2024-07-31T17:10:24-05:00 2023-09-30 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2022-10-01 450226729 St Aloisius Hospital STAL 7013244651 325 Brewster Street East Harvey ND 58341 Ryan Mickelsen President & CEO 7013244651 2024-07-31 1 1 Kim Hunwardsen CPA P00484560 6122536500 2024-07-31 2022 2024-08-08 14:25:15Z SMP Health - St Aloisius Ryan Mickelsen 325 Brewster Street East Harvey ND 58341 24974814 0 0928 X https://smphealth.org/staloisius/ X 1938 ND Provide healthcare and healing services with special concern for the elderly and poor 8 7 287 80 0 0 2515061 600791 22319017 24160550 329382 210973 4400 2500 25167860 24974814 11488 5350 0 0 12879621 12860076 0 0 0 9805917 11374483 22697026 24239909 2470834 734905 22436988 24138128 7844235 7827121 14592753 16311007 X SMP Health - St. Aloisius, inspired by Jesus, in union with the Sisters of Mary of the Presentation, ministers health to all we serve. 0 0 21018983 5350 24160550 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. 21018983 1 0 0 0 0 0 0 0 1 0 1 1 0 0 1 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 36 0 1 287 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 7 1 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 0 X Nicole Anderson 7013244651 325 Brewster Street East Harvey ND 58341 Alfred Sams President & CEO (Until Jan 23) 40.00 0.00 X X 0 323652 55909 Ryan Mickelsen President & CEO (As of Jan 23) 40.00 0.00 X X 0 0 0 Susan Shearer Chair 0.50 0.00 X X 0 0 0 Chad Ziegler Vice Chair 0.50 0.00 X X 0 0 0 Mary Hager Director 0.50 0.00 X 0 0 0 Jason Schneider Director 0.50 0.00 X 0 0 0 Gordon Schmidt Director 0.50 0.00 X 0 0 0 Sr Debra Berry Director 0.50 1.30 X 0 0 0 Sr Anne Germaine Picard Director 0.50 0.80 X 0 0 0 Colleen Cannon CFO (As of Jan 23) 40.00 0.00 X 0 0 0 Sr Elaine Lange Secretary non-voting 0.50 1.50 X 0 0 0 Rick Geier MD Family Practice 40.00 0.00 X 393916 0 11707 Kimberly Thorson NP Family Practice 40.00 0.00 X 267724 0 7083 Tuan Dean MD Family Practice 40.00 0.00 X 269456 0 30335 Marcia Ketterling NP Family Practice 40.00 0.00 X 112189 0 11323 Robert Gerland Pharmacist 40.00 0.00 X 131337 0 11955 1174622 323652 128312 6 0 1 0 Homestead Recruiters 821 Senior Ave Dickinson ND 58601 Contract staffing 1831330 DTN Staffing Inc 1200 Collins Ave Mandan ND 58554 Contract staffing 842670 Northland Imaging Services 2223 E Rosser Ave Bismarck ND 58501 Imaging services 291593 Guardian Healthcare Providers Inc PO Box 931167 Atlanta GA 31193 Contract staffing 260236 CDFP PC 922 Lincoln Ave Harvey ND 58341 ER coverage 213300 9 583073 17718 600791 Patient Revenue 621110 23726672 23726672 Senior Living 623990 130955 130955 Daycare services 624410 85962 85962 216961 216961 24160550 210973 210973 2500 0 2500 2500 2500 24974814 24160550 0 213473 X 5350 5350 10252120 9255887 996233 261533 236119 25414 1624273 1466436 157837 722150 647522 74628 72533 72533 6760230 5222157 1538073 26558 26558 510290 418487 91803 539611 542717 -3106 98711 72313 26398 78 78 354808 316494 38314 1067036 951811 115225 117470 117470 Medical Supplies 847331 847331 Repairs and maintenance 537161 486022 51139 Dietary food 380159 380159 62507 52630 9877 24239909 21018983 3220926 0 3133759 1437936 2763903 3287330 227450 240884 272218 119918 24643194 18154241 6631491 6488953 19547 8958815 11687755 449352 855805 22436988 24138128 1438170 2044944 542858 10288 6352 13805 5856855 5421194 0 336890 7844235 7827121 X 14525907 16244161 66846 66846 14592753 16311007 22436988 24138128 X 734905 1000863 -17514 X X 0 1 X 1 0 X 0 1 X 102501 102501 18341657 13765688 4575969 5230409 4112340 1118069 968627 276213 692414 6488953 SMPHS pooled investment funds 11687755 F 11687755 Finance lease liabilities 336890 336890 X 25975677 1000863 1000863 24974814 0 24974814 24239909 0 24239909 0 24239909 Part IV, Line 2b: The Medical Center hold funds under an agency relationship for the residents of the nursing facility. Funds held as of September 30, 2023 totaled $13,805. 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. 