Altru Health System

“An electronic copy of the return was sent to the board members prior to filing.”

“Conflict of interest policy is reviewed and signed off annually by all officers, directors, trustees and key employees. These forms are collected and reviewed by the secretary and internal legal counsel. Officers, directors, trustees and key employees are also advised to report should any changes happen during the year. An "interested person" is any director, principal officer, or committee member with board-delegated powers who has a direct or indirect financial interest. This includes ownership, investment, or compensation arrangements with entities involved in transactions with the corporation. Interested persons must disclose their financial interests to the board or committee. The interested person must leave the meeting while their financial interest is discussed and voted upon. The board or committee may appoint a disinterested person to investigate alternatives. If no better alternative is found, the board or committee will vote on whether the transaction is in the corporation's best interest. If a member fails to disclose a conflict, the board or committee will investigate and take appropriate action. Minutes must include the names of those with financial interests, the nature of the interests, actions taken, and the decisions made.”

“Altru determines the top management officials' compensation by review and approval by a governing body without conflicts of interest, using comparable compensation data for functionally comparable positions at similarly situated organizations (with relevant comparables documented in an annual statement of reasonableness letter from altru's compensation consultant), and made contemporaneous documentation of the deliberations and decisions regarding the compensation arrangements. Altru has a compensation committee made up of community board members along with the president and ceo. We also work with an outside consultant which provides us with data on fair market compensation for the entire executive staff. For determining the compensation of the president and ceo, the community board members obtain the data from the consultant, have an opportunity to discuss with the consultant and have any questions answered and then their decision is shared with the non-conflicted board members for final approval. This process was used to determine the compensation for both positions of president and ceo in 2024. Altru uses similar criteria to the process described in 15(a) above. The president and ceo determine the salaries for each of the executives that report to them. Altru uses an outside compensation consultant which provides data on fair market compensation for functionally comparable positions at similarly situated organizations. The president and ceo present their decisions on the executive compensation to the board, which is a governing body without conflicts of interest as to the subject matter. The board does not ratify the base compensation for the executives that report to the president and ceo (the president and ceo have final say in setting base compensation for their executive team based on the compensation data referenced above), but the board does determine the annual goals for the altru system that are used to determine (by formula) potential bonus payouts for the executive team. The process described above was followed for all executives in 2024.”

“The organization's financial statements are made available to the public through published annual reports. Governing documents and conflict of interest policy are available upon request. The organization's 990 and 990-t public inspection copies are available upon request. Form 1023 is available upon request.”

“Consulting and professional fees: program service expenses 3,441,871. Management and general expenses 1,770,938. Fundraising expenses 0. Total expenses 5,212,809. Contract labor: program service expenses 37,668,977. Management and general expenses 6,142. Fundraising expenses 0. Total expenses 37,675,119. Purchased services: program service expenses 37,917,628. Management and general expenses 28,220,034. Fundraising expenses 0. Total expenses 66,137,662.”

“Change in pension obligation -1,616,568. Change in equity of unconsolidated affiliates 2,619,740. Other change in net assets -16,428.”