Largest nonprofits in North Dakota by revenue
| # | Nonprofit | City | Focus area | Revenue |
|---|---|---|---|---|
| 1 | Altru Health System | Grand Forks | Health Care | $780.4 million |
| 2 | Innovis Health Llc | Fargo | Health Care | $683.5 million |
| 3 | Trinity Health & Affiliates | Minot | Health Care | $385.8 million |
| 4 | St Alexius Medical Center | Bismarck | Health Care | $277.7 million |
| 5 | Trinity Health | Minot | Health Care | $136.2 million |
| 6 | University Of Mary | Bismarck | Education | $111.6 million |
| 7 | North Dakota State University Foundation | Fargo | Education | $102.4 million |
| 8 | Lutheran Charity Association | Jamestown | Health Care | $84.3 million |
| 9 | Sisters Of Mary Of The Presentation Long Term Care | Fargo | Health Care | $83.0 million |
| 10 | Theodore Roosevelt Presidential Library Foundation | Bismarck | Education | $69.5 million |
| 11 | University Of Jamestown | Jamestown | Education | $67.5 million |
| 12 | McKenzie County Healthcare Systems Inc | Watford City | Not listed | $65.1 million |
| 13 | Hit Inc | Mandan | Human Services | $50.8 million |
| 14 | Anne Carlsen Center | Jamestown | Education | $48.4 million |
| 15 | Hospice Of The Red River Valley | Fargo | Human Services | $48.1 million |
| 16 | Missouri Slope Lutheran Care Center | Bismarck | Health Care | $47.9 million |
| 17 | Und Aerospace Foundation | Grand Forks | Education | $43.8 million |
| 18 | Und Alumni Association And Foundation | Grand Forks | Education | $42.4 million |
| 19 | Great Plains Food Bank | Fargo | Food, Agriculture & Nutrition | $40.6 million |
| 20 | Good Samaritan Hospital Association | Rugby | Health Care | $39.3 million |
| 21 | Valley Homes And Services | Grand Forks | Health Care | $37.4 million |
| 22 | Christian Unity Hospital Corporation | Grafton | Health Care | $35.3 million |
| 23 | American Lutheran Homes Inc | Fargo | Not listed | $35.3 million |
| 24 | North Dakota Community Foundation | Bismarck | Philanthropy, Voluntarism & Grantmaking Foundations | $34.8 million |
| 25 | United Tribes Technical College | Bismarck | Education | $33.9 million |
The full list includes all 401 North Dakota nonprofits with $1M+ revenue, with street address, ZIP, EIN, assets, income and tax period, plus every other state.
North Dakota cities with the most $1M+ nonprofits
- Fargo: 98
- Bismarck: 73
- Minot: 34
- Grand Forks: 31
- Williston: 15
- Jamestown: 11
- Mandan: 10
- West Fargo: 9
- Dickinson: 8
- Watford City: 6
Most common focus areas
- Health Care: 68
- Human Services: 63
- Education: 41
- Recreation & Sports: 29
- Housing & Shelter: 17
- Philanthropy, Voluntarism & Grantmaking Foundations: 16
- Arts, Culture & Humanities: 15
- Community Improvement & Capacity Building: 12
Where does this data come from?
The IRS Exempt Organizations Business Master File, downloaded in October 2026. Figures are as reported on each organization's latest return on file with the IRS. Personal contact names are not included.