St Alexius Medical Center
EIN: 450226711 · Bismarck, ND · NTEE: E220
| Metric | Value |
|---|---|
| Total Revenue | $272.8M |
| Total Expenses | $330.0M |
| Net Assets | $-174,035,310 |
Is St Alexius Medical Center Legit?
Insufficient Data
Assessment based on IRS 990 filings, spending patterns, and AI analysis. Not a guarantee of legitimacy. Full charity check →
About St Alexius Medical Center
St Alexius Medical Center (EIN: 450226711) is a nonprofit organization based in Bismarck, ND, classified under NTEE code E220. The organization reported total revenue of $272.8M and total assets of $261.8M according to its most recent IRS 990 filing. This transparency report provides an AI-powered analysis of St Alexius Medical Center's financial health, spending patterns, executive compensation, and overall mission effectiveness based on publicly available IRS data.
Organization Overview
St Alexius Medical Center is a major nonprofit that has been operating for 80 years, with 13 years of IRS 990 filings on record (2011–2023). Revenue has grown at a compound annual rate of -0.5%.
Key Financial Metrics (2023)
From the most recent IRS 990 filing on record:
| Total Revenue | $255.9M |
| Total Expenses | $330.0M |
| Surplus / Deficit | $-74,033,789 |
| Total Assets | $248.1M |
| Total Liabilities | $422.1M |
| Net Assets | $-174,035,310 |
| Operating Margin | -28.9% |
| Debt-to-Asset Ratio | 170.2% |
| Months of Reserves | 9.0 months |
Financial Health Grade: C
In 2023, St Alexius Medical Center reported a deficit of $74.0M with expenses exceeding revenue, holds 9.0 months of operating reserves (strong position), has a debt-to-asset ratio of 170.2% (high leverage).
Financial Trends
Over 13 years of filings (2011–2023), St Alexius Medical Center's revenue has declined at a compound annual growth rate (CAGR) of -0.5%.
| Year | Revenue Change | Expense Change | Asset Change |
|---|---|---|---|
| 2023 | -6.8% | +3.0% | +6.2% |
| 2022 | +6.5% | -8.9% | -1.4% |
| 2021 | -4.8% | +15.6% | -11.1% |
| 2020 | -1.4% | -12.7% | +20.1% |
| 2019 | -11.3% | +6.4% | -15.7% |
IRS Tax-Exempt Classification
| IRS Classification Codes | 1700 |
| IRS Ruling Date | 1946 |
Classification data from ProPublica Nonprofit Explorer. Additional BMF data may be available after enrichment.
AI Analysis Pending
AI enrichment for St Alexius Medical Center has not yet been completed. Basic IRS 990 data is shown below. Check back later for a full transparency report including a Mission Score, spending breakdown, executive compensation analysis, and red flags assessment.
Mission Effectiveness Score
NonprofitSpending's AI analysis rates St Alexius Medical Center with a Mission Score of 0 out of 100 (Very Poor). This score reflects the organization's overall financial transparency, program spending efficiency, and governance indicators derived from IRS 990 public filings.
Key Financial Metrics (2023)
From the most recent IRS 990 filing on record:
- The organization reported a deficit of $74.0M, with expenses exceeding revenue.
- Debt-to-asset ratio: 170.2%.
Frequently Asked Questions about St Alexius Medical Center
Is St Alexius Medical Center a legitimate charity?
Based on AI analysis of IRS 990 filings, St Alexius Medical Center (EIN: 450226711) insufficient data. 0 red flags identified, 0 strengths noted.
How does St Alexius Medical Center spend its money?
Detailed spending breakdown data is not yet available for St Alexius Medical Center. Check back for updated IRS 990 analysis.
Are donations to St Alexius Medical Center tax-deductible?
St Alexius Medical Center is registered as a tax-exempt nonprofit (EIN: 450226711). Donations to most 501(c)(3) organizations are tax-deductible. Consult a tax professional for your specific situation.
Where is St Alexius Medical Center located?
St Alexius Medical Center is headquartered in Bismarck, North Dakota and files with the IRS under EIN 450226711. It is classified under NTEE code E220.
How many years of IRS 990 filings does St Alexius Medical Center have?
St Alexius Medical Center has 13 years of IRS 990 filings on record at NonprofitSpending. This extensive filing history provides a strong basis for evaluating long-term financial trends. The most recent filing shows $272.8M in total revenue.
