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St Alexius Medical Center at a glanceMostly funded, not a grantmaker: see who funds it →

· Public charity

St Alexius Medical Center

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.

$990k
Granted FY2025still arriving
10
Grants FY2025still arriving
1
States reached
$530k
Largest
01What it fundsRead
02The needRead
03Its granteesRead
04Its fieldRead
01What it funds
0198% classified

What it funded, over time

Every grant placed by its stated purpose and the recipient’s mission, by year, FY2017 to 2025.

Religion$2.8MEducation$519kHealth$287kRecreation & Sports$107kHuman Services$76kCommunity Improvement$23kYouth Development$21kScience & Tech$7kOther$0
02FY2025 · 10 grants

Where the money goes

Grants by size, and the largest recipients.

How this is measured
The 10 grants below total $740,300, the rows itemized in this filing. The $989,740 headline is the total grant expense on the return; the other $249,440 is giving the schedule does not break out (grants under the $5,000 itemization floor, grants to individuals, grants on other schedules). Every figure below describes the itemized rows only.

By grant size · FY2025

  • Under $10k5 grants · $37k
  • $10k–50k1 grant · $21k
  • $50k–250k3 grants · $153k
  • $250k+1 grant · $530k
$20,500
Median grant
1
States reached
$298M
Total assets
Largest grants
RecipientAmount
BENEDICTINE SISTERS OF THE ANNUNCIATION$530,450
DREAM CENTER BISMARCK$52,250
LIGHT OF CHRIST SCHOOLS$50,600
MINISTRY ON THE MARGINS$50,000
BIO GIRLS INC$20,500
BAREKNUCKLE BASEBALL LLC$7,500
MISSOURI SLOPE LUTHERAN CARE CENTER FOUNDATION$7,500
ROCK THE RED$7,500
COMMUNITY ACTION PROGAM REGION VII$7,000
GATEWAY TO SCIENCE CENTER INC$7,000
02The need
03

Does the money reach high-need areas?

Each grant placed by the hardship in its grantee’s ZIP, against the area’s typical level.

show:

Its human-services grants (FY25–25, $59k) land where the poverty rate runs at 10%, against an area that typically sits at 10%. 100% of those dollars go to grantees based in above-average-need neighborhoods. Most of its grants land in higher-need ZIPs.

area typical 10%DREAM CENTER BISMARCK: $52k → 10%COMMUNITY ACTION PROGAM REGION VII: $7k → 10%0%20%40%50%more need →
grant to an above-average-need area below average· circle size = grant amount
How this is measured
Matched: human-services grants are those whose grantee’s IRS cause code is Human Services. Placed by people below the poverty line in the grantee’s ZIP, averaged from the tracts in that ZIP.
How this is measured
US grants placed by each grantee’s ZIP, which can differ from where services are delivered. Need from public data (U.S. Census/ACS, CDC PLACES, Eviction Lab, USDA), shown as context about the area, never attributed to the funder’s giving.
03Its grantees
repeat funding

Who it funds again

Organizations funded in more than one year, against those funded once.

91%of every dollar goes to organizations it has funded before.
$3.5M · 9 repeat orgs$366k to everyone else

Grantees it renews have grown median revenue +26% since the first grant, against -12% for those funded once.

9 repeat relationships: 4 still active in FY2025, 5 since wound down; 6 grantees were first funded in FY2025 (too recent to call).

How the two cohorts compare

Re-uppedFunded once

Organizations

9
5

Total granted

$3.5M
$222k

Median revenue growth · since first grant

+26%
-12%

Still filing today

67%
60%

New vs renewed · share of each year

In FY2025, 81% of grant dollars renewed an existing relationship; $144k went to new ones.

50%100%’17’18’19’20’21’22’23’24’25
RenewedFirst-time

Where new relationships form · theme of each grantee’s first grant

’17’18’19’20’21’22’23’24’25
HealthHuman ServicesPhilanthropyRecreation & SportsReligionYouth DevelopmentOther
How this is measured
First-time means a grantee’s first year in the filing window; renewed means funded in an earlier year too. The renewed share climbs naturally as a portfolio matures, so the signal is a year that bucks it (a wave of new grantees). The earliest year is left-censored: relationships that predate the data read as new. Theme is the grantee’s IRS cause.

Backed again, and grew

  • AH
    American Heart Association Inc
    4× · 2018–2021 · $85k · revenue +26%
  • BC
    BISMARCK CANCER CENTER FOUNDATION
    3× · 2018–2020 · $28k · revenue +134%
  • BC
    BISMARCK-MANDAN CHAMBER EDC
    2× · 2020–2024 · $23k · revenue +15%

Funded once

  • ND
    ND Department of Health
    one grant, 2017 · $151k
  • ND
    NORTH DAKOTA UNIVERSITY SYSTEM FOUNDATION
    one grant, 2019 · $25k · revenue -79%
  • CF
    CYSTIC FIBROSIS FOUNDATIONgraduated
    one grant, 2017 · $16k · revenue +29%
How this is measured

Repeat means funded in two or more distinct years. Growth and survival are read from each grantee’s own subsequent IRS filings.

