# Hospitals in North Dakota · Financial Profiles

State rollup · ND · Hospitals  
Page: https://astrelis.co/hospitals/state/nd  
This twin: https://astrelis.co/hospitals/state/nd.md  
Release: 2321a4fc37a7 (2026-10-22)

North Dakota has 46 current hospitals on file: 37 critical access hospitals, 6 urban PPS hospitals, 2 psychiatric hospitals, 1 rural PPS hospital. The critical access hospital median operating margin is -3.8% (n=37). Each median is computed only within its own hospital type, never across types.

## Counts

- Current hospitals: 46
- Historical records (CMS lists the CCN as terminated; listed and labeled below, excluded from counts and medians): 0
- Records listed: 46

## Medians

- **Critical Access Hospital median operating margin:** -3.8%. Basis: n = 36 values, each facility at its own latest settled fiscal year (FY2024 to FY2025); 37 current facilities in the cohort. Astrelis calculation.
- **Urban PPS hospital median operating margin:** no median (6 current facilities in the cohort, 6 with an eligible margin value; a cohort median needs 8). Basis: count only (6 current facilities in the cohort; 6 with an eligible margin value). Astrelis calculation.
- **Psychiatric hospital median operating margin:** no median (2 current facilities in the cohort, 1 with an eligible margin value; a cohort median needs 8). Basis: count only (2 current facilities in the cohort; 1 with an eligible margin value). Astrelis calculation.
- **Rural PPS hospital median operating margin:** no median (1 current facility in the cohort, 0 with an eligible margin value; a cohort median needs 8). Basis: count only (1 current facility in the cohort; 0 with an eligible margin value). Astrelis calculation.

Medians are computed within one hospital type only; a cohort with fewer than 8 in-state filers shows a count, not a median. Each value is the facility's own latest settled fiscal year, eligibility-gated, from the clean-room panel; historical records are excluded.

## Facilities (46)

Every row is as filed; a cell states its public state ("Not reported in source", "Astrelis calculation unavailable") rather than a dash. Each facility links to its profile and to the profile's twin.

