2020-07-08T11:51:45-05:00 2019-06-30 450250958 Eide Bailly LLP 1730 Burnt Boat Loop Ste 100 Bismarck ND 585030886 990 2018-07-01 450408291 Richardton Health Center Inc RICH 7019743304 8885 Highway 10 Richardton ND 58652 Theo Stoller Current CEO 7019743304 2020-07-07 1 Lisa Chaffee CPA P00193453 7012551091 2020-07-07 63.157.104.106 2020-07-07 16:11:11 CD P 66CC91E6B7F11C4783FFFA5645E675327CB67316 93C0C30FADC8E9ECFACDC91E878616133D2A47FE 2018 2020-11-06 18:47:13Z Theo Stoller 8885 Highway 10 Richardton ND 58652 3588804 0 X N/A X 1969 ND Building relationships to improve the health and quality of life of those we serve. 7 7 71 8 0 0 217218 174122 3448368 3411699 24 -46580 -158800 2935 3506810 3542176 0 0 0 0 1632713 1885188 0 0 0 2066778 2177953 3699491 4063141 -192681 -520965 6940702 6283182 5418536 5282705 1522166 1000477 Building relationships to improve the health and quality of life of those we serve. 0 0 3479300 3414234 Richardton Health Center provides high quality clinic healthcare and skilled nursing care services to Richardton and the surrounding area. This includes respite care, acute inpatient care, cardiac rehab, restorative therapy, PT, OT, ST, a free standing rural health clinic, and long-term care facilities. 3479300 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 8 0 1 71 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 0 0 X Scott Ostenson 7015847236 601 East St N PO Box 367 Elgin ND 585330367 Clare Messmer President 1.00 X X 0 0 0 Michael Taffe OSB Vice President 1.00 X X 0 0 0 Vickie Solemsaas Secretary 1.00 X X 0 0 0 Roberta Fandrich Treasurer 1.00 X X 0 0 0 Kathy Hueske Director 0.50 X 0 0 0 Steve Maershbecker Director 0.50 X 0 0 0 Michelle Antoine Administrator (Nov-Jun) 40.00 X 14498 0 845 Marilyn Rippy Administrator (Jul-Nov) 40.00 X 0 0 0 14498 0 845 0 0 0 0 DTN Staffing 1200 Collins Ave Mandan ND 58554 Contracted Nursing 278618 Homestead Recruiters 821 Senior Ave Dickinson ND 58601 Contracted Nursing 173055 Dakota Travel Nurse 1200 Collins Ave Mandan ND 58554 Contracted Nursing 146187 3 92355 81767 174122 Patient Service Revenu 621400 3392706 3392706 Other Revenue 900099 18993 18993 3411699 48 48 400 0 400 400 400 46628 -46628 -46628 -46628 Auxiliary Revenue 900099 2535 2535 2535 3542176 3414234 0 -46180 X 65877 65877 1521188 1434636 86552 181158 17957 163201 116965 105981 10984 74762 14205 60557 22689 22689 23733 4058 19675 780937 762303 18634 1128 534 594 105656 69237 36419 25171 6613 18558 74939 67342 7597 102505 95172 7333 18000 14305 3695 181703 176941 4762 467699 455754 11945 34634 7001 27633 Medical Supplies 186050 186050 Bad Debt Expense 32414 32414 Maintenance and Repairs 11514 11433 81 Dues/Subscriptions 5015 1823 3192 29404 15541 13863 4063141 3479300 583841 0 320849 142844 326043 319977 29507 32308 22283 30283 8185857 2736087 5894020 5449770 348000 308000 6940702 6283182 194733 184131 2158 3389 5221645 5095185 5418536 5282705 X 1502825 998594 19341 1883 1522166 1000477 6940702 6283182 X -520965 -724 X 0 1 X 1 0 X 269734 787392 398587 217218 174122 1847053 2170368 1996728 2765350 3448368 3411699 13792513 2440102 2784120 3163937 3665586 3585821 15639566 0 1269051 875913 1293781 1568137 1911293 6918175 1269051 875913 1293781 1568137 1911293 6918175 8721391 2 28 16 24 448 518 2 28 16 24 448 518 19273 336 944 1200 21753 2459377 2784484 3164897 3666810 3586269 15661837 0.55690 0.58540 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 2151 2535 1811 2875 1 X 6158237 1617247 4540990 1163918 858843 305075 863702 259997 603705 5449770 X 3539641 0 3539641 2535 2535 3542176 4061330 0 4061330 1811 1811 4063141 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 $3,389 at June 30, 2019. Part X, Line 2: The Health Center is organized as a North Dakota nonprofit corporation and has been recognized by the Internal Revenue Service (IRS) as exempt from federal income taxes under Internal Revenue Code Section 501(c)(3). The Health Center is annually required to file a Return of Organization Exempt from Income Tax (Form 990) with the IRS. In addition, the Health Center is subject to income tax on net income that is derived from business activities that are unrelated to its exempt purpose. The Health Center has determined it is not subject to unrelated business income tax and has not filed an Exempt Organization Business Income Tax Return (Form 990T) with the IRS. 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. Part XI, Line 4b - Other Adjustments: Auxiliary Revenue 2,535. Part XII, Line 4b - Other Adjustments: Auxiliary Expenses 1,811. Form 990, Part VI, Section A, line 3 The Health Center engaged Health Management Services (HMS) to provide management and administrative services. Administrative and management services include administrator compensation, along with other management and support service fees. The contract with HMS was ended in October of 2018, and a new administrator was hired in November 2018. The Health Center paid $74,762 for these 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 current CFO and Board of Directors reviewed 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 15a In December 2011 the Organization contracted an unrelated management company, HMS, to provide the Administrator management services. HMS set the Administrator compensation based on comparability data. The Board reviewed and approved the contract with HMS. In November 2018 the organization terminated the management contract with HMS and hired a new Adminstrator. The Board reviewed and approved the compensation for the Administrator. 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 762,103. Management and general expenses 18,634. Fundraising expenses 0. Total expenses 780,737. Maintenance Monitoring Contract: Program service expenses 200. Management and general expenses 0. Fundraising expenses 0. Total expenses 200. Form 990, Part XI, line 9: Change in Auxiliary Assets -724.