2019-07-30T13:24:37-05:00 2018-09-30 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2017-10-01 450227391 Presentation Medical Center PRES 7014773161 213 2nd Avenue NE Rolla ND 583670759 Christopher Albertson President/CEO 7014773161 2019-07-29 1 Kim Hunwardsen CPA P00484560 6122536500 2019-07-29 216.147.181.47 2019-07-29 12:46:06 CD P B602D594AFD2B0B327E07A06F36CA6A7E42546D0 330E77A2EC15986A2DC713C7FDB26B906589BB96 2017 2019-02-21 02:37:17Z Christopher Albertson 213 2nd Avenue NE Rolla ND 583670759 10584237 0 0928 X www.pmc-rolla.com X 1939 ND Acute care hospital that is a major medical provider for Rolette County 7 6 125 10 0 0 11607 29534 10232937 10494731 37586 57020 -1311 -6007 10280819 10575278 202 5325 0 0 4780641 5759192 0 0 0 5483406 4595604 10264249 10360121 16570 215157 5064968 5781367 1132824 1540843 3932144 4240524 X Presentation Medical Center in union with the Sisters of Mary of the Presentation, is a Catholic healthcare organization. Through the power and example of Jesus Christ and his gospel values, we are committed to joyfully provide wholistic care and healing with integrity, compassion and respect to all we serve. 0 0 8685909 5325 10494731 Presentation Medical Center (PMC) is a 25-bed not-for-profit, Critical Access Hospital (CAH) located in Rolla, Rolette County, ND. As a Critical Access Hospital, our organization is, by definition, a community benefit. PMC is a critical infrastructure to our community and is a major medical provider for Rolette County, providing inpatient, outpatient and surgical services. In addition, PMC is a key provider of emergency care with over 5,000 ER visits for fiscal year ending 2018. Services in the areas of Clinic, Lab, Radiology, Respiratory Therapy, Physical Therapy, Cardiac Rehab, and Outreach Specialty Physician services, are also provided.Continued on Schedule O.Presentation Medical Center had 185 acute patient days, 586 swing-bed days and 1,564 extended swing-bed days.The Medical Center provides care to patients who meet certain criteria under its charity care policy without charge or at amounts less than established rates. Because the Medical 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, 2018 were approximately $83,000.In addition, the Medical Center provides services to other medically indigent patients under certain government reimbursed public aid programs. Such programs pay providers amounts which are less than established charges for the services provided to the recipients, and for some services the payments are less than the cost of rendering the services provided. The Medical 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. 8685909 1 0 0 0 0 0 0 0 0 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 0 0 0 1 3 0 1 125 1 0 0 0 0 0 0 0 0 0 0 X 7 6 1 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 0 X Paula J Wilkie 7014773161 213 2nd Avenue NE Rolla ND 583670759 Doug Kretschmar Chair 0.50 0.00 X X 0 0 0 Jane Sivertson Vice Chair 0.50 0.00 X X 0 0 0 Chris Albertson Secr/President/CEO as of Oct 1, 2017 40.00 0.00 X X 0 40000 9326 Sr Marlyss Dionne Director 0.50 1.30 X 0 0 0 Sr Dorothy Bunce Director 0.50 0.30 X 0 0 0 Gerry Krech Director (until June 2018) 0.50 0.00 X 0 0 0 Matt Odermann Director (as of July 2018) 0.50 0.00 X 0 0 0 Steven McAtee Director 0.50 0.00 X 0 0 0 Paula Wilkie CFO 40.00 0.00 X 0 126128 32051 Kimberly Benning FNP-BC Clinic/Emergency 40.00 0.00 X 162891 0 25314 Micahel Questell DO Family Medicine 40.00 0.00 X 244737 0 24216 Jody Shapr NP Emergency Services 40.00 0.00 X 103520 0 12066 Mark Kerr Former Secretary/President/CEO 0.00 0.00 X 0 161827 27766 511148 327955 130739 3 1 1 0 SMP Health Systems PO Box 10007 Fargo ND 58103 Management services 496431 AMN Healthcare PO Box 281939 Atlanta GA 303841939 Locum coverage services 411287 Medical Solutions 1010 N 102nd St Suite 300 Omaha NE 68114 Nursing services 375871 Roy Cordy MD PO Box 845 Rolla ND 58367 ER physician services 328000 4 29250 284 29534 Patient service revenue 622110 9919991 9919991 Pharmacy revenue 622110 348079 348079 Outside laundry revenue 812300 187010 187010 39651 39651 10494731 51807 51807 2952 8959 -6007 -6007 -6007 5213 0 5213 5213 5213 10575278 10494731 0 51013 X 5325 5325 4745740 4244052 501688 104796 88838 15958 573795 513137 60658 334861 299161 35700 527016 527016 10078 10078 46727 46727 1380358 1259182 121176 13736 13736 239583 165244 74339 260275 259365 910 25862 17714 8148 1571 1571 19506 19506 266728 266728 60503 60503 Medical supplies 787283 787283 Repairs and maintenance 466461 223865 242596 Bad debt expense 331839 331839 Food 100894 100894 57184 43273 13911 10360121 8685909 1674212 0 752798 365312 923183 1429827 196359 229328 28386 19099 7885529 6774463 844699 1111066 1826350 2182735 493193 444000 5064968 5781367 741767 971230 391057 569613 1132824 1540843 X 3932144 4240524 3932144 4240524 5064968 5781367 X 215157 99578 -6355 X X 0 1 X 1 0 X 76778 76778 115183 4207899 3874971 448111 3466591 2880414 586177 