RICHARDTON HEALTH CENTER INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
RICHARDTON HEALTH CENTER INC (EIN 45-0408291)
Tax period
2020-07-01 to 2021-06-30
Filed
2022-05-16
IRS object ID
202221369349303057
Schema version
2020v4.2
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 ReturnHeader

FieldValueIRS element (for citing)
Return2022-05-16T09:07:33-05:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN450250958PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Eide Bailly LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11730 Burnt Boat Loop Ste 100AddressLine1Txt
CityBismarckCityNm
State AbbreviationNDStateAbbreviationCd
ZIP585030886ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN450408291EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Richardton Health Center IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlRICHBusinessNameControlTxt
Phone7019743304PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18885 Highway 10AddressLine1Txt
CityRichardtonCityNm
State AbbreviationNDStateAbbreviationCd
ZIP58652ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTheo StollerPersonNm
Person TitleCEOPersonTitleTxt
Phone7019743304PhoneNum
Signature2022-05-16SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstTheoPersonFirstNm
Person LastStollerPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLisa Chaffee CPAPreparerPersonNm
PTINP00193453PTIN
Phone7012551091PhoneNum
Preparation2022-05-16PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTheo StollerPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line18885 Highway 10AddressLine1Txt
CityRichardtonCityNm
State AbbreviationNDStateAbbreviationCd
ZIP58652ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$4,319,020GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1969FormationYr
Legal Domicile StateNDLegalDomicileStateCd
Activity Or MissionBuilding relationships to improve the health and quality of life of those we serve.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee77TotalEmployeeCnt
Total Volunteers15TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$185,426PYContributionsGrantsAmt
CY Contributions Grants$746,623CYContributionsGrantsAmt
PY Program Service Revenue$3,439,877PYProgramServiceRevenueAmt
CY Program Service Revenue$3,556,064CYProgramServiceRevenueAmt
PY Investment Income$1,032PYInvestmentIncomeAmt
CY Investment Income-$1,915CYInvestmentIncomeAmt
PY Other Revenue$11,100PYOtherRevenueAmt
CY Other Revenue$10,579CYOtherRevenueAmt
PY Total Revenue$3,637,435PYTotalRevenueAmt
CY Total Revenue$4,311,351CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,956,823PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,256,394CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,792,196PYOtherExpensesAmt
CY Other Expenses$1,694,976CYOtherExpensesAmt
PY Total Expenses$3,749,019PYTotalExpensesAmt
CY Total Expenses$3,951,370CYTotalExpensesAmt
PY Revenues Less Expenses-$111,584PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$359,981CYRevenuesLessExpensesAmt
Total Assets BOY$6,554,697TotalAssetsBOYAmt
Total Assets EOY$6,624,824TotalAssetsEOYAmt
Total Liabilities BOY$5,665,804TotalLiabilitiesBOYAmt
Total Liabilities EOY$5,230,347TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$888,893NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,394,477NetAssetsOrFundBalancesEOYAmt
MissionBuilding relationships to improve the health and quality of life of those we serve.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$3,317,088ExpenseAmt
Revenue$3,556,064RevenueAmt
DescRichardton 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$3,317,088TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document7IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee77EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Theo StollerBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7015847233PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1601 East St N PO Box 367AddressLine1Txt
CityElginCityNm
State AbbreviationNDStateAbbreviationCd
ZIP585330367ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
Sara Senn
Director of Nursing40.00Yes (X)$106,439$0$5,471
Theo Stoller
CEO18.00$0$0$0Yes (X)
Scott Ostenson
CFO8.00$0$0$0Yes (X)
Clare Messmer
President (Jul-Nov)1.00$0$0$0Yes (X)Yes (X)
Michael Taffe OSB Vice Chair
(Jul-Nov) Board Chair (Nov-Jun)1.00$0$0$0Yes (X)Yes (X)
Donna Reich
Secretary1.00$0$0$0Yes (X)Yes (X)
Vickie Solemsaas
Treasurer1.00$0$0$0Yes (X)Yes (X)
Roberta Fandrich
Director1.00$0$0$0Yes (X)
Kathy Hueske
Director1.00$0$0$0Yes (X)
Steve Maershbecker
Director1.00$0$0$0Yes (X)
Michael Hoffarth
Director1.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$106,439TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$5,471TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
DTN Staffing
1200 Collins AvenueMandanND58554Travel Nursing$221,461
Jacobson Memorial Hospital Care Center
601 East Street NorthElginND58533Management Fees$127,004
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Government Grants$686,317GovernmentGrantsAmt
All Other Contributions$60,306AllOtherContributionsAmt
Total Contributions$746,623TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Service Revenu621400$3,539,642$3,539,642
Other Revenue900099$16,422$16,422
FieldValueIRS element (for citing)
Total Program Service Revenue$3,556,064TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,733TotalRevenueColumnAmt
Exclusion$2,733ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$13,600RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$3,021RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$10,579RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,579TotalRevenueColumnAmt
Exclusion$10,579ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$4,648OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$4,648OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$4,648TotalRevenueColumnAmt
Exclusion-$4,648ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,311,351TotalRevenueColumnAmt
Related Or Exempt Func Income$3,556,064RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$8,664ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,873,453TotalAmt
Program Services$1,796,214ProgramServicesAmt
Management And General$77,239ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$240,181TotalAmt
Program Services$1,815ProgramServicesAmt
Management And General$238,366ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$142,760TotalAmt
Program Services$137,140ProgramServicesAmt
Management And General$5,620ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$118,793TotalAmt
Management And General$118,793ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,892TotalAmt
Management And General$1,892ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$20,868TotalAmt
Management And General$20,868ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$278,785TotalAmt
Program Services$258,951ProgramServicesAmt
Management And General$19,834ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,753TotalAmt
Management And General$2,753ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$105,678TotalAmt
Program Services$81,190ProgramServicesAmt
Management And General$24,488ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$40,074TotalAmt
Management And General$40,074ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$57,909TotalAmt
Program Services$57,909ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$57,934TotalAmt
Program Services$57,284ProgramServicesAmt
Management And General$650ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$4,755TotalAmt
Program Services$2,794ProgramServicesAmt
Management And General$1,961ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$172,353TotalAmt
Program Services$167,831ProgramServicesAmt
Management And General$4,522ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$457,687TotalAmt
Program Services$445,760ProgramServicesAmt
Management And General$11,927ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$29,707TotalAmt
Management And General$29,707ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$148,950$148,950
Bad Debt Expense$125,487$125,487
Maintenance and Repairs$20,519$20,519
Dues/Subscriptions$5,838$5,838

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$44,994TotalAmt
Program Services$15,244ProgramServicesAmt
Management And General$29,750ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$3,951,370TotalAmt
Program Services$3,317,088ProgramServicesAmt
Management And General$634,282ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$786,995BOYAmt
EOY$798,793EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$362,443BOYAmt
EOY$601,741EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$35,834BOYAmt
EOY$44,726EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$22,404BOYAmt
EOY$47,539EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$8,241,567LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,571,145LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,039,021BOYAmt
EOY$4,670,422EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$145,603EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$308,000BOYAmt
EOY$316,000EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$6,554,697BOYAmt
EOY$6,624,824EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$242,613BOYAmt
EOY$233,063EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$83,246BOYAmt
EOY$159,956EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$6,948BOYAmt
EOY$8,809EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$4,964,197BOYAmt
EOY$4,828,519EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$368,800BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,665,804BOYAmt
EOY$5,230,347EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$887,010BOYAmt
EOY$1,246,991EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,883BOYAmt
EOY$147,486EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$888,893BOYAmt
EOY$1,394,477EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,554,697BOYAmt
EOY$6,624,824EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$359,981ReconcilationRevenueExpnssAmt
Prior Period Adjustments$69,640PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$75,963OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$398,587CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$217,218CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$174,122CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$185,426CurrentTaxYearMinus1YearAmt
Current Tax Year$746,623CurrentTaxYearAmt
Total$1,721,976TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,765,350CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,448,368CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,411,699CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,439,877CurrentTaxYearMinus1YearAmt
Current Tax Year$3,556,064CurrentTaxYearAmt
Total$16,621,358TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,163,937CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,665,586CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,585,821CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,625,303CurrentTaxYearMinus1YearAmt
Current Tax Year$4,302,687CurrentTaxYearAmt
Total$18,343,334TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,293,781CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,568,137CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,911,293CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,238,249CurrentTaxYearMinus1YearAmt
Current Tax Year$1,907,193CurrentTaxYearAmt
Total$8,918,653TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,293,781CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,568,137CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,911,293CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,238,249CurrentTaxYearMinus1YearAmt
Current Tax Year$1,907,193CurrentTaxYearAmt
Total$8,918,653TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$9,424,681PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$24CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$448CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,678CurrentTaxYearMinus1YearAmt
Current Tax Year$16,333CurrentTaxYearAmt
Total$29,499TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$24CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$448CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,678CurrentTaxYearMinus1YearAmt
Current Tax Year$16,333CurrentTaxYearAmt
Total$29,499TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$944CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,200CurrentTaxYearMinus3YearsAmt
Total$2,144TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,164,897CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,666,810CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,586,269CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,637,981CurrentTaxYearMinus1YearAmt
Current Tax Year$4,319,020CurrentTaxYearAmt
Total$18,374,977TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.51290PublicSupportCY509Pct
Public Support PY5090.53070PublicSupportPY509Pct
Investment Income CY0.00160InvestmentIncomeCYPct
Investment Income PY0.00080InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee EtcYes (1)AgentTrusteeEtcInd
Beginning Balance$2,875BeginningBalanceAmt
Distributions During Year$2,875DistributionsDuringYearAmt
Ending Balance$0EndingBalanceAmt
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,241,260OtherCostOrOtherBasisAmt
Depreciation$2,276,715DepreciationAmt
Book Value$3,964,545BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,126,258OtherCostOrOtherBasisAmt
Depreciation$892,700DepreciationAmt
Book Value$233,558BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$874,049OtherCostOrOtherBasisAmt
Depreciation$401,730DepreciationAmt
Book Value$472,319BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$4,670,422TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$4,311,351TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$4,311,351RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$4,311,351TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$3,951,370TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$3,951,370ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$3,951,370TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part IV, Line 1b:Richardton Health Center Auxiliary is operating under the EIN of Richardton Health Center, however, the financial statements are not included in the audited financial statements of Richardton Health Center. The Auxiliary dissolved in fiscal year June 30, 2021 and all funds were disbursed to Richardton Health Center.
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 $8,809 at June 30, 2021.
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 (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 3The 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. The organization paid JMHCC $127,004 in calendar year 2020 for CEO and CFO services.
Form 990, Part VI, Section A, line 8bThere are no committees authorized to act on behalf of the governing board.
Form 990, Part VI, Section B, line 11bThe CFO and 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 12cThe 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 15In 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 19The governing documents and conflict of interest policy are available to the public upon request.
Form 990, Part XI, line 9:Change in Interest of Foundation 75,963.

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