RICHARDTON HEALTH CENTER INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
RICHARDTON HEALTH CENTER INC (EIN 45-0408291)
Tax period
2013-07-01 to 2014-06-30
Filed
2015-01-19
IRS object ID
201520199349300012
Schema version
2013v4.0
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)
Return2015-01-19T12:31:22-06:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN450250958PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1EIDE BAILLY LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14310 17TH AVE S PO BOX 2545AddressLine1
CityFARGOCity
StateNDState
ZIP Code581082545ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN450408291EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Richardton Health Center IncBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlRICHBusinessNameControlTxt
Phone7019743304PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box HAddressLine1
CityRichardtonCity
StateNDState
ZIP Code586520908ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLinda HillPersonNm
Person TitleAdministratorPersonTitleTxt
Phone7019743304PhoneNum
Signature2015-01-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLISA CHAFFEE CPAPreparerPersonNm
PTINP00193453PTIN
Phone7012398500PhoneNum
Preparation2015-01-12PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLinda HillPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box HAddressLine1
CityRichardtonCity
StateNDState
ZIP Code586520908ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$2,766,293GrossReceiptsAmt
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 Body9VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee67TotalEmployeeCnt
Total Volunteers12TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$439,362PYContributionsGrantsAmt
CY Contributions Grants$529,764CYContributionsGrantsAmt
PY Program Service Revenue$1,855,294PYProgramServiceRevenueAmt
CY Program Service Revenue$2,141,743CYProgramServiceRevenueAmt
PY Investment Income-$7,202PYInvestmentIncomeAmt
CY Investment Income$14CYInvestmentIncomeAmt
PY Other Revenue$16,576PYOtherRevenueAmt
CY Other Revenue$94,772CYOtherRevenueAmt
PY Total Revenue$2,304,030PYTotalRevenueAmt
CY Total Revenue$2,766,293CYTotalRevenueAmt
PY Grants And Similar Paid$904PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$176CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,191,919PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,320,770CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$1,567CYTotalFundraisingExpenseAmt
PY Other Expenses$941,932PYOtherExpensesAmt
CY Other Expenses$987,139CYOtherExpensesAmt
PY Total Expenses$2,134,755PYTotalExpensesAmt
CY Total Expenses$2,308,085CYTotalExpensesAmt
PY Revenues Less Expenses$169,275PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$458,208CYRevenuesLessExpensesAmt
Total Assets BOY$1,653,748TotalAssetsBOYAmt
Total Assets EOY$2,006,415TotalAssetsEOYAmt
Total Liabilities BOY$427,609TotalLiabilitiesBOYAmt
Total Liabilities EOY$321,766TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,226,139NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,684,649NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionBuilding relationships to improve the health and quality of life of those we serve.MissionDesc
Significant New Program SrvcYes (1)SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$2,009,319ExpenseAmt
Grant$176GrantAmt
Revenue$2,140,478RevenueAmt
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$2,009,319TotalProgramServiceExpensesAmt
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 AssetsYes (1)ReportOtherAssetsInd
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 MemYes (1)BusinessRlnWithFamMemInd
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 Document14IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee67EmployeeCnt
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 Members9GoverningBodyVotingMembersCnt
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 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 Line1Linda HillBusinessNameLine1
FieldValueIRS element (for citing)
Phone7019743304PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box HAddressLine1
CityRichardtonCity
StateNDState
ZIP Code58652ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 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
Jerome Messer
Vice President1.00Yes (X)Yes (X)$0$0$0
Vickie Solemsaas
Treasurer1.00Yes (X)Yes (X)$0$0$0
Donna Reich
Secretary1.00Yes (X)Yes (X)$0$0$0
Roberta Fandrich
Director0.50Yes (X)$0$0$0
Kathy Hueske
Director0.50Yes (X)$0$0$0
Michael Taffe OSB
Director0.50Yes (X)$0$0$0
Steve Maershbecker
Director0.50Yes (X)$0$0$0
Andy Campbell
Director0.50Yes (X)$0$0$0
Magan Pritzl
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/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
Harrison G Fagg & Associates
222 N 32nd St 800BillingsMT59101Architecture Services$265,171
Health Management Services
1001 S 24th Street W 311BillingsMT59102Management Services$136,678
Dakota Travel Nurse Inc
502 West Main StreetMandanND58554Contracted Nursing$134,088
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Government Grants$351,499GovernmentGrantsAmt
All Other Contributions$178,265AllOtherContributionsAmt
Total Contributions$529,764TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
Patient Service Revenu621400$2,131,083$2,131,083
Other Revenue900099$9,395$9,395
