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Giving Options

Why Planned Giving?

For starters, significant economic benefits exist to you, including reduced capital gains and income taxes, asset protection and an opportunity to have a guaranteed income for life! In addition, wonderful opportunities exist to pass assets on to your family members at a reduced tax liability, while allowing you to make a difference at CHI St. Alexius Health. You can make a planned gift to CHI St. Alexius Health Foundation in a number of ways, including bequests, cash, life income trusts and annuities, life insurance, real estate, securities, and any combination of the above.

Wills or Bequests

Cash, securities, real estate, or personal property can all be given to CHI St. Alexius Health through a well-planned will. A bequest can be stated simply, as follows:

"I give and bequeath to the trustees of CHI St. Alexius Health ___% of my total estate (or $________ or other property)."

Such a provision creates an unrestricted bequest, which assures that your gift will be used where it is most needed at the time it is received. In addition to the unrestricted bequest, a gift by will may be designated for a specific program or purpose within the scope of our mission. When making provisions by will, it is important to use our correct name and address. Please contact CHI St. Alexius Health Foundation for specific information.

Charitable Remainder Annuity Trust/Charitable Remainder Unitrust

Both of these plans are irrevocable trusts that feature income based on the value of the property donated. An annuity trust pays a fixed income based on the value of assets at the time the trust is created, while a unitrust provides a fluctuating income based on a fixed percentage of the trust's annual value. When the trust is created, capital gains tax can be avoided or postponed, and an income tax deduction is available for a portion of the value of the property. In addition, capital gain and/or dividend income from the charitable remainder trust may be taxed more favorably than other income. Gifts made in this manner can result in tax savings as well.

Gift Annuity Agreement

Through a charitable gift annuity, you can make a gift to a charitable interest and receive fixed annual payments for life. The payment amount is based on your age when the gift is completed; the older you are, the larger the payments. An income tax deduction is allowed for a portion of the amount transferred. For a period of time based on life expectancy, only part of the payments will be taxed as income. If stocks or other property that has risen in value is given for a gift annuity that pays income to you and/or your spouse, a portion of the capital gain is never taxed, and the remainder may be gradually reported over a period of time. If you and/or your spouse are the only payment beneficiaries, the amount used to fund a gift annuity is generally not subject to estate taxes that might otherwise be due.

Life Insurance

Life insurance gifts list CHI St. Alexius Health as the owner and beneficiary of your policy. These policies are great investments where you may continue to contribute to the premium each year and receive an annual tax deduction.

Retirement plans

Whether it's an employer-sponsored retirement plan, a private fund such as an Individual Retirement Account (IRA), or a combination of the two, you can designate CHI St. Alexius Health as the final beneficiary of any remaining funds which you or your loved ones do not use. This gift can be designated when the fund is first established, or it can be added later. The plan administrator will provide a change of beneficiary form upon request. You can then indicate the amount or percentage of assets you wish to allocate to charity. Giving in this way can help maximize estate and income tax savings for your heirs.

Charitable Lead Trust

A charitable lead trust can be created to provide income to CHI St. Alexius Health for a designated period of time-typically 5, 10, 15, 20, or more than 20 years. Through the use of this plan, it is possible to transfer assets to heirs while paying little or no gift or estate tax. This plan is especially attractive for those who believe they may still be subject to such taxes.

Revocable Living Trust

Just as in the case of a gift by will, through the use of a revocable living trust you can provide for eventual gifts of real estate, cash, or other property, knowing that all or part of the assets may be returned upon request during your lifetime. Since the property may be returned, there are no current tax advantages. Title to the property ultimately passes to charity under the terms of the trust agreement. It does not pass through the will, and may thus avoid the possible costs and delays of probate. Property passing to charity in this way is also free from the possible burden of estate taxes. The income from the trust during lifetime can be paid to the donor, another person, or a charitable interest, as directed. While most charitable gifts are made in the form of cash, important advantages can be possible when gifts are made using other property that has increased in value.

Gifts of Appreciated Property

When stocks, bonds, mutual funds, real estate, and other appreciated assets are sold, tax is due on any capital gain. When making charitable gifts, it is often pleasing to learn that when appreciated property is given that has been held long-term (more than 12 months), an income tax deduction is generally allowed, based on the current value of the property rather than just its cost. It is usually best to donate property that would be subject to the highest amount of tax if sold. The combined benefits of bypassing tax on the capital gain, receiving an income tax deduction, and making a charitable gift can be substantial.

Increasing Retirement Income

Many of the plans described here can be welcome additions to retirement plans. Assets that have increased in value but yield little income can be used to fund a charitable gift plan that features income benefits and thus helps assets do "double duty." The payments received from the gift plans described herein will generally be based on the full value of donated property, not just what would be left after payment of the tax on gain if the property were sold. Tax savings will also be enjoyed from the deduction available when the plan was created. This amount can be invested for additional income.

