2023-08-15T13:00:25-05:00 2022-09-30 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2021-10-01 450226426 St Andrew's Hospital STAN 7012289300 316 Ohmer Street Bottineau ND 58318 Christopher Albertson President & CEO 7012289300 2023-08-14 1 Christopher Albertson 999009999 Kim Hunwardsen CPA P00484560 6122536500 2023-07-27 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z SMP Health - St Andrew's Christopher Albertson 316 Ohmer Street Bottineau ND 58318 17858050 0 0928 X https://smphealth.org/standrews/ X 1913 ND Acute care critical access hospital 8 7 139 7 0 0 1438254 1180184 13826476 16537311 54050 117242 22635 23313 15341415 17858050 0 0 0 0 6116537 6762493 0 0 0 7316921 10064802 13433458 16827295 1907957 1030755 12327244 11192849 2686854 1490843 9640390 9702006 X St. Andrew's Health Center, in union with the Sisters of Mary of the Presentation, works for the glory of God by bringing the Word and Healing of Jesus Christ to all, with a special concern for the poor and elderly. Through the shared ministry with the laity, St. Andrew's Health Center participates in the health care mission in the work of healing which is the work of God. Our individual inspiration is Jesus and His Gospel message. Permeated with the Charism of the Sisters of Mary of the Presentation, we minister to one another and to all who come to us for care. 0 0 14744680 16537311 SMP Health - St. Andrew's (Health Center), formerly doing business as St. Andrew's Health Center, is a 25-bed acute care hospital and a senior apartment facility located in Bottineau, North Dakota. SMP Health - St. Andrew's has been a part of the community since 1913. Our mission is to provide services to all who come to us for care; this is something that we are very proud of. Our ability to better the lives of those most in need is the core of our beliefs and knowing that we can make a difference in the lives of those we serve. In addition, we believe that through our leadership and presence in the community that we have been and will continue to be an essential part of the healthcare delivery team. Statement continued on Schedule O.St. Andrew's Hospital is designated as a Critical Access Hospital and has had the designation since July 2001. There were 355 acute patient days and 4,588 swing-bed days. The percent of occupancy was 54.2%.We continue to utilize "The Guide for Planning and Reporting Community Benefit" book that was prepared by the Catholic Health Care Association to help determine what qualifies as a community benefit. We attend a variety of educational opportunities throughout the year to provide direction in reporting on our benefits to the community.The Hospital provides healthcare services to patients who meet certain criteria under its charity care policy without charge or at amounts less than established rates. Since the Health Center does not pursue collection of these amounts, they are not reported as patient service revenue. The estimated cost of providing these services was $48,000 for the year ended September 30, 2022, calculated by multiplying the ratio of cost to gross charges for the Health Center by the gross uncompensated charges associated with providing charity care to its patients.St. Andrew's also commits significant time and resources to endeavors and critical services which meet otherwise unfulfilled community needs. Many of these activities are sponsored with the knowledge that they will not be self-supporting or financially viable. 14744680 1 1 0 0 0 0 0 0 1 0 1 1 0 1 0 1 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 24 0 1 139 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 7 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 0 X Christopher Albertson 7012289300 316 Ohmer Street Bottineau ND 58318 Jeremi Tweed Chair 0.30 0.00 X X 0 0 0 Melissa Block Vice Chair 0.30 0.00 X X 0 0 0 Sr Debra Berry Director 0.30 1.50 X 0 0 0 Dan Bullinger Director 0.30 0.00 X 0 0 0 Dwane Getzlaff Director 0.30 0.00 X 0 0 0 Rick Gustafson Director 0.30 0.00 X 0 0 0 Sr Anne Germaine Picard Director 0.30 1.50 X 0 0 0 Christopher Albertson President & CEO 20.00 23.00 X X 0 296078 59095 Courtney Vandal CFO 40.00 2.00 X 0 100091 34891 Robert Hamilton MD Family Medicine Physician 40.00 0.00 X 258568 0 28841 Jessica Skjolden MD Family Medicine Physician 20.00 0.00 X 155394 0 21704 Steve Arnold NP Nurse Practitioner 40.00 0.00 X 146365 0 24151 Janel Agnes Pharmacist 40.00 0.00 X 118090 0 23282 Keith Pritchard Physcical Therapist 40.00 0.00 X 101181 0 22776 Brenda McIntyre RN 40.00 0.00 X 118565 0 23276 Cory Miller