2025-10-30T13:47:24-05:00 2024-12-31 450250958 EIDE BAILLY LLP 345 N REID PL STE 400 SIOUX FALLS SD 571037034 990 2024-01-01 420707096 SIOUX VALLEY MEMORIAL HOSPITAL ASSOCATION SIOU 7022256818 300 SIOUX VALLEY DR CHEROKEE IA 510121205 TYLER GERSTANDT CFO 7022256818 2025-10-29 1 1 LAURIE HANSON CPA P00851848 6053391999 2025-10-29 2024 2025-03-06 01:10:19Z CHEROKEE REGIONAL MEDICAL CENTER GARY JORDAN 300 SIOUX VALLEY DR CHEROKEE IA 510121205 60820576 0 X HTTP://WWW.CHEROKEERMC.ORG/ X 1916 IA PROVIDE A COMPLETE CONTINUUM OF HEALTHCARE SERVICES TO THE PEOPLE OF CHEROKEE AND SURROUNDING AREAS 7 7 405 15 379561 0 1531027 2223928 50213538 56243509 1047889 2168632 2791354 184507 55583808 60820576 0 256814 0 0 26020927 27717202 0 0 0 23570313 28904486 49591240 56878502 5992568 3942074 89221953 109947173 7036882 7877961 82185071 102069212 PROVIDE SEAMLESS, QUALITY HEALTH CARE SERVICES TO OUR COMMUNITIES. 0 0 49493346 256814 55838744 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. 49493346 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 51 0 1 405 1 1 1 0 0 0 0 0 0 0 0 0 X 7 7 0 1 0 0 1 1 0 1 0 0 0 0 1 1 1 1 1 0 1 0 X TYLER GERSTANDT 7022256818 300 SIOUX VALLEY DR CHEROKEE IA 510121205 BRANDON HENKE CHAIRPERSON 1.00 0.00 X 0 0 0 KELLEN LUDVIGSON VICE CHAIRPERSON 1.00 0.00 X 0 0 0 KERRY HURD SECRETARY/ TREASURER 1.00 0.00 X 0 0 0 CLAY LEAVITT DIRECTOR 1.00 0.00 X 0 0 0 LES TODD DIRECTOR 1.00 0.00 X 0 0 0 SARAH COOK DIRECTOR 1.00 0.00 X 0 0 0 SHEILA TRAPP DIRECTOR 1.00 0.00 X 0 0 0 TYLER GERSTANDT CFO 38.00 2.00 X 180550 0 33518 GARY JORDAN CEO 38.50 1.50 X 0 0 0 NICHOLAS LOUGHLIN DO 40.00 0.00 X 700430 0 44837 SEAN NELSON MD 40.00 0.00 X 624537 0 47154 SCOTT MURRAY MD 40.00 0.00 X 571274 0 73317 BRITT ANDERSEN MD 40.00 0.00 X 502247 0 56135 JOHN GREAVES DPM 40.00 0.00 X 500277 0 48615 3079315 0 303576 32 0 1 1 WA KLINGER 2015 E 7TH ST SIOUX CITY IA 51102 GENERAL CONTRACTOR 12510841 UNITYPOINT HEALTH 1776 WEST LAKES PARKWAY WEST DES MOINES IA 50266 MANAGEMENT AND OTHER SERVICES 1124063 LOCUM TENENS PO BOX 405547 ATLANTA GA 30384 OBGYN COVERAGE 858188 ADEL ABDALLA PLLC 11253 S APOPKA VINELAND RD ORLANDO FL 32836 RADIOLOGY COVERAGE 830950 MEDICAL SOLUTIONS PO BOX 850737 MINNEAPOLIS MN 55485 NURSING SUPPORT 760926 20 56779 1553049 614100 2223928 PATIENT REVENUE 621300 50902123 50902123 PHARMACY REVENUE 456110 3143431 3143431 MANAGEMENT AGREEMENT REVENUE 621300 930226 930226 SENIOR HOUSING 531110 456155 456155 WELLNESS CENTER REVENUE 713940 404765 404765 406809 406809 56243509 2168632 -25204 2193836 184507 0 184507 184507 184507 60820576 55838744 379561 2378343 X 187309 187309 69505 69505 214415 214415 21193944 18459782 2734162 553342 484243 69099 4638014 4055977 582037 1117487 945581 171906 527382 527382 50081 50081 71086 71086 8455196 7814307 640889 108570 58189 50381 518680 352447 166233 95426 95426 803762 333646 470116 188381 169384 18997 71878 65514 6364 2988007 2367040 620967 395923 150014 245909 MEDICAL SUPPLIES 9944211 9932869 11342 MEDICAID EXPENSE 1846554 1846554 REPAIRS & MAINTENANCE 1438679 1208620 230059 MINOR EQUIPMENT 294569 254151 40418 1106101 738214 367887 56878502 49493346 7385156 0 25066814 2430717 11297746 6017310 1000000 