RICHARDTON HEALTH CENTER INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- RICHARDTON HEALTH CENTER INC (EIN 45-0408291)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-01-31
- IRS object ID
- 201400319349300105
- Schema version
- 2012v2.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-01-31T08:29:40-06:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 450250958 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EIDE BAILLY LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4310 17TH AVE S PO BOX 2545 | AddressLine1 |
| City | FARGO | City |
| State | ND | State |
| ZIP Code | 581082545 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 450408291 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Richardton Health Center Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | RICH | NameControl |
| Phone | 7019743304 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box H | AddressLine1 |
| City | Richardton | City |
| State | ND | State |
| ZIP Code | 586520908 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Magan Pritzl | Name |
| Title | Administrator | Title |
| Phone | 7019743304 | Phone |
| Date Signed | 2014-01-21 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Lisa Chaffee | Name |
| PTIN | P00193453 | PTIN |
| Phone | 7012398500 | Phone |
| Date Prepared | 2014-01-21 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Magan Pritzl | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box H | AddressLine1 |
| City | Richardton | City |
| State | ND | State |
| ZIP Code | 586520908 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 2311246 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1969 | YearFormation |
| State Legal Domicile | ND | StateLegalDomicile |
| Activity Or Mission Description | To create & help customers by providing the very best care to people in our facility & community. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 8 | NbrIndependentVotingMembers |
| Total Nbr Employees | 71 | TotalNbrEmployees |
| Total Nbr Volunteers | 15 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 573823 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 439362 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 1582541 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 1855294 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 312 | InvestmentIncomePriorYear |
| Investment Income Current Year | -7202 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 37943 | OtherRevenuePriorYear |
| Other Revenue Current Year | 16576 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 2194619 | TotalRevenuePriorYear |
| Total Revenue Current Year | 2304030 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 574 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 904 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 955817 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 1191919 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1079412 | OtherExpensePriorYear |
| Other Expenses Current Year | 941932 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 2035803 | TotalExpensesPriorYear |
| Total Expenses Current Year | 2134755 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 158816 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 169275 | RevenuesLessExpensesCY |
| Total Assets BOY | 1563712 | TotalAssetsBOY |
| Total Assets EOY | 1653748 | TotalAssetsEOY |
| Total Liabilities BOY | 506383 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 427609 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1057329 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 1226139 | NetAssetsOrFundBalancesEOY |
| Mission Description | To create and help customers by providing the very best care to the people in our facility and community. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 1870079 | Expense |
| Grants | 904 | Grants |
| Revenue | 1855294 | Revenue |
| Description | 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, PT, OT, ST, a free standing rural health clinic and long-term care facilities. | Description |
| Total Program Service Expense | 1870079 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 1 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 13 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 71 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 8 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 0 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Magan Pritzl | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7019743304 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box H | AddressLine1 |
| City | Richardton | City |
| State | ND | State |
| ZIP Code | 58652 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (11 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| Claire 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 (Apr-June) | 40.00 | X | 0 | 0 | 0 | |
| Gerry Leadbetter | ||||||
| Administrator (Jul-Apr) | 40.00 | X | 0 | 0 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Dakota Travel Nurse Inc | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 502 West Main Street | AddressLine1 |
| City | Mandan | City |
| State | ND | State |
| ZIP Code | 58554 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | Contracted Nursing | DescriptionOfServices |
| Compensation | 172450 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
| Government Grants | 281962 | GovernmentGrants |
| All Other Contributions | 157400 | AllOtherContributions |
| Total Contributions | 439362 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Patient Service Revenu | 621400 | 1846347 | 1846347 |
| Other Revenue | 900099 | 6807 | 6807 |
| Auxiliary Revenue | 900099 | 2140 | 2140 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 1855294 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 14 | TotalRevenueColumn |
| Exclusion | $14 | ExclusionAmount |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 7216 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -7216 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -7216 | TotalRevenueColumn |
| Exclusion | -$7,216 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Gain on Debt Forgivene | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 16576 | TotalRevenueColumn |
| Exclusion | $16,576 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 16576 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2304030 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1855294 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $9,374 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 904 | Total |
| Program Services | 904 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1023361 | Total |
| Program Services | 907288 | ProgramServices |
| Management And General | 116073 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 83658 | Total |
| Program Services | 83658 | ProgramServices |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 84900 | Total |
| Program Services | 75272 | ProgramServices |
| Management And General | 9628 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 108765 | Total |
| Management And General | 108765 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2192 | Total |
| Management And General | 2192 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23500 | Total |
| Management And General | 23500 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 290840 | Total |
| Program Services | 290840 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10738 | Total |
| Management And General | 10738 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 100628 | Total |
| Program Services | 106848 | ProgramServices |
| Management And General | -6220 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6994 | Total |
| Program Services | 6994 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 61512 | Total |
| Program Services | 61512 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19336 | Total |
| Program Services | 19336 | ProgramServices |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16267 | Total |
| Program Services | 16267 | ProgramServices |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6215 | Total |
| Program Services | 6215 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 121440 | Total |
