2022-08-11T08:37:11-05:00 2021-09-30 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2020-10-01 752999939 Sisters of Mary of the Presentation Long Term Care SIST 7012379290 1202 Page Drive SW Fargo ND 581060007 Aaron K Alton President/CEO 7012379290 2022-08-09 1 Aaron Alton 999009999 Kim Hunwardsen CPA P00484560 6122536500 2022-08-03 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z SMP Health - Long Term Care Aaron K Alton 1202 Page Drive SW Fargo ND 581060007 63677760 0 0928 X www.smphs.org X 2002 ND To provide extended care and medically related services 7 5 1440 69 0 0 703676 4436493 60912094 58441181 457183 461405 18020 11305 62090973 63350384 9719 8494 0 0 42725570 41179420 0 0 73940 19029967 20225209 61765256 61413123 325717 1937261 69136281 74641519 37772276 37925205 31364005 36716314 X SMP Health - Long Term Care, inspired by the Sisters of Mary of the Presentation, serves those in our care with respect and compassion as we strive to fulfill the healing mission of Jesus. 0 0 55116382 8494 58441181 Sisters of Mary of the Presentation Long Term Care dba SMP Health - Long Term Care is sponsored by the Sisters of Mary of the Presentation dba SMP Health, a religious order located in Valley City, North Dakota. The Sisters of Mary of the Presentation belong to a larger religious community founded in 1828 in Broons, France by two sisters Louise and Laurence LeMarch.SMP Health - Long Term Care is part of the SMP Health Corporation located in Fargo, North Dakota. SMP Health - Long Term Care operates five (5) Skilled Nursing Facilities in the State of North Dakota, and the specific purposes are: 1. To operate facilities for those aged and other individuals who are in need of housing where 24/7 skilled nursing care and medical support can be provided; 2. To establish, support, manage and furnish facilities, personnel and services to provide extended care and medically related services to the sick, injured, disabled and other persons in need of such services without regard to race, creed, color, sex or national origin; 3. To carry on such activities related to rendering health care services or the promotion of health, which in the opinion of the Board of Directors, may be justified by the facilities, personnel, funds or other requirements that are or can be made available; 4. To engage in any and all activities consistent with or in furtherance of the above purposes.The mission is congruent with the core values of SMP Health and include: Simplicity, keeping our ministry centered on God and service to people. We are simple and direct in our relationships; Hospitality, being open and welcoming all; Compassionate Care, manifesting God's presence by our concerned approach for the dignity and worth of each person as we give excellent personalized care to those we serve; Concern and Care of the Poor, supporting the cause of the poor and the elderly in ways manifested to us and to the extent our human and financial resources allow; Shared Ministry, collaborating as partners with those who share our ministry. We are united to serve the Mission and, as a team, build communities within our ministry; Stewardship, being responsible stewards of our resources: human, physical, and financial.Today, SMP Health - Long Term Care in conjunction with SMP Health carries out the mission to provide skilled nursing care services to those who are less fortunate and in need. As a not-for-profit, Catholic healthcare organization, we treat residents, regardless of their ability to pay. This is consistent with our mission and the Core Values of the Sisters. In addition, SMP Health - Long Term Care provided thousands of dollars in resources, including time and contributions to many throughout the region. Community service is a vital component of the organization since its inception.SMP Health entered into an Affiliation Agreement on January 1, 2021 with St. Margaret's Health-Peru, St. Margaret's Health-Spring Valley, IV HealthCorp, and Illinois Valley Community Hospital Foundation. The affliation was completed to better ensure the entities and related entities could accomplish the charitable healthcare purposes for which they were organized. 