St Alexius Medical Center
Public records show a registered, tax-exempt organization in good standing.
Points to look into
- It reported loans to or from officers, directors or other insiders.
- It owes more than it owns.
- Raising each dollar of donations cost 144 cents.
These come from the organization's own tax return. There may be a good explanation; ask the charity.
What it says it does
AS AN AFFILIATE OF COMMONSPIRIT HEALTH, WE MAKE THE HEALING PRESENCE OF GOD KNOWN IN OUR WORLD BY IMPROVING THE HEALTH OF THE PEOPLE WE SERVE, ESPECIALLY THOSE WHO ARE VULNERABLE, WHILE WE ADVANCE SOCIAL JUSTICE FOR ALL.
- Income
- $277.7 million
- Spending
- $364.4 million
- Spent on programs
- 85%
- Reserves
- -12.5 months of spending
- Largest source of income
- fees for its services, 95%
- Employees
- 1,680
- Volunteers
- 75
- Highest pay
- $1.2 million, physician
Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Financial health
Weak: 15 out of 100. Higher than 0% of charities in its peer group (health care, over $100m).
Reserves
0 of 35Spendable reserves are negative: it owes or has committed more than it holds.
Debt
0 of 20It owes 214% of what it owns.
Living within its means
0 of 15Spending exceeded income by 31% of income.
Income trend
15 of 15Income rose 2% on the year before.
Spending floor
0 of 1585% of spending went to programs and raising each dollar of donations cost 144 cents.
Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Governance
Good: 85 out of 100. Higher than 21% of charities in its peer group (health care, over $100m).
Independent board
25 of 259 of 15 voting board members are independent.
Conflict of interest policy
15 of 15Has a written conflict of interest policy.
Whistleblower policy
8 of 8Has a written whistleblower policy.
Record keeping policy
7 of 7Has a written policy on keeping and destroying records.
Board minutes
5 of 5Keeps minutes of board meetings.
Board sees the tax return
10 of 10Gave the board a copy of this return before filing it.
Pay set independently
0 of 5Reports no independent review process for its chief executive's pay.
Independent check of accounts
15 of 15Its accounts were audited by an independent accountant.
No reported misuse
0 of 10Reports at least one of: diversion of assets, excess benefits, loans to insiders.
Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Impact evidence
Describes programs. Its tax return describes what it does but we have found no measurable results in it.
Programs described in its return (1)
- $310.8 million spent. CHI ST. ALEXIUS HEALTH BISMARCK IS AN ACUTE CARE MEDICAL CENTER OFFERING A FULL LINE OF INPATIENT AND OUTPATIENT MEDICAL SERVICES, INCLUDING PRIMARY AND SPECIALTY PHYSICIAN CLINICS, HOME HEALTH AND HOSPICE SERVICES, DURABLE MEDICAL EQUIPMENT SERVICES, AND A FITNESS AND HUMAN PERFORMANCE CENTER.SINCE OUR FOUNDING IN 1885, CHI ST. ALEXIUS HEALTH BISMARCK HAS BEEN DEDICATED TO SERVING THE RESIDENTS OF CENTRAL AND WESTERN NORTH DAKOTA, NORTHERN SOUTH DAKOTA AND EASTERN MONTANA. WE ARE A ROMAN CATHOLIC ORGANIZATION WHOSE SPONSORS ARE THE SISTERS OF ST. BENEDICT OF THE ANNUNCIATION MONASTERY, BISMARCK, ND AND AS AN ORGANIZATION WE FOLLOW THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTH CARE SERVICES AS PROMULGATED BY THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS.WE ARE COMPRISED OF AN INTERVENTIONAL RADIOLOGIST, CARDIOLOGISTS, HEART AND VASCULAR SURGEONS AS WELL AS OTHER HIGHLY TRAINED SUPPORT PERSONNEL.SPECIALTY CLINICS: OUR SPECIALTY CLINICS ARE A UNIQUE MULTI-SPECIALTY GROUP PRACTICE LOCATED MAINLY INSIDE ST. ALEXIUS MEDICAL CENTER. PROVIDERS IN 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. ST. ALEXIUS OPERATES AN OUTPATIENT FAMILY SERVICE PROGRAM CALLED ARCHWAY MENTAL HEALTH 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.OTHER:ST. ALEXIUS MEDICAL CENTER PROVIDED COMMUNITY ACTIVITIES AND SERVICES AT REDUCED OR NO COST. THOSE INCLUDED:1. EMPLOYEE ASSISTANCE PROGRAM (EAP)- ST. ALEXIUS SERVICES EMPLOYER CONTRACTS THROUGH ITS EAP WITH EMPLOYEES BY PROVIDING PROBLEM ASSESSMENT, SHORT TERM COUNSELING AND REFERRAL TO APPROPRIATE RESOURCES FOR FOLLOW-UP CARE. EAP SERVICES ARE ONLY OPEN TO EMPLOYEES OF A PARTICIPATING COMPANY. THE SERVICE IS FREE IF YOUR EMPLOYER PAYS TO PARTICIPATE.2. EMPLOYEE ACTIVITIES - IN KEEPING WITH THE MEDICAL CENTER COMMITMENT TO ITS EMPLOYEES:A. ACTIVELY PARTICIPATED IN THE UNITED WAY FUND CAMPAIGN.B. JOURNEY BEYOND EXCELLENCE PROGRAM - WE HAVE SEVERAL TEAMS THAT ASSIST WITH OUR JOURNEY-REWARDS AND RECOGNITION, PATIENT SATISFACTION, PHYSICIAN SATISFACTION.THESE TEAMS WORK TOGETHER WITH OUR LEADERSHIP TO RESOLVE CHALLENGES AND ENGAGE ALL IN OUR MISSION.C. THE VACATION DONATION PROGRAM ASSISTED EMPLOYEES WHO HAVE AN ILLNESS OR AN ILLNESS IN THE FAMILY ALLOWING OTHER EMPLOYEES TO DONATE VACATION HOURS TO ALLOW THE AFFECTED EMPLOYEE TIME TO HEAL OR TIME WITH A FAMILY MEMBER DURING THEIR HEALING PROCESS.D. 