ST ALEXIUS MEDICAL CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: ST ALEXIUS MEDICAL CENTER (EIN 45-0226711)
Tax period: 2010-07-01 to 2011-06-30
Filed: 2012-05-14
IRS object ID: 201221359349304027
Schema version: 2010v3.4
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-05-14T13:48:15-05:00	Timestamp
Tax Period End Date	2011-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	EIDE BAILLY LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	4310 17TH AVE S PO BOX 2545	AddressLine1
City	FARGO	City
State	ND	State
ZIP Code	581082545	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	450226711	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	St Alexius Medical Center	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	STAL	NameControl
Phone	7015307000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	900 East Broadway Avenue	AddressLine1
City	Bismark	City
State	ND	State
ZIP Code	585014520	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Gary Miller	Name
Title	CEO/President	Title
Phone	7015307000	Phone
Date Signed	2012-05-09	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	KIM C HUNWARDSEN	Name
Phone	7012398500	Phone
Date Prepared	2012-05-09	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Gary Miller	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	900 East Broadway Avenue	AddressLine1
City	Bismark	City
State	ND	State
ZIP Code	585014520	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	270734453	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	www.st.alexius.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1905	YearFormation
State Legal Domicile	ND	StateLegalDomicile
Activity Or Mission Description	Providing Healthcare	ActivityOrMissionDescription
Nbr Voting Members Governing Body	15	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	9	NbrIndependentVotingMembers
Total Nbr Employees	2539	TotalNbrEmployees
Total Nbr Volunteers	296	TotalNbrVolunteers
Total Gross UBI	10384337	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	502924	ContributionsGrantsPriorYear
Contributions Grants Current Year	589977	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	246267321	ProgramServiceRevenuePriorYear
Program Service Revenue CY	260619860	ProgramServiceRevenueCY
Investment Income Prior Year	567952	InvestmentIncomePriorYear
Investment Income Current Year	735935	InvestmentIncomeCurrentYear
Other Revenue Prior Year	8393486	OtherRevenuePriorYear
Other Revenue Current Year	8788681	OtherRevenueCurrentYear
Total Revenue Prior Year	255731683	TotalRevenuePriorYear
Total Revenue Current Year	270734453	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	36314	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	390092	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	100717797	SalariesEtcPriorYear
Salaries Etc Current Year	106967150	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	530602	TotalFundrsngExpCurrentYear
Other Expense Prior Year	144001746	OtherExpensePriorYear
Other Expenses Current Year	151393712	OtherExpensesCurrentYear
Total Expenses Prior Year	244755857	TotalExpensesPriorYear
Total Expenses Current Year	258750954	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	10975826	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	11983499	RevenuesLessExpensesCY
Total Assets BOY	211958975	TotalAssetsBOY
Total Assets EOY	250993916	TotalAssetsEOY
Total Liabilities BOY	74459650	TotalLiabilitiesBOY
Total Liabilities EOY	101111985	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	137499325	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	149881931	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	Based on the Gospel values and our own heritage of healing, the mission of St. Alexius Medical Center is to use our community presence as a means of touching and healing people in a Christ-like manner, and to always exhibit the hospitality as reflected in the rule of St. Benedict: "Let all be received as Christ."	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	25076957	Expense
Revenue	123800864	Revenue
Description	St. Alexius Medical Center began as a 20-bed hospital 125 years ago but has evolved into a 306-bed, full-service, certified Level II Trauma Acute Care Center that provides advanced healthcare services. St Alexius served 12,010 inpatients during the fiscal year ended June 30th, 2010. In 2006, St. Alexius was recognized as a Magnet Hospital being the first hospital to achieve this distinction. To be considered, the hospital must satisfy a set of criteria designed to measure the strength and quality of their nursing, which includes low employee turnover rates, a highly educated nursing staff, optimal nurse-to-patient ratios and high quality of care. Studies have shown that patients who are treated in Magnet facilities average a shorter length of stay and a higher rate of satisfaction. With over 1,200 births each year, two out of every three babies born in this region are born at St. Alexius Medical Center. Our family-focused care provides a wide range of services for mother and baby, and our specially trained nurses and physicians are prepared to handle every birthing experience with care. St. Alexius' 24-bed Level III NICU has served the region for more than 25 years, which is staffed by neonatal nurses, therapists, board-certified neonatologists, a pediatric neurologist and the region's only pediatric cardiologist. St. Alexius' Heart & Vascular Center provides comprehensive care to patients with cardiovascular, lung, and peripheral artery disease. We are comprised of an interventional radiologist, cardiologists, heart and vascular surgeons as well as other highly trained support personnel.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	32172736	Expense
Revenue	32091230	Revenue
Description	Specialty Clinics: The Clinics of St. Alexius is a unique multi-specialty group practice located mainly inside St. Alexius Medical Center. Over 40 providers in 14 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. The providers see approximately 62,000 encounters a year. We provide clinic services in many off site satellite clinics and bring specialty services to the region. The Clinics of St. Alexius include Center for Family Medicine Mandan, Minot Medical Clinic, Infectious Disease, Neonatology, Nephrology, Nephrology, Neurosurgery, Pain, Pediatric Cardiology, Pediatric Neurology, Adult Physical Medicine, Primary Care, Rheumatology, Sleep Medicine, and Urology.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	174768286	Expense
Grants	390092	Grants
Revenue	102546509	Revenue
