RICHARDTON HEALTH CENTER INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: RICHARDTON HEALTH CENTER INC (EIN 45-0408291)
Tax period: 2015-07-01 to 2016-06-30
Filed: 2017-01-23
IRS object ID: 201700239349300420
Schema version: 2015v3.0
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule L
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-01-23T09:16:39-06:00	ReturnTs
Tax Period End	2016-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	450250958	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	EIDE BAILLY LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	4310 17TH AVE S PO BOX 2545	AddressLine1Txt
City	FARGO	CityNm
State Abbreviation	ND	StateAbbreviationCd
ZIP	581082545	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	450408291	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Richardton Health Center Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	RICH	BusinessNameControlTxt
Phone	7019743304	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box H	AddressLine1Txt
City	Richardton	CityNm
State Abbreviation	ND	StateAbbreviationCd
ZIP	586520908	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Marilyn Rippy	PersonNm
Person Title	CEO/DON	PersonTitleTxt
Phone	7019743304	PhoneNum
Signature	2017-01-17	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	LISA CHAFFEE CPA	PreparerPersonNm
PTIN	P00193453	PTIN
Phone	7012398500	PhoneNum
Preparation	2017-01-17	PreparationDt

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Marilyn Rippy	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box H	AddressLine1Txt
City	Richardton	CityNm
State Abbreviation	ND	StateAbbreviationCd
ZIP	586520908	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$2,412,216	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	N/A	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1969	FormationYr
Legal Domicile State	ND	LegalDomicileStateCd
Activity Or Mission	Building relationships to improve the health and quality of life of those we serve.	ActivityOrMissionDesc
Voting Members Governing Body	7	VotingMembersGoverningBodyCnt
Voting Members Independent	6	VotingMembersIndependentCnt
Total Employee	67	TotalEmployeeCnt
Total Volunteers	7	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$269,734	PYContributionsGrantsAmt
CY Contributions Grants	$787,392	CYContributionsGrantsAmt
PY Program Service Revenue	$2,170,368	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,996,728	CYProgramServiceRevenueAmt
PY Investment Income	$2	PYInvestmentIncomeAmt
CY Investment Income	$28	CYInvestmentIncomeAmt
PY Other Revenue	$19,273	PYOtherRevenueAmt
CY Other Revenue	-$371,932	CYOtherRevenueAmt
PY Total Revenue	$2,459,377	PYTotalRevenueAmt
CY Total Revenue	$2,412,216	CYTotalRevenueAmt
PY Grants And Similar Paid	$76	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$176	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$1,400,835	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$1,210,320	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$922,131	PYOtherExpensesAmt
CY Other Expenses	$1,136,959	CYOtherExpensesAmt
PY Total Expenses	$2,323,042	PYTotalExpensesAmt
CY Total Expenses	$2,347,455	CYTotalExpensesAmt
PY Revenues Less Expenses	$136,335	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$64,761	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,524,636	TotalAssetsBOYAmt
Total Assets EOY	$7,670,830	TotalAssetsEOYAmt
Total Liabilities BOY	$224,906	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$5,783,360	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$2,299,730	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,887,470	NetAssetsOrFundBalancesEOYAmt
Mission	Building relationships to improve the health and quality of life of those we serve.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$2,041,582	ExpenseAmt
Grant	$176	GrantAmt
Revenue	$1,996,728	RevenueAmt
Desc	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.	Desc
Total Program Service Expenses	$2,041,582	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	Yes (1)	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	0	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	0	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	0	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	10	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	67	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	7	GoverningBodyVotingMembersCnt
Independent Voting Member	6	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (1)	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	0	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Marilyn Rippy	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	7019743304	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box H	AddressLine1Txt
City	Richardton	CityNm
State Abbreviation	ND	StateAbbreviationCd
ZIP	58652	ZIPCd

