelated Business Revenue	5658	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Other Revenue	416829	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	468848735	TotalRevenueColumn
Related Or Exempt Function Income	456915593	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	2900986	UnrelatedBusinessRevenue
Exclusion	$6,792,098	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	263560	Total
Program Services	263560	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	3800	Total
Program Services	3800	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	4979714	Total
Program Services	1283386	ProgramServices
Management And General	3696328	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	217833001	Total
Program Services	185195669	ProgramServices
Management And General	32637332	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	16590069	Total
Program Services	14104424	ProgramServices
Management And General	2485645	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	20739956	Total
Program Services	17632544	ProgramServices
Management And General	3107412	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	13001141	Total
Program Services	10915682	ProgramServices
Management And General	2085459	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	2423863	Total
Program Services	2423863	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	2259932	Total
Program Services	1708422	ProgramServices
Management And General	551510	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	7443971	Total
Program Services	7443971	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	23421695	Total
Program Services	23421695	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	2764114	Total
Program Services	2764114	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
SUPPLIES	68582735	68076175	506560
PURCHASED SERVICES	29557322	19729268	9828054
BAD DEBTS	24576500	24576500
FEES	10033215	8888789	1144426

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	9335139	Total
Program Services	3886640	ProgramServices
Management And General	5448499	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	453809727	Total
Program Services	392318502	ProgramServices
Management And General	61491225	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	11444	BOY
EOY	11824	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	19610998	BOY
EOY	15501327	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	67851679	BOY
EOY	73924495	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	510795	BOY
EOY	419577	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	6106238	BOY
EOY	5957659	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	369785	BOY
EOY	390297	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	438788203	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	235989607	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	137760175	BOY
EOY	202798596	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	131687609	BOY
EOY	129132928	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	16758604	BOY
EOY	25360288	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	380667327	BOY
EOY	453496991	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	40435950	BOY
EOY	42668379	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	385635	BOY
EOY	328650	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	158529275	BOY
EOY	211102380	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	36341328	BOY
EOY	36711947	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	235692188	BOY
EOY	290811356	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	144975139	BOY
EOY	162685635	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	144975139	BOY
EOY	162685635	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	380667327	BOY
EOY	453496991	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	15039008	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	4129097	ReconciliationUnrealizedInvest
Reconcilation Other Changes	-1457609	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

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

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

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

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	7624065	OtherCostOrOtherBasis
Book Value	7624065	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	235643536	OtherCostOrOtherBasis
Depreciation	102610621	Depreciation
Book Value	133032915	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	7692239	OtherCostOrOtherBasis
Depreciation	4619912	Depreciation
Book Value	3072327	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	181850217	OtherCostOrOtherBasis
Depreciation	128759074	Depreciation
Book Value	53091143	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	5978146	OtherCostOrOtherBasis
Book Value	5978146	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	202798596	TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescription	Book ValueBookValue
ASSETS HELD BY TRUSTEE	1205838
UNAMORTIZED BOND ISSUE COSTS	5478805
INVESTMENTS	11916057
ASSETS HELD UNDER BOND INDENTURE AGREEMENTS	6665587
DUE FROM AFFILIATES	94001

Field	Value	IRS element (for citing)
Total Book Value Other Assets	25360288	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
DUE TO AFFILIATES	$33,313
POST RETIREMENT HEALTH BENEFIT	$27,969,303
OTHER	$5,911,590
ESTIMATED THIRD PARTY LIABILITY	$2,075,978
SPECIAL ASSESSMENTS PAYABLE	$721,763

Field	Value	IRS element (for citing)
Total Of Amounts	36711947	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

Field	Value	IRS element (for citing)
Identifier	DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	Identifier
Return Reference	PART X, LINE 2:	ReturnReference
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.	Explanation

Schedule H IRS990ScheduleH

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

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2420559	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	2420559	NetCommunityBenefitExpense
Percent Of Total Expense	0.00530	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	19921227	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	19921227	NetCommunityBenefitExpense
Percent Of Total Expense	0.04390	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1233032	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	1233032	NetCommunityBenefitExpense
Percent Of Total Expense	0.00270	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	23574818	TotalCommunityBenefitExpense
Net Community Benefit Expense	23574818	NetCommunityBenefitExpense
Percent Of Total Expense	0.05190	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Persons Served	861774	PersonsServed
Total Community Benefit Expense	811613	TotalCommunityBenefitExpense
Net Community Benefit Expense	811613	NetCommunityBenefitExpense
Percent Of Total Expense	0.00180	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Persons Served	1713	PersonsServed
Total Community Benefit Expense	433299	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	433299	NetCommunityBenefitExpense
Percent Of Total Expense	0.00100	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Persons Served	433	PersonsServed
Total Community Benefit Expense	168450	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	168450	NetCommunityBenefitExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Persons Served	36599	PersonsServed
Total Community Benefit Expense	41765	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	41765	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Persons Served	900519	PersonsServed
Total Community Benefit Expense	1455127	TotalCommunityBenefitExpense
Net Community Benefit Expense	1455127	NetCommunityBenefitExpense
Percent Of Total Expense	0.00330	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Persons Served	900519	PersonsServed
Total Community Benefit Expense	25029945	TotalCommunityBenefitExpense
Net Community Benefit Expense	25029945	NetCommunityBenefitExpense
Percent Of Total Expense	0.05520	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$24,576,500	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	100002954	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	302665425	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-202662471	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	2	NumberOfHospitalFacilities

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

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Er24 HoursEr24Hours
ALTRU HOSPITAL
1	1200 S COLUMBIA RD	GRAND FORKS	ND	582066002	X	X	X
ALTRU REHABILITATION CENTER
2	1300 S COLUMBIA RD	GRAND FORKS	ND	582066002	X

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

Hospital Facility NumberHospitalFacilityNumber	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	FPG Free PercentFPGFreePercent	Uses FPG DiscountedUsesFPGDiscounted	FPG Discount PercentFPGDiscountPercent	Explains BasisExplainsBasis	Income LevelIncomeLevel	Asset LevelAssetLevel	Medical IndigencyMedicalIndigency	Insurance StatusInsuranceStatus	Uninsured DiscountUninsuredDiscount	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Posted On WebsitePostedOnWebsite	Posted In Emergency RoomPostedInEmergencyRoom	Available On RequestAvailableOnRequest	Actions On NonpaymentActionsOnNonpayment	Permit Report To Credit AgencyPermitReportToCreditAgency	Permit LawsuitPermitLawsuit	Permit Lien On ResidencePermitLienOnResidence	Permit Body AttachmentPermitBodyAttachment	Collection ActivitiesCollectionActivities	Report To Credit AgencyReportToCreditAgency	LawsuitLawsuit	Lien On ResidenceLienOnResidence	Body AttachmentBodyAttachment	Notified All PatientsNotifiedAllPatients	Documented DeterminationDocumentedDetermination	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Used Other MethodUsedOtherMethod	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges
ALTRU HOSPITAL
1	1	1	150.000000000000	1	250.000000000000	1	X	X	X	X	X	1	1	X	X	X	1	X	X	X	X	1	X	X	X	X	X	X	1	X	0	1
ALTRU REHABILITATION CENTER
2	1	1	150.000000000000	1	250.000000000000	1	X	X	X	X	X	1	1	X	X	X	1	X	X	X	X	1	X	X	X	X	X	X	1	X	0	1