Description	Outpatient:1. St. Alexius operates an outpatient family service program called Archway Family 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.2. 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. Great Plains provides needed medical equipment and supplies to help individuals lead active and independent lives. Great Plains services all of North Dakota, Central and Eastern Montana, and Northern South Dakota.OTHER:-St. Alexius Medical Center served 11,788 inpatients, 110,135 outpatients, 27,588 emergency patients, and 17,712 Home Health Care patients during the fiscal year ended June 30, 2011.-St. Alexius Medical Center provided community activities and services at reduced or no cost. Those included:1. EMPLOYEE ASSISTANCE - Two hundred fourteen employer contracts servicing 38,841 employees by providing problem assessment, short term counseling and referral to appropriate resources for follow-up care. 2. EMPLOYEE ACTIVITIES - In keeping with the Medical Center's commitment to its employees:-Actively participated in the United Way fund campaign.-Journey Beyond Excellence program with a new rewards and recognition program.-Nursing Education Council develops and implements a preceptor reward and recognition program.-The vacation donation program assisted employees who used 2,366.75 hours of donated vacation. Employees have donated 890 vacation hours.-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 reasons such as a loss of a spouse or child, catastrophic illness, loss of home by fire or flood, or other calamities. Since its inception, $194,837 has been raised with a total of 165 employee gifts awarded.3. ACUTE CARE FACILITY - St. Alexius is a partner with another acute care facility to operate a radiation therapy facility known as The Cancer Center. The 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 the same type of care. 4. AWARDS/ACCOMPLISHMENTS--St. Alexius ranked among the top 5 percent in the nation and #1 in North Dakota for cardiac care. The ranking is based on the Tenth Annual HealthGrades Hospital Quality in America Study. HealthGrades is the leading healthcare ratings organization. Other outcomes from this study:-Ranked among the Top 5% in the Nation for Overall Cardiac Services-Ranked among the Top 5% in the Nation for Cardiac Surgery-Ranked among the Top 5% in the Nation for Coronary Interventional Procedures-Ranked among the Top 10% in the Nation for Cardiology Services-Ranked #1 in ND for Cardiac Care, Cardiac Surgery, Cardiology Services and Coronary Interventional Services-Five-Star Rated for Overall Cardiac Care, Cardiac Surgery, Cardiology Services, Coronary Bypass Surgery, Valve Replacement Surgery, Coronary Interventional Procedure, and Treatment for Heart Attack -St. Alexius fulfilled the requirements to become North Dakota's first Magnet(TM) Hospital. Magnet is considered to be the gold standard in patient care. Achieving Magnet designation helps consumers locate health care organizations that have a proven level of excellence in nursing care. -Great Plains Rehab Services Orthotics & Prosthetics area received unconditional accreditation for 3 years from The American Board of Certification in Orthotics & Prosthetics. Surveyor comments included having the best patient record and performance improvement practices that the surveyor had seen in the industry.-St. Alexius Medical Center has met the criteria necessary to be designated a Blue Distinction Center for bariatric surgery, knee and hip replacement, and spine surgery. This designation means that St. Alexius has met or exceeded certain criteria that demonstrate reliability in delivering bariatric surgical care and better overall outcomes for patients.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	232017979	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	1	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	1	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	1	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	1	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	250	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	2539	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	15	NbrVotingGoverningBodyMembers
Number Independent Voting Members	9	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	0	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	Gary Miller	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	7015307610	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	900 East Broadway Avenue	AddressLine1
City	Bismarck	City
State	ND	State
ZIP Code	585014520	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
John Castleberry
Chair	3.00	X	X	10175	0	0
Sr Nancy Miller
President	3.00	X	X	0	0	0
Sr Thomas Welder
Vice President	3.00	X	X	0	0	0
Sr Gerard Wald
Secretary	3.00	X	X	0	0	0
Linda Knodel
Sr VP/CNO	40.00			0	0	0	X
Sr Rosanne Zastoupil
Treasurer	3.00	X	X	0	0	0
Sr Mariah Dietz
Director	3.00	X		0	0	0
Kenneth Ziegler
Director	3.00	X		5600	0	0
Chuck Reichert
Director	3.00	X		7150	0	0
Robert Gayton
Director	3.00	X		3275	0	0
Vernon Dosch
Director	3.00	X		4250	0	0
Nicholas Neumann MD
Director	3.00	X		3800	0	0
John Giese
Director	3.00	X		4525	0	0
Ernest Godfread
Director	3.00	X		3950	0	0
Ben Roller
Director	3.00	X		0	0	0
Gary Miller
President/CEO	50.00	X	X	283884	0	14182
Andrew Wilson through Jan 2011
President/CEO	50.00	X	X	593093	0	22828
Frank Kilzer
VP Material & Facility Res	40.00			189808	0	23296	X
Wanda Pfaff
VP Human Resources	40.00			208217	0	25148	X
Duwayne Schlittenhard
VP Professional Services	40.00			217971	0	16279	X
Dr Syed Hyder
VP Medical Affairs	40.00			457269	0	27828	X
Rosanne Schmidt
VP/CNO	40.00			228715	0	24630	X
Kurt Waldbillig
VP Physician Services & Ou	40.00			162720	0	21811	X
Brent Herbel
Interventional Radiologist	40.00			738232	0	22828		X
Eric Belanger
Neurosurgeon	40.00			1481566	0	22423		X
Steven Kraljic
Neurosurgeon	40.00			1419864	0	22828		X
Leslie Rainwater
Urologist	40.00			773075	0	23728		X
John Windsor
Interventional Cardiologist	40.00			892786	0	22828		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	7689925	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	290637	TotalOtherCompensation
Number Individuals GT100 K	156	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Bismarck Radiology Associates
810 E Rosser Ave Ste 201	Bismarck	ND	58501	Radiology Services	5905342
Northern Plains Laboratory LLC
PO Box 2036	Bismarck	ND	58502	Pathology Services	3539161
DMS Health Technologies
PO Box 86	Minneapolis	MN	554862208	Radiology Services	761398
Dell Marketing
PO Box 802816	Chicago	IL	606802816	Computer Services	459273
Mayo Collaborative Services
PO Box 9146	Minneapolis	MN	554809146	Laboratory Services	346696

