Civic Intelligence

St Aloisius Hospital

EIN 45-0226729 • 501(c)3 • Harvey, ND

Profile

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

325 Brewster Street EastHarvey, ND 58341

smphealth.org/staloisius

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

60th percentile

0.32x

Higher debt load relative to assets than 60% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Liabilities / Revenue

53rd percentile

0.31x

Higher debt load relative to revenue than 53% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Net Margin

30th percentile

-1.5%

Higher net margin than 30% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

65th percentile

10%

Faster asset growth than 65% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Revenue Growth

50th percentile

7.0%

Faster revenue growth than 50% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Assets

Up

$26,614,266

Up $2,476,138 (+10%) from 2023

Liabilities

Up

$8,410,436

Up $583,315 (+7.5%) from 2023

Net Assets

Up

$18,203,830

Up $1,892,823 (+12%) from 2023

Revenue

Up

$26,716,135

Up $1,741,321 (+7.0%) from 2023

Expenses

Up

$27,114,077

Up $2,874,168 (+12%) from 2023

Net Income

Down

-$397,942

Down $1,132,847 (-154%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$30M$20M$10M$0Assets 2010: $8,725,096Liabilities 2010: $2,888,123Net Assets 2010: $5,836,9732010Assets 2011: $9,337,923Liabilities 2011: $2,607,621Net Assets 2011: $6,730,3022011Assets 2012: $9,867,260Liabilities 2012: $2,595,625Net Assets 2012: $7,271,6352012Assets 2013: $12,618,737Liabilities 2013: $5,177,938Net Assets 2013: $7,440,7992013Assets 2014: $16,744,755Liabilities 2014: $9,006,038Net Assets 2014: $7,738,7172014Assets 2015: $17,785,197Liabilities 2015: $9,339,249Net Assets 2015: $8,445,9482015Assets 2016: $17,553,013Liabilities 2016: $8,721,634Net Assets 2016: $8,831,3792016Assets 2017: $17,382,410Liabilities 2017: $8,363,321Net Assets 2017: $9,019,0892017Assets 2018: $17,511,498Liabilities 2018: $8,424,919Net Assets 2018: $9,086,5792018Assets 2019: $18,365,004Liabilities 2019: $8,625,971Net Assets 2019: $9,739,0332019Assets 2020: $22,352,264Liabilities 2020: $12,569,721Net Assets 2020: $9,782,5432020Assets 2021: $24,095,951Liabilities 2021: $9,613,355Net Assets 2021: $14,482,5962021Assets 2022: $22,436,988Liabilities 2022: $7,844,235Net Assets 2022: $14,592,7532022Assets 2023: $24,138,128Liabilities 2023: $7,827,121Net Assets 2023: $16,311,0072023Assets 2024: $26,614,266Liabilities 2024: $8,410,436Net Assets 2024: $18,203,8302024

Highlighted filing

2024

Assets$26,614,266
Liabilities$8,410,436
Net Assets$18,203,830

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$30M$20M$10M$0-$10MExpenses 2010: $12,104,4122010Revenue 2011: $13,148,922Expenses 2011: $12,148,694Net Income 2011: $1,000,2282011Revenue 2012: $12,864,233Expenses 2012: $12,545,168Net Income 2012: $319,0652012Expenses 2013: $12,896,6762013Revenue 2014: $12,722,058Expenses 2014: $12,603,155Net Income 2014: $118,9032014Revenue 2015: $15,172,556Expenses 2015: $14,275,451Net Income 2015: $897,1052015Revenue 2016: $15,706,246Expenses 2016: $15,508,132Net Income 2016: $198,1142016Revenue 2017: $15,166,399Expenses 2017: $15,326,825Net Income 2017: -$160,4262017Revenue 2018: $15,612,320Expenses 2018: $15,798,034Net Income 2018: -$185,7142018Revenue 2019: $18,348,471Expenses 2019: $17,784,660Net Income 2019: $563,8112019Revenue 2020: $18,344,187Expenses 2020: $18,836,133Net Income 2020: -$491,9462020Revenue 2021: $23,480,420Expenses 2021: $20,256,128Net Income 2021: $3,224,2922021Revenue 2022: $25,167,860Expenses 2022: $22,697,026Net Income 2022: $2,470,8342022Revenue 2023: $24,974,814Expenses 2023: $24,239,909Net Income 2023: $734,9052023Revenue 2024: $26,716,135Expenses 2024: $27,114,077Net Income 2024: -$397,9422024

Highlighted filing

2024

Revenue$26,716,135
Expenses$27,114,077
Net Income-$397,942

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$26.6$8.41$18.2$26.7$27.1$0.40
2023Detailed filing. Detailed filing data is available for this year.$24.1$7.83$16.3$25.0$24.2$0.73
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$22.4$7.84$14.6$25.2$22.7$2.47
2021Detailed filing. Detailed filing data is available for this year.$24.1$9.61$14.5$23.5$20.3$3.22
2020Detailed filing. Detailed filing data is available for this year.$22.4$12.6$9.78$18.3$18.8$0.49
2019Detailed filing. Detailed filing data is available for this year.$18.4$8.63$9.74$18.3$17.8$0.56
2018Detailed filing. Detailed filing data is available for this year.$17.5$8.42$9.09$15.6$15.8$0.19
2017Detailed filing. Detailed filing data is available for this year.$17.4$8.36$9.02$15.2$15.3$0.16
2016Detailed filing. Detailed filing data is available for this year.$17.6$8.72$8.83$15.7$15.5$0.20
2015Detailed filing. Detailed filing data is available for this year.$17.8$9.34$8.45$15.2$14.3$0.90
2014Detailed filing. Detailed filing data is available for this year.$16.7$9.01$7.74$12.7$12.6$0.12
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$12.6$5.18$7.44$12.9
2012Summary only. Only limited summary data is available for this year.$9.87$2.60$7.27$12.9$12.5$0.32
2011Summary only. Only limited summary data is available for this year.$9.34$2.61$6.73$13.1$12.1$1.00
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$8.73$2.89$5.84$12.1
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2023 to Sep 30, 2024
Signed
Jul 2, 2025
Return Version
2023v6.0
Gross Receipts
$26,716,135
Mission and Program Overview

Mission

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

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

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments Other Securities$11,687,755$13,503,994▲ $1,816,239
Land, Buildings, and Equipment, Net$6,488,953$7,094,792▲ $605,839
Accounts Receivable$3,287,330$3,974,727▲ $687,397
Savings and Temporary Cash Investments$1,437,936$995,676▼ $442,260
Investments in Publicly Traded Securities$19,547$287,400▲ $267,853
Inventories for Sale or Use$240,884$227,195▼ $13,689
Prepaid Expenses and Deferred Charges$119,918$100,334▼ $19,584
Total Assets$24,138,128$26,614,266▲ $2,476,138
Other Assets Total$855,805$430,148▼ $425,657
Liabilities
Mortgage Notes Payable Secured by Investment Property$5,421,194$5,156,686▼ $264,508
Accounts Payable and Accrued Expenses$2,044,944$2,369,508▲ $324,564
Other Liabilities$336,890$864,721▲ $527,831
Deferred Revenue$10,288$10,373▲ $85
Escrow Account Liability$13,805$9,148▼ $4,657
Total Liabilities$7,827,121$8,410,436▲ $583,315
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$16,244,161$18,136,984▲ $1,892,823
Net Assets With Donor Restrictions$66,846$66,846→ $0
Total Net Assets Fund Balance$16,311,007$18,203,830▲ $1,892,823
Total Liabilities and Net Assets / Fund Balance$24,138,128$26,614,266▲ $2,476,138

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$4,446,452$14,494,134$18,940,586
Equipment$2,233,491$4,400,622$6,634,113
Other Land Buildings$265,023$286,368$551,391
Land$102,501-$102,501
Leasehold Improvements$47,325$3,155$50,480
Other Securities$13,503,994--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Rick Geier MDPhysicianFT$420,004$9,900$429,904
Kimberly Thorson NPNurse PractitionerFT$290,306$8,709$299,015
Tuan Dean MDPhysicianFT$265,090$21,647$286,737
Tracey HarnessCNAFT$122,791$11,942$134,733
Lori SchroederCNAFT$125,410$3,762$129,172

Board Members and Trustees

NameTitle
Jason Schneider - Director(Until 6/24)/Chair (As of 7/24)
Susan ShearerChair (Until 6/24)
Alfred SamsFormer President & CEO
Ryan MickelsenPresident & CEO
Gordon Schmidt-Director Until6/24)/Vice Chair (As of 7/24)
Chad ZieglerVice Chair (Until 6/24)
Mary HagerDirector
Sr Anne Germaine PicardDirector
Sr Debra BerryDirector
Dr Steven KourajianDirector (As of 7/24)
Kathy MuschaDirector (As of 7/24)
Nicole AndersonCFO (As of 5/24)
Colleen CannonCFO (Until 2/24)
Sr Elaine LangeSecretary non-voting

Highest Paid Contractors

ContractorServicesLocationCompensation
Homestead RecruitersContract staffing821 Senior Ave, Dickinson, ND 58601$1,690,335
DTN Staffing IncContract staffing1200 Collins Ave, Mandan, ND 58554$798,151
Northland Imaging ServicesImaging services2223 E Rosser Ave, Bismarck, ND 58501$329,667
Cdfp PCER coverage922 Lincoln Ave, Harvey, ND 58341$214,425
Northern Plains Laboratory LLCLab ServicesPO Box 2036, Bismarck, ND 58502-2036$186,252
Revenue and Support

Revenue Composition

Contributions and Grants
$272,291
Program Service Revenue
$26,151,950
Investment Income
$290,177
Other Revenue
$1,717
All Other Contributions
$11,499
Change in Net Assets
$-397,942

Audited Revenue Reconciliation

Revenue per Audited Statements
$26,716,135
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$2,290,765
Total Revenue per Audited Statements
$29,006,900
Total Revenue per Form 990
$26,716,135
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$14,502,042
Other Expenses$12,612,035
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$10,762,886$1,015,391-$11,778,277
Fees for Services Other$5,226,265$2,105,074-$7,331,339
Other Employee Benefits$1,420,887$133,538-$1,554,425
Depreciation Depletion$995,498$110,702-$1,106,200
Payroll Taxes$756,216$71,055-$827,271
Office Expenses$529,362$161,934-$691,296
Occupancy$507,124$2,662-$509,786
Interest$401,322$44,628-$445,950
Other Expenses$392,898$34,027-$392,898
Pension Plan Contributions$272,462$25,601-$298,063
Insurance$168,812--$168,812
Travel$63,032$43,472-$106,504
Fees for Services Accounting-$98,885-$98,885
Current Officers, Directors, Trustees, and Key Employees$44,006--$44,006
Information Technology$8,914$26,742-$35,656
All Other Expenses$25,965$3,579-$29,544
Advertising-$28,642-$28,642
Fees for Services Legal-$24,653-$24,653
Conferences and Meetings$507--$507
Total Functional Expenses$23,181,887$3,932,190$0$27,114,077

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$27,114,077
Total Expenses per Audited Statements$27,114,077
Total Expenses per Form 990$27,114,077
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Marissa MickelsenFamily to President/CEOCompensation and benefitsNo$44,006
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Lease Liability$690,891
Construction accounts payable$173,830
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, line 2

Ryan Mickelsen, Alfred Sams, Colleen Cannon, and Sr. Elaine Lange have a business 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 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 Board before it is filed. The Organization's President & CEO and CFO review the 990.

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 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 compensated by Sisters of Mary of the Presentation Health System, a related organization, on an annual basis. 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 not available to the public. Financial information is available through the public disclosure copy of the 990.

Filing and Contact Details

Filer

Filer Name
St Aloisius Hospital
EIN
45-0226729
Phone
7013244651
Address
325 Brewster Street East, Harvey, ND 58341
Doing Business As
SMP Health - St Aloisius

Signing Officer

Name
Ryan Mickelsen
Title
President & CEO
Phone
7013244651
Signed
2025-07-02
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Ryan Mickelsen
Formed
1938
Legal Domicile
Nd
Voting Board Members
8
Independent Board Members
7
Employees
295
Volunteers
80

Preparer

Firm
Eide Bailly LLP
Address
800 Nicollet Mall Ste 1300, Minneapolis, MN 55402-7033
Preparer
Kim Hunwardsen CPA
Phone
6122536500
Supplemental Narrative

Additional Explanations

Form 990, Part IX, line 11G

Purchased services: Program service expenses 1,359,202. Management and general expenses 969,570. Fundraising expenses 0. Total expenses 2,328,772. Professional Fees: Program service expenses 3,867,063. Management and general expenses 1,135,504. Fundraising expenses 0. Total expenses 5,002,567.

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. Aloisius Hospital.

Financial Statement Notes

Part IV, Line 2B:

The Medical Center holds funds under an agency relationship for the residents of the nursing facility. Resident trust funds held as of September 30, 2024 totaled $4,228. Security deposits held as of September 30, 2024 totaled $4,920.

Part X, Line 2:

The Medical Center believes that it has appropriate support for any tax position 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.

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IRS990/Desc0CRITICAL ACCESS HOSPITAL DESIGNATIONSMP Health - St. Aloisius is a 25-bed acute care hospital and 70-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 2024 were as follows: 739 acute days and 1,488 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 $17,000 for the year ended September 30, 2024, 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 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 23,096 patient days for FY24.
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IRS990/Form990PartVIISectionAGrp/PersonNm0Ryan Mickelsen
IRS990/Form990PartVIISectionAGrp/PersonNm1Susan Shearer
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IRS990/Form990PartVIISectionAGrp/PersonNm17Tracey Harness
IRS990/Form990PartVIISectionAGrp/PersonNm18Alfred Sams
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IRS990/Form990PartVIISectionAGrp/TitleTxt0President & CEO
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