SMP Health

What SMP Health does

SMP Health (legally Sisters of Mary of the Presentation Health System) is a Catholic non-profit healthcare system operating 8 facilities across North Dakota, sponsored by the Sisters of Mary of the Presentation religious congregation since 1938. The organization's service portfolio spans the full continuum of rural healthcare delivery: 2 Critical Access Hospitals (25-bed St. Aloisius in Harvey and St. Kateri in Rolla), a 170-bed skilled nursing facility (St. Raphael in Valley City), 5 additional skilled nursing/assisted living facilities (Ave Maria, Maryhill, St. Andrew's, St. Catherine North, St. Catherine South), independent senior living apartments, rural health clinics, and outpatient services including diagnostic imaging, laboratory, surgical services, rehabilitation therapies, and behavioral health programs such as Senior Life Solutions for adults 65+.

The technology stack is built on standard healthcare IT platforms rather than proprietary systems: Cerner Health and MyCareCorner for patient portals, HealthStreams for employee training, PersonaPay and PayMyHealthBill for billing, and Clara Price for regulatory price transparency compliance. Mobile diagnostic partnerships with Northland Imaging Services (MRI) and Dakota Imaging (ultrasound) extend diagnostic capability without capital-intensive fixed assets. Facility-level infrastructure includes 32-slice CT, 3D mammography, DEXA bone density scanning, and echocardiography.

Revenue is generated predominantly through fee-for-service billing to Medicare, Medicaid, VA contracts, and commercial payers including Blue Cross Blue Shield of North Dakota, Sanford Health Plan, and United Healthcare, with supplementary income from public Wellness Center memberships (subscription model, $20-$50 monthly tiers), independent senior living rents, and charitable contributions such as the GIFT campaign. The primary customer segments are elderly North Dakota residents requiring long-term or skilled nursing care and rural community patients needing hospital, emergency, and outpatient services. The 1,001-5,000 employee organization is led by President/CEO JT Kennelly with Becky L. Hansen as Executive VP and CFO, headquartered in Fargo, ND.

Name

SMP Health

Legal name

Sisters of Mary of the Presentation Health System

Website

https://smphealth.org

Company type

Private

Founded year

1938

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

SMP Health is a Catholic non-profit healthcare system operating 8 hospitals, skilled nursing facilities, and senior living communities across North Dakota, sponsored by the Sisters of Mary of the Presentation since 1938. It serves rural communities and elderly populations with acute, long-term, outpatient, and behavioral health services.

Ownership category

akta.pro rank

Product category

Rural Catholic Healthcare Services

NAICS

Nursing and Residential Care Facilities (623), Continuing Care Retirement Communities and Assisted Living Facilities for the Elderly (62331), Continuing Care Retirement Communities and Assisted Living Facilities for the Elderly (6233)

SIC

Services-Hospitals (8060), Services-Skilled Nursing Care Facilities (8051), Services-Nursing & Personal Care Facilities (8050)

akta.pro primary industry

Continuous Home Care (Crisis Hospice) (HSABAFAB)

Keywords

• Rural healthcare services
• Critical access hospital
• Long-term nursing care
• Senior living services
• Catholic healthcare system

Headquarters

HQ city

Fargo

HQ country

United States

HQ region

North America

Offices9 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Supply Chain, Infrastructure, Marketing or Sales, Technology or R&D

Revenue model

1. Hospital and Medical Services: Fee-for-service healthcare delivery including inpatient care, outpatient services, emergency care, diagnostic services, and surgical procedures. Revenue is generated through Medicare, Medicaid, private insurance, VA contracts, and self-pay patients.
2. Long-Term Care Services: Skilled nursing and assisted living services with 24-hour nursing care. Revenue generated through Medicare skilled nursing facility benefits, Medicaid long-term care coverage, private pay, and long-term care insurance.
3. Outpatient and Clinic Services: Rural health clinic services, rehabilitation therapies (physical, occupational, speech), diagnostic imaging, and laboratory services billed on fee-for-service basis.
4. Mental Health Services: Senior Life Solutions behavioral health program and mental health consultation services through partnerships with LifeWise Associates.

