Civic Intelligence

St Joseph'S Hospital & Health Center

EIN 45-0226429 • 501(c)3 • Dickinson, ND

Profile

As an affiliate of commonspirit health, we make the healing presence of god known in our world by improving the health of the people we serve, especially those who are vulnerable, while we advance social justice for all.

2500 Fairway StreetDickinson, ND 58601

www.chistalexiushealth.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

93rd percentile

1.02x

Higher debt load relative to assets than 93% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Liabilities / Revenue

85th percentile

2.43x

Higher debt load relative to revenue than 85% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Net Margin

24th percentile

-2.8%

Higher net margin than 24% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Top Officer Pay

80th percentile

$1,020,400

Higher top officer pay than 80% of similar nonprofits.

Top officer pay equals 1.4% of source-year revenue.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Asset Growth

22nd percentile

-0.4%

Faster asset growth than 22% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Revenue Growth

27th percentile

0.3%

Faster revenue growth than 27% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Assets

Down

$172,034,765

Down $649,651 (-0.4%) from 2023

Liabilities

Up

$175,125,000

Up $1,482,492 (+0.9%) from 2023

Net Assets

Down

-$3,090,235

Down $2,132,143 (-223%) from 2023

Revenue

Up

$71,992,956

Up $194,553 (+0.3%) from 2023

Expenses

Up

$73,989,060

Up $3,415,909 (+4.8%) from 2023

Net Income

Down

-$1,996,104

Down $3,221,356 (-263%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$300M$200M$100M$0-$100MAssets 2010: $13,414,254Liabilities 2010: $25,762,183Net Assets 2010: -$12,347,9292010Assets 2011: $13,817,417Liabilities 2011: $23,358,710Net Assets 2011: -$9,541,2932011Assets 2012: $20,930,652Liabilities 2012: $31,021,515Net Assets 2012: -$10,090,8632012Assets 2013: $45,382,324Liabilities 2013: $59,975,316Net Assets 2013: -$14,592,9922013Assets 2014: $104,869,899Liabilities 2014: $120,434,804Net Assets 2014: -$15,564,9052014Assets 2015: $184,040,377Liabilities 2015: $200,388,591Net Assets 2015: -$16,348,2142015Assets 2016: $174,803,412Liabilities 2016: $192,516,562Net Assets 2016: -$17,713,1502016Assets 2017: $173,805,848Liabilities 2017: $186,001,680Net Assets 2017: -$12,195,8322017Assets 2018: $172,262,208Liabilities 2018: $188,697,100Net Assets 2018: -$16,434,8922018Assets 2019: $168,780,712Liabilities 2019: $188,776,349Net Assets 2019: -$19,995,6372019Assets 2020: $164,518,948Liabilities 2020: $177,096,746Net Assets 2020: -$12,577,7982020Assets 2021: $169,471,642Liabilities 2021: $174,284,936Net Assets 2021: -$4,813,2942021Assets 2022: $167,921,947Liabilities 2022: $170,105,361Net Assets 2022: -$2,183,4142022Assets 2023: $172,684,416Liabilities 2023: $173,642,508Net Assets 2023: -$958,0922023Assets 2024: $172,034,765Liabilities 2024: $175,125,000Net Assets 2024: -$3,090,2352024

Highlighted filing

2024

Assets$172,034,765
Liabilities$175,125,000
Net Assets-$3,090,235

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$100M$50M$0-$50MExpenses 2010: $39,289,1832010Expenses 2011: $42,506,2002011Expenses 2012: $47,715,3632012Expenses 2013: $57,145,4212013Revenue 2014: $59,558,831Expenses 2014: $60,530,744Net Income 2014: -$971,9132014Revenue 2015: $70,299,565Expenses 2015: $71,181,560Net Income 2015: -$881,9952015Revenue 2016: $68,722,178Expenses 2016: $69,801,395Net Income 2016: -$1,079,2172016Revenue 2017: $78,512,313Expenses 2017: $72,694,376Net Income 2017: $5,817,9372017Revenue 2018: $69,262,634Expenses 2018: $73,360,994Net Income 2018: -$4,098,3602018Revenue 2019: $61,169,066Expenses 2019: $64,729,811Net Income 2019: -$3,560,7452019Revenue 2020: $70,267,362Expenses 2020: $62,849,278Net Income 2020: $7,418,0842020Revenue 2021: $69,626,582Expenses 2021: $61,895,324Net Income 2021: $7,731,2582021Revenue 2022: $71,385,278Expenses 2022: $68,706,276Net Income 2022: $2,679,0022022Revenue 2023: $71,798,403Expenses 2023: $70,573,151Net Income 2023: $1,225,2522023Revenue 2024: $71,992,956Expenses 2024: $73,989,060Net Income 2024: -$1,996,1042024

