Altru Health System
Health system employer · Based in Grand Forks, ND
A regional nonprofit building a new hospital around a three-tier RN ladder
See 3 open rolesOn the floor
What the day-to-day looks like
Altru refreshed its mission and values in January 2024 around 'making a difference for those we care for,' emphasizing a collaborative, supportive, and safe environment. The system offers education assistance, 401(k) with employer match, and health, dental, and vision coverage for both full-time and part-time staff.
Benefits
Sign-on bonus listed up to $12,000 on at least one Med/Surg RN role; shift differential, relocation eligibility, and loan-repayment signals appear on some hospital RN posts—confirm terms with Altru. RN career ladder adjusts pay by level; residency support for nurses with under 12 months acute experience.
What stands out
New graduates
If you have under a year of acute experience, you auto-enroll in the New Graduate Nurse Residency with five 2026 cohort start dates and weekly educator-led labs, skills, and simulation in Phase One.
As of 2026Source: altru.org
Experienced nurses
Inpatient RN I base starts around $33.80/hr on the hospital career ladder, with RN II and RN III bands that rise as you add education, years, and engagement.
As of 2026Source 1: jibjob.comSource 2: grandforksmfrcjobs.jobboardhq.com
Experienced nurses
A 7e Med/Surg RN posting has listed a $12,000 sign-on bonus, and ICU and Med Surg hiring posts note shift differential plus sign-on eligibility.
As of 2026-05-13 · 2026Source 1: jibjob.comSource 2: facebook.comSource 3: altru.org
Moving here
ICU and Med Surg posts flag relocation eligibility, North Dakota is a compact-license state, and the average Grand Forks commute is only about eleven minutes.
As of 2026Source: facebook.com
More about working here
New graduates
Residency hires land on a specific inpatient unit—ICU, ED, step-down, Med-Surg, L&D, NICU, or postpartum are all on the included list.
As of 2026Source 1: altru.orgSource 2: facebook.comSource 3: jibjob.com
Experienced nurses
Behavioral health is growing on the ground: the inpatient unit is expanding from 24 to 48 licensed beds with a fall 2026 target after a June 2025 groundbreaking.
As of 2025-06-18Source: altru.org
Experienced nurses
At least one hospital RN posting signals loan repayment; clinic and outpatient procedure roles post lower RN I floors near $29.19–$30.65/hr if you want days-focused work.
From employer postingsAs of 2026-07-20 · 2026 · 2026-07-17Source 1: jibjob.comSource 2: altru.orgSource 3: grandforksmfrcjobs.jobboardhq.com
Working conditions
- Scheduling
- Flexible scheduling valued in reviews; staffing shortages and high expectations can stress work-life balance; days schedule noted on one Med/Surg posting
- Pay and benefits
- RN I inpatient/hospital career-ladder base range (e.g. OB, Med/Surg)
As of 2026Source 1: jibjob.comSource 2: grandforksmfrcjobs.jobboardhq.com
- Pay and benefits
- RN Clinic (M-F) posted range
As of 2026-07-17Source: grandforksmfrcjobs.jobboardhq.com
- Pay and benefits
- $12,000 sign-on bonus for Registered Nurse 7e Med/surgical (eligibility/conditions not fully specified)
As of 2026-05-13Source: jibjob.com
- Pay and benefits
- Shift sign-on bonus eligible for ICU RN and Med Surg RN postings
As of 2026Source: facebook.com
- Pay and benefits
- Relocation eligible noted on ICU RN and Med Surg RN hiring posts
As of 2026Source: facebook.com
- Pay and benefits
- Shift differential mentioned for ICU RN and Med Surg RN roles
As of 2026Source: facebook.com
- Pay and benefits
- Loan repayment signals noted on Med/Surg RN posting summary
As of 2026-07-20Source: jibjob.com
Starting out and growing here
- Nurse residency
- New Graduate Nurse Residency Program (NRP) · 5 cohorts per year · Applications: 2026 cohorts: Feb 9 (apply by Jan 2), Apr 6 (by Mar 6), Jun 15 (by May 15), Jul 27 (by Jun 26), Oct 5 (by Sep 4)
As of 2026Source: altru.org
- Preceptors and orientation
- Residency Phase One weekly educator-led labs, skills, simulation, interdisciplinary shadow; Phase Two monthly peer/educator labs
As of 2026Source: altru.org
- Career development
- RN career ladder RN I/II/III values experience, education, engagement; ASN entry; BSN/MSN/DNP and years accelerate level/pay
As of 2026Source 1: grandforksmfrcjobs.jobboardhq.comSource 2: jibjob.com
- Loan assistance
- Loan repayment signals noted on at least one hospital RN posting; confirm eligibility with employer
As of 2026-07-20Source: jibjob.com
Who they are
You are looking at Altru Health System in Grand Forks, a nonprofit, physician-led, community-owned network with roots back to 1892 and more than 3,400 people on staff.
