North Dakota hospital finances
Charity care, operating margins, beds and staff for 46 North Dakota hospitals, from the cost reports they file with Medicare.
Charity care$64.1 millionTotal, latest reports
Median margin-10.5%#44 of 50 states · U.S. -1.6%
Losing money92%36 of 39 hospitals
Beds · staff2,37920,976 full-time-equivalent employees
Every North Dakota hospital
Latest fiscal year each hospital reported. Reports marked "partial year" cover only part of a year (for example after a change of owner) and are left out of the state totals. Click a column to sort.
| Hospital | Beds | Patient revenue | Margin | Charity care |
|---|---|---|---|---|
| Sanford Medical Center FargoFargo · FY Dec 2024 · 6,667 staff | 506 | $1.6 billion | -17.6% | $21.5 million |
| Sanford Medical Center BismarckBismarck · FY Dec 2024 · 2,963 staff | 248 | $938.3 million | 4.3% | $12.2 million |
| Essentia Health-FargoFargo · FY Jun 2025 · 1,919 staff | 142 | $633.1 million | -2.3% | $3.9 million |
| Altru Health SystemGrand Forks · FY Dec 2024 · 2,560 staff | 202 | $622.0 million | -5.0% | $5.1 million |
| Trinity HospitalsMinot · FY Jun 2025 · 1,742 staff | 107 | $493.8 million | -9.1% | $932,000 |
| Jamestown HospitalJamestown · FY Jun 2025 · 294 staff | 25 | $80.2 million | -3.8% | $206,000 |
| St Joseph's Hospital & Health CenterDickinson · FY Jun 2025 · 203 staff | 25 | $76.4 million | -4.3% | $3.5 million |
| McKenzie County Healthcare SystemsWatford City · FY Jun 2025 · 237 staff | 24 | $65.5 million | -24.9% | $550,000 |
| Prairie St John'sFargo · FY Sep 2024 · 244 staff | 132 | $41.5 million | -5.1% | – |
| Unity Medical CenterGrafton · FY Jun 2025 · 121 staff | 14 | $31.2 million | -4.7% | $14,000 |
| West River Regional Medical Center-CAHHettinger · FY Mar 2025 · 135 staff | 25 | $29.6 million | -4.9% | $93,000 |
| Heart of America Medical CenterRugby · FY Mar 2025 · 180 staff | 25 | $29.0 million | -21.6% | $439,000 |
| St Aloisius Medical CenterHarvey · FY Sep 2024 · 125 staff | 25 | $26.2 million | -3.6% | $17,000 |
| First Care Health CenterPark River · FY Dec 2024 · 97 staff | 14 | $20.1 million | -10.5% | $117,000 |
| Pembina County Memorial HospitalCavalier · FY Dec 2024 · 63 staff | 20 | $19.2 million | -2.9% | $25,000 |
| Sakakawea Medical Center - CAHHazen · FY Jun 2025 · 98 staff | 13 | $18.6 million | 0.4% | $59,000 |
| Tioga Medical CenterTioga · FY Jun 2025 · 60 staff | 25 | $17.5 million | -6.6% | $34,000 |
| Mountrail County Medical CenterStanley · FY Jun 2025 · 111 staff | 11 | $16.4 million | -7.2% | $6,000 |
| St Andrews Health Center - CAHBottineau · FY Sep 2024 · 73 staff | 25 | $16.4 million | -2.2% | $1,000 |
| Southwest Healthcare ServicesBowman · FY Dec 2024 · 82 staff | 35 | $15.6 million | -18.9% | $62,000 |
| Towner County Medical CenterCando · FY Jun 2025 · 61 staff | 8 | $15.5 million | -12.0% | $52,000 |
| Hillsboro Medical Center - CAHHillsboro · FY Dec 2024 · 35 staff | 16 | $15.0 million | -9.4% | $475,000 |
| Presentation Medical CenterRolla · FY Sep 2024 · 81 staff | 25 | $14.1 million | -4.7% | $55,000 |
