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Nonprofiteer
← ST ALOISIUS HOSPITAL INC

Form 990 for tax year 2024

Filed by ST ALOISIUS HOSPITAL INC.

Totals

Total revenue
$27,300,742
Total expenses
$27,207,393
Contributions and grants received
$468,000
Grants paid
$0
Program service revenue
$26,450,795
Investment income
$382,721
Other revenue
-$774
Total assets, end of year
$27,619,399
Total liabilities, end of year
$8,247,092
Net assets or fund balances, end of year
$19,372,307
Program services expenses (Part IX)
$23,246,677
Management and general expenses
$3,960,716
Fundraising expenses
$0
Program service expenses (Part III)
$23,246,677

Program services were 85.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1c · Fundraising events

    $10,118

  • 1e · Government grants (contributions)

    $85,620

  • 1f · All other contributions, gifts and grants

    $372,262

  • 2a · Program service revenue: Patient Revenue

    total $25,491,186 · related or exempt $25,491,186

  • 2b · Program service revenue: Pharmacy Revenue

    total $508,075 · related or exempt $508,075

  • 2c · Program service revenue: Senior Living

    total $119,102 · related or exempt $119,102

  • 2d · Program service revenue: Daycare Services

    total $80,813 · related or exempt $80,813

  • 2f · All other program service revenue

    total $251,619 · related or exempt $251,619

  • 3 · Investment income

    total $370,268 · excluded $370,268

  • 7a · Gross sales of assets other than inventory

    other assets $17,721

  • 7b · Less cost or other basis and sales expenses

    other assets $5,268

  • 7c · Gain or loss

    other assets $12,453

  • 7d · Net gain or loss

    total $12,453 · excluded $12,453

  • 8a · Fundraising events: gross income

    $595

  • 8a · Fundraising events: contributions included on line 1c

    $10,118

  • 8b · Fundraising events: direct expenses

    $1,369

  • 8c · Net income from fundraising events

    total -$774 · excluded -$774

Functional expenses

Part IX, the statement of functional expenses.

  • 6 · Compensation of disqualified persons

    total $130,337 · program services $130,337

  • 7 · Other salaries and wages

    total $11,992,085 · program services $10,999,939 · management and general $992,146

  • 8 · Pension plan contributions

    total $297,296 · program services $272,721 · management and general $24,575

  • 9 · Other employee benefits

    total $1,589,816 · program services $1,459,608 · management and general $130,208

  • 10 · Payroll taxes

    total $841,083 · program services $772,224 · management and general $68,859

  • 11b · Fees: legal

    total $23,824 · management and general $23,824

  • 11c · Fees: accounting

    total $172,049 · management and general $172,049

  • 11g · Fees: other

    total $6,493,739 · program services $4,543,109 · management and general $1,950,630

  • 12 · Advertising and promotion

    total $16,732 · management and general $16,732

  • 13 · Office expenses

    total $707,616 · program services $529,005 · management and general $178,611

  • 14 · Information technology

    total $85,997 · program services $26,326 · management and general $59,671

  • 16 · Occupancy

    total $509,229 · program services $503,462 · management and general $5,767

  • 17 · Travel

    total $145,190 · program services $87,942 · management and general $57,248

  • 19 · Conferences, conventions and meetings

    total $35,059 · program services $128 · management and general $34,931

  • 20 · Interest

    total $436,795 · program services $375,674 · management and general $61,121

  • 22 · Depreciation, depletion and amortization

    total $1,228,071 · program services $1,056,227 · management and general $171,844

  • 23 · Insurance

    total $182,859 · program services $182,859

  • 24a · Other expenses: Medical Supplies

    total $1,343,789 · program services $1,335,753 · management and general $8,036

  • 24b · Other expenses: Repairs and maintenance

    total $499,246 · program services $495,850 · management and general $3,396

  • 24c · Other expenses: Dietary food

    total $450,471 · program services $450,381 · management and general $90

  • 24e · All other expenses

    total $26,110 · program services $25,132 · management and general $978

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $995,676 · end of year $915,878

  • 4 · Accounts receivable

    beginning of year $3,974,727 · end of year $4,204,144

  • 8 · Inventories for sale or use

    beginning of year $227,195 · end of year $217,573

  • 9 · Prepaid expenses and deferred charges

    beginning of year $100,334 · end of year $75,539

  • 10a · Land, buildings and equipment: cost or other basis

    $26,871,244

  • 10b · Land, buildings and equipment: accumulated depreciation

    $20,198,520

  • 10c · Land, buildings and equipment, net

    beginning of year $7,094,792 · end of year $6,672,724

  • 11 · Investments: publicly traded securities

    beginning of year $287,400 · end of year $335,703

  • 12 · Investments: other securities

    beginning of year $13,503,994 · end of year $15,189,064

  • 15 · Other assets

    beginning of year $430,148 · end of year $8,774

  • 17 · Accounts payable and accrued expenses

    beginning of year $2,369,508 · end of year $2,472,954

  • 19 · Deferred revenue

    beginning of year $10,373 · end of year $10,199

  • 21 · Escrow or custodial account liability

    beginning of year $9,148 · end of year $8,774

  • 23 · Secured mortgages and notes payable

    beginning of year $5,156,686 · end of year $4,871,339

  • 25 · Other liabilities

    beginning of year $864,721 · end of year $883,826

  • 27 · Net assets without donor restrictions

    beginning of year $18,136,984 · end of year $19,305,461

  • 28 · Net assets with donor restrictions

    beginning of year $66,846 · end of year $66,846

Mission and programs · 2024

Mission

SMP Health - St. Aloisius, inspired by Jesus, in union with the Sisters of Mary of the Presentation, ministers health to all we serve.