Pricing tiers

Go-to-market motion1 record

Distribution channels5 records

Marketing channels5 records

Core offering

SMP Health is a Catholic, non-profit health care system that operates Critical Access Hospitals, skilled nursing and long-term care facilities, rural health clinics, and independent senior living communities across North Dakota. It provides inpatient hospital care, 24/7 emergency services, surgical services, diagnostic imaging, laboratory, rehabilitation therapies, and behavioral/mental health services to elderly patients, rural community residents, and veterans under Medicare, Medicaid, VA, and private insurance contracts.

Product overview

SMP Health is a Catholic healthcare system sponsored by the Sisters of Mary of the Presentation, operating eight facilities across North Dakota. The organization offers a portfolio of integrated healthcare services including: two Critical Access Hospitals (St. Aloisius in Harvey and St. Kateri in Rolla), five long-term care/skilled nursing facilities (St. Raphael in Valley City, St. Andrew's in Bottineau, St. Catherine North and South in Fargo, and Maryhill in Enderlin), one skilled nursing and assisted living facility (Ave Maria in Jamestown), independent senior living apartments, clinic services, surgical services, rehabilitation and therapy services, mental health services including Senior Life Solutions for seniors 65+, and diagnostic imaging services. Digital offerings include patient portals (MyCareCorner and Cerner Health), price transparency tools, and wellness center access. The system provides care through the continuum including hospital services, swing bed care, long-term care, Alzheimer's care, palliative care, and outpatient services.