| Facility | Type | City | Ownership | Latest FY | Operating revenue | Operating margin | Days cash |
|---|---|---|---|---:|---:|---:|---:|
| [ALTRU HOSPITAL](https://astrelis.co/hospitals/350019) ([twin](https://astrelis.co/hospitals/350019.md)) | Urban PPS hospital | Grand Forks | Government - Local | 2025 | $652.9M | -9.9% | 202d |
| [ASHLEY MEDICAL CENTER](https://astrelis.co/hospitals/351322) ([twin](https://astrelis.co/hospitals/351322.md)) | Critical Access Hospital | Ashley | Voluntary non-profit - Private | 2025 | $10.9M | -6.0% | 88d |
| [CARRINGTON HEALTH CENTER](https://astrelis.co/hospitals/351318) ([twin](https://astrelis.co/hospitals/351318.md)) | Critical Access Hospital | Carrington | Voluntary non-profit - Private | 2025 | $15.3M | +6.8% | 1077d |
| [CAVALIER COUNTY MEMORIAL HOSPITAL ASSOCIATION](https://astrelis.co/hospitals/351323) ([twin](https://astrelis.co/hospitals/351323.md)) | Critical Access Hospital | Langdon | Voluntary non-profit - Private | 2025 | $12.1M | -20.2% | 204d |
| [CHI MERCY HEALTH](https://astrelis.co/hospitals/351324) ([twin](https://astrelis.co/hospitals/351324.md)) | Critical Access Hospital | Valley City | Voluntary non-profit - Church | 2025 | $14.1M | +1.2% | 284d |
| [CHI OAKES HOSPITAL](https://astrelis.co/hospitals/351315) ([twin](https://astrelis.co/hospitals/351315.md)) | Critical Access Hospital | Oakes | Voluntary non-profit - Church | 2025 | $12.0M | -3.6% | 196d |
| [CHI ST ALEXIUS HEALTH](https://astrelis.co/hospitals/350002) ([twin](https://astrelis.co/hospitals/350002.md)) | Urban PPS hospital | Bismarck | Voluntary non-profit - Church | 2025 | $253.9M | -36.1% | -391d |
| [CHI ST ALEXIUS HEALTH DEVILS LAKE](https://astrelis.co/hospitals/351333) ([twin](https://astrelis.co/hospitals/351333.md)) | Critical Access Hospital | Devils Lake | Voluntary non-profit - Private | 2025 | $31.3M | -7.8% | 51d |
| [CHI ST ALEXIUS HEALTH DICKINSON](https://astrelis.co/hospitals/351336) ([twin](https://astrelis.co/hospitals/351336.md)) | Critical Access Hospital | Dickinson | Voluntary non-profit - Church | 2025 | $84.4M | +5.7% | 21d |
| [CHI ST ALEXIUS HEALTH TURTLE LAKE](https://astrelis.co/hospitals/351304) ([twin](https://astrelis.co/hospitals/351304.md)) | Critical Access Hospital | Turtle Lake | Voluntary non-profit - Church | 2025 | $7.2M | -14.0% | 1033d |
| [CHI ST ALEXIUS HEALTH WILLISTON](https://astrelis.co/hospitals/351334) ([twin](https://astrelis.co/hospitals/351334.md)) | Critical Access Hospital | Williston | Voluntary non-profit - Church | 2025 | $90.7M | -10.1% | 6d |
| [COOPERSTOWN MEDICAL CENTER](https://astrelis.co/hospitals/351306) ([twin](https://astrelis.co/hospitals/351306.md)) | Critical Access Hospital | Cooperstown | Voluntary non-profit - Private | 2025 | $9.3M | -6.4% | 99d |
| [ESSENTIA HEALTH](https://astrelis.co/hospitals/350070) ([twin](https://astrelis.co/hospitals/350070.md)) | Urban PPS hospital | Fargo | Voluntary non-profit - Private | 2025 | $633.9M | -2.2% | 15d |
| [FIRST CARE HEALTH CENTER](https://astrelis.co/hospitals/351326) ([twin](https://astrelis.co/hospitals/351326.md)) | Critical Access Hospital | Park River | Voluntary non-profit - Private | 2025 | $21.6M | -10.1% | 232d |
| [GARRISON MEMORIAL HOSPITAL](https://astrelis.co/hospitals/351303) ([twin](https://astrelis.co/hospitals/351303.md)) | Critical Access Hospital | Garrison | Voluntary non-profit - Church | 2025 | $12.8M | -6.6% | 867d |
| [HEART OF AMERICA MEDICAL CENTER](https://astrelis.co/hospitals/351332) ([twin](https://astrelis.co/hospitals/351332.md)) | Critical Access Hospital | Rugby | Voluntary non-profit - Private | 2025 | $29.6M | -19.3% | 129d |