MD Family Medicine Physician 20.00 0.00 X 145025 0 20596 Alfred Sams Former President & CEO 0.00 40.00 X 0 247228 46059 Steve Lindemann Former CFO 0.00 40.00 X 0 186160 32767 1043188 829557 337438 7 1 1 0 Medical Solutions LLC PO Box 850737 Minneapolis MN 55485 Travel Nursing Staff 742948 SMP Health PO Box 10007 Fargo ND 58106 Administrative Services 663446 Homestead Recruiters Inc 821 Senior Ave Dickinson ND 58601 Travel Nursing Staff 517619 Fastaff LLC PO Box 911452 Denver CO 80291 Travel Nursing Staff 450479 CPSI PO Box 850309 Mobile AL 36685 Software Maintenance 222659 11 88000 1060413 31771 1180184 Patient Service Revenue 621110 16315851 16315851 Congregate Housing 623990 127490 127490 Management Fee 900099 2625 2625 91345 91345 16537311 117242 117242 23313 0 23313 23313 23313 17858050 16537311 0 140555 X 5407760 4746937 660823 132294 116128 16166 844888 741643 103245 377551 331415 46136 22518 22518 40210 40210 5460175 4776428 683747 25470 181 25289 518164 380983 137181 393360 371312 22048 40825 23976 16849 5752 5752 14173 14173 3399 2988 411 421558 370580 50978 105555 105555 Medical Supplies 2311837 2280760 31077 Repairs and maintenance 462072 352364 109708 Food 104010 104010 135724 33668 102056 16827295 14744680 2082615 0 2754789 436026 2228209 1963989 237540 360466 151894 225472 11234207 8790479 2241046 2443728 3667730 3177010 1046036 2586158 12327244 11192849 1057187 1105433 102900 57418 3500 2750 275086 241233 1073181 84009 175000 0 2686854 1490843 X 8622970 8824100 1017420 877906 9640390 9702006 12327244 11192849 X 1030755 -819603 -149536 X X 0 1 X 0 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 118981 118981 7054812 5608892 1445920 3678932 3077307 601625 381482 104280 277202 2443728 Pooled Investment Fund 3177010 F 3177010 Other receivables 81752 Interest in net assets of St. Andrew's Foundation 877406 Estimated third party payor settlements 1627000 2586158 X 17038447 -819603 -819603 17858050 0 17858050 16827295 0 16827295 0 16827295 Part IV, Line 2b: St. Andrew's Hospital acts as custodian for the patients and holds patient security deposits. Part X, Line 2: The Health Center believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Health Center would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. 1 1 X 1 X 1 X 1 1 1 0 1 1 48000 48000 0.00290 378287 303906 74381 0.00440 426287 303906 122381 0.00730 2768709 2242568 526141 0.03130 2768709 2242568 526141 0.03130 3194996 2546474 648522 0.03860 1 203846 22831 8931726 8898149 33577 X 1 1 1 1 St Andrew's Hospital 316 Ohmer Street Bottineau ND 58318 www.standrewshealth.com 5005 X X X X 1 provider based rural health clinic St Andrew's Hospital 1 0 0 1 X X X X X X X X X 21 1 0 1 1 X https://www.standrewshealth.com/resources/ X 1 21 1 https://www.standrewshealth.com/resources/ 0 1 X 100.000000000000 200.000000000000 X X X X 1 1 X X X X 1 X https://www.standrewshealth.com/resources/ X https://www.standrewshealth.com/resources/ X https://www.standrewshealth.com/resources/ X X X X X 1 X 0 X X X X 1 X 0 0 St. Andrew's Hospital Part V, Section B, Line 5: Throughout the CHNA process Rolette County Public Health was involved. The qualitative primary research methodology consisted of stakeholder interviews and focus group discussions with key community stakeholders, policymakers, and residents. In total, ten one-on-one virtual phone interviews were conducted. St. Andrew's Hospital Part V, Section B, Line 6b: Bottineau County Public Health St. Andrew's Hospital Part V, Section B, Line 11: A number of needs were identified in the 2018 CHNA process conducted by the UND Center for Rural Health. During the final community group meeting, public health and other community leaders narrowed the list down to two top needs:1. Not enough jobs with livable wages.2. Depression and anxiety.Not enough jobs with livable wagesSt. Andrew's Executive Team and Board of Directors approved substantial changes to the wage scale for the 2022 budget. St. Andrew's continues to experience substantial inflation in the market for Human Resources. As such, the wage scale will be re-evaluated to ensure St. Andrew's can be competitive in the market for talent. This evaluation will take into account competitors outside of the healthcare space.Depression and AnxietyThe Rural Mental Health Consortium is no longer functional. St. Andrew's continues to provide mental health services in its Rural Health Clinic. The feasibility of a MAT program continues to be evaluated. The Hospital is working to bring mental health to patients via telemedicine with a Psychiatry