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	16	NumberOfContractorsGT100K
All Other Contributions	589977	AllOtherContributions
Total Contributions	589977	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
Patient service revenu	541900	251336253	249154996	2181257
Other revenue	900099	7977446	7977446
Cafeteria	900099	1143986	1143986
Health and Education	900099	162175	162175

Field	Value	IRS element (for citing)
Total Program Service Revenue	260619860	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	372227	TotalRevenueColumn
Exclusion	$372,227	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	585601	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	585601	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	585601	TotalRevenueColumn
Exclusion	$585,601	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	361312	Securities
Other	2396	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	361312	Securities
Other	2396	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	363708	TotalRevenueColumn
Exclusion	$363,708	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Unrelated Business RevenueUnrelatedBusinessRevenue
Community pharmacy	446110	5909430	5909430
Northern plains lab	621500	1121032	1121032
Outside lab	621500	796160	796160

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	376458	TotalRevenueColumn
Unrelated Business Revenue	376458	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Other Revenue	8203080	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	270734453	TotalRevenueColumn
Related Or Exempt Function Income	258438603	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	10384337	UnrelatedBusinessRevenue
Exclusion	$1,321,536	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	390092	Total
Program Services	390092	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2755198	Total
Management And General	2755198	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	81868406	Total
Program Services	70758261	ProgramServices
Management And General	10948745	ManagementAndGeneral
Fundraising	161400	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	3483184	Total
Program Services	2968603	ProgramServices
Management And General	508329	ManagementAndGeneral
Fundraising	6252	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	12000919	Total
Program Services	10112129	ProgramServices
Management And General	1866306	ManagementAndGeneral
Fundraising	22484	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	6859443	Total
Program Services	5941041	ProgramServices
Management And General	907785	ManagementAndGeneral
Fundraising	10617	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	152136	Total
Management And General	152136	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	63571	Total
Management And General	63571	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	35302356	Total
Program Services	34646190	ProgramServices
Management And General	656166	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	23732013	Total
Program Services	16494307	ProgramServices
Management And General	6909844	ManagementAndGeneral
Fundraising	327862	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	2716048	Total
Program Services	2290078	ProgramServices
Management And General	425970	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	941469	Total
Program Services	816237	ProgramServices
Management And General	123740	ManagementAndGeneral
Fundraising	1492	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	2523300	Total
Program Services	2523300	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	14621718	Total
Program Services	14536626	ProgramServices
Management And General	85092	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1064798	Total
Program Services	1056301	ProgramServices
Management And General	8497	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
Medical Supplies	40028954	40028954
Pharmacy	17340764	17340764
Bad debt	8003428	8003428
Equipment Rental/Mainte	4903157	4111668	790994	495

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	258750954	Total
Program Services	232017979	ProgramServices
Management And General	26202373	ManagementAndGeneral
Fundraising	530602	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	19918885	BOY
EOY	25299376	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	36895675	BOY
EOY	38833918	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	301511	BOY
EOY	433540	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	3593378	BOY
EOY	4026051	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1809174	BOY
EOY	1239404	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	298918022	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	168658412	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	103744517	BOY
EOY	130259610	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	28084236	BOY
EOY	35325650	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	15765845	BOY
EOY	14533098	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	1845754	BOY
EOY	1043269	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	211958975	BOY
EOY	250993916	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	24524819	BOY
EOY	33967090	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	42242200	BOY
EOY	54104428	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	2824986	BOY
EOY	7326532	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	4867645	BOY
EOY	5713935	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	74459650	BOY
EOY	101111985	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	136272278	BOY
EOY	148430719	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1227047	BOY
EOY	1451212	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	137499325	BOY
EOY	149881931	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	211958975	BOY
EOY	250993916	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	11983499	ReconcilationRevenueExpenses
Reconcilation Other Changes	399107	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	3419691	BeginningOfYearBalance
Contributions	448744	Contributions
Investment Earnings Or Losses	93749	InvestmentEarningsOrLosses
Other Expenditures	305526	OtherExpenditures
Administrative Expenses	17090	AdministrativeExpenses
End Of Year Balance	3639568	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	3228718	BeginningOfYearBalance
Contributions	347995	Contributions
Investment Earnings Or Losses	50166	InvestmentEarningsOrLosses
Other Expenditures	202661	OtherExpenditures
Administrative Expenses	4526	AdministrativeExpenses
End Of Year Balance	3419692	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	3007949	BeginningOfYearBalance
Contributions	415278	Contributions
Investment Earnings Or Losses	-7070	InvestmentEarningsOrLosses
Other Expenditures	176999	OtherExpenditures
Administrative Expenses	10440	AdministrativeExpenses
End Of Year Balance	3228718	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	1.00000	BoardDesignatedEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	34150778	OtherCostOrOtherBasis
Book Value	34150778	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	158941353	OtherCostOrOtherBasis
Depreciation	91734341	Depreciation
Book Value	67207012	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	102196584	OtherCostOrOtherBasis
Depreciation	74366037	Depreciation
Book Value	27830547	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3629307	OtherCostOrOtherBasis
Depreciation	2558034	Depreciation
Book Value	1071273	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	130259610	TotalOfBookValueLandBuildings

Other Securities OtherSecurities (10 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
Cancer Center	3797791	C
Cancer Center Foundation	115844	C
Cash and Cash Equivalents	1658710	C
Central Dakota Laundry Coop	-9751	C
NCHCA - Primecare	21563	C
Northern Plains Lab	3173945	C
Real Estate and Specialty Assets	207893	C
SA Health Services, Inc.	1263	C
Under Bond Indenture Agreements	5488318	C
West River Coop	77522	C

Field	Value	IRS element (for citing)
Total Of Book Value Securities	14533098	TotalOfBookValueSecurities

