Totals
- Total revenue
- $76,355,923
- Total expenses
- $73,982,858
- Contributions and grants received
- $841,075
- Grants paid
- $9,805
- Program service revenue
- $75,678,128
- Investment income
- -$171,030
- Other revenue
- $7,750
- Total assets, end of year
- $100,349,147
- Total liabilities, end of year
- $55,297,466
- Net assets or fund balances, end of year
- $45,051,681
- Program services expenses (Part IX)
- $66,447,117
- Management and general expenses
- $7,535,741
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $66,447,117
Program services were 89.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
Wanda Vining-Alber
Chairperson until 10/22
- Total calculated
- $0
- Hours/week
- 1
-
Mark Anderson - Vice Chair
until 10/22/Chair as of 11/22
- Total calculated
- $0
- Hours/week
- 1
-
Casey Henderson - SecrTreas
until 10/22/Vice Chair as of 11/22
- Total calculated
- $0
- Hours/week
- 1
-
Steve Ottmar - Board Member
until 10/22/Secr/Treas as of 11/22
- Total calculated
- $0
- Hours/week
- 1
-
Teree Rittenbach
Board Member
- Total calculated
- $0
- Hours/week
- 1
-
Terry Wanzek
Board Member
- Total calculated
- $0
- Hours/week
- 1
-
Tim Burchill
Board Member
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Randy Jaspers
Board Member
- Total calculated
- $0
- Hours/week
- 1
-
Briana Bohn
Board Member as of 11/22
- Total calculated
- $0
- Hours/week
- 1
-
Jeremy Rham
Board Member as of 11/22
- Total calculated
- $0
- Hours/week
- 1
-
Amanda Thrift
Board Member as of 11/22
- Total calculated
- $0
- Hours/week
- 1
-
Mike Delfs
CEO
- Total calculated
- $423,747
- From this org
- $361,737
- From related orgs
- $0
- Other
- $62,010
- Hours/week
- 40 + 1 related
Schedule J breakdown matched by us
- Base
- $320,689
- Bonus
- $41,048
- Other
- $0
- Deferred
- $42,250
- Nontaxable benefits
- $19,929
- Filer's total
- $423,916
-
Beverly Fiferlick
CFO
- Total calculated
- $241,812
- From this org
- $221,477
- From related orgs
- $0
- Other
- $20,335
- Hours/week
- 40 + 1 related
Schedule J breakdown matched by us
- Base
- $220,108
- Bonus
- $1,369
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $20,504
- Filer's total
- $241,981
-
Dr Michael Dean
Orthopedic Surgeon
- Total calculated
- $768,057
- From this org
- $725,233
- From related orgs
- $0
- Other
- $42,824
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $694,373
- Bonus
- $30,860
- Other
- $0
- Deferred
- $33,814
- Nontaxable benefits
- $9,179
- Filer's total
- $768,226
-
Dr Scott Geocke
ER Physician
- Total calculated
- $448,850
- From this org
- $424,590
- From related orgs
- $0
- Other
- $24,260
- Hours/week
- 48
Schedule J breakdown matched by us
- Base
- $423,730
- Bonus
- $860
- Other
- $0
- Deferred
- $15,250
- Nontaxable benefits
- $9,179
- Filer's total
- $449,019
-
Dr Timothy Volk
Orthopedic Surgeon
- Total calculated
- $710,909
- From this org
- $680,239
- From related orgs
- $0
- Other
- $30,670
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $651,379
- Bonus
- $28,860
- Other
- $0
- Deferred
- $16,250
- Nontaxable benefits
- $14,588
- Filer's total
- $711,077
-
Dr Christopher Cost
Urologist
- Total calculated
- $729,373
- From this org
- $673,288
- From related orgs
- $0
- Other
- $56,085
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $672,428
- Bonus
- $860
- Other
- $0
- Deferred
- $35,750
- Nontaxable benefits
- $20,504
- Filer's total
- $729,542
-
Dr Brent Williams
Urologist
- Total calculated
- $435,783
- From this org
- $414,366
- From related orgs
- $0
- Other
- $21,417
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $414,366
- Bonus
- $0
- Other
- $0
- Deferred
- $9,066
- Nontaxable benefits
- $12,451
- Filer's total
- $435,883
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 3 · Independent compensation consultant
- 3 · Compensation survey or study
- 3 · Approval by the board or compensation committee
- 7 · Other non-fixed payments
Answered no
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- 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.
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
Jamestown Regional Medical Center Foundation Inc
501(c)(3) · Fundraising · ND · controlled entity
Directly controlled by Lutheran Charity Association
Taxable family on this return
Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
Nierling Jamestown Hospital Trust
T · Charitable Trust · ND · 100% owned · share of income $13,008 · share of assets $107,018 · controlled entity
Directly controlled by Lutheran Charity Association (DBA Jamestown Regional Medical Center)
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 18 April 2024
- IRS schema version
- 2022v5.0
- Source object
- 202421249349301147
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
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