2023-11-14T15:43:14-06:00 2022-12-31 421206169 Gronewold Bell Kyhnn & Co PC 1910 East 7th Street Atlantic IA 50022 990 2022-01-01 420707096 SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION SIOU 7122256818 300 SIOUX VALLEY DRIVE CHEROKEE IA 51012 GARY JORDAN CHIEF EXECUTIVE OFFICER 7122256818 2023-11-14 1 GARY JORDAN 999009999 0 David A Ginther P00233220 7122431800 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z CHEROKEE REGIONAL MEDICAL CENTER GARY JORDAN 300 SIOUX VALLEY DRIVE CHEROKEE IA 51012 49085974 0 X http://www.cherokeermc.org/ X 1916 IA TO PROVIDE A COMPLETE CONTINUUM OF HEALTHCARE SERVICES TO THE PEOPLE OF CHEROKEE AND SURROUNDING COMMUNITIES WITHOUT REGARD FOR THE ABILITY TO PAY, AND WITHOUT DISCRIMINATION. 7 7 393 4 637872 0 6884490 2719845 42479210 43574884 838808 257700 2489191 2533545 52691699 49085974 0 0 0 0 23087327 23476310 0 0 39160 19399085 22561197 42486412 46037507 10205287 3048467 85979700 80030785 12039435 5549788 73940265 74480997 TO PROVIDE A COMPLETE CONTINUUM OF HEALTHCARE SERVICES TO THE PEOPLE OF CHEROKEE AND SURROUNDING AREA. 0 0 44140613 43935807 THE ORGANIZATION IS A CRITICAL ACCESS HOSPITAL WITH 25 ACUTE BEDS. THE ORGANIZATION PROVIDES ACUTE AND ANCILLARY SERVICES TO INDIVIDUALS IN AN INPATIENT AND OUTPATIENT SETTING. IN ADDITION, THE ORGANIZATION OPERATES SEVERAL PHYSICIAN'S CLINICS, A SENIOR HOUSING INDEPENDENT LIVING CENTER, AND A WELLNESS CENTER. DURING 2022, THE ORGANIZATION PROVIDED 1,743 DAYS OF ACUTE CARE, 216 DAYS OF SKILLED NURSING CARE, 7 DAYS OF INTERMEDIATE CARE, 176 NURSERY DAYS, AND 60,507 OUTPATIENT OCCASIONS OF SERVICE. 44140613 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 53 0 1 393 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 1 1 0 0 X TYLER GERSTANDT 7122256818 300 SIOUX VALLEY DRIVE CHEROKEE IA 51012 CLAY LEAVITT CHAIRPERSON 1.00 X X 0 0 0 BRANDON HENKE VICE-CHAIRPERSON 1.00 X X 0 0 0 KELLEN LUDVIGSON SECRETARY/TREASURER 1.00 X X 0 0 0 KERRY HURD DIRECTOR 1.00 X 0 0 0 LES TODD DIRECTOR 1.00 X 0 0 0 SHEILA TRAPP DIRECTOR 1.00 X 0 0 0 SARAH COOK DIRECTOR 1.00 X 0 0 0 GARY JORDAN CEO 40.00 X 0 334706 36616 JOAN BIERMAN CFO 40.00 X 208606 0 14100 DR SEAN NELSON MD 44.00 X 474249 0 35288 DR TIM RICE DO 44.00 X 478469 0 28676 DR PATRICIA HARRISON MD 44.00 X 378849 0 15480 DR NICHOLAS LOUGHLIN DO 44.00 X 642302 0 32945 DR SCOTT MURRAY MD 44.00 X 582257 0 29231 2764732 334706 192336 30 0 1 0 LOCUM TENENS 2575 NORTHWINDS PKWY ATLANTA GA 39384 OB-GYN COVERAGE 684031 ADEL ABDALLA PLLC 11253 S APOPKA VINELAND RD ORLANDO FL 32836 RADIOLOGY SERVICES 667115 MEDICAL SOLUTIONS PO BOX 850737 MINNEAPOLIS MN 554850737 MEDICAL STAFFING 560748 HIGHLAND MEDICAL STAFFING 1889 100TH ST GOWRIE IA 