Altru Health System is a 501(c)(3) organization based in Grand Forks, North Dakota, registered in 1971, with $780,388,280 in FY2024 revenue. CharityIndex grades it A, and it directs about 82% of spending to programs.
Revenue (FY2024)
$780.4M
▲ 16.0% vs prior year
Health median: $840K
Expenses (FY2024)
$733.6M
Net assets
$460.1M
Employees
3,872
Measures how much of every dollar spent actually reaches programs, plus what it costs to raise $100 of donations. The worse of the two measures sets the letter (85%+ to programs is an A; under $15 to raise $100 is an A), averaged over the three most recent filings. For Altru Health System: 82% to programs · $2 to raise $100 earns a A on this criterion. See the exact thresholds →
Measures whether the organization is built to last: how many months its reserves would cover expenses (3+ months earns an A-range score, but hoarding 5+ years of budget is capped) and whether it runs a surplus or a deficit. For Altru Health System: 8 mo reserves · +6% margin earns a A on this criterion. See the exact thresholds →
Checks how the organization is run, from its own Form 990: an independent board majority, a board of five or more, conflict-of-interest, whistleblower and document-retention policies, and independently audited financials. The share of disclosed checks that pass sets the letter. For Altru Health System: 6 of 6 checks met earns a A+ on this criterion. See the exact thresholds →
Counts five disclosure signals: a recent filing, a mission statement, program descriptions, a listed website, and the full expense breakdown. More disclosure, better letter. For Altru Health System: 5 of 5 disclosure signals earns a A+ on this criterion. See the exact thresholds →
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Healthcare delivery.
Cancer services - altru cancer center provides diagnosis, treatment and other services for the full spectrum of cancer types. altru health system is accredited by the american college of surgeons' commission on cancer and recognized as one of the best cancer hospitals in the country.
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.
Other program services include other patient care programs.
Revenue grew from $479.6M (FY2013) to $780.4M (FY2024) across 12 reported years.
Financial snapshot
Operating margin
6.0%
Revenue exceeded expenses in the latest fiscal year.
Total assets
$1.2B
Total liabilities
$789.1M
Net assets
$460.1M
Salaries & benefits
$359.4M
49% of expenses
Board members
11
7 independent
| Fiscal year | Revenue | Expenses | Net assets | Total assets | Form |
|---|---|---|---|---|---|
| 2024 | $780,388,280▲16.0% | $733,552,021▲14.3% | $460,052,048▲14.1% | $1,249,137,230▲3.4% | 990 |
| 2023 | $672,595,518▲6.6% | $641,549,988▲4.9% | $403,184,740▲17.8% | $1,207,479,907▲24.0% | 990 |
| 2022 | $630,666,494▲2.8% | $611,873,795▲5.1% | $342,306,584▼4.7% | $974,015,924▼6.3% | 990 |
| 2021 | $613,611,037▲1.5% | $582,081,127▲1.4% | $359,321,986▲14.9% | $1,039,192,012▲45.6% | 990 |
| 2020 | $604,465,442▼1.8% | $574,158,477▼7.9% | $312,795,377▲18.9% | $713,951,165▲17.0% | 990 |
| 2019 | $615,330,989▲5.1% | $623,282,767▲6.3% | $263,088,083▲4.2% | $610,029,430▲12.3% | 990 |
| 2018 | $585,596,685▲3.8% | $586,156,708▲3.7% | $252,593,466▼5.0% | $543,017,154▼0.9% | 990 |
| 2017 | $563,948,218▲4.2% | $565,165,343▲5.6% | $265,842,528▲23.3% | $548,207,089▲14.6% | 990 |
| 2016 | $541,032,394▲3.5% | $535,095,068▲6.1% | $215,611,473▲2.0% | $478,270,432▼0.4% | 990 |
| 2015 | $522,975,652▲4.9% | $504,555,525▲5.6% | $211,321,369▲8.0% | $480,240,011▲2.2% | 990 |
| 2014 | $498,703,511▲4.0% | $477,657,709▲1.3% | $195,612,425▲5.2% | $470,129,714▲3.2% | 990 |
| 2013 | $479,576,615 | $471,698,614▲3.9% | $185,964,260▲14.3% | $455,613,013▲0.5% | 990 |
| 2012 | — | $453,809,727▲9.4% | $162,685,635▲12.2% | $453,496,991▲19.1% | 990 |
| 2011 | — | $414,810,580▲8.9% | $144,975,139 | $380,667,327▲2.3% | 990 |
| 2010 | — | $381,071,295 | $144,979,008 | $371,999,674 | 990 |
Original Form 990 PDFs (the Form column) are served by ProPublica Nonprofit Explorer, as filed with the IRS. Create a free account to download the CSV report.