Auxiliary Revenue900099$1,265$1,265
FieldValueIRS element (for citing)
Total Program Service Revenue$2,141,743TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$14TotalRevenueColumnAmt
Exclusion$14ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescGain on Debt ForgiveneDesc
Business900099BusinessCd
Total Revenue Column$94,772TotalRevenueColumnAmt
Exclusion$94,772ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$94,772OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,766,293TotalRevenueColumnAmt
Related Or Exempt Func Income$2,140,478RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$96,051ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$176TotalAmt
Program Services$176ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$47,711TotalAmt
Program Services$47,711ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,090,135TotalAmt
Program Services$966,422ProgramServicesAmt
Management And General$123,713ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$97,474TotalAmt
Program Services$86,876ProgramServicesAmt
Management And General$10,598ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$85,450TotalAmt
Program Services$76,159ProgramServicesAmt
Management And General$9,291ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$112,678TotalAmt
Management And General$112,678ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$903TotalAmt
Management And General$903ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$17,651TotalAmt
Management And General$17,651ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$306,755TotalAmt
Program Services$306,755ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$7,581TotalAmt
Program Services$109ProgramServicesAmt
Management And General$7,472ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$122,631TotalAmt
Program Services$107,738ProgramServicesAmt
Management And General$14,893ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$8,082TotalAmt
Program Services$8,082ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$66,624TotalAmt
Program Services$66,624ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$26,973TotalAmt
Program Services$26,973ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$7,872TotalAmt
Program Services$7,872ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,868TotalAmt
Program Services$3,868ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$121,324TotalAmt
Program Services$121,324ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$22,667TotalAmt
Program Services$22,667ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtFundraisingFundraisingAmt
Medical Supplies$131,388$131,388
Dues/Subscriptions$4,696$4,696
Auxiliary Expense$1,567$1,567
Bad Debts$1,449$1,449

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$22,430TotalAmt
Program Services$22,430ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,308,085TotalAmt
Program Services$2,009,319ProgramServicesAmt
Management And General$297,199ManagementAndGeneralAmt
Fundraising$1,567FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$74,160BOYAmt
EOY$76,586EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$155,813BOYAmt
EOY$183,697EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$30,046BOYAmt
EOY$29,316EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$12,159BOYAmt
EOY$8,111EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$3,032,687LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,543,982LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,161,570BOYAmt
EOY$1,488,705EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$220,000BOYAmt
EOY$220,000EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,653,748BOYAmt
EOY$2,006,415EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$296,051BOYAmt
EOY$215,794EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$2,420BOYAmt
EOY$3,562EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$129,138BOYAmt
EOY$102,410EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$427,609BOYAmt
EOY$321,766EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,226,139BOYAmt
EOY$1,684,649EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,226,139BOYAmt
EOY$1,684,649EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,653,748BOYAmt
EOY$2,006,415EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$458,208ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$302OtherChangesInNetAssetsAmt
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$535,920CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$305,804CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$573,823CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$439,362CurrentTaxYearMinus1YearAmt
Current Tax Year$529,764CurrentTaxYearAmt
Total$2,384,673TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,520,386CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,740,279CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,582,541CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,855,294CurrentTaxYearMinus1YearAmt
Current Tax Year$2,140,478CurrentTaxYearAmt
Total$8,838,978TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year$1,265CurrentTaxYearAmt
Total$1,265TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,056,306CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,046,083CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,156,364CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,294,656CurrentTaxYearMinus1YearAmt
