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RURAL HEALTH DEVELOPMENT INC: Form 990PF, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
RURAL HEALTH DEVELOPMENT INC (EIN 36-3769758)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-15
IRS object ID
202133199349106858
Schema version
2020v4.1
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

FieldValueIRS element (for citing)
Return2021-11-15T14:45:50-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN450250958PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Eide Bailly LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1800 Nicollet Mall Ste 1300AddressLine1Txt
CityMinneapolisCityNm
State AbbreviationMNStateAbbreviationCd
ZIP554027033ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN363769758EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Rural Health Development IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlRURABusinessNameControlTxt
Phone4062341420PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1519 Pleasant StAddressLine1Txt
CityMiles CityCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59301ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonChris HopkinsPersonNm
Person TitleAdministratorPersonTitleTxt
Phone4062341420PhoneNum
Signature2021-11-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstChrisPersonFirstNm
Person LastHopkinsPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDeb Nelson CPAPreparerPersonNm
PTINP01264758PTIN
Phone6122536500PhoneNum
Preparation2021-11-11PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$3,016,401FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$409,020ContriRcvdRevAndExpnssAmt
Dividends Rev And Expnss$59,840DividendsRevAndExpnssAmt
Dividends Net Invst Incm$59,840DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$10,923NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$1,040,943GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$10,923CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$276,037OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$0OtherIncomeNetInvstIncmAmt
Other Income Adj Net Incm$276,037OtherIncomeAdjNetIncmAmt
Total Rev And Expnss$755,820TotalRevAndExpnssAmt
Total Net Invst Incm$70,763TotalNetInvstIncmAmt
Total Adj Net Incm$276,037TotalAdjNetIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Adj Net Incm$0CompOfcrDirTrstAdjNetIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss$15,400AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$0AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$15,400AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$16,200OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$0OtherProfFeesNetInvstIncmAmt
Other Prof Fees Adj Net Incm$16,200OtherProfFeesAdjNetIncmAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$1,407TaxesRevAndExpnssAmt
Taxes Net Invst Incm$0TaxesNetInvstIncmAmt
Taxes Adj Net Incm$1,407TaxesAdjNetIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$3,545DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$0DeprecAndDpltnNetInvstIncmAmt
Deprec And Dpltn Adj Net Incm$3,545DeprecAndDpltnAdjNetIncmAmt
Occupancy Rev And Expnss$9,262OccupancyRevAndExpnssAmt
Occupancy Net Invst Incm$0OccupancyNetInvstIncmAmt
Occupancy Adj Net Incm$9,262OccupancyAdjNetIncmAmt
Occupancy Dsbrs Chrtbl$0OccupancyDsbrsChrtblAmt
Trav Conf Meeting Rev And Expnss$29,701TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Net Invst Incm$0TravConfMeetingNetInvstIncmAmt
Trav Conf Meeting Adj Net Incm$29,701TravConfMeetingAdjNetIncmAmt
Trav Conf Meeting Dsbrs Chrtbl$0TravConfMeetingDsbrsChrtblAmt
Other Expenses Rev And Expnss$120,500OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$11,493OtherExpensesNetInvstIncmAmt
Other Expenses Adj Net Incm$24,644OtherExpensesAdjNetIncmAmt
Other Expenses Dsbrs Chrtbl$84,363OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$196,015TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$11,493TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$84,759TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$99,763TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$595,194ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$595,194ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$791,209TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$11,493TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$84,759TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$694,957TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$35,389ExcessRevenueOverExpensesAmt
Net Investment Income$59,270NetInvestmentIncomeAmt
Adjusted Net Income$191,278AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$460,025CashBOYAmt
Cash EOY$418,123CashEOYAmt
Cash EOYFMV$418,123CashEOYFMVAmt
Sav And Temp Cash Invst BOY$70,000SavAndTempCashInvstBOYAmt
Grants Receivable BOY$209,040GrantsReceivableBOYAmt
Grants Receivable EOY$97,039GrantsReceivableEOYAmt
Grants Receivable EOYFMV$97,039GrantsReceivableEOYFMVAmt
Other Nts And Loans Rcvbl BOY$19,510OtherNtsAndLoansRcvblBOYAmt
Other Nts And Loans Rcvbl EOY$0OtherNtsAndLoansRcvblEOYAmt
Other Nts And Loans Rcvbl EOYFMV$0OtherNtsAndLoansRcvblEOYFMVAmt
Prepaid Expenses BOY$7,571PrepaidExpensesBOYAmt
Prepaid Expenses EOY$7,722PrepaidExpensesEOYAmt
Prepaid Expenses EOYFMV$7,722PrepaidExpensesEOYFMVAmt
US Government Obligations BOY$2,146,028USGovernmentObligationsBOYAmt
US Government Obligations EOY$1,958,307USGovernmentObligationsEOYAmt
US Govt Obligations EOYFMV$1,958,307USGovtObligationsEOYFMVAmt
Other Investments BOY$134,464OtherInvestmentsBOYAmt
Other Investments EOY$520,467OtherInvestmentsEOYAmt
Other Investments EOYFMV$520,467OtherInvestmentsEOYFMVAmt
Land Bldg Equip Cost Or Other Bss$30,277LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$26,807LandBldgEquipAccumDeprecAmt
Land BOY$7,016LandBOYAmt
Land EOY$3,470LandEOYAmt
Land EOYFMV$3,470LandEOYFMVAmt
Other Assets BOY$14,650OtherAssetsBOYAmt
Other Assets EOY$11,273OtherAssetsEOYAmt
Other Assets EOYFMV$11,273OtherAssetsEOYFMVAmt
Total Assets BOY$3,068,304TotalAssetsBOYAmt
Total Assets EOY$3,016,401TotalAssetsEOYAmt
Total Assets EOYFMV$3,016,401TotalAssetsEOYFMVAmt
Accounts Payable BOY$100,049AccountsPayableBOYAmt
Accounts Payable EOY$49,719AccountsPayableEOYAmt
Deferred Revenue BOY$15,804DeferredRevenueBOYAmt
Deferred Revenue EOY$13,714DeferredRevenueEOYAmt
Total Liabilities BOY$115,853TotalLiabilitiesBOYAmt
Total Liabilities EOY$63,433TotalLiabilitiesEOYAmt
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind
No Donor Rstr Net Assests BOY$2,891,523NoDonorRstrNetAssestsBOYAmt
No Donor Rstr Net Assests EOY$2,952,968NoDonorRstrNetAssestsEOYAmt
Donor Rstr Net Assets BOY$60,928DonorRstrNetAssetsBOYAmt
Donor Rstr Net Assets EOY$0DonorRstrNetAssetsEOYAmt
Tot Net Ast Or Fund Balances BOY$2,952,451TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$2,952,968TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$3,068,304TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$3,016,401TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$2,952,451TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$35,389ExcessRevenueOverExpensesAmt
Other Increases$35,906OtherIncreasesAmt
Subtotal$2,952,968SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$2,952,968TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (2 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
Rural Health Development Inc.P$1,040,650$1,030,020$10,630$10,630
Capital Gains DividendsP$293$293$293
FieldValueIRS element (for citing)
Capital Gain Net Income$10,923CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$824InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$824SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$824TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$1,400EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$1,400TotalPaymentsAndCreditsAmt
Es Penalty$7EsPenaltyAmt
Overpayment$569OverpaymentAmt
Applied To ES Tax$569AppliedToESTaxAmt
Refund$0RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateMTOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1Craig CremerBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4062341420PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1519 Pleasant StreetAddressLine1Txt
CityMiles CityCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59301ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Transactions Fail To Qlfy As Exc0TransactionsFailToQlfyAsExcInd
Maintained Expenditure RspnsYes (1)MaintainedExpenditureRspnsInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (17 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
Ward Van Wichen
519 Pleasant StreetMiles CityMT59301President1.00$0$0$0
Parker Powell
519 Pleasant StreetMiles CityMT59301Vice President1.00$0$0$0
Audrey Stromberg
519 Pleasant StreetMiles CityMT59301Secretary/Treasurer1.00$0$0$0
Jennifer Doty
519 Pleasant StreetMiles CityMT59301Director1.00$0$0$0
Ryan Tooke
519 Pleasant StreetMiles CityMT59301Director1.00$0$0$0
Greg Maurer
519 Pleasant StreetMiles CityMT59301Director1.00$0$0$0
Randy Holom
519 Pleasant StreetMiles CityMT59301Director1.00$0$0$0
Nancy Rosaaen
519 Pleasant StreetMiles CityMT59301Director1.00$0$0$0
Eric Connell
519 Pleasant StreetMiles CityMT59301Director1.00$0$0$0
David Espeland
519 Pleasant StreetMiles CityMT59301Director1.00$0$0$0
Alan Aldrich
519 Pleasant StreetMiles CityMT59301Director1.00$0$0$0
Karen Costello
519 Pleasant StreetMiles CityMT59301Director1.00$0$0$0
Peg Norgaard
519 Pleasant StreetMiles CityMT59301Director1.00$0$0$0
David Ryerse
519 Pleasant StreetMiles CityMT59301Director1.00$0$0$0
Rick Poss
519 Pleasant StreetMiles CityMT59301Director1.00$0$0$0
David Trost
519 Pleasant StreetMiles CityMT59301Director1.00$0$0$0
Ben Frasier
519 Pleasant StreetMiles CityMT59301Director1.00$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt
Contractor Paid Over50k0ContractorPaidOver50kCnt

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1Maintaining and improving quality healthcare in eastern Montana by developing programs to improve healthcare delivery and provide aid and donations to charitable healthcare providers.Description1Txt
Expenses1$704,449Expenses1Amt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$2,306,343AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$558,410AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$18,995FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$2,883,748TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$2,883,748AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$43,256CashDeemedCharitableAmt
Net Vl Noncharitable Assets$2,840,492NetVlNoncharitableAssetsAmt
Minimum Investment Return$142,025MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$142,025MinimumInvestmentReturnAmt
Tax Based On Investment Income$824TaxBasedOnInvestmentIncomeAmt
Total Tax$824TotalTaxAmt
Distributable Before Adj$141,201DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$141,201DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$141,201DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$694,957ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$694,957QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$694,957AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$141,201DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$518,248ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$527,154ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$555,478ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$514,753ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$461,567ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$2,577,200TotalExcessDistributionCyovAmt
Qualifying Distributions$694,957QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$141,201AppliedToCurrentYearAmt
Remaining Distri From Corpus$553,756RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$3,130,956TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$518,248ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$2,612,708ExcessDistriCyovToNextYrAmt
Excess From Year4$527,154ExcessFromYear4Amt
Excess From Year3$555,478ExcessFromYear3Amt
Excess From Year2$514,753ExcessFromYear2Amt
Excess From Year1$461,567ExcessFromYear1Amt
Excess From Current Year$553,756ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (18 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
Fallon Medical Complex
202 South 4th Street WestDeer LodgeMT59313NonePCMontana Health Network Improvement Grant$4,716
Garfield County Health Center
332 Leavitt AvenueJordanMT59337NonePCMontana Health Network Improvement Grant$5,000
McCone County Health Center
605 Sullivan AvenueCircleMT59215NonePCMontana Health Network Improvement Grant$12,636
Montana Health Network
519 Pleasant StreetMiles CityMT59301NoneNC(HRSA) Health Resources and Services Administration Case Management$226,298
Montana Health Network
519 Pleasant StreetMiles CityMT59301NoneNCNortheastern Montana Area Health Education Center$229,881
Montana Health Network
519 Pleasant StreetMIles CityMT59301NoneNCNortheastern Montana Area Health Education Center - Ultrasound$2,709
Prairie County Hospital
312 South Adams AvenueTerryMT59349NonePCMontana Health Network Improvement Grant$4,000
Reconnect4Health
1800 S Elm StreetGreenvilleNC27858NoneNC(HRSA) Health Resources and Services Administration Case Management$60,218
Roosevelt Medical Center
818 2nd Ave ECulbertsonMT59218NonePCMontana Health Network Improvement Grant$1,325
Rosebud Health Care Center
383 N 17th AveForsythMT59327NonePCMontana Health Network Improvement Grant$5,995
Beartooth Billings Clinic
2525 North BroadwayRed LodgeMT59068NonePCMontana Health Network Improvement Grant$2,000
Big Horn Hospital Association
17 N Miles AvenueHardinMMT59034NonePCMontana Health Network Improvement Grant$2,296
Dahl Memorial Healthcare Association
215 Sandy StreetEkalakaMT59324NonePCMontana Health Network Improvement Grant$6,139
Roundup Memorial Hospital
1202 3rd Street WRoundupMT59072NonePCMontana Health Network Improvement Grant$5,000
Sheridan Memorial Hospital
440 W Laurel AvenuePlentywoodMT59254NonePCMontana Health Network Improvement Grant$6,500
Sidney Health Center
216 14th Avenue SWSidneyMT59270NonePCMontana Health Network Improvement Grant$5,223
Montana State University
1501 South 11th AvenueBozemanMT59715NonePCMontana Health Network Improvement Grant$15,000
Miles City Community College
2715 Dickinson StreetMiles CItyMT59301NonePCMontana Health Network Improvement Grant$258
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$595,194TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$59,840ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$10,923ExclusionAmt

Other Revenue Described OtherRevenueDescribedGrp

FieldValueIRS element (for citing)
DescTraining and EducationDesc
Related Or Exempt Function Incm$276,037RelatedOrExemptFunctionIncmAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$70,763ExclusionAmt
Related Or Exempt Function Incm$276,037RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$346,800TotalIncomeProducingActyAmt

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

FieldValueIRS element (for citing)
Line Number11LineNumberTxt
Relationship StatementFunding to provide training and education programsRelationshipStatementTxt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
General RuleYes (X)GeneralRuleInd

Contributor Information ContributorInformationGrp (2 entries)

ContributorContributorNumAddress Line1ContributorUSAddress/AddressLine1TxtCityContributorUSAddress/CityNmState AbbreviationContributorUSAddress/StateAbbreviationCdZIPContributorUSAddress/ZIPCdTotal ContributionsTotalContributionsAmtPerson ContributionPersonContributionInd
Montana State University - Office of Rural Health
1PO Box 170520BozemanMT587170520$106,806Yes (X)
Health Resources and Services Administration (HRSA)
25600 Fishers LnRockvilleMD20852$300,204Yes (X)

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryAccounting & Audit FeesCategoryTxt
Amt$15,400Amt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$15,400DisbursementsCharitablePrpsAmt

Expenditure Responsibility Stmt ExpenditureResponsibilityStmt

Expenditure Responsibility ExpenditureResponsibilityGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdGrantGrantDtGrantGrantAmtPurpose Of GrantPurposeOfGrantTxtExpended By GranteeExpendedByGranteeAmtAny Diversion By GranteeAnyDiversionByGranteeTxtDates Of Reports By GranteeDatesOfReportsByGranteeTxtResults Of VerificationResultsOfVerificationTxt
Reconnect4Health
1800 S Elm StreetGreenvilleNC278582020-01-01$60,218The purpose of the Network Planning program is to assist in the development of an integrated health care network, specifically network participants who do not have a history of formal collaborative efforts in order to achieve efficiencies, expand access to, coordinate, and improve the quality of essential health care services and strengthen the rural health care system as a whole.$60,218NoneHRSA grant is a cost reimbursable awardNo verification necessary since grant is reimbursement.
Montana Health Network
519 Pleasant StreetMiles CityMT593012020-01-01$229,881Area Health Education Center grant funds recruiting, training and retaining of health professions committed to rural and underserved populations. Grant dates vary throughout the year, but are generally reimbursed by RHD on a monthly basis.$229,881NoneAHEC grant is a cost reimbursable awardNo verification necessary since grant is reimbursement.
Montana Health Network
519 Pleasant StreetMiles CityMT593012020-01-01$226,298The purpose of the Network Planning program is to assist in the development of an integrated health care network, specifically network participants who do not have a history of formal collaborative efforts in order to achieve efficiencies, expand access to, coordinate, and improve the quality of essential health care services and strengthen the rural health care system as a whole.$226,298NoneHRSA grant is a cost reimbursable awardNo verification necessary since grant is reimbursement.
Montana Health Network
519 Pleasant StreetMiles CityMT593012020-01-01$2,709Area Health Education Center grant funds recruiting, training and retaining of health professions committed to rural and underserved populations. Grant dates vary throughout the year, but are generally reimbursed by RHD on a monthly basis.$2,709NoneAHEC grant is a cost reimbursable awardNo verification necessary since grant is reimbursement.

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
US Govt Obligations Book Vl EOY$1,958,307USGovtObligationsBookVlEOYAmt
US Govt Obligations EOYFMV$1,958,307USGovtObligationsEOYFMVAmt
State Local Sec Book Vl EOY$0StateLocalSecBookVlEOYAmt
State Local Sec EOYFMV$0StateLocalSecEOYFMVAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (3 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
Vanguard 500 Index FundFMV$195,291$195,291
Vanguard Intermediate-Term Corporate Bond Index FundFMV$195,650$195,650
Vanguard High-Yield Corporate FundFMV$129,526$129,526

Land Etc Schedule2 LandEtcSchedule2

Land Etc LandEtcGrp

FieldValueIRS element (for citing)
Category Or ItemEquipmentCategoryOrItemTxt
Cost Or Other Basis$30,277CostOrOtherBasisAmt
Accumulated Depreciation$26,807AccumulatedDepreciationAmt
Book Value$3,470BookValueAmt
EOYFMV$3,470EOYFMVAmt

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp

FieldValueIRS element (for citing)
DescAccrued InterestDesc
BOY Book Value$14,650BOYBookValueAmt
EOY Book Value$11,273EOYBookValueAmt
EOYFMV$11,273EOYFMVAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (4 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
Education$20,034$0$20,034$0
Other Expenses$44,511$11,493$3,504$29,514
Supplies$54,849$0$0$54,849
Grant Administration$1,106$0$1,106$0

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescTraining and EducationDesc
Revenue And Expenses Per Books$276,037RevenueAndExpensesPerBooksAmt
Adjusted Net Income$276,037AdjustedNetIncomeAmt

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescChange in unrealized GainDesc
Amt$35,906Amt

Other Notes Loans Rcvbl Long Sch OtherNotesLoansRcvblLongSch

Other Notes Loans Rcvbl Long OtherNotesLoansRcvblLongGrp

Borrower Name BorrowerNameGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Montana Health Network IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Insider RelationshipRHD is 50% owner of borrowerInsiderRelationshipTxt
Loan Original$0LoanOriginalAmt
Balance Due$0BalanceDueAmt
Note2017-04NoteDt
Loan Maturity2020-04LoanMaturityDt
Repayment TermsMonthly paymentsRepaymentTermsTxt
Interest3.500000000000InterestRt
Loan PurposeSale of equipmentLoanPurposeTxt
Consideration FMV$0ConsiderationFMVAmt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryMontana Health NetworkCategoryTxt
Amt$16,200Amt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$16,200AdjustedNetIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryExcise TaxesCategoryTxt
Amt$1,407Amt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$1,407AdjustedNetIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt