SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION (EIN 42-0707096)
- Tax period
- 2024-01-01 to 2024-12-31
- Filed
- 2025-10-30
- IRS object ID
- 202533039349302303
- Schema version
- 2024v5.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-10-30T13:47:24-05:00 | ReturnTs |
| Tax Period End | 2024-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 450250958 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EIDE BAILLY LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 345 N REID PL STE 400 | AddressLine1Txt |
| City | SIOUX FALLS | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 571037034 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 420707096 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SIOUX VALLEY MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Business Name Line2 | ASSOCATION | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SIOU | BusinessNameControlTxt |
| Phone | 7022256818 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 SIOUX VALLEY DR | AddressLine1Txt |
| City | CHEROKEE | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 510121205 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TYLER GERSTANDT | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 7022256818 | PhoneNum |
| Signature | 2025-10-29 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LAURIE HANSON CPA | PreparerPersonNm |
| PTIN | P00851848 | PTIN |
| Phone | 6053391999 | PhoneNum |
| Preparation | 2025-10-29 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHEROKEE REGIONAL MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | GARY JORDAN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 SIOUX VALLEY DR | AddressLine1Txt |
| City | CHEROKEE | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 510121205 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $60,820,576 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTP://WWW.CHEROKEERMC.ORG/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1916 | FormationYr |
| Legal Domicile State | IA | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE A COMPLETE CONTINUUM OF HEALTHCARE SERVICES TO THE PEOPLE OF CHEROKEE AND SURROUNDING AREAS | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 405 | TotalEmployeeCnt |
| Total Volunteers | 15 | TotalVolunteersCnt |
| Total Gross UBI | $379,561 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,531,027 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,223,928 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $50,213,538 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $56,243,509 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,047,889 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,168,632 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,791,354 | PYOtherRevenueAmt |
| CY Other Revenue | $184,507 | CYOtherRevenueAmt |
| PY Total Revenue | $55,583,808 | PYTotalRevenueAmt |
| CY Total Revenue | $60,820,576 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $256,814 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $26,020,927 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $27,717,202 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $23,570,313 | PYOtherExpensesAmt |
| CY Other Expenses | $28,904,486 | CYOtherExpensesAmt |
| PY Total Expenses | $49,591,240 | PYTotalExpensesAmt |
| CY Total Expenses | $56,878,502 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $5,992,568 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,942,074 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $89,221,953 | TotalAssetsBOYAmt |
| Total Assets EOY | $109,947,173 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $7,036,882 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $7,877,961 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $82,185,071 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $102,069,212 | NetAssetsOrFundBalancesEOYAmt |
| Mission | PROVIDE SEAMLESS, QUALITY HEALTH CARE SERVICES TO OUR COMMUNITIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $49,493,346 | ExpenseAmt |
| Grant | $256,814 | GrantAmt |
| Revenue | $55,838,744 | RevenueAmt |