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	Capital lease obligations	Description
Amount	$5,713,935	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	5713935	TotalOfAmounts
Total Revenue	270734453	TotalRevenue
Total Expenses	258750954	TotalExpenses
Excess Or Deficit For Year	11983499	ExcessOrDeficitForYear
Net Unrealized GL On Investments	367867	NetUnrealizedGLOnInvestments
Other	$31,240	OtherAmount
Total Adjustments	399107	TotalAdjustments
Excess Or Deficit Per FS	12382606	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	253632935	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	367867	NetUnrealizedGainsInvestments
Other Revenues	-4901556	OtherRevenues
Revenue Not Rptd F990	-4533689	RevenueNotRptdF990
Revenue Subtotal	258166624	RevenueSubtotal
Other Revenues Not Included	12567829	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	12567829	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	270734453	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	241563894	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	241563894	ExpensesSubtotal
Other Expenses Not Included	17187060	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	17187060	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	258750954	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Description of Intended Use of Endowment Funds:	Part V, Line 4:	The endowment is utilized to provide funding to continue to enhance patient care at St. Alexius Medical Center set forth in our mission, "Let all be received as Christ."
Description of Uncertain Tax Positions Under FIN 48:	Part X:	St. Alexius undergoes an annual analysis of its various tax positions, assessing the likelihood of those positions being upheld upon examination with relevant tax authorities, as defined by the accounting principles generally accepted in the United States of America. St. Alexius believes that it is compliant with all IRS tax regulations, and as of June 30, 2011 has not recorded a tax liability for a tax uncertainty. St. Alexius would recognize future accrued interest and penalties related to unrecognized liabilities in income tax expense if such interest and penalties are incurred. Under normal circumstances, St. Alexius is no longer subject to federal tax examinations by tax authorities for years before 2008.
Part XI, Line 8 - Other Adjustments:		Fair Value of Interest Rate Swap 31,243. Rounding -3.
Part XII, Line 2d - Other Adjustments:		Income from subsidiary included in revenue for financial statements -4,601,556. Grant Expense included in income for financials statements -300,000.
Part XII, Line 4b - Other Adjustments:		Temporily restricted contributions 224,167. Revenues of Disregarded Entity-St. Alexius Heart and Lung 12,285,504. Contribution of Long-Lived Assets 58,158.
Part XIII, Line 4b - Other Adjustments:		Expenses of Disregarded Entity-St. Alexius Heart and Lung 16,887,060. Grant Expense included in income for financials statements 300,000.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	0	AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1769808	TotalCommunityBenefitExpense
Net Community Benefit Expense	1769808	NetCommunityBenefitExpense
Percent Of Total Expense	0.00710	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	10899174	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8766678	DirectOffsettingRevenue
Net Community Benefit Expense	2132496	NetCommunityBenefitExpense
Percent Of Total Expense	0.00850	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	12668982	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8766678	DirectOffsettingRevenue
Net Community Benefit Expense	3902304	NetCommunityBenefitExpense
Percent Of Total Expense	0.01560	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	177276	TotalCommunityBenefitExpense
Net Community Benefit Expense	177276	NetCommunityBenefitExpense
Percent Of Total Expense	0.00070	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	446827	TotalCommunityBenefitExpense
Net Community Benefit Expense	446827	NetCommunityBenefitExpense
Percent Of Total Expense	0.00180	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	54158358	TotalCommunityBenefitExpense
Direct Offsetting Revenue	42119770	DirectOffsettingRevenue
Net Community Benefit Expense	12038588	NetCommunityBenefitExpense
Percent Of Total Expense	0.04800	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	390092	TotalCommunityBenefitExpense
Net Community Benefit Expense	390092	NetCommunityBenefitExpense
Percent Of Total Expense	0.00160	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	55172553	TotalCommunityBenefitExpense
Direct Offsetting Revenue	42119770	DirectOffsettingRevenue
Net Community Benefit Expense	13052783	NetCommunityBenefitExpense
Percent Of Total Expense	0.05210	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	67841535	TotalCommunityBenefitExpense
Direct Offsetting Revenue	50886448	DirectOffsettingRevenue
Net Community Benefit Expense	16955087	NetCommunityBenefitExpense
Percent Of Total Expense	0.06770	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$2,558,160	BadDebtExpenseAmount
Amount Attributable To	306979	AmountAttributableTo
Amount Reimbursed By Medicare	71790208	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	69715837	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	2074371	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	1 Northern Plains Lab	BusinessNameLine1

Field	Value	IRS element (for citing)
Description Ent Primary Activity	Labratory Services	DescriptionEntPrimaryActivity
Organization Profit Or Ownership	0.50000	OrganizationProfitOrOwnership
Physicans Profit Or Ownership	0.50000	PhysicansProfitOrOwnership

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	2	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Teaching HospitalTeachingHospital	Er24 HoursEr24Hours	Critical Access HospitalCriticalAccessHospital
St Alexius Medical Center
1	900 East Broadway	Bismarck	ND	585065510	X	X	X	X
Community Memorial Hospital
8	220 5th Ave	Turtle Lake	ND	58575	X	X			X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumber
Not Required
1
Not Required
2

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	6	NumberOfOtherFacilities

Other Facilities OtherFacilities (6 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
St Alexius Mandan Clinic
403 Burlington Street SE	Mandan	ND	58554	Family Medicine Clinic
St Alexius Minot Clinic
1600 2nd Ave SW Ste 19	Minot	ND	58701	Family Medicine Clinic
Great Plains Rehabilitation Services
1212 East Main	Bismarck	ND	58501	Provide Home Medical Products to General Public
St Alexius Same Day Surgery Center
810 East Rosser Ave	Bismarck	ND	58501	Ambulatory Surgery Center for Individuals Who Require Overnight Stay
St Alexius Heart & Lung Clinic
310 North 10th Street	Bismarck	ND	58501	Heart, Lung & Peripheral Vascular Disease Clinic
Great Plains Health Company
3222 28th Street South	Fargo	ND	58104	Provide Home Medical Products to General Public

Form990 Schedule H Part VI Form990ScheduleHPartVI (10 entries)

