RICHARDTON HEALTH CENTER INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
RICHARDTON HEALTH CENTER INC (EIN 45-0408291)
Tax period
2016-07-01 to 2017-06-30
Filed
2017-11-08
IRS object ID
201713129349301321
Schema version
2016v3.0
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)
Return2017-11-08T10:27:56-06:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

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 Line14310 17TH AVE S PO BOX 2545AddressLine1Txt
CityFARGOCityNm
State AbbreviationNDStateAbbreviationCd
ZIP581082545ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

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)
PersonMarilyn RippyPersonNm
Person TitleAdministratorPersonTitleTxt
Phone7019743304PhoneNum
Signature2017-11-06SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLISA CHAFFEE CPAPreparerPersonNm
PTINP00193453PTIN
Phone7012398500PhoneNum
Preparation2017-11-06PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address199.116.173.12IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-11-06IPDt
IP Tm11:16:28IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id66CC91E6B7F11C4783FFFA5645E675327CB67316AtSubmissionCreationDeviceId
At Submission Filing Device Id385FD7544B689D76E9DA9F221308BA92DD4DD75DAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2018-03-14 21:41:22ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Principal OfficerMarilyn RippyPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line18885 Highway 10AddressLine1Txt
CityRichardtonCityNm
State AbbreviationNDStateAbbreviationCd
ZIP58652ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$3,071,802GrossReceiptsAmt
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 Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee56TotalEmployeeCnt
Total Volunteers8TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$787,392PYContributionsGrantsAmt
CY Contributions Grants$398,587CYContributionsGrantsAmt
PY Program Service Revenue$1,996,728PYProgramServiceRevenueAmt
CY Program Service Revenue$2,765,350CYProgramServiceRevenueAmt
PY Investment Income$28PYInvestmentIncomeAmt
CY Investment Income$16CYInvestmentIncomeAmt
PY Other Revenue-$371,932PYOtherRevenueAmt
CY Other Revenue-$92,151CYOtherRevenueAmt
PY Total Revenue$2,412,216PYTotalRevenueAmt
CY Total Revenue$3,071,802CYTotalRevenueAmt
PY Grants And Similar Paid$176PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$120CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,210,320PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,320,586CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,136,959PYOtherExpensesAmt
CY Other Expenses$1,922,794CYOtherExpensesAmt
PY Total Expenses$2,347,455PYTotalExpensesAmt
CY Total Expenses$3,243,500CYTotalExpensesAmt
PY Revenues Less Expenses$64,761PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$171,698CYRevenuesLessExpensesAmt
Total Assets BOY$7,670,830TotalAssetsBOYAmt
Total Assets EOY$7,287,961TotalAssetsEOYAmt
Total Liabilities BOY$5,783,360TotalLiabilitiesBOYAmt
Total Liabilities EOY$5,572,481TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,887,470NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,715,480NetAssetsOrFundBalancesEOYAmt
MissionBuilding relationships to improve the health and quality of life of those we serve.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$2,843,203ExpenseAmt
Grant$120GrantAmt
Revenue$2,772,255RevenueAmt
DescRichardton 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.Desc
Total Program Service Expenses$2,843,203TotalProgramServiceExpensesAmt
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
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
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 Document16IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee56EmployeeCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
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 CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Marilyn RippyBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7019743304PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box HAddressLine1Txt
CityRichardtonCityNm
State AbbreviationNDStateAbbreviationCd
ZIP58652ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Clare Messmer
President1.00Yes (X)Yes (X)$0$0$0
Michael Taffe OSB
Vice President1.00Yes (X)Yes (X)$0$0$0
Vickie Solemsaas
Treasurer1.00Yes (X)Yes (X)$0$0$0
Roberta Fandrich
Secretary1.00Yes (X)Yes (X)$0$0$0
Kathy Hueske
Director0.50Yes (X)$0$0$0
Steve Maershbecker
Director0.50Yes (X)$0$0$0
Marilyn Rippy
Administrator40.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
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 (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Dakota Travel Nurse
1200 Collins AveMandanND58554Contracted Nursing$382,161
Health Management Services
1001 S 24th St W 311BillingsMT59102Management Fees$144,504
Prime Time Healthcare
PO Box 3544OmahaNE681030544Contracted Nursing$122,334
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Government Grants$86,277GovernmentGrantsAmt
All Other Contributions$312,310AllOtherContributionsAmt
Total Contributions$398,587TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Service Revenu621400$2,756,391$2,756,391
Other Revenue900099$8,959$8,959
FieldValueIRS element (for citing)
Total Program Service Revenue$2,765,350TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$16TotalRevenueColumnAmt
Exclusion$16ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
Debt Forgiveness900009$6,905$6,905
Auxiliary Revenue900099$944$944
Loss on Impairment900009-$100,000-$100,000
FieldValueIRS element (for citing)
Other Revenue Total-$92,151OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,071,802TotalRevenueColumnAmt
Related Or Exempt Func Income$2,772,255RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$99,040ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$120TotalAmt
Program Services$120ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,090,223TotalAmt
Program Services$958,464ProgramServicesAmt
Management And General$131,759ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$150,141TotalAmt
Program Services$131,996ProgramServicesAmt
Management And General$18,145ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$80,222TotalAmt
Program Services$70,527ProgramServicesAmt
Management And General$9,695ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$139,376TotalAmt
Management And General$139,376ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$538TotalAmt
Management And General$538ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$27,151TotalAmt
Management And General$27,151ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$548,649TotalAmt
Program Services$548,649ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,290TotalAmt
Program Services$106ProgramServicesAmt
Management And General$2,184ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$87,583TotalAmt
Program Services$84,645ProgramServicesAmt
Management And General$2,938ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$28,821TotalAmt
Program Services$28,821ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$94,788TotalAmt
Program Services$82,788ProgramServicesAmt
Management And General$12,000ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$64,626TotalAmt
Program Services$64,626ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,851TotalAmt
Program Services$2,851ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$188,409TotalAmt
Program Services$188,409ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$456,019TotalAmt
Program Services$456,019ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$34,189TotalAmt
Program Services$34,189ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
Medical Supplies$169,960$169,960
Maintenance and Repairs$4,724$4,724
Dues/Subscriptions$3,411$3,411
Auxiliary Expense$652$652

