2024-11-15T08:44:14-06:00 2023-12-31 421206169 Gronewold Bell Kyhnn & Co PC 1910 East 7th Street Atlantic IA 50022 990 2023-01-01 420707096 SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION SIOU 7122256818 300 SIOUX VALLEY DRIVE CHEROKEE IA 51012 GARY JORDAN CHIEF EXECUTIVE OFFICER 7122256818 2024-11-14 1 0 David A Ginther P00233220 7122431800 2023 2024-10-15 13:58:12Z CHEROKEE REGIONAL MEDICAL CENTER GARY JORDAN 300 SIOUX VALLEY DRIVE CHEROKEE IA 51012 55602122 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 7 398 6 901849 0 2719845 1531027 43574884 50213538 257700 1047889 2533545 2791354 49085974 55583808 0 0 0 0 23476310 26020927 0 0 22229 22561197 23570313 46037507 49591240 3048467 5992568 80030785 89221953 5549788 7036882 74480997 82185071 TO PROVIDE A COMPLETE CONTINUUM OF HEALTHCARE SERVICES TO THE PEOPLE OF CHEROKEE AND SURROUNDING AREA. 0 0 47546894 50688498 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 2023, THE ORGANIZATION PROVIDED 1,418 DAYS OF ACUTE CARE, 153 DAYS OF SKILLED NURSING CARE, 128 NURSERY DAYS, AND 63,193 OUTPATIENT OCCASIONS OF SERVICE. 47546894 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 58 0 1 398 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 360661 39943 TYLER GERSTANDT CFO 40.00 X 149636 0 20030 DR SEAN NELSON MD 44.00 X 519035 0 39336 DR JOHN GREAVES DPM 44.00 X 466683 0 39608 DR PATRICIA HARRISON MD 44.00 X 424348 0 17346 DR NICHOLAS LOUGHLIN DO 44.00 X 650046 0 37374 DR SCOTT MURRAY MD 44.00 X 531749 0 34652 2741497 360661 228289 6 0 1 0 LOCUM TENENS 2575 NORTHWINDS PKWY ATLANTA GA 39384 OB-GYN COVERAGE 1052669 ADEL ABDALLA PLLC 11253 S APOPKA VINELAND RD ORLANDO FL 32836 RADIOLOGY SERVICES 788608 PSYCHATRIC MEDICAL CARE 8 CADILLAC DR 230 BRENTWOOD TN 37027 OP-SENIOR PSYCH 439359 MEDICAL SOLUTIONS PO BOX 850737 MINNEAPOLIS MN 554850737 MEDICAL STAFFING 377403 BVRMC 1525 WEST 5TH STREET STORM LAKE IA 50588 SURGEON SERVICES 310502 11 665023 866004 1531027 NET PATIENT SERVICE RE 621300 50213538 50213538 50213538 1065053 96886 968167 568967 0 568967 568967 450258 118709 1150 18314 -17164 -17164 -17164 340B RETAIL PHARMACY R 456110 1392722 1392722 OTHER REVENUE 900099 474960 474960 WELLNESS CENTER 713940 354705 354705 2222387 55583808 52064056 901849 1086876 3102158 2591861 510297 17894865 17484867 406748 3250 730645 730645 2976713 2976012 701 1316546 1279912 36398 236 101846 101846 52554 52554 183220 182195 1025 245450 245450 914549 914549 3075479 2913976 161503 362319 362319 SUPPLIES 13134346 12364558 752771 17017 PROFESSIONAL FEES 2341765 2341765 PHYSICIANS CLINIC 2149189 2149189 990 T EXPENSE 1009596 1009596 49591240 47546894 2022117 22229 28225330 25066814 8039722 11297746 1000000 921861 1011831 721958 1020318 67979457 40565346 26624758 27414111 10470045 16176653 5027111 6234480 80030785 89221953 5407462 6863341 70465 123217 71861 50324 5549788 7036882 X 74098481 81757270 382516 427801 74480997 82185071 80030785 89221953 5992568 1711506 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4819140 4819140 39385642 21750393 17635249 16571062 12936724 3634338 7203613 5878229 1325384 27414111 NOTES RECEIVABLE 421996 CONSTRUCTION IN PROGRESS 3993892 INVESTMENT IN CMSRX, INC 1768338 RIGHT OF USE LEASED ASSET 50254 6234480 57295314 1711506 1711506 55583808 0 55583808 49591240 0 49591240 0 49591240 1 1 1 X 0 1 1 1 0 0 133112 133112 0.00270 133112 133112 0.00270 12543 653358 354705 298653 0.00600 12543 653358 354705 298653 0.00600 12543 786470 354705 431765 0.00870 1 1470334 17880568 19296998 -1416430 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 263198 0 321435 0 65413 0 15805 0 21569 0 687420 0 0 0 DR SCOTT MURRAY MD 531749 0 0 0 0 0 13200 0 21452 0 566401 0 0 0 DR SEAN NELSON MD 353338 0 103197 0 62500 0 17856 0 21480 0 558371 0 0 0 DR JOHN GREAVES DPM 251485 0 185198 0 30000 0 17969 0 21639 0 506291 0 0 0 DR PATRICIA HARRISON MD 412485 0 11863 0 0 0 16853 0 493 0 441694 0 0 0 GARY JORDAN CEO 0 310159 0 50502 0 0 0 16500 0 23443 0 400604 0 0 TYLER GERSTANDT CFO 148546 0 1090 0 0 0 6381 0 13649 0 169666 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 HEARTLAND CARE CENTER 604 E FENTON ST MARCUS IA 51035 OPERATES LTC FACILITY IA 501(c)(3) 10 0 CMSRX INC 218 E MAIN ST CHEROKEE IA 51012 264007890 PHARMACY IA SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION S 96886 2831387 1.00000 0 1 0 1 1 0 0 1 0 0 0 0 0 1 0 1 0 1 0 0 NORTHWEST IOWA HOSPITAL CORPORATION DBA ST LUKE'S REGIONAL MEDICAL CENTER M 518218 CONTRACT CEO SALARY CHEROKEE REGIONAL MEDICAL CENTER FOUNDATION C 22985 CONTRIBUTION HEARTLAND CARE CENTER D 400000 LOAN TO HEARTLAND CMSRX INC A 68000 BUILDING RENT CMSRX INC O 31394 TIME ALLOCATIONS CMSRX INC Q 258959 EXPENSE ALLOCATIONS HEARTLAND CARE CENTER O 32506 TIME ALLOCATIONS HEARTLAND CARE CENTER Q 5831 EXPENSE ALLOCATIONS CMSRX INC G 1557556 340B DRUGS