Nonprofit · EIN 45-0226729
ST ALOISIUS HOSPITAL INC
Also known as ST ALOISIUS MEDICAL CENTER
Tax-exempt · HARVEY, ND 58341
Financials
| Year ended | Form | Revenue | Expenses | Net income | Total assets | Liabilities | Net assets |
|---|---|---|---|---|---|---|---|
| September 30, 2025 | 990 | $27,300,742 | $27,207,393 | $93,349 | $27,619,399 | $8,247,092 | $19,372,307 |
| September 30, 2024 | 990 | $26,716,135 | $27,114,077 | -$397,942 | $26,614,266 | $8,410,436 | $18,203,830 |
| September 30, 2023 | 990 | $24,974,814 | $24,239,909 | $734,905 | $24,138,128 | $7,827,121 | $16,311,007 |
Financial details: 990 for the year ended September 30, 2025
Revenue
- Contributions, gifts and grants
- $468,000
- of which government grants
- $85,620
- Program service revenue
- $26,450,795
- Investment income
- $382,721
- Net gain from sales of assets
- $12,453
- Net income from fundraising events
- -$774
- Other revenue
- -$774
Expenses
- Grants and similar amounts paid
- $0
- Other salaries and wages
- $11,992,085
- Salaries, compensation and benefits (total)
- $14,850,617
- Professional fundraising fees
- $0
- Legal fees
- $23,824
- Accounting fees
- $172,049
- Occupancy
- $509,229
- Travel
- $145,190
- Depreciation
- $1,228,071
- Program services (functional)
- $23,246,677
- Management and general (functional)
- $3,960,716
Balance sheet and other
- Total assets, start of year
- $26,614,266
- Total assets, end of year
- $27,619,399
- Total liabilities, end of year
- $8,247,092
- Net assets, end of year
- $19,372,307
- Land, buildings and equipment
- $6,672,724
- Publicly traded securities
- $335,703
- Net assets without donor restrictions
- $19,305,461
- Net assets with donor restrictions
- $66,846
- Gross receipts
- $27,307,379
- Employees
- 302
- Volunteers
- 80
- Year formed
- 1938
- State of legal domicile
- ND
From the e-filed returns the IRS publishes as XML (latest three processing years; amended returns replace the original). PDF copies at the IRS.
Officers, directors and key employees
As listed on the 990 for the year ended September 30, 2025, highest compensation first.
| Name | Title | Hours / week | Compensation | From related orgs | Other / benefits |
|---|---|---|---|---|---|
| Rick Geier MD | Physician Highest-paid employee | 40 | $433,896 | $0 | $10,500 |
| Ryan Mickelsen | President & CEO Trustee or director, Officer | 40 | $0 | $289,033 | $51,958 |
| Kimberly Thorson NP | Nurse Practitioner Highest-paid employee | 40 | $328,293 | $0 | $9,849 |
| Tuan Dean MD | Physician Highest-paid employee | 40 | $287,062 | $0 | $20,237 |
| Tracey Harness | CNA until Mar 2025 Highest-paid employee | 60 | $191,885 | $0 | $7,962 |
| Robert Rotering Jr MD | Physician Highest-paid employee | 40 | $171,783 | $0 | $13,048 |
| Nicole Anderson | CFO Officer | 40 | $0 | $95,385 | $29,249 |
| Gordon Schmidt-Vice Chair until Jul | Chair as of Aug 2025 Trustee or director, Officer | 0.5 | $0 | $0 | $0 |
| Mary Hager-Director until Jul | Vice Chair as of Aug 2025 Trustee or director, Officer | 0.5 | $0 | $0 | $0 |
| Jason Schneider | Chair until Jul 2025 Trustee or director, Officer | 0.5 | $0 | $0 | $0 |
| Sr Debra Berry | Director Trustee or director | 0.5 | $0 | $0 | $0 |
| Doug Heil | Director as of July 2025 Trustee or director | 0.5 | $0 | $0 | $0 |
| Dr Steven Kourajian | Director Trustee or director | 0.5 | $0 | $0 | $0 |
| Kathy Muscha | Director Trustee or director | 0.5 | $0 | $0 | $0 |
| Sr Anne Germaine Picard | Director Trustee or director | 0.5 | $0 | $0 | $0 |
1 more people on this return
| Name | Title | Hours / week | Compensation |
|---|---|---|---|
| Sr Elaine Lange | Secretary non-voting Officer | 0.5 | $0 |
