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Altru Health System

EIN 45-0310462 · Grand Forks, ND

Public records show a registered, tax-exempt organization in good standing.

LegitimacyPassesRegistration and standingFinancial healthFair50 out of 100GovernanceStrong100 out of 100Impact evidenceDescribes programsHow well its results are evidenced

What it says it does

ALTRU HEALTH SYSTEM IS A COMMUNITY OF OVER 3,400 HEALTH PROFESSIONALS AND SUPPORT STAFF, AND WE'VE BEEN COMMITTED TO CARING FOR OUR REGION FOR MORE THAN 130 YEARS. SERVING OVER 230,000 RESIDENTS IN NORTHEAST NORTH DAKOTA AND NORTHWEST MINNESOTA, WE OFFER A WIDE ARRAY OF SERVICES TO MEET THE NEEDS OF COMMUNITY MEMBERS OF ALL AGES AND LEVELS OF HEALTH.

Income
$780.4 million
Spending
$733.6 million
Spent on programs
82%
Reserves
-3 months of spending
Largest source of income
fees for its services, 96%
Employees
3,872
Volunteers
173
Highest pay
$2.4 million, physician

Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Financial health

Fair: 50 out of 100. Higher than 31% of charities in its peer group (health care, over $100m).

  • Reserves

    0 of 35

    Spendable reserves are negative: it owes or has committed more than it holds.

  • Debt

    5 of 20

    It owes 63% of what it owns.

  • Living within its means

    15 of 15

    Income exceeded spending by 6% of income.

  • Income trend

    15 of 15

    Income rose 16% on the year before.

  • Spending floor

    15 of 15

    82% of spending went to programs and raising each dollar of donations cost 2 cents.

Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Governance

Strong: 100 out of 100. Higher than 53% of charities in its peer group (health care, over $100m).

  • Independent board

    25 of 25

    7 of 11 voting board members are independent.

  • Conflict of interest policy

    15 of 15

    Has a written conflict of interest policy.

  • Whistleblower policy

    8 of 8

    Has a written whistleblower policy.

  • Record keeping policy

    7 of 7

    Has a written policy on keeping and destroying records.

  • Board minutes

    5 of 5

    Keeps minutes of board meetings.

  • Board sees the tax return

    10 of 10

    Gave the board a copy of this return before filing it.

  • Pay set independently

    5 of 5

    Sets its chief executive's pay through independent review and comparison.

  • Independent check of accounts

    15 of 15

    Its accounts were audited by an independent accountant.

  • No reported misuse

    10 of 10

    Reports no diversion of assets, excess benefits or loans to insiders.

Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Impact evidence

Describes programs. Its tax return describes what it does but we have found no measurable results in it.

Programs described in its return (4)
  1. $75.5 million spent. 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.
  2. $39.7 million spent. 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.
  3. $37.0 million spent. 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.
  4. $450.9 million spent. OTHER PROGRAM SERVICES INCLUDE OTHER PATIENT CARE PROGRAMS.

Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Legitimacy checks

  1. Is it registered with the IRS? Passed.

    Listed in the IRS master file of tax-exempt organizations as a 501(c)(3) charitable organization.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

  2. Has the IRS revoked its tax-exempt status? Passed.

    Not on the IRS automatic revocation list.

    Source: Automatic revocation of exemption list, Internal Revenue Service, file dated October 13, 2026.

  3. Are donations tax-deductible? Passed.

    On the IRS list of organizations eligible to receive tax-deductible contributions.

    Source: Publication 78 data: organizations eligible for tax-deductible contributions, Internal Revenue Service, file dated October 13, 2026.

  4. Is it keeping up with its IRS filings? Passed.

    Most recent return on file covers the year ending December 2024.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

  5. How long has it been tax-exempt? Passed.

    Recognized by the IRS since March 1971.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

  6. Is it in good standing with state regulators? Passed.

    Not on California's list of charities barred from soliciting. Other states are not yet checked.

    Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated October 21, 2026.

Ratings and checks are our reading of public records, using the published method. They are not a statement about anyone's honesty. If you work for this organization, you can send corrections or results, confirm you want gifts through Veridonate, or ask to be removed from giving.