505438003 MEDICAL STAFFING 480750 UNITIMED RECRUITING RESOURCES PO BOX 8265 RAPID CITY SD 57709 MEDICAL STAFFING 480013 8 1970931 748914 2719845 NET PATIENT SERVICE RE 621300 43574884 43574884 43574884 254770 -114580 369350 537419 0 537419 537419 425725 111694 2930 0 2930 2930 2930 340B RETAIL PHARMACY R 456110 1308476 1308476 OTHER REVENUE 900099 360923 360923 WELLNESS CENTER 713940 326727 326727 1996126 49085974 45247213 637872 481044 3099438 2556126 543312 15982126 15678086 293928 10112 683983 683983 2445169 2441954 3215 1265594 1230995 33930 669 99184 99184 50730 50730 200788 194316 6472 313289 313289 806458 806455 3 2718301 2574790 143511 270060 270060 SUPPLIES 12301399 11589571 693139 18689 PROFESSIONAL FEES 2846439 2846439 PHYSICIANS CLINIC 1974933 1974933 990 T EXPENSE 979616 979616 46037507 44140613 1857734 39160 37402582 28225330 7885692 8039722 1017469 921861 528825 721958 64284791 37660033 25859948 26624758 11933128 10470045 1352056 5027111 85979700 80030785 10202943 5407462 1836492 70465 71861 12039435 5549788 X 73601359 74098481 338906 382516 73940265 74480997 85979700 80030785 3048467 -2507735 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4819140 4819140 36165636 20305784 15859852 16126946 11620548 4506398 7173069 5733701 1439368 26624758 NOTES RECEIVABLE 437685 OTHER ASSETS 3034 CONSTRUCTION IN PROGRESS 2845824 INVESTMENT IN CMSRX, INC 1740568 5027111 46578239 -2507735 -2507735 49085974 0 49085974 46037507 0 46037507 0 46037507 1 1 1 X 0 1 1 1 0 0 155836 155836 0.00340 155836 155836 0.00340 11187 811711 326727 484984 0.01050 13 4000 4000 0.00010 11200 815711 326727 488984 0.01060 11200 971547 326727 644820 0.01400 1 1271069 17937125 19188152 -1251027 X 1 1 1 1 CHEROKEE REGIONAL MEDICAL CENTER 300 SIOUX VALLEY DRIVE CHEROKEE IA 51012 X X X X CHEROKEE REGIONAL MEDICAL CENTER 1 0 0 1 X X X X X X X X 21 1 0 0 1 X WWW.CHEROKEERMC.ORG X 1 21 1 WWW.CHEROKEERMC.ORG 0 1 X 200.000000000000 1 1 X X X 1 X WWW.CHEROKEERMC.ORG X WWW.CHEROKEERMC.ORG X WWW.CHEROKEERMC.ORG X X X X 1 X 0 X X X 1 X 0 0 CHEROKEE REGIONAL MEDICAL CENTER Part V, Section B, Line 11: CRMC HAS CONTINUED TO ADDRESS OBESITY BY PROVIDING A WEIGHT LOSS PROGRAM, HEALTHIEST STATE WALK, AND IS A SUPPORTER OF FIT IN 30. MENTAL HEALTH IS BEING ADDRESSED BY PROVIDING FREE NAMI SUPPORT GROUPS, CONTRACTS WITH INTEGRATED TELEHEATH FOR TELEHEATH PSYCHAIATRIC SERVICES AND CONTINUING TO SUPPORT AND OFFER SENIOR LIFE SOLUTIONSCRMC HAS HELD NUMEROUS CLASSES AND PUBLIC HEALTH VISITS REGARDING THE FOLLOWING NEEDS IDENTIFIED BY THE LATEST COMMUNITY HEALTH NEEDS ASSESSMENT: SUICIDE PREVENTION, SMOKING & VAPING CESSATION AND CAR SEAT CPR AND OB/PRENATAL CLASSES. 