RICHARDTON HEALTH CENTER INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
RICHARDTON HEALTH CENTER INC (EIN 45-0408291)
Tax period
2019-07-01 to 2020-06-30
Filed
2021-05-13
IRS object ID
202101339349305100
Schema version
2019v5.2
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)
Return2021-05-13T15:55:20-05:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt

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 Begin2019-07-01TaxPeriodBeginDt

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
Signature2021-05-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLisa Chaffee CPAPreparerPersonNm
PTINP00193453PTIN
Phone7012551091PhoneNum
Preparation2021-05-13PreparationDt
FieldValueIRS element (for citing)
Tax2019TaxYr
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$3,637,981GrossReceiptsAmt
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 Employee78TotalEmployeeCnt
Total Volunteers15TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$174,122PYContributionsGrantsAmt
CY Contributions Grants$185,426CYContributionsGrantsAmt
PY Program Service Revenue$3,411,699PYProgramServiceRevenueAmt
CY Program Service Revenue$3,439,877CYProgramServiceRevenueAmt
PY Investment Income-$46,580PYInvestmentIncomeAmt
CY Investment Income$1,032CYInvestmentIncomeAmt
PY Other Revenue$2,935PYOtherRevenueAmt
CY Other Revenue$11,100CYOtherRevenueAmt
PY Total Revenue$3,542,176PYTotalRevenueAmt
CY Total Revenue$3,637,435CYTotalRevenueAmt
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$1,885,188PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,956,823CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,177,953PYOtherExpensesAmt
CY Other Expenses$1,792,196CYOtherExpensesAmt
PY Total Expenses$4,063,141PYTotalExpensesAmt
CY Total Expenses$3,749,019CYTotalExpensesAmt
PY Revenues Less Expenses-$520,965PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$111,584CYRevenuesLessExpensesAmt
Total Assets BOY$6,283,182TotalAssetsBOYAmt
Total Assets EOY$6,554,697TotalAssetsEOYAmt
Total Liabilities BOY$5,282,705TotalLiabilitiesBOYAmt
Total Liabilities EOY$5,665,804TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,000,477NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$888,893NetAssetsOrFundBalancesEOYAmt
MissionBuilding relationships to improve the health and quality of life of those we serve.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$3,148,356ExpenseAmt
Revenue$3,439,877RevenueAmt
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$3,148,356TotalProgramServiceExpensesAmt
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 Document10IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee78EmployeeCnt
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 Line1Scott OstensonBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7015847236PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1601 East St N PO Box 367AddressLine1Txt
CityElginCityNm
State AbbreviationNDStateAbbreviationCd
ZIP585330367ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
Michelle Antoine
Administrator40.00Yes (X)$72,000$0$0
Theo Stoller
CEO (Aug-Jun)18.00Yes (X)$0$0$0
Scott Ostenson
CFO (Aug-Jun)8.00Yes (X)$0$0$0
Clare Messmer
President1.00Yes (X)$0$0$0Yes (X)
Michael Taffe OSB
Vice President1.00Yes (X)$0$0$0Yes (X)
Vickie Solemsaas
Secretary1.00Yes (X)$0$0$0Yes (X)
Roberta Fandrich
Treasurer1.00Yes (X)$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$72,000TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Elite StaffingBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1910 20th St SEAddressLine1Txt
CityMandanCityNm
State AbbreviationNDStateAbbreviationCd
ZIP58554ZIPCd
FieldValueIRS element (for citing)
ServicesTravel NursesServicesDesc
Compensation$108,866CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Government Grants$137,511GovernmentGrantsAmt
All Other Contributions$47,915AllOtherContributionsAmt
Total Contributions$185,426TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Service Revenu621400$3,414,178$3,414,178
Other Revenue900099$25,699$25,699
FieldValueIRS element (for citing)
Total Program Service Revenue$3,439,877TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,578TotalRevenueColumnAmt
Exclusion$1,578ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$11,100RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$11,100RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,100TotalRevenueColumnAmt
Exclusion$11,100ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$546OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$546OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$546TotalRevenueColumnAmt
Exclusion-$546ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,637,435TotalRevenueColumnAmt
Related Or Exempt Func Income$3,439,877RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$12,132ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$20,000TotalAmt
Management And General$20,000ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,613,033TotalAmt
Program Services$1,539,141ProgramServicesAmt
Management And General$73,892ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$200,329TotalAmt
Program Services$6,468ProgramServicesAmt
Management And General$193,861ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$123,461TotalAmt
Program Services$116,528ProgramServicesAmt
Management And General$6,933ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$117,280TotalAmt
Management And General$117,280ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,417TotalAmt
Management And General$2,417ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$27,977TotalAmt
Management And General$27,977ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$516,554TotalAmt
Program Services$468,666ProgramServicesAmt
Management And General$47,888ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,120TotalAmt
Management And General$2,120ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$82,676TotalAmt
Program Services$61,965ProgramServicesAmt
Management And General$20,711ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$16,113TotalAmt
Program Services$1,349ProgramServicesAmt
Management And General$14,764ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$59,680TotalAmt
Program Services$56,114ProgramServicesAmt
Management And General$3,566ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$46,790TotalAmt
Program Services$46,760ProgramServicesAmt
Management And General$30ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$5,293TotalAmt
Program Services$3,394ProgramServicesAmt
Management And General$1,899ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$177,174TotalAmt
Program Services$172,530ProgramServicesAmt
Management And General$4,644ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$457,110TotalAmt
Program Services$445,339ProgramServicesAmt
Management And General$11,771ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$24,343TotalAmt
Program Services$1,555ProgramServicesAmt
Management And General$22,788ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$152,264$152,264
Bad Debt Expense$46,493$46,493
Maintenance and Repairs$18,182$18,062$120
Dues/Subscriptions$4,300$40$4,260