Network.The 2021 CHNA was completed in fiscal year 2022. The following needs were identified and will be addressed over the next 3 years.1. Increase the number of mental health providers for adults2. Increase the number of mental health providers for children and youth3. Increase the number of prescribing mental health providers (i.e., psychiatrists)4. Improve school-based mental health support for children and youth5. Improve drug and other substance abuse early intervention and prevention services6. Increase availability of resources to help seniors stay in their homes (e.g., home health, senior meals)7. Improve care coordination between the hospital and other clinics, private doctors, or other health service providers8. Increase drug and other substance abuse treatment services 9. Increase or promote opportunities for physical fitness10. More intentionally engage the Native American community in health and wellness initiatives11. Increase access to affordable quality childcare12. Increase access to affordable rental housing13. Increase access to specialty health care providers in the community (i.e., neurologists, endocrinologists)14. Increase awareness of services or programs to help people learn about, and enroll in, programs that provide financial support for people needing health care15. Increase case management services for people with complex chronic health conditionsThe Hospital will not address increase access to affordable quality childcare and affordable rental housing as the needs are out of the hospital's purview and would be better addressed by other community partners. St. Andrew's Hospital Part V, Section B, Line 13h: In addition to using 200% of the federal poverty guidelines to determine eligibility for providing discounted care to low income individuals, St. Andrew's Hospital also uses a sliding fee schedule based on income and family size. Depending on income and family size a patient could have 20%, 40%, 60%, 80% or 100% written off to charity care.Individuals with medical expenses in excess of 30% of their gross income who would otherwise not qualify for the Caring Program based on their earnings can qualify for catastrophic charity care and receive a reduction in the cost of their medical services. 1 1 - St Andrew's Senior Housing 316 Ohmer Street Bottineau ND 58318 Senior housing Part I, Line 3c: In addition to using 200% of the federal poverty guidelines to determine eligibility for providing discounted care to low-income individuals, St. Andrew's Hospital also uses a sliding fee schedule based on income and family size. Depending on income and family size a patient could have 20%, 40%, 60%, 80% or 100% written off to charity care.Individuals with medical expenses in excess of 30% of their gross income who would otherwise not qualify for the Caring Program based on their earnings can qualify for catastrophic charity care and receive a reduction in the cost of their medical services.Part I, Line 6b:St. Andrew's Hospital makes its community benefit report available to the public by posting it on an internal bulletin board. Part I, Line 7: Charity care expense on line 7a was converted to cost based on an overall cost-to-charge ratio addressing all patient segments. Unreimbursed Medicaid on line 7b and subsidized health services line 7g was calculated using the costing methods to prepare the cost reports. Part III, Line 2: The amount on line 2 represents implicit price concessions and bad debts. The Organization determines its estimate of implicit price concession based on its historical collection experience with this class of patients. Bad debt reflects amounts that will not be paid by patients based on an adverse change in the patient's ability to pay. Part III, Line 3: The estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's charity care policy is based on 11.2% of individuals living below the federal poverty level (per the U.S. Census Bureau for Bottineau County). Part III, Line 4: The footnote to the Organization's financial statements can be found on pages 12 and 13 of the attached audited financial statements. Part III, Line 8: St. Andrew's Hospital provides services to patients under the Medicare program knowing they will not recover all the costs associated with providing these services. Providing these services is essential to these patients and the community and increases their access to healthcare services. Fiscal year 2022 had a Medicare surplus. Any year there is a Medicare shortfall that would be considered a community benefit.Hospital services