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$68,757TotalAmt
Program Services$12,246ProgramServicesAmt
Management And General$56,511ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$3,243,500TotalAmt
Program Services$2,843,203ProgramServicesAmt
Management And General$400,297ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$162,273BOYAmt
EOY$219,528EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$193,386BOYAmt
EOY$219,121EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$25,429BOYAmt
EOY$27,192EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$38,222BOYAmt
EOY$18,703EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$8,141,016LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,805,599LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,983,520BOYAmt
EOY$6,335,417EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$268,000BOYAmt
EOY$468,000EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$7,670,830BOYAmt
EOY$7,287,961EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$483,156BOYAmt
EOY$218,808EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$2,773BOYAmt
EOY$9,940EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$5,297,431BOYAmt
EOY$5,343,733EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,783,360BOYAmt
EOY$5,572,481EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,887,470BOYAmt
EOY$1,715,480EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,887,470BOYAmt
EOY$1,715,480EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,670,830BOYAmt
EOY$7,287,961EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$171,698ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$292OtherChangesInNetAssetsAmt
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$439,362CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$529,764CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$269,734CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$787,392CurrentTaxYearMinus1YearAmt
Current Tax Year$398,587CurrentTaxYearAmt
Total$2,424,839TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,855,294CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,140,478CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,170,368CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,996,728CurrentTaxYearMinus1YearAmt
Current Tax Year$2,765,350CurrentTaxYearAmt
Total$10,928,218TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,294,656CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,670,242CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,440,102CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,784,120CurrentTaxYearMinus1YearAmt
Current Tax Year$3,163,937CurrentTaxYearAmt
Total$13,353,057TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$892,644CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,028,140CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,269,051CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$875,913CurrentTaxYearMinus1YearAmt
Current Tax Year$1,293,781CurrentTaxYearAmt
Total$5,359,529TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$892,644CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,028,140CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,269,051CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$875,913CurrentTaxYearMinus1YearAmt
Current Tax Year$1,293,781CurrentTaxYearAmt
Total$5,359,529TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$7,993,528PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$14CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$28CurrentTaxYearMinus1YearAmt
Current Tax Year$16CurrentTaxYearAmt
Total$74TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$14CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$28CurrentTaxYearMinus1YearAmt
Current Tax Year$16CurrentTaxYearAmt
Total$74TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16,576CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$96,037CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,273CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$336CurrentTaxYearMinus1YearAmt
Current Tax Year$944CurrentTaxYearAmt
Total$133,166TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,311,246CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,766,293CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,459,377CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,784,484CurrentTaxYearMinus1YearAmt
Current Tax Year$3,164,897CurrentTaxYearAmt
Total$13,486,297TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.59270PublicSupportCY509Pct
Public Support PY5090.58950PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
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$1,225BeginningBalanceAmt
Additions During Year$944AdditionsDuringYearAmt
Distributions During Year$652DistributionsDuringYearAmt
Ending Balance$1,517EndingBalanceAmt
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,143,719OtherCostOrOtherBasisAmt
Depreciation$954,809DepreciationAmt
Book Value$5,188,910BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,133,595OtherCostOrOtherBasisAmt
Depreciation$732,527DepreciationAmt
Book Value$401,068BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$863,702OtherCostOrOtherBasisAmt
Depreciation$118,263DepreciationAmt
Book Value$745,439BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$6,335,417TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
Bed Licenses$268,000
Assets Held For Resale$200,000
FieldValueIRS element (for citing)
Total Book Value Other Assets$468,000TotalBookValueOtherAssetsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$3,050,445TotalRevEtcAuditedFinclStmtAmt
Other Revenue-$20,413OtherRevenueAmt
Revenue Not Reported-$20,413RevenueNotReportedAmt
Revenue Subtotal$3,070,858RevenueSubtotalAmt
Other Revenues Not Included$944OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$944RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$3,071,802TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$3,222,435TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included-$20,413OtherExpensesIncludedAmt
Expenses Not Reported-$20,413ExpensesNotReportedAmt
Expenses Subtotal$3,242,848ExpensesSubtotalAmt
Other Expenses Not Included$652OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$652ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$3,243,500TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (7 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 $9,940 at June 30, 2017.
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 2d - Other Adjustments:Expenses related to assets held for resale -20,413.
Part XI, Line 4b - Other Adjustments:Auxiliary Revenue 944.
Part XII, Line 2d - Other Adjustments:Expenses related to assets held for resale -20,413.
Part XII, Line 4b - Other Adjustments:Auxiliary Expenses 652.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 3The Health Center has 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. Expenses recognized in relation to this agreement for Part VII: Administrator compensation was $33,925 and $1,122 in other benefits for Marilyn Rippy for the year ended June 30, 2017.
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 Administrator and Board of Directors reviewed 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 reviews and determines 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 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 reviews and approves the contract with HMS.
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 548,349. Management and general expenses 0. Fundraising expenses 0. Total expenses 548,349. Mainenance Monitoring Contract: Program service expenses 300. Management and general expenses 0. Fundraising expenses 0. Total expenses 300.
Form 990, Part XI, line 9:Change in Auxiliary Assets -292.

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