Highlighted filing

2024

Revenue$71,992,956
Expenses$73,989,060
Net Income-$1,996,104

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$172$175$3.09$72.0$74.0$2.00
2023Detailed filing. Detailed filing data is available for this year.$173$174$0.96$71.8$70.6$1.23
2022Detailed filing. Detailed filing data is available for this year.$168$170$2.18$71.4$68.7$2.68
2021Detailed filing. Detailed filing data is available for this year.$169$174$4.81$69.6$61.9$7.73
2020Detailed filing. Detailed filing data is available for this year.$165$177$12.6$70.3$62.8$7.42
2019Detailed filing. Detailed filing data is available for this year.$169$189$20.0$61.2$64.7$3.56
2018Detailed filing. Detailed filing data is available for this year.$172$189$16.4$69.3$73.4$4.10
2017Detailed filing. Detailed filing data is available for this year.$174$186$12.2$78.5$72.7$5.82
2016Detailed filing. Detailed filing data is available for this year.$175$193$17.7$68.7$69.8$1.08
2015Detailed filing. Detailed filing data is available for this year.$184$200$16.3$70.3$71.2$0.88
2014Detailed filing. Detailed filing data is available for this year.$105$120$15.6$59.6$60.5$0.97
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$45.4$60.0$14.6$57.1
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$20.9$31.0$10.1$47.7
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$13.8$23.4$9.54$42.5
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$13.4$25.8$12.3$39.3
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
May 13, 2025
Return Version
2023v6.0
Gross Receipts
$72,017,358
Mission and Program Overview

Mission

The mission of the Corporation is to nurture the healing ministry of the Church, supported by education and research. Fidelity to the Gospel urges the Corporation to emphasize human dignity and social justice as it creates healthier communities. The Corporation, sponsored by a lay-religious partnership, calls other Catholic sponsors and systems to unite to ensure the future of Catholic health care. To fulfill this mission, the Corporation, as a values-based organization, will assure the integrity of the ministry in both current and developing organizations and activities; research and develop new ministries that integrate health, education, pastoral, and social services; promote leadership development and formation for ministry throughout the entire organization; advocate for systemic changes with specific concern for persons who are poor, alienated, and underserved; and steward resources by general oversight of the entire organization.

The primary purpose of st joseph's hospital and health center is to provide in-patient and out-patient medical service to residents in the surrounding area regardless of their ability to pay.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$75,491,249$71,198,423▼ $4,292,826
Accounts Receivable$11,068,675$11,121,688▲ $53,013
Inventories for Sale or Use$2,186,008$2,189,071▲ $3,063
Savings and Temporary Cash Investments$1,589,816$385,869▼ $1,203,947
Other Notes and Loans Receivable, Net$134,683$146,549▲ $11,866
Prepaid Expenses and Deferred Charges$61,876--
Cash and Non-Interest-Bearing Accounts$1,535$1,536▲ $1
Total Assets$172,684,416$172,034,765▼ $649,651
Other Assets Total$82,150,574$86,991,629▲ $4,841,055
Liabilities
Other Liabilities$166,148,999$165,584,484▼ $564,515
Accounts Payable and Accrued Expenses$7,493,509$9,540,516▲ $2,047,007
Total Liabilities$173,642,508$175,125,000▲ $1,482,492
Net Assets / Fund Balance
Net Assets With Donor Restrictions$-351$-351→ $0
Net Assets Without Donor Restrictions$-957,741$-3,089,884▼ $2,132,143
Total Net Assets Fund Balance$-958,092$-3,090,235▼ $2,132,143
Total Liabilities and Net Assets / Fund Balance$172,684,416$172,034,765▼ $649,651

