Velarion Records

Short-term acute care hospital · Fargo, North Dakota · 502 beds · CMS certification number 350011

Sanford Medical Center Fargo

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended December 31, 2025, as submitted, stamped by CMS September 21, 2026. 29 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$1.8B
$1,765,763,723 · G-3 line 3
Operating expenses
$2.2B
$2,180,246,713 · G-3 line 4
Result from patient care
−$414.5M
−$414,482,990 · G-3 line 5
Margin on patient care
−23.5%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $148.9M in its first year on file (1997) to $1.8B in 2025.
  • Its result from patient care: −$176.4M (2023), −$288.9M (2024), −$414.5M (2025).
  • 4 of the 5 short-term acute care hospital peers below with a margin on file also report a loss on patient care for fiscal year 2025.
  • Medicaid paid for 23.4% of its inpatient days and Medicare for 26.9%.
  • SANFORD holds 100% of it, on its Medicare enrollment.

Every statement is drawn from figures on this page; nothing is estimated.

29 years of filings

Net patient revenue against operating expenses, each year as filed.

Net patient revenueOperating expenses
1997
settled with audit
$148.9M
$126.0M
1998
reopened
$166.6M
$148.4M
1999
reopened
$179.8M
$170.0M
2000
reopened
$179.8M
$192.0M
2001
settled with audit
$194.5M
$196.1M
2002
settled with audit
$232.3M
$225.5M
2003
settled with audit
$259.9M
$269.6M
2004
settled with audit
$276.1M
$282.1M
2005
settled with audit
$295.2M
$304.6M
2006
reopened
$329.2M
$339.4M
2007
reopened
$361.8M
$366.3M
2008
reopened
$379.7M
$399.4M
2009
reopened
$393.8M
$419.0M
2010
reopened
$430.9M
$431.2M
2011
reopened
$492.0M
$408.9M
2012
reopened
$828.4M
$784.2M
2013
reopened
$828.1M
$828.0M
2014
reopened
$894.5M
$856.6M
2015
reopened
$968.0M
$897.1M
2016
reopened
$1.0B
$955.9M
2017
settled
$1.1B
$1.0B
2018
reopened
$1.2B
$1.2B
2019
settled
$1.2B
$1.3B
2020
amended
$1.3B
$1.4B
2021
amended
$1.5B
$1.6B
2022
amended
$1.5B
$1.7B
2023
as submitted
$1.6B
$1.8B
2024
as submitted
$1.6B
$1.9B
2025
as submitted
$1.8B
$2.2B

Beside its peers

Hospitals of the same type (short-term acute care hospital), nearest in size, from North Dakota first; each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Sanford Medical Center Fargo502$1,765,763,723$2,180,246,713−23.5%
Altru Health System, Grand Forks183$650,709,926$717,425,884−10.3%
Innovis Health, Fargo142$633,086,168$647,556,351−2.3%
Sanford, Bismarck255$833,782,592$969,506,332−16.3%
St. Peters Hospital of the City of Albany, Albany (NY)502$830,955,135$758,990,6668.7%
Trinity Hospitals, Minot107$493,792,492$538,600,411−9.1%

Patients and payers

Discharges
25,251
S-3 line 14, col 15
Inpatient days
130,709
S-3 line 14, col 8
Beds in use, on an average day
359.1
days ÷ days in year
Occupancy
71.8%
days ÷ bed days
Medicare share of days
26.9%
S-3 cols 6 ÷ 8
Medicaid share of days
23.4%
S-3 cols 7 ÷ 8

Who owns it

  • SANFORD100%
  • SANFORD NORTH100%

Related organizations on its own cost report: SANFORD, home office.

Other hospitals with the same owner: Sanford Sheldon Medical Center (IA), Sanford Worthington Medical Center (MN), Sanford Bemidji Medical Center (MN), Sanford Westbrook Medical Center (MN), Sanford Tracy Medical Center (MN), Sanford Wheaton Medical Center (MN), Sanford Jackson Medical Center (MN), Sanford Bagley Medical Center (MN).

Type of control on its cost report: voluntary nonprofit, other.

Owners of 5% or more, from CMS’s hospital ownership file (Medicare enrollment, October 1, 2026).

Follow this hospital, free

We send this record now and tell you when it files again.

More short-term acute care hospitals in North Dakota

From the publisher of Velarion Records

Velarion Intel

Independent Decision-Grade Intelligence

Compensation and corporate governance intelligence for advisors, investors and companies. Executive and board pay for public companies, benchmarked against peers.

See what Intel shows

Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 350011. Patients and payers: worksheet S-3 Part I of the same filing. Ownership: CMS Hospital All Owners and Hospital Enrollments.

How this page was built: the CMS Medicare cost report, file HOSP10FY2025.ZIP, read September 21, 2026.