2022-05-16T09:07:33-05:00 2021-06-30 450250958 Eide Bailly LLP 1730 Burnt Boat Loop Ste 100 Bismarck ND 585030886 990 2020-07-01 450408291 Richardton Health Center Inc RICH 7019743304 8885 Highway 10 Richardton ND 58652 Theo Stoller CEO 7019743304 2022-05-16 1 Theo Stoller 999009999 Lisa Chaffee CPA P00193453 7012551091 2022-05-16 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z Theo Stoller 8885 Highway 10 Richardton ND 58652 4319020 0 X N/A X 1969 ND Building relationships to improve the health and quality of life of those we serve. 7 7 77 15 0 0 185426 746623 3439877 3556064 1032 -1915 11100 10579 3637435 4311351 0 0 0 0 1956823 2256394 0 0 0 1792196 1694976 3749019 3951370 -111584 359981 6554697 6624824 5665804 5230347 888893 1394477 Building relationships to improve the health and quality of life of those we serve. 0 0 3317088 3556064 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. 3317088 1 1 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 7 0 1 77 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 1 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 1 0 X Theo Stoller 7015847233 601 East St N PO Box 367 Elgin ND 585330367 X Sara Senn Director of Nursing 40.00 X 106439 0 5471 Theo Stoller CEO 18.00 X 0 0 0 Scott Ostenson CFO 8.00 X 0 0 0 Clare Messmer President (Jul-Nov) 1.00 X X 0 0 0 Michael Taffe OSB Vice Chair (Jul-Nov) Board Chair (Nov-Jun) 1.00 X X 0 0 0 Donna Reich Secretary 1.00 X X 0 0 0 Vickie Solemsaas Treasurer 1.00 X X 0 0 0 Roberta Fandrich Director 1.00 X 0 0 0 Kathy Hueske Director 1.00 X 0 0 0 Steve Maershbecker Director 1.00 X 0 0 0 Michael Hoffarth Director 1.00 X 0 0 0 106439 0 5471 1 0 0 0 DTN Staffing 1200 Collins Avenue Mandan ND 58554 Travel Nursing 221461 Jacobson Memorial Hospital Care Center 601 East Street North Elgin ND 58533 Management Fees 127004 2 686317 60306 746623 Patient Service Revenu 621400 3539642 3539642 Other Revenue 900099 16422 16422 3556064 2733 2733 13600 3021 10579 10579 10579 4648 -4648 -4648 -4648 4311351 3556064 0 8664 1873453 1796214 77239 240181 1815 238366 142760 137140 5620 118793 118793 1892 1892 20868 20868 278785 258951 19834 2753 2753 105678 81190 24488 40074 40074 57909 57909 57934 57284 650 4755 2794 1961 172353 167831 4522 457687 445760 11927 29707 29707 Medical Supplies 148950 148950 Bad Debt Expense 125487 125487 Maintenance and Repairs 20519 20519 Dues/Subscriptions 5838 5838 44994 15244 29750 3951370 3317088 634282 0 786995 798793 362443 601741 35834 44726 22404 47539 8241567 3571145 5039021 4670422 145603 308000 316000 6554697 6624824 242613 233063 83246 159956 6948 8809 4964197 4828519 368800 0 5665804 5230347 X 887010 1246991 1883 147486 888893 1394477 6554697 6624824 X 359981 69640 75963 X 0 1 X 1 0 X 398587 217218 174122 185426 746623 1721976 2765350 3448368 3411699 3439877 3556064 16621358 3163937 3665586 3585821 3625303 4302687 18343334 0 1293781 1568137 1911293 2238249 1907193 8918653 1293781 1568137 1911293 2238249 1907193 8918653 9424681 16 24 448 12678 16333 29499 16 24 448 12678 16333 29499 944 1200 2144 3164897 3666810 3586269 3637981 4319020 18374977 0.51290 0.53070 0.00160 0.00080 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 2875 2875 0 1 X 6241260 2276715 3964545 1126258 892700 233558 874049 401730 472319 4670422 X 4311351 0 4311351 0 4311351 3951370 0 3951370 0 3951370 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. 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. The organization paid JMHCC $127,004 in calendar year 2020 for CEO and CFO services. 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 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 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 XI, line 9: Change in Interest of Foundation 75,963.