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$64,224,216$22,622,351$86,846,567
Equipment$2,838,356$37,732,766$40,571,122
Other Land Buildings$1,974,277$1,117,971$3,092,248
Land$2,161,574-$2,161,574
Other Assets Org$313,528--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Julie GoebelDirector/division SVP COO (thru 10/23)--$1,020,400$1,020,400
David Kuylen MdPhysicianFT$518,734$54,596$573,330
Nolan Kleinjan MdPhysician Internal Med GeneralFT$458,301$76,326$534,627
David JonesMarket President, Central Region (beg 10/23)--$514,309$514,309
Craig Wolf MdPhysician Ob Gyn GeneralFT$384,499$51,995$436,494
Stephen Coulson MdPhysician-emergency MedicineFT$364,217$52,107$416,324
Samantha Kiedrowski MdPhysician Fam Med With ObFT$329,977$68,239$398,216

Board Members and Trustees

NameTitle
Corry KennerChair
David JonesMarket President, Central Region (be
Carol EnderlePresident/CEO
Curtis WieszDirector
Lisa KosteleckyDirector
Sr Mary Ruth HuhnDirector
Taylor GrundstadDirector
Julie GoebelDirector/division SVP COO (thru 10/2
Tessa Marburger MdDirector/neurologist
Kevin Dahmen MdFormer Secretary/tresurer
Tim SchnackMarket CFO (beg 5/24)
NICK O'TOOLMarket CFO (thru 5/24)
Julie TraynorSecretary/treasurer
Joseph RuarkVP Finance/former Officer

Highest Paid Contractors

ContractorServicesLocationCompensation
Medefis INCVendor Management/staffing2121 N 117TH AVE SUITE 200, Omaha, NE 68164$4,193,250
Weatherby Locums INCStaffing Services6451 NORTH FEDERAL HIGHWAY SUITE 7, Fort Lauderdale, FL 33308$2,055,085
Midwest Radiology PaRadiologist Services2355 HIGHWAY 36 WEST, Roseville, MN 55113$1,732,279
ComphealthStaffing Services7259 S BINGHAM JCT BLVD MIDVALE, Midvale, UT 84047$1,280,947
RehabvisionsTherapy Services11623 ARBOR STREET, Omaha, NE 68144$457,844
Revenue and Support

Revenue Composition

Contributions and Grants
$120,685
Program Service Revenue
$70,992,579
Investment Income
$7,716
Other Revenue
$871,976
All Other Contributions
$10,986
Change in Net Assets
$-1,996,104
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$48,905,715
Salaries, Compensation, and Employee Benefits$24,957,317
Grants and Similar Amounts Paid$126,028
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$20,794,172$2,034,965-$22,829,137
Other Salaries and Wages$19,320,312$1,016,859-$20,337,171
Depreciation Depletion$4,878,405$794,159-$5,672,564
Interest$3,986,980--$3,986,980
Payments to Affiliates-$2,673,694-$2,673,694
Information Technology$2,153,329$505,102-$2,658,431
Other Employee Benefits$2,284,859$120,256-$2,405,115
Payroll Taxes$1,292,389$68,020-$1,360,409
Office Expenses$929,156$193,548-$1,122,704
Occupancy$828,522$92,058-$920,580
Pension Plan Contributions$811,891$42,731-$854,622
Insurance$300,339$154,720-$455,059
All Other Expenses$425,418$22,391-$447,809
Travel$306,724$67,330-$374,054
Other Expenses$182,920$9,627-$192,547
Grants to Domestic Orgs$126,028--$126,028
Fees for Services Legal-$69,316-$69,316
Advertising-$62,988-$62,988
Conferences and Meetings$500$24,516-$25,016
Fees for Services Lobbying-$3,310-$3,310
Total Functional Expenses$65,987,092$8,001,968$0$73,989,060
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
North Dakota Community FdtnBismarck, ND501(c)(3)Program Support$40,000
North Dakota Community FdtnBismarck, ND501(c)(3)Program Support$20,000
House of MannaDickinson, ND501(c)(3)Program Support$15,187
Bio Girls IncFargo, ND501(c)(3)Program Support$10,175
Dickinson Parks & RecreationDickinson, ND501(c)(3)Program Support$10,000
Dickinson Catholic SchoolsDickinson, ND501(c)(3)Program Support$7,500
Dsu Heritage FoundationDickinson, ND501(c)(3)Program Support$7,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Intercompany Payables$86,930,311
Csh Debt Program$78,350,752
Lease Liabilities$300,384
Other Liabilities$3,037
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 1A

Pursuant to the corporation's bylaws, the executive committee is composed of the board chair, the board vice chair and the president, each of whom shall serve as an ex officio voting member of the executive committee, and two voting members appointed by the board of directors. Each individual appointed to the executive committee shall serve for a term of one year or until his or her successor is duly appointed by the board of directors. The executive committee shall consist of only directors of the corporation. Pursuant to the corporation's bylaws, committees, such as the executive committee, that are granted the authority to act on behalf of the board of directors may include only directors of the corporation. Further, pursuant to the corporation's bylaws, the executive committee has and may exercise such powers as may be delegated to it by the board of directors. The executive committee also possesses the power to transact routine business of the corporation in the interim period between regularly scheduled meetings of the board of directors.