reimbursed on a fee schedule are not included in the Medicare calculation per the 990 instructions. Had this been reported the total loss from Medicare services would have been $184,270.Medicare fee schedule revenue $ 82,347Medicare estimated costs of care relating to payments (266,617)Net (Shortage) $ (184,270)Total revenue received from Medicare is the gross reimbursement plus settlement. Both total revenue received from Medicare and the Medicare allowable costs are reported from the Medicare Cost Report. The Medicare Cost Report is completed based on the rules and regulations set forth by Centers for Medicaid and Medicare Services. Part III, Line 9b: The Hospital does not pursue extraordinary collection activities for 120 days from the date of service while the patient is applying for financial assistance. A 30-day notice is provided to the patient before any collection activities begin. A patient has a total of 240 days to apply for financial assistance. Individuals provided with charity discounts, financial assistance, or are on payment plans are not referred to a collection agency. After a determination of charity care, any personal portion due would follow the same collection procedures as other types of patients. Part VI, Line 2: In addition to the CHNA, the Hospital receives regular feedback on community needs from board members, other community organizations such as Economic Development Corporation and Chamber of Commerce, and from interested community members. Part VI, Line 3: Extensive signage is posted throughout the facility in the ER, waiting rooms, and the admissions/registration area. Patient statements include language regarding opportunity for financial assistance. The financial assistance policy and application for charity care/financial assistance are on the website. All collection related notices include encouragement to patients to explore financial assistance. The facility employs a Community Resource Coordinator (CRC), who offers an array of services in searching for medical/dental coverage for those that are underinsured or uninsured. The number of uninsured and underserved is growing in Bottineau County. We are seeing an increase in the individual's out of pocket costs that remain following payments provided by their insurance carriers. With the rise in health care premiums and aging population, families have to make some difficult decisions. The lack of insurance or underinsured has a devastating effect on the people of our community. We are committed to the Catholic Healthcare Initiative on working towards insurance coverage issues for the uninsured and underinsured. Part VI, Line 4: St. Andrew's Hospital is a 25-bed acute care hospital and a senior apartment facility located in Bottineau, North Dakota. St. Andrew's Hospital serves approximately 7,500 individuals, encompassing a large part of Bottineau County. Bottineau County is located in rural, North Central North Dakota, next to the Canadian border. Our main patient base is of senior-citizen age, as the percentage of individuals over the age of 65 in Bottineau County is 24.3%. 11.2% of our population base is living below the poverty level and the 2021 estimated median household income was $68,095. Unemployment in 2022 was 2.4% compared to 2.3% in North Dakota. The most common industries are retail trade, health care and social assistance and construction. Part VI, Line 5: SMP Health - St. Andrew's board is comprised of eight members: Christopher Albertson, CEO, two sisters from the Sisters of Mary of the Presentation, and five community members otherwise unaffiliated with the facility or Sisters of Mary of the Presentation. To meet the needs of our community, the Hospital extends privileges to medical staff that are qualified and licensed. In addition to regular planning for systematic replacement/enhancement of patient care equipment like CT scanners and patient beds, the organization periodically assesses additional needs for equipment and utilizes surplus funds as well as community donations to help meet those needs.SMP Health - St. Andrew's and its team of co-workers strive to increase their level of community involvement. Many of the employees of the Hospital serve on multiple local and regional committees working to improve the health and lives of the members of Bottineau County. SMP Health - St. Andrew's operates an emergency room available 24 hours a day and accepts all patients, regardless of ability to pay. We are the sole provider of emergency and inpatient services in our county. The Hospital operates