Official Seal, Everything Is Broken (2026)

Everything Is Broken

Report No. 1 · Nonprofit Hospital Executive Pay vs Charity Care · Annual Report, 2026 edition

North Dakota · Ranked 315 of 1033 by CEO pay.

Altru Health System

Todd Forkel, Board Member/CEO. Fiscal year ending 2024-12.

$1.3M
CEO total compensation
Form 990 Part VII, columns D+E+F
0.85%
of expenses spent on charity care
Schedule H Part I line 7a
21.4%
CEO pay as a share of all charity care
Todd Forkel’s pay of $1,330,342 equals 21.4 percent of the $6,219,653 the system spent on charity care in the same year.

§1The filing

Total revenue
$780,388,280
Total expenses
$733,552,021
Net assets
$460,052,048
Employees
3,872
Hospitals covered
2 facilities across 1 filing
Charity care, net
$6,219,653
Bad debt
$12,721,467
Medicare surplus (shortfall), as filed
$4,596,322
CEO pay from the organization (Part VII col. D)
$1,066,396
From related organizations (col. E)
$0
Other compensation, including deferred pay and nontaxable benefits (col. F)
$263,946
CEO total compensation (D+E+F)
$1,330,342 to Todd Forkel

Medicare surplus (shortfall) is Schedule H Part III line 7: Medicare revenue minus the cost of Medicare care. A figure in parentheses is a shortfall. Like bad debt, it is not community benefit on the IRS form.

Source: Form 990, Altru Health System, EIN 45-0310462, fiscal year ending 2024-12, as published by the IRS. CEO identification: ceo title.

§2Community benefit versus charity care

What the system reported as total community benefit (Schedule H line 7k)$16.7M Of which charity care to patients who could not pay (line 7a)$6.2M (37%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($12.7M) and Medicare shortfall are reported separately by the IRS and are not community benefit on the form.

Every number on this page was copied from the filing linked above. If a figure is wrong, send the filing that contradicts it and the correction runs at the top of this page.

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Altru Health System: CEO pay $1.3M, charity care 0.85% of expenses