Form 990, Part VI, Section A, Line 6

According to the bylaws of st. Joseph's hospital and health center, the entity's sole member is commonspirit health, a colorado nonprofit organization.

Form 990, Part VI, Section A, Line 7A

According to the organization's bylaws, directors shall be appointed or refused by the corporate member. The corporate member may appoint one or more individuals to the board of directors, and may at any time remove, with or without cause, any member of the board of directors. According to the organization's bylaws, directors of the corporation shall be appointed by the corporate member no later than june 30 of each year. The names and qualifications of each individual accepted by the board of directors shall be submitted to the corporate member, who shall appoint or refuse each nominee in accordance with the corporate member's bylaws and with endorsement of the senior vice president of operations. The corporate member may unilaterally appoint one or more individuals to the board of directors should the board fail to furnish the corporate member with a list of individuals qualified to serve on the board of directors of the corporation. (chcf reserved rights) except as otherwise provided in the corporation's articles of incorporation or the laws of the state of organization, catholic health care federation ("chcf") shall have such rights as are reserved to the corporate member, acting in its capacity as the membership body of chcf, under the governance matrix.

Form 990, Part VI, Section A, Line 7B

The organization's corporate member is commonspirit health. Pursuant to section 5.4 of the organization's bylaws, the corporate member shall have the specific rights set forth in the governance matrix. Pursuant to the governance matrix the following rights are reserved to the commonspirit health board directly or through powers delegated to the commonspirit health chief executive officer: - substantial change in the mission or philosophy of the sjhhc. - amendment of the corporate documents of the sjhhc. - approve members of the sjhhc board - removal of a member of the governing body of the sjhhc. - approval of issuance of debt by sjhhc. - approval of participation of sjhhc in a joint venture. - approval of formation of a new corporation by sjhhc. - approval of a merger involving the sjhhc. - approval of the sale of all or substantially all of the assets of the sjhhc. - to require the transfer of assets by the sjhhc to commonspirit health to accomplish commonspirit health's goals and objectives, and to satisfy commonspirit health debts. - adoption of long range and strategic plans for sjhhc. Pursuant to section 5.5 of the organization's bylaws, commonspirit health may, in exercise of its approval powers, grant or withhold approval in whole or in part, or may, in its complete discretion, after consultation with the board and the president and chief executive officer of the organization, recommend such other or different actions as it deems appropriate. (chcf reserved rights) except as otherwise provided in the corporation's articles of incorporation or the laws of the state of organization, catholic health care federation ("chcf") shall have such rights as are reserved to the corporate member, acting in its capacity as the membership body of chcf, under the governance matrix.

Form 990, Part VI, Section B, Line 11B

Following the preparation of the form 990 by tax analysts of commonspirit health, a related organization, the return is reviewed by the commonspirit health tax director and the local vp of operational finance. Additionally, the board of directors are provided the final form 990 and related schedules to review via email and are able to ask the vp of operational finance and tax director questions prior to filing with the irs. Upon vp of operational finance approval and signature, the tax analyst files the final form 990 as presented to the board, making any non-substantive changes necessary in order to effect e-filing. Any such changes are not re-submitted to the board.

