CHI St. Alexius Health Bismarck, located at 900 E Broadway, Bismarck, ND, is a regional acute care medical center that has been serving central and western North Dakota, along with parts of surrounding states, since 1885. As a Level II trauma center, we provide a comprehensive range of inpatient and outpatient services, including primary and specialty clinics, home health and hospice care, and durable medical equipment. We are committed to delivering high-quality, patient-centered care with a focus on clinical excellence and community service. Rooted in our Catholic heritage, we strive to improve the health of those we serve, especially the vulnerable, while advancing social justice for all.
| Hospital Name | CHI St Alexius Health |
|---|---|
| Facility ID | 350002 |
| Address | 900 E BROADWAY |
|---|---|
| City/Town | Bismarck |
| State | ND |
| ZIP Code | 58501 |
| County/Parish | BURLEIGH |
| Health System | CommonSpirit Health |
|---|---|
| Health System Website Domain | commonspirit.org |
| Recently Joined Health System (Past 4 Years) | No |
| Health System Total Hospitals | 106 |
|---|---|
| Health System Total Beds | 17364 |
| Health System Hospital Locations | Arkansas, Arizona, California, Colorado, Georgia, Iowa, Kansas, Kentucky, Louisiana, Minnesota, North Dakota, Nebraska, Nevada, Ohio, Oregon, Tennessee, Texas and Utah |
| Hospital Type | Acute Care Hospitals |
|---|---|
| Hospital Ownership | Voluntary non-profit - Church |
| Ownership Details | CommonSpirit Health |
| Emergency Services | Yes |
Returning to the health system as president in January 2023. [9] Served as president of CHI St. Alexius Dickinson (N.D.) from 2009 to 2019. [9, 10] Spent three years as executive vice president of regional development at Altru Health System. [9] Started his professional career as a special education teacher and school psychologist. [10]
Named full-time chief medical officer after serving in an interim capacity (as of Jan 2023). [9] Has worked at the health system for 16 years and serves on various committees within the enterprise. [9]
NA
Foundation Director for CHI St. Alexius Health in Bismarck, North Dakota. [12] Background in fundraising in the Bismarck community. [12] Role is to support programs and services by working with major and planned gifts, grant administration, event planning, and direct solicitations. [12] Graduate of North Dakota State University with a Bachelor of Science degree in respiratory therapy; maintains her license which provides a unique medical background. [12] Graduate of the Leadership Bismarck Mandan program and a member of the Bismarck Optimist Club. [12]
| Allopathic Residency Program | No |
|---|---|
| Dental Residency Program | No |
| Osteopathic Residency Program | No |
| Other Residency Programs | Yes |
| Pediatric Residency Program | No |
| Licensed Beds | 287 |
|---|
| FTE Employees on Payroll | 922.24 |
|---|---|
| FTE Interns & Residents | 4.03 |
| Inpatient Days (Title V) | NA |
|---|---|
| Inpatient Days (Title XVIII) | 14537 |
| Inpatient Days (Title XIX) | 3259 |
| Total Inpatient Days | 31340 |
| Bed Count | 157 |
| Available Bed Days | 57305 |
| Discharges (Title V) | NA |
| Discharges (Title XVIII) | 2277 |
| Discharges (Title XIX) | 484 |
| Total Discharges | 5431 |
| Inpatient Days (Title V; Adults & Peds) | NA |
|---|---|
| Inpatient Days (Title XVIII; Adults & Peds) | 13570 |
| Inpatient Days (Title XIX; Adults & Peds) | 3259 |
| Total Inpatient Days (Adults & Peds) | 27541 |
| Bed Count (Adults & Peds) | 142 |
| Available Bed Days (Adults & Peds) | 51830 |
| Discharges (Title V; Adults & Peds) | NA |
| Discharges (Title XVIII; Adults & Peds) | 2277 |
| Discharges (Title XIX; Adults & Peds) | 484 |
| Total Discharges (Adults & Peds) | 5431 |
| Care Quality Stengths | Average overall patient satisfaction. Hospital has an average ER wait time. Patients are seen and treated on average in 2-3 hours. Hospital does a good job at treating conditions like heart attacks so that patients don't have to come back to the hospital. Hospital does an above-average job of ensuring patients at the hospital do not get infections. |
|---|---|