1 1 X 1 X 1 X 1 1 1 0 1 1 10000 10000 0.00040 471970 318977 152993 0.00630 481970 318977 162993 0.00670 3421 253990 17310 236680 0.00980 3041613 2131469 910144 0.03750 5350 5350 0.00020 3421 3300953 2148779 1152174 0.04750 3421 3782923 2467756 1315167 0.05420 1 515495 64437 7202921 7260310 -57389 X 1 1 1 1 St Aloisius Hospital 325 Brewster Street East Harvey ND 58341 www.staloisius.com 5023a X X X X 1 provider based rural health clinic St Aloisius Hospital 1 0 0 1 X X X X X X X X X 21 1 0 1 1 X smphealth.org/staloisius/resources/ X 1 21 1 smphealth.org/staloisius/resources/ 0 1 X 100.000000000000 200.000000000000 X X X 1 1 X X X X 1 X smphealth.org/staloisius/resources/ X smphealth.org/staloisius/resources/ X smphealth.org/staloisius/resources/ X X X X X X 1 X 0 X X X X 1 X 0 0 St. Aloisius Hospital Part V, Section B, Line 5: A community group consisting of 18 community members was convened and first met on June 14, 2022. During this first community group meeting, group members were introduced to the needs assessment process, reviewed basic demographic information about the community, and served as a focus group. Focus group topics included community assets and challenges and the general health needs of the community. The focus group included the following members: Nursing Administrator and Prevention Coordinator from the Wells County District Health Unit, 911 Communications/Sheriff's Office in Wells County, Suicide Prevention volunteer, North Dakota EMS President, and other businesses and community members. The community group met again on August 17, 2022. At this second meeting the community group was presented with survey results, findings from key informant interviews and the focus group, and a wide range of secondary data relating to the general health of the population in Wells County. The group was then tasked with identifying and prioritizing the community's health needs. St. Aloisius Hospital Part V, Section B, Line 6b: A Community Health Needs Assessment was performed in the summer of 2022 in collaboration with the Center for Rural Health to determine the most pressing health needs of Harvey area. St. Aloisius Hospital Part V, Section B, Line 11: A Community Health Needs Assessment (CHNA) was completed in fiscal year 2022 in collaboration with Wells County District Health to determine the most pressing health needs of Harvey area. The actions the Hospital took to address the needs in FY2023 are as follows.1. Depression and Anxiety-all ages2. Smoking and tobacco use3. Attracting and retaining young familiesDepression and Anxiety and Tobacco Use1. St Aloisius currently allots space for a visiting Mental Health practitioner and will inquire about additional availability. 2. Reviewed telemedicine options for Mental Health services.3. Clinicians in the clinic provided literature on tobacco cessation including NDQuits.Attracting and Retaining Young FamiliesTo continue offering competitive wages and benefits for all hospital employees1. Advertise jobs on website to allow individuals from out of the area the ability to see what career choices are available.2. Advertise positions in media outside of our service area.The Hospital will not address the following health need identified in the CHNA as part of this Implementation Plan due to limited resources and the need to allocate significant resources to the priority health needs identified above. 1. Assisted Living Options St. Aloisius Hospital Part V, Section B, Line 13h: In addition to income, assets and liabilities may also be used to determine eligibility. St. Aloisius Hospital Part V, Section B, Line 16j: A note is printed on monthly statements providing information regarding financial assistance. The financial assistance policy is provided to self-pay patients upon registration at the Hospital. It is not provided to all patients. The Uncompensated Care & Service Application and information regarding the financial assistance policy is available on our website and available upon request. 