The Sanny and Jerry Ryan Center for Prevention and Genetics, housed in Choice Health & Fitness, encourages people to consider preventive measures before it becomes medically necessary to seek care. It is the first of its kind in the region. Truyu Aesthetic Center, with locations in Grand Forks, East Grand Forks and across the region, offers surgical and non-surgical procedures, services and products under Altru's support. Altru is the result of a 1997 merger of United Hospital (formerly Deaconess and St. Michael's Hospitals) and the Grand Forks Clinic.