2025-05-14T15:29:44-05:00 2024-06-30 450250958 Eide Bailly LLP 4585 Coleman St Ste 200 Bismarck ND 58503 990 2023-07-01 363348763 Jamestown Regional Medical Center Foundation Inc JAME 7019521050 2422 20th St SW Jamestown ND 58401 Beverly Fiferlick CFO 7019521050 2025-05-14 1 1 Lisa Chaffee CPA P00193453 7012551091 2025-05-14 2023 2025-03-06 01:10:19Z Mike Delfs 2422 20th St SW Jamestown ND 58401 4259019 0 X www.jrmcnd.com X 1985 ND To raise money for the sole purpose of the organization in supporting and enhancing the work of Jamestown Regional Medical Center in meeting its healthcare mission in Jamestown, ND and its surrounding communities. 13 13 0 88 0 0 1093116 858909 0 0 20267 148693 -10147 -1266 1103236 1006336 437100 347785 0 0 217492 208657 0 0 138851 145413 171568 800005 728010 303231 278326 5874441 6565091 172828 174024 5701613 6391067 The mission of Jamestown Regional Medical Center Foundation is to secure philanthropic gifts that will enhance and support the work of Jamestown Regional Medical Center. 0 0 434439 347785 Jamestown Regional Medical Center Foundation's primary mission is fundraising for the benefit of Lutheran Charity Association d/b/a Jamestown Regional Medical Center. A total of 1,079 unique donors contributed to JRMC Foundation. Monies benefit the areas of greatest need as determined by the Jamestown Regional Medical Center administration and Board of Directors. The greatest need can include equipment and technology, endowment, patient care needs, staff and facility updates 434439 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 10 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 13 13 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 0 1 0 0 0 X Beverly Fiferlick 7019521050 2422 20th St SW Jamestown ND 58401 Mike Delfs CEO 1.00 40.00 X 0 407339 55349 Beverly Fiferlick CFO 1.00 40.00 X 0 215746 33171 Lisa Jackson Foundation Director (Thru Jan 2024) 40.00 0.00 X 0 92551 8234 Tonya Perkins Foundation Director (began Feb 2024) 40.00 0.00 X 0 0 0 David Smette Chair 1.00 0.00 X X 0 0 0 Terry Lund Vice Chair 1.00 0.00 X X 0 0 0 Terry Nieland Secretary 1.00 0.00 X X 0 0 0 Kara Falk NP Treasurer 1.00 0.00 X X 0 0 0 Duane Dunn Director 1.00 0.00 X 0 0 0 Duane Enzminger Director 1.00 0.00 X 0 0 0 LaRue Odenbach Director 1.00 0.00 X 0 0 0 Joanne Ottmar Director 1.00 0.00 X 0 0 0 Russ Sunderland Director 1.00 0.00 X 0 0 0 Joe Neis Director 1.00 0.00 X 0 0 0 Michelle Neumiller Director 1.00 0.00 X 0 0 0 Nicole Wiederrich Director 1.00 0.00 X 0 0 0 Tim Burchill Director 1.00 1.00 X 0 0 0 0 715636 96754 0 0 1 0 0 5000 45917 807992 1839 858909 192993 192993 3192176 3236476 -44300 -44300 -44300 14941 45917 16207 -1266 -1266 1006336 0 0 147427 347785 347785 106451 54759 51692 96556 19470 34882 42204 5650 1396 4254 10051 10051 18055 18055 58723 58723 16173 16173 26324 361 25963 25289 25289 2724 2724 2979 2979 Annuity 6704 6704 4546 1727 2819 728010 434439 154720 138851 659887 735998 29447 19447 5066494 5659337 118613 150309 5874441 6565091 98085 88794 74743 85230 172828 174024 X 1759060 1906898 3942553 4484169 5701613 6391067 5874441 6565091 278326 411128 0 X 0 1 X 0 0 X X 1 Lutheran Charity Association DBA Jamestown Regional Medical Center Fdtn 450231181 3 1 347785 0 1 347785 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3986766 252320 376073 182070 4433089 3858236 158619 107475 137564 3986766 3491902 158745 -593074 3057573 3049834 68671 373397 3491902 2806475 137797 223283 117721 3049834 0.42030 0.51660 0.06310 1 0 0 Related Party Payable 85230 85230 X 1415616 411128 411128 1004488 18055 -16207 1848 1006336 726162 16207 16207 709955 18055 18055 728010 Part V, Line 4: The endowment was established to provide investment income for support of Jamestown Regional Medical Center's operations. Part X, Line 2: The Foundation 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 Foundation 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. Part XI, Line 4b - Other Adjustments: Fundraising Event Expenses in Expenses in Financial Statements -16,207. Part XII, Line 2d - Other Adjustments: Fundraising Event Expenses in Expenses in Financial Statements 16,207. Golf "Fore" Good 24847 18588 6259 1020 3680 1414 3199 Tree of Love 16336 9975 6361 5850 2 19675 17354 2321 175 144 725 60858 45917 14941 1195 3680 1558 9774 16207 -1266 1 Lutheran Charity Association DBA Jamestown Regional Medical Center 2422 20th St SW Jamestown ND 58401 450231181 501(c)(3) 347785 0 Support operations of Jamestown Regional Medical Center - funds granted helped to purchase various medical equipment/host events or education. 1 0 Part I, Line 2: The organization monitors the use of grant funds through an ongoing relationship with Jamestown Regional Medical Center. Each quarter, JRMC formally requests funds for completed projects for which the Foundation has raised money for. The request must be approved by the Foundation Board of Directors before payment is made. 0 0 0 0 0 0 0 0 0 Mike Delfs CEO 0 372988 0 34351 0 0 0 32180 0 23403 0 462922 0 0 Beverly Fiferlick CFO 0 215746 0 0 0 0 0 9702 0 23703 0 249151 0 0 Part I, Line 3 The officers are paid by a related organization. The related organization reviews salary survey data to determine the Foundation director salary. The Foundation reimburses the related organization for the salaries of the Foundation Director on a quarterly basis. Form 990, Part VI, Section A, line 1a The organization has an executive committee, however they are unable to take any action without full board approval. Form 990, Part VI, Section A, line 7a Board members of the organization are nominated by the officers of Lutheran Charity Association (DBA Jamestown Regional Medical Center). Form 990, Part VI, Section B, line 11b The Form 990 is reviewed by the CFO prior to presentation to the Board of Directors. The Board of Directors reviews and approves the Form 990 prior to filing with the Internal Revenue Service. Form 990, Part VI, Section B, line 12c The conflict of interest policy covers the Board of Directors and the Foundation Director. Potential conflicts are brought to the Board of Directors. Any person with a conflict refrains from voting. Directors annually sign a statement acknowledging the conflict of interest policy. Directors having a duality of interest or a possible conflict of interest on any matter which comes before the board shall not vote on the matter or use their personal influence on the matter. The minutes of the meeting shall reflect that a disclosure of duality or conflict of interest was made. The provision does not prevent the director from briefly stating a position on the matter nor from answering pertinent questions. Form 990, Part VI, Section B, line 15 The officers are paid by a related organization. The related organization reviews salary survey data to determine the Foundation director salary. The Foundation reimburses the related organization for the salaries of the Foundation Director on a quarterly basis. Form 990, Part VI, Section C, line 19 The Foundation does not make its governing documents, conflict of interest policy, or financial statements available to the public. Lutheran Charity Ass'n DBA Jamestown Regional Medical Center 2422 20th St SW Jamestown ND 58401 450231181 Healthcare ND 501(c)(3) Line 3 N/A 0 0 1 0 1 0 0 0 0 0 0 0 1 0 1 1 1 0 0 0