| Desc | THE ORGANIZATION IS A CRITICAL ACCESS HOSPITAL WITH 25 ACUTE BEDS. THE ORGANIZATION PROVIDES ACUTE AND ANCILLARY SERVICES TO INDIVIDUALS IN INPATIENT AND OUTPATIENT SETTINGS. IN ADDITION, THE ORGANIZATION OPERATES SEVERAL PHYSICIAN CLINICS, A WELLNESS CENTER, AND PROVIDES SENIOR HOUSING SERVICES. DURING 2024, THE ORGANIZATION PROVIDED OVER 36,000 OUTPATIENT VISITS, 2,500 EMERGENCY ROOM VISITS, 16,000 CLINIC VISITS, AND NEARLY 100 BIRTHS. | Desc |
| Total Program Service Expenses | $49,493,346 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 51 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 405 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TYLER GERSTANDT | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7022256818 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 SIOUX VALLEY DR | AddressLine1Txt |
| City | CHEROKEE | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 510121205 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| BRANDON HENKE | ||||||||
| CHAIRPERSON | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| KELLEN LUDVIGSON | ||||||||
| VICE CHAIRPERSON | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| KERRY HURD | ||||||||
| SECRETARY/ TREASURER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| CLAY LEAVITT | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| LES TODD | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| SARAH COOK | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| SHEILA TRAPP | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| TYLER GERSTANDT | ||||||||
| CFO | 38.00 | 2.00 | $180,550 | $0 | $33,518 | Yes (X) | ||
| GARY JORDAN | ||||||||
| CEO | 38.50 | 1.50 | $0 | $0 | $0 | Yes (X) | ||
| NICHOLAS LOUGHLIN | ||||||||
| DO | 40.00 | 0.00 | $700,430 | $0 | $44,837 | Yes (X) | ||
| SEAN NELSON | ||||||||
| MD | 40.00 | 0.00 | $624,537 | $0 | $47,154 | Yes (X) | ||
| SCOTT MURRAY | ||||||||
| MD | 40.00 | 0.00 | $571,274 | $0 | $73,317 | Yes (X) | ||
| BRITT ANDERSEN | ||||||||
| MD | 40.00 | 0.00 | $502,247 | $0 | $56,135 | Yes (X) | ||
| JOHN GREAVES | ||||||||
| DPM | 40.00 | 0.00 | $500,277 | $0 | $48,615 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,079,315 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $303,576 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 32 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (1) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| WA KLINGER | |||||
| 2015 E 7TH ST | SIOUX CITY | IA | 51102 | GENERAL CONTRACTOR | $12,510,841 |
| UNITYPOINT HEALTH | |||||
| 1776 WEST LAKES PARKWAY | WEST DES MOINES | IA | 50266 | MANAGEMENT AND OTHER SERVICES | $1,124,063 |
| LOCUM TENENS | |||||
| PO BOX 405547 | ATLANTA | GA | 30384 | OBGYN COVERAGE | $858,188 |
| ADEL ABDALLA PLLC | |||||
| 11253 S APOPKA VINELAND RD | ORLANDO | FL | 32836 | RADIOLOGY COVERAGE | $830,950 |
| MEDICAL SOLUTIONS | |||||
| PO BOX 850737 | MINNEAPOLIS | MN | 55485 | NURSING SUPPORT | $760,926 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 20 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $56,779 | RelatedOrganizationsAmt |
| Government Grants | $1,553,049 | GovernmentGrantsAmt |
| All Other Contributions | $614,100 | AllOtherContributionsAmt |
| Total Contributions | $2,223,928 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT REVENUE | 621300 | $50,902,123 | $50,902,123 | |
| PHARMACY REVENUE | 456110 | $3,143,431 | $3,143,431 | |
| MANAGEMENT AGREEMENT REVENUE | 621300 | $930,226 | $930,226 | |
| SENIOR HOUSING | 531110 | $456,155 | $456,155 | |
| WELLNESS CENTER REVENUE | 713940 | $404,765 | $404,765 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $406,809 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $406,809 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $56,243,509 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,168,632 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$25,204 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,193,836 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $184,507 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $184,507 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $184,507 | TotalRevenueColumnAmt |
| Exclusion | $184,507 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $60,820,576 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $55,838,744 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $379,561 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,378,343 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $187,309 | TotalAmt |
