CHI St. Alexius Health
Legal name: St Alexius Medical Center
Nonprofit profile at a glance
- EIN
- 450226711
- IRS 990 coverage
- 2009–2024
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2024, Form 990-T 2024
- Location
- Phoenix, AZ, USA
- Phone
- 7015307000
- Rating
- 72
- Verdict
- SUPPORTED
- Rating confidence
- Standard
- Sector
- Hospital, General
Reported finances
- Revenue
- $277,686,138
- Expenses
- $364,363,749
- Assets
- $297,683,823
- Liabilities
- $638,097,901
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
27 people listed
Executive titles in this filing
- REED REYMAN (PRESIDENT/CEO)
Highest reported compensation
- JOHN HOYT MD (PHYSICIAN): $1,184,960 total reported compensation
- PATRICK GRACE MD (PHYSICIAN): $1,046,851 total reported compensation
- KEVIN DAHMEN MD (PSYCHIATRIST): $811,411 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
As part of Catholic Health Initiatives, CHI St. Alexius Health is committed to providing compassionate, high-quality healthcare to communities in North Dakota.
What it reported doing in 2024
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 c
Operating model
- Revenue model
- Earned-program. 96% of the money available for current operations came from fees and other program revenue.
- Distribution model
- Direct operator. The filing allocates 97% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
The verdict
SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and fundraising costs are high for each dollar raised.
Rating breakdown
- Financial Efficiency: 84
- Transparency & Controls: 72
- Accountability: 68
- Sustainability: 16
- Growth: 40
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 100%; rating input score 100
- Program expense ratio: 85.3%; rating input score 85
- Fundraising efficiency: $0.69 raised per $1 spent on fundraising; rating input score 2; 2nd percentile among comparable filings
Transparency & Controls
- Consistency checks: 93.3%; rating input score 93; 21st percentile among comparable filings
- Pay-setting controls: 0 of 6 controls in place; rating input score 0
- Compensation committee: Missing
- Independent consultant: Missing
- Other Form 990s reviewed: Missing
- Written employment contract: Missing
- Compensation survey or study: Missing
- Board or committee approval: Missing
- Foreign activity oversight: Limited
- Grant itemization coverage: 94.2%; rating input score 94; 26th percentile among comparable filings
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Yes; rating input score 100
Accountability
- Independent voting board: 60%; rating input score 60; 16th percentile among comparable filings
- Governance controls: 7 of 9 controls in place; rating input score 78
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Fail
- Other executive compensation review process: Fail
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: -31.2%; rating input score 2; 2nd percentile among comparable filings
- Total-asset coverage ratio: 0.82; rating input score 32; 32nd percentile among comparable filings
- Liabilities to assets ratio: 2.14; rating input score 1; 1st percentile among comparable filings
- Officer compensation ratio: 2.4%; rating input score 47; 47th percentile among comparable filings
Growth
- Program expense growth: 1% per year; rating input score 100; 11th percentile among comparable filings
- Revenue growth: -0.5% per year; rating input score 0; 4th percentile among comparable filings
- Asset growth: -0% per year; rating input score 0; 7th percentile among comparable filings
Details
- What they do: 3 programs and campaigns described on the official site · 10 operating locations identified
- Where the money goes: 100% of revenue deployed · 85.3% of spending went to programs
- Governance: 9 of 15 board members independent · 7 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $310.8M in reported program spending
- Leadership: top reported pay $1.2M · 27 people listed · 0 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $23.3M reported
- Consistency: 38 of 39 current checks pass · 1 finding to review
- Schedules: 11 filed schedules · includes major donors, grants, executive pay, and related organizations
- Filing history: 16 filing years from 2009 to 2024
- Contacts: How to reach this organization
- Money network: 26 filed money-flow records
- Related organizations: 338 filed related-organization links
- Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
- People: Everyone the filings name, and which of them the filings identify by more than a name.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- High — Transparency & Controls: Pay-setting controls scored 0/100.
- High — Financial Efficiency: Fundraising efficiency scored 2/100.
- High — Sustainability: Operating margin scored 2/100.
- High — Growth: Revenue growth scored 0/100.
- Review — Accountability: Governance controls: 2 of 9 not reported.
- High — Growth: Asset growth scored 0/100.
- Moderate — Sustainability: Total-asset coverage ratio scored 32/100.
- High — Sustainability: Liabilities to assets ratio scored 1/100.
- Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.
- Moderate — Sustainability: Officer compensation ratio scored 47/100.