990 for the year ended September 30, 2024: 19 people
| Name | Title | Hours / week | Compensation | From related orgs | Other / benefits |
|---|---|---|---|---|---|
| Rick Geier MD | Physician Highest-paid employee | 40 | $420,004 | $0 | $9,900 |
| Kimberly Thorson NP | Nurse Practitioner Highest-paid employee | 40 | $290,306 | $0 | $8,709 |
| Tuan Dean MD | Physician Highest-paid employee | 40 | $265,090 | $0 | $21,647 |
| Ryan Mickelsen | President & CEO Trustee or director, Officer | 40 | $0 | $231,384 | $27,239 |
| Colleen Cannon | CFO (Until 2/24) Officer | 40 | $0 | $139,423 | $28,489 |
| Alfred Sams | Former President & CEO Former | 40 | $0 | $148,407 | $11,968 |
| Tracey Harness | CNA Highest-paid employee | 60 | $122,791 | $0 | $11,942 |
| Lori Schroeder | CNA Highest-paid employee | 60 | $125,410 | $0 | $3,762 |
| Susan Shearer | Chair (Until 6/24) Trustee or director, Officer | 0.5 | $0 | $0 | $0 |
| Jason Schneider - Director | (Until 6/24)/Chair (As of 7/24) Trustee or director, Officer | 0.5 | $0 | $0 | $0 |
| Chad Ziegler | Vice Chair (Until 6/24) Trustee or director, Officer | 0.5 | $0 | $0 | $0 |
| Gordon Schmidt-Director Until | 6/24)/Vice Chair (As of 7/24) Trustee or director, Officer | 0.5 | $0 | $0 | $0 |
| Mary Hager | Director Trustee or director | 0.5 | $0 | $0 | $0 |
| Sr Debra Berry | Director Trustee or director | 0.5 | $0 | $0 | $0 |
| Sr Anne Germaine Picard | Director Trustee or director | 0.5 | $0 | $0 | $0 |
| Kathy Muscha | Director (As of 7/24) Trustee or director | 0.5 | $0 | $0 | $0 |
| Dr Steven Kourajian | Director (As of 7/24) Trustee or director | 0.5 | $0 | $0 | $0 |
| Nicole Anderson | CFO (As of 5/24) Officer | 40 | $0 | $0 | $0 |
| Sr Elaine Lange | Secretary non-voting Officer | 0.5 | $0 | $0 | $0 |
990 for the year ended September 30, 2023: 16 people
| Name | Title | Hours / week | Compensation | From related orgs | Other / benefits |
|---|---|---|---|---|---|
| Rick Geier MD | Family Practice Highest-paid employee | 40 | $393,916 | $0 | $11,707 |
| Alfred Sams | President & CEO (Until Jan 23) Trustee or director, Officer | 40 | $0 | $323,652 | $55,909 |
| Tuan Dean MD | Family Practice Highest-paid employee | 40 | $269,456 | $0 | $30,335 |
| Kimberly Thorson NP | Family Practice Highest-paid employee | 40 | $267,724 | $0 | $7,083 |
| Robert Gerland | Pharmacist Highest-paid employee | 40 | $131,337 | $0 | $11,955 |
| Marcia Ketterling NP | Family Practice Highest-paid employee | 40 | $112,189 | $0 | $11,323 |
| Ryan Mickelsen | President & CEO (As of Jan 23) Trustee or director, Officer | 40 | $0 | $0 | $0 |
| Susan Shearer | Chair Trustee or director, Officer | 0.5 | $0 | $0 | $0 |
| Chad Ziegler | Vice Chair Trustee or director, Officer | 0.5 | $0 | $0 | $0 |
| Mary Hager | Director Trustee or director | 0.5 | $0 | $0 | $0 |
| Jason Schneider | Director Trustee or director | 0.5 | $0 | $0 | $0 |
| Gordon Schmidt | Director Trustee or director | 0.5 | $0 | $0 | $0 |
| Sr Debra Berry | Director Trustee or director | 0.5 | $0 | $0 | $0 |
| Sr Anne Germaine Picard | Director Trustee or director | 0.5 | $0 | $0 | $0 |
| Colleen Cannon | CFO (As of Jan 23) Officer | 40 | $0 | $0 | $0 |
| Sr Elaine Lange | Secretary non-voting Officer | 0.5 | $0 | $0 | $0 |
Address and contacts
- Address (IRS master file)
- 325 BREWSTER ST E, HARVEY, ND 58341-1653
- Principal officer (990 for 2024)
- Ryan Mickelson, 325 Brewster Street East, Harvey, ND 58341
- Signed the 990
- Nicole Anderson, CFO
- Phone
- (701) 324-4651
- Return prepared by
- Eide Bailly LLP
Mission
SMP Health - St. Aloisius, inspired by Jesus, in union with the Sisters of Mary of the Presentation, ministers health to all we serve.
Program accomplishments
- CRITICAL ACCESS HOSPITAL DESIGNATIONSMP Health - St. Aloisius is a 25-bed acute care hospital and 65-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 2025 were as follows: 649 acute days and 1,597 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 $4,000 for the year ended September 30, 2025, 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 65-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 21,944 patient days for FY25.Expenses $23,246,677 · revenue $26,450,795
What it must file and when
IRS records say it files Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N. Its accounting year ends in September, so each return is due on the 15th day of the 5th month after that.
| Tax year | Year ended | Due | IRS public records |
|---|---|---|---|
| 2025 | September 30, 2026 | February 16, 2027 | Not due yet |
| 2024 | September 30, 2025 | February 17, 2026 | 990 on file |
| 2023 | September 30, 2024 | February 18, 2025 | 990 on file |
IRS record
- EIN
- 45-0226729
- Tax-exempt status
- 501(c)(3): Charitable, religious, educational or scientific organization
- Foundation status
- Hospital or medical research organization
- Exempt since
- 1946
- Accounting year ends
- September
- Files
- Form 990 or 990-EZ
- Category (NTEE)
- Health care (E22)
- Group exemption
- 0928: UNITED STATES CATHOLIC CONFERENCE
- Assets (IRS master file)
- $27,619,399
- Income (IRS master file)
- $27,307,379
Filing history
| Form | Year ended | Revenue | Expenses | Assets | Return |
|---|---|---|---|---|---|
| 990 | September 2025 | $27,300,742 | $27,207,393 | $27,619,399 | XML |
| 990 | September 2024 | $26,716,135 | $27,114,077 | $26,614,266 | XML |
| 990 | September 2023 | $24,974,814 | $24,239,909 | $24,138,128 | XML |
| 990 | September 2022 | $25,167,860 | $22,697,026 | $22,436,988 | IRS |
| 990 | September 2021 | – | – | – | IRS |
| 990 | September 2020 | – | – | – | IRS |
| 990 | September 2019 | – | – | – | IRS |
| 990 | September 2018 | – | – | – | IRS |
990-N: the IRS bulk file holds only the latest e-Postcard per organization; earlier years come from archived copies of that file since 2020 and can have gaps (the IRS e-Postcard search lists every one). 990, 990-EZ, 990-PF, 990-T: every e-filed return in the IRS e-file index since 2019; XML for the latest three processing years, amounts from the IRS Statistics of Income extracts before that. PDF copies and determination letters at the IRS (search EIN 45-0226729).
Questions about ST ALOISIUS HOSPITAL INC
- What is the EIN of ST ALOISIUS HOSPITAL INC?
- The employer identification number (EIN) of ST ALOISIUS HOSPITAL INC is 45-0226729.
- Is ST ALOISIUS HOSPITAL INC tax-exempt?
- Yes. The IRS lists it as tax-exempt under section 501(c)(3) since 1946.
- Which annual return does ST ALOISIUS HOSPITAL INC file?
- Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N.
- When is the next return of ST ALOISIUS HOSPITAL INC due?
- The return for tax year 2025 (the year ending September 30, 2026) is due February 16, 2027. Form 8868 extends it by six months; the 990-N cannot be extended.
- When did ST ALOISIUS HOSPITAL INC last file with the IRS?
- The latest return in the IRS public files is the 990 for the year ended September 2025.
- Who is the principal officer of ST ALOISIUS HOSPITAL INC?
- The 990 for the year ended September 30, 2025 names Ryan Mickelson.
- Who are the officers and directors of ST ALOISIUS HOSPITAL INC?
- The 990 for the year ended September 30, 2025 lists 16 people; 5 received compensation from the organization, the highest $433,896 (Rick Geier MD, Physician).
- How much revenue does ST ALOISIUS HOSPITAL INC have?
- On its 990 for the year ended September 30, 2025 it reported revenue of $27,300,742, expenses of $27,207,393 and total assets of $27,619,399 at year end.
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