19078 19078 0 1111066 SMPHS pooled investment funds 2182735 F 2182735 Estimated third-party payor settlements 444000 444000 X 10343017 99578 -331839 -232261 10575278 0 10575278 10028282 0 10028282 331839 331839 10360121 Part X, Line 2: The Medical Center is organized as a North Dakota nonprofit corporation and has been recognized by the Internal Revenue Service (IRS) as exempt from federal income taxes under Internal Revenue Code Section 501(c)(3). The Medical Center is annually required to file a Return of Organization Exempt from Income Tax (Form 990) with the IRS. In addition, the Medical Center is subject to income tax on net income that is derived from business activities that are unrelated to its exempt purpose, if applicable. The Medical Center has determined that it is not subject to unrelated business income and has not filed and Exempt Organization Business Income Tax Return (Form 990-T) with the IRS. The Medical 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 Medical 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. Part XI, Line 2d - Other Adjustments: Provision for bad debts recorded in expenses for Form 990 -331,839. Part XII, Line 4b - Other Adjustments: Provisions for bad debts recorded in expenses for Form 990 331,839. 1 1 X 1 X 1 X 1 1 0 1 1 83000 83000 0.00830 2033126 1704644 328482 0.03280 2116126 1704644 411482 0.04110 107720 3325 104395 0.01040 1471280 1449104 22176 0.00220 16198 4101 12097 0.00120 1595198 1456530 138668 0.01380 3711324 3161174 550150 0.05490 3216 3216 0.00030 8280 8280 0.00080 11496 11496 0.00110 0 331839 132736 3973259 4006784 -33525 X 1 1 1 1 Presentation Medical Center 213 2nd Avenue NE Rolla ND 583670759 www.pmc-rolla.com 5045 X X X X 1 provider based clinic Presentation Medical Center 1 0 0 1 X X X X X X X X X 15 1 0 0 1 X www.pmc-rolla.com/forms-documents.html X 1 15 1 www.pmc-rolla.com/forms-documents.html 0 1 X 100.000000000000 200.000000000000 X X X 1 1 X X X 1 X www.pmc-rolla.com/forms-documents.html X www.pmc-rolla.com/forms-documents.html X www.pmc-rolla.com/forms-documents.html X X X X X 1 X 0 X X X X 1 X 0 0 Presentation Medical Center Part V, Section B, Line 5: The PMC CEO and other staff participated in the community focus group and made copies of the survey available to staff and patients at the clinic and hospital. In order to not burden community members by repeating the assessment process recently completed by Rolette County Public Health, Presentation Medical Center chose to distribute an abbreviated survey. The questions selected, by PMC, were from a list of elective questions routinely used by the Center for Rural Health when conducting other CHNAs. The intent was to gather feedback from community residents more specific to the services provided by PMC hospital and clinic and not duplicate the recent CHNA survey. Eighty-one PMC service area residents completed the PMC survey. Additional information was also collected through a community meeting. The input from the residents represented broad interests of the communities in the service area, which primarily reside in Rolette County. Information gathered through the PMC survey and community meeting, the Rolette County Public Health CHNA process, and secondary data gathered from a wide range of sources, presents a valuable snapshot of health needs and concerns in the service area. Presentation Medical Center Part V, Section B, Line 11: The following needs were identified in the recently conducted community health needs assessment. Actions will be taken in the following fiscal year due to the timing of the completion of the Implementation Strategy.Tier I Needs:1. The ability to recruit and retain primary health care providers (MD, DO, PA, and NP):One of the main concerns from the community needs assessment was the limited number of primary health care providers in Rolette County. While this is a concern of most of the rural counties in North Dakota, Presentation Medical Center is keenly aware of the importance of continual recruitment and the value of retaining our medical staff. Our Medical staff consists of 2 Physicians, 3 Family Nurse Practitioner, and Physician Assistant. During fiscal year 2018, Presentation Medical Center continues to utilize its Medical Provider Recruitment/Retention Plan. The plan has been successful in helping Presentation Medical Center recruit new medical providers and has identified changes in certain operations which provide greater provider satisfaction and greater healthcare delivery to the population of Rolette County. As such, Presentation Medical Center has changed clinic hours to 10-hour days as identified using the Medical Provider Recruitment/Retention Plan.Tier II Needs:1. High Rates of Diabetes:The high rate of diabetes is a medical issue that the 2016 Community Health Assessment revealed, and the same issue was also identified as high priority in 2013. Presentation Medical Center has committed to providing a nurse educator to host weekly