Liabilities / Assets
77th percentile
Higher debt load relative to assets than 77% of similar nonprofits.
EIN 45-0408291 • 501(c)3 • Richardton, ND
Profile
Building relationships to improve the health and quality of life of those we serve.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
77th percentile
Higher debt load relative to assets than 77% of similar nonprofits.
Liabilities / Revenue
80th percentile
Higher debt load relative to revenue than 80% of similar nonprofits.
Net Margin
47th percentile
Higher net margin than 47% of similar nonprofits.
Top Officer Pay
34th percentile
Higher top officer pay than 34% of similar nonprofits.
Top officer pay equals 2.7% of source-year revenue.
Asset Growth
27th percentile
Faster asset growth than 27% of similar nonprofits.
Revenue Growth
50th percentile
Faster revenue growth than 50% of similar nonprofits.
Assets
Down$5,769,659
Down $183,850 (-3.1%) from 2023
Liabilities
Down$4,709,232
Down $134,984 (-2.8%) from 2023
Net Assets
Down$1,060,427
Down $48,866 (-4.4%) from 2023
Revenue
Up$4,952,828
Up $423,301 (+9.3%) from 2023
Expenses
Up$4,989,232
Up $62,614 (+1.3%) from 2023
Net Income
Up-$36,404
Up $360,687 (+91%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
Building relationships to improve the health and quality of life of those we serve.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $3,949,894 | $3,618,617 | ▼ $331,277 |
| Savings and Temporary Cash Investments | $457,117 | $747,291 | ▲ $290,174 |
| Accounts Receivable | $561,471 | $422,451 | ▼ $139,020 |
| Investments in Publicly Traded Securities | $408,000 | $412,708 | ▲ $4,708 |
| Investments Program Related | $197,707 | $185,245 | ▼ $12,462 |
| Inventories for Sale or Use | $38,363 | $41,544 | ▲ $3,181 |
| Prepaid Expenses and Deferred Charges | $24,957 | $25,803 | ▲ $846 |
| Total Assets | $5,953,509 | $5,769,659 | ▼ $183,850 |
| Other Assets Total | $316,000 | $316,000 | → $0 |
| Liabilities | |||
| Mortgage Notes Payable Secured by Investment Property | $4,542,799 | $4,391,744 | ▼ $151,055 |
| Accounts Payable and Accrued Expenses | $294,428 | $312,130 | ▲ $17,702 |
| Escrow Account Liability | $6,989 | $5,358 | ▼ $1,631 |
| Total Liabilities | $4,844,216 | $4,709,232 | ▼ $134,984 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $899,703 | $873,299 | ▼ $26,404 |
| Net Assets With Donor Restrictions | $209,590 | $187,128 | ▼ $22,462 |
| Total Net Assets Fund Balance | $1,109,293 | $1,060,427 | ▼ $48,866 |
| Total Liabilities and Net Assets / Fund Balance | $5,953,509 | $5,769,659 | ▼ $183,850 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $3,048,466 | $2,647,531 | $5,647,261 |
| Other Land Buildings | $293,374 | $572,197 | $865,571 |
| Equipment | $276,777 | $445,197 | $721,974 |
| Other Assets Org | $316,000 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Sara Senn | Director of Nursing | FT | $119,150 | $12,959 | $132,109 |
| Name | Title |
|---|---|
| Michael Taffe | Chair |
| Steve Maershbecker | Vice Chair |
| Ila Perhus | Director |
| Kathy Hueske | Director |
| Kathy Schorsch | Director |
| Mandy Robinson | Administrator |
| Donna Reich | Secretary |
| Vickie Solemsaas | Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| DTN Staffing | Travel Nursing | 1200 Collins Avenue, Mandan, ND 58554 | $405,523 |
| PrimeTime Healthcare LLC | Travel Nursing | PO Box 3544, Omaha, NE 68103 | $326,002 |
| Jacobson Memorial Hospital Care Center | Management Fees | 601 East Street North, Elgin, ND 58533 | $122,657 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $2,739,877 |
