Civic Intelligence

Jacobson Memorial Hospital Care Center

EIN 45-0222079 • 501(c)3 • Elgin, ND

Profile

To advance the health of patients and communities we serve through a culture of leadership, continuous improvement and accountability. Jacobson Memorial Hospital Care Center (JMHCC) understands the relationship that exists between body, mind and the human spirit. We believe that respect, integrity, quality, commitment and accountability are the foundation by which a healthcare provider should practice in accordance with respect of this relationship.

601 E St NElgin, ND 58533

www.jacobsonhospital.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

60th percentile

0.49x

Higher debt load relative to assets than 60% of similar nonprofits.

NTEE E • $10M-$25M nonprofits • Source year 2023

Liabilities / Revenue

54th percentile

0.32x

Higher debt load relative to revenue than 54% of similar nonprofits.

NTEE E • $10M-$25M nonprofits • Source year 2023

Net Margin

24th percentile

-14%

Higher net margin than 24% of similar nonprofits.

NTEE E • $10M-$25M nonprofits • Source year 2023

Top Officer Pay

42nd percentile

$278,634

Higher top officer pay than 42% of similar nonprofits.

Top officer pay equals 2.4% of source-year revenue.

NTEE E • $10M-$25M nonprofits • Source year 2023

Asset Growth

9th percentile

-20%

Faster asset growth than 9% of similar nonprofits.

NTEE E • $10M-$25M nonprofits • Annualized from 2022 to 2023

Revenue Growth

21st percentile

-7.3%

Faster revenue growth than 21% of similar nonprofits.

NTEE E • $10M-$25M nonprofits • Annualized from 2022 to 2023

Assets

Down

$7,380,677

Down $1,857,406 (-20%) from 2022

Liabilities

Down

$3,648,182

Down $260,108 (-6.7%) from 2022

Net Assets

Down

$3,732,495

Down $1,597,298 (-30%) from 2022

Revenue

Down

$11,429,563

Down $894,232 (-7.3%) from 2022

Expenses

Down

$13,026,861

Down $119,847 (-0.9%) from 2022

Net Income

Down

-$1,597,298

Down $774,385 (-94%) from 2022

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$15M$10M$5.0M$0Assets 2010: $2,845,400Liabilities 2010: $860,085Net Assets 2010: $1,985,3152010Assets 2011: $3,427,739Liabilities 2011: $1,621,187Net Assets 2011: $1,806,5522011Assets 2012: $3,470,960Liabilities 2012: $2,002,881Net Assets 2012: $1,468,0792012Assets 2013: $3,704,530Liabilities 2013: $2,077,666Net Assets 2013: $1,626,8642013Assets 2014: $3,722,919Liabilities 2014: $1,677,850Net Assets 2014: $2,045,0692014Assets 2015: $4,058,484Liabilities 2015: $1,690,497Net Assets 2015: $2,367,9872015Assets 2016: $4,876,116Liabilities 2016: $2,169,123Net Assets 2016: $2,706,9932016Assets 2017: $5,417,812Liabilities 2017: $2,438,330Net Assets 2017: $2,979,4822017Assets 2018: $5,735,433Liabilities 2018: $2,586,304Net Assets 2018: $3,149,1292018Assets 2019: $6,817,217Liabilities 2019: $3,455,845Net Assets 2019: $3,361,3722019Assets 2020: $10,466,605Liabilities 2020: $6,817,086Net Assets 2020: $3,649,5192020Assets 2021: $10,807,762Liabilities 2021: $4,654,852Net Assets 2021: $6,152,9102021Assets 2022: $9,238,083Liabilities 2022: $3,908,290Net Assets 2022: $5,329,7932022Assets 2023: $7,380,677Liabilities 2023: $3,648,182Net Assets 2023: $3,732,4952023