| Program Services | $187,309 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,505 | TotalAmt |
| Program Services | $69,505 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $214,415 | TotalAmt |
| Management And General | $214,415 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,193,944 | TotalAmt |
| Program Services | $18,459,782 | ProgramServicesAmt |
| Management And General | $2,734,162 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $553,342 | TotalAmt |
| Program Services | $484,243 | ProgramServicesAmt |
| Management And General | $69,099 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,638,014 | TotalAmt |
| Program Services | $4,055,977 | ProgramServicesAmt |
| Management And General | $582,037 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,117,487 | TotalAmt |
| Program Services | $945,581 | ProgramServicesAmt |
| Management And General | $171,906 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $527,382 | TotalAmt |
| Management And General | $527,382 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,081 | TotalAmt |
| Management And General | $50,081 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,086 | TotalAmt |
| Management And General | $71,086 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,455,196 | TotalAmt |
| Program Services | $7,814,307 | ProgramServicesAmt |
| Management And General | $640,889 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $108,570 | TotalAmt |
| Program Services | $58,189 | ProgramServicesAmt |
| Management And General | $50,381 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $518,680 | TotalAmt |
| Program Services | $352,447 | ProgramServicesAmt |
| Management And General | $166,233 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,426 | TotalAmt |
| Management And General | $95,426 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $803,762 | TotalAmt |
| Program Services | $333,646 | ProgramServicesAmt |
| Management And General | $470,116 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $188,381 | TotalAmt |
| Program Services | $169,384 | ProgramServicesAmt |
| Management And General | $18,997 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,878 | TotalAmt |
| Program Services | $65,514 | ProgramServicesAmt |
| Management And General | $6,364 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,988,007 | TotalAmt |
| Program Services | $2,367,040 | ProgramServicesAmt |
| Management And General | $620,967 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $395,923 | TotalAmt |
| Program Services | $150,014 | ProgramServicesAmt |
| Management And General | $245,909 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $9,944,211 | $9,932,869 | $11,342 |
| MEDICAID EXPENSE | $1,846,554 | $1,846,554 | |
| REPAIRS & MAINTENANCE | $1,438,679 | $1,208,620 | $230,059 |
| MINOR EQUIPMENT | $294,569 | $254,151 | $40,418 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,106,101 | TotalAmt |
| Program Services | $738,214 | ProgramServicesAmt |
| Management And General | $367,887 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,878,502 | TotalAmt |
| Program Services | $49,493,346 | ProgramServicesAmt |
| Management And General | $7,385,156 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,066,814 | BOYAmt |
| EOY | $2,430,717 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,297,746 | BOYAmt |
| EOY | $6,017,310 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,000,000 | BOYAmt |
| EOY | $1,075,000 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,011,831 | BOYAmt |
| EOY | $1,064,025 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,020,318 | BOYAmt |
| EOY | $1,071,775 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $86,840,387 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $43,553,354 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,408,003 | BOYAmt |
| EOY | $43,287,033 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,176,653 | BOYAmt |
| EOY | $37,759,584 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,768,338 | BOYAmt |
| EOY | $1,730,621 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $472,250 | BOYAmt |