diabetes education for the general public of the area. These education events have continued to run through fiscal year 2018 and will continue to be facilitated at PMC. PMC will work closely with Rolette County Public Department on public education information that has a focus on diabetes prevention and obesity, as well as support group activities. During 2018 Presentation Medical Center Clinic has established and implemented a Diabetes Control section to its quality dashboards and reports these measures quarterly to the Central Quality Improvement/Peer Review Committee. Presentation Medical Center continues to host weekly Diabetes Education sessions for the community.2. Alcohol/Drug Use and Abuse:As alcohol/drug use and abuse were listed high on the PMC health concerns, as well as the 2015 Rolette County Public Health Needs Assessment, the survey dictates that attention must be focused at this continued health issue in our area. PMC is an active participant and collaborator in RCPH's education and awareness program as it is presented to the community and at awareness events. In fiscal year 2018, Presentation Medical Center, in collaboration with Rolette County Public Health and the Rural Mental Health Consortium, sponsored two community forums entitled "the Opioid Epidemic," whereby community members were shown a video on the opioid epidemic and allowed to participate in a discussion with a panel of North Dakota experts on opioid abuse and addiction. Presentation Medical Center continues to work with Rolette County Public Health to jointly, and strategically, address Alcohol/Drug Abuse in the community. As such, the CEO of Presentation Medical Center is a member of the Rolette County Public Health Coalition. Presentation Medical Center Part V, Section B, Line 13h: Presentation Medical Center also evaluates a patient's family size, income and demographics to determine eligibility for additional free or discounted care to low income individuals. Part I, Line 3c: Presentation Medical Center also evaluates a patient's family size and demographics to determine eligibility for additional free or discounted care to low income individuals. Part I, Line 6a: Presentation Medical Center's community benefit report can be found on its website at pmc-rolla.com. 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 on line 7b was calculated using the costing methods to prepare the cost reports. Community health improvement services and in-kind contributions to community groups are reported based on actual expenses recorded in the organization's general ledger. The cost for subsidized health services reported on line 7g was determined using the Medicare Cost Report. Part I, Ln 7 Col(f): The amount of bad debt expense removed from total expenses to determine the percentage was $331,839. Part II, Community Building Activities: The Social Service department provides information, assistance and referrals to community members seeking such services, particularly during times of medical crisis.Case Management Services are provided to patients, their family members and community members. Those individuals requiring substance abuse referrals and assistance require intensive services. Due to the significant number of social issues in Rolette County, case management services are provided to connect patients with the services that they need to regain/maintain their health status. Every effort is made to assist patients in obtaining the services that they require to maintain good health and a quality lifestyle. Transportation services are provided to patients who need rides home following hospitalization and for appointments for specialized care. These are patients who do not have family or friends who are willing or able to transport them for these appointments. By assisting with transportation, patients are able to receive specialty consultation services that allow them to enhance the quality of their life.Meals are also provided for caregivers and lodging is offered for family members who choose to remain in the hospital with their loved one.PMC Director of Physical Therapy is part of the Rolette County Health Board and attends meetings and makes policies for Rolette County. Part III, Line 2: Bad debt expense is the write-off of a patient's account for services provided by the Hospital after all payments, discounts, and contractual allowances have been applied. Accounts that qualify or may qualify for financial assistance or charity care are not written off to bad debt. Payments received on accounts previously written off to bad debt reduces bad debt expense. Bad debt expense on line 2 is reported at charges as presented on the financial statements. 