a separate foundation which conducts fundraising activities and solicits funds that are utilized to further the programs of the Hospital. The Foundation makes regular contributions to the Hospital for items that directly improve patient care (minor and capital). St. Andrew's also works with the school system to provide volunteer opportunities for students to work in the Health Care Center.Beyond Charity CareIn addition to our free charity care, the Hospital has provided many other services to meet the needs of those in Bottineau County and service area: we provide access to clinical practice to the Bottineau and Minot region.A number of students job shadow in various departments as part of their education requirements. Over the past year we have had students job shadowing or completing internship hours for Lab technician. We have the school of nursing students from Dakota College Bottineau at the facility completing practicals during the college school year. We are happy to be a clinical site to Dakota College-Bottineau for the ADN/PN nursing program and UND for the NP program; we have a number of students that utilize SMP Health - St. Andrew's for their clinicals on a day-to-day basis. St. Andrew's Hospital allows for time to educate high school students about potential career opportunities in health care and provides job shadowing opportunities for those interested. The Hospital works closely with the Health and Sciences Instructor from the local high school to provide health career access to the students. The Hospital has provided presentations to members of the community and the surrounding areas/groups to educate them about the health and wellness issues. A regular Healthbeat article is printed in the local newspaper. There is also a weekly radio spot to discuss current healthcare related issues. Services were expanded to offer blood pressure checks and wellness profiles to the community of Bottineau. SMP Health - St. Andrew's participates in a number of community events/activities that pertain to healthcare and direct relations to the community; including wellness committee, bio terrorism group, disaster preparedness, co-sponsor a blood drive, blood pressures are offered during a variety of community events such as North Central Electric's annual meeting held in June, and our annual Hospital week celebration, just to name a few. Blood pressure screenings are offerred every Tuesday. This helps monitor the vascular health of 20 to 30 patients each week. Annually, approximately 1,000 people are impacted. Throughout the year food pantry drives were held and funds collected to give to the school system for children in need of money for milk at snack time. The Community Resource Coordinator (CRC) offers assistance to those in need. The CRC offers an array of services in searching for medical/dental coverage for those that are underinsured or uninsured. The CRC maintains the blanket hugs program and provided approximately 70 free blankets for pediatric patients in need of comforting. The CRC also helps individuals complete Caring Program paperwork. In total, the CRC provides resources to approximately 100 people in the community and service area. Without the resource, many of these individuals would go with needs unmet. Part VI, Line 6: We are an affiliate of the Sisters of Mary of the Presentation Health System dba SMP Health. SMP Health St. Andrew's operates in accordance with the mission, vision, and values of the SMP Health. Our annual budgeting process includes an assessment of how our budget demonstrates a commitment to the values of the system and the system works to ensure we are always mindful of our duty to care for the poor and those in need. SMP Health St. Andrew's has a Strategic Plan developed from themes set forth by the Health System for all affiliates. The strategic plan is an active document which SMP Health St. Andrew's works on continuously and reports back to the health system on our progress toward established goals which again, align with the mission, vision, and values of the organization. 