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        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION OF THE CEO IS THROUGH A MANAGEMENT AGREEMENT WITH AN UNRELATED ORGANIZATION, UNITYPOINT HEALTH, THROUGH THE ORGANIZATION'S SOLE MEMBER, SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION, D/B/A CHEROKEE REGIONAL MEDICAL CENTER (CRMC). FACTORS LISTED IN PART 1, LINE 3 WERE USED TO DETERMINE COMPENSATION.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>THE ORGANIZATION HAS A MANAGEMENT AGREEMENT WITH ST. LUKE'S HEALTH SYSTEM, D/B/A UNITYPOINT HEALTH. UNITYPOINT HEALTH EMPLOYS GARY JORDAN, THE CEO OF BOTH HEARTLAND CARE CENTER AND CRMC. THE MAJORITY OF GARY'S TIME IS SPENT AS CEO OF CRMC. DURING CALENDAR YEAR 2024, UNITYPOINT PAID GARY JORDAN $422,757 IN COMPENSATION AND BENEFITS FOR HIS SERVICES AT HEARTLAND CARE CENTER AND CRMC.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS ONE MEMBER, SIOUX VALLEY MEMORIAL HOSPITAL ASSOCATION, D/B/A CHEROKEE REGIONAL MEDICAL CENTER.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBER HAS THE POWER TO APPOINT THE BOARD OF DIRECTORS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING ARE POWERS RESERVED TO THE SOLE MEMBER: (A) APPROVAL OF CAPITAL EXPENDITURES BUDGET; (B) APPROVAL OF AN ANNUAL OPERATING BUDGET; (C) APPROVAL OF LONG-RANGE PLANS; (D) INCURRENCE OF DEBT (OTHER THAN TRADE PAYABLES INCURRED IN THE ORDINARY COURSE OF BUSINESS) (E) CHANGE OF CORPORATION'S LICENSE(S); (F) APPROVAL OF A NEW MISSION STATEMENT FOR CORPORATION; (G) APPROVAL OF THE SALE OF ANY PROPERTY, REAL, PERSONAL OR MIXED, OWNED BY THE CORPORATION; (H) ESTABLISHING CHARGES FOR SERVICES OF CORPORATION; AND (I) APPROVAL OF CORPORATION'S ADMINISTRATOR.</ExplanationTxt>
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        <ExplanationTxt>THE ORGANIZATION HAS NO COMMITTEES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS REVIEWED BY THE CFO AND IS PRESENTED AT A BOARD MEETING PRIOR TO FILING.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>BOARD MEMBERS AND KEY EMPLOYEES ARE COVERED BY THE CONFLICT OF INTEREST POLICY. IF A POTENTIAL CONFLICT ARISES, IT IS TAKEN TO THE BOARD. THE POTENTIALLY CONFLICTED MEMBER WOULD RECUSE HIM/HERSELF FROM DISCUSSION AND VOTING ON THE MATTER.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>COMPENSATION FOR THE OFFICERS IS DETERMINED BY THE SOLE MEMBER USING COMPARABILITY DATA.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>DOCUMENTS ARE PROVIDED UPON REQUEST.</ExplanationTxt>
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</Return>