2012-03-08T11:28:28-06:00 2011-06-30 EIDE BAILLY LLP 4310 17TH AVE S PO BOX 2545 FARGO ND 581082545 990 2010-07-01 450408291 Richardton Health Center Inc RICH 7019743304 PO Box H Richardton ND 586520908 Lynn Blakeman 7019743304 2012-03-05 1 Lisa Chaffee 7012398500 2012-03-05 2010 2016-02-24 21:20:13Z Lynn Blakeman PO Box H Richardton ND 586520908 2046417 0 X N/A X 1969 ND To create and help customers by providing the very best care to the people in our facility and community by providing health service to the community we serve and to anticipate, educate and participate in health care changes. 9 8 67 45 0 0 535920 305804 1519558 1739429 -149474 334 205233 850 2111237 2046417 0 0 0 0 1318718 1248165 0 0 0 786210 587192 2104928 1835357 6309 211060 1517383 1423344 827660 523204 689723 900140 To create and help customers by providing the very best care to the people in our facility and community. 0 0 1700032 1739429 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. 1700032 1 1 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 0 1 21 0 1 67 1 0 0 0 0 0 0 0 0 0 0 X 9 8 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 0 0 X Lynn Blakeman 7019743304 PO Box H Richardton ND 58652 John Gengler 1.00 X X 0 0 0 Claire Messmer 1.00 X X 0 0 0 Vickie Solemsaas 1.00 X X 0 0 0 Donna Reich 1.00 X X 0 0 0 Roberta Fandrich 4.00 X 0 0 0 Jean Butterfield 0.50 X 0 0 0 Jerome Messmer 0.50 X 0 0 0 Kathy Hueske 0.50 X 0 0 0 Michael Taffe OSB 0.50 X 0 0 0 Lynn Blakeman 40.00 X 64299 0 4368 64299 0 4368 0 0 0 0 0 90629 215175 305804 Patient Service Revenu 621400 1725378 1725378 Auxiliary Revenue 900099 8719 8719 Other Revenue 900099 5332 5332 1739429 334 334 850 850 850 2046417 1739429 0 1184 69553 69553 1017512 1014695 2817 58637 55764 2873 102463 95642 6821 20342 20342 16360 16360 120363 115383 4980 378 378 218567 211620 6947 58668 57715 953 93 86 7 5829 5538 291 9138 9138 92514 92514 20279 20279 Vehicle Expense 9708 9708 Auxiliary Expense 8926 8926 Dues/Subscriptions 1225 220 1005 4802 2804 1998 1835357 1700032 135325 0 269667 253583 169285 169050 25297 32153 9014 6335 1977434 1215211 844120 762223 200000 200000 1517383 1423344 623348 338661 570 1205 203742 183338 827660 523204 X 689723 900140 689723 900140 1517383 1423344 X 211060 -643 X 0 1 1 X 0 X 193957 179843 1021354 535920 305804 2236878 1558374 1848277 1965233 1520386 1740279 8632549 1752331 2028120 2986587 2056306 2046083 10869427 0 351107 926099 1277206 351107 926099 1277206 9592221 1762 2671 718 370 334 5855 1762 2671 718 370 334 5855 204640 204640 1754093 2030791 2987305 2261316 2046417 11079922 0.86570 0.95030 0.00050 0.00050 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 517 9569 8926 1160 1 1284160 705768 578392 640315 470530 169785 52959 38913 14046 762223 Bed Licenses 200000 200000 2046417 1835357 211060 -643 -643 210417 2036848 0 2036848 9569 9569 2046417 1826431 0 1826431 8926 8926 1835357 Part IV, Line 1b: Richardton Health Center Auxiliary is operating under the EIN of Richardton Health Center, however, the financials are not included in the audited financials 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 $1,205 for June 30, 2011. Description of Uncertain Tax Positions Under FIN 48: Part X: Part X, Line 2: The Health Center is organized as a North Dakota nonprofit corporation and has been recognized by the Internal Revenue Service as exempt from federal income taxes under Internal Revenue Code Section 501(c)(3). The Health Center undergoes an annual analysis of its various tax positions, assessing the likelihood of these positions being upheld upon examination with relevant tax authorities, as defined by the accounting principles generally accepted in the United States of America. The Health Center believes that it is compliant with all IRS tax regulations and as of June 30, 2011 has not recorded a tax liability for a tax uncertainty. The Health Center will recognize future accrued interest and penalties related to unrecognized tax benefits in income tax expense if incurred. Part XI, Line 8 - Other Adjustments: Change in Auxiliary Assets -643. Part XII, Line 4b - Other Adjustments: Auxiliary Revenue 9,569. Part XIII, Line 4b - Other Adjustments: Auxiliary Expense 8,926. Laura Leingang Sister of Donna Reich (Board Member) 23053 Compensation & benefits 0 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. Form 990, Part VI, Line 15: Comparability data is not used. The independent board reviewed and approved Lynn's compensation. The deliberation and decision was recorded. This process was last undertaken in 2009. Form 990, Part VI, Section C, line 19 The governing documents and conflict of interest policy are available to the public upon request. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Change in Auxiliary Assets -643. Total to Form 990, Part XI, Line 5: -643.