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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>5769659</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-36404</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>-12462</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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        <CurrentTaxYearMinus3YearsAmt>746623</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>430663</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>296841</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>307123</CurrentTaxYearAmt>
        <TotalAmt>1966676</TotalAmt>
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      <GrossReceiptsAdmissionsGrp>
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        <CurrentTaxYearMinus3YearsAmt>3556064</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3773254</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4218506</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4629388</CurrentTaxYearAmt>
        <TotalAmt>19617089</TotalAmt>
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      <Total509Grp>
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        <CurrentTaxYearMinus3YearsAmt>4302687</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4203917</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4515347</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4936511</CurrentTaxYearAmt>
        <TotalAmt>21583765</TotalAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
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      <SubstantialContributorsAmtGrp>
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        <CurrentTaxYearMinus2YearsAmt>2093093</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2373072</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearAmt>32310</CurrentTaxYearAmt>
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      <InvestmentIncomeAndUBTIGrp>
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        <CurrentTaxYearMinus3YearsAmt>16333</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>14519</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>15912</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>32310</CurrentTaxYearAmt>
        <TotalAmt>91752</TotalAmt>
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        <CurrentTaxYearMinus2YearsAmt>4218436</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4531259</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4968821</CurrentTaxYearAmt>
        <TotalAmt>21675517</TotalAmt>
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      <PublicSupportCY509Pct>0.47110</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.47850</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00420</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00300</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
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        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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      <InclEscrowCustodialAcctLiabInd>1</InclEscrowCustodialAcctLiabInd>
      <ExplanationProvidedInd>X</ExplanationProvidedInd>
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        <OtherCostOrOtherBasisAmt>5647261</OtherCostOrOtherBasisAmt>
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        <BookValueAmt>3048466</BookValueAmt>
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        <BookValueAmt>293374</BookValueAmt>
      </OtherLandBuildingsGrp>
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      <OtherAssetsOrgGrp>
        <Desc>Bed Licenses</Desc>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
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      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part IV, Line 2b:</FormAndLineReferenceDesc>
        <ExplanationTxt>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 $5,358 at June 30, 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 2d - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Change in Interest of Foundation -12,462.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>The Health Center entered into a management agreement with Jacobson Memorial Hospital Care Center (JMHCC) to provide management and administrative services. These services include CEO, CFO and Administrator services, along with other management and support service fees. In the 2023 calendar year the organization paid JMHCC $4,475 for the CEO services of Theo Stoller, and $113,470 for the Administrator services of Mandy Robinson. The management contract was through May 2024, at which time Mandy became an employee of the organization.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>The bylaws were amended for a change in the board attendance policy. If a board member misses three consecutive meetings without reasonable cause, they are automatically dismissed from the Board of Directors, and a replaced.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 8b</FormAndLineReferenceDesc>
        <ExplanationTxt>There are no committees authorized to act on behalf of the governing board.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>Beginning in August 2019 the organization contracted an unrelated management company, Jacobson Memorial Hospital Care Center (JMHCC) for CEO and CFO services. Beginning in 2022, they also contracted JMHCC for Administrator services. The board reviewed and approved the contract with JMHCC. In June 2024, the Administrator became an employee of the organization. At this time the compensation was reviewed and approved by the independent board of directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The governing documents and conflict of interest policy are available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Contracted Services: Program service expenses 682,158. Management and general expenses 104,937. Fundraising expenses 0. Total expenses 787,095.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, line 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>Change in Interest of Foundation -12,462.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>