Example: John Harrison, 75, has been retired for five years. He has $100,000 worth of stocks that cost $35,000 and yield less than 1%. He would like to receive more than the $750 per year in income that this asset currently yields. If he sold the securities, he would owe capital gains tax on the $65,000 increase in value. He would thus have less than $100,000 left to invest after paying that tax. If he instead placed the stocks in a charitable remainder annuity trust with a payout rate of 6%, his spendable income from the property would increase some eightfold to

$6,000 per year. He would not incur tax on the $65,000 gain at the time of his gift, and would thus receive income based on the entire $100,000. His income tax deduction would be approximately $50,000. Mr. Harrison's income tax savings from the gift would be over $17,000. In addition, he would gain the satisfaction of knowing he made a charitable gift that he did not think would be possible.

Federal Gift and Estate Taxes

Tax legislation enacted in 2001 results in more people being exempted from federal gift and estate taxes as tax rates fall and the threshold at which they apply rises over time. The threshold amount for federal gift taxation is now $1 million per person. The estate tax exemption is $2 million for 2008 and is scheduled for additional increases. You may find that the value of your assets now exceeds or will grow at a faster rate than the exemption amounts. This is especially true of gift taxes, where the exempt amount is not scheduled to rise above $1 million per taxpayer.

Benefits of Planning

As you can see, through careful planning of charitable gifts it can be possible to meet multiple goals. By choosing the best property to fund gifts, their timing, and the methods used to make them, it can be possible to make larger gifts while minimizing or eliminating federal estate and gift taxes that might otherwise be due. This can be accomplished while preserving, or even enhancing, your financial well-being.

The purpose of this information is to provide general gift, estate, and financial planning information. It is not intended as legal, accounting, or other professional advice. For assistance in planning charitable gifts with tax and other financial implications, the services of appropriate advisors should be obtained. Consult an attorney for advice if your plans require revision of a will or other legal document. Tax deductions vary based on applicable federal discount rates, which can change on a monthly basis. Some opportunities may not be available in all states. When the trust is created, capital gains tax can be avoided or postponed, and an income tax deduction is available for a portion of the value of the property. In addition, capital gain and/or dividend income from the charitable remainder trust may be taxed more favorably than other income. Gifts made in this manner can result in tax savings as well.

This information is intended as a guide to the gift planning process. More information is available on request. Please contact Brittny Mayo in the Foundation at 701.774.7466.

CHI St. Alexius Health Williston hosts 2-3 signature fundraising events each year. In 2023, they are the Sugar Bust 5k, which raises funds for our local diabetes patients needs, and the Hometown Healing Charity Concert, whose funds will go towards the renovation and reopening of our Mental Health Wing and the expansion of our Emergency Department.

These Signature Events are an important piece of our capital fundraising projects. These events help us fund many of our important equipment purchases, as well as our facility and environment improvement projects.

Your generosity ensures that patients receive quality, compassionate care close to home. It allows us to continue upgrading equipment, staying current with best practices and technology. We have many funding areas to give, but if you do not see a particular area you would like to give to, please reach out to the Foundation team at 701.774.7466 and they will help find the best fund for your donations.

The General Surgery team at CHI St. Alexius Health Williston is here to provide optimum care to severely injured or sick surgical patients.

The doctors here are trained to diagnose and treat a range of surgical conditions including but not limited to: traumatic injury, breast disease, gallbladder disease, upper gastrointestinal issues, small and large bowel disease - including screening colonoscopies, abdominal wall hernias and cancer care.

Cutting Edge. Close To Home.

We offer Laparoscopic and open surgical procedures. The surgical provider's goal is to help patients understand their illness to assist them in making educated treatment decisions. At CHI St. Alexius Health Williston, we strive to provide cutting edge care in a supportive environment close to home.

We are available 24 hours a day, 7 days a week for surgical procedures.

Services Provided:

  • General Surgery
  • Advanced Laparoscopic Surgery
  • Endoscopic, Upper and Lower
  • Hernia Repair
  • Breast Surgery
  • Port Placements
  • Feeding Tube Placement
  • Cancer Surgery

At the Birthplace, we believe every birth is a miracle, and every miracle deserves the best. Giving birth is likely one of the most exciting events in your life. At CHI St. Alexius Health we want you and your family to experience a healthy and happy beginning, for a lifetime of memories. Our OBGYN and nurse midwives offer expert care with a personal touch right here in Williston.

Comfort: Spacious birthing suites offer jetted soaking tubs, adjustable labor beds and sleeper sofas.

Choice: Freedom to move around, birthing balls, laboring in the bathtub and an epidural are all options for managing your labor the way you choose and as long as medically able.

