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PeerBasis
Compensation Comparability Determination

Altru Health System

Executive Director / CEO

EIN 450310462
ND · NTEE E220
FY ending 2024-12-31
June 9, 2026

This analysis benchmarks the total compensation of Todd Forkel, Executive Director / CEO ($1,330,342) against every comparable organization that fit the selection criteria — 122 in total — drawn systematically from IRS Form 990 filings, not a hand-picked subset.

Compensation sits at approximately the 82nd percentile of comparable organizationswithin the typical range

Benchmarked executive: Todd Forkel — reported title “BOARD MEMBER/CEO”, a direct title match to the Executive Director / CEO role.

How comparable organizations were selected

122 organizations qualified on sector, size, and geography 122 within the band form the benchmarked peer set.

Distribution of comparable compensation

$18,298 total compensation of comparable organizations → $11,327,192 $1,330,342
$56,60510th
$183,40325th
$653,758Median
$1,112,57075th
$1,664,94190th
$1,330,342This org · 82nd
p10$56,605
p25$183,403
p50$653,758
p75$1,112,570
p90$1,664,941
$1,330,342

Comparable organizations

Each figure is Form 990 Part VII columns D + F (reportable pay plus other compensation and benefits; column F may include amounts from related organizations), normalized to ND cost of living (BEA RPP, 2023) and to its filing year (CPI-U); the reported amount is on each linked 990.

OrganizationStateRevenueMatched titleComp
(reported)
Comp
(adjusted)
FY
Indiana University Health Bloomington Inc IN$780,071,792 Director/president (Part Year)/cmo (Scr) (Part Year) $584,994 $562,153 2024
Kennedy University Hospital Inc PA$779,678,321 Hospitalist $545,945 $510,764 2023
The Hospital Of Central Connecticut CT$776,455,760 Director/president (Thru 02/24) $136,812 $116,890 2024
Truman Medical Center Incorporated MO$776,143,623 President/ceo/director $1,376,085 $1,367,346 2023
Piedmont Athens Regional Medical Center Inc GA$774,002,893 Ceo $1,176,264 $1,109,569 2023
🔒 117 more comparable organizations — included in the purchased report

Comp (reported) is the figure on each organization's Form 990 (columns D + F); Comp (adjusted) normalizes it to ND cost of living and 2024 dollars. Click any organization to verify the figure on ProPublica.

Methodology

Comparable organizations were drawn from electronically filed IRS Form 990 returns and matched on sector (NTEE code), budget (a size-adaptive revenue band that tightens as the organization grows), and geography (same-state first, broadening only when too few peers qualify); every organization within the band forms the peer set. To compare fairly across regions and years, peer compensation is normalized to ND cost of living (BEA Regional Price Parities, 2023) and to the subject's filing year (CPI-U). The figure benchmarked is Form 990 Part VII, Section A, columns D + F — reportable pay plus other compensation, benefits, and deferred amounts (column F may include amounts from related organizations) — with the chief executive matched by role. Related-organization amounts (column E) and institutional trustees are excluded. Full methodology: peerbasis.org/methodology.

Sample, role match & sensitivity

Sensitivity — the subject's percentile under alternative compensation definitions:

BasisSubject percentile
Total compensation (D + F), cost-of-living + inflation adjusted — the PeerBasis default82nd
Total compensation (D + F), as reported (no adjustments)76th
Reportable pay only (column D), adjusted81st
All sources (D + E + F), adjusted64th

If the percentile moves materially across these definitions, the result is sensitive to methodology choices, and the board should weigh which basis best fits its facts.

Rebuttable presumption of reasonableness · 26 CFR 53.4958-6

Compensation paid by a tax-exempt organization is presumed reasonable — shifting the burden to the IRS — when three requirements are met. This report supplies the comparability data for the second. The board should record the following in its minutes concurrently with its decision:

Ready-to-adopt board minutes — executive compensation

🔒 The complete minutes language — three numbered resolutions pre-filled with this organization, the 122-organization comparison, the date, and the percentile finding, ready to paste into your minutes — is included in the purchased report.

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Sources: IRS Form 990 e-file data (apps.irs.gov); IRS Business Master File (NTEE classification). Every figure traces to an original public filing — click any organization above to verify it on ProPublica. PeerBasis is a service of Prismind Analytics; its methodology is published, was commissioned for independent adversarial review, and discloses its own limitations. This report is comparability data to support a board's good-faith determination under IRC 4958; it is not legal or tax advice. Generated by PeerBasis on June 9, 2026.