| [JACOBSON MEMORIAL HOSPITAL CARE CENTER](https://astrelis.co/hospitals/351314) ([twin](https://astrelis.co/hospitals/351314.md)) | Critical Access Hospital | Elgin | Voluntary non-profit - Private | 2025 | $14.2M | -1.9% | 31d |
| [JAMESTOWN REGIONAL MEDICAL CENTER](https://astrelis.co/hospitals/351335) ([twin](https://astrelis.co/hospitals/351335.md)) | Critical Access Hospital | Jamestown | Voluntary non-profit - Private | 2025 | $80.4M | -3.6% | 171d |
| [LINTON HOSPITAL - CAH](https://astrelis.co/hospitals/351328) ([twin](https://astrelis.co/hospitals/351328.md)) | Critical Access Hospital | Linton | Voluntary non-profit - Private | 2025 | $12.1M | +1.1% | 92d |
| [LISBON AREA HEALTH SERVICES](https://astrelis.co/hospitals/351311) ([twin](https://astrelis.co/hospitals/351311.md)) | Critical Access Hospital | Lisbon | Voluntary non-profit - Private | 2025 | $12.5M | -9.3% | 264d |
| [MCKENZIE COUNTY HEALTHCARE SYSTEMS INC](https://astrelis.co/hospitals/351302) ([twin](https://astrelis.co/hospitals/351302.md)) | Critical Access Hospital | Watford City | Voluntary non-profit - Private | 2025 | $80.4M | -1.7% | 19d |
| [MOUNTRAIL COUNTY MEDICAL CENTER INC](https://astrelis.co/hospitals/351301) ([twin](https://astrelis.co/hospitals/351301.md)) | Critical Access Hospital | Stanley | Voluntary non-profit - Private | 2025 | $17.6M | +0.1% | 474d |
| [NELSON COUNTY HEALTH SYSTEM](https://astrelis.co/hospitals/351308) ([twin](https://astrelis.co/hospitals/351308.md)) | Critical Access Hospital | Mcville | Voluntary non-profit - Private | 2025 | $8.5M | -11.8% | 43d |
| [NORTH DAKOTA STATE HOSPITAL](https://astrelis.co/hospitals/354003) ([twin](https://astrelis.co/hospitals/354003.md)) | Psychiatric hospital | Jamestown | Government - State | 2025 | $5.7M | Astrelis calculation unavailable | 2d |
| [NORTHWOOD DEACONESS HEALTH CENTER](https://astrelis.co/hospitals/351312) ([twin](https://astrelis.co/hospitals/351312.md)) | Critical Access Hospital | Northwood | Voluntary non-profit - Church | 2025 | $15.5M | -20.9% | 19d |
| [P H S INDIAN HOSP AT BELCOURT-QUENTIN N BURDICK](https://astrelis.co/hospitals/350063) ([twin](https://astrelis.co/hospitals/350063.md)) | Rural PPS hospital | Belcourt | Government - Federal | 2025 | Not reported in source | Astrelis calculation unavailable | Astrelis calculation unavailable |
| [PEMBINA COUNTY MEMORIAL HOSPITAL](https://astrelis.co/hospitals/351319) ([twin](https://astrelis.co/hospitals/351319.md)) | Critical Access Hospital | Cavalier | Voluntary non-profit - Private | 2025 | $20.5M | -3.6% | 132d |
| [PRAIRIE ST JOHN'S](https://astrelis.co/hospitals/354004) ([twin](https://astrelis.co/hospitals/354004.md)) | Psychiatric hospital | Fargo | Proprietary | 2025 | $45.9M | +16.1% | 244d |
| [PRESENTATION MEDICAL CENTER](https://astrelis.co/hospitals/351316) ([twin](https://astrelis.co/hospitals/351316.md)) | Critical Access Hospital | Rolla | Voluntary non-profit - Private | 2025 | $14.4M | +0.7% | 169d |
| [SAKAKAWEA MEDICAL CENTER - CAH](https://astrelis.co/hospitals/351310) ([twin](https://astrelis.co/hospitals/351310.md)) | Critical Access Hospital | Hazen | Voluntary non-profit - Private | 2025 | $20.5M | +9.5% | 492d |
| [SANFORD HILLSBORO](https://astrelis.co/hospitals/351329) ([twin](https://astrelis.co/hospitals/351329.md)) | Critical Access Hospital | Hillsboro | Voluntary non-profit - Private | 2025 | $17.4M | +0.3% | 6d |
| [SANFORD MAYVILLE](https://astrelis.co/hospitals/351309) ([twin](https://astrelis.co/hospitals/351309.md)) | Critical Access Hospital | Mayville | Voluntary non-profit - Private | 2025 | $15.6M | +10.0% | 0d |
| [SANFORD MEDICAL CENTER BISMARCK](https://astrelis.co/hospitals/350015) ([twin](https://astrelis.co/hospitals/350015.md)) | Urban PPS hospital | Bismarck | Voluntary non-profit - Private | 2025 | $1.09B | +11.3% | 12d |