ExplanationExplanation
Part I, Line 7: The charity care included in Part I, Line 7a is based on the cost to charge ratio using Worksheet 1.The unreimbursed Medicaid in Part I, Line 7b is based on gross charges and claims from the Medicaid cost report.The community health services, education and contributions in Part I, Lines 7e and f are based on actual expenses.The subsidized health services in Part I, Line 7g are based on estimated costs from the internal cost accounting general ledger systems.
Part I, Line 7g: Subsidized health services includes $52,757,290 in costs attributable to physician clinics.In addition, line 7g also includes $15,697 of costs that were associated with emergency ambulance and air medical services that were provided to patients with the understanding they would not be able to pay for these services. The Hospital identified four patients in the fiscal year that required transfers, of which the associated costs were directly recorded in their general and administrative ledger accounts and not billed to the patients.
Part I, L7 Col(f): The amount of bad debt expense removed from the denominator of the calculation on Part 1, Line 7, column f was $8,003,428.
Part III, Line 4: Footnote to the organization's financial statements that describes bad debt expense:The carrying amount of patient and resident receivables is reduced by a valuation allowance that reflects management's estimate of amounts that will not be collected from patients, residents, and third party payors. Management reviews patient and resident receivables by payor class and applies percentages to determine estimated amounts that will not be collected from third parties under contractual agreements and amounts that will not be collected from patients and residents due to bad debts. Management considers historical write off and recovery information in determining the estimated bad debt provision.The bad debt expense was converted to cost using the cost to charge ratio calculated using Worksheet 2.The estimated amount of the organization's bad debt expense that is attributable to patients eligible under the organization's charity care policy is approximately $306,979. This was based off the most recent community needs assessment reported in March 2011, which indicated that 12% of the population is below the Federal Poverty Guidelines. The 12% was applied to the amount of bad debt expense at cost.Discounts and payments on accounts are applied directly to the principal of the account. The Hospital does not charge interest or fees related to the use of a collection agency to collect these payments.
Part III, Line 8: Medicare allowable cost is based on the Medicare cost report. The Medicare cost report is completed based on the rules & regulations set forth by CMS.
Part III, Line 9b: Any individual who indicates the financial inability to pay a bill for a medically necessary service shall be evaluated for Charity Care assistance. The Financial Counselor along with the Social Work Department staff attempt to identify all inpatients prior to discharge and begin the discussion of available programs including, but not limited to, the charity care program. Determination of eligibility should be made prior to discharge or as close to the date of service as possible. However, retroactive determinations are also eligible. The Customer Service staff in Patient Financial Services discusses Charity Care options with patients after services are rendered, usually, after the patient has received their first statement and provided the necessary documentation.A patient's employment status and earning capacity is taken into consideration when evaluating a Charity Care request. The Charity Care application for a patient that is unemployed at the time of the application but is expected to return to work will be placed on hold for a short time period. Students, with less than two years remaining until graduation, will not be considered for Charity Care. Students, with more than two years to graduation, will be considered for deferment of payment or allowed to make minimal payments until graduation. Documented outstanding bills and expenses may be considered when the income is above the poverty guidelines.Reasonable efforts are taken for patients qualifying under financial assistance policy before turning over the account to a third party collector.
Part VI, Line 2: The Organization is in the process of assessing the health needs of the community through feedback from the physicians and from patients.The University of Mary, N.D. Department of Health, Centers for Disease Control & Prevention, John Goodman & Associates Study, and Minot Feasibility Study are together working on a community assessment for St. Alexius Medical Center. The results were presented to the Community Benefit Committee in March 2011.St. Alexius is planning to finalize the community health needs assessment prior to June 30, 2012.
Part VI, Line 3: Charity care is currently not posted but we are looking at changing this policy. Currently patients are contacted through pre-admissions and they meet with patient financial staff that go through information prior to procedures. Patient Financial Services also works with patients that need assistance with their billings.
Part VI, Line 4: St. Alexius provides outreach services across its service area of central and western North Dakota. St. Alexius operates the Garrison Memorial Hospital in Garrison, North Dakota and manages the Community Memorial Hospital in Turtle Lake. St. Alexius owns and operates clinics in Mandan, Minot, Garrison, and Washburn. North Dakota's population is 672,591 of which 61,272 reside in the city of Bismarck. The population is 90.0% white, 5.4% Native American, and the remaining 4.6% being African American, Asian, and Hispanic. By the year 2020, 45 of the 53 counties will have more than 22% of their population age 65 or older. From 2000-2005 our state had a 15% decrease in the number of youth and a 13.8% increase in the minority population which was primarily Native American Reservations. North Dakota has 12% of their population living in poverty. The leading causes of death in Burleigh county ranked in order are Diseases of the Heart, Alzheimers, Respiratory Cancer, Accidental, Cerebrovascular Disease, COPD, Diabetes, Breast Cancer, and Colorectal Cancer. Health related behaviors influence cardiovascular diseases such as smoking, physical inactivity, poor nutrition, and unhealthy weight status. Hypertension is a chronic disease associated with aging that has a high risk factor for heart disease and stroke. In North Dakota, 26% adults have high blood pressure. North Dakota adults are a part of the national trend towards increased obesity. 63% of the adults here have an unhealthy weight/BMI. Some of the health screenings that St. Alexius is conducting throughout the service region are vascular, wellness, memory, sleep apnea, and chronic obstructive pulmonary disease. Those individuals that are being screened at no or minimal cost are being alerted of health risks that might go undetected. Through screenings, it is our hope that these individuals seek further treatment and are empowered to make healthier lifestyle choices.
Part VI, Line 6: The governing body is comprised of people in the community who are knowledgeable to advise the organization and are compensated for their expertise and time (see Part VII of Form 990).The organization extends medical staff privileges to Primecare physicians. The organization applies surplus funds, if available, to their reinvestment in equipment and facilities to improve patient care.The Hospital provides serveral services at reduced or no costs. Those included are as follows:1. INTERACTIVE NETWORK - Consists of twenty five communities located in Montana, South and North Dakota covering 70,000 square miles are serviced by the St. Alexius Medical Center network. INTERACTIVE NETWORK provides electrocardiogram management, interactive cardiac management, remote cardiac monitoring, electroencephalogram monitoring, fetal monitoring, biomedical services, dialysis and infant pneumocardiograms to patients in western and central North Dakota. These services might not be provided if not for the Hospital servicing these areas.2. OTHER ACTIVITES INCLUDED ON PART 1, LINE 7E: - In keeping with the Hospital's commitment to serve all members of its community St. Alexius Medical Center: -participated in health fairs-provided patient educational materials and classes-provided patient support groups for different diseases-conducted health screenings-sponsored "Wellness" type programs ranging from Lamaze instruction and parenting to babysitting to diet and weight control to social issues.-maintained a tumor registry-operated a Hospice Program-has telemedicine capabilities set-up in several rural communities-provides PAC's (radiology) services and radiology reading to many rural communities 3. OTHER ACTIVITES INCLUDED ON PART 1, LINE 7E: - Standing Rock Sioux Indian Reservation network of services with emphasis focused on improving the quality of care in the area of maternal and child nursing and mental health with a goal to reduce infant mortality. The program consists of support from a OB trained physician to provide prenatal and ongoing care in the Fort Yates community. Also in that community a bi-monthly newsletter that addresses the following topics:-Pregnancy and prenatal care-Labor and delivery-Infant nutrition-Teen pregnancy-Self esteem-Suicide prevention-Drug and alcohol abuse 4. St. Alexius manages a non-profit critical access hospital in Turtle Lake North Dakota. St. Alexius offers administrative expertise and purchasing economies that it passes on to this facility. This allows the facility to continue to provide health care services and operate more efficiently. Turtle Lake also provides primary care providers to clinics in McClusky and Washburn, ND.5. St. Alexius manages a non-profit critical access hospital in Garrison North Dakota. Garrison Memorial Hospital operates a 22 bed acute care hospital and a 26 bed skilled nursing facility. They also operate a 24 hour, Level IV Certified Emergency Room.6. St. Alexius operates a Telemedicine network, known as The Telecare Network. It is a service St. Alexius Medical Center and affiliated physicians offer in cooperation with 27 healthcare providers throughout the Dakotas. The service features telemedicine consultations between rural physicians and specialists in Bismarck using real time video and audio telepresence equipment. Consultations of both urgent and routine nature are available.7. St. Alexius provides support to other rural communities like Hettinger, North Dakota to help maintain needed primary care physician coverage in rural communities.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
ND-SD Medical Transport
8295 7th Avenue SE	Linton	ND	58552	272849014	501(c)(3)	25000	Support Angel Air Care Helicopter EMS Program
University of Mary
7500 University Drive	Bismarck	ND	58504	450273403	501(c)(3)	15000	Support for Institute for Culture and Public Service
Sakakawea Medical Center
510 8th Ave NE	Hazen	ND	58545	450308379	501(c)(3)	37500	Outreach Care Grant
West River Regional
1000 Highway 12	Hettinger	ND	58639	450340688	501(c)(3)	300000	Rural Healthcare Support Grant

