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Altru new hospital with a rainbow in the distance.

2023 Annual Report

Altru is a community of nearly 3,500 employees and providers, and we’ve been committed to caring for our region for more than 130 years. Serving approximately 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.

A Message from Our CEO & President

In 2023, our momentum at Altru shifted. We redefined ourselves as an organization to meet the needs of our patients, community and team. By first looking inward, we were able to identify what we value most. We are now telling a different story about who we are and how we impact our community. 

With less than one year left until we move into our new hospital, it was the time to redefine our mission, vision and values. We chose our new mission because it simply explains what our team does best: making a difference for those we care for. 

Care doesn’t stop at the exit of our hospital and clinics. Our team makes a difference in a variety of ways, including in our community. We want our mission, vision and values to reflect the larger impact our organization continues to make. 

While change is constant, a few things never change - like our relentless pursuit of excellence for the health of our community. 

We are proud of our accomplishments in 2023 and look forward to watching our mission transform and inspire our teams and community. Our team is focused on providing the best care for all our friends, family and neighbors, 24-7, 365 days a year. Our patients remain at the center of every decision we make. We are all here for one purpose, and that is to make a difference for the people we care for. 
- Todd Forkel, CEO & Dr. Josh Deere, President

Todd Forkel and Dr. Deere headshots


Making a difference for those we care for.


The relentless pursuit of excellence for the health of our community.


Be kind to everyone
Go above and beyond
Do the right thing
Win as a team


Quick Facts

Altru Quick Facts
Altru Quick Facts


New Hospital Update

New hospital windows and sky

Altru's new hospital continued under construction. This new hospital is an investment in our community’s healthcare and is an important component of Altru’s commitment as the region’s health system. It provides opportunities for more advanced care for our patients and a modern working environment for our teams. The investment in a new hospital means our patients can remain close to home for world-class care.
January 1, 2023 – 45% complete
December 31, 2023 – 85% complete 

New hospital construction highlights:

  • Hit a high point of approximately 450 workers a day in the summer. 

  • 936,000 labor hours on the new hospital in 2023

  • Completed the exterior envelope - framing, sheathing, air barrier, windows, curtainwall, and roofing.

  • Completed interior framing and drywall work through the building.

  • Completed mechanical, electrical, and plumbing rough-in work throughout the building.

  • Began start-up and testing of permanent systems/services – fire suppression, power distribution, air handling units, steam, condensate and chilled water.

  • Began improvements to the site including grading, pavement, curb and gutter, etc.

  • Installed and began operations of elevators.

New Hospital Economic Impact in 2023

Estimated values for the direct community impact of the Altru New Hospital project. A formal study was not completed.

  • $169M worth of work completed on the new hospital during 2023

  • $90M in revenue was generated for businesses in the greater Grand Forks area

  • Over 3,000 individuals had direct income because of this project


Altru Community Quick Facts


Altru Health Foundation at a Glance

Altru Health Foundation is pleased to share a summary of the significant wins we achieved collectively in 2023. From record-breaking donations to spearheading transformative initiatives, here’s a few highlights from the year.

View the 2023 Altru Health Foundation Year in Review >>

2023 Accolades & Recognitions

Diversity Equity and Inclusion

Altru Health System strives to achieve and sustain high-quality, equitable, and culturally sensitive patient-centered care by creating a culture of inclusion focused on continuous improvement and accountability and engaging diverse leaders, employees, and learners.

Altru’s Diversity Equity and Inclusion Committee (DEI Committee) was founded in January 2021 after key Altru leaders were trained by our Mayo Clinic Care Network partners in December 2020.

In 2023, the DEI Committee shifted its focus to education in the areas of safe patient care and employee engagement. This prompted the establishment of two subcommittees: namely the Health Equity and LGBTQ+ Subcommittees.

Areas of Focus:

  • Workforce
  • Patient Experience and Safety
  • Partnerships, Community Health and Engagement 

Making a difference for those we care for.

When you walk through our doors, you are in the presence of people who value the relentless pursuit of excellence. We want you to feel our passion for your health every time you seek care at Altru. 

You are why we’re here. You are what matters. You always come first.

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