Highlighted filing

2023

Assets$7,380,677
Liabilities$3,648,182
Net Assets$3,732,495

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$15M$10M$5.0M$0-$5.0MExpenses 2010: $4,817,9092010Expenses 2011: $4,850,8452011Expenses 2012: $5,577,1042012Expenses 2013: $5,762,7232013Revenue 2014: $6,581,674Expenses 2014: $6,163,354Net Income 2014: $418,3202014Revenue 2015: $6,868,107Expenses 2015: $6,544,175Net Income 2015: $323,9322015Revenue 2016: $7,260,275Expenses 2016: $6,920,884Net Income 2016: $339,3912016Revenue 2017: $7,755,195Expenses 2017: $7,482,179Net Income 2017: $273,0162017Revenue 2018: $8,677,272Expenses 2018: $8,507,375Net Income 2018: $169,8972018Revenue 2019: $9,557,772Expenses 2019: $9,345,485Net Income 2019: $212,2872019Revenue 2020: $10,239,361Expenses 2020: $9,951,214Net Income 2020: $288,1472020Revenue 2021: $13,549,904Expenses 2021: $11,046,373Net Income 2021: $2,503,5312021Revenue 2022: $12,323,795Expenses 2022: $13,146,708Net Income 2022: -$822,9132022Revenue 2023: $11,429,563Expenses 2023: $13,026,861Net Income 2023: -$1,597,2982023

Highlighted filing

2023

Revenue$11,429,563
Expenses$13,026,861
Net Income-$1,597,298

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2023Detailed filing. Detailed filing data is available for this year.$7.38$3.65$3.73$11.4$13.0$1.60
2022Detailed filing. Detailed filing data is available for this year.$9.24$3.91$5.33$12.3$13.1$0.82
2021Detailed filing. Detailed filing data is available for this year.$10.8$4.65$6.15$13.5$11.0$2.50
2020Detailed filing. Detailed filing data is available for this year.$10.5$6.82$3.65$10.2$9.95$0.29
2019Detailed filing. Detailed filing data is available for this year.$6.82$3.46$3.36$9.56$9.35$0.21
2018Detailed filing. Detailed filing data is available for this year.$5.74$2.59$3.15$8.68$8.51$0.17
2017Detailed filing. Detailed filing data is available for this year.$5.42$2.44$2.98$7.76$7.48$0.27
2016Detailed filing. Detailed filing data is available for this year.$4.88$2.17$2.71$7.26$6.92$0.34
2015Detailed filing. Detailed filing data is available for this year.$4.06$1.69$2.37$6.87$6.54$0.32
2014Detailed filing. Detailed filing data is available for this year.$3.72$1.68$2.05$6.58$6.16$0.42
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.70$2.08$1.63$5.76
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.47$2.00$1.47$5.58
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.43$1.62$1.81$4.85
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.85$0.86$1.99$4.82
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2022 to Jun 30, 2023
Signed
Apr 23, 2025
Return Version
2022v5.0
Gross Receipts
$11,438,282
Mission and Program Overview

Mission

To advance the health of patients and communities we serve through a culture of leadership, continuous improvement and accountability. Jacobson Memorial Hospital Care Center (JMHCC) understands the relationship that exists between body, mind and the human spirit. We believe that respect, integrity, quality, commitment and accountability are the foundation by which a healthcare provider should practice in accordance with respect of this relationship.

To provide quality healthcare to advance the health of patients and communities we serve.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$4,321,335$3,728,254▼ $593,081
Accounts Receivable$2,391,114$1,575,366▼ $815,748
Savings and Temporary Cash Investments$624,621$630,571▲ $5,950
Investments Other Securities$214,516$231,630▲ $17,114
Inventories for Sale or Use$195,984$201,875▲ $5,891
Prepaid Expenses and Deferred Charges$85,513$93,981▲ $8,468
Total Assets$9,238,083$7,380,677▼ $1,857,406
Other Assets Total$1,405,000$919,000▼ $486,000
Liabilities
Mortgage Notes Payable Secured by Investment Property$2,401,483$2,411,543▲ $10,060
Accounts Payable and Accrued Expenses$1,421,636$1,085,984▼ $335,652
Other Liabilities$0$150,000▲ $150,000
Deferred Revenue$84,516--
Escrow Account Liability$655$655→ $0
Total Liabilities$3,908,290$3,648,182▼ $260,108
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$5,313,187$3,732,495▼ $1,580,692
Net Assets With Donor Restrictions$16,606$0▼ $16,606
Total Net Assets Fund Balance$5,329,793$3,732,495▼ $1,597,298
Total Liabilities and Net Assets / Fund Balance$9,238,083$7,380,677▼ $1,857,406