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	4	TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Procedure for Monitoring Grants in the U.S.:	Identifier
Return Reference	Part I, Line 2:	ReturnReference
Explanation	Schedule I, Part I, Line 2: St. Alexius makes donations to entities with charitable missions to ensure that our donations are used for the purposes intended.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	1	SeverancePayment
Supplemental Nonqual Retire Plan	0	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	1	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Gary Miller
219127	0	64757	0	0	0	9338	0	9190	0	302412	0	0	0
Andrew Wilson through Jan 2011
447065	0	146028	0	0	0	9800	0	20800	0	623693	0	0	0
Frank Kilzer
145711	0	44097	0	0	0	7682	0	19701	0	217191	0	0	0
Wanda Pfaff
160701	0	47516	0	0	0	8184	0	22645	0	239046	0	0	0
Duwayne Schlittenhard
167717	0	50254	0	0	0	8721	0	12012	0	238704	0	0	0
Dr Syed Hyder
350927	0	106342	0	0	0	9800	0	26751	0	493820	0	0	0
Rosanne Schmidt
182334	0	46381	0	0	0	9296	0	21368	0	259379	0	0	0
Kurt Waldbillig
124452	0	38268	0	0	0	6687	0	16039	0	185446	0	0	0
Brent Herbel
738232	0	0	0	0	0	9800	0	15132	0	763164	0	0	0
Eric Belanger
1196728	0	284838	0	0	0	9800	0	14728	0	1506094	0	0	0
Steven Kraljic
898506	0	498300	0	23058	0	9800	0	15132	0	1444796	0	0	0
Leslie Rainwater
423020	0	350055	0	0	0	9800	0	16032	0	798907	0	0	0
John Windsor
671171	0	221615	0	0	0	9800	0	15132	0	917718	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReference	ExplanationExplanation
Part I, Line 1a	President/CEO is allowed up to annual maximum executive benefit allowance of $10,000 for expenses incurred for: airline, club memberships, wellness/fitness programs, financial planning and tax preparation services, membership in community club, and cell phone and wireless connectivity. The amount of benefit used is included in taxable income.
Part I, Line 4a	A severance package in the amount of $235,149 was paid to Andrew Wilson, CEO through January 2011.
Part I, Line 6	At the beginning of each fiscal year, the Compensation Committee establishes a financial threshold which must be met before any awards are paid and establishes guidelines defining the size of any awards available to participants. At the end of the plan year, the Committee decides whether to make any awards to participants and how large any award shall be, in accordance with the guidelines established at the beginning of the plan year. Incentive compensation is earned as a percent of base salary. Base salary is defined as the annualized rate of pay (summation of monthly base salary for the plan year).