Differentiator

Problem solved

Functional benefit

Products and services

• Hospital Services Critical Access Hospital services including 24/7 emergency department (Trauma Level V), inpatient care, swing bed care, telemetry monitoring, and outpatient IV therapy at St. Aloisius (25-bed CAH). Staffed by ATLS-certified providers and TNCC/ACLS/PALS-certified nurses. Available to rural community residents in the Harvey, ND service area.
• Outpatient and Diagnostic Imaging Services Radiology and diagnostic services including X-ray, MRI (via mobile unit), 24/7 CT scan, 3D mammography, ultrasound, DXA bone density, echocardiograms, EKGs, cardiac stress testing, nuclear medicine, and 24/7 laboratory. Available to patients referred by SMP Health providers and other community physicians.
• Surgical Services Comprehensive surgical care including general surgery, hand/wrist surgery, podiatry surgery, ortho-sports medicine, plastic reconstructive surgery, ophthalmic surgery (including cataract), ENT procedures, vein procedures, and endoscopy (colonoscopy, EGD). Available to patients across the SMP Health service region.
• Rural Health Clinic Services Rural health clinic offering allergy/flu/pneumonia shots, blood pressure checks, chronic disease management, annual/DOT/sports/insurance physicals, sports medicine, surgical biopsies, well baby exams, and joint injections. Available to residents of Harvey, ND and surrounding communities.
• Long-Term Care 65-bed long-term care facility with all private rooms, Medicare/Medicaid certified, providing 24-hour nursing care, rehabilitative therapies (occupational, physical, speech), activities programs, dietary services, pastoral care, social services, and housekeeping at St. Aloisius in Harvey, ND.
• SMP Health – St. Raphael (Skilled Nursing Facility) A 170-bed non-profit, faith-based nursing home in Valley City, ND providing skilled nursing, rehabilitation, Alzheimer's and dementia care, and outpatient Lifeline support.
• SMP Health – Ave Maria (Skilled Nursing and Assisted Living) Skilled nursing and assisted living facility in Jamestown, ND ranking in the top 15% of care providers nationally per Activated Insights satisfaction surveys.
• SMP Health – Maryhill (Skilled Nursing and Assisted Living) Healthcare facility in Enderlin, ND offering skilled nursing and assisted living services.
• SMP Health – St. Andrew's (Skilled Nursing) Healthcare facility in Bottineau, ND providing skilled nursing and senior care services.
• SMP Health – St. Catherine North (Skilled Nursing and Senior Care) Healthcare facility in Fargo, ND offering skilled nursing and senior care services.
• SMP Health – St. Catherine South (Skilled Nursing and Senior Living) Healthcare facility in Fargo, ND providing skilled nursing and senior living services.
• SMP Health – St. Kateri (Critical Access Hospital and Services) A healthcare facility in Rolla, ND with over 80 years of service, offering emergency medical services, mental health services via the Rural Mental Health Consortium, radiology services (ultrasound, x-ray, digital mammography), and clinic services.
• Independent Senior Living Apartments Senior apartments adjacent to the St. Aloisius medical center comprising 12 one-bedroom and 4 two-bedroom units with catered lunch, paid utilities, basic cable, internet, 24/7 emergency call system, and a central commons area. Available to independent seniors in the Harvey, ND region.
• Rehabilitation and Therapy Services Physical therapy (post-surgical, orthopedics, stroke, back pain, sports injuries, Graston Technique, dry needling, cervical/lumbar traction, pelvic floor, lymphedema, Parkinson's BIG), occupational therapy, and speech therapy. Available to post-acute, outpatient, and long-term care residents.
• Senior Life Solutions (Outpatient Behavioral Health) Intensive outpatient behavioral health program for adults 65+, providing group therapy, individual therapy, family education, psychiatric evaluation, and medication management. Participants attend three days per week for 2-4 hours per session.
• Mental Health Services (LifeWise Associates) Mental health and substance abuse services including psychiatric assessment, medication management, testing/evaluation, prevention, education, and school consultation, provided on-site at St. Aloisius through partner LifeWise Associates.
• Alzheimer's Unit (Circle of Life Cottage) An 18-bed memory care unit at SMP Health – St. Raphael providing dementia and Alzheimer's care in a home-like environment.
• Special Care Unit (Sycamore) Compassionate healthcare services at St. Raphael focused on meeting psycho-social needs of individuals in a safe, secured home-like environment.
• Palliative Care Palliative care services at St. Raphael focused on providing comfort and quality of life for individuals with serious illness.
• Rehabilitation & Transitional Care Unit (TCU) Transitional Care Unit at St. Raphael providing physical, occupational, and speech therapy in a wellness center to prepare individuals for successful return home or to another care setting.
• Specialized Medicine (Cardiology, Ophthalmology, Cardiac Wellness) Cardiovascular medicine including cardiac rehab, public wellness center access, stress tests, Z10 heart activity monitoring patch, cardiac nuclear medicine; ophthalmology including cataract surgery; and rehabilitation services.
• Music Therapy Therapeutic music services at St. Raphael to support emotional well-being and quality of life for residents.
• Lifeline Personal Emergency Response Service Outpatient Lifeline emergency response monitoring service at St. Raphael to help seniors maintain independence at home.
• Spiritual Care / Pastoral Care Spiritual care and pastoral services provided across SMP Health facilities to meet the emotional and spiritual needs of patients and residents.
• Public Wellness Center Public wellness center supporting cardiac health, available to community members for a monthly fee (non-employee: Single $20/mo, Couple $35/mo, Family $40/mo, Advance $50/3mo) with Blue Cross Blue Shield discount applicable. Employees receive free or discounted access.

Quantifiable outcome

• Top 15% nationally for customer experience among skilled nursing providers
• +4 more outcomes

Named customers4 records

Segments4 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration15 records

Partnerships

Nine partnerships are on record, tiered core and minor.

• LifeWise AssociatescoreStrategic or Co-development PartnerLifeWise Associates provides comprehensive mental health and substance abuse services at SMP Health - St. Aloisius. Erin Hagemeister, PMHNP provides psychiatric assessment and medication management services on-site.
• Infinity RehabcoreChannel Partner/ Reseller/ DistributorInfinity Rehab provides physical therapy and occupational therapy services at SMP Health - St. Raphael. Employment is through Infinity Rehab while services are delivered at SMP Health facilities. Sign-on bonus and referral bonus available.
• Cerner HealthcoreTechnology or IntegrationCerner Health provides patient portal technology enabling patients to access their health information online, schedule appointments, and communicate with providers.
• Sisters of Mary of the PresentationcoreStrategic or Co-development PartnerThe Sisters of Mary of the Presentation are the founding sponsors of SMP Health, providing spiritual leadership, mission guidance, and identity as a Catholic healthcare ministry.
• Psychiatric Medical Consulting (PsychMC)coreStrategic or Co-development PartnerPsychMC provides the Senior Life Solutions program at SMP Health - St. Aloisius, an intensive outpatient behavioral health program for adults 65 and older.
• Blue Cross Blue Shield of North DakotacoreOthersBlue Cross Blue Shield of ND is a primary insurance payer for SMP Health services, offering negotiated rates and member benefits.
• CHI St. Alexius HealthminorOthersCHI St. Alexius Health provides Employee Assistance Program services for SMP Health employees through their LiveWell Solutions program.
• Sanford Health PlancoreOthersSanford Health Plan is an insurance payer for SMP Health services as shown in price transparency data.
• United HealthcarecoreOthersUnited Healthcare is an insurance payer for SMP Health services as shown in price transparency data.