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	54	NumberOfOtherFacilities

Other Facilities OtherFacilities (54 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
ALTRU MAIN CLINIC
1000 S COLUMBIA RD	GRAND FORKS	ND	582066003	OUTPATIENT DEPT OF ALTRU HOSP - CLINIC
ALTRU CANCER CENTER
960 S COLUMBIA RD	GRAND FORKS	ND	582066003	OUTPATIENT DEPT OF ALTRU HOSP - CLINIC
TRUYU AESTHETIC CENTER
3165 DEMERS AVE	GRAND FORKS	ND	582066003	OUTPATIENT DEPT OF ALTRU HOSP - CLINIC
ALTRU FAMILY MEDICINE CENTER
1380 S COLUMBIA RD	GRAND FORKS	ND	582066003	OUTPATIENT DEPT OF ALTRU HOSP - CLINIC
ALTRU FAMILY MEDICINE RESIDENCY
725 HAMLINE STREET	GRAND FORKS	ND	58203	OUTPATIENT CLINIC
ALTRU FAMILY MEDICINE RESIDENCY PHARMACY
725 HAMLINE STREET	GRAND FORKS	ND	58203	OUTPATIENT PHARMACY
ALTRU CLINIC - DRAYTON
1003 N MAIN	DRAYTON	ND	582254650	OUTPATIENT CLINIC/THERAPY
ALTRU PSYCHIATRY CENTER
860 S COLUMBIA RD	GRAND FORKS	ND	582066002	OUTPATIENT DEPARTMENT - PSYCH SERVICES
ALTRU HOSPITAL - CENTER COURT FITNESS
1600 32ND AVE S	GRAND FORKS	ND	58201	OUTPATIENT THERAPHY
ALTRU OUTPATIENT CENTER
411 2ND ST NW	EAST GRAND FORKS	MN	56721	OUTPATIENT THERAPHY
ALTRU CLINIC - CAVALIER
201 E 3RD AVE S	CAVALIER	ND	582200040	OUTPATIENT CLINIC
ALTRU CLINIC - DEVILS LAKE
1001 7TH STREET NE	DEVILS LAKE	ND	583012719	OUTPATIENT CLINIC
ALTRU CLINIC - CROOKSTON
400 SOUTH MINNESOTA	CROOKSTON	MN	567160606	OUTPATIENT DEPT OF ALTRU HOSP - CLINIC
ALTRU CLINIC - RED LAKE FALLS
312 INTERNATIONAL DRIVE	RED LAKE FALLS	MN	567504662	OUTPATIENT DEPT OF ALTRU HOSP - CLINIC
ALTRU CLINIC - ERSKINE
23076 347TH ST SE	ERSKINE	MN	565354201	OUTPATIENT DEPT OF ALTRU HOSP - CLINIC
ALTRU CLINIC - FERTILE
MILL STREET MAIN	FERTILE	MN	565404215	OUTPATIENT DEPT OF ALTRU HOSP - CLINIC
ALTRU CLINIC - ROSEAU
711 DELMORE DRIVE	ROSEAU	MN	567511534	OUTPATIENT CLINIC
ALTRU CLINIC - WARROAD
412 MAIN AVE NE	WARROAD	MN	567632342	OUTPATIENT CLINIC
ALTRU CLINIC - GREENBUSH
19120 200TH ST	GREENBUSH	MN	567269280	OUTPATIENT CLINIC
UNITY MEDICAL CENTER
164 WEST 13TH STREET	GRAFTON	ND	58237	HOME HEALTH/HOSPICE
FIRST CARE HEALTH CENTER
PO BOX I	PARK RIVER	ND	58270	HOME HEALTH/HOSPICE/THERAPY
NELSON COUNTY HEALTH SYSTEM
BOX 367	MCVILLE	ND	58254	HOME HEALTH/HOSPICE
CO CAVALIER CLINIC
201 E 3RD AVE S	CAVALIER	ND	58220	HOME HEALTH/HOSPICE
ALTRU HOME SVCS-NORTH VALLEY HOME HEALTH
109 S MINNESOTA ST	WARREN	MN	56762	HOME HEALTH/HOSPICE
ANETA PARKVIEW HEALTH CENTER
BOX 287	ANETA	ND	58212	OUTREACH CLINIC
CAVALIER COUNTY MEMORIAL
909 2ND ST	LANGDON	ND	58249	OUTREACH CLINIC
CENTRAL BOILER
20502 160TH ST	GREENBUSH	MN	56726	OUTREACH CLINIC
COOPERSTOWN MEDICAL CENTER
1200 ROBERTS ST	COOPERSTOWN	ND	58425	OUTREACH CLINIC
DEVILS LAKE GOOD SAMARITAN
302 7TH AVE	DEVILS LAKE	ND	58301	OUTREACH CLINIC
FIRST CARE HEALTH CENTER
115 VIVIAN ST	PARK RIVER	ND	58270	OUTREACH CLINIC
FRIENDSHIP
554 W 12TH ST	GRAFTON	ND	58327	OUTREACH CLINIC
4TH CORP
120 11TH ST	NEW ROCKFORD	ND	58356	OUTREACH CLINIC
GRIGGS COUNTY HOSPITAL
1200 ROBERTS AVE NE	COOPERSTOWN	ND	58425	OUTREACH CLINIC
HATTON PRAIRIE VILLAGE
930 DAKOTA AVE	HATTON	ND	58240	OUTREACH CLINIC
HEARTLAND CARE CENTER
620 14TH AVE NE	DEVILS LAKE	ND	58301	OUTREACH CLINIC
KARLSTAD HEALTH CARE
304 WASHINGTON AVE W	KARLSTAD	MN	56732	OUTREACH CLINIC
KITTSON MEMORIAL HEALTH CARE CENTER
1010 S BIRCH	HALLOCK	MN	56728	OUTREACH CLINIC
KITTSON MEMORIAL CLINIC OF KARLSTAD
1ST AND ROOSEVELT	KARLSTAD	MN	56732	OUTREACH CLINIC
LAKE REGION CORP
224 3TH ST NW	DEVILS LAKE	ND	583012908	OUTREACH CLINIC
LAKOTA GOOD SAMARITAN
608 4TH AVE SW HWY 2	LAKOTA	ND	583447500	OUTREACH CLINIC
MAPLE MANOR CARE CENTER
1116 9TH AVE	LANGDON	ND	58249	OUTREACH CLINIC
MCINTOSH MANOR NURSING HOME
600 RIVERSIDE AVE NE	MCINTOSH	MN	56556	OUTREACH CLINIC
NELSON COUNTY CARE CENTER
108 E NYHUS AVE	MCVILLE	ND	58254	OUTREACH CLINIC
NELSON COUNTY HEALTH SYSTEM
200 NORTH MAIN	MCVILLE	ND	58254	OUTREACH CLINIC
NORTHWOOD DEACONESS
4 N PART ST	NORTHWOOD	ND	58267	OUTREACH CLINIC
OAKLAND PARK COMMUNITIES INC
123 BAKEN STREET	THIEF RIVER FALLS	MN	56701	OUTREACH CLINIC
PEMBILIER NURSING CENTER
500 DELANO AVE	WALHALLA	ND	58282	OUTREACH CLINIC
PEMBINA COUNTY MEMORIAL HOSPITAL
301 MOUNTAIN STREET E	CAVALIER	ND	58220	OUTREACH CLINIC
PIONEER MEMORIAL CARE CENTER
23028 347TH ST SE	ERSKINE	MN	565359466	OUTREACH CLINIC
REM-GRAFTON
817 HILL AVE	GRAFTON	ND	58327	OUTREACH CLINIC
VALLEY 4000
4004 24TH AVE SOUTH	GRAND FORKS	ND	58201	OUTREACH CLINIC
VALLEY MEMORIAL HOMES
2900 14TH AVE SOUTH	GRAND FORKS	ND	58201	OUTREACH CLINIC
WEDGEWOOD MANOR
804 MAIN STREET WEST	CAVALIER	ND	58220	OUTREACH CLINIC
CENTER FOR PREVENTION & GENETICS
4401 S 11TH ST	GRAND FORKS	ND	58201	OUTREACH CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