| Care Quality Concerns | Patients report challenges the cleanliness of the hospital. |
| Nurse Communication – Star Rating | |
|---|---|
| Doctor Communication – Star Rating | |
| Staff Responsiveness – Star Rating | |
| Communication About Medicines – Star Rating | |
| Discharge Information – Star Rating | |
| Care Transition – Star Rating | |
| Cleanliness – Star Rating | |
| Quietness – Star Rating | |
| Overall Hospital Rating – Star Rating | |
| Recommend Hospital – Star Rating |
| Percent of Patients Who Definitely Recommend the Hospital | 63% |
|---|
| Mortality Group – Rate of Complications for Hip/Knee Replacement Patients | No Different Than National Average |
|---|---|
| Mortality Group – Death Rate for Heart Attack Patients | No Different Than National Average |
| Mortality Group – Death Rate for CABG Surgery Patients | No Different Than National Average |
| Mortality Group – Death Rate for COPD Patients | No Different Than National Average |
| Mortality Group – Death Rate for Heart Failure Patients | No Different Than National Average |
| Mortality Group – Death Rate for Pneumonia Patients | No Different Than National Average |
| Mortality Group – Death Rate for Stroke Patients | No Different Than National Average |
| Mortality Group – Pressure Ulcer Rate | No Different Than National Average |
| Mortality Group – Death Rate Among Surgical Inpatients With Serious Treatable Complications | No Different Than National Average |
| Mortality Group – Iatrogenic Pneumothorax Rate | No Different Than National Average |
| Mortality Group – In-Hospital Fall with Hip Fracture Rate | |
| Mortality Group – Postoperative Hemorrhage or Hematoma Rate | No Different Than National Average |
| Mortality Group – Postoperative Acute Kidney Injury Requiring Dialysis Rate | No Different Than National Average |
| Mortality Group – Postoperative Respiratory Failure Rate | Worse Than National Average |
| Mortality Group – Perioperative Pulmonary Embolism or Deep Vein Thrombosis Rate | No Different Than National Average |
| Mortality Group – Postoperative Sepsis Rate | No Different Than National Average |
| Mortality Group – Postoperative Wound Dehiscence Rate | No Different Than National Average |
| Mortality Group – Abdominopelvic Accidental Puncture or Laceration Rate | No Different Than National Average |
| Mortality Group – CMS Medicare PSI 90: Patient Safety and Adverse Events Composite | No Different Than National Average |
| Timely and Effective Care: Average (Median) Time in the Emergency Department Before Leaving (Lower Is Better) | 147 |
|---|
| Readmission Score Hospital Return Days for Heart Attack Patients | -20.5 |
|---|---|
| Readmission Score Hospital Return Days for Heart Failure Patients | -11.7 |
| Readmission Score Hospital Return Days for Pneumonia Patients | 11.5 |
| Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) | 12.5 |
| Readmission Score Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy | 8.8 |
| Readmission Score Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy | 4.6 |
| Readmission Score Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery | 0.7 |
| Readmission Score Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 12.4 |
| Readmission Score Rate of Readmission for CABG | 10.5 |
| Readmission Score Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients | 18.2 |
| Readmission Score Heart Failure (HF) 30-Day Readmission Rate | 18.2 |
| Readmission Score Rate of Readmission After Hip/Knee Replacement | 4.5 |
| Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) | 14.1 |
| Readmission Score Pneumonia (PN) 30-Day Readmission Rate | 15 |
| Readmission Group Hospital Return Days for Heart Attack Patients | Fewer Days Than Average per 100 Discharges |
| Readmission Group Hospital Return Days for Heart Failure Patients | Average Days per 100 Discharges |
| Readmission Group Hospital Return Days for Pneumonia Patients | Average Days per 100 Discharges |
| Readmission Group Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) | No Different Than the National Rate |
| Readmission Group Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy | No Different Than the National Rate |
