ALTRU HEALTH SYSTEM

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1970

Legal Domicile

Principal Officer

DEREK GOEBEL

Phone

7017805200

Tax Period

2023-01-01 to 2023-12-31

ALTRU HEALTH SYSTEM, founded in 1970, is a major nonprofit in the Health Care sector that reported $672.6M in total revenue in fiscal year 2023. Expenses of $641.5M left a modest 5% surplus.

Mission

ALTRU HEALTH SYSTEM IS A COMMUNITY OF OVER 3,500 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.

Program Service Accomplishments

Program 1

Expenses: $66,372,880 Revenue: $191,362,913

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...

Program 2

Expenses: $36,602,813 Revenue: $93,460,599

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'...

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.

Program 3

Expenses: $34,266,045 Revenue: $134,842,771

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...

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.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2023)

Revenue Breakdown

Contributions & Grants $4,564,765

Program Service Revenue $661,117,768

Investment Income $6,935,746

Other Revenue $-22,761

TOTAL REVENUE $672,595,518

Expense Breakdown

Grants Paid $415,474

Salaries & Benefits $352,109,865

Fundraising Expenses $235,728

Program Expenses $546,823,873

Other Expenses $288,788,921

TOTAL EXPENSES $641,549,988

Year-over-Year Comparison

	2023	2022	Change
Revenue	$672,595,518	$630,666,494	+0.1%
Expenses	$641,549,988	$611,873,795	+0.0%
Net Income	$31,045,530	$18,792,699	+0.7%

Key Indicators

✓ Grants to Organizations ✗ Grants to Individuals ✗ Lobbying ✗ Political Activity ✓ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

5351

Volunteers

132

Governance Policies

✓ Conflict of Interest Policy

✓ Whistleblower Policy

✓ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

⚠ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✗ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$2,928,254

Total Directors

$3,868,729

Key Employees

$10,569,753

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
KEITH OKESON	BOARD MEMBER (THROUGH MAY 2023)	1.00	Director	$0	$0	$0
ERIC HALVERSON	VICE CHAIR	1.00	Officer Director	$0	$0	$0
JOSHUA DEERE	BOARD MEMBER/PRESIDENT	40.00	Officer Director	$705,201	$342,800	$1,048,001
WILLIAM MCKINNON MD	BOARD MEMBER/PHYSICIAN	40.00	Director	$284,285	$86,808	$371,093
ANDREW SORBO	BOARD MEMBER	1.00	Director	$0	$0	$0
RUSSEL CRARY	BOARD MEMBER	1.00	Director	$0	$0	$0
SCOTT MEYER	BOARD MEMBER	1.00	Director	$0	$0	$0
JODY TREUER MD	BOARD MEMBER/PHYSICIAN	40.00	Director	$1,129,517	$41,788	$1,171,305
TAMMY PETERSON	SECRETARY	1.00	Officer Director	$0	$0	$0
TIMOTHY CURRY	BOARD MEMBER	1.00	Director	$0	$0	$0
TODD FORKEL	BOARD MEMBER/CEO	40.00	Officer Director	$860,303	$418,027	$1,278,330
KAREN MCLENNAN	CHAIR	1.00	Officer Director	$0	$0	$0
DOUGLAS ARVIN	CFO/TREASURER (THROUGH FEB 2023)	40.00	Officer	$82,333	$4,811	$87,144
DEREK GOEBEL	CFO/TREASURER	40.00	Officer	$351,628	$163,151	$514,779
A MARC NIELSEN	MEDICAL DIRECTOR	40.00	Key Emp	$396,958	$55,470	$452,428
SUNIL KARTHAM	MEDICAL DIRECTOR	40.00	Key Emp	$791,304	$83,013	$874,317
STAN SALWEI	DIRECTOR REVENUE CYCLE	40.00	Key Emp	$264,976	$28,076	$293,052
MEVAN WIJETUNGA	MEDICAL DIRECTOR	40.00	Key Emp	$1,529,813	$82,235	$1,612,048
MEGHAN COMPTON	CHIEF CLINIC OPERATIONS OFFICER	40.00	Key Emp	$563,926	$250,504	$814,430
MATTHEW SCHUMACHER	DIRECTOR TECH & SUPPORT SVCS	40.00	Key Emp	$232,650	$73,086	$305,736
MARLENE MILLER	DIRECTOR PEOPLE RESOURCES	40.00	Key Emp	$221,006	$70,264	$291,270
KRISTI HALL-JIRAN	CHIEF PHILANTHROPY OFFICER	40.00	Key Emp	$344,421	$135,025	$479,446
KARI JENSEN	DIRECTOR QUALITY & SAFETY	40.00	Key Emp	$195,196	$69,961	$265,157
JONATHAN HAUG	MEDICAL DIRECTOR	40.00	Key Emp	$673,018	$99,165	$772,183
JOEL LARSON	DIRECTOR LEGAL & PRIVACY/GENERAL COUNSEL	40.00	Key Emp	$248,481	$50,543	$299,024
JEREMY GARDNER	MEDICAL DIRECTOR	40.00	Key Emp	$1,010,909	$96,523	$1,107,432
JENNIFER ESTAD	SENIOR DIRECTOR CLINIC OPERATIONS	40.00	Key Emp	$244,948	$49,993	$294,941
ALEXSANDAR TODOROVIC	DIRECTOR INFO SYSTEMS APPLICATIONS	40.00	Key Emp	$256,493	$63,433	$319,926
ANNIE BONZER	DIRECTOR MARKETING & PUBLIC RELATIONS	40.00	Key Emp	$172,707	$55,736	$228,443
CORY GEFFRE	CHIEF NURSING OFFICER & EVP HOSPITAL OPERATIONS	40.00	Key Emp	$429,012	$213,779	$642,791
JENNIFER BERG	DIRECTOR TOTAL REWARDS	40.00	Key Emp	$179,998	$64,847	$244,845
ERIN NAVARRO	DIRECTOR PHARMACY SVCS	40.00	Key Emp	$243,266	$77,816	$321,082
HEATHER STRANDELL	SENIOR DIRECTOR CLINIC OPERATIONS	40.00	Key Emp	$306,802	$60,256	$367,058
YVONNE GOMEZ	MEDICAL DIRECTOR	40.00	Key Emp	$512,807	$71,337	$584,144
JOHN EICKMAN	PHYSICIAN	40.00	Highest	$1,468,780	$13,115	$1,481,895
JASON GO	PHYSICIAN	40.00	Highest	$1,235,343	$50,059	$1,285,402
ADAM NICHOLSON	PHYSICIAN	40.00	Highest	$1,213,105	$50,059	$1,263,164
GRANT SEEGER	PHYSICIAN	40.00	Highest	$1,416,971	$49,759	$1,466,730
IKECHUKWU ONYEKA	PHYSICIAN	40.00	Highest	$1,952,562	$50,759	$2,003,321
MARK WAIND	FORMER KEY EMPLOYEE	40.00		$571,026	$806	$571,832

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2024	No data	No data	No data	No data
2023	$672,595,518	$641,549,988	$1,207,479,907	$31,045,530
2022	$630,666,494	$611,873,795	$974,015,924	$18,792,699
2021	$613,611,037	$582,081,127	$1,039,192,012	$31,529,910
2020	$604,465,442	$574,158,477	$713,951,165	$30,306,965
2019	$615,330,989	$623,282,767	$610,029,430	$-7,951,778
2018	$585,596,685	$586,156,708	$543,017,154	$-560,023
2018	$585,596,685	$586,156,708	$543,017,154	$-560,023