ExplanationExplanation	IdentifierIdentifier
PART I, LINE 6A: PREPARATION OF ANNUAL COMMUNITY BENEFIT REPORT: ALTRU HEALTH SYSTEM PREPARES ANNUALLY A COMMUNITY BENEFIT REPORT BASED ON FORMS DESIGNED BY THE CATHOLIC HEALTH ORGANIZATION. ONCE ALL REPORTING FORMS HAVE BEEN COMPILED FOR THE YEAR, THE CATHOLIC HEALTH ORGANIZATION'S REFERENCE GUIDE FROM "A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT" IS USED TO DETERMINE WHAT ITEMS SHOULD BE REPORTED INTO WHAT CATEGORY. THE COMMUNITY BENEFIT REPORT IS PUBLISHED AS A PART OF THE CORPORATION'S ANNUAL REPORT, WHICH IS PLACED ON OUR WEB SITE FOR PUBLIC ACCESS.
PART I, LINE 7: COLUMN (F) - PERCENT OF TOTAL EXPENSES: IN DETERMINING THE DENOMINATOR FOR THE PERCENT OF TOTAL EXPENSE CALCULATION, THE AMOUNT REPORTED ON FORM 990, PART IX, LINE 25, COLUMN (A) WAS REDUCED BY BAD DEBTS EXPENSE OF $24,576,500.CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST: THE METHODOLOGY USED TO DETERMINE THE REPORTED AMOUNTS FOR THE CHARITY CARE IS A COST-TO-CHARGE RATIO BASED ON GROSS CHARGES WRITTEN OFF PURSUANT TO OUR CHARITY CARE AND MEANS-TESTED PROGRAMS ELIGIBILITY CRITERIA. OTHER COMMUNITY BENEFIT IS DETERMINED FROM INFORMATION THAT WAS COMPILED ON FORMS DESIGNED BY THE CATHOLIC HEALTH ORGANIZATION AND USING THEIR REFERENCE GUIDE, "A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT," TO DETERMINE WHICH CATEGORY THE AMOUNTS ARE PROPERLY REPORTED UNDER.
PART II: NONE DOCUMENTED ON FORM 990.
PART III, LINE 4: FOOTNOTE DISCLOSURE REGARDING BAD DEBTS EXPENSE: NOTES 1 AND 13 TO THE AUDITED FINANCIAL STATEMENTS REPORT ON BAD DEBT EXPENSE. NOTE 1 - CHANGE IN ACCOUNTING PRINCIPLES: "ALTRU HEALTH SYSTEM EARLY ADOPTED THE PROVISIONS OF ACCOUNTING STANDARDS UPDATE NO. 2011-07, HEALTHCARE ENTITIES (TOPIC 954) PRESENTATION AND DISCLOSURE OF PATIENT SERVICE REVENUE, PROVISION FOR BAD DEBTS, AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR CERTAIN HEALTHCARE ENTITIES IS ALLOWABLE. IN ACCORDANCE WITH THE IMPLEMENTATION GUIDANCE, ALTRU HEALTH SYSTEM APPLIED THE PRESENTATION REQUIREMENTS TO 2012 AND 2011. THE IMPACT ON 2012 WAS A DECREASE TO UNRESTRICTED OPERATING REVENUE OF $24,718,549 AND A DECREASE TO TOTAL EXPENSE OF $24,718,549. THE IMPACT OF 2011 WAS A DECREASE TO UNRESTRICTED OPERATING REVENUE OF $29,151,584 AND A DECREASE TO TOTAL EXPENSE OF $29,151,84. THERE WAS NO IMPACT ON OPERATING INCOME OR NET ASSETS." ACCOUNTS RECEIVABLE: "PATIENT RECEIVABLE ARE UNCOLLATERALIZED PATIENT AND THIRD-PARTY PAYOR OBLIGATIONS. PAYMENTS OF PATIENT RECEIVABLES ARE ALLOCATED TO THE SPECIFIC CLAIMS IDENTIFIED IN THE REMITTANCE ADVICE OR, IF UNSPECIFIED, ARE APPLIED TO THE EARLIEST UNPAID CLAIM.PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, ALTRU HEALTH SYSTEM ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, ALTRU RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.ALTRU'S PROCESS FOR CALCULATING THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS HAS NOT SIGNIFICANTLY CHANGED FROM DECEMBER 31, 2011 TO DECEMBER 31, 2012. 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 2011 OR 2012.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 $202,662,471 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, 2012, UTILIZING THE FOLLOWING WORKSHEETS: WORKSHEETS B PART I, H-7 PARTS 1&2, I-4, AND K-6.
PART III, LINE 9B: PROVISION FOR COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE ARE FOUND IN ALTRU'S POLICIES 2611 "DEDUCTIONS FROM REVENUES" AND 2614 "CHARITY CARE." ALTRU'S COMMUNITY CARE PROGRAM IS DESIGNED TO PROVIDE FINANCIAL ASSISTANCE TO THOSE WHO HAVE NO INSURANCE AND/OR LIMITED MEANS TO PAY FOR THEIR MEDICAL SERVICES AND DO NOT QUALIFY FOR OTHER PROGRAMS. IN ADDITION TO QUALITY HEALTHCARE, PATIENTS OF ALTRU HEALTH SYSTEM ARE PROVIDED FINANCIAL COUNSELING REGARDING THEIR MEDICAL BILLS, BY SOMEONE WHO CAN UNDERSTAND AND OFFER POSSIBLE SOLUTIONS FOR THOSE WHO CANNOT PAY IN FULL. PROGRAMS ARE ALSO AVAILABLE FOR UNINSURED PATIENTS, AND FOR THOSE FOUND TO BE IN MEDICAL HARDSHIP.
PART V, SECTION B, LINE 20D: N/A - GROSS CHARGES ARE NOT ADJUSTED FOR UNINSURED PATIENTS IN ER UNLESS THEY APPLY FOR AND QUALIFY FOR CHARITY CARE.	ALTRU HOSPITAL
PART V, SECTION B, LINE 20D: N/A - GROSS CHARGES ARE NOT ADJUSTED FOR UNINSURED PATIENTS IN ER UNLESS THEY APPLY FOR AND QUALIFY FOR CHARITY CARE.	ALTRU REHABILITATION CENTER
PART V, SECTION B, LINE 22: ALL PATIENTS ARE CHARGED THE GROSS CHARGE REGARDLESS OF INSURANCE STATUS. ADJUSTMENTS MAY BE APPLIED PROVIDING THE PATIENTS APPLY FOR AND QUALIFY FOR CHARITY CARE.	ALTRU HOSPITAL
PART V, SECTION B, LINE 22: ALL PATIENTS ARE CHARGED THE GROSS CHARGE REGARDLESS OF INSURANCE STATUS. ADJUSTMENTS MAY BE APPLIED PROVIDING THE PATIENTS APPLY FOR AND QUALIFY FOR CHARITY CARE.	ALTRU REHABILITATION CENTER
PART VI, LINE 2: NEEDS ASSESSMENT: ALTRU HEALTH SYSTEM'S MISSION - IMPROVING HEALTH, ENRICHING LIFE - CONFIRMS THAT OUR RESPONSIBILITY TO THE REGION GOES BEYOND PROVIDING QUALITY HEALTHCARE SERVICES. ALL OF OUR RESOURCES ARE DEVOTED TO IMPROVING HEALTH IN THE COMMUNITIES WE SERVE. AT ALTRU, GOOD HEALTH MEANS THAT EVERY INDIVIDUAL SHOULD ENJOY THE BEST ACHIEVABLE AND SO SHOULD OUR COMMUNITIES. MOVING FORWARD, BECAUSE OF STIPULATIONS DEFINED IN THE PATIENT PROTECTION AND AFFORDABLE CARE ACT, ALTRU WILL DEVELOP A FORMAL PROCESS FOR PERFORMING A COMMUNITY HEALTH NEEDS ASSESSMENT BASED ON OUR MISSION.
PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:ALTRU HAS SEVERAL AVENUES IN WHICH INFORMATION REGARDING FINANCIAL ASSISTANCE PROGRAMS IS COMMUNICATED TO PATIENTS. UNINSURED AND SELF-PAY PATIENTS IN THE HOSPITAL RECEIVE A VISIT FROM PATIENT REPRESENTATIVES AFTER INTAKE. DURING THIS MEETING, THEY ARE INFORMED OF VARIOUS FEDERAL, STATE AND COMMUNITY-BASED PROGRAMS THAT MAY PROVIDE ASSISTANCE. UNINSURED OR SELF-PAY PATIENTS FROM OUTPATIENTS RECEIVE CONTACT FROM PATIENT REPRESENTATIVES BY PHONE OR EMAIL INFORMING THEM OF POTENTIAL SOURCES OF FINANCIAL ASSISTANCE. BOTH SETS OF PATIENTS ARE ALSO PROVIDED INFORMATION ON HOW TO MOVE FORWARD IN APPLYING FOR THE PROGRAMS. IF PATIENTS ARE FOUND TO BE STRUGGLING WITH MEDICAL EXPENSES, OUR CREDIT AND COLLECTIONS REPRESENTATIVES UTILIZE LETTERS AND PHONE CALLS TO INFORM THEM OF VARIOUS RESOURCES THAT MAY PROVIDE ASSISTANCE.FINANCIAL ASSISTANCE INFORMATION IS ALSO AVAILABLE TO THE PUBLIC AS A WHOLE. ALTRU'S WEBSITE, ALTRU.ORG, INCLUDES FINANCIAL ASSISTANCE CONTACT INFORMATION AND ELIGIBILITY GUIDELINES. PATIENTS MAY REVIEW THIS ON THEIR OWN AND CONTACT AGENCIES THAT MAY PROVIDE ASSISTANCE BASED ON THEIR CIRCUMSTANCES. ALSO, ALTRU DISTRIBUTES BROCHURES FEATURING OUR COMMUNITY CARE PROGRAM AND OTHER FEDERAL AND STATE PROGRAMS. THESE BROCHURES ARE AVAILABLE TO BOTH PATIENTS AND VISITORS IN WAITING ROOMS OF OUR INPATIENT AND OUTPATIENT FACILITIES AS WELL AS IN ALL BUSINESS OFFICE LOCATIONS.
