St Alexius Medical Center
900 E Broadway Ave, Bismarck, ND · IRS data through FY2025
Revenue, expenses and net assets
Revenue Expenses Net assets
| Tax year | Revenue | Expenses | Net assets |
|---|---|---|---|
| FY2025 | $277,686,138 | $364,363,749 | -$340,414,078 |
| FY2024 | $272,743,508 | $356,019,333 | -$255,568,741 |
| FY2023 | $255,945,757 | $329,979,546 | -$174,035,310 |
| FY2022 | $274,517,601 | $320,366,062 | -$102,779,032 |
| FY2021 | $257,822,506 | $351,489,081 | -$53,022,785 |
| FY2020 | $270,899,366 | $304,100,967 | $34,794,763 |
| FY2019 | $274,717,019 | $348,224,187 | $53,998,503 |
| FY2018 | $309,721,843 | $327,313,431 | $128,485,422 |
| FY2017 | $303,034,341 | $330,096,930 | $146,656,540 |
| FY2016 | $323,188,022 | $333,290,251 | $172,851,482 |
| FY2015 | $322,311,756 | $314,980,440 | $161,941,491 |
| FY2014 | $308,609,101 | $294,386,712 | $174,838,327 |
| FY2013 | $291,419,392 | $293,372,245 | $159,276,983 |
| FY2012 | $288,392,342 | $278,521,887 | $160,194,109 |
Form 990 filings
The returns filed by St Alexius Medical Center (EIN 45-0226711), including Form 990 PDFs and e-file data by year, are available in ProPublica's Nonprofit Explorer. The figures on this page come from IRS data files built from those returns.
Where the revenue came from
| Source | Amount | % of revenue |
|---|---|---|
| Contributions & grants | $1,003,310 | <1% |
| Program service revenue | $263,893,129 | 95% |
| Other revenue | $12,789,699 | 5% |
Where the money was spent
| Category | Amount | % of expenses |
|---|---|---|
| Program services | $310,774,550 | 85% |
| Management & general | $52,141,002 | 14% |
| Fundraising | $1,448,197 | <1% |
What the numbers show
- Program service revenue made up 95% of total revenue in FY2025.
- Program services accounted for 85% of functional expenses, management & general 14%, and fundraising 0%.
- 85% of functional expenses went to program services in FY2025. That is higher than 34.3% of 35 Health Care organizations in ND.
- Net assets covered about -11.2 months of expenses at the end of the reporting year. That puts it in the 2nd percentile among 124 Health Care organizations in ND.
- Total revenue was higher than 98.4% of 126 Health Care organizations in ND.
- Total revenue fell from $288,392,342 in FY2012 to $277,686,138 in FY2025. Revenue increased in 8 and decreased in 5 of 13 year-over-year comparisons.
- Expenses exceeded revenue in 11 of 14 reported years (FY2013, FY2016, FY2017, FY2018, FY2019, FY2020, FY2021, FY2022, FY2023, FY2024, FY2025).
- The highest revenue on record here is $323,188,022 in FY2016.
- Net assets declined from $160,194,109 to -$340,414,078 between FY2012 and FY2025.
Figures compared against other organizations of the same NTEE program area in the same state. See the methodology page for how these are calculated and the guide to reading nonprofit financials for their limits.
About this organization
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.
IRS status
| Ruling year | 1946 |
| Subsection | 501(c)(3) |
| Classification | Public charity |
| Program area (NTEE) | E220 — Health Care (in ND) |
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Source: Internal Revenue Service — Exempt Organizations Business Master File (downloaded November 4, 2026), Statistics of Income extracts, Form 990 e-file data, Publication 78 and the Automatic Revocation list. Figures are as reported by the organization; IRS processing may adjust them. This is not a charity rating and not tax advice. Confirm deductibility in IRS Tax Exempt Organization Search.
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