Field	Value	IRS element (for citing)
No Listed Persons Compensated	Yes (X)	NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
Clare Messmer
President	1.00	Yes (X)	Yes (X)	$0	$0	$0
Michael Taffe OSB
Vice President	1.00	Yes (X)	Yes (X)	$0	$0	$0
Vickie Solemsaas
Treasurer	1.00	Yes (X)	Yes (X)	$0	$0	$0
Donna Reich
Secretary	1.00	Yes (X)	Yes (X)	$0	$0	$0
Roberta Fandrich
Director	0.50	Yes (X)		$0	$0	$0
Kathy Hueske
Director	0.50	Yes (X)		$0	$0	$0
Steve Maershbecker
Director	0.50	Yes (X)		$0	$0	$0
Bob Brummond
Administrator (5/1/15-7/31/15)	40.00		Yes (X)	$0	$0	$0
Marilyn Rippy
Administrator (8/24/15 to present)	40.00		Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$0	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	0	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Health Management Services
1001 S 24th St W 311	Billings	MT	59102	Management Fees	$134,507
Dakota Travel Nurse
1200 Collins Ave	Mandan	ND	58554	Contracted Nursing	$132,137
ReadyLink
PO Box 1047	Thousand Palms	CA	92276	Contracted Nursing	$105,493

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	3	CntrctRcvdGreaterThan100KCnt
Government Grants	$147,404	GovernmentGrantsAmt
All Other Contributions	$639,988	AllOtherContributionsAmt
Total Contributions	$787,392	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Service Revenue	621400	$1,985,439	$1,985,439
Other Revenue	900099	$11,289	$11,289

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,996,728	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$28	TotalRevenueColumnAmt
Exclusion	$28	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
Auxiliary Revenue	900099	$336	$336
Loss on Impairment	900099	-$372,268	-$372,268

Field	Value	IRS element (for citing)
Other Revenue Total	-$371,932	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,412,216	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,996,728	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	-$371,904	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$176	TotalAmt
Program Services	$176	ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$31,814	TotalAmt
Program Services	$31,814	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$984,568	TotalAmt
Program Services	$858,290	ProgramServicesAmt
Management And General	$126,278	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$118,638	TotalAmt
Program Services	$103,898	ProgramServicesAmt
Management And General	$14,740	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$75,300	TotalAmt
Program Services	$65,945	ProgramServicesAmt
Management And General	$9,355	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$110,205	TotalAmt
Management And General	$110,205	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$576	TotalAmt
Management And General	$576	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$20,500	TotalAmt
Management And General	$20,500	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$444,681	TotalAmt
Program Services	$444,681	ProgramServicesAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$4,954	TotalAmt
Program Services	$119	ProgramServicesAmt
Management And General	$4,835	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$77,098	TotalAmt
Program Services	$74,529	ProgramServicesAmt
Management And General	$2,569	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$31,284	TotalAmt
Program Services	$31,284	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$79,000	TotalAmt
Program Services	$67,000	ProgramServicesAmt
Management And General	$12,000	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$55,773	TotalAmt
Program Services	$55,773	ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$3,029	TotalAmt
Program Services	$3,029	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,580	TotalAmt
Program Services	$2,580	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$127,309	TotalAmt
Program Services	$127,309	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$21,179	TotalAmt
Program Services	$21,179	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
Medical Supplies	$132,997	$132,997
Maintenance and Repairs	$8,724	$8,724
Dues/Subscriptions	$3,397	$3,397
Auxiliary Expense	$2,312	$2,312