| EOY | $15,511,108 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $89,221,953 | BOYAmt |
| EOY | $109,947,173 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,863,341 | BOYAmt |
| EOY | $5,782,262 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $123,217 | BOYAmt |
| EOY | $114,934 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,324 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $1,980,765 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,036,882 | BOYAmt |
| EOY | $7,877,961 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,757,270 | BOYAmt |
| EOY | $86,419,866 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $427,801 | BOYAmt |
| EOY | $15,649,346 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,185,071 | BOYAmt |
| EOY | $102,069,212 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $89,221,953 | BOYAmt |
| EOY | $109,947,173 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $3,942,074 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $496,498 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | $15,000,442 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $445,127 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,827,539 | OtherCostOrOtherBasisAmt |
| Book Value | $4,827,539 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $42,471,048 | OtherCostOrOtherBasisAmt |
| Depreciation | $27,694,878 | DepreciationAmt |
| Book Value | $14,776,170 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $17,104,299 | OtherCostOrOtherBasisAmt |
| Depreciation | $14,523,455 | DepreciationAmt |
| Book Value | $2,580,844 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $22,437,501 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,335,021 | DepreciationAmt |
| Book Value | $21,102,480 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $43,287,033 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| RIGHT OF USE ASSET | $65,539 |
| BENEFICIAL INTEREST IN PERPETUAL TRUSTS | $15,445,569 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $15,511,108 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| RIGHT OF USE LIABILITY | $65,765 |
| ESTIMATED THIRD-PARTY PAYOR SETTLEMENT | $1,915,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,980,765 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $61,762,201 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $496,498 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $445,127 | OtherRevenueAmt |
| Revenue Not Reported | $941,625 | RevenueNotReportedAmt |
| Revenue Subtotal | $60,820,576 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $60,820,576 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $56,878,502 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $56,878,502 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $56,878,502 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE MEDICAL CENTER 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 MEDICAL CENTER 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 2D - OTHER ADJUSTMENTS: | CHANGE IN VALUE OF BENEICIAL INTEREST IN PERPETUAL TRUSTS 445,127. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | 0 | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | 0 | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $221,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $221,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00390 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $221,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $221,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00390 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,983,131 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,252,243 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $730,888 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01280 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $681 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $681 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,133,462 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,328,496 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,804,966 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10210 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $185,307 