RICHARDTON HEALTH CENTER INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: RICHARDTON HEALTH CENTER INC (EIN 45-0408291)
Tax period: 2021-07-01 to 2022-06-30
Filed: 2023-05-01
IRS object ID: 202321219349302217
Schema version: 2021v4.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-05-01T13:19:42-05:00	ReturnTs
Tax Period End	2022-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	450250958	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Eide Bailly LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1730 Burnt Boat Loop Ste 100	AddressLine1Txt
City	Bismarck	CityNm
State Abbreviation	ND	StateAbbreviationCd
ZIP	585030886	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	450408291	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Richardton Health Center Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	RICH	BusinessNameControlTxt
Phone	7019743304	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	8885 Highway 10	AddressLine1Txt
City	Richardton	CityNm
State Abbreviation	ND	StateAbbreviationCd
ZIP	58652	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Mandy Robinson	PersonNm
Person Title	Current Administrator	PersonTitleTxt
Phone	7019743304	PhoneNum
Signature	2023-05-01	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	Mandy	PersonFirstNm
Person Last	Robinson	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Lisa Chaffee CPA	PreparerPersonNm
PTIN	P00193453	PTIN
Phone	7012551091	PhoneNum
Preparation	2023-05-01	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Mandy Robinson	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	8885 Highway 10	AddressLine1Txt
City	Richardton	CityNm
State Abbreviation	ND	StateAbbreviationCd
ZIP	58652	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$4,218,436	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	N/A	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1969	FormationYr
Legal Domicile State	ND	LegalDomicileStateCd
Activity Or Mission	Building relationships to improve the health and quality of life of those we serve.	ActivityOrMissionDesc
Voting Members Governing Body	7	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	77	TotalEmployeeCnt
Total Volunteers	10	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$746,623	PYContributionsGrantsAmt
CY Contributions Grants	$430,663	CYContributionsGrantsAmt
PY Program Service Revenue	$3,556,064	PYProgramServiceRevenueAmt
CY Program Service Revenue	$3,773,254	CYProgramServiceRevenueAmt
PY Investment Income	-$1,915	PYInvestmentIncomeAmt
CY Investment Income	$2,119	CYInvestmentIncomeAmt
PY Other Revenue	$10,579	PYOtherRevenueAmt
CY Other Revenue	$9,379	CYOtherRevenueAmt
PY Total Revenue	$4,311,351	PYTotalRevenueAmt
CY Total Revenue	$4,215,415	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$2,256,394	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$2,056,429	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,694,976	PYOtherExpensesAmt
CY Other Expenses	$2,099,183	CYOtherExpensesAmt
PY Total Expenses	$3,951,370	PYTotalExpensesAmt
CY Total Expenses	$4,155,612	CYTotalExpensesAmt
PY Revenues Less Expenses	$359,981	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$59,803	CYRevenuesLessExpensesAmt
Total Assets BOY	$6,624,824	TotalAssetsBOYAmt
Total Assets EOY	$6,439,059	TotalAssetsEOYAmt
Total Liabilities BOY	$5,230,347	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$4,945,488	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,394,477	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,493,571	NetAssetsOrFundBalancesEOYAmt
Mission	Building relationships to improve the health and quality of life of those we serve.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$3,712,466	ExpenseAmt
Revenue	$3,773,254	RevenueAmt
Desc	Richardton Health Center provides high quality clinic healthcare and skilled nursing care services to Richardton and the surrounding area. This includes respite care, cardiac rehab, restorative therapy, PT, OT, ST, and long-term care facilities.	Desc
Total Program Service Expenses	$3,712,466	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	Yes (1)	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	0	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	0	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	0	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	5	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	77	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	7	GoverningBodyVotingMembersCnt
Independent Voting Member	7	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (1)	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	0	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Mandy Robinson	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	7019743304	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	8885 Highway 10	AddressLine1Txt
City	Richardton	CityNm
State Abbreviation	ND	StateAbbreviationCd
ZIP	58652	ZIPCd