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$11,361	TotalAmt
Program Services	$6,546	ProgramServicesAmt
Management And General	$4,815	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,347,455	TotalAmt
Program Services	$2,041,582	ProgramServicesAmt
Management And General	$305,873	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$102,634	BOYAmt
EOY	$162,273	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$171,574	BOYAmt
EOY	$193,386	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$25,784	BOYAmt
EOY	$25,429	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$35,602	BOYAmt
EOY	$38,222	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$8,529,851	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,546,331	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,442,045	BOYAmt
EOY	$6,983,520	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$478,997	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$268,000	BOYAmt
EOY	$268,000	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,524,636	BOYAmt
EOY	$7,670,830	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$149,177	BOYAmt
EOY	$483,156	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$4,671	BOYAmt
EOY	$2,773	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$71,058	BOYAmt
EOY	$5,297,431	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$224,906	BOYAmt
EOY	$5,783,360	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,820,733	BOYAmt
EOY	$1,887,470	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$478,997	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,299,730	BOYAmt
EOY	$1,887,470	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,524,636	BOYAmt
EOY	$7,670,830	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$64,761	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$477,021	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$573,823	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$439,362	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$529,764	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$269,734	CurrentTaxYearMinus1YearAmt
Current Tax Year	$787,392	CurrentTaxYearAmt
Total	$2,600,075	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,582,541	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,855,294	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,140,478	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$2,170,368	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,996,728	CurrentTaxYearAmt
Total	$9,745,409	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$2,156,364	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$2,294,656	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,670,242	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$2,440,102	CurrentTaxYearMinus1YearAmt
Current Tax Year	$2,784,120	CurrentTaxYearAmt
Total	$12,345,484	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$903,580	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$892,644	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,028,140	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,269,051	CurrentTaxYearMinus1YearAmt
Current Tax Year	$875,913	CurrentTaxYearAmt
Total	$4,969,328	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$903,580	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$892,644	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,028,140	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,269,051	CurrentTaxYearMinus1YearAmt
Current Tax Year	$875,913	CurrentTaxYearAmt
Total	$4,969,328	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$7,376,156	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$117	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$14	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$14	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$2	CurrentTaxYearMinus1YearAmt
Current Tax Year	$28	CurrentTaxYearAmt
Total	$175	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$117	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$14	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$14	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$2	CurrentTaxYearMinus1YearAmt
Current Tax Year	$28	CurrentTaxYearAmt
Total	$175	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$36,000	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$16,576	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$96,037	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$19,273	CurrentTaxYearMinus1YearAmt
Total	$167,886	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$2,192,481	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$2,311,246	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,766,293	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$2,459,377	CurrentTaxYearMinus1YearAmt
Current Tax Year	$2,784,148	CurrentTaxYearAmt
Total	$12,513,545	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.58950	PublicSupportCY509Pct
Public Support PY509	0.55940	PublicSupportPY509Pct
Investment Income CY	0.00000	InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	Yes (1)	AgentTrusteeEtcInd
Beginning Balance	$3,201	BeginningBalanceAmt
Additions During Year	$336	AdditionsDuringYearAmt
Distributions During Year	$2,312	DistributionsDuringYearAmt
Ending Balance	$1,225	EndingBalanceAmt
Incl Escrow Custodial Acct Liab	Yes (1)	InclEscrowCustodialAcctLiabInd
Explanation Provided	Yes (X)	ExplanationProvidedInd

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,159,459	OtherCostOrOtherBasisAmt
Depreciation	$830,058	DepreciationAmt
Book Value	$329,401	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$804,064	OtherCostOrOtherBasisAmt
Depreciation	$668,876	DepreciationAmt
Book Value	$135,188	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,566,328	OtherCostOrOtherBasisAmt
Depreciation	$47,397	DepreciationAmt
Book Value	$6,518,931	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$6,983,520	TotalBookValueLandBuildingsAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$2,784,148	TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$2,784,148	RevenueSubtotalAmt
Other Revenues Not Included	-$371,932	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	-$371,932	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$2,412,216	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$2,717,411	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$372,268	OtherExpensesIncludedAmt
Expenses Not Reported	$372,268	ExpensesNotReportedAmt
Expenses Subtotal	$2,345,143	ExpensesSubtotalAmt
Other Expenses Not Included	$2,312	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$2,312	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$2,347,455	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 $2,773 at June 30, 2016.
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 336. Loss on Impairment of Property -372,268.
Part XII, Line 2d - Other Adjustments:	Loss on Impairment of Property in Expenses for Financial Statements 372,268.
Part XII, Line 4b - Other Adjustments:	Auxiliary Expenses 2,312.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	Laura Leingang	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	Sister of Donna Reich (Board Member)	RelationshipDescriptionTxt
Transaction	$31,814	TransactionAmt
Transaction	Compensation & benefits	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, line 3	The 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 $5,419 for Bob Brummond in salary; Administrator compensation was $17,419 in salary and $961 in other benefits for Marilyn Rippy for the year ended June 30, 2016.
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 11	The Administrator 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 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 15	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 reviews and approves the contract with HMS.
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 444,681. Management and general expenses 0. Fundraising expenses 0. Total expenses 444,681.
Form 990, Part XI, line 9:	Change in Auxiliary Assets 1,976. Change in interest in net assets of Richardton Healthcare Foundation -478,997.