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $185,307 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00330 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,302,581 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,580,739 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,721,842 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11820 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,523,581 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,580,739 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,942,842 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12210 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $860,803 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $85,220 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $13,074,711 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $13,237,161 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$162,450 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHEROKEE REGIONAL MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 SIOUX VALLEY DRIVE | AddressLine1Txt |
| City | CHEROKEE | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 51012 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | HTTPS://CHEROKEERMC.ORG/ | WebsiteAddressTxt |
| State License | 180094H | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | 5 RURAL HEALTH CLINICS AND 2 PROVIDER BASED CLINICS | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHEROKEE REGIONAL MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, LINE 7D NARRATIVE | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, LINE 7D NARRATIVE | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://CHEROKEERMC.ORG/PATIENTS-VISITORS/PRICE-TRANSPARENCY/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://CHEROKEERMC.ORG/PATIENTS-VISITORS/PRICE-TRANSPARENCY/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://CHEROKEERMC.ORG/PATIENTS-VISITORS/PRICE-TRANSPARENCY/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| CHEROKEE REGIONAL MEDICAL CENTER | PART V, SECTION B, LINE 5: COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS BEGAN IN MAY 2022. REQUESTS FOR INPUT WERE RUN IN THE LOCAL PAPER IN JUNE 2022, A DIRECT EMAIL CAMPAIGN TOOK PLACE IN JULY 2022, AND A TOWN HALL MEETING WAS HELD IN AUGUST 2022. THE DIRECT EMAIL CAMPAIGN INCLUDED ANY INTERESTED GROUPS IDENTIFIED BY THE ORGANIZATION AS WELL AS KEY GROUPS IN THE COMMUNITY. |
| CHEROKEE REGIONAL MEDICAL CENTER | PART V, SECTION B, LINE 7D: THE CHNA AND IMPLEMENTATION STRATEGY CAN BE FOUND AT: HTTPS://CHEROKEERMC.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ |
| CHEROKEE REGIONAL MEDICAL CENTER | PART V, SECTION B, LINE 11: IN THE MOST RECENT CHNA CONDUCTED THE FOLLOWING NEEDS WERE IDENTIFIED: ACCESS TO MENTAL HEALTH AND CRISIS SERVICES, OBESITY SUPPORT, CANCER RESOURCES, DISEASE PREVENTION/WELLNESS (EDUCATION), AWARENESS OF HEALTHCARE SERVICES, SUBSTANCE ABUSE SUPPORT, TRANSPORTATION, SUICIDE PREVENTION, AND DIALYSIS SERVICES. DIALYSIS SERVICES WAS NOT ADDRESSED AS THE ORGANIZATION HAS NOT FOUND A COST EFFECTIVE WAY TO APPROACH SERVICES FOR THE COMMUNITY.IN THE CURRENT YEAR, THE HOSPITAL TAKEN THE FOLLOWING ACTIONS TO ADDRESS THE NEEDS IDENTIFIED IN THE LATEST CHNA:MENTAL HEALTH: CONTRACTED A MENTAL HEALTH NURSE PRACTITIONER DURING A PORTION OF THE YEAR. CRMC PROVIDED A SITTER SERVICE FOR PATIENTS IN OUR ER OR MEDICAL SURGERY THAT NEED ADDITIONAL HELP IN ORDER TO KEEP THE PATIENT AND OUR STAFF SAFE.OBESITY: SUBSIDIZED THE FITNESS CENTER FOR 2024. DURING 2024, CRMC ALSO EMPLOYED A REGISTERED DIETICIAN TO SUPPORT INPATIENT AND OUTPATIENT SERVICES. CANCER SERVICES: CRMC OFFERS CHEMO INFUSIONS ON SITE AS WELL AS PARTNERS WITH JUNE E. NYLEN CANCER CENTER TO PROVIDE SUPPORT AND TREATMENT FOR OUR COMMUNITY. DISEASE PREVENTION: PUBLIC HEALTH PROVIDES INFORMATION AND SUPPORT FOR ANY REPORTED OUTBREAKS AND WORKS CLOSELY WITH CRMC DOCTORS ON AWARENESS OF CURRENT OR SUSPECTED OUTBREAKS. AWARENESS OF SERVICES: IMPLEMENTED A MARKETING CAMPAIGN THROUGHOUT 2024 TO HIGHLIGHT ALL SERVICES PROVIDED BY CRMC. SUBSTANCE ABUSE: CRMC PROVIDED A SITTER SERVICE FOR PATIENTS IN OUR ER OR MEDICAL SURGERY THAT NEED ADDITIONAL HELP IN ORDER TO KEEP THE PATIENT AND OUR STAFF SAFE. TRANSPORTATION: PROVIDED A VAN SERVICE TO PICK UP PATIENTS FOR OUR SENIOR LIFE SOLUTIONS PROGRAM.SUICIDE PREVENTION: CRMC FACILITATES THE CHEROKEE SUICIDE COALITION TO HELP MEET THE NEEDS OF THE COMMUNITY. ADDITIONALLY, CRMC CONTRACTED A MENTAL HEALTH NURSE PRACTITIONER DURING A PORTION OF THE YEAR. |
| CHEROKEE REGIONAL MEDICAL CENTER | PART V, SECTION B, LINE 13B: A DISCOUNT MAY BE PROVIDED ON A CASE-BY-CASE BASIS AT THE DISCRETION OF THE CFO OR CFO DESIGNEE TO INDIVIDUALS WHO DO NOT QUALIFY FOR FREE CARE. A DETERMINATION BASED ON PRESUMPTIVE ELIGIBILITY MAY ALSO BE MADE IF ALL OTHER AVENUES HAVE BEEN EXHAUSTED. |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | IN ADDITION TO USING FPG TO DETERMINE FREE CARE, THE FACILITY USES ASSET LEVEL AND MEDICAL INDIGENCY. A DISCOUNT MAY BE PROVIDED ON A CASE-BY-CASE BASIS AT THE DISCRETION OF THE CFO OR CFO DESIGNEE TO INDIVIDUALS WHO DO NOT QUALIFY FOR FREE CARE. A DETERMINATION BASED ON PRESUMPTIVE ELIGIBILITY MAY ALSO BE MADE IF ALL OTHER AVENUES HAVE BEEN EXHAUSTED. |
| PART I, LINE 7: | CHARITY CARE EXPENSE WAS CALCULATED BY MULTIPLYING THE RATIO OF COST TO GROSS CHARGES FOR THE MEDICAL CENTER BY THE GROSS UNCOMPENSATED CHARGES ASSOCIATED WITH PROVIDING CHARITY CARE TO ITS PATIENTS. LINE 7E, 7F, AND 7I WERE OBTAINED UTILIZING THE ACTUAL GENERAL LEDGER SYSTEM. LINE 7G WAS CALUCLATED USING THE MEDICARE COST REPORTS. |
| PART III, LINE 2: | THE AMOUNT ON LINE 2 REPRESENTS IMPLICIT PRICE CONCESSIONS. THE ORGANIZATION DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSION BASED ON ITS HISTORICAL COLLECTION EXPERIENCE WITH THIS CLASS OF PATIENTS. |
| PART III, LINE 3: | THE ESTIMATED AMOUNT OF THE ORGANIZATION'S IMPLICIT PRICE CONCESSIONS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS CALCULATED BASED ON THE PERCENTAGE OF INDIVIDUALS LIVING BELOW THE POVERTY LEVEL IN CHEROKEE COUNTY FOR 2019-2023. THEREFORE, 9.9% OF IMPLICIT PRICE CONCESSIONS CAN REASONABLY BE CONSIDERED A COMMUNITY BENEFIT AS IT WOULD HAVE BEEN WRITTEN OFF TO CHARITY CARE. |
| PART III, LINE 4: | FOOTNOTE FROM FINANCIAL STATEMENTS: SEE NOTE 1, FINANCIAL STATEMENT, PATIENT SERVICE REVENUE ON PAGES 12-13. |
| PART III, LINE 8: | MEDICARE ALLOWABLE COSTS OF CARE WAS CALCULATED FROM THE MEDICARE COST REPORT FOR FISCAL YEAR ENDING 12/31/2024. MEDICAL SERVICES ARE PROVIDED TO PATIENTS WITH MEDICARE COVERAGE REGARDLESS OF WHETHER OR NOT A SURPLUS OR DEFICIT IS REALIZED. PROVIDING MEDICARE SERVICES PROMOTES ACCESS TO HEALTHCARE SERVICES WHICH ARE VITALLY NEEDED BY OUR COMMUNITY.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 $913,725.MEDICARE FEE SCHEDULE REVENUE: $648,831MEDICARE ESTIMATED COSTS OF CARE RELATING TO PAYMENTS ($1,562,556)NET SHORTAGE ($913,725) |
| PART III, LINE 9B: | SELF-PAY ACCOUNTS WITHOUT ANY INSURANCE INFORMATION WILL BE EVALUATED FOR POTENTIAL INSURANCE COVERAGE. IF NO INSURANCE COVERAGE IS IDENTIFIED, A REVIEW WILL BE CONDUCTED FOR PREVIOUS FINANCIAL ASSISTANCE. IF A QUALIFYING FINANCIAL ASSISTANCE DETERMINATION EXISTS, THE ACCOUNT WILL BE ADJUSTED ACCORDING TO THE DETERMINATION OF THE PREVIOUS FINANCIAL ASSISTANCE APPLICATION AND THE PATIENT WILL BE NOTIFIED OF SUCH ACTION. IF NO PREVIOUSLY APPROVED FINANCIAL ASSISTANCE APPLICATION EXISTS, A LETTER OFFERING A 10% PROMPT PAY DISCOUNT ALONG WITH A FINANCIAL ASSISTANCE APPLICATION WILL BE SENT TO THE PATIENT/GUARANTOR. THE FINANCIAL ASSISTANCE POLICY WILL BE FOLLOWED AT THIS POINT. THIS STEP WILL HAPPEN PRIOR TO THE FIRST STATEMENT. IF, DURING THE COLLECTION PROCESS, IT IS DETERMINED THAT AN ACCOUNT QUALIFIES FOR FINANCIAL ASSISTANCE, THE COLLECTION PROCESS ENDS AND THE ACCOUNT IS WRITTEN OFF. |
| PART VI, LINE 2: | THE ORGANIZATION IS WELL CONNECTED TO THE COMMUNITIES WE SERVE THROUGH ITS EMPLOYEES WHO ACTIVELY PARTICIPATE ON BOARDS AND COMMITTEES OF MANY DIFFERENT GROUPS. WE ALSO ORGANIZE A PATIENT AND FAMILIES ADVISORY COMMITTEE (PFAC), WHERE WE ENGAGE A BOARD OF THE COMMUNITY TO UNDERSTAND STRUGGLES AND NEEDS. |
| PART VI, LINE 3: | THE ORGANIZATION POSTS ITS CHARITY CARE POLICY, OR A SUMMARY THEREOF, AND FINANCIAL ASSISTANCE CONTACT INFORMATION IN ADMISSIONS AREAS, EMERGENCY ROOMS, AND OTHER AREAS OF THE ORGANIZATION'S FACILITIES IN WHICH ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT AND ASSISTS THE PATIENT WITH QUALIFICATION FOR SUCH PROGRAMS, WHERE APPLICABLE. THE FINANCIAL ASSISTANCE APPLICATION IS MAILED WITH THE PATIENT STATEMENT IF THE PATIENT DOES NOT PROVIDE INSURANCE INFORMATION. ADDITIONALLY, PATIENTS WITH OLD ACCOUNTS ARE SEARCHED AGAINST THE IOWA MEDICAID DATABASE TO SEE IF PATIENT HAS SUBSEQUENTLY RECEIVED MEDICAID COVERAGE. |