Field	Value	IRS element (for citing)
No Listed Persons Compensated	Yes (X)	NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Michael Taffe
Chair	1.00	Yes (X)	Yes (X)	$0	$0	$0
Steve Maershbecker
Vice Chair	1.00	Yes (X)	Yes (X)	$0	$0	$0
Donna Reich
Secretary	1.00	Yes (X)	Yes (X)	$0	$0	$0
Vickie Solemsaas
Treasurer	1.00	Yes (X)	Yes (X)	$0	$0	$0
Roberta Fandrich
Director	1.00	Yes (X)		$0	$0	$0
Kathy Hueske
Director	1.00	Yes (X)		$0	$0	$0
Ila Perhus
Director	1.00	Yes (X)		$0	$0	$0
Michael Hoffarth
Director (Thru July 2021)	1.00	Yes (X)		$0	$0	$0
Theo Stoller
CEO	18.00		Yes (X)	$0	$0	$0
Scott Ostenson
CFO (Thru Sept)	8.00		Yes (X)	$0	$0	$0
Brandon Vaughan
CFO (As of Sept)	8.00		Yes (X)	$0	$0	$0
Sara Senn
Director of Nursing	40.00			$118,431	$0	$5,527	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$118,431	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$5,527	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	0	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
DTN Staffing
1200 Collins Avenue	Mandan	ND	58554	Travel Nursing	$204,421
Jacobson Memorial Hospital Care Center
601 East Street North	Elgin	ND	58533	Management Fees	$101,859

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	2	CntrctRcvdGreaterThan100KCnt
Government Grants	$341,922	GovernmentGrantsAmt
All Other Contributions	$88,741	AllOtherContributionsAmt
Total Contributions	$430,663	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Service Revenu	621400	$3,770,683	$3,770,683
Other Revenue	900099	$2,571	$2,571

Field	Value	IRS element (for citing)
Total Program Service Revenue	$3,773,254	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,119	TotalRevenueColumnAmt
Exclusion	$2,119	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$12,400	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$3,021	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$9,379	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,379	TotalRevenueColumnAmt
Exclusion	$9,379	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,215,415	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,773,254	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$11,498	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$1,747,519	TotalAmt
Program Services	$1,660,136	ProgramServicesAmt
Management And General	$87,383	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$175,329	TotalAmt
Program Services	$166,293	ProgramServicesAmt
Management And General	$9,036	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$133,581	TotalAmt
Program Services	$126,917	ProgramServicesAmt
Management And General	$6,664	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$103,113	TotalAmt
Management And General	$103,113	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,871	TotalAmt
Management And General	$2,871	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$23,920	TotalAmt
Management And General	$23,920	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$670,380	TotalAmt
Program Services	$646,177	ProgramServicesAmt
Management And General	$24,203	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,960	TotalAmt
Program Services	$74	ProgramServicesAmt
Management And General	$2,886	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$138,937	TotalAmt
Program Services	$97,530	ProgramServicesAmt
Management And General	$41,407	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$40,514	TotalAmt
Management And General	$40,514	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$69,821	TotalAmt
Program Services	$69,821	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$68,853	TotalAmt
Program Services	$64,336	ProgramServicesAmt
Management And General	$4,517	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$12,989	TotalAmt
Program Services	$6,465	ProgramServicesAmt
Management And General	$6,524	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$167,673	TotalAmt
Program Services	$163,273	ProgramServicesAmt
Management And General	$4,400	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$447,760	TotalAmt
Program Services	$436,092	ProgramServicesAmt
Management And General	$11,668	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$50,958	TotalAmt
Management And General	$50,958	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies	$202,560	$202,560
Maintenance and Repairs	$40,903	$40,655	$248
Dues/Subscriptions	$18,789		$18,789
Bad Debt Expense	$12,260	$12,260

