St Alexius Medical Center is a 501(c)(3) organization based in Bismarck, North Dakota, registered in 1946, with $272,743,508 in FY2023 revenue. CharityIndex grades it C, and it directs about 85% of spending to programs.
Revenue (FY2023)
$272.7M
▲ 6.6% vs prior year
Health median: $840K
Expenses (FY2023)
$356.0M
Net assets
-$255.6M
Employees
1,680
Measures how much of every dollar spent actually reaches programs, plus what it costs to raise $100 of donations. The worse of the two measures sets the letter (85%+ to programs is an A; under $15 to raise $100 is an A), averaged over the three most recent filings. For St Alexius Medical Center: 85% to programs · $203 to raise $100 earns a D on this criterion. See the exact thresholds →
Measures whether the organization is built to last: how many months its reserves would cover expenses (3+ months earns an A-range score, but hoarding 5+ years of budget is capped) and whether it runs a surplus or a deficit. For St Alexius Medical Center: 0 mo reserves · -31% margin earns a F on this criterion. See the exact thresholds →
Checks how the organization is run, from its own Form 990: an independent board majority, a board of five or more, conflict-of-interest, whistleblower and document-retention policies, and independently audited financials. The share of disclosed checks that pass sets the letter. For St Alexius Medical Center: 6 of 6 checks met earns a A+ on this criterion. See the exact thresholds →
Counts five disclosure signals: a recent filing, a mission statement, program descriptions, a listed website, and the full expense breakdown. More disclosure, better letter. For St Alexius Medical Center: 5 of 5 disclosure signals earns a A+ on this criterion. See the exact thresholds →
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St. alexus is proud of its stellar reputation as a caring, high quality medical center and of its awards for clinical excellence, customer satisfaction and community service.
Specialty clinics: the clinics of st. alexius is a unique multi-specialty group practice located mainly inside st. alexius medical center. over 26 providers in 14 different specialties work together to care for patients. specialists must complete seven or more years of medical school and post-graduate training and then complete fellowships in their chosen specialties. all physicians are board eligible or board certified in one or more specialties. we provide clinic services in many off site satellite clinics and bring specialty services to the region. the clinics of st. alexius include center for family medicine mandan, minot medical clinic, infectious disease, children's services, infusion center, nephrology, neurosurgery, pain, neurology, adult physical medicine, primary care, rheumatology, and urology.st. alexius operates an outpatient family service program called archway family services. this program offers sensitive and responsive services for individual, marital and family problems. this program is keeping with st. alexius medical center's philosophy of being a leader in progressive and quality services to the people of north dakota. archway services are also provided in hazen, garrison and linton, nd.
Great plains rehabilitation services is a division of st. alexius medical center that provides home medical equipment, orthotic & prosthetic, home respiratory care, ada environmental, and rehabilitation technology services. great plains provides needed medical equipment and supplies to help individuals lead active and independent lives. great plains services all of north dakota, central and eastern montana, and northern south dakota.other:-st. alexius medical center served 12,304 inpatients, 134,619 outpatients, 28,081 emergency patients, and 12,998 home health care patients during the fiscal year ended june 30, 2014.-st. alexius medical center provided community activities and services at reduced or no cost. those included:1. employee assistance - 224 employer contracts servicing 39,548 employees by providing problem assessment, short term counseling and referral to appropriate resources for follow-up care. 2. employee activities - in keeping with the medical center's commitment to its employees:-actively participated in the united way fund campaign.-journey beyond excellence program - we have seven teams that assist with our journey - behavioral standards, employer of choice, rewards & recognition, communications, patient satisfaction, physician satisfaction, & service recovery. these teams work together with our leadership to resolve challenges & engage all in our mission. -nursing education council develops and implements a preceptor reward and recognition program.-the vacation donation program assisted employees who used 1,100 hours of donated vacation. employees have donated 237 vacation hours.-the employee emergency fund is for any st. alexius employee who experiences a crisis or is directly affected by a crisis involving a family member. the funds are available to employees who are facing personal tragedies or hardships for reasons such as a loss of a spouse or child, catastrophic illness, loss of home by fire or flood, or other calamities. 3. acute care facility - st. alexius is a partner with another acute care facility to operate a radiation therapy facility known as the cancer center. the cancer center helps to ensure that patients with cancer receive quality care and management of their disease without having to drive a long distance to receive the same type of care.4. awards/accomplishments - us news and world report/best hospitals ranked #1 in north dakota and is recognized among the best hospitals in the great plains (nd). st. alexius is high-performing in cancer, gastroenterology and gi surgery, geriatrics, gynecology, orthopedics, and pulmonology.comparion medical analytics 2014 quality recognition ranked #1 in the state for medical excellence in one or more clinical categories based on comparion medica
Revenue declined from $308.6M (FY2013) to $272.7M (FY2023) across 11 reported years.