55116382 1 1 0 1 0 0 0 0 1 1 1 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 47 0 1 1440 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 5 1 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 0 X Becky Hansen 7012379290 1202 Page Drive SW Fargo ND 58103 Aaron K Alton President/CEO-SMP Health 17.00 42.00 X X 0 852090 28153 Becky Hansen Vice President of Finance 24.00 41.00 X X 0 366376 29624 Anthony Keelin-PresCEO SMP Health-St.Catherine North and South 40.00 0.00 X 0 258048 29810 Gary Bakke Former VP of Finance - SMPHS 0.00 0.00 X 0 284651 0 Craig Christianson - PresCEO SMP Health - St. Raphael 40.00 0.00 X 0 220583 28111 Lizabeth Letness Chief Clinical Officer 40.00 0.00 X 161136 0 24561 Meldine Tang - CFO SMP Health-St.Catherine North and South 40.00 0.00 X 0 172483 4828 Timothy Burchill - PresCEO SMP Health - Ave Maria 40.00 0.00 X 0 115053 28003 Rhonda Stich LPN 40.00 0.00 X 120308 0 12406 Matt Ahrndt - PresCEO SMP Health - Maryhill 40.00 0.00 X 0 114023 4010 Jon Aus Finance Coordinator 40.00 0.00 X 114570 0 4326 Wenwu Mulbah CNA 40.00 0.00 X 109580 0 5821 Edwin Bombo Jr CNA 40.00 0.00 X 112715 0 1396 Frank Redlin Chair 0.50 0.00 X X 0 0 0 Gregory Thompson Vice Chair until 7/1/21 0.50 0.00 X X 0 0 0 Paul Carson MD Vice Chair as of 7/1/21 0.50 0.00 X X 0 0 0 Lynette Schmitz Director 0.50 0.00 X 0 0 0 Pastor David Montecuollo Director 0.50 0.00 X 0 0 0 Sr Sharon Houle Director 0.50 0.00 X 0 0 0 Fr James Meyer Director until 7/1/21 0.50 0.00 X 0 0 0 Sr Elaine Lang Secretary 0.50 1.30 X 0 0 0 618309 2383307 201049 12 1 1 0 Sisters of Mary of the Presentation Heal 1202 Page Drive SW Fargo ND 58103 Administrative services 3217732 AEGIS Therapies Inc PO Box 8103 Fort Smith AR 72902 Resident therapy services 1126392 Dakota Travel Nurse 107 4th Ave NW Mandan ND 58554 Contract nursing 430653 Thiegles Therapy 119 Main St NW Lamoure ND 58458 Contracted therapy 381911 Prime Time Healthcare LLC 15380 Weir St Omaha NE 68137 Travel Nursing 332221 7 4197942 238551 4436493 Resident Service Revenue 623000 57022771 57022771 Management Services 561000 1072075 1072075 Cafeteria/Senior Meals 900099 213121 213121 Child Daycare Services 624410 23562 23562 Adult Daycare Services 624100 56 56 109596 109596 58441181 767811 767811 29575 18270 11305 11305 11305 2700 309106 -306406 -306406 -306406 63350384 58441181 0 472710 X 975 975 7519 7519 32701133 31341303 1326259 33571 691067 661999 28061 1007 5423525 5183789 219735 20001 2363695 2266006 96053 1636 24932 24932 31500 31500 12002 12002 7173504 4213657 2959242 605 71454 9544 60674 1236 1214574 979464 221601 13509 397107 397107 977914 977914 266041 259723 6015 303 54306 38006 16300 1256844 1221945 34703 196 3759941 3654152 104896 893 480976 480976 Medical Supplies 1773517 1773517 Food 1693434 1693434 Bad Debt Expense 457248 457248 Repairs and maintenance 381550 350396 31154 198365 25791 171591 983 61413123 55116382 6222801 73940 5009877 9236779 79952 5541558 5453787 197454 199113 141622 140193 83725125 48537003 38465999 35188122 51144 51349 18979424 23576006 118000 118000 551251 678170 69136281 74641519 3952144 3988139 3080882 26118 105201 150423 30307027 26332573 221656 7319838 105366 108114 37772276 37925205 X 29954065 34990022 1409940 1726292 31364005 36716314 69136281 74641519 X 1937261 3398046 17002 X X 0 1 X 0 0 X 389603 490978 257725 703676 4436493 6278475 54923216 57356393 59144597 60912094 58441181 290777481 29966 18670 2175 50811 55342785 57866041 59404497 61615770 62877674 297106767 1690 1220 2910 0 1690 1220 2910 297103857 438705 541392 588855 485228 797386 2851566 438705 541392 588855 485228 797386 2851566 55781490 58407433 59993352 62100998 63675060 299958333 0.99050 0.99130 0.00950 0.00870 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 12002 12002 0 Part II-B, Line 1: Sisters of Mary of the Presentation Long Term Care pays North Dakota Long Term Care Association for membership dues. The amount listed is