04Its field

Closest unfunded matches

The nonprofits that most resemble its grantees but are not funded by it, scored along the direction from the rest of the field toward the portfolio. A resemblance in what they say they do, not a recommendation.

1
Coal Country Community Health Center

Working together as partners to enhance the lives of area residents by providing a neighborhood of patient centered healthcare services that promote wellness, prevention and care coordination.

Health
2
Madison Community Hospital

Madison regional health system serves as a community health focal point through the provision of compassionate, quality, and innovative care.

Health
3
Sioux Center Health

Bring hope, health and healing to life.

—
4
Lutheran Charity Association D/B/a Jamestown Regional Medical Center

Exceed expectations and be the difference in the lives of those we serve.

Health
5
Cooperstown Medical Center

Cooperstown Medical Center is dedicated to providing high quality healthcare services in a personalized, compassionate, and professional manner.

Health
6
St Alexius Medical Center

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.

Health
7
Regional West Medical Center

We are committed to advancing the health and wellness of the individuals and communities we are honored to serve.

Health
8
Central Montana Medical Facilities Inc

The mission of Central Montana Medical Center is to be the leader in assuring community based quality healthcare.

Health
9
Trinity Health & Affiliates

Trinity health is committed to preserving and improving the quality of health of the people we serve. our mission is to excel at meeting the needs of the whole person through the provision of quality health care and health related services.

Health
10
Mobridge Regional Hospital

The mission of mobridge regional hospital is to provide high quality healthcare services in a compassionate and professional manner for people throughout the region.

Health
11
Garrison Memorial Hospital

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.

Health
12
MaineHealth

MaineHealth is a voluntary, not-for-profit community and referral system of hospitals, dedicated to providing high quality health care services to all persons who seek care regardless of their sex, race, religion, age, color, sexual…

Health
How this is measured
The grantee most central to the portfolio’s shape is Hazen Memorial Hospital Association; the most unlike its peers is Cystic Fibrosis Foundation. Resemblance is measured on each organization’s own IRS 990 mission text; it reflects how work is described, not its quality or impact.
04the grantee network

21 grantees tracked through their own filings, 2017–2026.

Each grant beside the grantee’s revenue from every source, year by year.

How this is measured

Counted here: distinct organizations funded across 2017 to 2026, not grant rows in a single year, so this will not match the grant count on the cover.

Each grantee is resolved to its own IRS returns. Association, dated; never a causal claim.

0
Load-bearing (≥25% of a budget)
2
Early backer (in before they grew)
21/21
Grantees still filing
8/21
Grew since first funded

Where the money sits, by cause and then by grantee

BENEDICTINE SISTERS OF THE ANNUNCIATION BMV: $2,752,250 · OtherBENEDICTINE SISTERS OF THE ANNUNCIATION BMVLIGHT OF CHRIST CATHOLIC SCHOOLS: $479,300 · OtherLIGHT OF CHRIST CATHOLIC SCHOOLSND Department of Health: $150,785 · Other+8 more: $172,412 · OtherAmerican Heart Association Inc: $85,000 · HealthBISMARCK CANCER CENTER FOUNDATION: $27,500 · HealthCYSTIC FIBROSIS FOUNDATION: $16,328 · HealthDream Center Bismarck: $52,250 · Human ServicesCOMMUNITY ACTION PROGRAM REGION VII INC: $7,000 · Human ServicesMinistry on the Margins: $50,000 · ReligionNORTH DAKOTA UNIVERSITY SYSTEM FOUNDATION: $25,000 · PhilanthropyBIO Girls Inc: $20,500 · Youth DevelopmentBISMARCK MARATHON: $18,205 · Recreation & Sports
Other$3,554,747Health$128,828Human Services$59,250Religion$50,000Philanthropy$25,000Youth Development$20,500Recreation & Sports$18,205