Financial snapshot
Operating margin
-30.5%
Spent more than it raised in the latest fiscal year.
Total assets
$261.8M
Total liabilities
$517.3M
Net assets
-$255.6M
Salaries & benefits
$135.3M
38% of expenses
Board members
10
6 independent
| Fiscal year | Revenue | Expenses | Net assets | Total assets | Form |
|---|---|---|---|---|---|
| 2023 | $272,743,508▲6.6% | $356,019,333▲7.9% | -$255,568,741▼46.8% | $261,769,791▲5.5% | 990 |
| 2022 | $255,945,757▼6.8% | $329,979,546▲3.0% | -$174,035,310▼69.3% | $248,052,281▲6.2% | 990 |
| 2021 | $274,517,601▲6.5% | $320,366,062▼8.9% | -$102,779,032▼93.8% | $233,655,230▼1.4% | 990 |
| 2020 | $257,822,506▼4.8% | $351,489,081▲15.6% | -$53,022,785▼252% | $236,912,530▼11.1% | 990 |
| 2019 | $270,899,366▼3.0% | $304,100,967▼13.8% | $34,794,763▼36.0% | $266,454,652▲19.1% | 990 |
| 2018 | $279,280,343▼11.4% | $352,915,619▲6.3% | $54,354,277▼57.9% | $223,658,252▼15.4% | 990 |
| 2017 | $315,130,376▲4.0% | $332,001,822▲0.6% | $128,969,304▼12.1% | $264,517,220▼5.9% | 990 |
| 2016 | $303,034,341▼6.2% | $330,096,930▼1.0% | $146,656,540▼15.2% | $281,077,050▼6.0% | 990 |
| 2015 | $323,188,022▲0.3% | $333,290,251▲5.8% | $172,851,482▲6.7% | $299,127,589▲3.8% | 990 |
| 2014 | $322,311,756▲4.4% | $314,980,440▲7.0% | $161,941,491▼7.4% | $288,258,761▼6.3% | 990 |
| 2013 | $308,609,101 | $294,386,712▲0.3% | $174,838,327▲9.8% | $307,733,402▲11.0% | 990 |
| 2012 | — | $293,372,245▲5.3% | $159,276,983▼0.6% | $277,166,394▲1.6% | 990 |
| 2011 | — | $278,521,887▲7.6% | $160,194,109▲6.9% | $272,848,189▲8.7% | 990 |
| 2010 | — | $258,750,954▲5.7% | $149,881,931▲9.0% | $250,993,916▲18.4% | 990 |
| 2009 | — | $244,755,857 | $137,499,325 | $211,958,975 | 990 |
Original Form 990 PDFs (the Form column) are served by ProPublica Nonprofit Explorer, as filed with the IRS. Create a free account to download the CSV report.