| Other Expenses | $2,249,355 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $2,165,973 | $114,686 | - | $2,280,659 |
| Fees for Services Other | $682,158 | $104,937 | - | $787,095 |
| Depreciation Depletion | $457,345 | $21,248 | - | $478,593 |
| Other Employee Benefits | $266,324 | $14,683 | - | $281,007 |
| Payroll Taxes | $163,672 | $8,869 | - | $172,541 |
| Interest | $150,862 | $6,970 | - | $157,832 |
| Office Expenses | $86,366 | $17,771 | - | $104,137 |
| Fees for Services Management | - | $90,194 | - | $90,194 |
| Occupancy | $73,497 | - | - | $73,497 |
| Information Technology | - | $70,588 | - | $70,588 |
| Insurance | - | $58,390 | - | $58,390 |
| Fees for Services Accounting | - | $44,100 | - | $44,100 |
| Travel | $32,403 | $4,833 | - | $37,236 |
| Fees for Services Legal | - | $18,625 | - | $18,625 |
| Conferences and Meetings | $8,517 | $2,777 | - | $11,294 |
| All Other Expenses | $8,579 | $982 | - | $9,561 |
| Other Expenses | $30,016 | $9,286 | - | $9,286 |
| Advertising | - | $9,103 | - | $9,103 |
| Current Officers, Directors, Trustees, and Key Employees | - | $5,670 | - | $5,670 |
| Total Functional Expenses | $4,381,479 | $607,753 | $0 | $4,989,232 |
| Line Item | Amount |
|---|---|
| Expenses per Audited Statements | $4,989,232 |
| Total Expenses per Audited Statements | $4,989,232 |
| Total Expenses per Form 990 | $4,989,232 |
| Expenses Not Reported on Financial Statements | $0 |
| Expenses Not Reported on Form 990 | $0 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
“The Health Center entered into a management agreement with Jacobson Memorial Hospital Care Center (JMHCC) to provide management and administrative services. These services include CEO, CFO and Administrator services, along with other management and support service fees. In the 2023 calendar year the organization paid JMHCC $4,475 for the CEO services of Theo Stoller, and $113,470 for the Administrator services of Mandy Robinson. The management contract was through May 2024, at which time Mandy became an employee of the organization.”
“The bylaws were amended for a change in the board attendance policy. If a board member misses three consecutive meetings without reasonable cause, they are automatically dismissed from the Board of Directors, and a replaced.”
“There are no committees authorized to act on behalf of the governing board.”
“The Administrator reviewed the Form 990. The Board of Directors were provided a copy of the Form 990 prior to the filing of the return.”
“The conflict of interest policy covers the board, employees and contractors alike. The Administrator reviewed and determined 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.”
“Beginning in August 2019 the organization contracted an unrelated management company, Jacobson Memorial Hospital Care Center (JMHCC) for CEO and CFO services. Beginning in 2022, they also contracted JMHCC for Administrator services. The board reviewed and approved the contract with JMHCC. In June 2024, the Administrator became an employee of the organization. At this time the compensation was reviewed and approved by the independent board of directors.”
“The governing documents and conflict of interest policy are available to the public upon request.”
“Contracted Services: Program service expenses 682,158. Management and general expenses 104,937. Fundraising expenses 0. Total expenses 787,095.”
“Change in Interest of Foundation -12,462.”
“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 $5,358 at June 30, 2024.”
“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.”