| PART VI, LINE 4: | THE COMMUNITY THAT THE HOSPITAL SERVES IS LOCATED IN RURAL NORTHWEST IOWA, WITH AN ECONOMY LARGELY TIED TO AGRICULTURE. CHEROKEE COUNTY HAS APPROXIMATELY 10,000 RESIDENTS. THE MEDIAN AGE OF THE COUNTY IS 44.5 AND THE MEDIAN HOUSEHOLD INCOME IS $64,478, APPROXIMATELY 90% OF THE NATIONAL MEDIAN. THE POVERTY RATE OF THE COUNTY IS ESTIMATED TO BE BETWEEN 9.6% AND 15.23%. |
| PART VI, LINE 5: | ALL MEMBERS OF THE ORGANIZATION'S BOARD OF DIRECTORS RESIDE IN THE ORGANIZATION'S SERVICE AREA, NONE OF WHOM ARE EMPLOYEES OF THE ORGANIZATION. THE ORGANIZATION OFFERS 24/7 EMERGENCY ROOM SERVICE FOR PATIENTS, REGARDLESS OF THE ABILITY TO PAY. MEDICAL STAFF PRIVILEGES ARE PROVIDED ON A CASE BY CASE APPROVAL BASIS. SURPLUS FUNDS ARE USED TO IMPROVE PATIENT CARE AND MEET THE HEALTH NEEDS OF THE COMMUNITY. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | IA |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| AURELIA FIRE DEPARTMENT | ||||||||
| 110 MYRTLE ST | AURELIA | IA | 51005 | 811829524 | 501C3 | $25,000 | $0 | NEW FIRE STATION |
| WESTERN IOWA TECH COMMUNITY COLLEGE FOUNDATION | ||||||||
| 200 VICTORY DRIVE | CHEROKEE | IA | 51012 | 421355682 | 501C3 | $150,000 | $0 | CHEROKEE PROMISE - TO INCREASE LOCAL STUDENT ENROLLMENT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (3 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt |
|---|---|---|
| EMPLOYEE FLOOD ASSISTANCE | 5 | $26,000 |
| AREA HIGH-SCHOOL SCHOLARSHIP AWARDS | 10 | $3,930 |
| REGISTERED APPRENTICESHIP PROGRAM | 29 | $39,575 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE CFO AND HEAD OF HOSPITAL COMPLIANCE MONITORS THE USE OF GRANT FUNDS. ALL SCHOLARSHIP FUNDS ARE PAID DIRECTLY TO THE SCHOOL TO ENSURE APPROPRIATE USE OF THE FUNDS. CHEROKEE REGIONAL MEDICAL CENTER USES AN APPLICATION AND INTERVIEW PROCESS FOR THOSE WHO ARE ENTERED INTO A REGISTERED APPRENTICESHIP PROGRAM PER THE GRANT REQUIREMENT. UPON ARRIVAL ALL APPRENTICES ARE EDUCATED ON APPROVED EXPENSES AND ALL EXPENSES GO THROUGH A MANAGERIAL APPROVAL PROCESS PRIOR TO BEING REIMBURSED. FURTHERMORE ALL EXPENSES ARE THEN SUBMITTED TO THE STATE OF IOWA OFFICE OF APPRENTICESHIP FOR FURTHER REVIEW TO ENSURE COMPLIANCE. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (1) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NICHOLAS LOUGHLIN | ||||||||||||||
| DO | $258,568 | $0 | $441,862 | $0 | $0 | $0 | $13,136 | $0 | $32,400 | $0 | $745,966 | $0 | $0 | $0 |
| SEAN NELSON | ||||||||||||||
| MD | $336,941 | $0 | $287,596 | $0 | $0 | $0 | $15,375 | $0 | $32,478 | $0 | $672,390 | $0 | $0 | $0 |
| SCOTT MURRAY | ||||||||||||||
| MD | $557,999 | $0 | $13,275 | $0 | $0 | $0 | $36,800 | $0 | $37,216 | $0 | $645,290 | $0 | $0 | $0 |
| BRITT ANDERSEN | ||||||||||||||
| MD | $481,368 | $0 | $20,879 | $0 | $0 | $0 | $41,532 | $0 | $15,194 | $0 | $558,973 | $0 | $0 | $0 |
| JOHN GREAVES | ||||||||||||||
| DPM | $239,478 | $0 | $260,799 | $0 | $0 | $0 | $15,406 | $0 | $33,908 | $0 | $549,591 | $0 | $0 | $0 |
| TYLER GERSTANDT | ||||||||||||||
| CFO | $162,636 | $0 | $17,914 | $0 | $0 | $0 | $7,658 | $0 | $26,208 | $0 | $214,416 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | ALL EMPLOYEES RECEIVE A MEMBERSHIP TO THE FITNESS CENTER AS A TAXABLE BENEFIT. |
| PART I, LINE 6 | THE CFO'S BONUS PLAN INCLUDES OPERATING INCOME AS A PARAMETER. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1A | THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIRPERSON, VICE CHAIRPERSON, SECRETARY AND TREASURER. THE EXECUTIVE COMMITTEE SHALL HAVE ALL POWER OF THE BOARD OF DIRECTORS NOT EXPRESSLY LIMITED BY THE ARTICLES OF INCORPORATION OR APPLICABLE LAW AND SHALL HAVE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE CORPORATION, DURING THE PERIOD BETWEEN MEETINS OF THE BOARD, PROVIDED THAT ANY ACTION TAKEN SHALL NOT CONFLICT WITH THE POLICIES AND EXPRESSED WISHED OF THE FULL BOARD. THE EXECUTIVE COMMITTEE SHALL BE RESPONSIBLE FOR EVALUATION OF THE PERFORMANCE OF THE CEO ACCORDING TO A SCHEDULE ESTABLISHED BY THE BOARD. |