| [SANFORD MEDICAL CENTER FARGO](https://astrelis.co/hospitals/350011) ([twin](https://astrelis.co/hospitals/350011.md)) | Urban PPS hospital | Fargo | Voluntary non-profit - Private | 2025 | $2.31B | +5.6% | 1d |
| [SMP HEALTH ST ALOISIUS](https://astrelis.co/hospitals/351327) ([twin](https://astrelis.co/hospitals/351327.md)) | Critical Access Hospital | Harvey | Voluntary non-profit - Private | 2025 | $26.0M | -4.6% | 231d |
| [SOUTH CENTRAL HEALTH](https://astrelis.co/hospitals/351321) ([twin](https://astrelis.co/hospitals/351321.md)) | Critical Access Hospital | Wishek | Government - Local | 2025 | $11.2M | +1.1% | 105d |
| [SOUTHWEST HEALTHCARE SERVICES](https://astrelis.co/hospitals/351313) ([twin](https://astrelis.co/hospitals/351313.md)) | Critical Access Hospital | Bowman | Voluntary non-profit - Private | 2025 | $17.8M | -10.3% | 71d |
| [ST ANDREW'S HOSPITAL](https://astrelis.co/hospitals/351307) ([twin](https://astrelis.co/hospitals/351307.md)) | Critical Access Hospital | Bottineau | Voluntary non-profit - Church | 2025 | $17.8M | +7.1% | 124d |
| [ST LUKE'S HOSPITAL](https://astrelis.co/hospitals/351325) ([twin](https://astrelis.co/hospitals/351325.md)) | Critical Access Hospital | Crosby | Voluntary non-profit - Private | 2025 | $9.3M | -23.2% | -37d |
| [STANDING ROCK SERVICE UNIT](https://astrelis.co/hospitals/351364) ([twin](https://astrelis.co/hospitals/351364.md)) | Critical Access Hospital | Fort Yates, | Government - Federal | 2025 | Not reported in source | Astrelis calculation unavailable | Astrelis calculation unavailable |
| [TIOGA MEDICAL CENTER](https://astrelis.co/hospitals/351300) ([twin](https://astrelis.co/hospitals/351300.md)) | Critical Access Hospital | Tioga | Voluntary non-profit - Private | 2025 | $17.9M | -4.3% | 308d |
| [TOWNER COUNTY MEDICAL CENTER](https://astrelis.co/hospitals/351331) ([twin](https://astrelis.co/hospitals/351331.md)) | Critical Access Hospital | Cando | Voluntary non-profit - Private | 2025 | $15.6M | -11.2% | 81d |
| [TRINITY HOSPITALS](https://astrelis.co/hospitals/350006) ([twin](https://astrelis.co/hospitals/350006.md)) | Urban PPS hospital | Minot | Voluntary non-profit - Private | 2025 | $502.9M | -7.1% | 69d |
| [TRINITY KENMARE COMMUNITY HOSPITAL](https://astrelis.co/hospitals/351305) ([twin](https://astrelis.co/hospitals/351305.md)) | Critical Access Hospital | Kenmare | Voluntary non-profit - Private | 2025 | $6.6M | +1.8% | 235d |
| [UNITY MEDICAL CENTER](https://astrelis.co/hospitals/351320) ([twin](https://astrelis.co/hospitals/351320.md)) | Critical Access Hospital | Grafton | Voluntary non-profit - Private | 2025 | $32.0M | -2.2% | 48d |
| [WEST RIVER REGIONAL MEDICAL CENTER](https://astrelis.co/hospitals/351330) ([twin](https://astrelis.co/hospitals/351330.md)) | Critical Access Hospital | Hettinger | Voluntary non-profit - Private | 2025 | $29.9M | -3.9% | 114d |

## Sources

Financial figures are compiled from public HCRIS Medicare cost reports and standardized by Astrelis. State medians use eligibility-gated latest-year values from the clean-room panel; facility rows are shown as filed. Values are source-reported context, not audited by Astrelis, and not a ranking.

Methodology: https://astrelis.co/methodology · Data sources: https://astrelis.co/data-sources · Data philosophy: https://astrelis.co/data-philosophy

## Cite this page

Astrelis Atlas, "Hospitals in North Dakota · Financial Profiles", https://astrelis.co/hospitals/state/nd, release 2321a4fc37a7 (2026-10-22). Figures as filed in the named public sources; not audited by Astrelis.

Figures are as filed in the named public sources. Astrelis is not a CPA firm and performs no audit, review or attestation of any facility.