| Program Services | 121440 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21376 | Total |
| Program Services | 21376 | ProgramServices |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| Medical Supplies | 115791 | 115791 |
| Dues/Subscriptions | 3163 | 3163 |
| Auxiliary Expense | 1675 | 1675 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31500 | Total |
| Program Services | 31500 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2134755 | Total |
| Program Services | 1870079 | ProgramServices |
| Management And General | 264676 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 111004 | BOY |
| EOY | 74160 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 119720 | BOY |
| EOY | 155813 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25189 | BOY |
| EOY | 30046 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6369 | BOY |
| EOY | 12159 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 2584226 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1422656 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1101430 | BOY |
| EOY | 1161570 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 200000 | BOY |
| EOY | 220000 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1563712 | BOY |
| EOY | 1653748 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 348760 | BOY |
| EOY | 296051 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1187 | BOY |
| EOY | 2420 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 156436 | BOY |
| EOY | 129138 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 506383 | BOY |
| EOY | 427609 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1057329 | BOY |
| EOY | 1226139 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1057329 | BOY |
| EOY | 1226139 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1563712 | BOY |
| EOY | 1653748 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 169275 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -465 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1021354 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 535920 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 305804 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 573823 | CurrentTaxYearMinus1Year |
| Current Tax Year | 439362 | CurrentTaxYear |
| Total | 2876263 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1965233 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1520386 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1740279 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1582541 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1853154 | CurrentTaxYear |
| Total | 8661593 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2986587 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2056306 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2046083 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2156364 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2292516 | CurrentTaxYear |
| Total | 11537856 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 351107 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 926099 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 903580 | CurrentTaxYearMinus1Year |
| Current Tax Year | 875862 | CurrentTaxYear |
| Total | 3056648 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 351107 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 926099 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 903580 | CurrentTaxYearMinus1Year |
| Current Tax Year | 875862 | CurrentTaxYear |
| Total | 3056648 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 8481208 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 718 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 370 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 334 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 117 | CurrentTaxYearMinus1Year |
| Current Tax Year | 14 | CurrentTaxYear |
| Total | 1553 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 718 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 370 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 334 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 117 | CurrentTaxYearMinus1Year |
| Current Tax Year | 14 | CurrentTaxYear |
| Total | 1553 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 204640 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus1 Year | 36000 | CurrentTaxYearMinus1Year |
| Current Tax Year | 16576 | CurrentTaxYear |
| Total | 257216 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2987305 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2261316 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2046417 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2192481 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2309106 | CurrentTaxYear |
| Total | 11796625 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.71900 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.78940 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00010 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00040 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 1 | AgentTrusteeEtc |
| Beginning Balance | 2787 | BeginningBalance |
| Additions During Year | 2140 | AdditionsDuringYear |
| Distributions During Year | 1675 | DistributionsDuringYear |
| Ending Balance | 3252 | EndingBalance |
| Included On FS | 1 | IncludedOnFS |
| Explanation In Part XIII | X | ExplanationInPartXIII |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1743785 | OtherCostOrOtherBasis |
| Depreciation | 839562 | Depreciation |
| Book Value | 904223 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 699487 | OtherCostOrOtherBasis |
| Depreciation | 535795 | Depreciation |
| Book Value | 163692 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 140954 | OtherCostOrOtherBasis |
| Depreciation | 47299 | Depreciation |
| Book Value | 93655 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 1161570 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Bed Licenses | Description |
| Book Value | 220000 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 220000 | TotalBookValueOtherAssets |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 2301890 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 2301890 | RevenueSubtotal |
| Other Revenues Not Included | 2140 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 2140 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 2304030 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 2133080 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 2133080 | ExpensesSubtotal |
| Other Expenses Not Included | 1675 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 1675 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 2134755 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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 $2,420 at June 30, 2013. | |
| 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. | Description of Uncertain Tax Positions Under FIN 48: |
| Auxiliary Revenue 2,140. | Part XI, Line 4b - Other Adjustments: | |
| Auxiliary Expenses 1,675. | Part XII, Line 4b - Other Adjustments: |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Laura Leingang | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | Sister of Donna Reich (Board Member) | Relationship |
| Amount Of Transaction | 32337 | AmountOfTransaction |
| Description Of Transaction | Compensation & benefits | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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 $84,722 for the year ended June 30, 2013. | |
| Form 990, Part VI, Section A, line 8b | There are no committees that can 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. | |
| 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 225,546. Management and general expenses 0. Fundraising expenses 0. Total expenses 225,546. Maintenance Fees: Program service expenses 6,081. Management and general expenses 0. Fundraising expenses 0. Total expenses 6,081. Other Miscellaneous Fees: Program service expenses 59,213. Management and general expenses 0. Fundraising expenses 0. Total expenses 59,213. | Other Fees |
| Form 990, Part XI, line 9: | Change in Auxiliary Assets -465. | Changes in Net Assets or Fund Balances: |
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