| FORM 990, PART VI, SECTION A, LINE 3 | CHEROKEE REGIONAL HEALTH CENTER HAS ENTERED INTO A MANAGEMENT AGREEMENT WITH ST. LUKE'S HEALTH SYSTEM, D/B/A UNITYPOINT HEALTH TO PROVIDE MANAGEMENT SERVICES FOR THE FACILITY. UNITYPOINT PROVIDES EDUCATION AND VAGUE OVERSITE TO CRHC. THE CEO OF CRHC IS AN EMPLOYEE OF UNITYPOINT. COMPENSATION AND BENEFITS FOR GARY JORDAN WERE $377,342 AND $45,415 RESPECTIVELY. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE ASSOCIATION IS MADE UP OF COMMUNITY MEMBERS WHO HAVE PURCHASED A MEMBERSHIP INTEREST AND HAVE CONTINUED TO ATTEND AN ANNUAL MEETING. |
| FORM 990, PART VI, SECTION A, LINE 7A | MEMBERS OF THE ORGANIZATION HAVE POWER TO ELECT BOARD DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 8B | THE EXECUTIVE COMMITTEE DOES NOT MEET OUTSIDE OF BOARD MEETINGS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE 990 IS REVIEWED BY THE ORGANIZATION'S CEO AND CFO AND A COPY IS PROVIDED TO THE BOARD MEMBERS AFTER FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL OFFICERS, COMMITTEE MEMBERS, MEDICAL DIRECTORS, AND KEY EMPLOYEES ARE COVERED BY THE CONFLICT OF INTEREST POLICY. CONFLICT OF INTEREST QUESTIONNAIRES ARE COMPLETED UPON ELECTION/EMPLOYMENT AND ON AN ANNUAL BASIS. THE BOARD SERVES AS THE CONFLICT REVIEW COMMITTEE AND REVIEWS ANY POTENTIAL CONFLICTS. AN INTERESTED PERSON SHOULD NOT BE PRESENT DURING GENERAL DISCUSSION NOR VOTE OR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER, AND HE OR SHE SHOULD NOT BE COUNTED IN DETERMINING THE EXISTENCE OF A QUORUM FOR PURPOSES OF THE MATTER OR ITEM AS TO WHICH A CONFLICT EXISTS. THE APPLICABLE BOARD SHOULD EXCLUDE THE INDIVIDUAL FROM ANY DISCUSSION OR VOTE IN WHICH THE BOARD DECIDES WHETHER OR NOT A CONFLICT OF INTEREST EXISTS. |
| FORM 990, PART VI, SECTION B, LINE 15B | THE CFO'S COMPENSATION IS REVIEWED AND APPROVED BY THE CEO. ALL COMPENSATION IS REVIEWED ANNUALLY. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ARTICLES OF INCORPORATION AND FINANCIALS STATEMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 5,041,337. MANAGEMENT AND GENERAL EXPENSES 640,889. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,682,226. LOCUM FEES: PROGRAM SERVICE EXPENSES 944,262. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 944,262. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,828,708. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,828,708. |
| FORM 990, PART XI, LINE 9: | CHANGE IN VALUE OF BENEFITCIAL INTEREST IN PERPETUAL TRUSTS 445,127. |
| FORM 990, PART XI, LINE 8 | DURING THE YEAR ENDED DECEMBER 31, 2024, IT WAS DISCOVERED THAT THE MEDICAL CENTER HAD NOT APPROPRIATELY REPORTED ITS IRREVOCABLE BENEFICIAL INTEREST IN PERPETUAL TRUSTS RESULTING IN AN UNDERSTATEMENT OF ASSETS AND DONOR RESTRICTED NET ASSETS. THE PRIOR PERIOD ADJUSTMENT REFLECTS THIS ADJUSTMENT. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| HEARTLAND CARE CENTER INC | ||||||||||
| 604 E FENTON ST | MARCUS | IA | 51035 | 421362288 | LONG TERM CARE FACILITY | IA | 501(C)(3) | LINE 10 | SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION | Yes (1) |
| CHEROKEE REGIONAL MEDICAL CENTER FOUNDATION | ||||||||||
| 300 SIOUX VALLEY DRIVE | CHEROKEE | IA | 51012 | 261313474 | SUPPORT FOR CRMC | IA | 501(C)(3) | LINE 12B, II | SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION | Yes (1) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CMSRX INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 218 E MAIN ST | AddressLine1Txt |
| City | CHEROKEE | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 51012 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 264007890 | EIN |
| Primary Activities | RETAIL PHARMACY | PrimaryActivitiesTxt |
| Legal Domicile State | IA | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | S | EntityTypeTxt |
| Share Of Total Income | -$25,204 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $1,914,585 | ShareOfEOYAssetsAmt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| CHEROKEE REGIONAL MEDICAL CENTER FOUNDATION | ||
| C | $56,779 | FMV |
| CMSRX INC | ||
| A | $68,000 | FMV |
| HEARTLAND CARE CENTER INC | ||
| Q | $728,901 | FMV |
| CMSRX INC | ||
| Q | $2,130,553 | FMV |
Comments