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Nonprofiteer
← ST ALOISIUS HOSPITAL INC

Form 990 for tax year 2022

Filed by ST ALOISIUS HOSPITAL INC.

Totals

Total revenue
$24,974,814
Total expenses
$24,239,909
Contributions and grants received
$600,791
Grants paid
$5,350
Program service revenue
$24,160,550
Investment income
$210,973
Other revenue
$2,500
Total assets, end of year
$24,138,128
Total liabilities, end of year
$7,827,121
Net assets or fund balances, end of year
$16,311,007
Program services expenses (Part IX)
$21,018,983
Management and general expenses
$3,220,926
Fundraising expenses
$0
Program service expenses (Part III)
$21,018,983

Program services were 86.7% 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.

  • 1e · Government grants (contributions)

    $583,073

  • 1f · All other contributions, gifts and grants

    $17,718

  • 2a · Program service revenue: Patient Revenue

    total $23,726,672 · related or exempt $23,726,672

  • 2b · Program service revenue: Senior Living

    total $130,955 · related or exempt $130,955

  • 2c · Program service revenue: Daycare services

    total $85,962 · related or exempt $85,962

  • 2f · All other program service revenue

    total $216,961 · related or exempt $216,961

  • 3 · Investment income

    total $210,973 · excluded $210,973

  • 6a · Gross rents

    real property $2,500

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $2,500

  • 6d · Net rental income or loss

    total $2,500 · excluded $2,500

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $5,350 · program services $5,350

  • 7 · Other salaries and wages

    total $10,252,120 · program services $9,255,887 · management and general $996,233

  • 8 · Pension plan contributions

    total $261,533 · program services $236,119 · management and general $25,414

  • 9 · Other employee benefits

    total $1,624,273 · program services $1,466,436 · management and general $157,837

  • 10 · Payroll taxes

    total $722,150 · program services $647,522 · management and general $74,628

  • 11c · Fees: accounting

    total $72,533 · management and general $72,533

  • 11g · Fees: other

    total $6,760,230 · program services $5,222,157 · management and general $1,538,073

  • 12 · Advertising and promotion

    total $26,558 · management and general $26,558

  • 13 · Office expenses

    total $510,290 · program services $418,487 · management and general $91,803

  • 16 · Occupancy

    total $539,611 · program services $542,717 · management and general -$3,106

  • 17 · Travel

    total $98,711 · program services $72,313 · management and general $26,398

  • 19 · Conferences, conventions and meetings

    total $78 · program services $78

  • 20 · Interest

    total $354,808 · program services $316,494 · management and general $38,314

  • 22 · Depreciation, depletion and amortization

    total $1,067,036 · program services $951,811 · management and general $115,225

  • 23 · Insurance

    total $117,470 · program services $117,470

  • 24a · Other expenses: Medical Supplies

    total $847,331 · program services $847,331

  • 24b · Other expenses: Repairs and maintenance

    total $537,161 · program services $486,022 · management and general $51,139

  • 24c · Other expenses: Dietary food

    total $380,159 · program services $380,159

  • 24e · All other expenses

    total $62,507 · program services $52,630 · management and general $9,877

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $3,133,759 · end of year $1,437,936

  • 4 · Accounts receivable

    beginning of year $2,763,903 · end of year $3,287,330

  • 8 · Inventories for sale or use

    beginning of year $227,450 · end of year $240,884

  • 9 · Prepaid expenses and deferred charges

    beginning of year $272,218 · end of year $119,918

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

    $24,643,194

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

    $18,154,241

  • 10c · Land, buildings and equipment, net

    beginning of year $6,631,491 · end of year $6,488,953

  • 11 · Investments: publicly traded securities

    end of year $19,547

  • 12 · Investments: other securities

    beginning of year $8,958,815 · end of year $11,687,755

  • 15 · Other assets

    beginning of year $449,352 · end of year $855,805

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,438,170 · end of year $2,044,944