“Change in Interest of Foundation -12,462.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | 0 |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 294428 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 312130 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 561471 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 422451 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | Building relationships to improve the health and quality of life of those we serve. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 9103 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 9103 |
| IRS990/AllOtherContributionsAmt | 0 | 179042 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 982 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 8579 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 9561 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | Mandy Robinson |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 7019743304 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 8885 Highway 10 |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | Richardton |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | ND |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 58652 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 1 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 3 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 5670 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 5670 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 0 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 2777 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 8517 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 11294 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 0 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 405523 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 326002 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 122657 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 1200 Collins Avenue |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | PO Box 3544 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 601 East Street North |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | Mandan |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | Omaha |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | Elgin |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | ND |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | NE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | ND |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 58554 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 68103 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 58533 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | DTN Staffing |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | PrimeTime Healthcare LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | Jacobson Memorial Hospital Care Center |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | Travel Nursing |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | Travel Nursing |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | Management Fees |
| IRS990/CreditCounselingInd | 0 | 1 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 307123 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 3373 |
| IRS990/CYOtherExpensesAmt | 0 | 2249355 |
| IRS990/CYOtherRevenueAmt | 0 | 12944 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 4629388 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -36404 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 2739877 |
| IRS990/CYTotalExpensesAmt | 0 | 4989232 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 4952828 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 1 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 21248 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 457345 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 478593 |
| IRS990/Desc | 0 | Richardton Health Center is a 29 bed skilled nursin home that provides high quality clinic healthcare and skilled nursing care services to Richardton and the surrounding area. This includes respite care, cardiac rehab, restorative therapy, PT, OT, ST, and long-term care facilities. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 209590 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 187128 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 0 |
| IRS990/EmployeeCnt | 0 | 76 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/EscrowAccountLiabilityGrp/BOYAmt | 0 | 6989 |
| IRS990/EscrowAccountLiabilityGrp/EOYAmt | 0 | 5358 |
| IRS990/ExpenseAmt | 0 | 4381479 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 44100 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 44100 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 18625 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 18625 |
| IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt | 0 | 90194 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 90194 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 104937 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 682158 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 787095 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 12959 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | Michael Taffe |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | Steve Maershbecker |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | Donna Reich |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | Vickie Solemsaas |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | Kathy Hueske |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | Ila Perhus |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | Kathy Schorsch |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | Mandy Robinson |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | Sara Senn |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 119150 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Vice Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Secretary |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Treasurer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | Administrator |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | Director of Nursing |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1969 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | -13737 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 7 |
| IRS990/GovernmentGrantsAmt | 0 | 128081 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 4968821 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 15200 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 1 |
| IRS990/IndependentVotingMemberCnt | 0 | 7 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 1 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 70588 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 70588 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 58390 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 58390 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 6970 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 150862 |
| IRS990/InterestGrp/TotalAmt | 0 | 157832 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 38363 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 41544 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 17110 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 17110 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 197707 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 185245 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 408000 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 412708 |
| IRS990/IRPDocumentCnt | 0 | 20 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 3664925 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 3949894 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 3618617 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 7283542 |
| IRS990/LegalDomicileStateCd | 0 | ND |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 13737 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 2256 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 0 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 0 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | Building relationships to improve the health and quality of life of those we serve. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 4542799 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 4391744 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 1109293 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 1060427 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | -13737 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | -13737 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 12944 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 12944 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 899703 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 873299 |
