Altru Health System

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Healthcare delivery

501(c)(3) charity; gifts are tax-deductible.
82¢ of each $1 spent went to programs.
Run by 46 volunteers and 4,090 employees.
Mission: Form 990 Part I, line 1 · Status: IRS Pub. 78 · Programs: Part IX · People: Part I, lines 5–6

Before you give

FY2024 · Form 990Independent: from IRS data, not the org
Download 990
IRS status
501(c)(3)
not on the IRS revocation list
Looks good: listed by the IRS and not on the revocation list.
IRS BMF · Auto-Revocation List
Tax-deductible gifts
Yes
Donations are tax-deductible
Looks good: the IRS lists gifts to it as deductible.
IRS Pub. 78 · IRS BMF
Latest return
FY2024
latest Form 990
Looks good: the latest return is for FY2024, 2 tax years back; within 2 tax years.
IRS e-file · Filing history
Surplus or deficit
5 of 5
filings with a surplus
Average surplus $31.7M a year · 5% of revenue · last 5 filings
Looks good: a surplus in 5 of the last 5 filings.
Pt I · Ln 19 · 5 filings
Spent on programs
82%
of spending
Looks good: 82% of spending went to programs; 75% or more.
Pt IX · Ln 25 · col B
Pay to officers and key staff
$19.0M
to officers and key staff · 3% of spending
Looks good: pay to officers and key staff is 3% of spending; 15% or less.
Pt VII · Sec A
1 mo
of spending, in cash
Plus $335.4M in investments, Pt X · Ln 11–13
Fine: 1.2 months of spending in cash; 1 to 3.
Pt X · Ln 1–2 · Pt I · Ln 18
Named funders
8
named funders · $9.7M
Looks good: 8 funders name it on their filings; 3 or more.
Funders’ Sch. I, 990-PF
Liabilities
$789.1M
63% of total assets
Fine: liabilities are 63% of assets; 50% to 65%.
Pt X · Ln 26
Independent board members
7
of 11 voting members
Looks good: 7 of 11 voting members are independent, a majority.
Pt VI · Ln 1a–1b
Looks goodFineWorth a lookConcernNo data yetTap a box for the reason.
Revenue
$780.4M
+16% vs prior year
Spent
$733.6M
To programs
82%
Net assets
$460.1M
By yearFY2020–FY2024
Revenue
$780.4M
FY2024▲ +16%
Tap a bar for its year
Revenue by fiscal year
FY2020$604.5M
FY2021$613.6M
FY2022$630.7M
FY2023$672.6M
FY2024$780.4M
Expenses
$733.6M
FY2024▲ +14%
Tap a bar for its year
Expenses by fiscal year
FY2020$574.2M
FY2021$582.1M
FY2022$611.9M
FY2023$641.5M
FY2024$733.6M
Net assets
$460.1M
FY2024▲ +14%
Tap a bar for its year
Net assets by fiscal year
FY2020$312.8M
FY2021$359.3M
FY2022$342.3M
FY2023$403.2M
FY2024$460.1M

From the FY2024 Form 990 · figures checked against the IRS filing · see the original

Give Claim

Is it real?

Yes. Never revoked by the IRS. Latest filing on record: FY2024. IRS ruling in Mar 1971.

IRS Pub. 78 · IRS Auto-Revocation List · IRS Business Master File

Where the money goes

82 cents of each dollar spent went to programs.

Program services 82% · $603.0M Management & general 18% · $130.5M Fundraising 0% · $93K

Form 990 Part IX, line 25, columns B–D. Every line is in By the numbers.

Something off? Claim to add context

Who runs it and what they're paid

28 people listed on the 990; $19.0M paid to officers and key staff.

Part VII, Section A · reportable compensation
$2,343,913Pt VII · Sec A
Medical Director
$1,715,732Pt VII · Sec A
Physician
$1,367,960Pt VII · Sec A
Physician
$1,226,347Pt VII · Sec A
Board Member/Physician
$1,207,404Pt VII · Sec A
$1,204,800Pt VII · Sec A
Physician
$1,149,012Pt VII · Sec A
Medical Director
$1,093,680Pt VII · Sec A

Ikechukwu Onyeka’s $2.3M as Physician is at the 87th percentile of top reported officer pay among 1747 $100M+ health care nonprofits. Peer set: organizations in the same NTEE major field of work and revenue-size band, compared on each org’s own highest-paid officer/key-employee, from Form 990 Part VII / 990-PF Part VIII. Descriptive placement, not a verdict on whether the pay is appropriate.