6 1 - CHEROKEE REGIONAL CLINIC 300 SIOUX VALLEY DRIVE CHEROKEE IA 51012 RURAL HEALTH CLINIC 2 - CHEROKEE REGIONAL CLINIC 112 NORTH KIEL HOLSTEIN IA 51025 RURAL HEALTH CLINIC 3 - CHEROKEE REGIONAL CLINIC 300 EAST PINE MARCUS IA 51035 RURAL HEALTH CLINIC 4 - CRMC - WELLNESS CENTER 320 SIOUX VALLEY DRIVE CHEROKEE IA 51012 COMMUNITY WELLNESS CENTER 5 - BECK 333 SIOUX VALLEY DRIVE CHEROKEE IA 51012 INDEPENDENT SENIOR HOUSING 6 - CHEROKEE REGIONAL CLINIC 225 MAIN STREET AURELIA IA 51005 RURAL HEALTH CLINIC Part III, Line 4: PATIENT ACCOUNTS RECEIVABLE IS REPORTED AT ITS ESTIMATED NET REALIZABLE VALUE. THE CHANGE IN THE ESTIMATED ALLOWANCE FOR BAD DEBTS PLUS THE BAD DEBT ACCOUNTS WRITTEN OFF LESS RECOVERIES OF BAD DEBTS EQUALS THE BAD DEBT EXPENSE. THE BAD DEBT EXPENSE AT COST WAS ESTIMATED BASED ON THE HOSPITAL'S OVERALL COST COMPARED TO GROSS REVENUES. Part III, Line 8: THE MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT BECAUSE IT REPRESENTS UNCOMPENSATED CARE PROVIDED TO INDIVIDUALS IN CHEROKEE OR SURROUNDING COMMUNITIES. IT HAS BEEN DETERMINED BASED ON THE OVERALL MEDICARE ALLOWABLE COST AS A PERCENT OF TOTAL CHARGES, APPLIED TO THE TOTAL MEDICARE CHARGES. X X X X 0 0 0 0 0 0 0 0 0 DR NICHOLAS LOUGHLIN DO 261369 0 313183 0 67750 0 16443 0 16502 0 675247 0 0 0 DR SCOTT MURRAY MD 560503 0 15600 0 6154 0 12200 0 17031 0 611488 0 0 0 DR SEAN NELSON MD 307584 0 104165 0 62500 0 15445 0 19843 0 509537 0 0 0 DR TIM RICE DO 274607 0 203862 0 0 0 18532 0 10144 0 507145 0 0 0 DR PATRICIA HARRISON MD 378849 0 0 0 0 0 15029 0 451 0 394329 0 0 0 GARY JORDAN CEO 0 288268 0 46438 0 0 0 15250 0 21366 0 371322 0 0 JOAN BIERMAN CFO 193180 0 15426 0 0 0 7642 0 6458 0 222706 0 0 0 Form 990, Part VI, Section A, line 8b ALL ACTIVITIES ARE APPROVED BY FULL BOARD. 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 ALL BOARD MEMBERS Form 990, Part VI, Section B, line 15a BOARD EXECUTIVE COMPENSATION COMMITTEE DETERMINES WAGES OF CEO Form 990, Part VI, Section C, line 19 990 AND OTHER FINANCIAL INFORMATION IS AVAILABLE IN THE ADMINISTRATION OFFICE OF CHEROKEE REGIONAL MEDICAL CENTER. PART XII, LINE 2C EXPLANATION FINANCE COMMITTEE IS RESPONSIBLE FOR SELECTION OF INDEPENDENT AUDITORS AND OVERSIGHT OF THE AUDIT. CHEROKEE REGIONAL MEDICAL CENTER FOUNDATION 300 SIOUX VALLEY DRIVE CHEROKEE IA 51012 261313474 SUPPORT FOR CRMC IA 501(c)(3) 11 0 NORTHWEST IOWA HOSPITAL CORPORATION DBA ST LUKE'S REGIONAL MEDICAL CENTER 2720 STONE PARK BLVD SIOUX CITY IA 51104 421019872 SUPPORT SERVICES PROVIDED IA 501(c)(3) 3 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 NORTHWEST IOWA HOSPITAL CORPORATION DBA ST LUKE'S REGIONAL MEDICAL CENTER M 485367 CONTRACT CEO SALARY CHEROKEE REGIONAL MEDICAL CENTER FOUNDATION C 18746 CONTRIBUTION