Scale indicators7 records

Recent moves16 records

Expansion highlights5 records

Emerging players

• Aveanna Healthcare: Aveanna Healthcare is a home health and medical solutions provider with significant pediatric and adult home care operations. It is an emerging player peer — overlapping with SMP's home-based Lifeline support, outpatient rehab, and home health-adjacent services, though focused on home and community settings rather than facility-based care.

Broad incumbents

• Ascension: Ascension is one of the largest Catholic non-profit health systems in the United States, operating hospitals, long-term care, and senior living facilities nationwide. It is a broad incumbent peer to SMP Health given shared Catholic mission, multi-site acute and post-acute care operations, and reliance on Medicare/Medicaid reimbursement.
• Essentia Health: Essentia Health is a non-profit integrated health system operating hospitals, clinics, and long-term care across Minnesota, Wisconsin, and North Dakota. It is a broad incumbent peer — overlapping rural Midwest geography and service lines with SMP, particularly in eastern North Dakota, but with substantially greater scale.
• Trinity Health: Trinity Health is a large Catholic non-profit health system operating hospitals, continuing care retirement communities, and home health across multiple states. It is a broad incumbent peer given overlapping Catholic mission, integrated care continuum, and multi-state rural and suburban footprint analogous to SMP's regional Catholic system model.
• Sanford Health: Sanford Health is the largest rural health system in the United States, headquartered in the Dakotas and operating hospitals, clinics, and long-term care facilities across the region. It is a broad incumbent peer — overlapping geography and service lines with SMP but with substantially greater scale and a secular (Lutheran-sponsored) mission.
• CommonSpirit Health: CommonSpirit Health is one of the largest non-profit Catholic health systems in the US, formed by the merger of Catholic Health Initiatives and Dignity Health. It is a broad incumbent peer — sharing Catholic sponsorship, multi-state hospital/SNF operations, and faith-based mission with SMP, but at dramatically larger national scale.

Regional players

• Altru Health System: Altru Health System is a non-profit integrated health system based in Grand Forks, North Dakota, serving communities across the state and northern Minnesota. It is a regional peer — competing with SMP for patients in overlapping rural North Dakota service areas, though Altru is larger and headquartered in a more urban setting.

Direct peers

• CHI St. Alexius Health: CHI St. Alexius Health is a Catholic health system operating hospitals and clinics across North Dakota. It is a direct peer to SMP Health given shared Catholic mission, North Dakota geography, multi-facility hospital operation, and even an existing commercial relationship (EAP provider to SMP employees).
• Good Samaritan Society: The Evangelical Lutheran Good Samaritan Society is a large non-profit senior care and services organization operating skilled nursing, assisted living, and senior housing across rural America. It is a direct peer given overlapping mission-driven senior care focus, rural Midwest geography, and parallel SNF/LTC operating model to SMP.
• Benedictine Health System: Benedictine Health System is a Catholic non-profit system specializing in skilled nursing, assisted living, and senior housing primarily in the Upper Midwest. It is a direct peer to SMP Health's long-term care and assisted living operations, with similar faith-based mission, rural Midwest footprint, and Medicare/Medicaid reimbursement model.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• Facebookfacebook.com/smphealth.org
• LinkedInlinkedin.com/company/smphealth

Compliance16 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles27 records

Subsidiaries8 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about SMP Health