Support: Our labor and delivery experts stay with you throughout your delivery to offer coaching and support. Breastfeeding assistance is provided by the OB staff.

Peace of mind: You can rest assured knowing you're surrounded by experts prepared to care for you and your baby. You will have around-the-clock access to anesthesiology, which means pain control options are quickly available.

Safety: Our experienced team includes board-certified OB/GYN physicians and nurse midwives who are available 24/7 on weekends/holidays. If an emergency arises, they assist until your physician can arrive.

Primary care providers are here to help you find your healthy place. They establish a baseline record of your health and track your progress making sure you are on the road to good health. Primary care providers diagnose and treat illness and disease while focusing on wellness (routine checkups, disease prevention, ect.). If you are in need of further care, they can refer you to a specialist for further testing and work together with your specialist to ensure you receive the best care for you and your family. Need Care Now? Our Walk-In Clinic is open Monday - Friday!

Your primary care provider is considered your ‘quarterback’ to health. They are specially trained to care for your family’s health care needs, even when you are not sick. Choosing a provider whom you feel comfortable with and trust is very important. Together you will work together to make the best decisions about your care. Primary care providers focus on a variety of specialties.

Emergency and trauma medicine professionals at CHI St. Alexius Health take pride in delivering quality service 24 hours a day, 365 days a year, in a timely, efficient and safe manner.

Our team includes board-certified emergency medicine specialists, nurses trained in emergency and critical care and skilled health professionals who are called upon as needed. We care for our patients using a teamwork approach which includes caring, dedicated, competent professionals and state-of-the-art treatment, technology and equipment and by giving superior customer service.

Our hospitals’ Emergency Departments attend to all emergencies including heart attacks and strokes. Upon each patient’s arrival, a triage process (to assess the degree of urgency) determines the order in which all patients are seen and the most efficient care plan.

Donations to this fund will help our expansion from the current 2,000+sqft Emergency Department to a 22 bed private Emergency Department to accommodate the growing population of Williston.

Since 1996, CHI St. Alexius Health Williston's Leonard P. Nelson Cancer Center has been the leading provider of oncology services in the region. The Leonard P. Nelson Cancer Center continues the tradition of quality service for cancer patients and their families by delivering the most advanced services close to home.

Services Provided

Radiation Oncology:

  • EBRT - External Beam Radiation Therapy
  • IGRT - Image Guided Radiation Therapy
  • VMAT - Volumetric modulated arc therapy

Medical Oncology:

  • Latest chemotherapy protocols and regimens
  1. IV Chemotherapy
  2. Oral Chemotherapy
  3. Intravesical Chemotherapy
  • Chemotherapy Clinical Research Protocols
  • Telemedicine access to Medical Oncologist and Genetic Counselor ● Scalp Cooling Technology

IV Therapy treatments:

  • IV Antibiotics
  • IV Therapies
  • Blood Transfusions
  • Osteoporosis Infusions
  • Autoimmune Infusions
  • Hydration Infusions
  • Anti-Nausea Infusions
  • Iron Infusions

Support services:

  • Social worker
  • Dietitian
  • Cancer support group
  • Spiritual care Digital PET/CT Imaging

No matter what kind of pain you’re living with, our team of orthopedic specialists can help you get back to the things you enjoy.

Shoulder Pain: As the third leading cause of orthopedic disability, shoulder pain can be debilitating. It doesn’t have to be. We provide excellent physical therapy in conjunction with medications to alleviate pain.

Knee & Hip Pain: Through a highly personalized program of pre- and post-operative education, specialized treatment, and active therapy, we’re getting knee and hip patients back to enjoying their normal lifestyles.

Joint Pain: Whether it’s chronic arthritis or the aggravation of tendinitis, no one should have to live with joint pain. Our specialists can show you a variety of options that can relieve or end your everyday pain

Orthopedic services include:

  • Sports Medicine
  • Partial and total joint replacement surgery
  • Arthroscopic surgery
  • Fracture care
  • Orthopedic trauma
  • Hand and wrist conditions including carpal tunnel syndrome
  • Sports injuries
  • Work injuries
  • Arthritis
  • Occupational therapy and physical therapy


Kate's Club began as a grass roots donation program to honor the mission of the founder of the Sisters of Mercy Catherine McAuley, where individuals and businesses can show their support and belief in CHI St. Alexius Health Williston and its healing ministry. This program helps us purchase much needed equipment in the facility, such as ultrasound machines, glucometers, breast surgery equipment, etc.

By signing up for this monthly donation commitment, you are not only supporting our ability to purchase critical equipment, but helping us continue Catherine McAuley's mission of providing compassionate and quality care close to home in Williston.

All donations are tax deductible. Visit the Kate’s Club page to sign up.