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 calculated based on an estimate of applications denied due to lack of information. This is estimated at 40%. Presentation Medical Center estimates the amount of bad debt expense attributable to patient's under the charity care policy because the Organization knows that some accounts are written off to bad debt that may have been charity care if the patient had completed the paper work. Part III, Line 4: The footnote to the Organization's financial statements can be found on pages 6 and 7 of the attached audited financial statements. Part III, Line 8: Presentation Medical Center 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 the Centers for Medicaid and Medicare Services. Part III, Line 9b: Presentation Medical Center believes it has an obligation to make every effort possible to collect for services rendered from all patients who have the ability to pay their account. There are no collection efforts for patients who qualify for charity care or financial assistance, indigent patients, or patients that have set up payment arrangements. If a portion of an account is written off to charity care, any personal portion due follows the same collection procedures as other accounts. For patients who are indigent, Presentation Medical Center has a Charity Care provision with the appropriate application process. For self pay patients, Presentation Medical Center offers a prompt payment discount of 25% for payment in full within 30 days from the date of their first statement. Part VI, Line 2: Presentation Medical Center strives to provide basic healthcare services to its communities. We have worked with the Rolette County Public Health, Rolette County Police Department, Rolla Community Ambulance, Rolette County Social Services and other community departments to provide basic care to the members of our community. Working with these organizations allows us to provide different services to our community and to make sure that one of these entities is able to provide care and or cover for one another.Our community health needs assessment is completed and posted to our website to meet the requirements of 501(r). Part VI, Line 3: Presentation Medical Center is committed to providing care to persons who are uninsured, underinsured, ineligible for government programs, or otherwise unable to pay for medically necessary care. Our Community Caring Program was established in 2005. We have seen a continual increase every year in charity care as we try to get patients involved in the program before their accounts are sent to collections. A brochure is provided to every patient when they register outlining our payment expectations and explaining our Community Caring Program. Notification about charity care is available in emergency rooms, admitting and registration departments, the Business office, and other public areas within the Hospital. Information is also included in patient bills and patient information packets. At registration, patients are given the Payment Policy and Community Caring Program handout. This handout explains patient responsibilities, insurance billing guidelines, financing and payment options, and the Community Caring guidelines. Part VI, Line 4: Presentation Medical Center (PMC) is a 25-bed not-for-profit, Critical Access Hospital (CAH) located in Rolla, Rolette County, ND. As a Critical Access Hospital, our organization is, by definition, a community benefit. PMC is a critical infrastructure to our community and is a major medical provider for Rolette County, providing inpatient, outpatient and surgical services. In addition, PMC is a key provider of emergency care with over 5,000 ER visits for fiscal year ending 2018. Services in the areas of Clinic, Lab, Radiology, Respiratory Therapy, Physical Therapy, Cardiac Rehab, and Outreach Specialty Physician services, are also provided.PMC is highly dependent upon government Payors. In the Fiscal Year ending 09/30/2018, Medicaid was the payor for 15.7% of inpatients and 50.4% of outpatients, while Medicare was the payor for 75.7% of inpatients and 25.1% of total outpatients. By virtue of where we are located and the services that we provide, we are a benefit to our community.The service area of PMC includes Rolette and part of Towner County. Rolette County has a total population of 14,531 with 78.0% the population being Native American. With this census, 1.92% of North Dakota's population lives in Rolette County. The per capita income for Rolette County is $17,744 compared with North Dakota's per capita income of $37,313 with 26.7% of the county living below the poverty guidelines. (Source: U.S. Census Bureau). Part VI, Line 5: Presentation Medical Center works to address the basic healthcare needs in Rolette County and the surrounding communities. The Hospital is a major medical provider for the county providing inpatient, outpatient, and surgical services. In addition, Presentation Medical Center is a key provider of emergency care. The emergency room is open 24 hours and is available regardless of a person's ability to pay.Presentation Medical Center extends medical staff privileges to all qualified physicians who meet PMC's Medical Staff Bylaws. Surplus funds are