What Altru Health System does

Altru Health System is a nonprofit, integrated regional health system headquartered in Grand Forks, North Dakota, serving patients across North Dakota and northwest Minnesota. The system is anchored by the newly opened Altru Hospital on the Columbia Road campus (opened January 19, 2025), which provides acute inpatient care, emergency and Level II trauma services, a NICU, cardiac and stroke care, and advanced surgical capability including the DaVinci XI robotic platform. A second acute care site, Altru Hospital Devils Lake, was acquired from CommonSpirit Health in 2025. Surrounding the hospitals is a network of primary and specialty clinics, the Altru Cancer Center, Heart & Vascular Center, Orthopedics, Altru Rehabilitation Hospital (a joint venture with Encompass Health), Truyu Aesthetic Center, Home Health, Express Care urgent care sites, Care Flight air ambulance, the Dak Minn Blood Bank, and outpatient and specialty pharmacy services.

The technology backbone is Epic EHR with the MyChart patient portal — available via web and mobile — which supports scheduling, test-result delivery, prescription refills, video visits, and online bill pay. Altru is a member of the Mayo Clinic Care Network, giving providers and patients access to Mayo specialists and second opinions. The platform also integrates with the North Dakota Health Information Network for health information exchange and uses EpicLink for affiliated-provider connectivity. Newer clinical technologies include the EnVisio Surgical Navigation System with SmartClip for breast cancer treatment, Hyperbaric Oxygen Therapy, and minimally invasive blood pressure control technology.

The business model is a fee-for-service and per-episode reimbursement system across multiple payer channels: private insurance, Medicare, Medicaid, and other government programs, supplemented by direct payment for aesthetic and wellness services at Truyu. Patient financial assistance is layered through the HERO Program (which has returned over $65M in savings to patients), AblePay (up to 13% off out-of-pocket costs), and online price-estimate tools. The system is governed by a board of directors under nonprofit structure, with no parent company, no public listing, and no institutional equity ownership. Leadership comprises CEO Todd Forkel and President Dr. Josh Deere, both selected in 2022, alongside a divisional CEO for Altru Hospital Devils Lake.

Name

Altru Health System

Legal name

Altru Health System

Website

https://altru.org

Company type

Private

Founded year

1997

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

Altru Health System is a nonprofit, integrated regional health system based in Grand Forks, North Dakota, operating an acute care hospital, a second hospital in Devils Lake (acquired 2025), specialty centers, and primary care clinics serving North Dakota and northwest Minnesota.

Ownership category

akta.pro rank

Product category

Integrated Hospital and Health System

NAICS

General Medical and Surgical Hospitals (622110), Ambulatory Health Care Services (621), Offices of Physicians (6211)

SIC

Services-Hospitals (8060), Services-General Medical & Surgical Hospitals, Nec (8062), Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Home Health Care Services (8082)

akta.pro primary industry

Integrated Delivery Networks (IDNs) & Multi-Hospital Systems (HLAFAAAC)

akta.pro secondary industry

Care Navigation, Referral & Digital Front Door Platforms (HLALABAH)

Keywords

• Integrated healthcare delivery
• Acute hospital services
• Primary and specialty care
• Behavioral health services
• Rehabilitation and home health

Headquarters

HQ city

Grand Forks

HQ country

United States

HQ region

North America

Offices7 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Infrastructure, Marketing or Sales, Supply Chain

Revenue model

1. Patient Care Services: Direct healthcare services including hospital care, clinic visits, emergency services, surgical procedures, diagnostic services, and specialty care across multiple service lines including cancer care, heart & vascular, orthopedics, pediatrics, and behavioral health
2. Insurance and Government Reimbursement: Revenue from private insurance plans, Medicare, Medicaid, and other government healthcare programs based on services rendered
3. Specialty Pharmacy Services: Specialty pharmacy services with URAC accreditation providing medications for complex conditions
4. Home Health and Hospice Services: Home-based healthcare services and hospice care for patients in the region
5. Aesthetic and Wellness Services: Truyu Aesthetic Center provides cosmetic procedures, injectables, and wellness services on a fee-for-service basis

Pricing tiers

Go-to-market motion1 record

Distribution channels5 records

Marketing channels6 records

Core offering

Altru Health System operates an integrated, nonprofit regional healthcare delivery network that provides inpatient acute care at its flagship hospital, primary and specialty physician services across a network of clinics, behavioral health, rehabilitation, oncology, and home health services. Care is coordinated through a single Epic-based electronic health record and a MyChart patient portal that supports telehealth visits, online scheduling, and bill payment for residents of northeastern North Dakota and northwestern Minnesota.

Product overview

Altru Health System is a comprehensive regional health system providing a broad portfolio of integrated healthcare services across North Dakota and northwest Minnesota. The organization operates as a platform of facilities and services centered around Altru Hospital in Grand Forks, which serves as the flagship acute care center, alongside the acquired Altru Hospital Devils Lake. The system includes specialty centers (Cancer Center, Heart & Vascular Center, Rehabilitation Hospital, Behavioral Health Center, Truyu Aesthetic Center), primary care clinic networks, Express Care urgent care sites, home health services, and retail pharmacy. Patient-facing digital products include MyChart for portal access and billing, the Price Estimates Tool for cost transparency, AblePay for payment savings, and Virtual Care/Telemedicine for remote consultations. The portfolio also encompasses diagnostic services (laboratory, radiology, sleep center), emergency transport (Care Flight), and support services (Sunshine Hospitality Home, One Call Transfer Center). This unified platform enables Altru to deliver coordinated care across the full continuum from primary prevention through acute care to rehabilitation and home-based services.

Differentiator

Problem solved

Functional benefit

Brands

• Truyu Aesthetic Center: Aesthetic and cosmetic center offering dermatology, injectables, laser services, and surgical procedures
• MyChart
• Altru Rehabilitation Hospital
• Altru Care Flight
• Dak Minn Blood Bank
• Altru Foundation

Products and services

• Altru Hospital (acute inpatient care) Acute inpatient hospital services including emergency, surgical, medical/surgical, intensive care, and obstetric care for residents of northeastern North Dakota and northwestern Minnesota.
• Altru Primary and Specialty Care Clinics Outpatient primary care and specialty physician services (cardiology, oncology, orthopedics, etc.) delivered through employed physician practices at multiple clinic locations.
• Altru Behavioral Health Services Mental health and substance use disorder treatment including outpatient therapy, psychiatric evaluation, and inpatient behavioral health care.
• Altru Rehabilitation Services Physical, occupational, and speech therapy delivered in inpatient rehabilitation, outpatient clinic, and home health settings for post-acute and chronic condition recovery.
• Altru Home Health and Hospice Skilled home health nursing, therapy, and end-of-life hospice care delivered in the patient's home.
• Altru Cancer Center Multidisciplinary cancer care including medical oncology, radiation oncology, infusion, and supportive services for patients with cancer diagnoses.
• Altru MyChart Patient Portal Online patient portal allowing patients to view medical records, schedule appointments, message providers, pay bills, and conduct telehealth visits.
• Altru Occupational Health Employer-facing occupational health services including workers' compensation injury care, pre-employment physicals, drug screening, and workplace health programs.

Quantifiable outcome

• Patient financial savings through HERO Program: Over $65 million saved in 2020-2021 and $21 million through Cancer Center Financial Navigator
• +2 more outcomes

Segments4 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration3 records

AI capability1 record

Feature5 records

Partnerships

Eight partnerships are on record, tiered core, major and minor.

• CommonSpirit HealthcoreStrategic or Co-development Partner · 28 June 2024Altru reached an agreement to acquire CHI St. Alexius Hospital in Devils Lake, ND from CommonSpirit Health. The transaction aims to improve healthcare options in the region with target completion by end of year. Transition completed in 2025 with facility renamed Altru Hospital Devils Lake.
• Mayo CliniccoreStrategic or Co-development PartnerAltru is a member of the Mayo Clinic Care Network, providing access to Mayo Clinic specialists and second opinions for patients. This relationship enhances Altru's diagnostic and treatment capabilities through collaboration with the world-renowned medical institution.
• Essentia HealthmajorStrategic or Co-development PartnerAltru and Essentia Health announced collaboration with City of Devils Lake and Spirit Lake Nation on a state-of-the-art medical campus in Devils Lake, ND. This joint development expands healthcare infrastructure in the region.
• Universal Health ServicesmajorStrategic or Co-development PartnerAltru and Universal Health Services signed a letter of intent and announced expansion of inpatient behavioral health services. The partnership brings additional psychiatric care capacity to the region.
• DaVitaminorStrategic or Co-development PartnerPartnership for outpatient dialysis services in Grand Forks, providing kidney care services to patients in the region.
• Encompass HealthmajorStrategic or Co-development PartnerJoint venture for inpatient rehabilitation services expanding in Grand Forks. Altru Rehabilitation Hospital opened in 2022 with Encompass Health partnership.
• LifeCareminorChannel Partner/ Reseller/ DistributorTransition of Altru clinics in Roseau, Warroad, and Greenbush to LifeCare. Altru and LifeCare announced aligned clinic and hospital services in northwest Minnesota.
• Blue Cross Blue Shield of North DakotaminorGTM or Marketing PartnerPartnership bringing lower-cost health insurance plan to the market, providing affordable coverage options for patients.

Scale indicators4 records

Recent moves8 records

Expansion highlights5 records

Regional players

• Trinity Health (Minot): Trinity Health is a Catholic nonprofit regional health system based in Minot, ND, providing acute care, clinics, and specialty services across north-central North Dakota. It is a directly comparable regional system operating in the same state and competing for similar rural patient populations as Altru.

Direct peers

• Sanford Health: Sanford Health is one of the largest rural-integrated health systems in the Upper Midwest, headquartered in Sioux Falls, SD with major presence across North Dakota including Fargo. Like Altru, it operates acute care hospitals, primary care and specialty clinics, home health, and uses the Epic platform, serving overlapping rural geographies and patient populations.
• Essentia Health: Essentia Health is a Duluth, MN-based integrated health system serving northern Minnesota, North Dakota, and Wisconsin with hospitals, clinics, and specialty services. Altru has a documented collaboration with Essentia in Devils Lake, and both compete for patients across the Red River Valley and northwest Minnesota service areas.

Emerging players

• Encompass Health: Encompass Health is the largest owner and operator of inpatient rehabilitation hospitals in the U.S. and is Altru's joint venture partner for the Altru Rehabilitation Hospital in Grand Forks. It provides a comparable specialty operator in a service line where Altru competes or collaborates.

Broad incumbents

• HCA Healthcare: HCA Healthcare is the largest for-profit hospital operator in the U.S., operating hundreds of acute care hospitals and ambulatory sites. While it does not directly serve Altru's geography, it is a useful broad incumbent benchmark for hospital operating scale, capital deployment, and M&A strategy in the U.S. provider sector.
• Universal Health Services: Universal Health Services (UHS) is a large for-profit hospital and behavioral health operator. UHS is partnering with Altru to expand inpatient behavioral health services in the region, providing a useful peer for behavioral health service line economics and large-system operating models.
• Mayo Clinic Health System: Mayo Clinic operates a national destination health system and the Mayo Clinic Care Network of which Altru is a member. While Mayo is a higher-tier referral and clinical partner rather than a direct competitor in Altru's primary service area, it represents the academic/quaternary benchmark against which Altru's specialty programs compete for complex cases.
• CommonSpirit Health: CommonSpirit Health is one of the largest nonprofit health systems in the U.S., formed by the merger of Catholic Health Initiatives and Dignity Health. It was the seller of CHI St. Alexius Health Devils Lake to Altru and operates broadly across many states, providing a useful benchmark for a large incumbent with rural and urban facilities.

Market position

Strengths5 records

Weaknesses4 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/altruhealthsystem

Compliance18 records

Revenue estimate

Valuation estimate

Number of profiles

Subsidiaries6 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A1 record

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Altru Health System