4 1 - St Aloisius Long Term Care 325 Brewster Street East Harvey ND 58341 Skilled nursing facility 2 - St Aloisius Senior Housing 325 Brewster Street East Harvey ND 58341 Senior housing units 3 - St Aloisius Drake Clinic 114 Main St Drake ND 58736 Physician Clinic 4 - St Aloisius Central Dakota Clinic 922 Lincoln Ave Harvey ND 58341 Physician Clinic Part I, Line 3c: In addition to income, assets and liabilities may also be used to determine eligibility. Part I, Line 6a: The Hospital's community benefit report is available upon request. Part I, Line 7: Charity care expense was converted to cost 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 cash and in-kind contributions are reported based on actual expenses recorded in the Organization's general ledger. The cost for subsidized health services was determined using the Medicare cost report. Part III, Line 2: The amount reported on line 2 represents implicit price concessions. The Hospital determines its estimate of implicit price concessions based on its historical collection experience with this class of patients. Part III, Line 3: The Hospital reasonably estimates the portion of implicit price considerations that could have qualified for charity care. An estimated 12.5% of implicit price concessions in 2023 are attributable to patients living below the federal poverty level in Wells County. Part III, Line 4: The footnote to the Organization's financial statements can be found on pages 11 and 12 of the attached audited financial statements. Part III, Line 8: SMP Health - St. Aloisius had a Medicare shortfall during the fiscal year. The Hospital provides services to patients under the Medicare program regardless of the shortfall. The Hospital knows 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. Hospital services reimbursed on a fee schedule are not included in the Medicare calculation per the 990 instructions. Had this been reported the total loss from Medicare services would have been $85,568.Medicare fee schedule revenue $ 95,816Medicare estimated costs of care relating to payments (181,384)Net (Shortage) $ (85,568)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: Patients that are in the process of applying for charity care or have been approved for charity care will not have collection procedures brought on them. If a patient does not complete the Caring Program application within 120 days, the account will follow the same collection procedure as other accounts. Accounts turned over to collections may be eligible for the Caring Program if the patient completes an application and is approved within an additional 120 days. After a determination of charity care, any personal portion due would follow the same collection procedures as other patients. Accounts for persons that have been granted bankruptcy by the courts are transferred to the Caring Program and written off as charity care. No collection procedures are pursued. Part VI, Line 2: SMP Health St. Aloisius addresses needs throughout the community in addition to completing the CHNA. The Hospital employs a marketing/public relations individual and provides feedback on needs in the community. A community care program, named "Community Cares Coalition" was formed to address and assist with suicide prevention and is still active in 2023. The Hospital has other activities to assist families in need throughout the community. Part VI, Line 3: SMP Health St. Aloisius has a Revenue Cycle Manager, RCM, who works in conjunction with the business office staff on reviewing patient accounts both with insurance and those who are self-pay. Our monthly billing statements include information regarding financial assistance. The financial assistance policy is provided to self-pay patients upon registration at the Hospital and Clinic. It is not provided to all patients. The application for Uncompensated Care and Services and information regarding the financial assistance policy is available on our website and available upon request.The hospital nurses ask the patient if they have any financial concerns about their hospital stay and if they do, the nurse calls the RCM or CFO to notify them that the patient has financial questions. The RCM or CFO will then follow up with the patient about their concerns. Part VI, Line 4: SMP Health St. Aloisius is a non-profit Critical Access Hospital located in central North Dakota. We serve more than 15 rural communities including Harvey where we are located. Our area of service is approximately 90 miles in diameter. Local