Sisters of Mary of the Presentation Long Term Care's portion of lobby expenses paid through membership dues. 0 1 X 224484 50000 45100 10225 309359 208961 5000 10523 224484 211406 -2445 208961 205878 5528 211406 179720 15000 11158 205878 0.00000 0.71115 0.28885 0 0 1818210 1818210 69315327 38903282 30412045 8627027 6855649 1771378 3964561 2778072 1186489 35188122 SMPHS pooled investment funds 23576006 F 23576006 Interest Payable 108114 108114 X 66693849 3398046 -72851 3325195 63368654 -18270 -18270 63350384 61358542 18270 18270 61340272 72851 72851 61413123 Part IV, Line 2b: Resident trust funds are assets of the residents of SMPLTC over which SMPLTC has little or no discretion over the use of those resources. Part V, Line 4: Rosewood on Broadway was named beneficiary of an irrevocable gift of $150,000 from a donor's estate. The endowment gift will be held in perpetuity with the distributions from the fund to be restricted to providing financial support in furtherance of educational needs of nurses and nurse assistants. Part X, Line 2: SMPLTC 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 combined financial statements. SMPLTC 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. Part XI, Line 2d - Other Adjustments: Fundraising expense included in revenue in financial statements -72,851. Part XI, Line 4b - Other Adjustments: Dakota Heights rental expense included in revenue for Form 990 -18,270. Part XII, Line 2d - Other Adjustments: Dakota Heights rental expense included in revenue for Form 990 18,270. Part XII, Line 4b - Other Adjustments: Fundraising expense included in revenue in financial statements 72,851. 1 Educational Scholarships 4 7519 Part I, Line 2: Most disbursements in furtherance of the Organization's exempt programs are made directly in the active conduct of the activities constituting the exempt purpose or function for which the institution is organized and operated. Otherwise, disbursements in furtherance of the institution's exempt programs are made in accordance with procedures or subject to conditions established by the institution's governing board designed to insure that individuals and organizations receiving disbursements from the organization in furtherance of its exempt programs are adequately investigated to insure that they are qualified recipients. 0 1 0 0 0 0 0 0 0 Aaron K Alton President/CEO-SMP Health 0 704169 0 69615 0 78306 0 0 0 34923 0 887013 0 72306 Becky Hansen Vice President of Finance 0 334200 0 25908 0 6268 0 2232 0 31031 0 399639 0 268 Anthony Keelin-PresCEO SMP Health-St.Catherine North and South 0 227590 0 21170 0 9288 0 0 0 33152 0 291200 0 3288 Gary Bakke Former VP of Finance - SMPHS 0 9225 0 29288 0 246138 0 0 0 0 0 284651 0 246138 Craig Christianson - PresCEO SMP Health - St. Raphael 0 193020 0 11151 0 16412 0 0 0 30846 0 251429 0 10412 Lizabeth Letness Chief Clinical Officer 161136 0 0 0 0 0 5108 0 20625 0 186869 0 0 0 Meldine Tang - CFO SMP Health-St.Catherine North and South 0 167597 0 0 0 4886 0 1818 0 5276 0 179577 0 4886 Part I, Line 4b SMP Health, related organization, 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 Aaron K. Alton 72,306 Becky Hansen 268 2,232 Anthony Keelin 3,288 Gary Bakke 246,138 Craig Christianson 10,412 Meldine Tang 4,886 1,818 Timothy Burchill 7,979 Matt Ahrndt 523 1,977 Schedule J, Part I, Question 3: SMP Health - Long Term Care does not pay compensation to the President/CEOs. SMP Health uses the methods on Part I, question 3 to determine compensation. SMP Health - Long Term Care has five related long-term care facilities with a President/CEO at each facility. These individuals are compensated by SMP Health, a related organization, for services provided to SMP Health - Long Term Care and the other related organizations. Aaron K. Alton performs services for the related hospitals, home health agency, and the five related long-term care facilities. Form 990, Part VI, Section A, line 2 Aaron Alton, Gary Bakke, Becky Hansen, Sr. Suzanne Stahl, and Fr. James Meyer have business relationships with Craig