900 E Broadway, Bismarck, ND, 58501 · (701) 530-7000
Beds
157
FY 2024
Star rating
4 of 5
Patient survey: 3 of 5
Net patient revenue
$220.5M
FY 2024
Net income
-$80.7M
Patient care margin -56.7%
Discharges
5,651
Occupancy 56.5%
Clinicians
438
From the hospital's yearly cost reports (fiscal years as the hospital reports them)
Locations are shown at the center of the ZIP code.
US dollars as reported. Patient care margin = net patient revenue minus operating expenses, before other income such as grants, donations and investments.
| Fiscal year | Net patient revenue | Operating expenses | Patient care margin | Net income | Discharges | Uncompensated care | Medicare days | Medicaid days |
|---|---|---|---|---|---|---|---|---|
| 2025 | - | $356.0M | - | -$356.0M | 6,142 | $5.2M | 36.9% | 11.6% |
Official hospital quality measures with the national median across hospitals. For ratios, 1.00 means as many cases as expected.
| Death rate after heart bypass surgery | 3.8% | US median 2.3% |
| Death rate for COPD patients | 9.5% | US median 8.5% |
| Death rate for heart attack patients | 11.2% | US median 11.8% |
| Death rate for heart failure patients | 9.3% | US median 11% |
| Hospital-wide death rate within 30 days | 3% | US median 3.9% |
| Death rate for pneumonia patients | 13% | US median 15.2% |
| Death rate for stroke patients |
Medicare clinicians who list this hospital, by specialty
Inpatient stays by diagnosis related group (DRG), 2024
Official US government data: hospital records, ownership records, yearly cost reports and quality measures, linked by the hospital's CCN and NPI. Financials are for fiscal years as reported by the hospital.
Medicare clinicians who work here
| 2024 | $220.5M | $345.5M | -56.7% | -$80.7M | 5,651 | $6.7M | 40.6% | 11.4% |
| 2023 | $231.4M | $319.6M | -38.1% | -$70.9M | 5,431 | $3.6M | 46.4% | 11.3% |
| 2022 | $249.1M | $320.6M | -28.7% | -$51.3M | 6,785 | $3.2M | 44.1% | 10.8% |
| 2021 | $231.7M | $344.8M | -48.8% | -$87.8M | 7,768 | $4.5M | 46.5% | 10.2% |
| 2020 | $240.8M | $296.9M | -23.3% | -$33.5M | 6,923 | $6.0M | 47.6% | 9.6% |
| 10.1% |
| US median 11.6% |
| Readmission rate after heart bypass surgery | 10.3% | US median 10.9% |
| Readmission rate for COPD | 19.3% | US median 19.8% |
| Readmission rate after a heart attack | 13.8% | US median 14.4% |
| Readmission rate for heart failure | 21.4% | US median 21.3% |
| Readmission rate after hip or knee replacement | 6.7% | US median 5.8% |
| Readmission rate for pneumonia | 17.4% | US median 17.2% |
| Complications after hip or knee replacement | 6% | US median 4.1% |
| Serious complications (patient safety composite) | 1.17 | US median 0.96 |
| C. diff intestinal infections (ratio to expected) | 0.61 | US median 0.28 |
| Central line bloodstream infections (ratio to expected) | 0.60 | US median 0.48 |
| Surgical site infections after colon surgery (ratio to expected) | 0.87 | US median 0.72 |
| MRSA bloodstream infections (ratio to expected) | 0.00 | US median 0.60 |
| Catheter urinary tract infections (ratio to expected) | 0.00 | US median 0.40 |
| Doctors always communicated well | 82% | US median 79% |
| Nurses always communicated well | 82% | US median 80% |
| Patient survey summary star rating | 3 of 5 | US median 3 of 5 |
| Area around the room always quiet at night | 56% | US median 59% |
| Patients who rated the hospital 9 or 10 out of 10 | 69% | US median 72% |
| Room and bathroom always clean | 57% | US median 73% |
| Patients who would definitely recommend the hospital | 69% | US median 71% |
| Patients who left the emergency department before being seen | 1% | US median 1% |
| Median time in the emergency department before leaving (minutes) | 176 min | US median 148 min |
| Patients prescribed 2 or more opioids or opioids with benzodiazepines at discharge | 15% | US median 15% |
| Patients who got appropriate care for severe sepsis and septic shock | 66% | US median 65% |
| Healthcare workers given the flu vaccine | 81% | US median 79% |
| 58 |
| $36,011.59 |
| $10,597.43 |
| $12,400.10 |
| DRG 177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 34 | $44,779.21 | $10,484.03 | $12,667.88 |