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEIN	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
Burleigh County
456002204	2005-11-15	3059378	2005-Hospital Equipment	0	0	0
Burleigh County
456002204	2009-04-15	9160311	2009-Remodeling, Renovation and Expansion of Medical Center	0	0	0
City of Garrison
456002076	2007-12-20	3200000	2007-Improvements to the Infrastructor Relating to Energy Management	0	0	0
City of Bismarck
456002036	1998-12-01	24563857	1998-Building & Capital Equipment, Refund Prior Bonds	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Total ProceedsTotalProceeds	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Refunding EscrowRefundingEscrow
3059378	59378	3000000	2006	0	1	1
9160311	173311	8987000	2010	0	1	1
3200000		3200000	2008	0	1	1
24563857	670200	19140564	1999	1	1	1	4753093

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
0	0	0	0	1	0.00000	0.00000	0.00000	1
0	0	0	0	1	0.00000	0.00000	0.00000	1
0	0	0	0	1	0.00000	0.00000	0.00000	1
0	0	0	0	1	0.00000	0.00000	0.00000	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate	Term Of HedgeTermOfHedge	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated
(no name)
0	0	0	0	0	0
(no name)
0	0	0	0	0	0
US Bank NA
0	0	1	0	0	0	10.000000000000	0	0
(no name)
1	0	0	0	0	0

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEIN	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
Burleigh County
456002204	2010-05-27	8156220	Building Construction	0	0	0
Burleigh County
456002204	2010-11-16	6119852	Building Construction	0	0	0
Burleigh County
456002204	2011-03-31	8159645	Building Construction	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Total ProceedsTotalProceeds	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
8156220	156220	8000000	2010	1	1
6119852	119852	6000000	2011	1	1
8159645	157645	8000000	2011	0	1

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
0	0	0	0	1	0.00000	0.00000	0.00000	1
0	0	0	0	1	0.00000	0.00000	0.00000	1
0	0	0	0	1	0.00000	0.00000	0.00000	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
0	0	0	0	0	0
0	0	0	0	0	0
0	0	0	0	0	0

Schedule L IRS990ScheduleL

Loan Table LoanTable (2 entries)

Purpose Of LoanPurposeOfLoan	Loan From OrganizationLoanFromOrganization	Original PrincipalOriginalPrincipalAmount	Balance DueBalanceDue	DefaultDefault	Approved By BoardApprovedByBoard	Written AgreementWrittenAgreement
Steve Kraljic
Promissory Note	X	$108,000	1800	0	1	1
John Windsor
Promissory Note	X	$250,000	244000	0	1	1

Field	Value	IRS element (for citing)
Total Balance Due	245800	TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (7 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
Blue Cross Blue Shield
Gary Miller BCBS board member	1429156	Insurance services	0
Wells Fargo
John Giese is Wells Fargo CEO	234877	Banking and insurance services	0
Lynn Dosch
Spouse of Board Member	11904	Employee	0
Martha Reichert
Daughter of Board Member	37141	Employee	0
David Gayton
Brother of Board Member	366898	Employee	0
Jacqueline Castleberry Miller
Daughter of Board Member	15520	Employee	0
Kari Emery
Daughter of Board Member	43208	Employee	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
Form 990, Part VI, Section A, line 6	Members: The corporation shall have one class of members, which shall consist of members of the monastic community known as the Benedictine Sisters of the Annunciation, BMV, who have made their perpetual monastic profession and who have been elected to or appointed to the Sponsorship Group of the Benedictine Sisters of the Annunciation, BMV.
Form 990, Part VI, Section A, line 7a	Joint Powers of Members and Board of Directors: The following powers shall be reserved jointly to the members of the corporation and the board of directors: 1. Approve a new candidate appointed to serve as President/Chief Executive Officer of the corporation. 2. Approve any person to be elected to serve on the board of directors. 3. Remove any director if this action is indicated. The power of the board of directors to act on any of these matters is subject to the requirement that the members of the corporation shall approve such action prior to the submission of the matter to a vote of the board of directors.
Form 990, Part VI, Section A, line 7b	Powers Reserved to Members: Exercise of the following powers shall be reserved exclusively to the members of the corporation to: 1. Change the sponsorship, reserved powers or mission of the corporation as an institution founded on Gospel values, the Benedictine heritage of healing and the healing ministry of Jesus. 2. Make any major policy change on ethical issues. 3. Authorize the sale or encumbrance of all or substantially all of the assets or property of the corporation. 4. Merge, liquidate or dissolve the corporation. 5. Change the name of the corporation. 6. Change or amend the structure of the board of directors of the corporation. 7. Amend, alter or repeal the articles of incorporation and/or the bylaws of the corporation. 8. Approve or disapprove a proposed course of action which could reasonably be anticipated to adversely affect the sponsorship or mission of the corporation as an institution founded on Gospel values, the Benedictine heritage of healing and the healing ministry of Jesus.
Form 990, Part VI, Section A, line 8b	There are no committees with the authority to act on behalf of the board of directors.
Form 990, Part VI, Section B, line 11	Internal staff will present to the audit and compliance committee and that committee recommends approval to the board. A draft is presented at a board meeting.
	Annually all employees are asked conflict of interest questions at evaluation time. Employees are responsible for disclosing potential conflicts of interest by completing a disclosure form. Each year the compliance officer initiates a review of all conflicts of interests within the medical center. The following annually complete a disclosure form: board members, President/CEO, Vice Presidents, Directors/Managers, other employees with significant decision making authority or who are in a position to influence decisions. The forms are reviewed by the compliance officer and if a conflict is "new" or requires review, the CEO and the Audit & Compliance Committee discuss the conflict and determine appropriate course of action.	Form 990, Part VI, Section B, line 12c
	Compensation is reviewed annually by an independent group using comparability data and recommendations are presented to the President/CEO and/or Board of Directors for approval.	Form 990, Part VI, Section B, line 15
	An annual report is available to the public that includes financial statements.	Form 990, Part VI, Section C, line 19
Changes in Net Assets or Fund Balances:	Net unrealized gains on investments: 367,867. Fair Value of Interest Rate Swap 31,243. Rounding -3. Total to Form 990, Part XI, Line 5: 399,107.	Form 990, Part XI, line 5:
Statement of Program Service Accomplishment Continuance:	-The St. Alexius Medical Center Rehabilitation Center has been accredited from the Commission on Accreditation of Rehabilitation Facilities (CARF). This accreditation represents the highest level of accreditation that can be awarded to an organization and shows the organization's substantial conformance to the standards established by CARF. -St. Alexius was awarded the 100 Top Hospital Cardiovascular Benchmarks for Success Study, 9th Edition per Thomson Healthcare. Thomson Healthcare developed the 100 Top Cardiovascular Hospitals' study to identify high-performing cardiovascular hospitals nationally and to set performance targets for improving clinical outcomes and management of the high-risk, high-cost cardiovascular service line. To qualify, hospitals must achieve high scores across eight equally weighted performance criteria that reflect clinical processes and outcomes, volume, efficiency and cost. -St. Alexius received a health care quality award for our own overall performance on the Centers for Medicare & Medicaid Services quality measures. The award is based on the hospital's performance and degree of improvement on the quality measures for the treatment of acute myocardial infarction, heart failure, pneumonia, and surgical care. This award is a reflection of the commitment we have made to provide quality health care to the patients we serve. -One of our Emergency Room physicians earned the Best Doctor in America award. The Best Doctors in America database is the result of a survey of more than 40,000 physicians in the United States. Only those doctors recognized to be in the top 3-5% of their specialty earn the honor of being named one of the Best Doctors in America. The only way to be recognized as one of the best Doctors in America is for a doctor to earn high marks for clinical ability from his or her peers. -St. Alexius was the first in western ND to offer non-surgical treatment of atrial septal defect (ASD). ASD is a hole between the two upper chambers of the heart and is most commonly diagnosed in infants and children. If the defect is large and doesn't close patients may be more susceptible to colds, pneumonia and other infectious diseases. Left untreated, ASD can lead to heart arrhythmias, heart failure, high blood pressure, stroke and even death. Traditionally, the only treatment for ASD was open heart surgery. With the AMPLATZER device, it allows a less invasive, non-surgical approach to treat our patients with ASD. By using this device, most patients leave the hospital within 24 hours and resume normal activity soon thereafter. -The Noninvasive Cardiovascular Lab has accreditation in the area of Extracranial Cerebrovascular Testing and Peripheral Venous Testing by the Intersocietal Commission for the Accreditation of Vascular Laboratories. -St. Alexius has been awarded an accreditation by the Commission on Laboratory Accreditation of the College of American Pathologists (CAP). The CAP accreditation program is recognized by the federal government as being equal to or more stringent than the government's own inspection program. The inspectors examine the laboratory's records and quality control of procedures for the preceding two years. This stringent inspection program is designed to specifically ensure the highest standard of care for the laboratory's patients. -St. Alexius performed our first carotid stent procedure utilizing the current FDA approved Embolic Protection System. This procedure provides a minimally invasive treatment alternative to conventional open carotid artery surgery to patients who are at high surgical risk. The embolic protection system is designed to capture and remove particles of plaque that might be dislodged during the procedure, which could potentially lead to stroke and other complications. -St. Alexius was only one of fourteen hospitals in the entire United States to gain an award for Patient Safety, Patient Quality and Patient satisfaction from the HealthGrades Rating organization. -St. Alexius provides and supports an inpatient Psychiatric Unit and a Partial Psych outpatient unit. -St. Alexius was recently named a Top 50 Hospital by Becker's Hospital Review	Form 990, Part III