Activities or mission (Part I)

Provide healthcare and healing services with special concern for the elderly and poor

  • CRITICAL ACCESS HOSPITAL DESIGNATIONSMP Health - St. Aloisius is a 25-bed acute care hospital and 65-bed skilled nursing facility located in Harvey, North Dakota. The Hospital was designated as a Critical Access Hospital in 2002. As a critical access hospital, our role is vital to the health and welfare of the community we serve. The patient and resident days for FY 2025 were as follows: 649 acute days and 1,597 swing-bed days.(Continued on Schedule O) RESPONDING TO THE NEEDS OF THE POOR The Medical Center provides healthcare services to patients and residents who meet certain criteria under its charity care policy without charge or at amounts less than established rates. Since the Medical Center does not pursue collection of these amounts they are not reported as patient and resident service revenue. The estimated cost of providing these services was $4,000 for the year ended September 30, 2025, calculated by multiplying the ratio of cost to gross charges for the Medical Center by the gross uncompensated charges associated with providing charity care to its patients and residents.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.SMP Health - St. Aloisius provides a Senior Living Facility. This consists of 16 apartment units. Two of the one-bedroom apartments are handicap accessible. A noon meal is optional but is served 7 days per week. There is also a 24-hour emergency call system.SMP Health - St. Aloisius Long Term Care is a 65-bed skilled nursing facility licensed by the State of North Dakota. The facility provides occupational, physical and speech therapy and other activities offered 7 days per week. St. Aloisius Long Term Care facility had 21,944 patient days for FY25.

    Expenses $23,246,677 · Revenue $26,450,795

As filed on the 2024 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Ryan Mickelsen

    President & CEO

    Total calculated
    $340,991
    From this org
    $0
    From related orgs
    $289,033
    Other
    $51,958
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $257,900 related
    Bonus
    $0 + $25,000 related
    Other
    $0 + $6,133 related
    Deferred
    $0 + $20,625 related
    Nontaxable benefits
    $0 + $33,909 related
    Filer's total
    $0 + $343,567 related

  • Gordon Schmidt-Vice Chair until Jul

    Chair as of Aug 2025

    Total calculated
    $0
    Hours/week
    0.5

  • Mary Hager-Director until Jul

    Vice Chair as of Aug 2025

    Total calculated
    $0
    Hours/week
    0.5

  • Jason Schneider

    Chair until Jul 2025

    Total calculated
    $0
    Hours/week
    0.5

  • Sr Debra Berry

    Director

    Total calculated
    $0
    Hours/week
    0.5 + 1.3 related

  • Doug Heil

    Director as of July 2025

    Total calculated
    $0
    Hours/week
    0.5

  • Dr Steven Kourajian

    Director

    Total calculated
    $0
    Hours/week
    0.5

  • Kathy Muscha

    Director

    Total calculated
    $0
    Hours/week
    0.5

  • Sr Anne Germaine Picard

    Director

    Total calculated
    $0
    Hours/week
    0.5 + 0.8 related

  • Nicole Anderson

    CFO

    Total calculated
    $124,634
    From this org
    $0
    From related orgs
    $95,385
    Other
    $29,249
    Hours/week
    40

  • Sr Elaine Lange

    Secretary non-voting

    Total calculated
    $0
    Hours/week
    0.5 + 1.5 related

  • Rick Geier MD

    Physician

    Total calculated
    $444,396
    From this org
    $433,896
    From related orgs
    $0
    Other
    $10,500
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $433,896
    Bonus
    $0
    Other
    $0
    Deferred
    $10,500
    Nontaxable benefits
    $893
    Filer's total
    $445,289

  • Kimberly Thorson NP

    Nurse Practitioner

    Total calculated
    $338,142
    From this org
    $328,293
    From related orgs
    $0
    Other
    $9,849
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $328,293
    Bonus
    $0
    Other
    $0
    Deferred
    $9,849
    Nontaxable benefits
    $442
    Filer's total
    $338,584

  • Tuan Dean MD

    Physician

    Total calculated
    $307,299
    From this org
    $287,062
    From related orgs
    $0
    Other
    $20,237
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $287,062
    Bonus
    $0
    Other
    $0
    Deferred
    $6,338
    Nontaxable benefits
    $14,905
    Filer's total
    $308,305

  • Tracey Harness

    CNA until Mar 2025

    Total calculated
    $199,847
    From this org
    $191,885
    From related orgs
    $0
    Other
    $7,962
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $191,885
    Bonus
    $0
    Other
    $0
    Deferred
    $5,862
    Nontaxable benefits
    $2,203
    Filer's total
    $199,950

  • Robert Rotering Jr MD

    Physician

    Total calculated
    $184,831
    From this org
    $171,783
    From related orgs
    $0
    Other
    $13,048
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $171,783
    Bonus
    $0
    Other
    $0
    Deferred
    $4,650
    Nontaxable benefits
    $9,290
    Filer's total
    $185,723

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Part I, Line 3
SMP Health - St. Aloisius 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 at the Hospital. Sisters of Mary of the Presentation Health System uses one or more of the methods on Part I, question 3 to determine compensation.
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 Ryan Mickelsen 133 3,125

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2024
IRS schema version
2024v5.5
Source object
202622109349300412

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