2021-08-13T10:59:35-05:00 2020-09-30 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2019-10-01 450226426 St Andrew's Hospital STAN 7012289300 316 Ohmer Street Bottineau ND 58318 Christopher Albertson President/CEO 7012289300 2021-08-12 1 Kim Hunwardsen CPA P00484560 6122536500 2021-08-12 2019 2022-09-23 18:48:47Z St Andrew's Health Center Christopher Albertson 316 Ohmer Street Bottineau ND 58318 11259124 0 0928 X www.standrewshealth.com X 1913 ND Acute care critical access hospital 8 7 148 75 0 0 349334 82185 10544209 11098051 44691 56910 19537 21978 10957771 11259124 0 0 0 0 4954164 5242265 0 0 0 5052953 5786275 10007117 11028540 950654 230584 8734568 12375452 2013233 5221720 6721335 7153732 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 8827757 11098051 St. Andrew's Health Center 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.St. Andrew's Health Center is designated as a Critical Access Hospital and has had the designation since July 2001. There were 222 acute patient days and 6,059 swing-bed days. (Continued on Schedule O)The percent of occupancy was 68.6%.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 Health Center provides care to patients who meet certain criteria under its charity care policy without charge or at amounts less than its established rates. Because the Health Center does not pursue collection of amounts determined to qualify as charity care, they are not reported as revenue. The estimated costs of the charges foregone, based upon an overall cost-to-charge ratio calculation, for the year ended September 30, 2020 was $15,000.The Health Center 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.The Hospital experienced a dramatic reduction in non-emergent routine care including patient visits in the outpatient and clinic services due to Covid-19. 8827757 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 0 1 1 1 0 0 1 20 0 1 148 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 1 1 X Christopher Albertson 7012289300 316 Ohmer Street Bottineau ND 58318 Robert Hamilton MD Family Medicine Physician 40.00 0.00 X 272204 0 26039 Jessica Skjolden MD Family Medicine Physician 40.00 0.00 X 239732 0 24606 Alfred Sams President/CEO 40.00 3.00 X X 0 176173 35322 Cory Miller MD Family Medicine Physician 30.00 0.00 X 189612 0 21368 Steve Arnold NP Nurse Practitioner 40.00 0.00 X 157116 0 21287 Chassidy Sharp Nurse Practitioner 40.00 0.00 X 144710 0 20955 Steve Lindemann CFO until July 2020 40.00 2.00 X 0 130000 26740 Steven Gorder Chairperson 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 as of May 2020 0.30 1.50 X 0 0 0 Sr Dorothy Bunce Director 0.30 0.50 X 0 0 0 Jeremi Tweed Director 0.30 0.00 X 0 0 0 Darin Bohl Director 0.30 0.00 X 0 0 0 Dan Bullinger Director 0.30 0.00 X 0 0 0 Sr Marlyss Dionne Director until May 2020 0.30 1.50 X 0 0 0 Courtney Vandal CFO as of August 2020 40.00 2.00 X 0 0 0 1003374 306173 176317 6 0 1 0 Sisters of Mary of the Presentation Heal PO Box 10007 Fargo ND 58106 Mgmt fees, pastoral care and legal 551452 Guardian Healthcare PO Box 306098 Nashville TN 37230 Travel Nursing Staff 296996 CPSI PO Box 850309 Mobile AL 36685 Software maintenance 236919 DMS PO Box 670747 Dallas TX 75267 Nuclear medicine, ultrasound purchased s 185248 Avera Health 3900 W Avera Dr Sioux Falls SD 57108 ePharmacy, eEmergency 105745 5 20269 17450 44466 82185 Patient service revenue 621110 10749352 10749352 Congregate housing/senior apartme 623990 161850 161850 Management fee 900099 49425 49425 Loss on Clinic investment 900099 -51000 -51000 188424 188424 11098051 56910 56910 21978 0 21978 21978 21978 11259124 11098051 0 78888 X 4172218 3626166 546052 97758 84964 12794 687427 597457 89970 284862 247580 37282 1175 1175 38372 38372 1624589 978064 646525 21157 681 20476 395841 322570 73271 248648 233812 14836 39056 23584 15472 102 102 10446 9153 1293 465497 407863 57634 68927 68749 178 Medical supplies 1848040 1835817 12223 Bad debt expense 472086 472086 Repairs and maintenance 358427 271096 87331 Food 95892 95892 98020 24309 73711 11028540 8827757 2200783 0 1338178 4374717 1615360 1446668 279745 333026 96981 163045 10536787 7930674 2893151 2606113 1695609 2148601 7850 807694 1303282 8734568 12375452 858898 1044562 3561190 4000 4250 880335 611718 270000 0 2013233 5221720 X 5931080 6304466 790255 849266 6721335 7153732 8734568 12375452 X 230584 153275 48538 X X 0 1 X 0 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 118981 118981 6918465 5291825 1626640 3382820 2536938 845882 116521 101911 14610 2606113 Pooled investment fund 2148601 F 2148601 Other receivables 64516 Interest in net assets of St. Andrew's Health Center 848766 Estimated third-party payor settlements 390000 1303282 X 11412399 153275 153275 11259124 0 11259124 11028540 0 11028540 0 11028540 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 15000 15000 0.00140 191218 173013 18205 0.00170 206218 173013 33205 0.00310 1650572 1509252 141320 0.01340 1650572 1509252 141320 0.01340 1856790 1682265 174525 0.01650 1 613080 61308 5444729 5447845 -3116 X 1 1 1 1 St Andrew's Hospital 316 Ohmer Street Bottineau ND 58318 www.standrewshealth.com 5005 X X X X St Andrew's Hospital 1 0 0 1 X X X X X X X X X 18 1 1 0 1 X https://www.standrewshealth.com/resources/ X 1 18 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: Meetings were held with a wide variety of community leaders including public health, business leaders, and other interested individuals. St. Andrew's Hospital Part V, Section B, Line 6a: 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 identified the following needs:Identified Need: Availability of Behavioral HealthGoal: Increase awareness of, and access to, behavioral services.Objective: Develop a collaborative approach to behavioral health availability.Identified Need: Availability of Resources to Help the Elderly Stay in Their HomesGoal: Gather resources available in our communities.Objective: Make available a document outlining available opportunities.Identified Need: Health and WellnessGoal: Increase awareness of health and wellness opportunities.Objective: Become a better health and wellness educated community.Identified Need: Adequate Childcare ServicesGoal: Increase community options for childcareObjective: Engage and work with community stakeholders to combine resources that will address and increase options for childcare.Due to Covid-19 pandemic all actions to address the needs identified in the CHNA were put on hold. The Hospital will begin addressing the needs again in fiscal year 2021.The Hospital will not address the following need specifically, but plans on working with community groups to address the priority:Identified Need: Attract and Retain FamiliesGoal: Provide resources for new families to network within the community.Objective: Increase overall family community engagement. 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. 2 1 - St Andrew's Senior Housing 316 Ohmer Street Bottineau ND 58318 Senior housing 2 - St Andrew's Bottineau Clinic LLC 316 Ohmer Street Bottineau ND 58318 Family practice clinic 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 our website and an internal bulletin board. Part I, Line 7: Charity care expense was converted to cost based on an overall cost-to-charge ratio addressing all patient segments. Unreimbursed Medicaid was calculated using the costing methods to prepare the cost reports. The cost for subsidized health services was determined using the Medicare Cost Report. Part I, Line 7, Column (f): The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 472,086. 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 implicit price concessions and bad debts expense attributable to patients eligible under the organization's charity care policy is based on 10% of individuals living below the federal poverty level (per 2017 American Community Survey as shared in the 2018 CHNA conducted by UND Center for Rural Health). Part III, Line 4: The footnote to the Organization's financial statements can be found on page 12-13 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. Therefore, the Medicare shortfall is considered a community benefit.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: 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 full-time employee, the 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 23.8%. 10% of our population base is living below the poverty level and the 2017 estimated median household income was $58,767. Unemployment in 2017 was 2.3% 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: St. Andrew's Health Center's board is comprised of eight members: The 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.St. Andrew's Hospital and its team of co-workers strive to increase their level of community involvement. Many of the employees of St. Andrew's Hospital serve on multiple local and regional committees working to improve the health and lives of the members of Bottineau County. St. Andrew's Hospital 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 St. Andrew's Hospital. The Foundation makes regular contributions to the Hospital for items that directly improve patient care (minor and capital). We also work 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, SAHC 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 Pharmacy technician and Nurse Practitioner (NP) programs. We also 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 St. Andrews Health Center for their clinicals on a day to day basis. St. Andrew's Health Center allows for time to educate high school students about potential career opportunities in health care and provides job shadowing opportunities for those interested. We work closely with the Health and Sciences Instructor from the local high school to provide health career access to the students. We also participate in a Scrubs Camp program for junior high students. This was coordinated through St. Andrews Health Center and provides opportunities for students exploring health care options. We also participate in a number of other educational opportunities with students to generate a career in health care; EMT summer school, and 2nd grade tour, just to name a few. These weren't able to be completed this year due to COVID.We have provided presentations to members of our community and the surrounding areas/groups to educate them about the health and wellness issues. We have a regular Healthbeat article that is printed in our local newspaper. We also have a weekly radio spot to discuss current healthcare related issues. We expanded our service offers to bring blood pressures and wellness profiles to the community of Bottineau again, options were limited due to COVID. Due to Covid, we offered numerous Covid vaccine clinics. Office space and a liaison are provided to the Rural Mental Health Consortium so that we can continue to offer behavioral health services to the community on an outpatient basis. The demand for behavioral health services in the State of North Dakota has grown substantially. We are very pleased to offer this service at the local level and are working strategically to tie this into the identified needs of the CHNA. St. Andrews Health Center participates in a number of community events/activities that pertain to healthcare and our direct relations to our 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. We offer a free blood pressure screening day