used for equipment upgrades and facility improvements. A majority of the organization's governing body resides in Rolla, ND and none are employees nor contractors of the organization. The governing body does not have any family relationships with each other.In addition to our very existence, PMC believes that there are additional areas that highlight our benefit to the community. By being what and who we are, we strive to be a good community citizen and an asset to the communities that we serve. PMC routinely provides a variety of services that address needs within the community.PMC provided an annual Healthy Community Day that offers educational material and health screenings, including laboratory screenings that provide information about an individuals' general health condition. These services are offered to all community residents.Staff support and office space is provided to the Rural Mental Health Consortium. This allows mental health services to be available in the community on a weekly basis.Sport Injury evaluation and screenings are provided to area High School students and staff members from Physical Therapy provide support at local athletic events.PMC provides Pastoral Care services to all our patients and the community members. Pastoral Care serves as a liaison with the area Ministerial Associations.Supply donations are given out to patients. PMC will provide linen facilities to outside organizations in need. PMC donated cash to various community groups and local school in FY 2018.The area public schools participate in third grade tours. The schools are also offered the opportunity to participate in tours at the request of their teachers. Laboratory students also have the opportunity to obtain clinical experience at PMC.PMC identifies patients where educational classes are held to help control their diabetes.PMC has supplied public speakers for outside entities in the surrounding community. Part VI, Line 6: We are an affiliate of the Sisters of Mary of the Presentation Health Corporation. Presentation Medical Center 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. Presentation Medical Center has a Strategic Plan developed from themes set forth by the health system for all affiliates. 0 0 0 0 0 0 0 0 0 Paula Wilkie CFO 0 113510 0 7790 0 4828 0 5459 0 28171 0 159758 0 0 Kimberly Benning FNP-BC Clinic/Emergency 162891 0 0 0 0 0 5677 0 19637 0 188205 0 0 0 Micahel Questell DO Family Medicine 244737 0 0 0 0 0 2596 0 21620 0 268953 0 0 0 Mark Kerr Former Secretary/President/CEO 0 129838 0 19031 0 12958 0 8614 0 20998 0 191439 0 0 Part I, Line 3 Presentation Medical Center does not pay compensation to the President/CEO. This individual is compensated by Sisters of Mary of the Presentation Health System, a related organization, for services to the Medical Center. 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 2 Mark Kerr, Paula Wilkie, and Chris Albertson have a business relationship. Gerry Krech and Paula Wilkie have a family relationship. 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. 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 distributed to the governing body before it is filed. The CEO and CFO review the Form 990. Form 990, Part VI, Section B, line 12c Each Director must submit in writing to the Chairperson of the Board and the 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 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 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 Organization's CEO and CFO are both compensated by Sisters of Mary of the Presentation Health System, a related organization. The compensation process is determined by the related organization. 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 available to the public upon written request. Form 990, Part IX, line 11g Purchased services: Program service expenses 1,256,936. Management and general expenses 103,845. Fundraising expenses 0. Total expenses 1,360,781. Professional fees: Program service expenses 0. Management and general expenses 17,331. Fundraising expenses 0. Total expenses 17,331. Contracted services: Program service expenses 2,246. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,246. Form 990, Part XI, line 9: Equity transfer to Sisters of Mary of the Presentation Health Corporation -6,355. 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 Presentation Medical Center. Sisters of Mary of the Presentation Health System 1202 Page Drive SW Fargo ND 58103 450359620 Facilitates 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 58103 450391192 Home health and supportive services ND 501(c)(3) Line 10 SMP Health System 0 St Andrew's Hospital 316 Ohmer Street Bottineau ND 58318 450226426 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 Drive 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 N/A 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 ND 61362 363456566 Healthcare management IL N/A C 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 0