2026-05-14T16:05:29-05:00 2025-06-30 450250958 Eide Bailly LLP 4585 Coleman St Ste 200 Bismarck ND 58503 990 2024-07-01 450231181 Lutheran Charity Association D/B/A Jamestown Regional Medical Center LUTH 7019521050 2422 20th Street SW Jamestown ND 584013360 Derek Schaff CFO 7019521050 2026-05-12 1 1 Lisa Chaffee CPA P00193453 7012551091 2026-05-12 2024 2025-03-06 01:10:19Z Jamestown Regional Medical Center Mike Delfs 2422 20th Street SW Jamestown ND 584013360 84327915 0 X www.jrmcnd.com X 1927 ND Jamestown Regional Medical Center will be the best rural hospital in the country for patients to receive care, employees to work, and physicians to practice. 10 10 452 53 112505 0 372543 1072885 78522256 80892665 756565 2303324 11700 14856 79663064 84283730 43521 42198 0 0 32248624 36105908 0 0 0 45558324 47077880 77850469 83225986 1812595 1057744 103489414 107795855 54727575 57470623 48761839 50325232 Exceed expectations and be the difference in the lives of those we serve. 0 0 74440457 42198 80781711 Jamestown Regional Medical Center is a 25 bed critical access hospital providing short-term acute inpatient, outpatient, swing bed, home health and hospice health care services. The nearest provider of health care services is more than 35 miles away and Jamestown Regional Medical Center is located 100 miles away from the nearest major health service centers in Fargo or Bismarck, North Dakota. Jamestown Regional Medical Center makes medical care accessible to the entire community it serves. In addition to the routine inpatient and outpatient health care services provided, our facility also provides specialty clinic services including OBGYN, ENT, podiatry, orthopedics, urology, oncology services, and wound care. 74440457 1 1 0 1 0 0 0 0 1 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 55 0 1 452 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X Derek Schaff 7019521050 2422 20th Street SW Jamestown ND 584013360 Casey Henderson Chair 1.00 0.00 X X 0 0 0 Steve Ottmar Vice Chair 1.00 0.00 X X 0 0 0 Jeremy Rham Secretary/Treasurer 1.00 0.00 X X 0 0 0 Dr Brianna Bohn Board Member 1.00 0.00 X 0 0 0 Tim Burchill Board Member 1.00 1.00 X 0 0 0 Tania Falk Board Member 1.00 0.00 X 0 0 0 Randy Jaspers Board Member 1.00 0.00 X 0 0 0 Teree Rittenbach Board Member 1.00 0.00 X 0 0 0 Amanda Thrift Board Member 1.00 0.00 X 0 0 0 Terry Wanzek Board Member (Thru July 2025) 1.00 0.00 X 0 0 0 CJ Hager Board Member 1.00 0.00 X 0 0 0 Sean Rickenberger Board Member 1.00 0.00 X 0 0 0 Derek Schaff CFO (Beg 06/2025) 12.00 1.00 X 0 0 0 Mark Anderson Past Chair (until 10/2025) 1.00 0.00 X 0 0 0 Mike Delfs CEO 40.00 1.00 X 431095 0 71269 Beverly Fiferlick CFO (Until 05/2025) 40.00 1.00 X 226048 0 42074 Dr Michael Dean Orthopedic Surgeon 40.00 0.00 X 840567 0 58416 Dr Emily Stromquist Physician 40.00 0.00 X 344381 0 62561 Dr Brent Williams Urologist 40.00 0.00 X 652699 0 50715 Dr Gregg Mcadoo ER Physician 40.00 0.00 X 349237 0 17977 Dr Chet Barton ENT Physician 40.00 0.00 X 499990 0 8461 3344017 0 311473 62 0 1 0 FocusOne 1010 N 102nd St Ste 300 Omaha NE 68114 Contracted workers 3792661 Imaging Investments LLC 5257 27th St S 101 Fargo ND 58104 Radiology Contracted Services 1818662 Jamestown Radiology LLC 1400 10th Ave NE 220 Jamestown ND 58401 Radiologist 972789 Midwest Radilogy PA 2355 Hwy 36 W Ste 100 Roseville MN 551133905 Radiology Contracted Services 366890 Eide Bailly PO Box 2545 Fargo ND 58108 Accounting Services 187527 5 330769 30064 712052 1072885 Net Patient Service Revenue 621400 80198559 80198559 Cafeteria 900099 354958 354958 Laundry Services 812300 112505 112505 Auxiliary 900099 8093 8093 218550 218550 80892665 1244704 1244704 13305 0 13305 13305 13305 1040235 18385 0 0 1040235 18385 1058620 1058620 45736 44185 1551 1551 84283730 80781711 112505 2316629 X 42198 42198 720965 720965 28124550 25928039 2196511 1920459 1800336 120123 3554331 3326570 227761 1785603 1647179 138424 36720 36720 111669 111669 16053551 13950625 2102926 201318 24314 177004 801772 475097 326675 1341205 1319014 22191 133983 100630 33353 140643 126382 14261 1488513 1033907 454606 4036020 2803382 1232638 372909 53220 319689 Medical Supplies 19396825 19385756 11069 Equipment Lease and Ren 1860712 1858309 2403 Food 432261 431637 624 Certificates, Licenses 207956 132846 75110 461823 1016 460807 83225986 74440457 8785529 0 18219110 19777167 13124522 10429916 67497 94773 1244749 1303027 652766 790562 78761717 47631348 31521172 31130369 30084720 32307727 8574878 11962314 103489414 107795855 6324153 7099739 577776 553485 35692141 34694652 12133505 15122747 54727575 57470623 X 47893281 49317213 868558 1008019 48761839 50325232 103489414 107795855 X 1057744 363960 141689 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 9336 1 0 0 0 9336 0 Part II-B, Line 1: The organization pays dues to various professional organizations. A portion of those dues are used towards