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Critical access hospital · Bottineau, North Dakota · 25 beds · CMS certification number 351307

SMP Health - St. Andrew's

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended September 30, 2025, as submitted, stamped by CMS March 4, 2026. 26 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$17.2M
$17,171,453 · G-3 line 3
Operating expenses
$16.5M
$16,526,576 · G-3 line 4
Result from patient care
$645K
$644,877 · G-3 line 5
Margin on patient care
3.8%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $773K in its first year on file (2000) to $17.2M in 2025.
  • Its result from patient care: −$819K (2023), −$366K (2024), $645K (2025).
  • 1 of the 5 critical access hospital peers below with a margin on file also reports a gain on patient care for fiscal year 2025.
  • Medicaid paid for 50.0% of its inpatient days and Medicare for 18.4%.

Every statement is drawn from figures on this page; nothing is estimated.

26 years of filings

Net patient revenue against operating expenses, each year as filed.

Net patient revenueOperating expenses
2000
settled
$773K
$935K
2001
settled with audit
$3.2M
$4.3M
2002
settled
$3.5M
$3.5M
2003
settled
$3.3M
$3.7M
2004
settled
$3.8M
$4.0M
2005
as submitted
$4.3M
$4.5M
2006
settled
$4.7M
$4.9M
2007
settled
$4.6M
$5.0M
2008
settled
$5.1M
$5.4M
2009
settled
$5.3M
$5.5M
2010
settled
$5.5M
$5.7M
2011
reopened
$6.2M
$6.3M
2012
settled
$6.4M
$6.6M
2013
settled
$6.3M
$7.0M
2014
settled
$7.0M
$7.9M
2015
settled
$8.0M
$8.2M
2016
settled
$8.1M
$8.8M
2017
settled
$8.9M
$8.9M
2018
settled
$9.1M
$9.3M
2019
settled
$9.9M
$9.7M
2020
settled
$10.7M
$10.6M
2021
settled
$13.5M
$13.3M
2022
settled
$16.3M
$16.8M
2023
settled
$14.9M
$15.7M
2024
settled
$16.4M
$16.8M
2025
as submitted
$17.2M
$16.5M

Beside its peers

Critical access hospitals in North Dakota with 25 to 49 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
SMP Health - St. Andrew's25$17,171,453$16,526,5763.8%
Kenmare Community Hospital, Kenmare25$6,363,906$6,485,780−1.9%
Sanford Medical Center Mayville, Mayville25$14,097,092$14,009,4530.6%
Southwesthealthcare Services, Bowman35$16,955,354$19,589,279−15.5%
Tioga Medical Center, Tioga25$17,489,254$18,639,884−6.6%
CHI St. Alexius Health Turtle Lake, Turtle Lake25$7,205,663$8,256,857−14.6%

Patients and payers

Discharges
150
S-3 line 14, col 15
Inpatient days
5,620
S-3 line 14, col 8
Beds in use, on an average day
15.4
days ÷ days in year
Occupancy
61.6%
days ÷ bed days
Medicare share of days
18.4%
S-3 cols 6 ÷ 8
Medicaid share of days
50.0%
S-3 cols 7 ÷ 8

Who owns it

Related organizations on its own cost report: CORP (100%), religious community.

Type of control on its cost report: voluntary nonprofit, church.

Community benefit, as filed

From IRS Form 990 Schedule H, Part I, filed by St Andrew's Hospital (employer identification number 450226426) for tax year 2022. The return lists this hospital as its one hospital facility.

FigureAs filedWhere it comes from
Total community benefit expense (line 7k)$656,550IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt>
Financial assistance at cost (line 7a)$31,000IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt>
Medicaid (line 7b)$80,712IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt>
Financial assistance and means-tested government programs (line 7d)$111,712IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt>
Other benefits (line 7j)$544,838IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt>
Total, fraction of total expense (line 7k, column f)0.0418IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct>

E-file object id 202432259349302323. The IRS archive it was read from.

Executive and director compensation, as filed

From IRS Form 990 Part VII, Section A, filed by St Andrew's Hospital (employer identification number 450226426) for tax year 2022. The return lists this hospital as its one hospital facility.

NameTitleRoleReportable comp, from this organizationReportable comp, from related organizationsOther compensation
Alfred SamsFormer President & CEOFormer$0$323,652$55,909
Brenda McIntyreRNHighest-compensated employee$161,864$0$28,250
Christopher AlbertsonPresident & CEOTrustee/director, Officer$0$327,832$55,018
Collin SerienkoDirector as of July 2023Trustee/director$0$0$0
Cory Miller MDFamily Medicine PhysicianHighest-compensated employee$158,846$0$21,242
Courtney VandalCFOOfficer$0$115,991$37,416
Dan BullingerDirector until June 2023Trustee/director$0$0$0
Dwane GetzlaffDirectorTrustee/director$0$0$0
Heather BowenNurse PractitionerHighest-compensated employee$164,434$0$16,207
Jeremi TweedChairTrustee/director, Officer$0$0$0
Melissa BlockVice ChairTrustee/director, Officer$0$0$0
Rick GustafsonDirectorTrustee/director$0$0$0
Robert Hamilton MDFamily Medicine PhysicianHighest-compensated employee$254,956$0$29,716
Sr Anne Germaine PicardDirectorTrustee/director$0$0$0
Sr Debra BerryDirectorTrustee/director$0$0$0
Steve Arnold NPNurse PractitionerHighest-compensated employee$152,268$0$25,210

E-file object id 202432259349302323. The IRS archive it was read from.

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 351307. Patients and payers: worksheet S-3 Part I of the same filing.

How this page was built: the CMS Medicare cost report, file HOSP10FY2025.ZIP, read March 4, 2026.