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$23,922	TotalAmt
Program Services	$19,877	ProgramServicesAmt
Management And General	$4,045	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,155,612	TotalAmt
Program Services	$3,712,466	ProgramServicesAmt
Management And General	$443,146	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$798,793	BOYAmt
EOY	$963,411	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$601,741	BOYAmt
EOY	$624,985	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$44,726	BOYAmt
EOY	$41,858	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$47,539	BOYAmt
EOY	$16,066	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$8,312,922	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$4,021,077	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$4,670,422	BOYAmt
EOY	$4,291,845	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$145,603	BOYAmt
EOY	$184,894	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$316,000	BOYAmt
EOY	$316,000	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,624,824	BOYAmt
EOY	$6,439,059	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$233,063	BOYAmt
EOY	$247,832	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$159,956	BOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$8,809	BOYAmt
EOY	$9,295	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$4,828,519	BOYAmt
EOY	$4,688,361	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$5,230,347	BOYAmt
EOY	$4,945,488	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,246,991	BOYAmt
EOY	$1,306,794	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$147,486	BOYAmt
EOY	$186,777	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,394,477	BOYAmt
EOY	$1,493,571	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$6,624,824	BOYAmt
EOY	$6,439,059	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$59,803	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$39,291	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$217,218	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$174,122	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$185,426	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$746,623	CurrentTaxYearMinus1YearAmt
Current Tax Year	$430,663	CurrentTaxYearAmt
Total	$1,754,052	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$3,448,368	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$3,411,699	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$3,439,877	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$3,556,064	CurrentTaxYearMinus1YearAmt
Current Tax Year	$3,773,254	CurrentTaxYearAmt
Total	$17,629,262	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$3,665,586	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$3,585,821	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$3,625,303	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$4,302,687	CurrentTaxYearMinus1YearAmt
Current Tax Year	$4,203,917	CurrentTaxYearAmt
Total	$19,383,314	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,568,137	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,911,293	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,238,249	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,907,193	CurrentTaxYearMinus1YearAmt
Current Tax Year	$2,093,093	CurrentTaxYearAmt
Total	$9,717,965	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,568,137	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,911,293	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,238,249	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,907,193	CurrentTaxYearMinus1YearAmt
Current Tax Year	$2,093,093	CurrentTaxYearAmt
Total	$9,717,965	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$9,665,349	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$24	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$448	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$12,678	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$16,333	CurrentTaxYearMinus1YearAmt
Current Tax Year	$14,519	CurrentTaxYearAmt
Total	$44,002	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$24	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$448	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$12,678	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$16,333	CurrentTaxYearMinus1YearAmt
Current Tax Year	$14,519	CurrentTaxYearAmt
Total	$44,002	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,200	CurrentTaxYearMinus4YearsAmt
Total	$1,200	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$3,666,810	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$3,586,269	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$3,637,981	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$4,319,020	CurrentTaxYearMinus1YearAmt
Current Tax Year	$4,218,436	CurrentTaxYearAmt
Total	$19,428,516	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.49750	PublicSupportCY509Pct
Public Support PY509	0.51290	PublicSupportPY509Pct
Investment Income CY	0.00230	InvestmentIncomeCYPct
Investment Income PY	0.00160	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	0	AgentTrusteeEtcInd
Incl Escrow Custodial Acct Liab	Yes (1)	InclEscrowCustodialAcctLiabInd
Explanation Provided	Yes (X)	ExplanationProvidedInd

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$48,736	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$6,226,961	OtherCostOrOtherBasisAmt
Depreciation	$2,604,390	DepreciationAmt
Book Value	$3,671,307	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,163,221	OtherCostOrOtherBasisAmt
Depreciation	$944,090	DepreciationAmt
Book Value	$219,131	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$874,004	OtherCostOrOtherBasisAmt
Depreciation	$472,597	DepreciationAmt
Book Value	$401,407	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$4,291,845	TotalBookValueLandBuildingsAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$4,215,415	TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$4,215,415	RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$4,215,415	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$4,155,612	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$4,155,612	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$4,155,612	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part IV, Line 2b:

Richardton Health Center acts as custodian for the funds of the nursing facility residents. These funds are included in cash and accounts payable in the financial statements. Resident trust funds totaled $9,295 at June 30, 2022.

Part X, Line 2:

The Health Center believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Health Center would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, line 3	The Health Center entered into a management agreement with Jacobson Memorial Hospital Care Center (JMHCC) to provide management and administrative services. These services include administrator compensation, along with other management and support service fees. In the 2021 calendar year the organization paid JMHCC $83,528 for the CEO services of Theo Stoller, $16,239 for the CFO services of Scott Ostenson, and $10,500 for the CFO services of Brandon Vaughan.
Form 990, Part VI, Section A, line 8b	There are no committees authorized to act on behalf of the governing board.
Form 990, Part VI, Section B, line 11b	The Administrator reviewed the Form 990. The Board of Directors were provided a copy of the Form 990 prior to the filing of the return.
Form 990, Part VI, Section B, line 12c	The conflict of interest policy covers the board, employees and contractors alike. The Administrator reviewed and determined if conflicts exist with employees and contractors. The board reviews and determines if conflicts exist with a board member. The board is responsible for monitoring its members and the board in regards to this policy. If needed, they will seek legal consultation. If a conflict is determined that individual will abstain from voting.
Form 990, Part VI, Section B, line 15	In August 2019 the organization contracted an unrelated management company, Jacobson Memorial Hospital Care Center (JMHCC) for CEO and CFO services. The board reviewed and approved the contract with JMHCC.
Form 990, Part VI, Section C, line 19	The governing documents and conflict of interest policy are available to the public upon request.
Form 990, Part IX, line 11g	Contracted Services: Program service expenses 646,177. Management and general expenses 24,203. Fundraising expenses 0. Total expenses 670,380.
Form 990, Part XI, line 9:	Change in Interest of Foundation 39,291.