Sisters Of Mary Of The Presentation Long Term Care

Sisters Of Mary Of The Presentation Long Term Care, operating as SMP Health - ST. Raphael, a non-profit tax-exempt organization based in Valley City, North Dakota, provides skilled nursing and long-term care services to veterans as a prime contractor under a single federal customer, the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 23, with 96% of recent awards held as prime positions and zero set-aside designations across its footprint.

SMP Health - ST. Raphael operates a nursing facility in Valley City that serves veterans across an eight-state Midwest region under VISN 23's community care network. The vendor's concrete federal work centers on two capability streams: nursing home and long-term care services provision and annual EXPRESS reporting on nursing home spending for veterans receiving care at its facility. The vendor holds a single-award indefinite delivery contract with VISN 23 valued at $4.5 million through March 31, 2027, under which five delivery orders have been issued since April 2022. Representative work includes the FY25 NH SPEND delivery order ($593,283.98, October 1, 2024, completion December 31, 2025), the FY24 NH SPEND delivery order ($1,146,613, October 1, 2023, completion September 30, 2024), and the FY23 NH SPEND delivery order ($839,422, October 1, 2022, completion September 30, 2023) — all firm fixed price with Valley City place of performance. A second delivery order issued October 1, 2025, for $154,928.35 covers nursing home services reporting with completion by September 30, 2026.

Customer concentration is absolute. The Department of Veterans Affairs Veterans Integrated Service Network 23 accounts for 36 awards (75% of the award count) with $13.9 million combined potential value, representing 94% of the vendor's combined potential value across all federal sources. The vendor operates under five VA parent vehicles: two single-award indefinite delivery contracts (VA263P0004 and 36C26322D0054, carrying 13 and 5 task orders respectively for $3.2 million each) and three basic ordering agreements (VA263BO0023, VA26315A0001, and VA26313A0063, carrying 14, 8, and 1 task orders respectively). Recent activity is modest and flat — two awards in 2024 and two in 2025 — with only one award carrying an ultimate completion date inside the next twenty-four months (combined potential value $155 thousand), representing minimal recompete exposure in the near term. The vendor has been registered in SAM.gov since 2007, demonstrating an eighteen-year tenure as a VA community care partner. No subcontractors are identified across its prime work; two federal grant sub-awards addressing facility physical protective measures and physical security enhancements to nonprofit organizations at risk of terrorist attack appear in the source but carry no dollar magnitudes or additional detail.