0 1 0 0 0 0 0 0 0 Christopher Albertson President & CEO 0 262500 0 21971 0 11607 0 28633 0 33345 0 358056 0 5607 Alfred Sams Former President & CEO 0 217000 0 22577 0 7651 0 16525 0 32146 0 295899 0 1651 Robert Hamilton MD Family Medicine Physician 258568 0 0 0 0 0 8143 0 20698 0 287409 0 0 0 Steve Lindemann Former CFO 0 141652 0 10851 0 33657 0 7815 0 26662 0 220637 0 465 Jessica Skjolden MD Family Medicine Physician 155394 0 0 0 0 0 5125 0 16579 0 177098 0 0 0 Steve Arnold NP Nurse Practitioner 146365 0 0 0 0 0 4821 0 19330 0 170516 0 0 0 Cory Miller MD Family Medicine Physician 145025 0 0 0 0 0 4687 0 15910 0 165622 0 0 0 Part I, Line 3 St. Andrew's Hospital does not pay compensation to the President & CEO or CFO. These positions are compensated by Sisters of Mary of the Presentation Health System, a related organization, for services to the Hospital. Sisters of Mary of the Presentation Health System uses one or more of the methods in Part I, question 3 to determine compensation. Part I, Line 4b SMP Health has a nonqualified deferred compensation plan that complies with Section 409A of the IRC. SMP Health begins contributions into the plan after the employee's first year of service. The employee is vested based on a 20 year vesting schedule or becomes fully vested in the event of death, disability or reaching the age of 65. Employee name and amounts included on Schedule J are as follows: Name Part II, column B (iii) Part II, column C Alfred Sams 1,651 849 Christopher Albertson 5,607 8,917 Courtney Vandal 91 1,409 Steven Lindemann 465 953 Form 990, Part VI, Section A, line 6 The sole member of the organization is the Sisters of Mary of the Presentation Health System dba SMP Health. Form 990, Part VI, Section A, line 7a The member is entitled to vote in the election of Directors and to cast one vote for each Director to be elected. The member is also entitled to one vote on every other matter to be voted on by the member. Votes cast on behalf of the member are cast by the Chief Executive Officer of SMP Health. The member has the exclusive right to elect or remove Directors. Form 990, Part VI, Section A, line 7b The authority to act on the following matters are exclusively vested in the member of the organization: 1. any change in the philosophy, objectives and purposes of the organization; 2. amendment of the articles of incorporation and bylaws; 3. the election or removal of the Directors; 4. merger or consolidation with any other organization; 5. dissolution of the organization or the sale, lease or exchange of all or substantially all of its property or assets; 6. the sale, lease, transfer or encumbrance of any land, buildings or other assets owned by the organization or in which the organization has or will have equitable or legal title; 7. approval of the annual operating and capital budgets; 8. appointment of the Chief Executive Officer. Form 990, Part VI, Section A, line 8b The Organization does not have committees with authority to act on behalf of the governing body. Form 990, Part VI, Section B, line 11b The Form 990 is made available to the governing body before it is filed. The Organization's President & CEO and CFO review the Form 990. Form 990, Part VI, Section B, line 12c Each Director and Officer must submit in writing to the Chair of the Board and the President & CEO a list of all business or other organizations of which the individual is an officer, director, trustee, member, owner (either as a sole proprietor or partner), shareholder with a 5% or greater interest in all outstanding voting shares, employee or agent, with which the organization has, or might reasonably in the future enter into, a relationship or a transaction in which the Director would have conflicting interests. Each written statement is resubmitted with any necessary changes each year. The Chair of the Board reviews the statements of the Directors and the Vice Chair of the Board reviews the statement filed by the Chair. When a conflict arises the affected Director makes known the potential conflict, whether disclosed by written statement or not, and after answering any questions, will withdraw from the meeting for as long as the matter continues under discussion. Should the matter be brought to a vote, the affected Director will not vote on it. In the event the Director does not withdraw voluntarily, the Chair of the Board has authority to require the Director to remove himself from the room during both the discussion and vote on the matter. In the event the conflict of interest affects the Chair, the Vice Chair has authority to require the Chair remove himself in the same manner. If the matter is the item of business for which a special meeting of the Board was called, the affected Director will not be counted to establish a quorum, and he will not participate in the deliberations or vote on it. Form 990, Part VI, Section B, line 15 The Organization's President & CEO and CFO are compensated by SMP Health. The compensation process is determined by SMP Health. The SMP Health's Board