Altru Health System

Nonprofit profile at a glance

EIN
450310462
IRS 990 coverage
2010–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024, Form 990-T 2024
Location
Grand Forks, ND, United States
Phone
701.780.5299
Rating
80
Verdict
STRONG
Rating confidence
Standard
Sector
Hospital, General

Official website

Reported finances

Revenue
$780,388,280
Expenses
$733,552,021
Assets
$1,249,137,230
Liabilities
$789,085,182

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

Leadership & pay

28 people listed

Executive titles in this filing

  • TODD FORKEL (BOARD MEMBER/CEO)
  • JOSHUA DEERE (PRESIDENT)

Highest reported compensation

  • IKECHUKWU ONYEKA (PHYSICIAN): $2,394,929 total reported compensation
  • MEVAN WIJETUNGA (MEDICAL DIRECTOR): $1,784,798 total reported compensation
  • GRANT SEEGER (PHYSICIAN): $1,422,724 total reported compensation

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

Overview

Mission

For more than 130 years, Altru has been dedicated to caring for the people of our region. Based in Grand Forks, N.D., we are an independent, non-profit, physician-led healthcare organization committed to delivering compassionate, high-quality care. Our system includes an acute care hospital, a specialty hospital, a Level II trauma center, and twenty practice locations that bring comprehensive care close to home. As the first member of the Mayo Clinic Care Network, Altru extends Mayo Clinic expertise to our patients, ensuring access to world-class resources while keeping care local. Guided by our mission of making a difference for those we care for, our team is empowered to support the health and well-being of individuals and families at every stage of life. A Message from Our CEO and President.

What it reported doing in 2024

Heart & vascular services - altru offers a team of more than 20 providers across 5 specialties aimed at comprehensive heart and vascular care. Altru is consistently ranked as one of the best hospitals for heart failure care by u.s. News & world report which recognizes hospitals that excel in treating the most challenging patients.

Operating model

Revenue model
Other-operating. 97% of the money available for current operations came from other operating revenue.
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

STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. The filing does not identify recipients for some grant dollars and total assets are small relative to annual expenses; liquid coverage is unknown.

Rating breakdown

  • Financial Efficiency: 79
  • Transparency & Controls: 83
  • Accountability: 79
  • Sustainability: 53
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 78.1%; rating input score 78
  • Program expense ratio: 82.2%; rating input score 82
  • Fundraising efficiency: $65.08 raised per $1 spent on fundraising; rating input score 78; 78th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 93.3%; rating input score 93; 21st 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: Limited
  • Grant itemization coverage: 50%; rating input score 50; 10th percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 63.6%; rating input score 64; 18th 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: 6%; rating input score 60; 60th percentile among comparable filings
  • Total-asset coverage ratio: 1.7; rating input score 58; 58th percentile among comparable filings
  • Liabilities to assets ratio: 0.63; rating input score 26; 26th percentile among comparable filings
  • Officer compensation ratio: 2.8%; rating input score 41; 41st percentile among comparable filings

Growth

  • Program expense growth: 2.7% per year; rating input score 100; 20th percentile among comparable filings
  • Revenue growth: 3.9% per year; rating input score 100; 31st percentile among comparable filings
  • Asset growth: 9.2% per year; rating input score 100; 66th percentile among comparable filings

Details

  • What they do: 7 programs and campaigns described on the official site · 1 operating location identified
  • Where the money goes: 78.1% of revenue deployed · 82.2% of spending went to programs
  • Governance: 7 of 11 board members independent · 9 of 9 filing controls reported
  • Programs: 4 filed program accomplishments · $603M in reported program spending
  • Leadership: top reported pay $2.4M · 28 people listed · 5 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $139.2M reported
  • Consistency: 35 of 36 current checks pass · 1 finding to review
  • Schedules: 10 filed schedules · includes major donors, grants, and executive pay
  • Filing history: 14 filing years from 2010 to 2024
  • Contacts: How to reach this organization
  • Money network: 35 filed money-flow records
  • Related organizations: 16 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 — Transparency & Controls: Grant itemization coverage scored 50/100.
  • Review — Sustainability: Total-asset coverage ratio scored 58/100.
  • High — Sustainability: Liabilities to assets ratio scored 26/100.
  • Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.
  • Moderate — Sustainability: Officer compensation ratio scored 41/100.