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 822 of 1033 by CEO pay.

St Aloisius Hospital

Ryan Mickelsen, President & CEO. Fiscal year ending 2025-09.

$340,991
CEO total compensation
Form 990 Part VII, columns D+E+F
0.01%
of expenses spent on charity care
Schedule H Part I line 7a
8524.8%
CEO pay as a share of all charity care
In the most recent filing year, Ryan Mickelsen’s reported compensation was $340,991. The system’s charity care for the same year was $4,000. One person’s reported compensation was 85.2 times what the system gave to every patient who could not pay.

Most of the reported compensation ($289,033 of $340,991) came from a related organization (Part VII column E) and was reported on this filing.

§1The filing

Total revenue
$27,300,742
Total expenses
$27,207,393
Net assets
$19,372,307
Employees
302
Hospitals covered
1 facilities across 1 filing
Charity care, net
$4,000
Bad debt
$424,233
Medicare surplus (shortfall), as filed
$41,162
CEO pay from the organization (Part VII col. D)
$0
From related organizations (col. E)
$289,033
Other compensation, including deferred pay and nontaxable benefits (col. F)
$51,958
CEO total compensation (D+E+F)
$340,991 to Ryan Mickelsen

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 Aloisius Hospital, EIN 45-0226729, fiscal year ending 2025-09, 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)$324,032 Of which charity care to patients who could not pay (line 7a)$4,000 (1%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($424,233) and Medicare shortfall are reported separately by the IRS and are not community benefit on the form.

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 Aloisius Hospital: CEO pay $340,991, charity care 0.01% of expenses