lobbying expenses. These lobbying expenses go towards advocating for the organization's purpose and mission 1 5551 8093 10321 3323 0 433429 433429 49130218 29738675 19391543 3006712 1492376 1514336 24040662 15609252 8431410 2150696 791045 1359651 31130369 Related Party Receivables 105981 Interest in Foundation 1008019 ROU Assets - Operating 8488314 Insurance Receivable 2360000 11962314 Estimated third party payor settlements 4274433 Leasing Liabilities - Operating 8488314 Insurance Payable 2360000 15122747 X 84683782 363960 363960 84319822 -36092 -36092 84283730 83259850 44185 44185 83215665 10321 10321 83225986 Part IV, Line 1b: There is an auxiliary which operates under the EIN of the Organization. Part X, Line 2: The Organization 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 consolidated financial statements. The Organization 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: Cost of Goods Sold Included in Expenses on Financial Statements -44,185. Auxiliary Revenues not included in Revenue on Financial Statements 8,093. Part XII, Line 2d - Other Adjustments: Cost of Goods Sold Included in Expenses on Financial Statements 44,185. Part XII, Line 4b - Other Adjustments: Auxiliary Expenses not included in Expenses on Financial Statements 10,321. 1 1 X 1 X 1 X 1 1 0 0 672000 672000 0.00810 672000 672000 0.00810 16007 16007 0.00020 7349212 5765407 1583805 0.01900 7365219 5765407 1599812 0.01920 8037219 5765407 2271812 0.02730 1 1755480 342629 19966561 20081647 -115086 X 1 1 1 1 Jamestown Regional Medical Center 2422 20th St SW Jamestown ND 58401 www.jrmcnd.com 5027 X X X X Lutheran Charity Association 1 0 0 1 X X X X X X X X X 23 1 0 1 1 X https://jrmcnd.com/about-us/community-impact/ X 1 23 1 https://jrmcnd.com/about-us/community-impact/ 0 1 X 100.000000000000 300.000000000000 X X X 1 1 X X X X 1 X https://jrmcnd.com/resources/patient-accounts/#policies X https://jrmcnd.com/resources/patient-accounts/#Application X https://jrmcnd.com/resources/patient-accounts/#policies X X X X 1 X 0 X X X X 1 X 0 0 Lutheran Charity Association Part V, Section B, Line 5: Input was collected from community members and stakeholders through multiple methods between December 15, 2023, and February 22, 2024:-Community Survey: Distributed from December 15, 2023, to January 15, 2024. A total of 509 residents completed the survey 508 online and 1 by paper.-Key Informant Interviews: Conducted in January 2024, with 7 community members, including public health professionals and individuals familiar with underserved populations.-Community Group Meetings (Focus Groups): Held on January 23 and February 22, 2024, involving 9 to 16 local participants. These sessions included stakeholders from health, social services, and government sectors.The assessment was facilitated by:-Center for Rural Health (CRH) at the University of North Dakota School of Medicine & Health Sciences-Central Valley Health District (CVHD)-Jamestown Regional Medical Center (JRMC)Input included perspectives from individuals and professionals working with:-Low-income populations, identified through survey responses showing 23% of respondents had household incomes under $50,000 and 6% under $25,000.-Public health and social service professionals, who regularly work with medically underserved and minority groups, were specifically included in the key informant interviews.-Community data also reflect that 13.1% of Stutsman County residents live below the poverty line, and 7.6% of children are uninsured, highlighting representation of vulnerable populations through the demographic survey data and stakeholder insights.Efforts were made to include input from:-Individuals with special knowledge of or expertise in public health, including staff from CVHD.-Community leaders across sectors (e.g., health, education, economic development, law enforcement).-Although no individual was named (as appropriate per IRS guidelines), organizations working with racial/ethnic minorities, low-income households, and medically underserved individuals provided key perspectives.JRMC also invited written comments on the CHNA and Implementation Plan via their website and in the document itself. No written comments were received at the time of reporting. Lutheran Charity Association Part V, Section B, Line 6b: The CHNA was conducted with Central Valley Health District. Lutheran Charity Association Part V, Section B, Line 11: In the most recent CHNA conducted in FY24, the following needs were identified:1.Young Families and Affordable Housing2.Mental Health and Substance AbuseAvailability of resources for the elderly will not be addressed because it is being addressed by other agencies within the community.The 2024 CHNA action plan was approved by the board in June 2024.2025 Actions Taken to Address Identified CHNA Needs:Jamestown Regional Medical Center (JRMC) works collaboratively with community partners, public health agencies, educational institutions, and regional organizations to address priority needs identified through the Community Health Needs Assessment (CHNA). JRMC leadership and team members participate in community initiatives and partnerships aimed at strengthening workforce development, supporting youth well-being, and improving access to behavioral health services throughout Jamestown and Stutsman County.Young Families and Affordable Housing JRMC continues to collaborate with community partners to support workforce development and initiatives that help attract and retain young families in the Jamestown region. JRMC leadership participates in regional economic development efforts and maintains an active partnership with Jamestown/Stutsman Development Corporation (JSDC). JRMC's CEO serves on the JSDC Board of Directors, helping ensure healthcare workforce needs and community health considerations are represented in regional economic development planning. JSDC indirectly offers support to affordable housing by supporting financing tools and incentives (like Flex PACE).In 2025, JSDC continued its Workforce Pathways Internship Reimbursement Program, which provides reimbursement to Stutsman County employers hiring college interns in positions paying at least $15 per hour. Publicly reported activity included approval of seven summer internships and three fall internships. JRMC leaders remain engaged with community partners to support these workforce development efforts and strengthen local career opportunities that encourage young professionals and families to remain in the region. Community partners also advanced childcare capacity, which is recognized as a critical factor in workforce participation and family retention. In June 2025, JSDC approved funding for the Explorers Academy expansion, increasing childcare capacity from 60 to 90 children. Regional reporting further noted that Jamestown received approximately $1.6 million through the Regional Workforce Impact Program supporting five childcare projects, expanding capacity by an estimated 303 children.As one of the largest employers in the Jamestown region, JRMC supports the local economy through stable employment opportunities, competitive wages and benefits, and professional career advancement. JRMC also contributes to workforce development through healthcare career pathways, student clinical experiences, internships, and partnerships with regional colleges and universities to strengthen the local healthcare workforce pipeline.Mental Health and Substance Abuse JRMC recognizes mental health and substance abuse as a community priority and collaborates with local organizations working to expand prevention, engagement, and supportive programming for individuals in the Jamestown region. JRMC leadership and team members participate in community partnerships focused on improving well-being and promoting healthy social connections.In 2025, JRMC collaborated with community partners in promoting awareness of youth mental health initiatives, including programming led by The Arts Center in Jamestown. The Arts Center received a $203,500 grant to launch a two-year youth art therapy pilot program with referrals coordinated through school counselors. The program is offered at no cost to participating families and includes transportation to improve accessibility for students who may benefit from additional emotional and behavioral support.The Arts Center also continued its Arts After School programming, which provides structured after-school engagement opportunities including arts education, transportation, snacks, and scholarship support to ensure participation regardless of financial barriers. JRMC continues to support awareness of community programs that promote resilience, social connection, and positive mental health for youth and families.JRMC collaborates with public health agencies, community organizations, and regional partners to improve awareness of and access to behavioral health services in the Jamestown region. JRMC leadership and team members remain engaged with partners working to strengthen the local behavioral health network and ensure individuals and families are aware of available resources.In 2025, updated editions of the Jamestown Area Health & Wellness Resource Guide were published, providing information about counseling services, behavioral health providers, substance use treatment resources, crisis services, transportation assistance, and other wellness supports available to community members in one accessible location.Behavioral health services remain available locally through the South-Central Behavioral Health Clinic in Jamestown, which provides care coordination, psychiatric medication management, psychology services, addiction counseling, mental health counseling, case management, and rehabilitation services. JRMC leadership serves on the South-Central Behavioral Health Clinic advisory board, supporting collaboration and coordination between healthcare providers and community behavioral health services to help ensure individuals have access to appropriate levels of care. In February 2025, North Dakota Health and Human Services also announced the opening of Bridges to Recovery in Jamestown, a residential behavioral health treatment program designed to support individuals requiring intensive services.Crisis support remains available through the national 988 Suicide and Crisis Lifeline, which provides 24/7 call, text, and chat access for individuals experiencing emotional distress or mental health crises. JRMC supports coordination of care by promoting awareness of these services, connecting patients and families to appropriate behavioral health resources, and collaborating with community partners to strengthen access to mental health support across the region. Lutheran Charity Association Part V, Section B, Line 13h: The patient may be asked to provide additional information to help determine eligibility for financial assistance that is not based upon the federal poverty guidelines. Items the patient is asked to also provide include:-Medical Assistance eligibility/denial notice if applicable-Income tax returns for the 2 most recently filed years-Proof of income and adjusted gross income such as pay stubs from the past 6 pay periods, W-2 withholding statements, Social Security checks, receipts, or deposits, and bank statements-Notification of Benefit decision from the ND Department of Human Services Part V, Section B, Line 7a: CHNA:https://jrmcnd.com/about-us/community-impact/ 1 1 - JRMC Clinic 2422 20th Street SW Jamestown ND 58401 Specialty Clinic Part I, Line 3c: The patient may be asked to provide additional information to help determine eligibility for financial assistance that is not based upon the federal poverty guidelines. Items the patient is asked to also provide include:-Medical Assistance eligibility/denial notice if applicable-Income tax returns for the 2 most recently filed years-Proof of income and adjusted gross income such as pay stubs from the past 6 pay periods, W-2 withholding statements, Social Security checks, receipts, or deposits, and bank statements-Notification of Benefit decision from the ND Department of Human Services Part I, Line 7: Charity care expense was converted to cost on line 7a based on an overall cost-to-charge ratio addressing all patient segments. Health Professions education, line 7f, is reported based on actual expense amounts recorded in the general ledger. The cost for subsidized health services, line 7g, was determined using the Medicare Cost Report. Part III, Line 2: The amount reported on line 2 represents implicit price concessions. The Organization determines its estimate of implicit price concessions based on its historical collection experience with this class of patients. Part III, Line 3: JRMC pulled the Implicit Price Concessions balance as of the end of FY24. We ran all the prior period charity transactions that were adjusted off in FY25 and pulled out the charity transaction amounts that had been previously sent to collections. We calculated the percentage of Charity that had previously been reported as Implicit Price Concessions and applied that percentage to the FY25 Implicit Price Concessions Amount. Part III, Line 4: The footnote to the Organization's financial statements addressing implicit price concessions can be found on page 13 and 14 of the attached audited financial statements. Part III, Line 8: Hospital services reimbursed on a fee schedule are not included in the Medicare calculation per the 990 instructions. Had this been reported the Hospital would have had a greater loss from Medicare services of $546,568.$1,083,649 -Medicare Fee Schedule Revenue$1,630,217 -Medicare estimated costs of care relating to payments($546,568) -Net (Shortage)IRS Rev. Rul. 69-545, which established the community benefit standard for nonprofit hospitals, states that if a hospital serves patients with government health benefits, including Medicare, then this is an indication that the hospital operates to promote the health of the community. In some communities, Medicare is the largest payer, and hospitals must accept these patients regardless of whether they make a surplus or deficit from providing such services. If the Medicare participation is premised on this fact, then providing Medicare services promotes access to healthcare services which is a community benefit. Also, the elderly are often an underserved population who experience issues with access to healthcare services. Without tax-exempt hospitals providing Medicare services, the government would bear the burden of directly providing services to the elderly. Medicare allowable costs are based on the Medicare Cost Report. The Medicare Cost