St Alexius Medical Center

Also known as Chi St Alexius Health

Phoenix, AZ · EIN 45-0226711 · 501(c)(3) · Hospital or medical research organization
Latest filing: Form 990 for the fiscal year ending June 30, 2025 (tax year 2024) · View the filing · Correct or respond

St Alexius Medical Center reported $277.7 million in revenue and $364.4 million in expenses for the fiscal year ending June 30, 2025. Of every $100 it spent, $85.29 went to program services, $14.31 to management and general costs and $0.40 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 95.0% of the total. The highest compensation it reported for one person was $1,184,960 (PHYSICIAN). 219 people received more than $100,000 in reportable compensation. Revenue rose 3% between FY2020 and FY2025. Source: Form 990, FY2025.

Where $100 of spending went

The fiscal year ending June 30, 2025 · Form 990, Part IX, line 25 · total expenses $364M

Program services$85.29 $311M
Management & general$14.31 $52M
Fundraising$0.40 $1.4M

For context, the median across 5,634 covered health care charities: $86.19 programs, $13.81 management, $0.00 fundraising (medians computed separately, so they may not sum to $100).

Where $100 of revenue came from

The fiscal year ending June 30, 2025 · Form 990, Part VIII · total revenue $278M

Contributions & grants (non-government)$0.17 $467K
Government grants$0.19 $537K
Program service revenue$95.03 $264M
Investment income$0.63 $1.7M
Other revenue$3.98 $11M

The 990 scorecard · same measures for every charity, no grades

FY2025 filing. Median across 5,634 covered charities in this category, from their latest filings.
Measure	FY2025	Median
Program services Part IX 25(B) ÷ 25(A)	85.3%	85.6%
Management & general Part IX 25(C) ÷ 25(A)	14.3%	13.7%
Fundraising Part IX 25(D) ÷ 25(A)	0.4%	0.0%
Fundraising cost per $1 of contributions Part IX 25(D) ÷ Part VIII 1h	$1.44	$0.00
Contributions & grants share of revenue Part VIII 1h ÷ 12	0.4%	1.3%
Government grants share of revenue Part VIII 1e ÷ 12	0.2%	0.1%
Program service revenue share Part VIII 2g ÷ 12	95.0%	93.7%
Highest reported compensation Part VII-A, columns D–F	$1,184,960	$975,831
Highest compensation as share of expenses Part VII-A ÷ Part IX 25(A)	0.33%	1.34%
People paid over $100,000 Part VII, line 2	219	27
Net assets, in months of expenses Part X 33(B) ÷ monthly expenses	-11.2	6.6
Independent voting board members Part VI 1a–1b	9 of 15	88.9%

A median is context, not a target: hospitals, universities, food banks and grantmakers spend in very different ways. What these measures can and can't tell you.

What the money paid for, in its own words

FY2025 · Form 990, Part III · the three largest programs by expense

$311M expenses · 100.0% of program spending · grants $990K · revenue $264M

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…

Highest reported compensation

FY2025 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here

Role	From this org	From related orgs	Other	Total
PHYSICIAN Highest compensated employee, 40.00 hrs/week	$1,103,547	$0	$81,413	$1,184,960
PHYSICIAN Highest compensated employee, 40.00 hrs/week	$1,015,508	$0	$31,343	$1,046,851
PSYCHIATRIST Highest compensated employee, 40.00 hrs/week	$742,779	$0	$68,632	$811,411
PHYSICIAN Highest compensated employee, 40.00 hrs/week	$697,023	$0	$79,018	$776,041
PHYSICIAN Highest compensated employee, 40.00 hrs/week	$719,263	$0	$53,026	$772,289
DIRECTOR/PHYSICIAN Director/trustee, 40.00 hrs/week	$679,028	$0	$67,869	$746,897
DIRECTOR/PHYSICIAN Director/trustee, 40.00 hrs/week	$623,790	$0	$74,175	$697,965
FORMER OFFICER Former, 0.00 hrs/week	$0	$542,821	$46,898	$589,719

219 people received more than $100,000 in reportable compensation from St Alexius Medical Center (Part VII, line 2). Compensation of current officers, directors and key employees totaled $3.0M (Part IX, line 5).