Highest-paid: Ikechukwu Onyeka — $2,343,913 (0.32% of total expenses)
| Name | Title | Hours/week | Compensation |
|---|---|---|---|
| Ikechukwu Onyeka | Physician | 40 | $2,343,913 |
| Mevan Wijetunga | Medical Director | 40 | $1,715,732 |
| Grant Seeger | Physician | 40 | $1,367,960 |
| Isaac Tea | Physician | 40 | $1,226,347 |
| Jody Treuer Md | Board Member/physician | 40 | $1,207,404 |
| Barry Bjorgaard | Physician | 40 | $1,204,800 |
| Bernie Dallum | Physician | 40 | $1,149,012 |
| Jeremy Gardner | Medical Director | 40 | $1,093,680 |
| Todd Forkel | Board Member/ceo | 40 | $1,066,396 |
| Joshua Deere | President | 40 | $869,600 |
| Jonathan Haug | Medical Director | 40 | $692,966 |
| Meghan Compton | Chief Clinic Operations Officer | 40 | $677,647 |
| Rebecca Novacek | Board Member/physician | 40 | $635,325 |
| Cory Geffre | Cno & Evp Hospital Operations | 40 | $572,713 |
| Yvonne Gomez | Medical Director | 40 | $569,876 |
| Derek Goebel | Cfo/treasurer | 40 | $543,614 |
| A Marc Nielsen | Physician | 40 | $529,952 |
| Sunil Kartham | Med. Direc./physician (thru Aug. 24') | 40 | $513,977 |
| Kristi Hall-jiran | Chief Philanthropy Officer | 20 | $392,382 |
| Heather Strandell | Senior Director Clinical Operations | 40 | $322,742 |
| Contractor | Services | Paid |
|---|---|---|
| Pclcommunity | Construction Services | $108,979,254 |
| Medefis Consolidated | Contracted Healthcare Services | $20,367,490 |
| Weatherby Locums Inc | Contracted Healthcare Services | $3,354,458 |
| Sodexo Inc and Affiliates | Contracted Services | $3,351,923 |
| Amn Healthcare Locum Tenens Inc | Contracted Healthcare Services | $3,118,724 |
9 grants to Altru Health System totaling $420K, reported by foundations on their Schedule I filings.
| Grantmaker | Purpose | Year | Amount |
|---|---|---|---|
| Mayo Clinic | Support charitable programs | 2024 | $38,423 |
| Mayo Clinic | Support charitable programs | 2023 | $98,527 |
| American Online Giving Foundation Inc | General support | 2023 | $25,000 |
| Charities Aid Foundation America | Charitable donation | 2023 | $11,000 |
| Mayo Clinic | Support charitable programs | 2022 | $69,052 |
| Mayo Clinic | Support charitable programs | 2021 | $152,498 |
| Mayo Clinic | Support charitable programs | 2020 | $9,250 |
| Mayo Clinic | Support research program | 2019 | $6,500 |
| Yale University | Subaward - sponsored research | 2014 | $9,845 |
11 grants totaling $212K in FY2024. All grants made by Altru Health System →
| Recipient | Purpose | Amount |
|---|---|---|
| City of Grand Forks | Social detox facility and community sharps program | $42,500 |
| Grand Forks Region Economic Development Corporation | General support | $30,000 |
| Grand Forks Public Schools | Maintenance and repair of cushman track and field | $27,300 |
| Devils Lake Public Schools | Athletic training sponsorship | $25,100 |
| Grand Forks Downtown Development Association | General support | $22,500 |
| Community Violence Intervention Center Inc | General support | $15,000 |
| Altru Health Foundation | General support | $14,673 |
| The Chamber | General support | $11,352 |
| Greater Grand Forks Young Professionals | General support | $10,000 |
| United Way of Grand Forks East Grand Forks and Area Inc | General support | $7,000 |
| Greater North Dakota Chamber of Commerce | General support | $6,888 |
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Data for Altru Health System (EIN 45-0310462) comes from the IRS Business Master File and e-filed Form 990 returns, via CharityIndex. Figures reflect what the organization reported to the IRS for each fiscal year.