Current Tax Year$2,671,507CurrentTaxYearAmt
Total$11,224,916TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$351,107CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$926,099CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$903,580CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$892,644CurrentTaxYearMinus1YearAmt
Current Tax Year$1,028,140CurrentTaxYearAmt
Total$4,101,570TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$351,107CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$926,099CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$903,580CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$892,644CurrentTaxYearMinus1YearAmt
Current Tax Year$1,028,140CurrentTaxYearAmt
Total$4,101,570TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$7,123,346PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$370CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$334CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$117CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14CurrentTaxYearMinus1YearAmt
Current Tax Year$14CurrentTaxYearAmt
Total$849TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$370CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$334CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$117CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14CurrentTaxYearMinus1YearAmt
Current Tax Year$14CurrentTaxYearAmt
Total$849TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$204,640CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus2 Years$36,000CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$16,576CurrentTaxYearMinus1YearAmt
Current Tax Year$94,772CurrentTaxYearAmt
Total$351,988TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,261,316CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,046,417CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,192,481CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,311,246CurrentTaxYearMinus1YearAmt
Current Tax Year$2,766,293CurrentTaxYearAmt
Total$11,577,753TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.61530PublicSupportCY509Pct
Public Support PY5090.71900PublicSupportPY509Pct
Investment Income CY0.00010InvestmentIncomeCYPct
Investment Income PY0.00010InvestmentIncomePYPct
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$3,252BeginningBalanceAmt
Additions During Year$1,265AdditionsDuringYearAmt
Distributions During Year$1,567DistributionsDuringYearAmt
Ending Balance$2,950EndingBalanceAmt
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,770,129OtherCostOrOtherBasisAmt
Depreciation$918,824DepreciationAmt
Book Value$851,305BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$713,352OtherCostOrOtherBasisAmt
Depreciation$577,826DepreciationAmt
Book Value$135,526BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$549,206OtherCostOrOtherBasisAmt
Depreciation$47,332DepreciationAmt
Book Value$501,874BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,488,705TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescBed LicensesDesc
Book Value$220,000BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$220,000TotalBookValueOtherAssetsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$2,752,359TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$2,752,359RevenueSubtotalAmt
Other Revenues Not Included$13,934OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$13,934RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$2,766,293TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,293,849TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$2,293,849ExpensesSubtotalAmt
Other Expenses Not Included$14,236OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$14,236ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$2,308,085TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 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 $3,562 at June 30, 2014.
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 1,265. Bad Debts Included in Revenue on Financials 12,669.
Part XII, Line 4b - Other Adjustments:Auxiliary Expenses 1,567. Bad Debts Included in Revenue on Financials 12,669.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Laura Leingang
Sister of Donna Reich (Board Member)$33,160Compensation & benefits0
Tabitha Schneider
Sister-in-Law of Vickie Solemsaas (Board Member)$14,551Compensation & benefits0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, line 2Restorative therapy for the nursing home became available in of March 2014. These services are within the exempt purpose of the organization to provide healthcare services.
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, totaled $54,045 in salary and $18,104 in other benefits for the year ended June 30, 2014.
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 11The 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 11gMedical Professional Fees: Program service expenses 254,864. Management and general expenses 0. Fundraising expenses 0. Total expenses 254,864. Maintenance Fees: Program service expenses 7,206. Management and general expenses 0. Fundraising expenses 0. Total expenses 7,206. Other Miscellaneous Fees: Program service expenses 44,685. Management and general expenses 0. Fundraising expenses 0. Total expenses 44,685.
Form 990, Part XI, line 9:Change in Auxiliary Assets 302.

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