doctors have clinics in Harvey. Some of the same community demographics issues still exist, however, these community needs are still being addressed in the current year. Obesity continues to be an issue in all areas as is excessive drinking, drug use, diabetes etc. In 2021, 36% of adults in Wells County were considered obese compared to 36% in North Dakota and 30% nationally. This is a increase from 2019 of 32% in North Dakota. Adult smokers by percent of population in Wells County is 21% compared to 20% in North Dakota and 15% in the US. Excessive drinking was 23% in Wells County, 24% in North Dakota and 15% in the US. Injury Deaths were more prevalent in Wells County (66 deaths per 100,000 residents) than the top 10% of US Counties (61 per 100,000 residents). In Wells County, 50% of households have one or more seniors (60 and older). Unemployment in Wells County in 2021 was 4.4% and in North Dakota 2021 was 4.0%. The estimated median household income in Wells County for 2021 was $63,665. The estimated median household income for North Dakota was $89,504. Also, 12.5% of residents had income below the poverty level in 2022, which is an increase from 8.8% in 2021.Services offered include acute care, swing bed, surgery, clinic, senior housing and long-term care services. Our average acute/swing bed daily census is 6.1 patients. Our average clinic visits per month in FY23 was 822. Long term care average daily census was 64.64, up from 63.69 last year. SMP Health St. Aloisius has provided services in Harvey since 1938 with the Sisters of Mary of the Presentation Health System. With a special mission to serve the poor, the Sisters' have offered healing hospitality to all who come to us for care.The closest critical access hospitals are Heart of America Medical Center located in Rugby, ND approximately 42 miles away and Carrington Health Center located in Carrington, ND approximately 54 miles away. Part VI, Line 5: The Organization's governing body is composed of representatives from Harvey and surrounding local communities in addition to representatives from the Sisters of Mary of the Presentation. The group is diverse, as it includes lay people, religious representatives and businessmen and women. This diversity represents the rural population we serve. Five Board Members are from the city of Harvey.This facility extends medical staff privileges to those qualified practitioners based on an established credentialing process. We are not a research facility. Any excess funds are reinvested into funded depreciation for future capital projects for the facility. As a critical access facility, there have not been many years with excess funds, but when there is, the facility has made improvements in building infrastructure to increase quality and efficiency for our patients and residents we serve. In FY 2023, we added wound care services, pelvic floor therapy, respiratory therapy services, general surgery services, and podiatry services.SMP Health St. Aloisius is very supportive of community organizations. The following are examples of services St. Aloisius has provided to the community at large.1. The facility has a 24/7 emergency room available to patients regardless of ability to pay.2. Sponsored weekly Healthy Hints radio spots where health issues are addressed3. 24/7 Pastoral Care services.4. Provided lab services to patients (including free wellness for employees) during our spring and fall Wellness Days.5. We provided sports physicals to area athletes. The minimal payment charged for the physical was donated to Wells County Booster club.6. Diabetes education is provided by hospital staff who is certified in Diabetes Education7. Provided donations to local school projects and other community groups, memorial services, child protection referrals.8. Presented bi-weekly "Did You Know" health information in the local newspaper. 