Report is completed based on the rules and regulations set forth by Centers for Medicare and Medicaid Services. Part III, Line 9b: All Extraordinary Collection Actions will be precaution on the patients or guarantor's fourth statement clearly indicating the 30 day notice of these actions to begin. In the event a patient or guarantor has reached the 120 day window with a non-completed financial assistance application, Jamestown Regional Medical Center will notify the patient in writing of the incomplete application with Extraordinary Collection Actions preceding in 30 days from notification if application is not completed.Extraordinary Collection Actions will not be taken by JRMC against an individual related to obtaining payment of a bill for care covered under the hospital's Community Care Program that require a legal or judicial process or involve selling an individual's debt to another party or reporting adverse information about the individual to consumer credit reporting agencies or credit bureaus. Part VI, Line 2: The Community Health Partnership was formed in March 2013 after the completion of the 2012 Community Health Assessment and Community Health Improvement Plan. The Community Health Partnership is comprised of community members and numerous community agencies. The purpose of the Community Health Partnership is to provide effective, quality health and safety services in an environment that enables community members to reach their full potential through assessment, leadership and partnerships. The goals of the community health partnership are:-Enhance efficiency of community connections-Decrease duplication of efforts (and meetings)-Improve awareness and health within the community (Stutsman County)-Be an asset to the community by improving community healthThe organization also completed its latest Community Health Needs Assessment during the 6/30/24 fiscal year. Part VI, Line 3: All patients receive a "Payment Guidelines" brochure at time of registration, which notifies the patients on how to apply for charity care as well as explains the claim filing process, responsible party, co-pays and payments. All private pay patients receive a letter which lists charity care as a payment alternative to those who qualify. Our website contains a charity care link which explains the program and allows forms to be downloaded and printed. Part VI, Line 4: Jamestown Regional Medical Center serves a nine county area of South Central North Dakota. The primary industry is agriculture. The population is 52,155 with 21% over the age of 65. The average age is 42. Male and female population is split evenly. Average income by household is $53,650. There are two colleges within Jamestown Regional Medical Center trade area. Jamestown Regional Medical Center is the only birthing center within a 90 mile radius. Part VI, Line 5: A majority of the Governing body is comprised of persons who reside in the organization's primary service area who are neither employees nor contractors of Jamestown Regional Medical Center, nor family members thereof. Jamestown Regional Medical Center extends medical staff privileges to all qualified physicians in the community. Jamestown Regional Medical Center recently moved into a new replacement hospital which has many upgrades in technology, most of which are related to improving patient care. Surplus funds, when available, are used to invest in both capital assets and medical equipment in order to improve patient care. Jamestown Regional Medical Center operates an emergency room available to everyone, regardless of ability to pay. They offer a specialty clinic which provides services that the community would otherwise have to travel to receive. The hospital also offers many opportunities for community members to volunteer within the organization. 1 Jamestown Parks & Rec 1002 2nd Ave Se Jamestown ND 58401 751597713 501(c)(3) 18333 0 Assist with funding a new baseball complex in Jamestown, ND 1 0 Part I, Line 2: If a community sponsorship is provided by JRMC, a contract will be signed acknowledging the commitment and confirming the amount that is required to be paid. X X X 0 0 0 0 0 0 0 1 0 Dr Michael Dean Orthopedic Surgeon 810567 0 30000 0 0 0 47000 0 11538 0 899105 0 0 0 Dr Brent Williams Urologist 652699 0 0 0 0 0 25494 0 25342 0 703535 0 0 0 Dr Chet Barton ENT Physician 499990 0 0 0 0 0 8461 0 122 0 508573 0 0 0 Mike Delfs CEO 375445 0 55650 0 0 0 45748 0 25642 0 502485 0 0 0 Dr Emily Stromquist Physician 344381 0 0 0 0 0 37340 0 25342 0 407063 0 0 0 Dr Gregg Mcadoo ER Physician 329237 0 20000 0 0 0 0 0 18099 0 367336 0 0 0 Beverly Fiferlick CFO (Until 05/2025) 226048 0 0 0 0 0 16253 0 25942 0 268243 0 0 0 Part I, Line 7 There is an incentive plan specifically for the CEO. This plan is designed to encourage, recognize and reward superior job and organizational performance. Incentive awards that may be paid under the terms of this plan are determined by overall organizational and individual performance for the annual operating period. The Chair of the Board of Directors has the responsibility to implement this plan. The incentives for the CEO are expressed as a percentage of the participant's base salary at the end of the incentive plan year. The maximum award is approved by the Board for each plan year. There is a detailed criterion for the results of what the organization considers a superior job. The criteria uses goal driven measures that intend to incentivize important long term strategic objectives over short term efforts only. The CEO's performance is measured based on the following areas of focus: Service, Quality, Financial, People, Growth, and Personal Growth. There is a ranking system for sets of criterion, and the Board of Directors is to utilize this system in determining the level of incentive the CEO will receive. Form 990, Part VI, Section A, line 1a The Governance Committee consists of the officers of the Board of Directors. A majority of the members of the Governance Committee constitutes a quorum. The Governance Committee: A. Reviews the performance of the President/Chief Executive Officer of the Jamestown Regional Medical Center on the anniversary date of employment and report the findings to the Board of Directors. B. Assists our board to fulfill its responsibilities for ensuring high levels of governance performance and contribution. C. Assists our board to appoint and re-appoint directors; and formulating policies regarding making decisions about and overseeing governance effectiveness, efficiency, creativity and adaptability. D. Takes action on behalf of our board in emergency situations when we cannot be convened; emergency actions taken by the Governance Committee must be reported to the, and discussed/ratified by, our board at its next regularly scheduled meeting. Form 990, Part VI, Section B, line 11b The preparer of the Form 990 provides an electronic copy of the final 990 to the organization's Chief Financial Officer. The Chief Financial Officer performs a detailed review of Form 990. The Chief Financial Officer provides each voting Board Member with a copy of the Form 990 prior to submitting to the Internal Revenue Service. Form 990, Part VI, Section B, line 12c The conflict of interest policy covers employees and board members. The Compliance Officer reviews all potential conflicts and determines if a conflict exists. Directors are asked at every board meeting whether or not anyone has a duality of interest or conflict of interest. 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, and the director making such a disclosure shall not be counted in declaring a quorum for the determination of the matter. This provision shall not be construed as preventing the director from briefly stating a position on the matter nor from answering pertinent questions. Form 990, Part VI, Section B, line 15 For the CEO, the Board Chairman converses with an HR consultant on market wages and evaluation process. Evaluation forms are typically completed by board members and the Board Chairman conducts the actual evaluation. Comparability data was used by those without conflict and the decisions were documented. This process takes place annually. The CFO is evaluated and compensated based on the Employee Performance Assessment policy that is standard for the organization. Comparability data is also used to determine adjustments to compensation. Form 990, Part VI, Section C, line 19 The organization does not make its governing documents, conflict of interest policy and financial statements available to the public. Form 990, Part IX, line 11g Consulting Services: Program service expenses 675,152. Management and general expenses 329,146. Fundraising expenses 0. Total expenses 1,004,298. Maintenance and Repair: Program service expenses 1,597,698. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,597,698. Other Purchased Services: Program service expenses 11,677,775. Management and general expenses 722,342. Fundraising expenses 0. Total expenses 12,400,117. Contracts: Program service expenses 0. Management and general expenses 1,051,438. Fundraising expenses 0. Total expenses 1,051,438. Form 990, Part XI, line 9: Change in Interest in Foundation 139,461. Change in Auxiliary Net Assets 2,228. Jamestown Regional Medical Center Foundation Inc 2422 20th St SW Jamestown ND 58401 363348763 Fundraising ND 501(c)(3) Line 12a, I Lutheran Charity Association 1 Nierling Jamestown Hospital Trust 2422 20th Street SW Jamestown ND 58401 912004888 Charitable Trust ND 501(c)(3) PF Lutheran Charity Association (DBA Jamestown Regional Medical Center) 1 0 0 1 0 1 0 0 0 0 0 0 0 1 1 1 0 1 0 0 Jamestown Regional Medical Center Foundation Inc C 330769 cost Jamestown Regional Medical Center Foundation Inc Q 415186 cost