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Short-term acute care hospital · Bismarck, North Dakota · 255 beds · CMS certification number 350015

Sanford

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended December 31, 2025, as submitted, stamped by CMS June 26, 2026. 30 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$833.8M
$833,782,592 · G-3 line 3
Operating expenses
$969.5M
$969,506,332 · G-3 line 4
Result from patient care
−$135.7M
−$135,723,740 · G-3 line 5
Margin on patient care
−16.3%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $126.7M in its first year on file (1996) to $833.8M in 2025.
  • Its result from patient care: −$65.3M (2023), $40.2M (2024), −$135.7M (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 24.4% of its inpatient days and Medicare for 30.6%.
  • SANFORD holds 100% of it, on its Medicare enrollment.

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

30 years of filings

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

Net patient revenueOperating expenses
1996
settled with audit
$126.7M
$125.3M
1997
reopened
$131.7M
$131.3M
1998
reopened
$134.7M
$138.9M
1999
reopened
$124.1M
$133.6M
2000
reopened
$131.4M
$143.4M
2001
reopened
$151.6M
$160.3M
2002
reopened
$156.9M
$165.9M
2003
settled with audit
$184.5M
$173.3M
2004
reopened
$205.7M
$184.2M
2005
reopened
$195.5M
$199.5M
2006
reopened
$206.7M
$216.2M
2007
reopened
$215.9M
$228.1M
2008
reopened
$230.1M
$232.5M
2009
reopened
$252.9M
$250.1M
2010
reopened
$265.7M
$265.4M
2011
reopened
$306.1M
$308.4M
2012
reopened
$324.4M
$361.0M
2013
reopened
$172.5M
$184.0M
2014
reopened
$383.5M
$442.1M
2015
reopened
$409.7M
$419.6M
2016
reopened
$471.1M
$484.1M
2017
reopened
$494.3M
$509.2M
2018
reopened
$506.2M
$507.9M
2019
reopened
$588.8M
$586.0M
2020
amended
$603.3M
$623.2M
2021
as submitted
$699.4M
$707.6M
2022
amended
$717.3M
$755.4M
2023
as submitted
$759.2M
$824.6M
2024
as submitted
$938.3M
$898.1M
2025
as submitted
$833.8M
$969.5M

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
Sanford255$833,782,592$969,506,332−16.3%
Advocate Sherman Hospital, Elgin (IL)255$415,956,204$394,665,0905.1%
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 Medical Center Fargo, Fargo502$1,765,763,723$2,180,246,713−23.5%
Trinity Hospitals, Minot107$493,792,492$538,600,411−9.1%

Patients and payers

Discharges
14,189
S-3 line 14, col 15
Inpatient days
64,265
S-3 line 14, col 8
Beds in use, on an average day
176.6
days ÷ days in year
Occupancy
69.0%
days ÷ bed days
Medicare share of days
30.6%
S-3 cols 6 ÷ 8
Medicaid share of days
24.4%
S-3 cols 7 ÷ 8

Who owns it

  • SANFORD100%
  • SANFORD WEST100%
  • SANFORD WEST100%

Related organizations on its own cost report: SANFORD BISMARC (100%), laundry service; SANFORD BISMARC (100%), joint venture; SANFORD HEALTH (100%), health care.

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).

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 350015. 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 June 26, 2026.