PART VI, LINE 4: COMMUNITY INFORMATION:ALTRU HEALTH SYSTEM SERVES A 17-COUNTY AREA THAT IS DIVIDED INTO THREE DISTINCT SERVICE AREAS (PRIMARY, SECONDARY, AND REFERRAL) AND HAS A POPULATION OF 218,456 PERSONS (2013 ESTIMATE) WHO RESIDE IN A DIVERSE AREA OF AGRICULTURE AND INDUSTRY. THE SERVICE AREA STRETCHES 265 MILES EAST AND WEST AND 120 MILES NORTH AND SOUTH. GRAND FORKS SITS IN THE MIDDLE OF THE RED RIVER VALLEY, ONE OF THE WORLD'S RICHEST AGRICULTURAL AREAS. PRINCIPAL CROPS INCLUDE SUGAR BEETS, POTATOES, EDIBLE BEANS, AND SMALL GRAINS SUCH AS WHEAT AND BARLEY. MUCH OF THE INDUSTRY IN THE AREA IS RELATED TO AGRICULTURE AND FOOD PROCESSING.THE PRIMARY SERVICE AREA, COMPRISED OF GRAND FORKS COUNTY (NORTH DAKOTA) AND EAST GRAND FORKS (MINNESOTA), IS HOME TO 75,808 PEOPLE (2013 ESTIMATE). LOCATED IN THIS MARKET IS ALTRU HOSPITAL, ALTRU REHABILITATION CENTER, ALTRU CANCER CENTER, AND SIX OTHER LOCATIONS THAT ARE HOME TO OUR PROVIDERS' CLINIC PRACTICES AND OTHER SERVICES OFFERED BY ALTRU. ALTRU HOSPITAL SERVES AS THE MAJOR REFERRAL CENTER FOR THE PEOPLE OF THE REGION. AS SUCH, IT PROVIDES A BROAD SPECTRUM OF PROGRAMS AND SERVICES. A FULL RANGE OF SERVICES ARE AVAILABLE FOR PATIENTS SUFFERING FROM CANCER, HEART DISEASE, END-STAGE RENAL DISEASE, NEUROLOGICAL DISORDERS, ALCOHOL OR CHEMICAL DEPENDENCY, HIGH RISK OBSTETRICAL COMPLICATIONS, AND PSYCHIATRIC DISORDERS. ALTRU HOSPITAL'S INPATIENT MARKET SHARE IN 2012 FOR OUR PRIMARY MARKET WAS 84 PERCENT BASED ON CLAIMS DATA FROM BLUE CROSS BLUE SHIELD OF NORTH DAKOTA. ABOUT 84 PERCENT OF THE PHYSICIANS IN THE PRIMARY AREA ARE EMPLOYED BY ALTRU HEALTH SYSTEM. ALSO LOCATED IN GRAND FORKS COUNTY IS NORTHWOOD COMMUNITY HEALTH CENTER (IN NORTHWOOD, ND). A COUPLE NOTABLE POPULATIONS ALTRU SERVES THAT ARE LOCATED IN OUR PRIMARY SERVICE AREA INCLUDE THE UNIVERSITY OF NORTH DAKOTA AND GRAND FORKS AIR FORCE BASE. THE UNIVERSITY OF NORTH DAKOTA IS THE STATE'S OLDEST INSTITUTION OF HIGHER LEARNING WITH AN ENROLLMENT OF ABOUT 14,700 STUDENTS (FALL 2012). THE NUMBER OF RESIDENTS AT GRAND FORKS AIR FORCE BASE WAS COUNTED AT 2,367 IN THE 2010 CENSUS.WITH A POPULATION OF 57,713 (2013 ESTIMATE), THE SECONDARY SERVICE AREA IS COMPRISED OF SIX COUNTIES TO THE WEST, NORTH, AND EAST OF GRAND FORKS COUNTY: NELSON, WALSH, AND PEMBINA COUNTIES IN NORTH DAKOTA, AND POLK, MARSHALL, AND KITTSON COUNTIES IN MINNESOTA; THIS AREA IS LARGELY RURAL AND AGRICULTURAL. WITHIN THIS AREA, ALTRU HAS FIVE REGIONAL CLINIC LOCATIONS; IT IS ALSO HOME TO SEVERAL SMALL HOSPITALS AS LISTED BELOW.SECONDARY SERVICE AREA HOSPITALS: LOCATIONUNITY MEDICAL CENTER: GRAFTON, NDFIRST CARE HEALTH CENTER: PARK RIVER, NDPEMBINA COUNTY MEMORIAL HOSPITAL: CAVALIER, NDNELSON COUNTY HEALTH SYSTEM: MCVILLE, NDKITTSON MEMORIAL HOSPITAL: HALLOCK, MNNORTH VALLEY HEALTH CENTER: WARREN, MNRIVERVIEW HOSPITAL: CROOKSTON, MNESSENTIA HEALTH: FOSSTON, MNIN 2012, ALTRU'S HOSPITAL INPATIENT MARKET SHARE IN THIS SERVICE AREA WAS AROUND 57 PERCENT ACCORDING TO CLAIMS PAID BY BLUE CROSS BLUE SHIELD OF NORTH DAKOTA. THE SYSTEM EMPLOYS MANY OF THE PHYSICIANS IN THE SECONDARY SERVICE AREA. ALL OF THESE PHYSICIANS ARE ON MEDICAL STAFFS OF COMMUNITY HOSPITALS THROUGHOUT THE REGION, AND REFER PATIENTS TO GRAND FORKS AND ELSEWHERE FOR SPECIALTY CARE.THE SYSTEM'S REFERRAL AREA IS COMPRISED OF TEN COUNTIES ENCIRCLING THE PRIMARY AND SECONDARY SERVICE AREAS (ROLETTE, TOWNER, BENSON, RAMSEY, CAVALIER, AND TRAILL COUNTIES IN NORTH DAKOTA AND ROSEAU, LAKE OF THE WOODS, PENNINGTON, AND RED LAKE COUNTIES IN MINNESOTA.) THIS REGION IS ALSO MOSTLY RURAL AND AGRICULTURAL AND INCLUDES SEVERAL SMALLER HOSPITALS AS LISTED SERVING THE PRIMARY CARE NEEDS OF THEIR COMMUNITIES. ALTRU HAS FIVE REGIONAL CLINICS IN THIS SERVICE AREA AND ALTRU HOSPITAL'S INPATIENT MARKET SHARE IN THIS REGION IS ABOUT 25 PERCENT ACCORDING TO 2012 CLAIMS PAID BY BLUE CROSS BLUE SHIELD OF NORTH DAKOTA. ALTRU, ONCE AGAIN, EMPLOYS MANY OF THE PHYSICIANS IN THIS AREA, AND THESE PHYSICIANS HAVE PRACTICE PATTERNS SIMILAR TO THOSE OF THE PHYSICIANS IN OUR SECONDARY SERVICE AREA.REFERRAL SERVICE AREA HOSPITALS: LOCATIONCAVALIER COUNTY MEMORIAL HOSPITAL: LANGDON, NDHILLSBORO MEDICAL CENTER: HILLSBORO, NDLAKEWOOD HEALTH CENTER: BAUDETTE, MNMERCY HOSPITAL: DEVILS LAKE, NDSANFORD-THIEF RIVER FALLS MEDICAL CENTER: THIEF RIVER FALLS, MNPRESENTATION MEDICAL CENTER: ROLLA, NDTOWNER COUNTY MEDICAL CENTER: CANDO, NDSANFORD MAYVILLE MEDICAL CENTER: MAYVILLE, NDLIFECARE MEDICAL CENTER: ROSEAU, MNQUENTIN N. BURDICK MEMORIAL HOSPITAL: BELCOURT, NDAS PREVIOUSLY MENTIONED, ALTRU'S 17-COUNTY SERVICE AREA HAS A POPULATION OF APPROXIMATELY 218,456 (2013 ESTIMATE). USING DATA FROM TRUVEN HEALTH (A VENDOR SPECIALIZING IN HEALTH CARE PLANNING INFORMATION), THE INSURANCE COVERAGE FOR COMMUNITIES IN OUR SERVICE AREA IS ESTIMATED TO BE AS FOLLOWS: 2013 PROJECTIONS AS A PERCENTMEDICAID 28,957 13%MEDICARE 31,498 14%DUAL ELIGIBLE 3,733 2%PRIVATE EMPLOYER SPONSORED 110,848 51%PRIVATE DIRECT 19,150 9%UNINSURED 24,270 11%A PERCENTAGE BREAKDOWN OF INPATIENT UTILIZATION FOR ALTRU HOSPITAL BASED ON DISCHARGES BY TYPE OF PAYER PER 2013 PROJECTION SHOWS APPROXIMATELY 13 PERCENT OF DISCHARGES WERE FOR MEDICAID AND 11 PERCENT WERE SELF PAY (UNINSURED). ALSO FROM TRUVEN HEALTH, OUR TOTAL SERVICE AREA'S INCOME BY HOUSEHOLD IS AS FOLLOWS:INCOME RANGE 2013 HOUSEHOLDS$ < $15,000 13,918 $ 15,000 - $ 24,999 11,147$ 25,000 - $ 49,999 25,761$ 50,000 - $ 74,999 17,758$ 75,000 - $ 99,999 10,858$ 100,000 - $149,999 7,548$ > $150,000 3,369ACCORDING TO THE WEBSITE FOR HEALTH RESOURCES AND SERVICES ADMINISTRATION, THE FOLLOWING AREAS IN OUR SERVICE AREA ARE MUA'S:NORTH DAKOTA:BENSON COUNTY: BENSON SERVICE AREACAVALIER COUNTY: CAVALIER SERVICE AREAGRAND FORKS COUNTY: NORTHWOOD SERVICE AREA, GRAND FORKS SERVICE AREANELSON COUNTY: NELSON SERVICE AREAPEMBINA COUNTY: WALHALLA SERVICE AREAROLETTE COUNTY: ROLETTE SERVICE AREATOWNER COUNTY: CANDO CITY SERVICE AREATRAILL COUNTY: TRAILL SERVICE AREAWALSH COUNTY: PARK RIVER CITY SERVICE AREAMINNESOTA:KITTSON COUNTY: KITTSON SERVICE AREAMARSHALL COUNTY: MARSHALL SERVICE AREAPOLK COUNTY: POLK SERVICE AREARED LAKE COUNTY: RED LAKE SERVICE AREAROSEAU COUNTY: ROSEAU SERVICE AREA
PART VI, LINE 5: ALL OF ALTRU'S RESOURCES ARE DEVOTED TO IMPROVING HEALTH IN THE COMMUNITIES WE SERVE. TO DO SO, WE KNOW THAT NOT ALL MEDICAL SERVICES WILL COME FROM STAFF EMPLOYED BY ALTRU HEALTH SYSTEM. ALTRU EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN OUR COMMUNITY FOR NEARLY ALL DEPARTMENTS. ALSO, OUR BOARD OF DIRECTORS IS MADE UP OF INDIVIDUALS FROM OUTSIDE ALTRU HEALTH SYSTEM. THESE PEOPLE ARE VOLUNTEERS WHO HAVE THE SAME DEDICATION AND FOCUS ON ALTRU'S MISSION AS OUR OWN STAFF.
PART VI, LINE 6: ALTRU HEALTH SYSTEM IS PART OF AN AFFILIATED HEALTH CARE SYSTEM. IN SEPTEMBER 2011, ALTRU HEALTH SYSTEM BECAME THE FIRST MEMBER OF THE MAYO CLINIC CARE NETWORK. THIS IS A NON-OWNERSHIP RELATIONSHIP THAT BENFITS THE ORGANIZATION'S PHYSICIANS AND PATIENTS FROM ENHANCED ACCESS TO MAYO PHYSICIANS AND CLINICAL RESOURCES. MORE SPECIFICALLY, PHYSICIANS HAVE ACCESS TO MAYO CLINIC'S EVIDENCE-BASED DISEASE MANAGEMENT PROTOCOLS, CLINIC CARE GUIDELINES, AND TREATMENT RECOMMENDATIONS AND REFERENCE MATERIALS FOR COMPLEX MEDICAL CONDITIONS.PART VI, LINE 7: ALTRU HEALTH SYSTEM IS NOT REQUIRED TO FILE OUR COMMUNITY BENEFIT REPORT WITH ANY OUTSIDE ORGANIZATIONS BUT HAS MADE OUR REPORT AVAILABLE TO ANYONE ON OUR WEB SITE.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (9 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
COMMUNITY VIOLENCE INTERVENTION CENTER
211 S 4TH ST STE 207	GRAND FORKS	ND	58201	450359167	501(C)(3)	25000	PLEDGE FOR DREAM MAKER SOCIETY
NORTHLAND COMMUNITY & TECHNICAL COLLEGE FOUNDATION
1101 HWY 1 EAST	THIEF RIVER FALLS	MN	56701	411287038	501(C)(3)	25000	RADIOLOGIC EQUIPMENT
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)	103705	GAME DAY SPONSORSHIPS
UNITED WAY GRAND FORKSEAST GRAND FORKS
1407 24TH AVE S STE 400	GRAND FORKS	ND	58201	450255772	501(C)(3)	6000	CORPORATE GIFT
UNITY MEDICAL CENTER
164 W 13TH ST	GRAFTON	ND	58237	450310159		10000	MOBILE IMAGING FACILITY
UND ALUMNI ASSOCIATION
3100 UNIVERSITY AVE STOP 8157	GRAND FORKS	ND	58202	450363216	501(C)(3)	12000	RETIRED PHYSICIAN SCHOLARSHIP FUND
GREATER GRAND FORKS YOUNG PROFESSIONALS
202 NORTH 3RD ST	GRAND FORKS	ND	58203	320134204	501(C)(6)APP PENDING	10000	2012 CORPORATE SPONSORSHIP
GRAND FORKS MARATHON INC
PO BOX 14867	GRAND FORKS	ND	58203	273739718	501(C)(3)	7000	PRESENTING SPONSOR

