2015-01-19T12:31:22-06:00 2014-06-30 450250958 EIDE BAILLY LLP 4310 17TH AVE S PO BOX 2545 FARGO ND 581082545 990 2013-07-01 450408291 Richardton Health Center Inc RICH 7019743304 PO Box H Richardton ND 586520908 Linda Hill Administrator 7019743304 2015-01-12 1 LISA CHAFFEE CPA P00193453 7012398500 2015-01-12 2013 2016-03-07 17:11:31Z Linda Hill PO Box H Richardton ND 586520908 2766293 0 X N/A X 1969 ND Building relationships to improve the health and quality of life of those we serve. 9 7 67 12 0 0 439362 529764 1855294 2141743 -7202 14 16576 94772 2304030 2766293 904 176 0 0 1191919 1320770 0 0 1567 941932 987139 2134755 2308085 169275 458208 1653748 2006415 427609 321766 1226139 1684649 X Building relationships to improve the health and quality of life of those we serve. 1 0 2009319 176 2140478 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. 2009319 1 1 0 0 0 0 0 0 1 0 1 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 14 0 1 67 1 0 0 0 0 0 0 0 0 0 0 X 9 7 0 1 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 0 0 X Linda Hill 7019743304 PO Box H Richardton ND 58652 X Clare Messmer President 1.00 X X 0 0 0 Jerome Messer Vice President 1.00 X X 0 0 0 Vickie Solemsaas Treasurer 1.00 X X 0 0 0 Donna Reich Secretary 1.00 X X 0 0 0 Roberta Fandrich Director 0.50 X 0 0 0 Kathy Hueske Director 0.50 X 0 0 0 Michael Taffe OSB Director 0.50 X 0 0 0 Steve Maershbecker Director 0.50 X 0 0 0 Andy Campbell Director 0.50 X 0 0 0 Magan Pritzl Administrator 40.00 X 0 0 0 0 0 0 0 0 0 0 Harrison G Fagg & Associates 222 N 32nd St 800 Billings MT 59101 Architecture Services 265171 Health Management Services 1001 S 24th Street W 311 Billings MT 59102 Management Services 136678 Dakota Travel Nurse Inc 502 West Main Street Mandan ND 58554 Contracted Nursing 134088 2 351499 178265 529764 Patient Service Revenu 621400 2131083 2131083 Other Revenue 900099 9395 9395 Auxiliary Revenue 900099 1265 1265 2141743 14 14 Gain on Debt Forgivene 900099 94772 94772 94772 2766293 2140478 0 96051 X 176 176 47711 47711 1090135 966422 123713 97474 86876 10598 85450 76159 9291 112678 112678 903 903 17651 17651 306755 306755 7581 109 7472 122631 107738 14893 8082 8082 66624 66624 26973 26973 7872 7872 3868 3868 121324 121324 22667 22667 Medical Supplies 131388 131388 Dues/Subscriptions 4696 4696 Auxiliary Expense 1567 1567 Bad Debts 1449 1449 22430 22430 2308085 2009319 297199 1567 74160 76586 155813 183697 30046 29316 12159 8111 3032687 1543982 1161570 1488705 220000 220000 1653748 2006415 296051 215794 2420 3562 129138 102410 427609 321766 X 1226139 1684649 1226139 1684649 1653748 2006415 X 458208 302 X 0 1 X 1 0 X 535920 305804 573823 439362 529764 2384673 1520386 1740279 1582541 1855294 2140478 8838978 1265 1265 2056306 2046083 2156364 2294656 2671507 11224916 0 351107 926099 903580 892644 1028140 4101570 351107 926099 903580 892644 1028140 4101570 7123346 370 334 117 14 14 849 370 334 117 14 14 849 204640 36000 16576 94772 351988 2261316 2046417 2192481 2311246 2766293 11577753 0.61530 0.71900 0.00010 0.00010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 3252 1265 1567 2950 1 X 1770129 918824 851305 713352 577826 135526 549206 47332 501874 1488705 Bed Licenses 220000 220000 X 2752359 0 2752359 13934 13934 2766293 2293849 0 2293849 14236 14236 2308085 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. Laura Leingang Sister of Donna Reich (Board Member) 33160 Compensation & benefits 0 Tabitha Schneider Sister-in-Law of Vickie Solemsaas (Board Member) 14551 Compensation & benefits 0 Form 990, Part III, line 2 Restorative 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 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, 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 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 Medical 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.