ALTRU HEALTH SYSTEM
PO BOX 6002, GRAND FORKS, ND · IRS data through FY2024
Revenue, expenses and net assets
Revenue Expenses Net assets
| Tax year | Revenue | Expenses | Net assets |
|---|---|---|---|
| FY2024 | $780,388,280 | $733,552,021 | $460,052,048 |
| FY2023 | $672,595,518 | $641,549,988 | $403,184,740 |
| FY2022 | $630,666,494 | $611,873,795 | $342,306,584 |
| FY2021 | $613,611,037 | $582,081,127 | $359,321,986 |
| FY2020 | $604,465,442 | $574,158,477 | $312,795,377 |
| FY2019 | $615,330,989 | $623,282,767 | $263,088,083 |
| FY2018 | $585,596,685 | $586,156,708 | $252,593,466 |
| FY2017 | $563,948,218 | $565,165,343 | $265,842,528 |
| FY2016 | $541,032,394 | $535,095,068 | $215,611,473 |
| FY2015 | $522,975,652 | $504,555,525 | $211,321,369 |
| FY2014 | $498,703,511 | $477,657,709 | $195,612,425 |
| FY2013 | $479,576,615 | $471,698,614 | $185,964,260 |
| FY2012 | $468,848,735 | $453,809,727 | $162,685,635 |
| FY2011 | $431,707,749 | $414,810,580 | $144,975,139 |
Where the revenue came from
| Source | Amount | % of revenue |
|---|---|---|
| Contributions & grants | $6,062,453 | 1% |
| Program service revenue | $745,823,269 | 99% |
Where the money was spent
| Category | Amount | % of expenses |
|---|---|---|
| Program services | $602,961,066 | 82% |
| Management & general | $130,497,805 | 18% |
| Fundraising | $93,150 | 0% |
What the numbers show
- Program service revenue made up 99% of total revenue in FY2024.
- Program services accounted for 82% of functional expenses, management & general 18%, and fundraising 0%.
- 82% of functional expenses went to program services in FY2024. That is higher than 25% of 36 Health Care organizations in ND.
- Net assets covered about 7.5 months of expenses at the end of the reporting year. That puts it in the 33rd percentile among 126 Health Care organizations in ND.
- Total revenue was higher than 100.8% of 128 Health Care organizations in ND.
- Total revenue rose from $431,707,749 in FY2011 to $780,388,280 in FY2024, Revenue increased in 12 and decreased in 1 of 13 year-over-year comparisons.
- Expenses exceeded revenue in 3 of 14 reported years (FY2017, FY2018, FY2019).
- Net assets grew from $144,975,139 to $460,052,048 between FY2011 and FY2024.
- Donations are generally tax-deductible (public charity).
Figures compared against other organizations of the same NTEE program area in the same state. See the methodology page for how these are calculated and the guide to reading nonprofit financials for their limits.
About this organization
HEALTHCARE DELIVERY.
IRS status
| Ruling year | 1971 |
| Subsection | 501(c)(3) |
| Classification | Public charity |
| Program area (NTEE) | E220 — Health Care |
| Donations | Donations are generally tax-deductible (public charity). |
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Source: Internal Revenue Service — Exempt Organizations Business Master File (downloaded September 20, 2026), Statistics of Income extracts, Form 990 e-file data, Publication 78 and the Automatic Revocation list. Figures are as reported by the organization; IRS processing may adjust them. This is not a charity rating and not tax advice. Confirm deductibility in IRS Tax Exempt Organization Search.
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