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        <EOYAmt>10462</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>10462</EOYAmt>
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        <AcquisitionIndebtednessGrp>
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          <CurrentYearAmt>0</CurrentYearAmt>
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        <CashDeemedCharitableGrp>
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        <TotalMinimumAssetGrp>
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          <CurrentYearAmt>0</CurrentYearAmt>
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        <CYAdministrativeExpensePaidAmt>0</CYAdministrativeExpensePaidAmt>
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      <DistributionAllocationsGrp>
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        <CyovAppliedUnderdistrCPYAmt>3593</CyovAppliedUnderdistrCPYAmt>
        <CarryoverPYNotAppliedAmt>79486</CarryoverPYNotAppliedAmt>
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        <CYTotalAnnualDistributionsAmt>30486</CYTotalAnnualDistributionsAmt>
        <CYDistribAppUnderdistriPYAmt>0</CYDistribAppUnderdistriPYAmt>
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        <RemainingUnderdistriPYAmt>0</RemainingUnderdistriPYAmt>
        <RemainingUnderdistriCYAmt>0</RemainingUnderdistriCYAmt>
        <ExcessDistriCyovToNextYrAmt>146144</ExcessDistriCyovToNextYrAmt>
        <ExcessFromYear5Amt>79218</ExcessFromYear5Amt>
        <ExcessFromYear4Amt>0</ExcessFromYear4Amt>
        <ExcessFromYear3Amt>0</ExcessFromYear3Amt>
        <ExcessFromYear2Amt>36440</ExcessFromYear2Amt>
        <ExcessFromYear1Amt>30486</ExcessFromYear1Amt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SUPPORTING ORGANIZATION PROVIDED OTHER GIFTS AND GRANTS IN THE AMOUNT OF $9,500 TO ORGANIZATIONS AND INDIVIDUALS IN THE SAME BENEFICIARY CLASS AS THE SUPPORTED ORGANIZATION.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION D, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PRESIDENT OF SUPPORTED ORGANIZATIONS DESIGNATES LIAISONS BETWEEN THE SUPPORTED ORGANIZATIONS' ADMINISTRATION AND THE ORGANIZATION. THESE INDIVIDUALS ATTEND ALL BOARD MEETINGS IN AN ADVISORY CAPACITY. THROUGH THIS AND WITH THE GIFT SHOP LOCATED WITHIN THE HEALTH SYSTEM, THE ORGANIZATIONS MAINTAIN A CLOSE AND CONTINUOUS WORKING RELATIONSHIP.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION D, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S MISSION IS TO PROMOTE AND ADVANCE THE WELFARE OF THE SUPPORTED ORGANIZATIONS, ASSIST IN ESTABLISHING RAPPORT WITHIN THE COMMUNITY BETWEEN THE SUPPORTED ORGANIZATIONS AND CITIZENS IN THE AREA SERVED BY THE SUPPORTED ORGANIZATIONS, TO PROVIDE SERVICES AND ITEMS OF COMFORT AND CONVENIENCE FOR THE PATIENTS OF THE SUPPORTED ORGANIZATION AND TO PROVIDE FUNDS TO SUPPORT THE ACTIVITIES OF THE SUPPORTED ORGANIZATIONS.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <EquipmentGrp>
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        <DepreciationAmt>38096</DepreciationAmt>
        <BookValueAmt>0</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>0</TotalBookValueLandBuildingsAmt>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>0</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ALTRU HEALTH FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2501 DEMERS AVE</AddressLine1Txt>
          <CityNm>GRAND FORKS</CityNm>
          <StateAbbreviationCd>ND</StateAbbreviationCd>
          <ZIPCd>58201</ZIPCd>
        </USAddress>
        <RecipientEIN>450368330</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>20386</CashGrantAmt>
        <NonCashAssistanceAmt>600</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FAIR VALUE</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>FLORAL BOUQUETS</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>DIRECT HEALTH AND HUMAN NEEDS SERVICES</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>DONEES PROVIDE WRITTEN SUMMARIES OF HOW FUNDS WERE USED</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>MEG MORLEY AND MIKE MORLEY HAVE A FAMILY RELATIONSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS MEMBERS WHO PAY MEMBERSHIP DUES AND HELP IN THE ORGANIZATIONS MISSION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERS ELECT THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>MAJOR DECISIONS MAY REQUIRE APPROVAL FROM A MAJORITY OF MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 DRAFT WILL BE PROVIDED TO THE TREASURER BEFORE FILING. THE FINAL 990 WILL BE REVIEWED AND APPROVED BY THE THE FULL BOARD AFTER FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICT OF INTEREST POLICY IS REVIEWED AND SIGNED OFF ANNUALLY BY ALL MEMBERS OF THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ALTRU 2018 LLC DBA ALTRU CARE FLIGHT</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1200 S COLUMBIA ROAD</AddressLine1Txt>
          <CityNm>GRAND FORKS</CityNm>
          <StateAbbreviationCd>ND</StateAbbreviationCd>
          <ZIPCd>58201</ZIPCd>
        </USAddress>
        <EIN>833031289</EIN>
        <PrimaryActivitiesTxt>AIR AMBULANCE SERVICE</PrimaryActivitiesTxt>
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        <TotalIncomeAmt>0</TotalIncomeAmt>
        <EndOfYearAssetsAmt>0</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ALTRU HEALTH SYSTEM</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
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          <BusinessNameLine1Txt>ALTRU HEALTH FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2501 DEMERS AVE</AddressLine1Txt>
          <CityNm>GRAND FORKS</CityNm>
          <StateAbbreviationCd>ND</StateAbbreviationCd>
          <ZIPCd>58201</ZIPCd>
        </USAddress>
        <EIN>450368330</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ND</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>11A</PublicCharityStatusTxt>
        <DirectControllingEntityName>
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      <IdRelatedTaxExemptOrgGrp>
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        <USAddress>
          <AddressLine1Txt>1200 SO COLUMBIA RD</AddressLine1Txt>
          <CityNm>GRAND FORKS</CityNm>
          <StateAbbreviationCd>ND</StateAbbreviationCd>
          <ZIPCd>58201</ZIPCd>
        </USAddress>
        <EIN>450310462</EIN>
        <PrimaryActivitiesTxt>HOSPITAL/MEDICAL CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ND</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>ALTRU SPECIALTY SERVICES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>PO BOX 6011</AddressLine1Txt>
          <CityNm>GRAND FORKS</CityNm>
          <StateAbbreviationCd>ND</StateAbbreviationCd>
          <ZIPCd>58206</ZIPCd>
        </USAddress>
        <EIN>450395652</EIN>
        <PrimaryActivitiesTxt>RETAIL AND RENTAL MEDICAL SUPPLIES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ND</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
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      <GiftGrntOrCapContriToOthOrgInd>1</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I</FormAndLineReferenceDesc>
        <ExplanationTxt>ALTRU 2018 LLC DBA ALTRU CARE FLIGHT IS A DISREGARDED ENTITY OF ALTRU HEALTH SYSTEM (AHS) WHICH IS A TAX EXEMPT ENTITY. ACCORDINGLY, THE ASSETS AND INCOME OF THE DISREGARDED ENTITY ARE INCLUDED ON THE FORM 990 FILED BY AHS. AS NONE OF THE ASSETS OR INCOME OF THE DISREGARDED ENTITY ARE INCLUDED ON THE TAX RETURN OF ALTRU ALLIANCE, THERE ARE NO INCOME OR ASSETS TO REPORT PER THE IRS INSTRUCTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>