Each grantee by its size and the funder’s share of it; top left is load-bearing

25%50%75%100%$1.0M$10M$100Mgrantee revenue →↑ funder's share of their budgetAmerican Heart Association Inc: $85,000 over 4y, 0.0% of budgetDream Center Bismarck: $52,250 over 1y, 1.1% of budgetBISMARCK RECREATION COUNCIL: $33,334 over 3y, 2.4% of budgetBISMARCK CANCER CENTER FOUNDATION: $27,500 over 3y, 1.1% of budgetNORTH DAKOTA UNIVERSITY SYSTEM FOUNDATION: $25,000 over 1y, 4.0% of budgetBISMARCK-MANDAN CHAMBER EDC: $22,650 over 2y, 0.6% of budgetBIO Girls Inc: $20,500 over 1y, 0.8% of budgetBISMARCK MARATHON: $18,205 over 2y, 6.1% of budgetMissouri Slope Lutheran Care Center Foundation: $16,500 over 2y, 1.6% of budgetCYSTIC FIBROSIS FOUNDATION: $16,328 over 1y, 0.0% of budgetUniversity of Mary: $15,000 over 1y, 0.0% of budgetCOMMUNITY ACTION PROGRAM REGION VII INC: $7,000 over 1y, 0.2% of budgetGATEWAY TO SCIENCE CENTER INC: $7,000 over 1y, 0.4% of budget
Grantee by grantee: a decade per organization, before and after funding

A decade per grantee: revenue shaded, grants as bars, all rows on one timeline.

Co-funders

Grantmakers whose grantees overlap with this funder’s far more than size alone predicts. Closer means stronger alignment; arcs show where they also fund each other. Here they form a tightly interlocked group: most of these funders back each other's grantees too.

North Dakota Communit…North Dakota Hospital…American Heart Associ…The Leona M and Harry…Blue Cross Blue Shiel…Sanford Group ReturnOtto Bremer TrustThe Tom and Frances L…Midcontinent Foundati…Charities Aid Foundat…American Online Givin…Fidelity Investments …
North Dakota Community FoundationND23.6× affinity9 shared granteesties to 11 of 11Hover any node to trace its alignments.Compare side by side →

Open a dossier: North Dakota Community Foundation · North Dakota Hospital Foundation · American Heart Association Inc · The Leona M and Harry B Helmsley Charitable Trust · Blue Cross Blue Shield of North Dakota Caring Foundation · Sanford Group Return · Otto Bremer Trust · The Tom and Frances Leach Foundation · Midcontinent Foundation · Charities Aid Foundation America · American Online Giving Foundation Inc · Fidelity Investments Charitable Gift Fund

How this is measured
Affinity is a Gamma-Poisson posterior co-funding rate, re-centered on the typical rate, so thin evidence shrinks toward no signal. Overlap is association, not proof of shared intent.

How much its grantees rely on government

Each dot is one organization St Alexius Medical Center funds: left to right is the share of its income from government, bottom to top the share from St Alexius Medical Center. Bigger dots raise more.

2024
’20’21’22’23’24’25
no gov · 10%0%1%3%5%funder's share of their income ↑0%3%5%8%10%share of the org’s income from government →
    no gov moneyreceives it· size = income
    1get no government money at all
    5report government grants on their 990 we could not trace to a source (not plotted)
    0rely on government for over half their income
    ⤢ axis zoomed · 0–10%
    typical government reliance, FY20–25
    How this is measured
    Government income is each org’s traced federal awards (USASpending grants and contracts) plus state payments (open checkbooks) as a share of its total revenue (IRS Form 990); the self-reported government-grant line (990 line 1e) is carried for cross-check: a grantee that reports government grants we could not trace to a source is left off the chart rather than shown as receiving none. An association, not a claim that a grant caused the public funding. Coverage is precision-first, a floor rather than a census; state records exist for 9 states, so a grantee outside them shows no state figure (dimmed) rather than a false zero. Federal award amounts are obligations, which can span years, so a single-year share is indicative. 990 filings lag 12 to 24 months.

    On method. Every financial figure here is read from IRS e-file XML, the funder’s own 990/990-PF, and from the multi-year returns of the 20 grantees we resolved, each linked to its source. Grantee outcomes are each organization’s own program-service reporting (Form 990, Part III), read as association with funding, never as caused by it. Low-confidence name matches are suppressed rather than guessed. How we build these →

    How this is measured
    Each figure carries one of six labels. Filed is what the funder reported on its return. Official is another government record about an organization, such as a federal award or a charity register, joined by name where no shared identifier exists. Resolved is an identity we worked out where the filing named a recipient without an EIN, kept only above a measured confidence threshold. Computed is arithmetic over those, like themes, portfolio clusters and co-funder strength. Context is a statistic about a place rather than about an organization, which is what the need overlay is: it describes the area a grantee’s address sits in, not where its work lands. Inferred is drawn by a model from text, like the partnerships read out of public news and organization websites. Each is labeled where it appears.

    Generated from the IRS Form 990 e-file return for fiscal year 2025, released 2025. Filings run roughly 12 to 24 months behind; figures are dated accordingly.

    Source object · view filing

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    More from the funding graph

    The unnamed billions
    grants reported with no recipient in the public record
    The regranting layer
    51% of grant dollars land in the regranting layer
    The DAF merry-go-round
    $9.7B circulates between donor-advised funds
    The endowment market
    who holds foundation money, and what just moved
    The camps
    funders cluster by geography, not ideology
    By state
    where grant money is based, and what stays home