You may not see Altered in the same way as Salvage or Rebuilt.
However, theres only 1 Clean, once its anything but Clean its not ever Clean again. wether its Altered, Rebuilt, Amalgamated, it can never be Clean again.
So if you ever go sell your car, especially out of province, to the states or otherwise, it will raise eyebrows, people will not like it.
I personally have no problem with status other then Clean but im just putting it out there incase people didnt think to pay attention to it and then its to late.