of Trustees directly engages a nationally recognized independent compensation consulting firm to review the total compensation arrangements of the officers and key employees. The SMP Health's Board of Trustees approves all compensation based on comparable data and documents their decision in the meeting minutes. Form 990, Part VI, Section C, line 19 The Organization's governing documents, conflict of interest policy, and financial statements are not available to the public. Financial information is available through the public disclosure copy of the 990. Form 990, Part IX, line 11g Purchased services: Program service expenses 4,776,428. Management and general expenses 131,302. Fundraising expenses 0. Total expenses 4,907,730. Professional Fees: Program service expenses 0. Management and general expenses 30,079. Fundraising expenses 0. Total expenses 30,079. Management services: Program service expenses 0. Management and general expenses 522,366. Fundraising expenses 0. Total expenses 522,366. Form 990, Part XI, line 9: Equity transfer to related party -10,022. Change in interest in net assets of St. Andrew's Health Center Foundation -139,514. Form 990, Part XII, Line 2c: The governing board of Sisters of Mary of the Presentation Health System assumes responsibility for oversight of the audit for St. Andrew's Hospital. St Andrew's Bottineau Clinic LLC 316 Ohmer Street Bottineau ND 58318 450451306 Provision of health care services ND 1146360 -22171 St Andrew's Hospital Sisters of Mary of the Health Ministry 1202 Page Drive SW Fargo ND 58106 320617468 Supports SMP Health and the related entities ND 501(c)(3) Canonical Entity N/A 0 Sisters of Mary of the Presentation Health System dba SMP Health 1202 Page Drive SW Fargo ND 58103 450359620 Support related ND Catholic Health Care System ND 501(c)(3) Line 12a, I SMP Health Ministry 0 St Aloisius Medical Center dba SMP Health - St Aloisius 325 E Brewster St Harvey ND 58341 450226729 Provision of health care services ND 501(c)(3) Line 3 SMP Health 0 St Andrew's Hospital Foundation dba SMP Health St Andrew's Foundation Inc 316 Ohmer St Bottineau ND 58318 450413201 Support SMP Health - St. Andrew's ND 501(c)(3) Line 12a, I SMP Health 0 Presentation Medical Center dba SMP Health - St Kateri 213 2nd Ave NE Rolla ND 58367 450227391 Provision of health care services ND 501(c)(3) Line 3 SMP Health 0 Sisters of Mary of the Presentation Prairieland Home Care dba Prairieland H 1102 Page Drive SW Fargo ND 58106 450391192 Home health and supportive services ND 501(c)(3) Line 10 SMP Health 0 Sisters of Mary of the Presentation Long Term Care dba SMP Health - Long Te 1202 Page Drive SW Fargo ND 58106 752999939 Provide extended care and medically related services ND 501(c)(3) Line 10 SMP Health 0 St Margaret's Hospital Foundation 600 E 1st St Spring Valley IL 61362 364042262 Support SMP Health - St. Margaret's IL 501(c)(3) Line 12a, I SMP Health 0 SMP Illinois Region Health System dba St Margaret's Health 600 E 1st St Spring Valley IL 61362 842023121 Support related Illinois health care entities IL 501(c)(3) Line 12a, I SMP Health 0 IV HealthCorp Inc 925 W St Peru IL 61354 371211890 Support SMP affiliated entities IL 501(c)(3) Line 12a, I St Margaret's Health 0 St Margaret's Health - Spring Valley 600 E 1st St Spring Valley IL 61362 362167884 Provision of health care services IL 501(c)(3) Line 3 St Margaret's Health 0 Illinois Valley Community Hospital Foundation 925 W St Peru IL 61354 371211780 Support IV HealthCorp, Inc. IL 501(c)(3) Line 12a, I IV HealthCorp Inc 0 Hygienic Institute Fro LaSalle Peru and Oglesby 925 West Street Peru IL 61354 362167742 Provide primary health care servcies IL 501(c)(3) Line 10 IV HealthCorp Inc 0 St Margaret's Health - Peru 925 W St Peru IL 61354 362852553 Provision of health care services IL 501(c)(3) Line 3 IV HealthCorp Inc 0 Valley Regional Health Services L3C 4391 Venture Drive Peru IL 613541014 273891281 Outpatient oncology services IL N/A 0 1 SMP Enterprises PO Box 10007 Fargo ND 581060007 363486506 Collection Agency ND N/A C 0 SMP Enterprises - IL 600 East 1st Street Spring Valley IL 61362 363456566 Healthcare Management IL N/A C 0 Valley Health Enterprises 925 W St Peru IL 61354 363476877 Home medical equipment IL N/A C 0 Illinois Valley Health Services Inc 925 W St Peru IL 61354 364050682 Inactive IL N/A C 0 Health Care Building Corp 925 W St Peru IL 61354 363306917 Inactive IL N/A C 0 IVCH General Professional Liability Loss Fund 925 W St Peru IL 61354 366673231 Inactive IL N/A T 0 0 0 1 0 0 0 0 0 0 1 0 1 1 1 1 1 1 1 0