Christianson, Anthony Keelin, Timothy Burchill, Matt Ahrndt, and Meldine Tang. Form 990, Part VI, Section A, line 6 The sole member of the organization is the 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. Form 990, Part VI, Section A, line 7b The authority to act on the following matters is 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 provided to the governing body before it is filed. The President/CEO and Vice President of Finance of SMP Health, a related organization, review the Form 990 before it is filed. Form 990, Part VI, Section B, line 12c Each Director must submit in writing to the Chairperson of the Board and the Chief Executive Officer 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 Chairperson of the Board reviews the statements of the Directors and the Vice Chairperson of the Board reviews the statement filed by the Chairperson. 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 Chairperson of the Board as 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 Chairperson, the Vice Chairperson has authority to require the Chairperson remove himself in the same matter. 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 President/CEO and Vice President of Finance of SMP Health, a related organization, oversee the operations of SMP Health - Long Term Care. The compensation reflects responsibility of supervising the management, administration and operations of SMP Health and the related facilities. Each facility within SMP Health - Long Term Care has their own respective President/CEO. The compensation process for all the top management officials is determined by SMP Health - Long Term Care. The SMP Health 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 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 Information regarding the Organization's governing documents, conflict of interest policy, and financial statements can be obtained by contacting the Department of Human Services and by viewing the cost report. Financial information can also be obtained through the public disclosure copy of the 990. Form 990, Part IX, line 11g Purchased Services: Program service expenses 293,850. Management and general expenses 90,097. Fundraising expenses 605. Total expenses 384,552. Professional Fees: Program service expenses 1,974,447. Management and general expenses 68,572. Fundraising expenses 0. Total expenses 2,043,019. Contract Labor: Program service expenses 1,933,033. Management and general expenses 15,416. Fundraising expenses 0. Total expenses 1,948,449. Other Fees: Program service expenses 12,327. Management and general expenses 2,785,157. Fundraising expenses 0. Total expenses 2,797,484. Form 990, Part XI, line 9: Equity transfers to related parties -65,098. Change in beneficial interest in perpetual trust 82,100. Form 990, Part XII, Line 2c: The governing board of SMP Health assumes responsibility for oversight of the audit for SMP Health - Long Term Care. Sisters of Mary of the Presentation Health Ministry 1202 Page Drive SW Fargo ND 58106 813757471 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 Health Center dba SMP Health - St Andrew's 316 Ohmer St Bottineau ND 58318 450226426 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 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 St Andrew's Bottineau Clinic LLC 316 Ohmer Street Bottineau ND 58318 450451306 Provision of health care services ND N/A 0 0 Valley Regional Health Services L3C 4391 Venture Drive Peru IL 613541014 273891281 Outpatient oncology services IL N/A 0 0 Valley Health Enterprises Inc 925 W St Peru IL 61354 363476877 Home medical equipment IL N/A C 0 SMP Enterprises PO Box 10007 Fargo ND 58106 363486506 Collection Agency ND N/A C 0 SMP Enterprises IL 600 E 1st St Spring Valley IL 61362 363456566 Healthcare management IL N/A C 0 Illinois Valley Health Services Inc 925 West Street Peru IL 61354 364050682 Inative IL N/A C 0 IVCH General Professional Liability Loss Fund 925 West Street Peru IL 61354 366673231 Inactive IL N/A T 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 1 1