every Tuesday. This helps monitor the vascular health of 20 to 30 patients each week. Annually we impact about roughly 1,000 people. Blood pressure screenings will resume when visitation is allowed in our facility. St. Andrews Health Center provides conference rooms for local non-profit organizations for meeting use. Will resume when visitation is allowed in our facility.Throughout the year we held food pantry drives and collected funds to give to the school system for children in need of money for milk at snack time. We also have an angel tree within the facility that has a range of ages of boys and girls that are in need of receiving some gifts at Christmas. We do this in collaboration with a service group in our community.We continue to maintain the Community Resource Coordinator (CRC); this person 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 our blanket hugs program and provided approximately 70 free blankets for pediatric patients in need of comforting. The CRS also helps individuals fill out Caring Program paperwork. In total the CRC provides resources to approximately 100 people in our community and service area; without the resource many of these individuals would have gone with needs unmet. Part VI, Line 6: We are an affiliate of the Sisters of Mary of the Presentation Health Corporation. St. Andrew's Hospital operates in accordance with the mission, vision, and values of the Sisters of Mary of the Presentation Health Corporation. 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. St. Andrew's Hospital has a Strategic Plan developed from themes set forth by the Health System for all affiliates. The strategic plan is an active document which St. Andrew's Hospital 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 0 0 0 0 0 0 0 0 Robert Hamilton MD Family Medicine Physician 272204 0 0 0 0 0 8418 0 17622 0 298244 0 0 0 Jessica Skjolden MD Family Medicine Physician 239732 0 0 0 0 0 7513 0 17093 0 264338 0 0 0 Alfred Sams President/CEO 0 160000 0 10173 0 6000 0 9833 0 28066 0 214072 0 0 Cory Miller MD Family Medicine Physician 189612 0 0 0 0 0 5760 0 15608 0 210980 0 0 0 Steve Arnold NP Nurse Practitioner 157116 0 0 0 0 0 5034 0 16253 0 178403 0 0 0 Chassidy Sharp Nurse Practitioner 144710 0 0 0 0 0 4702 0 16253 0 165665 0 0 0 Steve Lindemann CFO until July 2020 0 130000 0 0 0 0 0 1575 0 27081 0 158656 0 0 Schedule J, Part I, Question 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. Form 990, Part VI, Section A, line 6 The sole member of the organization is the Sisters of Mary of the Presentation Health System. 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 Sisters of Mary of the Presentation Health System. 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 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 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 Chairperson, the Vice Chairperson has authority to require the Chairperson 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 Sisters of Mary of the Presentation Health System. The compensation process is determined by Sisters of Mary of the Presentation Health Corporation. The Sisters of Mary of the Presentation Health System 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 Sisters of Mary of the Presentation Health System 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 978,064. Management and general expenses 84,828. Fundraising expenses 0. Total expenses 1,062,892. Professional fees: Program service expenses 0. Management and general expenses 374. Fundraising expenses 0. Total expenses 374. Administrative services: Program service expenses 0. Management and general expenses 561,323. Fundraising expenses 0. Total expenses 561,323. Form 990, Part XI, line 9: Equity transfer to Sisters of Mary of the Presentation Health Corporation -10,473. Change in interest in net assets of St. Andrew's Hospital Foundation 59,011. 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. Sisters of Mary of the Presentation Health System 1202 Page Dr SW Fargo ND 58103 450359620 Facilitate management and operations of ten related facilities ND 501(c)(3) Line 12a, I SMP Health Ministry 0 St Andrew's Hospital Foundation 316 Ohmer Street Bottineau ND 58318 450413201 Provide support to St. Andrew's Hospital ND 501(c)(3) Line 12a, I SMP Health System 0 Prairieland Home Care 1102 Page Drive SW Fargo ND 581060007 450391192 Home health and supportive services ND 501(c)(3) Line 10 SMP Health System 0 Presentation Medical Center 213 2nd Avenue NE Rolla ND 583670759 450227391 Provision of health care services ND 501(c)(3) Line 3 SMP Health System 0 St Aloisius Hospital 325 East Brewster Street Harvey ND 58341 450226729 Provision of health care services ND 501(c)(3) Line 3 SMP Health System 0 St Margaret's Hospital 600 East First Street Spring Valley IL 61362 362167884 Provision of health care services IL 501(c)(3) Line 3 SMP Health System 0 Sisters of Mary of the Presentation Long Term Care 1202 Page Dr SW Fargo ND 58103 752999939 Provide extended care and medically related services ND 501(c)(3) Line 10 SMP Health System 0 St Margaret's Hospital Foundation 600 East First Street Spring Valley IL 61362 364042262 Provide support to St. Margaret's Hospital IL 501(c)(3) Line 12a, I SMP Health System 0 St Andrew's Bottineau Clinic LLC 316 Ohmer Street Bottineau ND 58318 450451306 Provision of health care services ND St Andrew's Hospital Related -174126 -238526 0 0 0.51000 Valley Regional Health Services L3C 4391 Venture Drive Peru IL 613541014 273891281 Outpatient oncology services IL N/A 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 0 0 1 0 1 0 0 0 0 1 0 1 1 1 1 1 1 1 0 St Andrew's Bottineau Clinic LLC S 51000 General ledger