| IRS990/NoListedPersonsCompensatedInd | 0 | X |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 73497 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 73497 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 17771 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 86366 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 104137 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 316000 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 316000 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | -12462 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 14683 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 266324 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 281007 |
| IRS990/OtherExpensesGrp/Desc | 0 | Medical Supplies |
| IRS990/OtherExpensesGrp/Desc | 1 | Maintenance and Repairs |
| IRS990/OtherExpensesGrp/Desc | 2 | Bad Debt Expense |
| IRS990/OtherExpensesGrp/Desc | 3 | Dues/Subscriptions |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 4041 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 9286 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 223346 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 32421 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 30016 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 223346 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 36462 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 30016 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 9286 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 114686 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 2165973 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 2280659 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 8869 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 163672 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 172541 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 24957 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 25803 |
| IRS990/PrincipalOfficerNm | 0 | Mandy Robinson |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621400 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 900099 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | Patient Service Revenu |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | Other Revenue |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 4626621 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 2767 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 4626621 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 2767 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 296841 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 4012 |
| IRS990/PYOtherExpensesAmt | 0 | 2827511 |
| IRS990/PYOtherRevenueAmt | 0 | 10168 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 4218506 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | -397091 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 2099107 |
| IRS990/PYTotalExpensesAmt | 0 | 4926618 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 4529527 |
| IRS990/QuidProQuoContributionsInd | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | -36404 |
| IRS990/RegularMonitoringEnfrcInd | 0 | 1 |
| IRS990/RelatedEntityInd | 0 | 0 |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | 0 |
| IRS990/RentalIncomeOrLossGrp/RealAmt | 0 | 12944 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | 0 |
| IRS990/ReportLandBuildingEquipmentInd | 0 | 1 |
| IRS990/ReportOtherAssetsInd | 0 | 1 |
| IRS990/ReportOtherLiabilitiesInd | 0 | 0 |
| IRS990/ReportProgramRelatedInvstInd | 0 | 0 |
| IRS990/RevenueAmt | 0 | 4629388 |
| IRS990/SavingsAndTempCashInvstGrp/BOYAmt | 0 | 457117 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 747291 |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt | 0 | 307123 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt | 0 | 296841 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 430663 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 746623 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 185426 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt | 0 | 1966676 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt | 0 | 32310 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt | 0 | 15912 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 14519 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 16333 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 12678 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt | 0 | 91752 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt | 0 | 4629388 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt | 0 | 4218506 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt | 0 | 3773254 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt | 0 | 3556064 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt | 0 | 3439877 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt | 0 | 19617089 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt | 0 | 32310 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt | 0 | 15912 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt | 0 | 14519 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt | 0 | 16333 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt | 0 | 12678 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt | 0 | 91752 |
| IRS990ScheduleA/InvestmentIncomeCYPct | 0 | 0.00420 |
| IRS990ScheduleA/InvestmentIncomePYPct | 0 | 0.00300 |
| IRS990ScheduleA/PubliclySupportedOrg509a2Ind | 0 | X |
| IRS990ScheduleA/PublicSupportCY509Pct | 0 | 0.47110 |
| IRS990ScheduleA/PublicSupportPY509Pct | 0 | 0.47850 |
| IRS990ScheduleA/PublicSupportTotal509Amt | 0 | 10210961 |
| IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearAmt | 0 | 2761197 |
| IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearMinus1YearAmt | 0 | 2373072 |
| IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearMinus2YearsAmt | 0 | 2093093 |
| IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearMinus3YearsAmt | 0 | 1907193 |
| IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearMinus4YearsAmt | 0 | 2238249 |
| IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt | 0 | 11372804 |
| IRS990ScheduleA/SubstantialContributorsAmtGrp/CurrentTaxYearAmt | 0 | 2761197 |
| IRS990ScheduleA/SubstantialContributorsAmtGrp/CurrentTaxYearMinus1YearAmt | 0 | 2373072 |
| IRS990ScheduleA/SubstantialContributorsAmtGrp/CurrentTaxYearMinus2YearsAmt | 0 | 2093093 |
| IRS990ScheduleA/SubstantialContributorsAmtGrp/CurrentTaxYearMinus3YearsAmt | 0 | 1907193 |
| IRS990ScheduleA/SubstantialContributorsAmtGrp/CurrentTaxYearMinus4YearsAmt | 0 | 2238249 |
| IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt | 0 | 11372804 |
| IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind | 0 | X |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt | 0 | 4936511 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt | 0 | 4515347 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 4203917 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 4302687 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 3625303 |
| IRS990ScheduleA/Total509Grp/TotalAmt | 0 | 21583765 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt | 0 | 4968821 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt | 0 | 4531259 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt | 0 | 4218436 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt | 0 | 4319020 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt | 0 | 3637981 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt | 0 | 21675517 |
| IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorNum | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine2 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt | 0 | RESTRICTED |
| IRS990/ScheduleBRequiredInd | 0 | 1 |
| IRS990ScheduleD/AgentTrusteeEtcInd | 0 | 0 |
| IRS990ScheduleD/BuildingsGrp/BookValueAmt | 0 | 3048466 |
| IRS990ScheduleD/BuildingsGrp/DepreciationAmt | 0 | 2647531 |
| IRS990ScheduleD/BuildingsGrp/InvestmentCostOrOtherBasisAmt | 0 | 48736 |
| IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt | 0 | 5647261 |
| IRS990ScheduleD/EquipmentGrp/BookValueAmt | 0 | 276777 |
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