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	7	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	2	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	SCHEDULE I, PART I, LINE 2: NORTHLAND COMMUNITY & TECHNICAL COLLEGE FOUNDATION - SCHOLARSHIPS ARE DIRECTED BY THE NORTHLAND COMMUNITY & TECHNICAL COLLEGE FOUNDATION AS PART OF THE SCHOLARSHIP PROGRAM AND ALTRU DOES NOT DIRECTLY DESIGNATE SCHOLARSHIP RECIPIENTS. UNIVERSITY OF MINNESOTA FOUNDATION - SCHOLARSHIPS ARE DIRECTED BY THE UNIVERSITY OF MINNESOTA FOUNDATION AS PART OF THE SCHOLARSHIP PROGRAM AND ALTRU DOES NOT DIRECTLY DESIGNATE SCHOLARSHIP RECIPIENTS. COMMUNITY VIOLENCE INTERVENTION CENTER - FUNDS WERE GRANTED WITH THE DIRECTION THAT CVIC WAS ABLE TO USE FUNDS AS NEEDED. CVIC DETERMINES THE RECIPIENTS OF THE ASSISTANCE PROVIDED THROUGH THOSE FUNDS. RE ARENA, INC. - ALTRU REVIEWS THE SPONSORSHIPS WITH RE ARENA/UNIVERSITY OF NORTH DAKOTA OFFICIALS PRIOR TO THE EVENTS AND HAS REPRESENTATIVES ATTEND THE EVENTS TO ACKNOWLEDGE THE PROPRIETY OF THE ANNOUNCEMENTS MADE REGARDING THE SPONSORSHIP OF THE DAY'S EVENT. UNITED WAY GRAND FORKS/EAST GRAND FORKS - FUNDS WERE GRANTED TO THE ANNUAL CAMPAIGN AND UNITED WAY USES THE FUNDS AS NEEDED. UNITY MEDICAL CENTER - ALTRU'S 2012 GIFT WAS DESIGNATED TO THE COST OF A MOBILE IMAGING FACILITY. VERIFICATION WAS PROVIDED TO ALTRU THAT THIS EQUIPMENT WAS PURCHASED. UND ALUMNI ASSOCIATION - 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 WRE ABLE TO USE THE FUNDS AS NEEDED. GRAND FORKS MARATHON - FUNDS GRANTED WITH THE DIRECTION THAT THEY WERE ABLE TO USE THE FUNDS AS NEEDED. A REPRESENTATIVE ATTENDED THE EVENT TO ACKNOWLEDGE THE PROPRIETY OF THE ANNOUNCEMENTS MADE REGARDING THE SPONSORSHIP OF THE DAY'S EVENT.	Explanation