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	St Alexius Heart & Lung Clinic LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	900 East Broadway Avenue	AddressLine1
City	Bismarck	City
State	ND	State
ZIP Code	58501	ZIPCode

Field	Value	IRS element (for citing)
EIN	861123162	EIN
Primary Activities	Speciality Clinic-Cardiology, etc.	PrimaryActivities
Legal Domicile State	ND	LegalDomicileState
Total Income	-4601556	TotalIncome
EOY Assets	2279472	EOYAssets
Direct Controlling Entity NA	N/A	DirectControllingEntityNA

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg	Direct Controlling Entity NADirectControllingEntityNA
Garrison Memorial Hospital
407 3rd Ave SE	Garrison	ND	58540	450227752	Hospital	ND	501(c)(3)	3	Benedictine Sisters of the Annunciation BMV	0
Benedictine Sisters of the Annunciation BMV
7520 University Drive	BISMARCK	ND	58504	450261530	Religious Purposes	ND	501(c)(3)	1		0	N/A

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	Northern Plains Lab	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	401 N 9 St	AddressLine1
City	Bismarck	City
State	ND	State
ZIP Code	585014507	ZIPCode

Field	Value	IRS element (for citing)
EIN	841641341	EIN
Primary Activity	Lab Operation	PrimaryActivity
Legal Domicile State	ND	LegalDomicileState
Direct Controlling Entity NA	N/A	DirectControllingEntityNA
Predominant Income Type	Unrelated	PredominantIncomeType
Share Of Total Income	1054268	ShareOfTotalIncome
Share Of EOY Assets	3327513	ShareOfEOYAssets
Disproportionate Allocations	0	DisproportionateAllocations
General Or Managing Partner	1	GeneralOrManagingPartner
Percentage Ownership	0.50000	PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership
Central Dakota Hospital Laundry Inc
1300 Industrial Dr	Bismarck	ND	58501	450317366	Hospital Laundry	ND	N/A	C	14685	738654	0.50000
St Alexius Health Services Inc
900 East Broadway Ave	Bismarck	ND	58501	450402817	General Business Purpose	ND	N/A	C		1263	1.00000

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	0	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	1	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

Field	Value	IRS element (for citing)
Business Name Line1	Northern Plains Laboratory	BusinessNameLine1

Field	Value	IRS element (for citing)
Transaction Type	R	TransactionType
Amount Involved	1105000	AmountInvolved
Method Of Amt Determination	General Ledger	MethodOfAmtDetermination