2011-04-29T13:22:15-05:00 2010-06-30 EIDE BAILLY LLP 4310 17TH AVE S PO BOX 2545 FARGO ND 581082545 990 2009-07-01 450408291 Richardton Health Center Inc RICH 7019743304 PO Box H Richardton ND 586520908 Lynn Blakeman 7019743304 2011-04-21 1 Lisa Chaffee 7012398500 2011-04-21 2009 2016-02-24 21:20:13Z Lynn Blakeman PO Box H Richardton ND 586520908 2261316 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 9 76 45 0 0 1021354 535920 1965233 1519558 718 -149474 205233 2987305 2111237 0 0 1212803 1318718 0 0 844499 786210 2057302 2104928 930003 6309 1653429 1517383 858732 827660 794697 689723 To create and help customers by providing the very best care to the people in our facility and community. 0 0 1913868 1519558 Richardton Health Center provides high quality clinic healthcare and skilled nursing care services to Richardton and the surrounding area. This includes respite care, PT, OT, ST, free standing rural health clinic and long-term care facilities. 1913868 1 1 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0 1 12 0 1 76 1 0 0 0 0 0 0 0 0 0 9 9 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 0 0 ND X Lynn Blakeman 7019743304 PO Box H Richardton ND 58652 John Gengler 1.00 X X 0 0 0 Gerald Aluise 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 Clare Messmer 1.00 X X 0 0 0 Roberta Fandrich 0.50 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 0.50 X 0 0 0 Lynn Blakeman 40.00 X 40250 0 2996 40250 0 2996 0 0 0 0 0 57717 478203 535920 Patient Service Revenu 621400 1512671 1512671 Other Revenue 900099 6887 6887 1519558 370 370 149844 -149844 -149844 -149844 828 235 593 593 Gain on Debt Forgivene 900099 204640 204640 204640 2111237 1519558 0 55759 72244 72244 1061060 1049907 11153 185414 176861 8553 5745 5745 7168 7168 12144 12144 458 458 36911 3571 33340 7096 4730 2366 4955 4955 89572 89572 15209 15209 Bad Debts Expense 157805 157805 Property and Household 128613 128613 Clinic Services 125117 125117 Resident Care 102294 102294 Dietary 70443 70443 22680 22680 2104928 1913868 191060 0 233422 269667 567955 169285 48825 25297 24280 9014 1966817 1122697 778947 844120 0 200000 1653429 1517383 491993 623348 570 366739 203742 858732 827660 X 794697 689723 794697 689723 1653429 1517383 X 0 1 1 X 0 X 207484 193957 179843 1021354 535920 2138558 2049691 1558374 1848277 1965233 1520386 8941961 2257175 1752331 2028120 2986587 2056306 11080519 0 351107 351107 351107 351107 10729412 101 1762 2671 718 370 5622 101 1762 2671 718 370 5622 204640 204640 2257276 1754093 2030791 2987305 2261316 11290781 0.95030 0.00050 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 0 593 593 1 1282738 653510 629228 636552 434524 202028 47527 34663 12864 844120 Bed Licenses 200000 200000 2111237 2104928 6309 -110690 -593 -111283 -104974 2110644 0 2110644 593 593 2111237 2104928 0 2104928 0 2104928 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 $570 for June 30, 2010. Part X: Description of Uncertain Tax Positions Under FIN 48: 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, 2010 has not recorded a tax liability for a tax uncertainty. 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, Section C, line 19 All documents of the organization are made available upon request. Form 990, Part XI, Line 2C: They did not get audited last year. Sch A, Part III, Sec C, Ln 16 & Sec D, Ln 18 2008 Prior Year Percentages The Organization has filed as a hospital in the prior years. Due to filing as a hospital, they were not subject to the Sch A, Part III filing requirements and therefore do not have the resources available to collect the information required to make the prior year calculations.