Altru Health System
Also known as Altru Hospital
Altru Health System reported $780.4 million in revenue and $733.6 million in expenses for calendar year 2024. Of every $100 it spent, $82.20 went to program services, $17.79 to management and general costs and $0.01 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 95.6% of the total. The highest compensation it reported for one person was $2,394,929 (PHYSICIAN). 616 people received more than $100,000 in reportable compensation. Revenue rose 27% between 2019 and 2024. Source: Form 990, 2024.
Where $100 of spending went
Calendar year 2024 · Form 990, Part IX, line 25 · total expenses $734MFor context, the median across 5,634 covered health care charities: $86.19 programs, $13.81 management, $0.00 fundraising (medians computed separately, so they may not sum to $100).
Where $100 of revenue came from
Calendar year 2024 · Form 990, Part VIII · total revenue $780MThe 990 scorecard · same measures for every charity, no grades
| Measure | 2024 | Median |
|---|---|---|
| Program services Part IX 25(B) ÷ 25(A) | 82.2% | 85.6% |
| Management & general Part IX 25(C) ÷ 25(A) | 17.8% | 13.7% |
| Fundraising Part IX 25(D) ÷ 25(A) | 0.0% | 0.0% |
| Fundraising cost per $1 of contributions Part IX 25(D) ÷ Part VIII 1h | $0.02 | $0.00 |
| Contributions & grants share of revenue Part VIII 1h ÷ 12 | 0.8% | 1.3% |
| Government grants share of revenue Part VIII 1e ÷ 12 | 0.1% | 0.1% |
| Program service revenue share Part VIII 2g ÷ 12 | 95.6% | 93.7% |
| Highest reported compensation Part VII-A, columns D–F | $2,394,929 | $975,831 |
| Highest compensation as share of expenses Part VII-A ÷ Part IX 25(A) | 0.33% | 1.34% |
| People paid over $100,000 Part VII, line 2 | 616 | 27 |
| Net assets, in months of expenses Part X 33(B) ÷ monthly expenses | 7.5 | 6.6 |
| Independent voting board members Part VI 1a–1b | 7 of 11 | 88.9% |
A median is context, not a target: hospitals, universities, food banks and grantmakers spend in very different ways. What these measures can and can't tell you.
What the money paid for, in its own words
2024 · Form 990, Part III · the three largest programs by expenseSurgical 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
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
Highest reported compensation
2024 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here| Role | From this org | From related orgs | Other | Total |
|---|---|---|---|---|
| PHYSICIAN Highest compensated employee, 40.00 hrs/week | $2,343,913 | $0 | $51,016 | $2,394,929 |
| MEDICAL DIRECTOR Key employee, 40.00 hrs/week | $1,715,732 | $0 | $69,066 | $1,784,798 |
| PHYSICIAN Highest compensated employee, 40.00 hrs/week | $1,367,960 | $0 | $54,764 | $1,422,724 |
| BOARD MEMBER/CEO Director/trustee, officer, 40.00 hrs/week | $1,066,396 | $0 | $263,946 | $1,330,342 |
| PHYSICIAN Highest compensated employee, 40.00 hrs/week | $1,226,347 | $0 | $37,243 | $1,263,590 |
| PHYSICIAN Highest compensated employee, 40.00 hrs/week | $1,204,800 | $0 | $56,706 | $1,261,506 |
| BOARD MEMBER/PHYSICIAN Director/trustee, 40.00 hrs/week | $1,207,404 | $0 | $46,922 | $1,254,326 |
| PHYSICIAN Highest compensated employee, 40.00 hrs/week | $1,149,012 | $0 | $56,871 | $1,205,883 |
616 people received more than $100,000 in reportable compensation from Altru Health System (Part VII, line 2). Compensation of current officers, directors and key employees totaled $13M (Part IX, line 5).
6 years of filings
Form 990, Parts I, VII, IX and X · each row is that year's own filing, linkedGovernance answers, as filed
2024 · the organization's own yes/no answers; explanations, if any, are in Schedule O of the filing · what each means- Voting board members, and how many are independent Part VI, lines 1a–1b11 · 7 independent
- Audited financial statements Part XII 2bYes
- Conflict-of-interest policy Part VI 12aYes
- Whistleblower policy Part VI 13Yes
- Document retention policy Part VI 14Yes
- Independent process for top executive pay Part VI 15aYes
- Board given the 990 before filing Part VI 11aYes
- Family or business ties among insiders Part VI 2No
- Aware of a significant diversion of assets Part VI 5No
- Excess benefit transaction with an insider Part IV 25aNo
- Loans to or from insiders outstanding Part IV 26No
- Lobbying, or a 501(h) election in effect Part IV 4No
- Over $15,000 of professional fundraising services Part IV 18Yes
- Over $10,000 of activity outside the U.S. Part IV 14bNo
- Employees Part I, line 53,872
- Volunteers Part I, line 6173
Largest outside contractors
2024 · Form 990, Part VII, Section B · businesses only| 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 |
Individuals listed as contractors are left out. 59 contractors were paid more than $100,000 in all.
Private foundation grants it received
2 private foundations reported grants to Altru Health System totaling $1,650 on their tax year 2023 Form 990-PF returns. See which foundations, on WHOFUNDS.
Source: WHOFUNDS open grant graph, matched from Form 990-PF Part XV.
Correct a figure or respond
Every number above is copied from Altru Health System's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for Altru Health System, you can publish a response that is linked from this page.
Share or embed this breakdown
Of every $100 Altru Health System spent in 2024, $82.20 went to programs. The full breakdown, from its IRS Form 990:
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Similar-sized charities in this cause
- Indiana University Health BloomingtonIndianapolis, IN · revenue $780M · programs 95.7% · 2024
- South Nassau Communities HospitalOceanside, NY · revenue $780M · programs 90.6% · 2024
- Holy Cross HealthSilver Spring, MD · revenue $780M · programs 86.7% · FY2025
- Johns Hopkins Health System CorporationBaltimore, MD · revenue $784M · programs 90.1% · FY2025
- Children's Hospital & Medical CenterOmaha, NE · revenue $774M · programs 82.3% · 2024
All health care charities · Largest charities in North Dakota
Questions people ask
How much of Altru Health System's spending goes to programs?
In calendar year 2024, Altru Health System reported that 82.2% of its $733.6 million in expenses went to program services, 17.8% to management and general and 0.0% to fundraising (Form 990, Part IX).
How much does Altru Health System pay its top executive?
The largest total compensation Altru Health System reported for one person in calendar year 2024 was $2,394,929, for the role of PHYSICIAN (Form 990, Part VII, including compensation from related organizations and other compensation).
Where does Altru Health System get its money?
Of $780.4 million in revenue in calendar year 2024, 0.8% came from contributions and grants (including 0.1% from government grants) and 95.6% from program service revenue (Form 990, Part VIII).
Is Altru Health System a registered charity?
The IRS lists EIN 45-0310462 as a 501(c)(3) organization (hospital or medical research organization), and its records show contributions as tax-deductible. Form 990 filings on record here cover tax years 2019, 2020, 2021, 2022, 2023, 2024. A filing shows what the organization reported; it doesn't by itself show whether a program works.
Sources
- 2024: Form 990 for calendar year 2024, object 202533029349301648 · read the filing · XML
- 2023: Form 990 for calendar year 2023, object 202443119349303104 · read the filing
- 2022: Form 990 for calendar year 2022, object 202333189349306098 · read the filing
- 2021: Form 990 for calendar year 2021, object 202243189349310434 · read the filing
- 2020: Form 990 for calendar year 2020, object 202133199349325093 · read the filing
- 2019: Form 990 for calendar year 2019, object 202003219349324475 · read the filing
All filings for EIN 45-0310462: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.