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Short-term acute care hospital · Grand Forks, North Dakota · 183 beds · CMS certification number 350019

Altru Health System

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended December 31, 2025, as submitted, stamped by CMS June 23, 2026. 30 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$650.7M
$650,709,926 · G-3 line 3
Operating expenses
$717.4M
$717,425,884 · G-3 line 4
Result from patient care
−$66.7M
−$66,715,958 · G-3 line 5
Margin on patient care
−10.3%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $120.5M in its first year on file (1996) to $650.7M in 2025.
  • Its result from patient care: −$31.1M (2023), −$31.1M (2024), −$66.7M (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 9.0% of its inpatient days and Medicare for 31.7%.

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
reopened
$120.5M
$118.8M
1997
settled with audit
$135.8M
$156.3M
1998
reopened
$181.8M
$199.7M
1999
reopened
$183.1M
$200.9M
2000
reopened
$201.5M
$209.9M
2001
reopened
$211.1M
$228.0M
2002
reopened
$229.5M
$241.0M
2003
settled with audit
$244.4M
$257.8M
2004
settled with audit
$257.8M
$265.0M
2005
reopened
$282.6M
$286.8M
2006
reopened
$304.1M
$316.5M
2007
settled
$317.9M
$335.3M
2008
reopened
$335.2M
$353.3M
2009
settled with audit
$354.2M
$352.1M
2010
as submitted
$370.8M
$362.8M
2011
reopened
$384.8M
$386.2M
2012
reopened
$422.7M
$429.4M
2013
reopened
$425.6M
$448.7M
2014
reopened
$456.7M
$461.3M
2015
reopened
$488.1M
$493.3M
2016
settled with audit
$512.8M
$533.4M
2017
settled
$522.3M
$555.9M
2018
settled with audit
$528.3M
$578.4M
2019
as submitted
$542.6M
$618.1M
2020
as submitted
$520.5M
$570.4M
2021
as submitted
$557.1M
$580.6M
2022
as submitted
$563.6M
$611.2M
2023
as submitted
$606.2M
$637.3M
2024
as submitted
$622.0M
$653.1M
2025
as submitted
$650.7M
$717.4M

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
Altru Health System183$650,709,926$717,425,884−10.3%
Flowers Hospital, Dothan (AL)183$254,979,880$219,096,09414.1%
Innovis Health, Fargo142$633,086,168$647,556,351−2.3%
Sanford, Bismarck255$833,782,592$969,506,332−16.3%
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
11,686
S-3 line 14, col 15
Inpatient days
57,028
S-3 line 14, col 8
Beds in use, on an average day
156.7
days ÷ days in year
Occupancy
85.4%
days ÷ bed days
Medicare share of days
31.7%
S-3 cols 6 ÷ 8
Medicaid share of days
9.0%
S-3 cols 7 ÷ 8

Who owns it

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

Community benefit, as filed

Community benefit is filed on IRS Form 990 Schedule H by ALTRU HEALTH SYSTEM (employer identification number 450310462) for tax year 2023, once for the 2 hospital facilities the return lists, this hospital among them. The return does not divide it among them.

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 350019. Patients and payers: worksheet S-3 Part I of the same filing.

How this page was built: the CMS Medicare cost report, file HOSP10FY2025.ZIP, read June 23, 2026.