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The 10 largest nonprofits in North Dakota by revenue

Altru Health System is #1 with $780.4 million in revenue.

#1 · Altru Health System
$780.4 million
All North Dakota nonprofits combined
$9.5 billion
2,365 e-filed returns

The list

Total revenue for the year on the latest e-filed return.

  1. 1Altru Health System990, year ended Dec 2024$780.4M
  2. 2Innovis Health LLC990, year ended Jun 2025$683.5M
  3. 3McKenzie Electric Cooperative Inc990, year ended Dec 2025$514.4M
  4. 4Mountrail-Williams Electric Cooperative Inc990, year ended Dec 2024$490.8M
  5. 5Minnkota Power Cooperative Inc990, year ended Dec 2025$487M
  6. 6Trinity Health & Affiliates990, year ended Jun 2025$385.8M
  7. 7ST Alexius Medical Center990, year ended Jun 2025$277.7M
  8. 8Central Power Electric Coop Inc990, year ended Dec 2025$204.7M
  9. 9Cass County Electric Cooperative Inc990, year ended Dec 2025$162.4M
  10. 10Nodak Electric Cooperative Inc990, year ended Dec 2025$147.3M

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