Critical access hospital · Dickinson, North Dakota · 25 beds · CMS certification number 351336
CHI St. Alexius Health Dickinson
Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS December 16, 2025. Sixteen years on file, every one shown below. Also on the 340B covered-entity register.
Fiscal 2025 at a glance
What stands out
- Net patient revenue rose from $36.3M in its first year on file (2010) to $76.4M in 2025.
- Its result from patient care: −$554K (2023), −$10.3M (2024), −$3.3M (2025).
- 4 of the 5 critical access hospital peers below with a margin on file also report a loss on patient care for fiscal year 2025.
- Medicaid paid for 5.2% of its inpatient days and Medicare for 36.3%.
- COMMONSPIRIT HEALTH holds 100% of it, on its Medicare enrollment.
Every statement is drawn from figures on this page; nothing is estimated.
Sixteen years of filings
Net patient revenue against operating expenses, each year as filed.
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Beside its peers
Critical access hospitals in North Dakota with 25 to 49 beds, each on fiscal year 2025.
| Hospital | Beds | Net patient revenue | Operating expenses | Margin |
|---|---|---|---|---|
| CHI St. Alexius Health Dickinson | 25 | $76,364,152 | $79,657,723 | −4.3% |
| Kenmare Community Hospital, Kenmare | 25 | $6,363,906 | $6,485,780 | −1.9% |
| Southwesthealthcare Services, Bowman | 35 | $16,955,354 | $19,589,279 | −15.5% |
| SMP Health - St. Andrew's, Bottineau | 25 | $17,171,453 | $16,526,576 | 3.8% |
| Tioga Medical Center, Tioga | 25 | $17,489,254 | $18,639,884 | −6.6% |
| CHI St. Alexius Health Turtle Lake, Turtle Lake | 25 | $7,205,663 | $8,256,857 | −14.6% |
Patients and payers
- Discharges
- 1,816S-3 line 14, col 15
- Inpatient days
- 6,254S-3 line 14, col 8
- Beds in use, on an average day
- 17.2days ÷ days in year
- Occupancy
- 68.5%days ÷ bed days
- Medicare share of days
- 36.3%S-3 cols 6 ÷ 8
- Medicaid share of days
- 5.2%S-3 cols 7 ÷ 8
Who owns it
- COMMONSPIRIT HEALTH100%
Related organizations on its own cost report: COMMONSPIRIT.
Other hospitals with the same owner: Yavapai Regional Medical Center (AZ), St. Joseph's Hospital and Medical Center (AZ), Chandler Regional Medical Center (AZ), Mercy Gilbert Medical Center (AZ), Dignity Health Arizona General Hospital (AZ), Dignity Health Arizona General Hospital (AZ), CHI St. Vincent Infirmary (AR), CHI St. Vincent Hospital Hot Springs (AR), St. Vincent Medical Center North (AR), CHI St. Vincent Morrilton (AR).
Type of control on its cost report: voluntary nonprofit, church.
Owners of 5% or more, from CMS’s hospital ownership file (Medicare enrollment, October 1, 2026).
Community benefit, as filed
From IRS Form 990 Schedule H, Part I, filed by ST JOSEPH'S HOSPITAL & HEALTH CENTER (employer identification number 450226429) for tax year 2022. The return lists this hospital as its one hospital facility.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total community benefit expense (line 7k) | $1,968,501 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance at cost (line 7a) | $1,497,942 | IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt> |
| Medicaid (line 7b) | $0 | IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance and means-tested government programs (line 7d) | $1,497,942 | IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt> |
| Other benefits (line 7j) | $470,559 | IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Total, fraction of total expense (line 7k, column f) | 0.0278 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct> |
E-file object id 202421349349302917. The IRS archive it was read from.
Executive and director compensation, as filed
From IRS Form 990 Part VII, Section A, filed by ST JOSEPH'S HOSPITAL & HEALTH CENTER (employer identification number 450226429) for tax year 2022. The return lists this hospital as its one hospital facility.
| Name | Title | Role | Reportable comp, from this organization | Reportable comp, from related organizations | Other compensation |
|---|---|---|---|---|---|
| BRIAN OHARA | PHYSICIAN INTERNAL MED GENERAL | Highest-compensated employee | $429,354 | $0 | $49,810 |
| CAROL ENDERLE | PRESIDENT/CEO | Officer | $0 | $307,252 | $15,530 |
| CORRY KENNER | VICE CHAIR /CHAIR | Trustee/director, Officer | $0 | $0 | $0 |
| CURTIS WIESZ | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| DAVID KUYLEN MD | PHYSICIAN | Highest-compensated employee | $504,962 | $0 | $50,352 |
| JOSEPH RUARK | CFO | Officer | $0 | $208,111 | $39,788 |
| JULIE GOEBEL | DIRECTOR/DIVISION SVP COO | Trustee/director | $0 | $365,482 | $21,111 |
| JULIE TRAYNOR | SECRETARY/TREASURER | Trustee/director, Officer | $0 | $0 | $0 |
| KEVIN DAHMEN MD | FORMER SECRETARY/TRESURER | Former | $0 | $589,888 | $58,589 |
| KIRK SCHOEPP | DIRECTOR (THRU 7/26/22) | Trustee/director | $0 | $0 | $0 |
| LISA KOSTELECKY | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| MICHAEL LEFOR | DIRECTOR (THRU 7/27/22) | Trustee/director | $0 | $0 | $0 |
| MIKE MURPHY | CHAIR (THRU 10/10/22) | Trustee/director, Officer | $0 | $0 | $0 |
| NICK O'TOOL | DIVISION VP FINANCE | Officer | $0 | $257,678 | $47,032 |
| NOLAN KLEINJAN | PHYSICIAN INTERNAL MED GENERAL | Highest-compensated employee | $488,032 | $0 | $22,566 |
| SR MARY RUTH HUHN | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| STEPHEN COULSON MD | PHYSICIAN-EMERGENCY MEDICINE | Highest-compensated employee | $490,559 | $0 | $37,742 |
| TAYLOR GRUNDSTAD | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| TESSA MARBURGER MD | DIRECTOR/NEUROLOGIST | Trustee/director | $0 | $351,802 | $29,026 |
| TOM ARNOLD MD | PHYSICIAN | Highest-compensated employee | $502,726 | $0 | $38,431 |
E-file object id 202421349349302917. The IRS archive it was read from.
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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 351336. Patients and payers: worksheet S-3 Part I of the same filing. Ownership: CMS Hospital All Owners and Hospital Enrollments.
How this page was built: the CMS Medicare cost report, file HOSP10FY2024.ZIP, read December 16, 2025.