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 REASON 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 IN BISMARCK FOR THE OPERATION OF A RADIATION THERAPY FACILITY KNOWN AS THE BISMARCK CANCER CENTER. THE BISMARCK 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 NECESSARY CARE.CHI ST. ALEXIUS HEALTH TURTLE LAKE IS A 25 BED CRITICAL ACCESS HOSPITAL (CAH) WITH A LEVEL V EMERGENCY DEPARTMENT THAT IS AVAILABLE 24 HOURS A DAY. THE HOSPITAL HAS BEEN COMMITTED TO PROVIDING PATIENTS QUALITY MEDICAL TREATMENT IN THE TURTLE LAKE AREA AND SURROUNDING COMMUNITIES SINCE 1952. THROUGH THE YEARS, THE HOSPITAL HAS SOUGHT TO CONTINUALLY UPGRADE THE QUALITY AND NUMBERS OF SERVICES IT PROVIDES. THE HOSPITAL'S AFFILIATION WITH MAJOR MEDICAL CENTERS AND HEALTHCARE AGENCIES HAS ALLOWED IT TO EXPAND ITS HEALTHCARE SERVICES THROUGH A NETWORK THAT BEGINS AT THE LOCAL LEVEL. CHI ST. ALEXIUS HEALTH TURTLE LAKE IS EQUIPPED WITH 2 EMERGENCY ROOMS, ON-SITE LAB, RADIOLOGY, CT, AND PHYSICAL THERAPY SERVICES. PATIENTS HAVE ACCESS TO 24/7 EMERGENCY CARE, SWING-BED PROGRAM, AND ACUTE CARE SERVICES.CHI ST ALEXIUS HEALTH-TURTLE LAKE HOSTED A VARIETY OF COVID VACCINE CLINICS THROUGHOUT SURROUNDING COMMUNITIES AND BUSINESSES. OUR DON AND ADDITIONAL RN STAFF HELD THESE SERVICES THROUGHOUT THE YEAR. CLINIC RN STAFF CONTINUE TO HOLD ANNUAL FLU VACCINE CLINICS AS WELL AS BLOOD PRESSURE SCREENINGS. CLINIC STAFF IS ALSO RESPONSIBLE FOR OUR ADULT PREVENTATIVE PROGRAMS (DIABETES, WOMEN'S AND MEN'S HEALTH) BY TRACKING THESE PROGRAM SERVICES AND SENDING REMINDERS TO PATIENTS TO SCHEDULE FOLLOW-UP VISITS. CHI ST ALEXIUS HEALTH-TURTLE LAKE CONTINUES TO PARTICIPATE IN THE DAKOTA NURSING PROGRAM OFFERED THROUGH BISMARCK STATE COLLEGE. A NURSING INSTRUCTOR IS SHARED BETWEEN CHI ST ALEXIUS HEALTH TURTLE LAKE AND GARRISON. THERE IS AN 11-MONTH LPN PROGRAM AND IF STUDENTS WANT THEY CONTINUE INTO THE ASSOCIATE DEGREE RN PROGRAM, WHICH IS 9 MONTHS. THIS PROGRAM ALLOWS INDIVIDUALS IN OUR SMALLER COMMUNITIES TO EARN THEIR NURSING DEGREES THROUGH A NON-TRADITIONAL MEANS WITHOUT TRAVELING. NURSING POSITIONS ARE HARD TO FILL ESPECIALLY IN RURAL AREAS. BY OFFERING THIS PROGRAM IT'S A GREAT WAY TO RECRUIT AND RETAIN THESE INDIVIDUALS.
Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Legitimacy checks
Is it registered with the IRS? Passed.
Listed in the IRS master file of tax-exempt organizations as a 501(c)(3) charitable organization.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
Has the IRS revoked its tax-exempt status? Passed.
Not on the IRS automatic revocation list.
Source: Automatic revocation of exemption list, Internal Revenue Service, file dated November 6, 2026.
Are donations tax-deductible? Worth knowing.
Not individually listed by the IRS as eligible, which is usual for local chapters covered by a parent organization's exemption. The master file records contributions to it as deductible.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
Is it keeping up with its IRS filings? Passed.
Most recent return on file covers the year ending June 2025.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
How long has it been tax-exempt? Passed.
Recognized by the IRS since March 1946.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
Is it in good standing with state regulators? Passed.
Not on California's list of charities barred from soliciting. Other states are not yet checked.
Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated November 4, 2026.
Ratings and checks are our reading of public records, using the published method. They are not a statement about anyone's honesty. If you work for this organization, you can send corrections or results, confirm you want gifts through Veridonate, or ask to be removed from giving.