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (23 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
CASEY RYAN MD
BOARD MEMBER/PRESIDENT/PHY	478697	0	0	0	42774	0	22227	0	15864	0	559562	0	0	0
DAVID MOLMEN
BOARD MEMBER/CEO	457601	0	0	0	41543	0	22227	0	18864	0	540235	0	0	0
BRADLEY WEHE
BOARD MEMBER/COO	295313	0	0	0	17372	0	22227	0	19364	0	354276	0	0	0
BRADLEY BELLUK MD
BOARD MEMBER/PHYSICIAN	466460	0	0	0	17797	0	22227	0	14864	0	521348	0	0	0
MATTHEW ROLLER MD
BOARD MEMBER/PHYSICIAN	370714	0	0	0	34342	0	22227	0	14864	0	442147	0	0	0
DWIGHT THOMPSON
CFO/TREASURER	310420	0	0	0	40914	0	22227	0	18464	0	392025	0	0	0
JAMES VANLOOY MD
CHIEF MEDICAL EXECUTIVE	128041	0	0	0	23275	0	17146	0	2870	0	171332	0	0	0
MARGARET REED RN
CHIEF NURSE EXECUTIVE	210779	0	0	0	16957	0	15187	0	1121	0	244044	0	0	0
RENEE M AXTMAN RN
ADMIN DIR PRIMARY CARE	176767	0	0	0	9492	0	13441	0	17864	0	217564	0	0	0
LELAND LINDQUIST
ADMINISTRATIVE DIR HUMAN R	212811	0	0	0	25380	0	16152	0	16684	0	271027	0	0	0
JACQUELYN WALSH
ADMIN DIR SURGICAL&CLINICA	167221	0	0	0	11850	0	12022	0	13625	0	204718	0	0	0
DENNIS REISNOUR
ADM DIR CORP DEVELOPMENT	191673	0	0	0	16058	0	14006	0	4371	0	226108	0	0	0
KENNETH VEIN
ADM DIR PLANT SERVICES	164767	0	0	0	21221	0	12878	0	17264	0	216130	0	0	0
MARK WAIND
ADM DIR INFORMATION SERVIC	174628	0	0	0	7739	0	12955	0	11635	0	206957	0	0	0
KERRY P CARLSON
ADM DIR MEDICAL SPECIALTY	153626	0	0	0	11539	0	11686	0	18264	0	195115	0	0	0
KELLY HAGEN RN
ADM DIR CARDIOLOGY & MUSCU	164732	0	0	0	572	0	8250	0	17864	0	191418	0	0	0
ERIC LUNN
CHIEF MEDICAL EXECUTIVE	276560	0	0	0	455	0	22227	0	10435	0	309677	0	0	0
MARK SIEGEL
MEDICAL DIRECTOR OF CARE MGMT	202469	0	0	0	23992	0	22227	0	7740	0	256428	0	0	0
MICKEY SYRQUIN
PHYSICIAN	1013067	0	0	0	23742	0	22227	0	14864	0	1073900	0	0	0
IKECHUKWU ONYEKA
PHYSICIAN	965940	0	0	0	34810	0	22227	0	21664	0	1044641	0	0	0
ABDEL AHMED
PHYSICIAN	1774832	0	0	0	40742	0	22227	0	19852	0	1857653	0	0	0
BARRY BJORGAARD
PHYSICIAN	935163	0	0	0	41822	0	22227	0	16864	0	1016076	0	0	0
RANDALL SMITH
PHYSICIAN	826912	0	0	0	23742	0	22227	0	14864	0	887745	0	0	0