Highest-paid: John Hoyt Md — $1,048,120 (0.29% of total expenses)
| Name | Title | Hours/week | Compensation |
|---|---|---|---|
| John Hoyt Md | Physician | 40 | $1,048,120 |
| Patrick Grace Md | Physician | 40 | $1,047,596 |
| Cameron Charchenko Md | Md - Urology | 40 | $1,025,825 |
| Michael Flisak Md | Physician | 40 | $787,075 |
| Hsu-hsien Lwu Md | Physician | 40 | $763,521 |
| Kevin Dahmen Md | Vice Chair/psychiatrist | 40 | $691,366 |
| Todd Preszler Md | Director/anesthesiologist | 40 | $615,080 |
| Reed Reyman | President/ceo | 40 | $471,274 |
| J'patrick Fahn | Chief Medical Officer | 40 | $424,842 |
| Syed Hyder Md | Director/neurologist | 40 | $414,843 |
| Keith Horner | Former Key Employee | 40 | $283,383 |
| Raumi Kudrna | Vp Patient Care Services | 40 | $183,038 |
| Stephanie Kaul | Interim Cfo | 40 | $161,625 |
| John Giese | Chair | 1 | — |
| John Mongeon | Director | 1 | — |
| Julie Goebel | Director (partial Year)/division Svp Chief Operati | 1 | — |
| Mike Weisbeck | Director | 1 | — |
| Nick O'tool | Division Vp Finance (partial Year) | 1 | — |
| Sr Nicole Kunze | Secretary/treasurer | 1 | — |
| Sr Rosanne Zastoupil | Director | 1 | — |
| Contractor | Services | Paid |
|---|---|---|
| Medefis Consolidated | Traveling Nurse Service | $11,674,667 |
| Northern Plains Lab | Contracted Lab Fees | $5,310,181 |
| Bismarck Radiology Associates | Radiology Services | $4,350,845 |
| Medical Solutions LLC | Traveling Nurse Service | $3,674,351 |
| Weatherby Locum Inc | Locum Services | $2,943,140 |
31 grants to St Alexius Medical Center totaling $13.6M, reported by foundations on their Schedule I filings — showing the 15 most recent.
| Grantmaker | Purpose | Year | Amount |
|---|---|---|---|
| Cystic Fibrosis Foundation | Cf care center | 2024 | $37,270 |
| Commonspirit Health | Violence prevention | 2023 | $192,302 |
| Cystic Fibrosis Foundation | Cf care center | 2023 | $62,840 |
| American Cancer Society Inc | Patient support | 2023 | $33,000 |
| Commonspirit Health | Violence prevention | 2022 | $197,804 |
| Cystic Fibrosis Foundation | Cf care center | 2022 | $47,840 |
| American Cancer Society Inc | Patient support | 2022 | $10,000 |
| Commonspirit Health | Violence prevention | 2021 | $205,840 |
| Cystic Fibrosis Foundation | Cf care center | 2021 | $53,455 |
| Commonspirit Health | Violence prevention | 2020 | $205,840 |
| Cystic Fibrosis Foundation | Cf care center | 2020 | $93,255 |
| American Heart Association Inc | Stroke programs | 2020 | $44,301 |
| Commonspirit Health | Violence prevention | 2019 | $224,887 |
| Fidelity Investments Charitable Gift Fund | For grant recipient's exempt purposes | 2019 | $81,525 |
| Cystic Fibrosis Foundation | Cf care center | 2019 | $66,600 |
6 grants totaling $781K in FY2023. All grants made by St Alexius Medical Center →
| Recipient | Purpose | Amount |
|---|---|---|
| Benedictine Sisters of the Annunciation Bmv | Program support | $630,450 |
| Light of Christ Catholic Schools | Program support | $103,700 |
| University of Mary | Program support | $15,000 |
| Bismarck-mandan Chamber Inc | Program support | $11,650 |
| Bareknuckle Baseball LLC | Program support | $11,110 |
| Missouri Slope Lutheran Care Center Foundation | Program support | $9,000 |
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Data for St Alexius Medical Center (EIN 45-0226711) comes from the IRS Business Master File and e-filed Form 990 returns, via CharityIndex. Figures reflect what the organization reported to the IRS for each fiscal year.