1075000 1011831 1064025 1020318 1071775 86840387 43553354 31408003 43287033 16176653 37759584 1768338 1730621 472250 15511108 89221953 109947173 6863341 5782262 123217 114934 50324 0 0 1980765 7036882 7877961 X 81757270 86419866 427801 15649346 82185071 102069212 89221953 109947173 X 3942074 496498 15000442 445127 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4827539 4827539 42471048 27694878 14776170 17104299 14523455 2580844 22437501 1335021 21102480 43287033 RIGHT OF USE ASSET 65539 BENEFICIAL INTEREST IN PERPETUAL TRUSTS 15445569 15511108 RIGHT OF USE LIABILITY 65765 ESTIMATED THIRD-PARTY PAYOR SETTLEMENT 1915000 1980765 X 61762201 496498 445127 941625 60820576 0 60820576 56878502 0 56878502 0 56878502 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. 1 1 X 1 X 0 1 1 1 0 1 0 221000 221000 0.00390 221000 221000 0.00390 1983131 1252243 730888 0.01280 681 681 0.00000 11133462 5328496 5804966 0.10210 185307 185307 0.00330 13302581 6580739 6721842 0.11820 13523581 6580739 6942842 0.12210 1 860803 85220 13074711 13237161 -162450 X 1 1 1 1 CHEROKEE REGIONAL MEDICAL CENTER 300 SIOUX VALLEY DRIVE CHEROKEE IA 51012 HTTPS://CHEROKEERMC.ORG/ 180094H X X X X 5 RURAL HEALTH CLINICS AND 2 PROVIDER BASED CLINICS CHEROKEE REGIONAL MEDICAL CENTER 1 0 0 1 X X X X X X X X X 22 1 0 0 1 X SEE PART V, LINE 7D NARRATIVE X 1 22 1 SEE PART V, LINE 7D NARRATIVE 0 1 X 200.000000000000 X X X 1 1 X X X 1 X HTTPS://CHEROKEERMC.ORG/PATIENTS-VISITORS/PRICE-TRANSPARENCY/ X HTTPS://CHEROKEERMC.ORG/PATIENTS-VISITORS/PRICE-TRANSPARENCY/ X HTTPS://CHEROKEERMC.ORG/PATIENTS-VISITORS/PRICE-TRANSPARENCY/ X X X X X X 1 X 0 X X X X 1 X 0 0 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. 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 1 AURELIA FIRE DEPARTMENT 110 MYRTLE ST AURELIA IA 51005 811829524 501C3 25000 0 NEW FIRE STATION WESTERN IOWA TECH COMMUNITY COLLEGE FOUNDATION 200 VICTORY DRIVE CHEROKEE IA 51012 421355682 501C3 150000 0 CHEROKEE PROMISE - TO INCREASE LOCAL STUDENT ENROLLMENT 2 0 EMPLOYEE FLOOD ASSISTANCE 5 26000 AREA HIGH-SCHOOL SCHOLARSHIP AWARDS 10 3930 REGISTERED APPRENTICESHIP PROGRAM 29 39575 PART I, LINE 2: 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. X 1 1 X X X 0 0 0 0 0 1 0 0 0 NICHOLAS LOUGHLIN DO 258568 0 441862 0 0 0 13136 0 32400 0 745966 0 0 0 SEAN NELSON MD 336941 0 287596 0 0 0 15375 0 32478 0 672390 0 0 0 SCOTT MURRAY MD 557999 0 13275 0 0 0 36800 0 37216 0 645290 0 0 0 BRITT ANDERSEN MD 481368 0 20879 0 0 0 41532 0 15194 0 558973 0 0 0 JOHN GREAVES DPM 239478 0 260799 0 0 0 15406 0 33908 0 549591 0 0 0 TYLER GERSTANDT CFO 162636 0 17914 0 0 0 7658 0 26208 0 214416 0 0 0 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. 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. 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 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 1 CMSRX INC 218 E MAIN ST CHEROKEE IA 51012 264007890 RETAIL PHARMACY IA SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION S -25204 1914585 1.00000 1 1 0 1 1 0 0 0 0 0 0 0 1 0 1 1 0 1 0 0 CHEROKEE REGIONAL MEDICAL CENTER FOUNDATION C 56779 FMV CMSRX INC A 68000 FMV HEARTLAND CARE CENTER INC Q 728901 FMV CMSRX INC Q 2130553 FMV