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$2,326,279$5,231,542$7,557,821
Equipment$1,003,345$3,996,857$5,000,202
Other Land Buildings$385,336$494,100$879,436
Land$13,294-$13,294
Other Assets Org$919,000--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Elizabeth SundbergMdPT$263,015$15,626$278,641
Theo StollerCEO/Administrator until June 2023FT$210,382$26,549$236,931
April BergerNpPT$170,882$26,208$197,090
Rhonda SchmidtFnpPT$149,381$17,807$167,188
Carrie GervingFnp/COOPT$135,320$24,773$160,093
Jolene EngelhartFnpPT$118,074$22,374$140,448
Micaela MeyerCFOFT$60,998$5,174$66,172

Board Members and Trustees

NameTitle
Ron BartzChairperson
Leslie NiedermanChairperson (partial year)
Julie ArmijoVice Chair
Joel KleinVice Chair (partial year)
Ann HertzDirector
Dennis SabinDirector
JoAnn SchatzDirector (partial year)
Dave MarionDirector as of February 2023
Dennis RiviniusDirector as of February 2023
Leona ZemliskaDirector as of February 2023
Scott BrooksCEO/Administrator as of Jan 2023
Patrick DiehlSecretary

Highest Paid Contractors

ContractorServicesLocationCompensation
HomesteadLocums821 Senior Ave, Dickinson, ND 58601$680,051
Medical Solutions LLCLocums1010 N 102nd St STE 300, Omaha, NE 68114$425,815
National Medical Resources IncLocums2792 E Broadway Ave, Bismarck, ND 58501$204,527
ARL IncProviderPO Box 52, Elgin, ND 58533$108,550
Bogerosa IncPT Therapist4729 Amberglow Dr, Bismarck, ND 58503$104,069
Revenue and Support

Revenue Composition

Contributions and Grants
$206,368
Program Service Revenue
$11,222,566
Investment Income
$1,298
Other Revenue
$-669
Change in Net Assets
$-1,597,298

Audited Revenue Reconciliation

Revenue per Audited Statements
$11,438,282
Revenue Not Reported on Financial Statements
$-8,719
Revenue Not Reported on Form 990
$-334,013
Other Revenue Adjustments
$-8,719
Total Revenue per Audited Statements
$11,104,269
Total Revenue per Form 990
$11,429,563
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$6,815,166
Other Expenses$6,211,695
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$4,844,929$569,602-$5,414,531
Fees for Services Other$2,551,104$742,579-$3,293,683
Depreciation Depletion$671,553$69,263-$740,816
Other Employee Benefits$440,594$146,510-$587,104
Current Officers, Directors, Trustees, and Key Employees-$420,854-$420,854
All Other Expenses$284,263$8,254-$292,517
Occupancy$178,026$63,889-$241,915
Payroll Taxes$160,411$62,858-$223,269
Office Expenses$134,572$46,811-$181,383
Insurance$83,896$91,423-$175,319
Fees for Services Legal-$150,000-$150,000
Pension Plan Contributions$115,273$29,728-$145,001
Interest$108,557$11,196-$119,753
Comp Disqual Persons$24,407--$24,407
Other Expenses$17,216$27,508-$17,216
Information Technology-$2,894-$2,894
Total Functional Expenses$10,583,492$2,443,369$0$13,026,861

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$13,026,861
Total Expenses per Audited Statements$12,701,567
Expenses per Audited Statements$12,692,848
Expenses Not Reported on Financial Statements$334,013
Other Expense Adjustments$334,013
Expenses Not Reported on Form 990$8,719
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Crystal StollerFamily member of Officer Theo StollerCompensation as PRNNo$24,407
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Claims reserve$150,000
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, line 1A

The Executive Committee shall consist of the Board Chairperson, Vice Chairperson, and the Secretary. The Executive Committee shall have power to transact all regular business of the hospital during the period between the meetings of the governing board, subject to any prior limitations imposed by the governing board and with the understanding that all matters of major importance will be referred to the governing board. It shall be the further duty of the Executive Committee to examine the monthly financial reports. Minutes of the Executive Committee meetings shall be submitted to the Board, and its actions shall be subject to approval or disapproval at the next regular board meeting. The board president only votes if there is a tie.

Form 990, Part VI, Section A, line 6

There is one class of members. Each member pays a one-time fee of $10 for membership.

Form 990, Part VI, Section A, line 7A

Each member receives one vote to elect a director to the Hospital Board. Elections take place at the scheduled annual meeting which is held during the last quarter in the calendar year.