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$35,430TotalAmt
Program Services$11,688ProgramServicesAmt
Management And General$23,742ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$3,749,019TotalAmt
Program Services$3,148,356ProgramServicesAmt
Management And General$600,663ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$142,844BOYAmt
EOY$786,995EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$319,977BOYAmt
EOY$362,443EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$32,308BOYAmt
EOY$35,834EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$30,283BOYAmt
EOY$22,404EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$8,231,369LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,192,348LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,449,770BOYAmt
EOY$5,039,021EOYAmt

Other Assets Total OtherAssetsTotalGrp

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

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$6,283,182BOYAmt
EOY$6,554,697EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$184,131BOYAmt
EOY$242,613EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$83,246EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$3,389BOYAmt
EOY$6,948EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$5,095,185BOYAmt
EOY$4,964,197EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,282,705BOYAmt
EOY$5,665,804EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$998,594BOYAmt
EOY$887,010EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,000,477BOYAmt
EOY$888,893EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,283,182BOYAmt
EOY$6,554,697EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$111,584ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
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$787,392CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$398,587CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$217,218CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$174,122CurrentTaxYearMinus1YearAmt
Current Tax Year$185,426CurrentTaxYearAmt
Total$1,762,745TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,996,728CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,765,350CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,448,368CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,411,699CurrentTaxYearMinus1YearAmt
Current Tax Year$3,439,877CurrentTaxYearAmt
Total$15,062,022TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,784,120CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,163,937CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,665,586CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,585,821CurrentTaxYearMinus1YearAmt
Current Tax Year$3,625,303CurrentTaxYearAmt
Total$16,824,767TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$875,913CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,293,781CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,568,137CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,911,293CurrentTaxYearMinus1YearAmt
Current Tax Year$2,238,249CurrentTaxYearAmt
Total$7,887,373TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$875,913CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,293,781CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,568,137CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,911,293CurrentTaxYearMinus1YearAmt
Current Tax Year$2,238,249CurrentTaxYearAmt
Total$7,887,373TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$8,937,394PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$28CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$16CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$24CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$448CurrentTaxYearMinus1YearAmt
Current Tax Year$12,678CurrentTaxYearAmt
Total$13,194TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$28CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$16CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$24CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$448CurrentTaxYearMinus1YearAmt
Current Tax Year$12,678CurrentTaxYearAmt
Total$13,194TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$336CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$944CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,200CurrentTaxYearMinus2YearsAmt
Total$2,480TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,784,484CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,164,897CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,666,810CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,586,269CurrentTaxYearMinus1YearAmt
Current Tax Year$3,637,981CurrentTaxYearAmt
Total$16,840,441TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.53070PublicSupportCY509Pct
Public Support PY5090.55690PublicSupportPY509Pct
Investment Income CY0.00080InvestmentIncomeCYPct
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
Additions During Year$0AdditionsDuringYearAmt
Distributions During Year$0DistributionsDuringYearAmt
Ending Balance$2,875EndingBalanceAmt
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,189,187OtherCostOrOtherBasisAmt
Depreciation$1,945,737DepreciationAmt
Book Value$4,243,450BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,178,480OtherCostOrOtherBasisAmt
Depreciation$915,747DepreciationAmt
Book Value$262,733BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$863,702OtherCostOrOtherBasisAmt
Depreciation$330,864DepreciationAmt
Book Value$532,838BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,039,021TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$3,637,435TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$3,637,435RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$3,637,435TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$3,749,019TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$3,749,019ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$3,749,019TotalExpensesPerForm990Amt

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.
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 $6,948 at June 30, 2020.
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 $41,443 in calendar year 2019 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 November 2018 the organization hired an Adminstrator. The Board reviewed and approved the compensation for the Administrator. 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 19The governing documents and conflict of interest policy are available to the public upon request.
Form 990, Part IX, line 11gContracted Services: Program service expenses 468,666. Management and general expenses 47,888. Fundraising expenses 0. Total expenses 516,554.

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