9. Provided office space (in kind) for Hearing Aid Services and Mental Health Counselor staff/clients in our hospital building. There were many patients served weekly by the Rural Mental Health staff.10. Provided cable television, internet and phone to our patients and residents which is non-reimbursable on our cost report.11. Sent outdated supplies to local missionaries for distribution Part VI, Line 6: We are an affiliate of SMP Health. SMP Health-St. Aloisius 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. SMP Health-St. Aloisius has a Strategic Plan developed from themes set forth by the health system for all affiliates. The strategic plan is an active document which SMP Health-St. Aloisius 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 1 0 0 0 0 0 0 0 Rick Geier MD Family Practice 393916 0 0 0 0 0 11707 0 0 0 405623 0 0 0 Alfred Sams President & CEO (Until Jan 23) 0 294443 0 22785 0 6424 0 24551 0 33809 0 382012 0 424 Tuan Dean MD Family Practice 269446 0 10 0 0 0 9646 0 20690 0 299792 0 0 0 Kimberly Thorson NP Family Practice 267724 0 0 0 0 0 7083 0 0 0 274807 0 0 0 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 Form 990, Part VI, Section A, line 2 Alfred Sams, Desirae Fleming, Steve Lindemann, 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. Form 990, Part IX, line 11g Purchased services: Program service expenses 3,489,603. Management and general expenses 224,263. Fundraising expenses 0. Total expenses 3,713,866. Professional Fees: Program service expenses 1,732,554. Management and general expenses 1,313,810. Fundraising expenses 0. Total expenses 3,046,364. Form 990, Part XI, line 9: Equity transfer to Sisters of Mary of the Presentation Health Corporation Transfer to SMP -17,514. 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. Sisters of Mary of the Presentation Health Ministry 1202 Page Drive SW Fargo ND 58106 320617468 Supports SMP Health and the related entities ND 501(c)(3) N/A 0 Sisters of Mary of the Presentation Health System dba SMP Health 1202 Page Drive SW Fargo ND 58103 450359620 Support related ND Catholic Health Care System ND 501(c)(3) Line 12a, I SMP Health Ministry 0 St Andrew's Health Center dba SMP Health - St Andrew's 316 Ohmer St Bottineau ND 58318 450226426 Provision of health care services ND 501(c)(3) Line 3 SMP Health 0 St Andrew's Hospital Foundation dba SMP Health St Andrew's Foundation Inc 316 Ohmer St Bottineau ND 58318 450413201 Support SMP Health - St. Andrew's ND 501(c)(3) Line 12a, I SMP Health 0 Presentation Medical Center dba SMP Health - St Kateri 213 2nd Ave NE Rolla ND 58367 450227391 Provision of health care services ND 501(c)(3) Line 3 SMP Health 0 SMP Prairieland Home Care dba Prairieland Home Care 1202 Page Drive SW Fargo ND 58106 450391192 Home health and supportive services ND 501(c)(3) Line 10 SMP Health 0 SMP Long Term Care dba SMP Health - Long Term Care 1202 Page Drive SW Fargo ND 58106 752999939 Provide extended care and medically related services ND 501(c)(3) Line 10 SMP Health 0 St Margaret's Hospital Foundation 600 E 1st St Spring Valley IL 61362 364042262 Support SMP Health - St. Margaret's IL 501(c)(3) Line 12a, I SMP Health 0 SMP Illinois Region Health System dba St Margaret's Health 600 E 1st St Spring Valley IL 61362 842023121 Support related Illinois health care entities IL 501(c)(3) Line 12a, I SMP Health 0 IV HealthCorp Inc 925 W St Peru IL 61354 371211890 Support SMP affiliated entities IL 501(c)(3) Line 12a, I St Margaret's Health 0 St Margaret's Health - Spring Valley 600 E 1st St Spring Valley IL 61362 362167884 Provision of health care services IL 501(c)(3) Line 3 St Margaret's Health 0 Illinois Valley Community Hospital Foundation 925 W St Peru IL 61354 371211780 Support IV HealthCorp, Inc. IL 501(c)(3) Line 12a, I IV HealthCorp Inc 0 St Margaret's Health-Peru 925 W St Peru IL 61354 362852553 Provision of health care services IL 501(c)(3) Line 3 IV HealthCorp Inc 0 SMP Enterprises PO Box 10007 Fargo ND 581060007 363486506 Collection Agency ND N/A C 0 Valley Health Enterprises Inc 925 W St Peru IL 61354 363476877 Home medical equipment IL N/A C 0 Illinois Valley Health Services Inc 925 W St Peru IL 61354 364050682 Inactive IL N/A C 0 Health Care Building Corp 925 W St Peru IL 61354 363306917 Inactive IL N/A C 0 IVCH General Professional Liability Loss Fund 925 West Street Peru IL 61354 366673231 Inactive IL N/A T 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 1 0 Form 990, Schedule R, Part II: