TY 2021 Form 990PF

Part I	Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).)	(a) Revenue and expenses per books	(b) Net investment income	(c) Adjusted net income	(d) Disbursements for charitable purposes (cash basis only)
	1	Contributions, gifts, grants, etc., received (attach schedule)	335,131
2	Check .............
3	Interest on savings and temporary cash investments
4	Dividends and interest from securities...	62,366	62,366
5a	Gross rents............
b	Net rental income or (loss)
6a	Net gain or (loss) from sale of assets not on line 10		-19,985
b	Gross sales price for all assets on line 6a 1,322,588
7	Capital gain net income (from Part IV, line 2)...		0
8	Net short-term capital gain.........
9	Income modifications...........
10a	Gross sales less returns and allowances
b	Less: Cost of goods sold....
c	Gross profit or (loss) (attach schedule).....
11	Other income (attach schedule).......		336,285	0	336,285
12	Total. Add lines 1 through 11........	713,797	62,366	336,285
	13	Compensation of officers, directors, trustees, etc.	0	0	0	0
14	Other employee salaries and wages......
15	Pension plans, employee benefits.......
16a	Legal fees (attach schedule).........
b	Accounting fees (attach schedule).......		16,725	0	0	16,725
c	Other professional fees (attach schedule)....		17,241	0	17,241	0
17	Interest...............
18	Taxes (attach schedule) (see instructions)...
19	Depreciation (attach schedule) and depletion...		3,045	0	3,045
20	Occupancy..............	7,800	0	7,800	0
21	Travel, conferences, and meetings.......	38,228	0	38,228	0
22	Printing and publications..........
23	Other expenses (attach schedule).......		159,944	12,816	111,724	35,404
24	Total operating and administrative expenses.
	Add lines 13 through 23..........	242,983	12,816	178,038	52,129
25	Contributions, gifts, grants paid.......	439,866			439,866
26	Total expenses and disbursements. Add lines 24 and 25	682,849	12,816	178,038	491,995
	27	Subtract line 26 from line 12:
a	Excess of revenue over expenses and disbursements	30,948
b	Net investment income (if negative, enter -0-)		49,550
c	Adjusted net income (if negative, enter -0-)...			158,247

Part II		Balance Sheets	Beginning of year	End of year
Part II		Balance Sheets	(a) Book Value	(b) Book Value	(c) Fair Market Value
	1	Cash—non-interest-bearing.............
	2	Savings and temporary cash investments.........	418,123	574,202	574,202
	3	Accounts receivable
		Less: allowance for doubtful accounts
	4	Pledges receivable
		Less: allowance for doubtful accounts
	5	Grants receivable.................	97,039	107,431	107,431
	6	Receivables due from officers, directors, trustees, and other
		disqualified persons (attach schedule) (see instructions).....
	7	Other notes and loans receivable (attach schedule)
		Less: allowance for doubtful accounts
	8	Inventories for sale or use..............
	9	Prepaid expenses and deferred charges..........	7,722	11,827	11,827
	10a	Investments—U.S. and state government obligations (attach schedule)	1,958,307	938,412	938,412
	b	Investments—corporate stock (attach schedule).......	195,291	651,124	651,124
	c	Investments—corporate bonds (attach schedule).......	325,176	795,091	795,091
	11	Investments—land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	12	Investments—mortgage loans.............
	13	Investments—other (attach schedule)..........
	14	Land, buildings, and equipment: basis 30,277
		Less: accumulated depreciation (attach schedule) 29,852	3,470	425	425
	15	Other assets (describe )	11,273	7,464	7,464
	16	Total assets (to be completed by all filers—see the
		instructions. Also, see page 1, item I)	3,016,401	3,085,976	3,085,976
	17	Accounts payable and accrued expenses..........	49,719	65,923
	18	Grants payable.................
	19	Deferred revenue.................	13,714	11,774
	20	Loans from officers, directors, trustees, and other disqualified persons
	21	Mortgages and other notes payable (attach schedule)......
	22	Other liabilities (describe )
	23	Total liabilities (add lines 17 through 22).........	63,433	77,697
		Foundations that follow FASB ASC 958, check here
		and complete lines 24, 25, 29 and 30.
	24	Net assets without donor restrictions...........	2,952,968	3,008,279
	25	Net assets with donor restrictions............
		Foundations that do not follow FASB ASC 958, check here
		and complete lines 26 through 30.
	26	Capital stock, trust principal, or current funds........
	27	Paid-in or capital surplus, or land, bldg., and equipment fund
	28	Retained earnings, accumulated income, endowment, or other funds
	29	Total net assets or fund balances (see instructions).....	2,952,968	3,008,279
	30	Total liabilities and net assets/fund balances (see instructions).	3,016,401	3,085,976

Part III

Analysis of Changes in Net Assets or Fund Balances

Total net assets or fund balances at beginning of year—Part II, column (a), line 29 (must agree with end-of-year figure reported on prior year’s return) ...............

2,952,968

Enter amount from Part I, line 27a .....................

30,948

Other increases not included in line 2 (itemize) bullet

24,363

Add lines 1, 2, and 3 ..........................

3,008,279

Decreases not included in line 2 (itemize) bullet

Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .

3,008,279

(a) List and describe the kind(s) of property sold (e.g., real estate, 2-story brick warehouse; or common stock, 200 shs. MLC Co.)		(b) How acquired P—Purchase D—Donation
1 a	Publicly Traded Securities
b	Capital Gains Dividends	P
c
d
e

(e) Gross sales price		(g) Cost or other basis plus expense of sale	(h) Gain or (loss) (e) plus (f) minus (g)
a	1,315,397	1,342,573	-27,176
b	7,191		7,191
c
d
e

Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69			(l) Gains (Col. (h) gain minus col. (k), but not less than -0-) or Losses (from col.(h))
(i) F.M.V. as of 12/31/69	(j) Adjusted basis as of 12/31/69	(k) Excess of col. (i) over col. (j), if any
a			-27,176
b			7,191
c
d
e

2	Capital gain net income or (net capital loss)	If gain, also enter in Part I, line 7 If (loss), enter -0- in Part I, line 7	2	-19,985
3	Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
	If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0- in Part I, line 8 ...................		3

1a	Exempt operating foundations described in section 4940(d)(2), check here and enter “N/A" on line 1.
	Date of ruling or determination letter: (attach copy of letter if necessary–see instructions)
b	All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) of Part I, line 12, col. (b)
2	Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)	2	0
3	Add lines 1 and 2...........................	3	689
4	Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)	4	0
5	Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- .....	5	689
6	Credits/Payments:

a	2021 estimated tax payments and 2020 overpayment credited to 2021	6a	746
b	Exempt foreign organizations—tax withheld at source......	6b	0
c	Tax paid with application for extension of time to file (Form 8868)...	6c	1,000
d	Backup withholding erroneously withheld ...........	6d	0

7	Total credits and payments. Add lines 6a through 6d..............		7	1,746
8	Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached.		8	0
9	Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......		9
10	Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...		10	1,057
11	Enter the amount of line 10 to be: Credited to 2022 estimated tax1,057	Refunded	11	0

(a) Name and address	(b) Title, and average hours per week devoted to position	(c) Compensation (If not paid, enter -0-)	(d) Contributions to employee benefit plans and deferred compensation	(e) Expense account, other allowances
Randy Holom	President (Through October) 1.00	0	0	0
519 Pleasant Street Miles City,MT59301
Parker Powell	Vice President (Through Oct)/President 1.00	0	0	0
519 Pleasant Street Miles City,MT59301
Audrey Stromberg	Secretary/Treasurer 1.00	0	0	0
519 Pleasant Street Miles City,MT59301
David Espeland	Vice President (From October) 1.00	0	0	0
519 Pleasant Street Miles City,MT59301
Ryan Tooke	Director 1.00	0	0	0
519 Pleasant Street Miles City,MT59301
Nancy Rosaaen	Director 1.00	0	0	0
519 Pleasant Street Miles City,MT59301
Jennifer Doty	Director 1.00	0	0	0
519 Pleasant Street Miles City,MT59301
Karen Costello	Director 1.00	0	0	0
519 Pleasant Street Miles City,MT59301
Peg Norgaard	Director 1.00	0	0	0
519 Pleasant Street Miles City,MT59301
Rick Poss	Director (Through November) 1.00	0	0	0
519 Pleasant Street Miles City,MT59301
Kelley Evans	Director (From December) 1.00	0	0	0
519 Pleasant Street Miles City,MT59301
David Trost	Director 1.00	0	0	0
519 Pleasant Street Miles City,MT59301
Tony Thompson	Director (Through November) 1.00	0	0	0
519 Pleasant Street Miles City,MT59301
Kody Brinton	Director (From November) 1.00	0	0	0
519 Pleasant Street Miles City,MT59301
Cody Langbehn	Director 1.00	0	0	0
519 Pleasant Street Miles City,MT59301
Kody Nelson	Director 1.00	0	0	0
519 Pleasant Street Miles City,MT59301
Nicole Hobbs	Director 1.00	0	0	0
519 Pleasant Street Miles City,MT59301
Andrew Riggin	Director (From February) 1.00	0	0	0
519 Pleasant Street Miles City,MT59301
Kirby Johnson	Director (Through September) 1.00	0	0	0
519 Pleasant Street Miles City,MT59301
Luke Kobold	Director (From October) 1.00	0	0	0
519 Pleasant Street Miles City,MT59301

List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc.	Expenses
1	Maintaining and improving quality healthcare in eastern Montana by developing programs to improve healthcare delivery and provide aid and donations to charitable healthcare providers.	569,801
2


3


4

Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2.	Amount
1


2


All other program-related investments. See instructions.
3

		(a) Corpus	(b) Years prior to 2020	(c) 2020	(d) 2021
1 Distributable amount for 2021 from Part X, line 7					145,500
2 Undistributed income, if any, as of the end of 2021:
a Enter amount for 2020 only.......				0
b Total for prior years:20, 20, 20			0
3 Excess distributions carryover, if any, to 2021:
a From 2016......	527,154
b From 2017......	555,478
c From 2018......	514,753
d From 2019......	461,567
e From 2020......	553,756
f Total of lines 3a through e ........		2,612,708
4Qualifying distributions for 2021 from Part
XI, line 4: $ 491,995
a Applied to 2020, but not more than line 2a				0
b Applied to undistributed income of prior years (Election required—see instructions).....			0
c Treated as distributions out of corpus (Election required—see instructions)........		0
d Applied to 2021 distributable amount.....					145,500
e Remaining amount distributed out of corpus		346,495
5 Excess distributions carryover applied to 2021.		0			0
(If an amount appears in column (d), the same amount must be shown in column (a).)
6Enter the net total of each column as indicated below:
a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5		2,959,203
b Prior years’ undistributed income. Subtract line 4b from line 2b ..........			0
c Enter the amount of prior years’ undistributed income for which a notice of deficiency has been issued, or on which the section 4942(a) tax has been previously assessed......			0
d Subtract line 6c from line 6b. Taxable amount —see instructions ...........			0
e Undistributed income for 2019. Subtract line 4a from line 2a. Taxable amount—see instructions .............				0
f Undistributed income for 2021. Subtract lines 4d and 5 from line 1. This amount must be distributed in 2022 ..........					0
7 Amounts treated as distributions out of corpus to satisfy requirements imposed by section 170(b)(1)(F) or 4942(g)(3) (Election may be required - see instructions) .......		0
8 Excess distributions carryover from 2016 not applied on line 5 or line 7 (see instructions) ...		527,154
9 Excess distributions carryover to 2022. Subtract lines 7 and 8 from line 6a ......		2,432,049
10 Analysis of line 9:
a Excess from 2017....	555,478
b Excess from 2018....	514,753
c Excess from 2019....	461,567
d Excess from 2020....	553,756
e Excess from 2021....	346,495

2a Enter the lesser of the adjusted net income from Part I or the minimum investment return from Part X for each year listed ..........	Tax year	Prior 3 years			(e) Total
	(a) 2021	(b) 2020	(c) 2019	(d) 2018	(e) Total

b 85% (0.85) of line 2a .........
c Qualifying distributions from Part XI, line 4 for each year listed .....
d Amounts included in line 2c not used directly for active conduct of exempt activities ..........
e Qualifying distributions made directly for active conduct of exempt activities. Subtract line 2d from line 2c ....
3 Complete 3a, b, or c for the alternative test relied upon:
a “Assets" alternative test—enter:
(1) Value of all assets ......
(2) Value of assets qualifying under section 4942(j)(3)(B)(i)
b “Endowment" alternative test— enter 2/3 of minimum investment return shown in Part IX, line 6 for each year listed ..
c “Support" alternative test—enter:
(1) Total support other than gross investment income (interest, dividends, rents, payments on securities loans (section 512(a)(5)), or royalties) ....
(2) Support from general public and 5 or more exempt organizations as provided in section 4942(j)(3)(B)(iii)....
(3) Largest amount of support from an exempt organization
(4) Gross investment income

aThe name, address, and telephone number or email address of the person to whom applications should be addressed:

bThe form in which applications should be submitted and information and materials they should include:

cAny submission deadlines:

dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:

3 Grants and Contributions Paid During the Year or Approved for Future Payment
Recipient	If recipient is an individual, show any relationship to any foundation manager or substantial contributor	Foundation status of recipient	Purpose of grant or contribution	Amount
Name and address (home or business)		Foundation status of recipient	Purpose of grant or contribution	Amount
aPaid during the year
Dahl Memorial Healthcare Association 215 Sandy Street Ekalaka,MT59324	None	PC	Montana Health Network Improvement Grant	1,000
Fallon Medical Complex 202 South 4th Street West Baker,MT59313	None	PC	Montana Health Network Improvement Grant	1,000
Garfield County Health Center 332 Leavitt Avenue Jordan,MT59337	None	PC	Montana Health Network Improvement Grant	1,000
McCone County Health Center 605 Sullivan Avenue Circle,MT59215	None	PC	Montana Health Network Improvement Grant	1,000
Montana Health Network 519 Pleasant Street Miles City,MT59301	None	NC	(HRSA) Health Resources and Services Administration Case Management	175,194
Montana Health Network 519 Pleasant Street Miles City,MT59301	None	NC	Northeastern Montana Area Health Education Center	246,762
Montana Health Network 519 Pleasant Street MIles City,MT59301	None	NC	Northeastern Montana Area Health Education Center - Ultrasound	630
Prairie County Hospital 312 South Adams Avenue Terry,MT59349	None	PC	Montana Health Network Improvement Grant	1,000
Reconnect4Health 1800 S Elm Street Greenville,NC27858	None	NC	(HRSA) Health Resources and Services Administration Case Management	7,280
Roosevelt Medical Center 818 2nd Ave E Culbertson,MT59218	None	PC	Montana Health Network Improvement Grant	1,000
Rosebud Health Care Center 383 N 17th Ave Forsyth,MT59327	None	PC	Montana Health Network Improvement Grant	1,000
Powder River Medical Clinic 507 S Lincoln Ave Broadus,MT59317	None	PC	Montana Health Network Improvement Grant	1,000
MSU Billings Foundation 2615 Virginia Ln Billings,MT59102	None	PC	Donation for general operations	2,000
Total ................................. 3a				439,866

3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
(a) Name and address of each person paid more than $50,000	(b) Type of service	(c) Compensation
NONE

Enter gross amounts unless otherwise indicated.	Unrelated business income		Excluded by section 512, 513, or 514		(e) Related or exempt function income (See instructions.)
1Program service revenue:	(a) Business code	(b) Amount	(c) Exclusion code	(d) Amount	(e) Related or exempt function income (See instructions.)
a
b
c
d
e
f
gFees and contracts from government agencies
2 Membership dues and assessments ....
3 Interest on savings and temporary cash investments ...........
4 Dividends and interest from securities ....
5 Net rental income or (loss) from real estate:
aDebt-financed property......
bNot debt-financed property.....
6 Net rental income or (loss) from personal property
7 Other investment income .....
8 Gain or (loss) from sales of assets other than inventory ............			18	-19,985
9 Net income or (loss) from special events:
10 Gross profit or (loss) from sales of inventory
11 Other revenue: aTraining and Education					336,285
b
c
d
e
12 Subtotal. Add columns (b), (d), and (e) ..		0		42,381	336,285

Line No.	Explain below how each activity for which income is reported in column (e) of Part XV-A contributed importantly to the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See instructions.)
11	Funding to provide training and education programs

(a) Line No.	(b) Amount involved	(c) Name of noncharitable exempt organization	(d) Description of transfers, transactions, and sharing arrangements

Paid Preparer Use Only	Print/Type preparer's name	Preparer's Signature	Date	Check if self- employed	PTIN
	Firm's name				Firm's EIN
	Firm's address				Phone no.


(a) Name and address of each employee paid more than $50,000	(b) Title, and average hours per week devoted to position	(c) Compensation	(d) Contributions to employee benefit plans and deferred compensation	(e) Expense account, other allowances
NONE









Total number of other employees paid over $50,000...................				0

bApproved for future payment

Total ................................. 3b				0

Name of organization Rural Health Development Inc

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
1	Montana State University - Office of Rural Health PO Box 170520 Bozeman, MT587170520	$ 129,706	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
2	Health Resources and Services Administration (HRSA) 5600 Fishers Ln Rockville, MD20852	$ 203,440	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2021)

Name of organization Rural Health Development Inc		Employer identification number 36-3769758

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2021)


Name of organization Rural Health Development Inc			Employer identification number 36-3769758
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

Grantee's Name	Grantee's Address	Grant Date	Grant Amount	Grant Purpose	Amount Expended By Grantee	Any Diversion By Grantee?	Dates of Reports By Grantee	Results of Verification
Reconnect4Health	1800 S Elm Street Greenville,NC27858	2021-01-01	7,280	The 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.	7,280	None	HRSA grant is a cost reimbursable award	No verification necessary since grant is reimbursement.
Montana Health Network	519 Pleasant Street Miles City,MT59301	2021-01-01	246,762	Area 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.	246,762	None	AHEC grant is a cost reimbursable award	No verification necessary since grant is reimbursement.
Montana Health Network	519 Pleasant Street Miles City,MT59301	2021-01-01	175,195	The 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.	175,195	None	HRSA grant is a cost reimbursable award	No verification necessary since grant is reimbursement.
Montana Health Network	519 Pleasant Street Miles City,MT59301	2021-01-01	630	Area 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.	630	None	AHEC grant is a cost reimbursable award	No verification necessary since grant is reimbursement.

Name of Bond	End of Year Book Value	End of Year Fair Market Value
Vanguard High-Yield Corporate Fund	133,336	133,336
Vanguard Intermediate-Term Corporate Bond Index Fund	149,622	149,622
Northen Ultra-Short Fixed Income Fund	26,177	26,177
iShares Preferred & Income Securities	107,447	107,447
IShares JP Morgan USD Emerging	129,891	129,891
Vanguard Short-Term Federal Fund	248,618	248,618

Name of Stock	End of Year Book Value	End of Year Fair Market Value
Vanguard 500 Index Fund	348,975	348,975
iShares Core S&P Small Cap ETF	51,301	51,301
iShares Core MSCI Europe ETF	136,036	136,036
Invesco Developing Markets Fund	114,812	114,812

Description	Revenue and Expenses per Books	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
Education	42,374	0	42,374	0
Other Expenses	51,826	12,816	3,606	35,404
Supplies	64,968	0	64,968	0
Grant Administration	776	0	776	0

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