Critical access hospital · Harvey, North Dakota · 25 beds · CMS certification number 351327
SMP Health - St. Aloisius
Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended September 30, 2025, as submitted, stamped by CMS March 4, 2026. 24 years on file, every one shown below. Also on the 340B covered-entity register.
Fiscal 2025 at a glance
What stands out
- Net patient revenue rose from $6.9M in its first year on file (2002) to $25.6M in 2025.
- Its result from patient care: −$513K (2023), −$940K (2024), −$1.6M (2025).
- 4 of the 5 critical access hospital peers below with a margin on file also report a loss on patient care for fiscal year 2025.
- Medicaid paid for 9.8% of its inpatient days and Medicare for 65.8%.
Every statement is drawn from figures on this page; nothing is estimated.
24 years of filings
Net patient revenue against operating expenses, each year as filed.
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as submitted
Beside its peers
Critical access hospitals in North Dakota with 25 to 49 beds, each on fiscal year 2025.
| Hospital | Beds | Net patient revenue | Operating expenses | Margin |
|---|---|---|---|---|
| SMP Health - St. Aloisius | 25 | $25,624,221 | $27,211,004 | −6.2% |
| Kenmare Community Hospital, Kenmare | 25 | $6,363,906 | $6,485,780 | −1.9% |
| Southwesthealthcare Services, Bowman | 35 | $16,955,354 | $19,589,279 | −15.5% |
| SMP Health - St. Andrew's, Bottineau | 25 | $17,171,453 | $16,526,576 | 3.8% |
| Tioga Medical Center, Tioga | 25 | $17,489,254 | $18,639,884 | −6.6% |
| CHI St. Alexius Health Turtle Lake, Turtle Lake | 25 | $7,205,663 | $8,256,857 | −14.6% |
Patients and payers
- Discharges
- 217S-3 line 14, col 15
- Inpatient days
- 2,213S-3 line 14, col 8
- Beds in use, on an average day
- 6.1days ÷ days in year
- Occupancy
- 24.3%days ÷ bed days
- Medicare share of days
- 65.8%S-3 cols 6 ÷ 8
- Medicaid share of days
- 9.8%S-3 cols 7 ÷ 8
Who owns it
Related organizations on its own cost report: SMP HEALTH CORP (100%), religious community; SRS. OF MARY (100%), religious commu.
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 Aloisius Hospital (employer identification number 450226729) for tax year 2022. The return lists this hospital as its one hospital facility.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total community benefit expense (line 7k) | $1,315,167 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance at cost (line 7a) | $10,000 | IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt> |
| Medicaid (line 7b) | $152,993 | IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance and means-tested government programs (line 7d) | $162,993 | IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt> |
| Other benefits (line 7j) | $1,152,174 | IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Total, fraction of total expense (line 7k, column f) | 0.0542 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct> |
E-file object id 202442139349301634. The IRS archive it was read from.
Executive and director compensation, as filed
From IRS Form 990 Part VII, Section A, filed by St Aloisius Hospital (employer identification number 450226729) for tax year 2022. The return lists this hospital as its one hospital facility.
| Name | Title | Role | Reportable comp, from this organization | Reportable comp, from related organizations | Other compensation |
|---|---|---|---|---|---|
| Alfred Sams | President & CEO (Until Jan 23) | Trustee/director, Officer | $0 | $323,652 | $55,909 |
| Chad Ziegler | Vice Chair | Trustee/director, Officer | $0 | $0 | $0 |
| Colleen Cannon | CFO (As of Jan 23) | Officer | $0 | $0 | $0 |
| Gordon Schmidt | Director | Trustee/director | $0 | $0 | $0 |
| Jason Schneider | Director | Trustee/director | $0 | $0 | $0 |
| Kimberly Thorson NP | Family Practice | Highest-compensated employee | $267,724 | $0 | $7,083 |
| Marcia Ketterling NP | Family Practice | Highest-compensated employee | $112,189 | $0 | $11,323 |
| Mary Hager | Director | Trustee/director | $0 | $0 | $0 |
| Rick Geier MD | Family Practice | Highest-compensated employee | $393,916 | $0 | $11,707 |
| Robert Gerland | Pharmacist | Highest-compensated employee | $131,337 | $0 | $11,955 |
| Ryan Mickelsen | President & CEO (As of Jan 23) | Trustee/director, Officer | $0 | $0 | $0 |
| Sr Anne Germaine Picard | Director | Trustee/director | $0 | $0 | $0 |
| Sr Debra Berry | Director | Trustee/director | $0 | $0 | $0 |
| Sr Elaine Lange | Secretary non-voting | Officer | $0 | $0 | $0 |
| Susan Shearer | Chair | Trustee/director, Officer | $0 | $0 | $0 |
| Tuan Dean MD | Family Practice | Highest-compensated employee | $269,456 | $0 | $30,335 |
E-file object id 202442139349301634. 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 351327. 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.