Compensation history total reportable pay by year · 8 named individuals · Part VII

NameFY2024FY2023FY2022FY2021FY2020
Ikechukwu Onyeka$2,343,913$1,952,562$1,406,964$1,262,028$1,154,689
Mevan Wijetunga$1,715,732$1,529,813$1,532,778$1,454,249$1,279,367
John Eickman—$1,468,780$1,510,254——
Grant Seeger$1,367,960$1,416,971$1,424,848$1,322,035$1,201,604
Barry Bjorgaard$1,204,800—$1,288,649$1,145,673$1,162,597
Janice Hamscher——$1,272,581$615,602$381,935
Steven Weiser MD——$1,258,869$800,037—
Jason Go—$1,235,343$1,184,080$1,094,188—

Total reportable compensation (Form 990 Part VII column D / Schedule J column E) by filing year, matched by name within this organization. The Schedule J base / bonus / deferred breakdown is not parsed into this dataset.

See Altru Health System executive salaries →

159 open jobs right now. See them →

Questions the 990 asks

The form asks each of these directly. These are the filed answers.

  • Family or business ties among officersPt VI · Ln 2No
  • Top official's pay set by an independent reviewPt VI · Ln 15aYes

Programs and updates

Provides comprehensive heart and vascular healthcare, consistently recognized for excellence in treating complex conditions.

Questions for Altru Health System

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Your first name shows with your question. Altru Health System answers here, for everyone.

3 programs · $152.1M · in their own filed words · FY2024
01

Surgical Services

Altru offers our patients some of the most advanced, minimally invasive surgical systems, skillfully operated by our expert surgeons. Altru's team is highly specialized to manage all levels of surgical needs.

$75.5Mprogram expense
02

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.

$39.7Mprogram expense
03

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.

$37.0Mprogram expense

Funders

Who pays for it.

From grant filings on record. Receipts are incomplete: individual donors are never listed.

Grants

Schedule I · received and paid
Grants received · FY2024
See all 8 funders →
Grants paid · 63 grants · $4.6M · 2020–2024
City of Grand ForksFY2024$42,500
Grand Forks Public SchoolsFY2024$27,300
Devils Lake Public SchoolsFY2024$25,100
Altru Health FoundationND · FY2024$14,673
The ChamberND · FY2024$11,352
City of Grand ForksFY2023$91,798
Altru Health FoundationND · FY2023$79,479
Grand Forks Public SchoolsFY2023$75,000
The ChamberND · FY2023$17,949
Devils Lake Public SchoolsFY2023$10,417
See all 63 grants →

Federal money

Single Audit · Federal Audit Clearinghouse · money spent from federal programs
Year ending Dec 2024 · $1.6M federal money spent
Activities to Support State, Tribal, Local and Territorial (stlt) Health Department Response to Public Health or Healthcare CrisesDepartment of Health and Human Services · ALN 93.391 · Direct$457K
Translation and Implementation Science Research for Heart, Lung, Blood Diseases, and Sleep DisordersDepartment of Health and Human Services · ALN 93.840 · Direct$410K
Immunization Cooperative AgreementsDepartment of Health and Human Services · ALN 93.268 · Direct$310K
Improving the Health of Americans Through Prevention and Management of Diabetes and Heart Disease and StrokeDepartment of Health and Human Services · ALN 93.426 · Direct$220K
National Priority Safety ProgramsDepartment of Transportation · ALN 20.616 · Through Minnesota Department of Public Safety and 2 more$152K

Plus 1 smaller program.

The auditor reported no findings.

Year ending Dec 2023 · $9.6M federal money spent
Provider Relief FundDepartment of Health and Human Services · ALN 93.498 · Direct$8.0M
Activities to Support State, Tribal, Local and Territorial (stlt) Health Department Response to Public Health or Healthcare CrisesDepartment of Health and Human Services · ALN 93.391 · Through North Dakota Department of Health and Human Services$1.0M
Improving the Health of Americans Through Prevention and Management of Diabetes and Heart Disease and StrokeDepartment of Health and Human Services · ALN 93.426 · Through North Dakota Department of Health and Human Services$205K
Translation and Implementation Science Research for Heart, Lung, Blood Diseases, and Sleep DisordersDepartment of Health and Human Services · ALN 93.840 · Through Mayo Clinic$132K
Drug-Free Communities Support Program GrantsDepartment of Health and Human Services · ALN 93.276 · Direct$98K

Plus 7 smaller programs.

The auditor reported no findings.

Year ending Dec 2022 · $1.4M federal money spent
Activities to Support State, Tribal, Local and Territorial (stlt) Health Department Response to Public Health or Healthcare CrisesDepartment of Health and Human Services · ALN 93.391 · Through North Dakota Dept of Health$667K
Improving the Health of Americans Through Prevention and Management of Diabetes and Heart Disease and StrokeDepartment of Health and Human Services · ALN 93.426 · Through North Dakota Dept of Health$253K
State and Community Highway SafetyDepartment of Transportation · ALN 20.600 · Through Minnesota Dept of Public Safety and 1 more$152K
Drug-Free Communities Support Program GrantsDepartment of Health and Human Services · ALN 93.276 · Direct$129K
Translation and Implementation Science Research for Heart, Lung, Blood Diseases, and Sleep DisordersDepartment of Health and Human Services · ALN 93.840 · Through Mayo Clinic$74K

Plus 7 smaller programs.

The auditor reported no findings.

Year ending Dec 2021 · $28.0M federal money spent
Provider Relief FundDepartment of Health and Human Services · ALN 93.498 · Direct$27.0M
Covid-19 Testing for the UninsuredDepartment of Health and Human Services · ALN 93.461 · Direct$475K
Improving the Health of Americans Through Prevention and Management of Diabetes and Heart Disease and StrokeDepartment of Health and Human Services · ALN 93.426 · Through ND Department of Health$223K
Drug-Free Communities Support Program GrantsDepartment of Health and Human Services · ALN 93.276 · Direct$125K
State and Community Highway SafetyDepartment of Transportation · ALN 20.600 · Through MN Department of Public Safety and 1 more$90K

Plus 2 smaller programs.

The auditor reported 11 findings: a material weakness in money controls.

By the numbers

The FY2024 990, line by line.

1The main four
Money inPt VIII
$780.4M
Ln 12
Fees for servicesLn 2g$745.8M
Investment incomeLn 3$16.2M
Other incomeLn 4–11$12.3M
Money outPt IX
$733.6M
Ln 25
Programscol B$603.0M
Managementcol C$130.5M
Fundraisingcol D$93K
Owns and owesPt X
$460.1M
net assets · Ln 32
Cash and savingsLn 1–2$72.9M
Total assetsLn 16$1.2B
LiabilitiesLn 26$789.1M
PeoplePt VI, VII
28
listed · VII A
PaidVII A21
Voting boardVI 1a11
IndependentVI 1b7
2In more detail
Revenue in detailPt VIII
Gifts and grantsLn 1h$6.1M
Government grantsLn 1e$410K
Fees for servicesLn 2g$745.8M
Investment incomeLn 3$16.2M
Other incomeLn 4–11$12.3M
Gains on assetsLn 7$4.8M
Total revenueLn 12$780.4M
Assets in detailPt X, end of year
CashLn 1$0
SavingsLn 2$72.9M
Cash and savings togetherLn 1–2$72.9M
InvestmentsLn 11–13$335.4M
Land, buildings, equipmentLn 10c$645.7M
Other assetsLn 15$68.1M
Total assetsLn 16$1.2B
LiabilitiesLn 26$789.1M
Net assetsLn 32$460.1M
OperationsPt I, VI
EmployeesI 54,090
VolunteersI 646
Fiscal year endsHeaderDecember
Conflict-of-interest policyVI 12aYes
Whistleblower policyVI 13Yes
Records policyVI 14Yes
3More from this return
Hospital careSch H · share of total expense
Charity care at costPt I 7a$6.2M · 0.8%
Bad debtPt III 2$12.7M · 1.7%
Total community benefitPt I 7k$16.7M · 2.3%
BondsSch K, Pt X
Bond issues listedSch K Pt I4
Raised by those issuesSch K Pt I$686.5M
4Year over year
Balance sheet, start vs end of yearPt X · col A, B
LineStart FY24End FY24
Cash and savingsLn 1–2$60.2M$72.9M
InvestmentsLn 11–13$459.1M$335.4M
Land, buildings, equipmentLn 10c$498.3M$645.7M
Total assetsLn 16$1.21B$1.25B
LiabilitiesLn 26$804.3M$789.1M
Net assetsLn 32$403.2M$460.1M
5Every line
Statement of functional expensesPt IX · every line
LineTotalProgramsManagementFundraising
Grants to domestic organizationsLn 1$424K$424K
Pay of current officers, directors and key staffLn 5$13.1M$10.5M$2.7M
Other salaries and wagesLn 7$294.4M$252.7M$41.7M
Pension plan contributionsLn 8$11.4M$3.0M$8.3M
Other employee benefitsLn 9$19.9M$5.3M$14.6M
Payroll taxesLn 10$20.6M$5.5M$15.1M
Legal feesLn 11b$326K$10K$316K
Professional fundraising feesLn 11e$93K$93K
Investment management feesLn 11f$1.2M$1.2M
Other fees for servicesLn 11g$109.0M$79.0M$30.0M
Office expensesLn 13$7.1M$5.1M$2.0M
Information technologyLn 14$302K$302K
OccupancyLn 16$10.2M$6.9M$3.2M
TravelLn 17$723K$432K$291K
Conferences, conventions and meetingsLn 19$1.4M$941K$418K
InterestLn 20$4.6M$4.5M$28K
Depreciation, depletion and amortizationLn 22$21.9M$15.5M$6.4M
InsuranceLn 23$2.0M$47K$1.9M
Other expenses (24a–d)Ln 24$213.7M$213.1M$582K
All other expensesLn 24e$1.4M$191$1.4M
Total functional expensesLn 25$733.6M$603.0M$130.5M$93K

Filing history

YearMoney inMoney outIn minus outNet assetsDownload
FY2024 Latest ViewingFiled with the IRS Oct 29, 2025 $780.4M$733.6M$46.8M$460.1M 990 PDF
FY2023Filed with the IRS Nov 6, 2024 $672.6M$641.5M$31.0M$403.2M 990 PDF
FY2022Filed with the IRS Nov 14, 2023 $630.7M$611.9M$18.8M$342.3M 990 PDF
FY2021Filed with the IRS Nov 14, 2022 $613.6M$582.1M$31.5M$359.3M 990 PDF
FY2020Filed with the IRS Nov 15, 2021 $604.5M$574.2M$30.3M$312.8M 990 PDF

Schedules filed Part IV

III · Programs R · Related orgs G · Fundraising L · Interested persons I · Grants A · Public support J · Pay O · Explanations
See the full FY2024 990 (6 parts)
Part I · Summary $780,388,280 revenue, 12 lines filed
I-8 Contributions and grantsPrior year $4,564,765$6,062,453
I-9 Program service revenuePrior year $661,117,768$745,823,269
I-10 Investment incomePrior year $6,935,746$16,225,650
I-11 Other revenuePrior year −$22,761$12,276,908
I-12 Total revenuePrior year $672,595,518$780,388,280
I-13 Grants and similar amounts paidPrior year $415,474$424,289
I-14 Benefits paid to membersPrior year $0$0
I-15 Salaries and benefitsPrior year $352,109,865$359,362,954
I-16a Professional fundraising feesPrior year $235,728$93,150
I-17 Other expensesPrior year $288,788,921$373,671,628
I-18 Total expensesPrior year $641,549,988$733,552,021
I-19 Revenue less expensesPrior year $31,045,530$46,836,259
Part VI · Governance 7 of 11 board members independent, no flags
VI-1a Voting members of the governing body11
VI-1b Independent voting members7
VI-2 Family or business relationship among officers or directorsNo
VI-12a Written conflict of interest policyYes
VI-13 Written whistleblower policyYes
VI-14 Document retention and destruction policyYes
VI-15a Process for setting top official's payYes
Part VIII · Statement of revenue $780,388,280 across 10 lines filed
Lines not itemized here account for $22,009,998 of total revenue; see the IRS return.
VIII-1d Related organizations$5,343,322
VIII-1e Government grants$410,230
VIII-1f All other contributions, gifts and grants$308,901
VIII-1h Total contributions, gifts and grants$6,062,453
VIII-2a-f Program service revenue, itemized rows (sum of 2a–2f as filed)Related to mission $710,114,209 · Unrelated business $22,714,796 · Excluded from tax $78,496$732,907,501
VIII-3 Investment incomeExcluded from tax $11,470,210$11,470,210
VIII-6 Net rental income or lossUnrelated business $1,852 · Excluded from tax $114,786$116,638
VIII-7 Net gain or loss on sales of assetsExcluded from tax $4,755,440$4,755,440
VIII-11a-d Other revenue, itemized rows (sum of 11a–11d as filed)Related to mission $3,054,556 · Unrelated business $11,484$3,066,040
VIII-12 Total revenueRelated to mission $722,347,607 · Unrelated business $22,728,132 · Excluded from tax $29,250,088$780,388,280
Part IX · Statement of functional expenses $733,552,021 across 20 lines filed
IX-1 Grants to domestic organizationsPrograms $424,289$424,289
IX-5 Pay of current officers, directors and key staffPrograms $10,455,039 · Management $2,686,375$13,141,414
IX-7 Other salaries and wagesPrograms $252,696,879 · Management $41,747,560$294,444,439
IX-8 Pension plan contributionsPrograms $3,018,891 · Management $8,332,585$11,351,476
IX-9 Other employee benefitsPrograms $5,283,264 · Management $14,582,589$19,865,853
IX-10 Payroll taxesPrograms $5,467,809 · Management $15,091,963$20,559,772
IX-11b Legal feesPrograms $9,815 · Management $315,870$325,685
IX-11e Professional fundraising feesFundraising $93,150$93,150
IX-11f Investment management feesManagement $1,168,193$1,168,193
IX-11g Other fees for servicesPrograms $79,028,476 · Management $29,997,114$109,025,590
IX-13 Office expensesPrograms $5,057,919 · Management $2,040,799$7,098,718
IX-14 Information technologyManagement $301,950$301,950
IX-16 OccupancyPrograms $6,947,025 · Management $3,205,781$10,152,806
IX-17 TravelPrograms $431,650 · Management $291,173$722,823
IX-19 Conferences, conventions and meetingsPrograms $941,152 · Management $418,301$1,359,453
IX-20 InterestPrograms $4,543,379 · Management $27,980$4,571,359
IX-22 Depreciation, depletion and amortizationPrograms $15,501,905 · Management $6,436,871$21,938,776
IX-23 InsurancePrograms $47,367 · Management $1,918,529$1,965,896
IX-24 Other expenses (24a–d)Programs $213,106,016 · Management $581,556$213,687,572
IX-24e All other expensesPrograms $191 · Management $1,352,616$1,352,807
IX-25 Total functional expensesPrograms $602,961,066 · Management $130,497,805 · Fundraising $93,150$733,552,021
Part X · Balance sheet $1,249,137,230 assets, 17 lines filed
Asset lines not itemized here account for $447,305; see the IRS return.
X-1 Cash, non-interest-bearingStart of year $1,839,060$0
X-2 Savings and temporary cash investmentsStart of year $58,345,875$72,936,424
X-4 Accounts receivableStart of year $108,901,146$99,693,535
X-8 Inventories for sale or useStart of year $12,071,647$14,499,139
X-9 Prepaid expenses and deferred chargesStart of year $4,790,352$12,394,203
X-10c Land, buildings and equipment, netStart of year $498,324,657$645,687,290
X-11 Publicly traded securitiesStart of year $367,752,950$244,687,700
X-12 Other securitiesStart of year $91,341,088$90,727,403
X-15 Other assetsStart of year $63,676,184$68,064,231
X-16 Total assetsStart of year $1,207,479,907$1,249,137,230
X-17 Accounts payable and accrued expensesStart of year $90,843,071$76,203,926
X-19 Deferred revenueStart of year $1,631,917$1,519,747
X-25 Other liabilitiesStart of year $39,461,389$58,766,440
X-26 Total liabilitiesStart of year $804,295,167$789,085,182
X-27 Net assets without donor restrictionsStart of year $403,184,740$460,052,048
X-32 Total net assets or fund balancesStart of year $403,184,740$460,052,048
X-33 Total liabilities and net assetsStart of year $1,207,479,907$1,249,137,230
Part XI · Reconciliation of net assets $460,052,048 net assets at year end
XI-1 Total revenue$780,388,280
XI-2 Total expenses$733,552,021
XI-3 Revenue less expenses$46,836,259
XI-4 Net assets at start of year$403,184,740
XI-5 Net unrealized gains (losses) on investments$9,044,305
XI-9 Other changes in net assets$986,744
XI-10 Net assets at end of year$460,052,048

Form 990 e-file (XML) FY2024 from the IRS · Classification, formation year and address from the IRS Business Master File

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