| Readmission Group Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy | No Different Than the National Rate |
| Readmission Group Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery | Better than expected |
| Readmission Group Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | No Different Than the National Rate |
| Readmission Group Rate of Readmission for CABG | No Different Than the National Rate |
| Readmission Group Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients | No Different Than the National Rate |
| Readmission Group Heart Failure (HF) 30-Day Readmission Rate | No Different Than the National Rate |
| Readmission Group Rate of Readmission After Hip/Knee Replacement | No Different Than the National Rate |
| Readmission Group Rate of Readmission After Discharge From Hospital (Hospital-Wide) | No Different Than the National Rate |
| Readmission Group Pneumonia (PN) 30-Day Readmission Rate | No Different Than the National Rate |
| CLABSI SIR (Standardized Infection Ratio) | 1.100 |
|---|---|
| CAUTI SIR (Standardized Infection Ratio) | 0.654 |
| SSI SIR (Standardized Infection Ratio) | 1.199 |
| CDI SIR (Standardized Infection Ratio) | 0.486 |
| MRSA SIR (Standardized Infection Ratio) | 0.814 |
| Fiscal Year Begin | Jul 01, 2022 |
|---|---|
| Fiscal Year End | Jun 30, 2023 |
| Charity Care Cost | $2,115 |
|---|---|
| Bad Debt Expense | $4,383 |
| Uncompensated Care Cost | $3,632 |
| Total Uncompensated Care | $7,020 |
| Total Salaries | $110,298 |
|---|---|
| Overhead Expenses (Non-Salary) | $209,266 |
| Depreciation Expense | $10,505 |
| Total Operating Costs | $196,222 |
| Inpatient Charges | $223,270 |
|---|---|
| Outpatient Charges | $343,525 |
| Total Patient Charges | $566,794 |
| Core Wage Costs | $18,956 |
|---|---|
| Wage Costs (RHC/FQHC) | |
| Adjusted Salaries | $110,298 |
| Contract Labor (Patient Care) | $18,528 |
| Wage Costs (Part A Teaching) | $1,675 |
| Wage Costs (Interns & Residents) |
| Cash & Bank Balances | $-286,842 |
|---|---|
| Short-Term Investments | |
| Notes Receivable | |
| Accounts Receivable | $115,438 |
| Allowance for Doubtful Accounts | $-85,104 |
| Inventory | $11,378 |
| Prepaid Expenses | $940 |
| Other Current Assets | |
| Total Current Assets | $-211,404 |
| Land Value | $7,512 |
|---|---|
| Land Improvements Value | $1,415 |
| Building Value | $12,626 |
| Leasehold Improvements | |
| Fixed Equipment Value | $16,543 |
| Major Movable Equipment | $83,391 |
| Minor Depreciable Equipment | |
| Health IT Assets | |
| Total Fixed Assets | $27,274 |
| Long-Term Investments | $37,685 |
|---|---|
| Other Assets | $94,369 |
| Total Other Assets | $132,054 |
| Total Assets | $-52,076 |
| Accounts Payable | $10,657 |
|---|---|
| Salaries & Wages Payable | $19,502 |
| Payroll Taxes Payable | $111 |
| Short-Term Debt | $241 |
| Deferred Revenue | |
| Other Current Liabilities | $15,501 |
| Total Current Liabilities | $48,776 |
| Mortgage Debt | |
|---|---|
| Long-Term Notes Payable | $60,279 |
| Unsecured Loans | |
| Other Long-Term Liabilities | $15,603 |
| Total Long-Term Liabilities | $75,882 |
| Total Liabilities | $124,658 |
| General Fund Balance | $-176,734 |
|---|---|
| Total Fund Balances | $-176,734 |
| Total Liabilities & Equity | $-52,076 |
| DRG (Non-Outlier) | |
|---|---|
| DRG (Pre-Oct 1) | $6,808 |
| DRG (Post-Oct 1) | $22,013 |
| Outlier Payments | |
| DSH Adjustment | $398 |
| Eligible DSH % | $0 |
| Simulated MC Payments | $4,858 |
| Total IME Payments | $450 |
| Inpatient Revenue | $219,641 |
|---|---|
| Outpatient Revenue | $412,576 |
| Total Patient Revenue | $632,217 |
| Contractual Allowances & Discounts | $400,785 |
| Net Patient Revenue | $231,431 |
| Total Operating Expenses | $319,563 |
| Net Service Income | $-88,132 |
| Other Income | $17,262 |
| Total Income | $-70,870 |
| Other Expenses | |
| Net Income | $-70,870 |
| Cost-to-Charge Ratio | $0 |
|---|---|
| Net Medicaid Revenue | $16,958 |
| Medicaid Charges | $58,768 |
| Net CHIP Revenue | |
| CHIP Charges |
| EHR | Epic |
|---|---|
| EHR Version | EpicCare Inpatient (not Community Connect) |
| EHR is Changing | No |
| ERP | Infor |
|---|---|
| ERP Version | S3 |
| EHR is Changing | No |