6 years of filings

Form 990, Parts I, VII, IX and X · each row is that year's own filing, linked

RevenueExpenses

Filing	Revenue	Expenses	Programs	Net assets	Top pay
FY2025 ⓘ	$278M	$364M	85.3%	−$340M	$1,184,960
FY2024 ⓘ	$273M	$356M	85.1%	−$256M	$1,117,403
FY2023 ⓘ	$256M	$330M	87.5%	−$174M	$1,085,014
FY2022 ⓘ	$275M	$320M	87.2%	−$103M	$2,101,636
FY2021 ⓘ	$258M	$351M	88.8%	−$53M	$2,377,404
FY2020 ⓘ	$271M	$304M	94.5%	$35M	$2,317,857

Governance answers, as filed

FY2025 · the organization's own yes/no answers; explanations, if any, are in Schedule O of the filing · what each means

Voting board members, and how many are independent Part VI, lines 1a–1b15 · 9 independent
Audited financial statements Part XII 2bYes
Conflict-of-interest policy Part VI 12aYes
Whistleblower policy Part VI 13Yes
Document retention policy Part VI 14Yes
Independent process for top executive pay Part VI 15aNo
Board given the 990 before filing Part VI 11aYes
Family or business ties among insiders Part VI 2No
Aware of a significant diversion of assets Part VI 5No
Excess benefit transaction with an insider Part IV 25aNo
Loans to or from insiders outstanding Part IV 26Yes
Lobbying, or a 501(h) election in effect Part IV 4Yes
Over $15,000 of professional fundraising services Part IV 18No
Over $10,000 of activity outside the U.S. Part IV 14bNo
Employees Part I, line 51,680
Volunteers Part I, line 675

Largest outside contractors

FY2025 · Form 990, Part VII, Section B · businesses only

MEDICAL SOLUTIONS LLC Traveling nurse service	$10,103,537
NORTHERN PLAINS LAB Contracted lab fees	$4,380,691
BISMARCK RADIOLOGY ASSOCIATES Radiology services	$3,758,353
CARDIOVASCULAR AND THORACIC INNOV Cardiovascular services	$2,591,810
HEALTHSOURCE PARTNERS LLC Business management consultant	$2,428,348

Individuals listed as contractors are left out. 41 contractors were paid more than $100,000 in all.

Private foundation grants it received

1 private foundation reported grants to St Alexius Medical Center totaling $102 on their tax year 2023 Form 990-PF returns. See which foundations, on WHOFUNDS.

Source: WHOFUNDS open grant graph, matched from Form 990-PF Part XV.

Correct a figure or respond

Every number above is copied from St Alexius Medical Center's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for St Alexius Medical Center, you can publish a response that is linked from this page.

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Similar-sized charities in this cause

Morris Hospital
Morris, IL · revenue $278M · programs 92.6% · 2024
Neighborhealth Corporation
East Boston, MA · revenue $278M · programs 83.6% · FY2025
Gundersen Clinic Ltd
LA Crosse, WI · revenue $277M · programs 92.1% · FY2025
Hays Medical Center
Hays, KS · revenue $278M · programs 90.1% · FY2025
Chi St Vincent Hospital Hot Springs
Phoenix, AZ · revenue $277M · programs 76.8% · FY2025

All health care charities · Largest charities in Arizona

Questions people ask

How much of St Alexius Medical Center's spending goes to programs?

In the fiscal year ending June 30, 2025, St Alexius Medical Center reported that 85.3% of its $364.4 million in expenses went to program services, 14.3% to management and general and 0.4% to fundraising (Form 990, Part IX).

How much does St Alexius Medical Center pay its top executive?

The largest total compensation St Alexius Medical Center reported for one person in the fiscal year ending June 30, 2025 was $1,184,960, for the role of PHYSICIAN (Form 990, Part VII, including compensation from related organizations and other compensation).

Where does St Alexius Medical Center get its money?

Of $277.7 million in revenue in the fiscal year ending June 30, 2025, 0.4% came from contributions and grants (including 0.2% from government grants) and 95.0% from program service revenue (Form 990, Part VIII).

Is St Alexius Medical Center a registered charity?

The IRS lists EIN 45-0226711 as a 501(c)(3) organization (hospital or medical research organization), and its records show contributions as tax-deductible. Form 990 filings on record here cover tax years 2019, 2020, 2021, 2022, 2023, 2024. A filing shows what the organization reported; it doesn't by itself show whether a program works.

Sources

FY2025: Form 990 for the fiscal year ending June 30, 2025, object 202611349349310516 · read the filing · XML
FY2024: Form 990 for the fiscal year ending June 30, 2024, object 202541349349311879 · read the filing
FY2023: Form 990 for the fiscal year ending June 30, 2023, object 202401349349308335 · read the filing
FY2022: Form 990 for the fiscal year ending June 30, 2022, object 202331319349305558 · read the filing
FY2021: Form 990 for the fiscal year ending June 30, 2021, object 202211369349309946 · read the filing
FY2020: Form 990 for the fiscal year ending June 30, 2020, object 202111389349301716 · read the filing

All filings for EIN 45-0226711: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.