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
CITY OF GRAND FORKS
A	456002085	38546WAW0	2005-12-01	40000000	CAPITAL EXPENDITURES, FUND DEBT SERVICE FUND	0	0	0
CITY OF GRAND FORKS
B	456002085	38546WAZ3	2007-08-15	30755173	REFUND BONDS ISSUED JUNE 17, 1997 AND MARCH 23, 2000	0	0	0
CITY OF GRAND FORKS
C	456002085		2010-08-20	30000000	CAPITAL EXPENDITURES, FUND DEBT SERVICE FUND	0	0	0
CITY OF GRAND FORKS
D	456002085		2011-08-02	23620000	REFUND BONDS ISSUED MAY 19, 1994 AND JUNE 17, 1997	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCd	Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Refunding EscrowRefundingEscrow
A	4875000	40000000	3530586	425000	1506870	34537534	2007	0	1	1
B	2615173	30755173	3075517	395763			2007	1	1	1	27283893
C	30000000	30000000		203750		29726250	2012	0	1	1
D	2990000	23620000		103099			2011	1	1	1	23487901

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A	0	0	0	0	0.00000	0.00000	0.00000	0	0	0
B	0	0	0	0	0.00000	0.00000	0.00000	0	0	0
C	0	0	0	0	0.00000	0.00000	0.00000	0	0	0
D	0	0	0	0	0.00000	0.00000	0.00000	0	0	0

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

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	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	456002085	IssuerEIN
CUSIP Number	38546WCC2	CUSIPNumber
Date Issued	2012-05-01	DateIssued
Issue Price	112375000	IssuePrice
Description Of Purpose	REFUND BONDS ISSUED 1992, 1997, AND 2010A/2010B; INFRASTRUCTURE, EQUIPMENT	DescriptionOfPurpose
Defeased	0	Defeased
On Behalf Of Issuer	0	OnBehalfOfIssuer
Pool Financing	0	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	112375000	TotalProceeds
Issuance Costs From Proceeds	2487053	IssuanceCostsFromProceeds
Year Of Subst Completion	2012	YearOfSubstCompletion
Current Refunding	1	CurrentRefunding
Advance Refunding	0	AdvanceRefunding
Final Allocation Made	1	FinalAllocationMade
Adequate Books And Recds Maintaind	1	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedProperty
Any Lease Arrangements	0	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	0	MngmentCntrctBondFinancdPrprty
Any Research Agreements	0	AnyResearchAgreements
Prcntge Prvt Business Use By Others	0.00000	PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI	0.00000	PercentageOfPrvtBusinessReUBI
Total Private Business Use	0.00000	TotalPrivateBusinessUse
Bond Iss Meet Prvt Security Pay Test	0	BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedProp
Non Qualified Bond Remed Procdrs	0	NonQualifiedBondRemedProcdrs