| DRG 853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 33 | $97,340.48 | $33,422.24 | $40,556.82 |
| DRG 872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 30 | $23,640.60 | $5,702.87 | $7,681.44 |
| DRG 698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 28 | $28,069.96 | $10,847.68 | $13,076.55 |
| DRG 481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 27 | $48,739.11 | $12,562.89 | $15,801.33 |
| DRG 064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 27 | $41,332.67 | $12,765.96 | $15,695.20 |
| DRG 309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 25 | $16,029.60 | $4,193.80 | $5,247.13 |
| DRG 281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 25 | $28,884.80 | $5,145.52 | $6,648.56 |
| DRG 189 PULMONARY EDEMA AND RESPIRATORY FAILURE | 24 | $67,670.75 | $16,395.21 | $9,973.97 |
| DRG 682 RENAL FAILURE WITH MCC | 23 | $28,396.61 | $9,847.13 | $11,457.18 |
| DRG 378 GASTROINTESTINAL HEMORRHAGE WITH CC | 22 | $25,235.32 | $5,734.95 | $7,294.77 |
| DRG 310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 21 | $14,463.29 | $2,809.29 | $3,433.11 |
Hospital outpatient services by payment group (APC), 2024
| Service group | Services | Patients | Medicare pays per service | All hospitals |
|---|---|---|---|---|
| APC 5115 Level 5 Musculoskeletal Procedures | 418 | 401 | $10,612.57 | $10,771.69 |
| APC 5372 Level 2 Urology and Related Services | 400 | 284 | $498.87 | $502.15 |
| APC 5373 Level 3 Urology and Related Services | 247 | 137 | $1,286.11 | $1,516.28 |
| APC 5114 Level 4 Musculoskeletal Procedures | 152 | 149 | $5,342.76 | $5,338.75 |
| APC 5116 Level 6 Musculoskeletal Procedures | 119 | 118 | $15,536.21 | $15,762.73 |
| APC 5191 Level 1 Endovascular Procedures | 118 | 117 | $2,193.15 | $2,207.96 |
| APC 5375 Level 5 Urology and Related Services | 92 | 86 | $3,863.85 | $3,917.51 |
| APC 8011 Comprehensive Observation Services | 86 | 86 | $1,995.94 | $2,090.36 |
| APC 5072 Level 2 Excision/ Biopsy/ Incision and Drainage | 85 | 82 | $1,207.89 | $1,219.56 |
| APC 5431 Level 1 Nerve Procedures | 73 | 71 | $1,441.43 | $1,406.61 |
| APC 5302 Level 2 Upper GI Procedures | 62 | 58 | $1,399.92 | $1,444.50 |
| APC 5374 Level 4 Urology and Related Services | 62 | 57 | $2,601.45 | $2,629.24 |
Reported payments to this teaching hospital
Official US government data on Original Medicare hospital stays and outpatient services; groups with fewer than 11 cases are not published. Payments are those drug and device companies must report.
CHI St Alexius Health is a nonprofit short-term acute care hospital in Bismarck, ND with 157 beds, part of CommonSpirit Health and a 4-star overall rating.
CHI St Alexius Health in Bismarck, ND has 157 beds (fiscal year 2024 cost report); 287 beds are certified for Medicare. It discharged 5,651 inpatients that year, with 56.5% of its beds in use on average.
In fiscal year 2024 (ending 2024-06-30), CHI St Alexius Health reported net patient revenue of $220.5M and operating expenses of $345.5M, a margin on patient care of -56.7%. After other income and expenses its net income was -$80.7M (-30.5% of revenue), so it lost money that year.
CHI St Alexius Health is part of CommonSpirit Health, a health system with 129 hospitals based in San Francisco, CA. It is a nonprofit hospital.
CHI St Alexius Health has an overall rating of 4 out of 5 stars in the official hospital quality ratings. Patients rate it 3 out of 5 stars in the patient survey.
Yes, CHI St Alexius Health provides emergency services.
438 Medicare clinicians list CHI St Alexius Health as a hospital they work at, most often in Nurse Practitioner, Family Practice, Physician Assistant.
In 2024, CHI St Alexius Health had 1,023 Medicare inpatient stays in 39 diagnosis groups. The most common was DRG 871 (septicemia or severe sepsis without mv >96 hours with mcc) with 215 stays; Medicare paid $13,122.97 per stay on average, compared with $15,524.21 across all hospitals.
In 2025, companies reported $3,884 in payments to CHI St Alexius Health as a teaching hospital ($3,884 general and - for research) from 5 companies.