Filing History
IRS 990 filing history for St Alexius Medical Center showing financial trends over 13 years of public records:
Over 13 years of IRS 990 filings (2011–2023), St Alexius Medical Center's revenue has declined by 5.5%, moving from $270.7M to $255.9M. Total assets decreased by 1.2% over the same period, from $251.0M to $248.1M. Total functional expenses rose by 27.5%, from $258.8M to $330.0M. In its most recent filing year (2023), St Alexius Medical Center reported a deficit of $74.0M, with expenses exceeding revenue. The organization holds $422.1M in liabilities against $248.1M in assets (debt-to-asset ratio: 170.2%), resulting in net assets of $-174,035,310.
| Year | Revenue | Expenses | Assets | Liabilities | Officer Comp. % | |
|---|---|---|---|---|---|---|
| 2023 | $255.9M | $330.0M | $248.1M | $422.1M | — | — |
| 2022 | $274.5M | $320.4M | $233.7M | $336.4M | — | View 990 |
| 2021 | $257.8M | $351.5M | $236.9M | $289.9M | — | — |
| 2020 | $270.9M | $304.1M | $266.5M | $231.7M | — | — |
| 2019 | $274.7M | $348.2M | $221.9M | $167.9M | — | View 990 |
| 2018 | $309.7M | $327.3M | $263.2M | $134.7M | — | View 990 |
| 2017 | $303.0M | $330.1M | $281.1M | $134.4M | — | View 990 |
| 2016 | $323.2M | $333.3M | $299.1M | $126.3M | — | View 990 |
| 2015 | $322.3M | $315.0M | $288.3M | $126.3M | — | View 990 |
| 2014 | $308.6M | $294.4M | $307.7M | $132.9M | — | View 990 |
| 2013 | $291.4M | $293.4M | $277.2M | $117.9M | — | View 990 |
| 2012 | $288.4M | $278.5M | $272.8M | $112.7M | — | View 990 |
| 2011 | $270.7M | $258.8M | $251.0M | $101.1M | — | View 990 |
Year-by-Year Financial Summary
- 2023: Revenue of $255.9M, expenses of $330.0M, and assets of $248.1M (revenue -6.8% year-over-year).
- 2022: Revenue of $274.5M, expenses of $320.4M, and assets of $233.7M (revenue +6.5% year-over-year).
- 2021: Revenue of $257.8M, expenses of $351.5M, and assets of $236.9M (revenue -4.8% year-over-year).
- 2020: Revenue of $270.9M, expenses of $304.1M, and assets of $266.5M (revenue -1.4% year-over-year).
- 2019: Revenue of $274.7M, expenses of $348.2M, and assets of $221.9M (revenue -11.3% year-over-year).
- 2018: Revenue of $309.7M, expenses of $327.3M, and assets of $263.2M (revenue +2.2% year-over-year).
- 2017: Revenue of $303.0M, expenses of $330.1M, and assets of $281.1M (revenue -6.2% year-over-year).
- 2016: Revenue of $323.2M, expenses of $333.3M, and assets of $299.1M (revenue +0.3% year-over-year).
- 2015: Revenue of $322.3M, expenses of $315.0M, and assets of $288.3M (revenue +4.4% year-over-year).
- 2014: Revenue of $308.6M, expenses of $294.4M, and assets of $307.7M (revenue +5.9% year-over-year).
- 2013: Revenue of $291.4M, expenses of $293.4M, and assets of $277.2M (revenue +1.0% year-over-year).
- 2012: Revenue of $288.4M, expenses of $278.5M, and assets of $272.8M (revenue +6.5% year-over-year).
- 2011: Revenue of $270.7M, expenses of $258.8M, and assets of $251.0M.
View Individual Filing Years
Explore detailed financial data from each IRS 990 filing year for St Alexius Medical Center:
Data Sources and Methodology
This transparency report for St Alexius Medical Center is generated by NonprofitSpending's AI analysis engine. The data is sourced from publicly available IRS 990 filings accessed through the ProPublica Nonprofit Explorer API and IRS electronic filing records. The Mission Score, spending breakdown, and other analytical insights are produced by artificial intelligence and should be used as one of multiple factors when evaluating a nonprofit organization.
IRS 990 forms are annual information returns that most tax-exempt organizations must file with the IRS. These forms provide detailed financial information including revenue, expenses, assets, liabilities, and compensation of officers. NonprofitSpending processes this data to provide accessible transparency reports for donors, researchers, and the general public.
Disclaimer
AI-generated analysis based on IRS public records. Not financial or legal advice. Verify information directly with the organization.