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
DARRELL LARSON ESQ
BOARD MEMBER	13690	PROFESSIONAL SERVICES PROVIDED TO THE ORGANIZATION THROUGH A BUSINESS RELATIONSHIP - LEGAL FILE #1187	0
DARRELL LARSON ESQ
BOARD MEMBER	3167	PROFESSIONAL SERVICES PROVIDED TO THE ORGANIZATION THROUGH A BUSINESS RELATIONSHIP - LEGAL FILE #0676	0
DARRELL LARSON ESQ
BOARD MEMBER	138840	PROFESSIONAL SERVICES PROVIDED TO THE ORGANIZATION THROUGH A BUSINESS RELATIONSHIP - LEGAL FILE #1183	0
DARRELL LARSON ESQ
BOARD MEMBER	88039	PROFESSIONAL SERVICES PROVIDED TO THE ORGANIZATION THROUGH A BUSINESS RELATIONSHIP - LEGAL FILE #4774	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11	FORM 990 IS REVIEWED AND APPROVED BY THE CFO AND CEO PRIOR TO FILING. THE BOARD OF DIRECTORS REVIEWS THE 990 AT A MEETING AFTER 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 VII, LINE 7B(II)	IN 2012, ALTRU HEALTH SYSTEM WROTE OFF $3,035,992 OF PROPERTY IMPROVEMENT COSTS RELATED TO WELLNESS VILLAGE. DUE TO THE CONSTRUCTION OF CHOICE WELLNESS CENTER AND THE PURCHASE OF THE DOCTORS CLINIC, ALTRU HEALTH SYSTEM DECIDED NOT TO BUILD THE WELLNESS VILLAGE AND COSTS TO DATE EXCLUDING LAND AND BUILDING WERE INCLUDED IN THE DISPOSITION.	OTHER LOSS ON DISPOSITION
FORM 990, PART XI, LINE 9:	APPLICATION OF FASB ASC TOPIC 715 -1,457,609.	CHANGES IN NET ASSETS OR FUND BALANCES:
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	"DOING BUSINESS AS" CONTINUATION
FORM 990, PART VIII, LINE 2B & 2D	EXCLUSION AMOUNT BIOMED SERVICES $38,605 SITE SERVICE FEES $6,125 SUBTOTAL $44,730 CAFETERIA RECEIPTS $1,338,686 PHARMACY SALES TO EMPLOYEES $12,721 HOUSING/SPACE RENTALS $547,866 VENDING MACHINE INCOME $43,435 SALE OF SCRAP/OTHER $21,544 SUBTOTAL $1,964,252 TOTAL EXCLUSION AMOUNT $2,008,982 RELATED OR EXEMPT FUNCTION INCOME CEPT REVENUE $131,570 HEARING CENTER $884,029 OCCUPATIONAL HEALTH $421,655 VHA SUPPLY CO - DISTRIBUTION $687,495 PURCHASE DISCOUNTS $33,338 REBATES $23,111 CONTRACT SERVICES, OUTREACH, EDUCATION $3,404,436 CPE FUND $6,550 MEDICAL RECORDS TRANSCRIPT FEES $238,791 AFFILIATED OTHER REVENUE $351,817 MISCELLANEOUS REVENUE $8,367,227 TOTAL RELATED/EXEMPT INCOME $14,550,019	SCHEDULE 1 - PROGRAM SERVICE REVENUE DETAIL
FORM 990, PART VIII, LINE 2B & 2D	1. CAFETERIA RECEIPTS: REVENUE INCURRED THROUGH THE PROVISION OF MEALS FOR EMPLOYEES WHO HAVE TO BE IN THE BUILDING DURING THEIR REGULAR WORKDAY. PURPOSE: PROVIDE THESE EMPLOYEES WITH A PLACE TO ACQUIRE AND CONSUME THEIR MEALS; NO ALTERNATIVES ARE AVAILABLE. 2. BIOMED SERVICES: REVENUE EARNED THROUGH THE PROVISION OF SERVICES TO AREA HEALTH CARE FACILITIES NEEDING TO KEEP THEIR EQUIPMENT IN OPERATION IN ORDER TO PROVIDE THEIR PATIENTS WITH THEIR SERVICE. THE BIOMED PROGRAM PROVIDES SMALL REGIONAL HOSPITALS WITH A SERVICE OTHERWISE UNOBTAINABLE FROM ANYONE IN THE LOCAL AREA; IT IS OFTEN ON A PRIORITY BASIS. 3. PHARMACY SALES TO EMPLOYEES: REVENUE INCURRED IN SALES STRICTLY FOR THE CONVENIENCE OF EMPLOYEES. 4. HOUSING/SPACE RENTALS: INCOME INCURRED THROUGH THE RENTAL OF SPACE TO THE AREA HEALTH EDUCATION CENTER WHICH IS REQUIRED TO BE ON-SITE TO WORK WITH OUR PHYSICIANS PROVIDING HEALTH CARE TO PATIENTS. 5. CEPT REVENUE: REVENUE EARNED FROM THE EVALUATION AND TREATMENT OF ADOLESCENTS THROUGH A MULTI-DISCIPLINARY APPROACH INCLUDING PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH PATHOLOGY, AND PSYCHOLOGY. 6. HEARING CENTER: REVENUE FROM THE PROVISION OF AUDIOLOGICAL SERVICES AND HEARING AIDS TO PATIENTS. 7. OCCUPATIONAL HEALTH: FEES FOR PROVIDING DRUG SCREENINGS FOR REGIONAL EMPLOYERS. 8. VHA SUPPLY DISTRIBUTION: REBATE RECEIVED BASED ON VOLUME OF SUPPLY PURCHASES. 9. PURCHASE DISCOUNTS: THIS FIGURE REPRESENTS COST SAVINGS ON PURCHASES FROM SUPPLIERS FOR GOODS USED IN THE PROVISION OF HEALTH CARE SERVICES. 10. REBATES: REBATES RECEIVED BASED ON VOLUME OF PHARMACY PURCHASES. 11. SITE SERVICE FEES: FEES CHARGED FOR PROVIDING GROUNDS AND MAINTENANCE FOR THE AREA SURROUNDING THE UNITED HOSPITAL, INCLUDING FEES FOR SUCH SERVICES AS MAINTENANCE OF HOSPITAL PARKING LOT, SNOW SHOVELING, AND SNOW REMOVAL. 12. VENDING MACHINE INCOME: INCOME EARNED THROUGH THE OPERATION OF VENDING MACHINES IN THE BUILDINGS. 13. CONTRACT SERVICES, OUTREACH, EDUCATION: REVENUES EARNED IN THE PROVISION OF COMMUNITY EDUCATION/WELLNESS PROGRAMS, PASTORAL COUNSELING SERVICES, AND CONTRACTED SERVICES WITH REGIONAL HEALTHCARE SYSTEMS TO BRING OUTREACH SERVICES INTO THEIR COMMUNITIES. 14. CPE FUND: CLINICAL PASTORAL EDUCATION INCOME FROM PASTORAL RESIDENTS. PROGRAM SPONSORED BY THE ASSOCIATION OF CLINICAL PASTORAL EDUCATION. 15. MEDICAL RECORD TRANSCRIPTION FEES: INCOME EARNED THROUGH THE CHARGING OF VARIOUS THIRD PARTY PAYERS FOR THE PHOTOCOPYING OF PATIENT RECORDS. INSURANCE COMPANIES AND PAYERS ARE CHARGED TO OFFSET THE COST OF COPYING. 16. SALE OF SCRAP: INCOME EARNED THROUGH THE SALE OF ITEMS THAT ARE NOT FIXED ASSETS AND ARE OF DIMINISHED USE TO THE ORGANIZATION. 17.OTHER REVENUE CHARGED TO AFFILIATED CORPORATIONS: REVENUE FROM THE PROVISION OF PATIENT SERVICES, SUCH AS PSYCH OR LABORATORY, TO THE PATIENTS OF OTHER CORPORATIONS, WHICH ARE AFFILIATED TO ALTRU HEALTH SYSTEM. 18. MISCELLANEOUS INCOME: INCLUDES PRINCIPALLY 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.	SCHEDULE 2-PROGRAM SERVICE REVENUE DESCRIPTIONS

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

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

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

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

Address US AddressUS

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

Field	Value	IRS element (for citing)
EIN	450395652	EIN
Primary Activity	DME SALES, RETAIL PHARMACY	PrimaryActivity
Legal Domicile State	ND	LegalDomicileState
Direct Controlling Entity NA	N/A	DirectControllingEntityNA
Type Of Entity	C	TypeOfEntity
Controlled Org	0	ControlledOrg

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

Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
ALTRU HEALTH FOUNDATION
C	982910	CASH DONATED
ALTRU SPECIALTY SERVICES
A	185940	RENT PAYMENT RECEIVED
DAK-MINN BLOOD BANK
C	9550	CASH DONATED
DAK-MINN BLOOD BANK
O	416651	COMPENSATION TO RELATED ORG
ALTRU ALLIANCE
Q	83986	AMOUNT REIMBURSED
ALTRU HEALTH RESOURCES
Q	103666	AMOUNT REIMBURSED
ALTRU HEALTH RESOURCES
P	101921	AMOUNT REIMBURSED
ALTRU HEALTH RESOURCES
O	619873	COMPENSATION TO RELATED ORG
ALTRU HEALTH FOUNDATION
M	106630	AMOUNT REIMBURSED