Form 990, Part VI, Section B, Line 12C

The organization has a conflicts of interest ("coi") policy (the "policy") in place to protect the interests of commonspirit health ("commonspirit") in circumstances that may result in a conflict between personal interests of a person and the interests of the organization and those it serves. Commonspirit's coi policy applies to commonspirit, its direct affiliates and subsidiaries and any related entity the governing documents of which require the entity to comply with commonspirit policy (collectively the "system entities"). The following persons are required to disclose actual or potential conflicts of interest at least annually (via a formal system-administered survey) if the person's affiliation with commonspirit continues: - members of corporate and community boards of system entities - members of committees of corporate and community boards of system entities - members of the executive leadership team ("elt") of commonspirit - corporate officers of system entities - employed physicians and advanced practice providers - key employees and highest compensated employees as specified by the internal revenue service for form 990 purposes who are not otherwise included in the categories above - employees of system entities at the vice president level and above - all individuals engaged in research at institutions owned or operated by a system entity - select employees as determined from time to time by leadership disclosure, review, and management of perceived, potential, or actual conflicts of interest are accomplished through a defined coi disclosure review process. Each person is required to promptly and fully disclose any situation or circumstance that may create a conflict of interest as soon as she/he becomes aware of it. In addition, at the inception of an individual's relationship with commonspirit (e.g. Hiring, board appointment), and for certain positions, annually thereafter, written conflict of interest disclosure forms must be completed. A failure to disclose may result in disciplinary or corrective actions. Reported potential or actual conflicts of interest are initially reviewed by legal, corporate responsibility or research integrity staff. If necessary, a conflict of interest management plan is developed, which plan shall be subject to acceptance by the appropriate direct manager, supervisor, medical staff office, board or board committee (for board, board committee, elt or corporate officer conflicts), or other appropriate individual or body. Once accepted, the conflict of interest management plan is communicated to the person with the actual or potential conflict and the individual must conduct themselves in conformity with the plan. In the event that a transactional conflict interest arises in connection with a system entity board meeting, the conflicted individual must disclose that conflict prior to or at the beginning of the meeting in which the matter is to be considered. The conflicted individual is excluded from voting on the transaction and is prohibited from using personal influence with respect to the matter, but is not prohibited from providing input if requested to do so.

Form 990, Part VI, Section C, Line 19

The organization's financial statements, conflict of interest policy and governing documents are available to the public upon request. The organization's financial statements are included in commonspirit health's consolidated audited financial statements that are available at www.commonspirit.org.

Filing and Contact Details

Filer

Filer Name
ST JOSEPH'S HOSPITAL & HEALTH CENTER
EIN
45-0226429
Phone
7014564000
Address
2500 FAIRWAY STREET, DICKINSON, ND 58601
Doing Business As
Chi St Alexius Health Dickinson Medical Center

Signing Officer

Name
William Ermann
Title
Market CFO
Phone
7014564000
Signed
2025-05-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Carol Enderle
Formed
1921
Legal Domicile
Nd
Voting Board Members
8
Independent Board Members
6
Employees
377
Volunteers
39

Preparer

Firm
Commonspirit Health
Address
198 INVERNESS DRIVE WEST, ENGLEWOOD, CO 80112
Preparer
Nhu Duong
Phone
3032989100
Supplemental Narrative

Additional Explanations

Form 990, Part V, Line 1C

Payments to vendors for entities that are part of commonspirit health are made by commonspirit health. Therefore, no forms 1099 are issued by st. Joseph's hospital and health center. Commonspirit health files the forms 1099 and complies with the backup withholding rules for reportable payments to vendors and game winnings. The forms 1099 issued on behalf of st. Joseph's hospital and health center are reported to the irs.

Form 990, Part IX, Line 11G

Other fees: program service expenses 1,553,881. Management and general expenses 437,163. Fundraising expenses 0. Total expenses 1,991,044. Consulting: program service expenses 10,748. Management and general expenses 566. Fundraising expenses 0. Total expenses 11,314. Contract services: program service expenses 10,062,758. Management and general expenses 1,118,084. Fundraising expenses 0. Total expenses 11,180,842. Contract labor: program service expenses 5,924,506. Management and general expenses 311,816. Fundraising expenses 0. Total expenses 6,236,322. Purchased services: program service expenses 3,242,279. Management and general expenses 167,336. Fundraising expenses 0. Total expenses 3,409,615.

FORM 990, PART XI, LINE 9:

Affiliate transfers -135,632. Other changes -407.

Financial Statement Notes

PART X, LINE 2:

St. Joseph's hospital and health center's financial information is included in commonspirit health's consolidated audited financial statements, which includes the following disclosure: commonspirit reviews its tax positions quarterly and has determined that there are no material uncertain tax positions that require recognition in the accompanying consolidated financial statements.

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IRS990/ActivityOrMissionDesc0THE PRIMARY PURPOSE OF ST JOSEPH'S HOSPITAL AND HEALTH CENTER IS TO PROVIDE IN-PATIENT AND OUT-PATIENT MEDICAL SERVICE TO RESIDENTS IN THE SURROUNDING AREA REGARDLESS OF THEIR ABILITY TO PAY.
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