Altarum

Nonprofit profile at a glance

EIN
381983442
IRS 990 coverage
2010–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024, Form 990-T 2023
Location
Novi, MI, USA
Phone
7343024600
Rating
64
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Research Institutes and Public Policy Analysis

Official website

Reported finances

Revenue
$43,405,911
Expenses
$42,336,486
Assets
$53,792,738
Liabilities
$14,193,482

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

22 people listed

Executive titles in this filing

  • MICHAEL MONSON (PRESIDENT & CEO)
  • SUSAN HAYASHI THRU 71924 (VICE PRESIDENT)
  • TARA FOWLER THRU 11824 (VICE PRESIDENT)
  • ANYA V POLIJANAC (VICE PRESIDENT)
  • LINCOLN SMITH THRU 3322 (FORMER SENIOR VICE PRESIDENT)

Highest reported compensation

  • MICHAEL MONSON (PRESIDENT & CEO): $1,060,181 total reported compensation
  • LINCOLN SMITH THRU 3322 (FORMER SENIOR VICE PRESIDENT): $550,000 total reported compensation
  • DENISE STURM (EVP & CFO): $541,423 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

We are a nonprofit organization focused on improving the health of individuals with fewer financial resources and populations disenfranchised by the health care system.

What it reported doing in 2024

Altarum's areas of focus include behavioral health, long-term services and supports, maternal and child health, food and nutrition, medicare and medicaid, military and veterans' health, applied research and evaluation, and public health information technology and data modernizationpublic health experts: altarum's advisory services provide direction for health policy implementation and progress. Our team of public health experts advise on navigating state or federal regulatory requirements, improving program performance, and delivering higher quality care. This includes policy analysis, project management, capacity building, workforce development, quality improvement, practice transformation, evaluation studies, coalition engagement, and learning collaboratives. Transformative insights: altarum's research provides a foundation on which we build solutions to achieve a future of better health for all. Altarum's insights are designed for practical application and achieving measurable results. Our applied research and analytics service offerings include economic modeling and analysis, proprietary tools, survey science, and data analytics. Our analysts, statisticians, and research scientists work every day to deliver greater value to the us health system while controlling costs. In addition to supporting the full survey lifecycle, we integrate research and data analytics to reveal actionable results. For example, altarum's ace measure of patient engagement tool is a fully validated tool that uses 12 questions to enable clinicians to ascertain engagement, intent to treat chronic conditions, and health literacy in two minutes.building capacity: altarum's training and technical assistance (tta) services ensure effective application of knowledge and evidence-based best practices, builds capacity, and leads to better outcomes. We have decades of experience operating training and technical assistance programs for federal agencies such as substance abuse and mental health services administration (samhsa) and health resources and services administration (hrsa) and have recently been recognized by the bureau of justice assistance (bja) as a national tta expert for our work strengthening coordination between community-based organizations and law enforcement across more than 20 states. Connecting health information for better outcomes: achieving seamless public health data interoperability is key to improving the public health infrastructure. Altarum has been helping public health programs modernize their data systems for two decades. We have hands-on experience developing fast healthcare interoperability resources (fhir) solutions, collaborating with major electronic health record (ehr) vendors, and working closely with interoperability standards organizations like hl7. For example, altarum created and maintains the Michigan syndromic surveillance system which receives data from over 200 emergency departments and urgent care facilities and rapidly detects and alerts state and regional epidemiologists to outbreaks of illness. Another example is altarum expands staff capacity and provides interoperability services to the Washington department of health. Services include improving hl7 message processes, streamlining the onboarding and monitoring of laboratories, training staff, optimizing reporting, and enhancing data feeds essential for reporting, modeling, and visualizing probable case data.build technology: altarum's cross-functional team of software engineers, data scientists, and public health analysts have deep expertise and help state governments and others across the health care spectrum improve health through technology. For example, our innovations in newborn screening interoperability resource center provided states and territories technical assistance and training to promote data interoperability and exchange between health care providers and state public health newborn screening programs, ultimately improving outcomes for infants an

Operating model

Revenue model
Grant-funded. 86% of the money available for current operations came from government grants.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - The filed numbers largely add up and most voting board members are independent. A relatively small share of available resources goes toward mission work and a relatively small share of total spending goes to programs.

Rating breakdown

  • Financial Efficiency: 59
  • Transparency & Controls: 65
  • Accountability: 94
  • Sustainability: 41
  • Growth: 0

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 57%; rating input score 57
  • Program expense ratio: 57.2%; rating input score 57
  • Fundraising efficiency: $40.33 raised per $1 spent on fundraising; rating input score 72; 72nd percentile among comparable filings

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
  • Pay-setting controls: 5 of 6 controls in place; rating input score 83
    • Compensation committee: Pass
    • Independent consultant: Pass
    • Other Form 990s reviewed: Pass
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Scored; rating input score 0
  • Grant itemization coverage: Scored; rating input score 0
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 88.9%; rating input score 89; 21st percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 2.5%; rating input score 44; 44th percentile among comparable filings
  • Total-asset coverage ratio: 1.27; rating input score 45; 45th percentile among comparable filings
  • Liabilities to assets ratio: 0.26; rating input score 50; 50th percentile among comparable filings
  • Officer compensation ratio: 13.4%; rating input score 11; 11th percentile among comparable filings

Growth

  • Program expense growth: -6.3% per year; rating input score 0; 3rd percentile among comparable filings
  • Revenue growth: -3.7% per year; rating input score 0; 3rd percentile among comparable filings
  • Asset growth: -2.5% per year; rating input score 0; 5th percentile among comparable filings

Details

  • What they do: 6 programs and campaigns described on the official site
  • Where the money goes: 57% of revenue deployed · 57.2% of spending went to programs
  • Governance: 8 of 9 board members independent · 9 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $24.2M in reported program spending
  • Leadership: top reported pay $1.1M · 22 people listed · 5 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $4.8M reported
  • Consistency: 32 of 32 current checks pass
  • Schedules: 8 filed schedules · includes major donors, foreign activity, executive pay, and related organizations
  • Filing history: 13 filing years from 2010 to 2024
  • Contacts: How to reach this organization
  • Money network: 22 filed money-flow records
  • Related organizations: 3 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.
  • Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • Review — Financial Efficiency: Mission deployment rate scored 57/100.
  • Review — Financial Efficiency: Program expense ratio scored 57/100.
  • High — Transparency & Controls: Foreign activity oversight scored 0/100.
  • High — Transparency & Controls: Grant itemization coverage scored 0/100.
  • High — Growth: Program expense growth scored 0/100.
  • High — Growth: Revenue growth scored 0/100.
  • Moderate — Sustainability: Operating margin scored 44/100.
  • High — Growth: Asset growth scored 0/100.
  • Moderate — Sustainability: Total-asset coverage ratio scored 45/100.
  • High — Sustainability: Officer compensation ratio scored 11/100.
  • Review — Sustainability: Liabilities to assets ratio scored 50/100.