Form 990, Part VI, Section A, line 7B

The by-laws of the corporation may be amended by affirmative vote of a two-thirds (2/3) majority of the members present at the annual meeting or any special meeting of the corporation, provided, that a notice of such proposed amendments shall have been published in the notice calling the meeting, or, the by-laws may be amended by a vote of three-fourths (3/4) of the Board of Directors members.

Form 990, Part VI, Section B, line 11B

The CEO and CFO reviewed the Form 990 prior to submission and copies were provided to the board prior to filing. The board also reviews the Form 990 at the next scheduled board meeting.

Form 990, Part VI, Section B, line 12C

Yearly, Officers, Directors and key employees are given the Organization's Conflict of Interest Policy and a Conflict of Interest Acknowledgement Statement in which they must sign. It is the duty of an interested person to disclose the existence of a potential conflict of interest. If any individual discloses a possible conflict, he/she shall leave the governing board or committee meeting while the determination of a conflict of interest is discussed and voted upon by the remaining board or committee members to determine if in fact a conflict of interest exists. If it is found that a conflict exists the conflicted individual is asked to leave the meeting. The remaining board or committee members shall exercise due diligence in determining whether JMHCC can obtain with reasonable efforts a more advantageous transaction or arrangement from a person or entity that would not give rise to a conflict of interest. If a more advantageous transaction or arrangement is not reasonably possible under circumstances not producing a conflict of interest, the Governing Board or committee shall determine by a majority vote of the disinterested directors whether the transaction or arrangement is in JMHCC's best interest, for its own benefit, and whether it is fair and reasonable. In conformity with the above determination it shall make its decision as to whether to enter into the transaction or arrangement. In this fiscal year each affected person signed the policy with no conflicts noted.

Form 990, Part VI, Section B, line 15

The compensation of the Hospital Administrator is reviewed and approved by the independent Board of Directors. The Hospital obtains salary surveys from the Long Term Care Association and the North Dakota Hospital Association in deliberating the compensation amount. The compensation determination is presented and approved at a board meeting each year. Compensation for the CFO is reviewed with salary surveys from the NDHA. The CEO does an annual evaluation of the CFO's performance. The CFO falls under the policy for merit based evaluation and raises are based on this.

Form 990, Part VI, Section C, line 19

The Organization's governing documents, conflict of interest policy, and financial statements are available to the public upon request.

Filing and Contact Details

Filer

Filer Name
Jacobson Memorial Hospital Care Center
EIN
45-0222079
Phone
7015842792
Address
601 E St N, Elgin, ND 58533

Signing Officer

Name
Scott Brooks
Title
CEO
Phone
7015842792
Signed
2025-04-23
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Scott Brooks
Formed
1949
Legal Domicile
Nd
Voting Board Members
9
Independent Board Members
9
Employees
134
Volunteers
15

Preparer

Firm
Eide Bailly LLP
Address
4585 Coleman St Ste 200, Bismarck, ND 58503
Preparer
Lisa Chaffee CPA
Phone
7012551091
Supplemental Narrative

Additional Explanations

Form 990, Part IX, line 11G

Contracted Services: Program service expenses 2,551,104. Management and general expenses 742,579. Fundraising expenses 0. Total expenses 3,293,683.

Financial Statement Notes

Part IV, Line 2B:

The Hospital acts as custodian for the funds of the swing bed patients. These funds are included in cash and cash equivalents and accounts payable in the consolidated financial statements. Patient trust funds totaled $655 at June 30, 2023 and 2022.

Part X, Line 2:

JMHCC believes 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. JMHCC would recognize future accrued interest and penalties related to unrecognized tax liabilities in income tax expense if such interest and penalties are incurred.

Part XI, Line 2D - Other Adjustments:

Other Expenses included with Revenue in Financial Statement -334,013.

Part XI, Line 4B - Other Adjustments:

Rental Expenses -8,719.

Part XII, Line 2D - Other Adjustments:

Rental Expenses 8,719.

Part XII, Line 4B - Other Adjustments:

Other Expenses included with Revenue in Financial Statement 334,013.

Raw XML AppendixShowing 400 of 870 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/MissionDesc0To advance the health of patients and communities we serve through a culture of leadership, continuous improvement and accountability. Jacobson Memorial Hospital Care Center (JMHCC) understands the relationship that exists between body, mind and the human spirit. We believe that respect, integrity, quality, commitment and accountability are the foundation by which a healthcare provider should practice in accordance with respect of this relationship.
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