More about Altru Health System
If you are new to acute care, the New Graduate Nurse Residency auto-enrolls RNs with under twelve months of experience, places you on one inpatient unit, and runs five cohort starts across 2026—with weekly educator-led labs, skills, simulation, and shadow time in the first phase. Pay on recent postings clusters near a $30.65 hourly median in our sample, with posted RN I floors from about $29.19 in clinic and nurse-line roles up to roughly $33.80 on the inpatient hospital ladder, then RN II and RN III bands as education and years stack up. Med/Surg has carried a $12,000 sign-on on at least one 7e posting; ICU and Med Surg hiring notes also mention shift differential, sign-on eligibility, and relocation help, and loan repayment shows up as a signal to confirm. The campus side is in motion: a replacement hospital design leans on natural light and roughly 200 rooms with outdoor views, and the Behavioral Health Center is doubling inpatient licensed beds from 24 to 48 toward fall 2026. Reviewers often mention teamwork and mission; they also flag staffing pressure, middling pay-and-benefits scores, and uneven advancement—so you can weigh the concrete supports against those frictions before you apply.
Community-owned nonprofit mission centered on community care; employees often cite teamwork and that local mission as meaningful.
Working here
Culture and working life
Themes from public reviews
Summaries of published reviews, with the original sources.
- Overall rating and recommend rate
- About 3.4/5 overall from 185 reviews; roughly 63% would recommend; Grand Forks subset nearer 3.7/5 on 99 reviews.
As of 2026Source 1: glassdoor.comSource 2: glassdoor.comSource 3: glassdoor.co.in
- Compensation and benefits rating
- Compensation and benefits is among the lower category scores systemwide (about 3.0); Grand Forks slightly higher near 3.4.
- Supportive teamwork and mission
- Employees often cite supportive atmosphere, teamwork, and community mission as meaningful.
As of 2026Source: glassdoor.com
More review themes
- Management responsiveness and stability
- Some praise open leadership communication; others report weak response to feedback and instability during change.
As of 2026Source: glassdoor.com
- Career advancement and turnover
- Development opportunities exist, but limited advancement and high turnover hurt security and morale for many.
As of 2026Source: glassdoor.com
- Work-life balance under staffing pressure
- Flexible scheduling is appreciated yet staffing shortages and high expectations create stress.
As of 2026Source: glassdoor.com
- CEO approval
- CEO approval roughly mid-70s percent on Glassdoor snapshots.
What to weigh
Compensation and benefits sit among the lower Glassdoor category scores systemwide (about 3.0; Grand Forks nearer 3.4), and nurses still describe staffing pressure, limited advancement, and turnover weighing on morale.
As of 2026Source 1: glassdoor.comSource 2: glassdoor.co.inSource 3: glassdoor.comSource 4: jibjob.com
The reality check
Before you decide
Quick facts
- Relationship
- Umbrella organization
- Roles last seen active
- Jun 19, 2026
- Website
- altru.org ↗
Weighing a first job here?
The license clock and the job hunt run at once, and new-grad windows do the deciding. Residency commitments carry fine print worth reading before you sign.
Work here?
This page is built from public postings and employer research. Help us get it right: corrections, photos, and the story of the floor itself.
Improve this page →The units
A closer look at the units
Open counts come from the live roles below. Source links show where unit details were reported.
- General2 open
- L&Dnew grads1 open
Labor and Delivery is a Nurse Residency Program included unit; separate OB RN posting at Devils Lake.
ICU
ICU is a Nurse Residency Program unit; employer has posted ICU RN openings in Grand Forks.
Emergency Department
Emergency Department is listed among units included in the New Graduate Nurse Residency Program.
Progressive Care / Step Down
Progressive Care Unit (Step Down) is included in the Nurse Residency Program units.
Med-Surg
Medical Surgical units in residency; 7e Med/surgical RN posting and Med Surg RN hiring posts exist.
Source 1: altru.orgSource 2: jibjob.comSource 3: facebook.com
NICU
NICU is listed among units included in the New Graduate Nurse Residency Program.
Postpartum / Med-Surg Postpartum
Medical Surgical Postpartum is an included residency unit.
Behavioral Health inpatient
Altru Behavioral Health Center expanding from 24 to 48 licensed inpatient beds; Joint Commission accredited.
Outpatient Procedures / Clinic RN
RN Outpatient Procedures and RN Clinic roles posted at Altru Professional Center, Grand Forks.
Open roles
Roles from Altru Health System
Refreshed throughout the day.
- New grads welcomed
- RN
- Compact license OK
Registered Nurse, RN - Outpatient Procedures
$31/hr
Altru Health System · Health system employerGrand Forks, ND
- RN
- Compact license OK
- Tuition reimbursement
Registered Nurse, RN - 24/7 Nurse Line
$29/hr
Altru Health System · Health system employerGrand Forks, ND
- RN
- Compact license OK
- ADN accepted
Help improve this pageShare what it’s like, fix a detail, or add a useful photo.
Hiring here? List this unit.
Claim or manage this page