| Sanford MayvilleMayville · FY Dec 2024 · 55 staff | 25 | $13.9 million | 6.1% | $328,000 |
| Northwood Deaconess Health CenterNorthwood · FY Dec 2024 · 48 staff | 12 | $13.8 million | -24.9% | $40,000 |
| Jacobson Memorial Hospital & Care CenterElgin · FY Jun 2025 · 71 staff | 25 | $12.8 million | -12.6% | $1,000 |
| Carrington Health CenterCarrington · FY Jun 2025 · 58 staff | 25 | $12.7 million | -12.6% | $217,000 |
| Garrison Memorial HospitalGarrison · FY Jun 2025 · 37 staff | 22 | $11.8 million | -15.6% | $176,000 |
| Cavalier County Memorial Hospital AssociationLangdon · FY Jun 2025 · 87 staff | 25 | $10.9 million | -33.5% | $154,000 |
| CHI Oakes HospitalOakes · FY Jun 2025 · 39 staff | 20 | $10.6 million | -18.0% | $238,000 |
| Lisbon Area Health ServicesLisbon · FY Jun 2025 · 62 staff | 25 | $10.2 million | -33.8% | $346,000 |
| Ashley Medical CenterAshley · FY Jun 2025 · 53 staff | 20 | $9.8 million | -17.3% | $7,000 |
| Linton Hospital - CAHLinton · FY Dec 2024 · 59 staff | 14 | $9.8 million | -21.4% | $9,000 |
| South Central HealthWishek · FY Dec 2024 · 52 staff | 24 | $9.7 million | -12.3% | $31,000 |
| St Luke's HospitalCrosby · FY Jun 2025 · 64 staff | 20 | $8.9 million | -27.9% | – |
| Cooperstown Medical CenterCooperstown · FY Jun 2025 · 39 staff | 9 | $8.7 million | -14.4% | $197,000 |
| Nelson County Health SystemMcVille · FY Jun 2025 · 22 staff | 19 | $7.9 million | -20.5% | $1,000 |
| CHI St Alexius Health Turtle LakeTurtle Lake · FY Jun 2025 · 41 staff | 25 | $7.2 million | -14.6% | $57,000 |
| Trinity Kenmare Community HospitalKenmare · FY Jun 2025 · 50 staff | 25 | $6.4 million | -1.9% | $86,000 |
| North Dakota State HospitalJamestown · FY Jun 2025 · 269 staff | 81 | $5.7 million | – | – |
| St Alexius Medical CenterBismarck · FY Jun 2025 · 820 staff | 157 | – | – | $3.0 million |
| P H S Indian Hosp at Belcourt-Quentin N BurdickBelcourt · FY Sep 2024 · 333 staff | 27 | – | – | – |
| CHI Mercy HealthValley City · FY Jun 2025 · 54 staff | 25 | – | – | $401,000 |
| CHI St Alexius Health Devils LakeDevils Lake · FY Jun 2025 · 89 staff | 25 | – | – | $2.7 million |
| CHI St Alexius Health WillistonWilliston · FY Jun 2025 · 287 staff | 25 | – | – | $6.8 million |
| Standing Rock Service UnitFort Yates · FY Sep 2024 · 138 staff | 12 | – | – | – |
Questions
How many North Dakota hospitals lose money?
36 of 39 North Dakota hospitals (92%) reported a loss on patient care in their latest Medicare cost report, compared with 55% nationwide. The median operating margin was -10.5%.
Which North Dakota hospitals provide the most charity care?
North Dakota hospitals reported $64.1 million in charity care in total. The largest amounts came from Sanford Medical Center Fargo, Sanford Medical Center Bismarck, CHI St Alexius Health Williston, Altru Health System, Essentia Health-Fargo.
Figures as reported to CMS (Hospital Provider Cost Report), not audited statements. Margin = net income from patient care ÷ net patient revenue; it excludes investment income, donations and grants. How to read these figures.