  • 19 · Deferred revenue

    beginning of year $542,858 · end of year $10,288

  • 21 · Escrow or custodial account liability

    beginning of year $6,352 · end of year $13,805

  • 23 · Secured mortgages and notes payable

    beginning of year $5,856,855 · end of year $5,421,194

  • 25 · Other liabilities

    beginning of year $0 · end of year $336,890

  • 27 · Net assets without donor restrictions

    beginning of year $14,525,907 · end of year $16,244,161

  • 28 · Net assets with donor restrictions

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

Mission and programs · 2022

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 70-bed 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 2023 were as follows: 687 acute days and 1,523 swing-bed days.(Continued on Schedule O) RESPONDING TO THE NEEDS OF THE POOR The Medical 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 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 years ended September 30, 2023, was $10,000.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.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 70-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 23,595 patient days for FY23.

    Expenses $21,018,983 · Grants $5,350 · Revenue $24,160,550

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Alfred Sams

    President & CEO (Until Jan 23)

    Total calculated
    $379,561
    From this org
    $0
    From related orgs
    $323,652
    Other
    $55,909
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $294,443 related
    Bonus
    $0 + $22,785 related
    Other
    $0 + $6,424 related
    Deferred
    $0 + $24,551 related
    Nontaxable benefits
    $0 + $33,809 related
    Filer's total
    $0 + $382,012 related

  • Ryan Mickelsen

    President & CEO (As of Jan 23)

    Total calculated
    $0
    Hours/week
    40

  • Susan Shearer

    Chair

    Total calculated
    $0
    Hours/week
    0.5

  • Chad Ziegler

    Vice Chair

    Total calculated
    $0
    Hours/week
    0.5

  • Mary Hager

    Director

    Total calculated
    $0
    Hours/week
    0.5

  • Jason Schneider

    Director

    Total calculated
    $0
    Hours/week
    0.5

  • Gordon Schmidt

    Director

    Total calculated
    $0
    Hours/week
    0.5

  • Sr Debra Berry

    Director

    Total calculated
    $0
    Hours/week
    0.5 + 1.3 related

  • Sr Anne Germaine Picard

    Director

    Total calculated
    $0
    Hours/week
    0.5 + 0.8 related

  • Colleen Cannon

    CFO (As of Jan 23)

    Total calculated
    $0
    Hours/week
    40

  • Sr Elaine Lange

    Secretary non-voting

    Total calculated
    $0
    Hours/week
    0.5 + 1.5 related

  • Rick Geier MD

    Family Practice

    Total calculated
    $405,623
    From this org
    $393,916
    From related orgs
    $0
    Other
    $11,707
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $393,916
    Bonus
    $0
    Other
    $0
    Deferred
    $11,707
    Nontaxable benefits
    $0
    Filer's total
    $405,623

  • Kimberly Thorson NP

    Family Practice

    Total calculated
    $274,807
    From this org
    $267,724
    From related orgs
    $0
    Other
    $7,083
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $267,724
    Bonus
    $0
    Other
    $0
    Deferred
    $7,083
    Nontaxable benefits
    $0
    Filer's total
    $274,807

  • Tuan Dean MD

    Family Practice

    Total calculated
    $299,791
    From this org
    $269,456
    From related orgs
    $0
    Other
    $30,335
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $269,446
    Bonus
    $10
    Other
    $0
    Deferred
    $9,646
    Nontaxable benefits
    $20,690
    Filer's total
    $299,792

  • Marcia Ketterling NP

    Family Practice

    Total calculated
    $123,512
    From this org
    $112,189
    From related orgs
    $0
    Other
    $11,323
    Hours/week
    40

  • Robert Gerland

    Pharmacist

    Total calculated
    $143,292
    From this org
    $131,337
    From related orgs
    $0
    Other
    $11,955
    Hours/week
    40

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 Alfred Sams 424 2,076

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.

  • SMP Enterprises

    C · Collection Agency · ND

  • Valley Health Enterprises Inc

    C · Home medical equipment · IL

  • Illinois Valley Health Services Inc

    C · Inactive · IL

  • Health Care Building Corp

    C · Inactive · IL

  • IVCH General Professional Liability Loss Fund

    T · Inactive · IL

Provenance

Return type
form_990
Tax year
2022
Filed
31 July 2024
IRS schema version
2022v5.0
Source object
202442139349301634

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