Official Seal, Everything Is Broken (2026)

Everything Is Broken

Report No. 1 · Nonprofit Hospital Executive Pay vs Charity Care · Annual Report, 2026 edition

North Dakota · Ranked 741 of 1033 by CEO pay.

St Alexius Medical Center

Reed Reyman, President/CEO. Fiscal year ending 2025-06.

$431,309
CEO total compensation
Form 990 Part VII, columns D+E+F
0.58%
of expenses spent on charity care
Schedule H Part I line 7a
19.8%
CEO pay as a share of all charity care
Reed Reyman’s pay of $431,309 equals 19.8 percent of the $2,183,411 the system spent on charity care in the same year.

§1The filing

Total revenue
$290,460,487
Total expenses
$377,873,006
Net assets
−$332,557,165
Employees
1,800
Hospitals covered
3 facilities across 2 filings
Charity care, net
$2,183,411
Bad debt
$8,263,613
Medicare surplus (shortfall), as filed
($5,937,091)
CEO pay from the organization (Part VII col. D)
$393,110
From related organizations (col. E)
$0
Other compensation, including deferred pay and nontaxable benefits (col. F)
$38,199
CEO total compensation (D+E+F)
$431,309 to Reed Reyman

Medicare surplus (shortfall) is Schedule H Part III line 7: Medicare revenue minus the cost of Medicare care. A figure in parentheses is a shortfall. Like bad debt, it is not community benefit on the IRS form.

Source: Form 990, St Alexius Medical Center, EIN 45-0226711, fiscal year ending 2025-06, as published by the IRS. CEO identification: ceo title.

§2Community benefit versus charity care

What the system reported as total community benefit (Schedule H line 7k)$9.6M Of which charity care to patients who could not pay (line 7a)$2.2M (23%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($8.3M) and Medicare shortfall are reported separately by the IRS and are not community benefit on the form.

§3Filings in this system

Filing entityEINFY endRevenueCharity care% of expensesFiling
St Alexius Medical Center45-02267112025-06$277.7M$2.0M0.56%990
Garrison Memorial Hospital45-02277522025-06$12.8M$156,4841.16%990

Every number on this page was copied from the filing linked above. If a figure is wrong, send the filing that contradicts it and the correction runs at the top of this page.

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St Alexius Medical Center: CEO pay $431,309, charity care 0.58% of expenses