2026-09-08T07:50:41-05:00 2025-12-31 423603499 EIDE BAILLY ADVISORY LLC 345 N REID PL STE 400 SIOUX FALLS SD 571037077 990 2025-01-01 420707096 SIOUX VALLEY MEMORIAL HOSPITAL ASSOCATION SIOU 7022256818 300 SIOUX VALLEY DR CHEROKEE IA 510121205 TYLER GERSTANDT CFO 7022256818 2026-09-04 1 LAURIE HANSON P00851848 6053391999 2026-09-01 2025 CHEROKEE REGIONAL MEDICAL CENTER GARY JORDAN 300 SIOUX VALLEY DR CHEROKEE IA 510121205 67867151 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 7 396 31 336823 0 2223928 2493069 56243509 64310973 2168632 878840 184507 155503 60820576 67838385 256814 94495 0 0 27717202 29914831 0 0 0 28904486 30709517 56878502 60718843 3942074 7119542 109947173 122215784 7877961 8976577 102069212 113239207 PROVIDE SEAMLESS, QUALITY HEALTH CARE SERVICES TO OUR COMMUNITIES. 0 0 52432267 94495 63885253 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 2025, THE ORGANIZATION PROVIDED OVER 72,000 OUTPATIENT VISITS, 4,900 EMERGENCY ROOM VISITS, 33,000 CLINIC VISITS, AND 85 BIRTHS. 52432267 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 55 0 1 396 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/DIRECTOR 1.00 0.00 X X 0 0 0 KELLEN LUDVIGSON VICE CHAIRPERSON (UNTIL APR) 1.00 0.00 X X 0 0 0 KERRY HURD SEC & TREAS/ CHAIRPERSON 1.00 0.00 X X 0 0 0 LES TODD DIRECTOR/VICE CHAIRPERSON 1.00 0.00 X X 0 0 0 SARAH COOK DIRECTOR/ SEC & TREASURER 1.00 0.00 X X 0 0 0 SHEILA TRAPP DIRECTOR 1.00 0.00 X 0 0 0 CLAY LEAVITT DIRECTOR 1.00 0.00 X 0 0 0 MATT SCHUBERT DIRECTOR (BEG APR) 1.00 0.00 X 0 0 0 TYLER GERSTANDT CFO 39.00 1.00 X 183658 0 29104 GARY JORDAN CEO 39.00 1.00 X 0 0 0 MERLE MACK VP OF HR 40.00 0.00 X 158457 0 29811 ANGELA FRIEDRICH CNO 40.00 0.00 X 152890 0 39144 NICHOLAS LOUGHLIN DO 40.00 0.00 X 702542 0 46013 SEAN NELSON MD 40.00 0.00 X 664008 0 44781 SCOTT MURRAY MD 40.00 0.00 X 556200 0 51833 BRITT ANDERSEN MD 40.00 0.00 X 548789 0 28405 PATRICIA HARRISON MD 40.00 0.00 X 413532 0 14360 3380076 0 283451 27 0 1 1 WA KLINGER 2015 E 7TH ST SIOUX CITY IA 51102 GENERAL CONTRACTOR 5327814 NOVUS IOWA PROF CORP PO BOX 12766 PENSACOLA FL 32591 ANESTHESIA COVERAGE 1652429 UNITYPOINT HEALTH 1776 WEST LAKES PARKWAY WEST DES MOINES IA 50266 MANAGEMENT AND OTHER SERVICES 1268538 LOCUM TENENS PO BOX 405547 ATLANTA GA 30384 OBGYN COVERAGE 878912 DAVIS DESIGN 1221 N STREET STE 600 LINCOLN NE 68508 ARCHITECT 871941 15 79328 1476135 937606 2493069 PATIENT REVENUE 621300 57754340 57754340 PHARMACY REVENUE 456110 4234310 4234310 MANAGEMENT AGREEMENT REVENUE 621300 994573 994573 SENIOR HOUSING 531110 481000 481000 WELLNESS CENTER REVENUE 713940 425720 425720 421030 421030 64310973 889305 -138596 1027901 173804 18301 155503 155503 49699 105804 10465 -10465 -10465 -10465 67838385 63885253 336823 1123240 X 31795 31795 62700 62700 1008476 96191 912285 22136333 19643844 2492489 668263 585184 83079 4923520 4331853 591667 1178239 989889 188350 521245 521245 82995 82995 132143 132143 8361738 7627570 734168 121357 66083 55274 592232 431178 161054 117889 117889 896213 306809 589404 194197 172747 21450 88051 81660 6391 3496794 2871664 625130 379566 133447 246119 MEDICAL SUPPLIES 10805522 10796771 8751 MEDICAID EXPENSE 1942982 1942982 REPAIRS & MAINTENANCE 1511151 1302245 208906 RECRUITING 463466 406490 56976 1001976 551165 450811 60718843 52432267 8286576 0 2430717 1094867 6017310 6365668 1075000 1325000 1064025 978222 1071775 1375569 95345550 45973998 43287033 49371552 37759584 38557519 1730621 1434685 15511108 21712702 109947173 122215784 5782262 7927798 114934 133590 1980765 915189 7877961 8976577 X 86419866 95261130 15649346 17978077 102069212 113239207 109947173 122215784 X 7119542 1809754 2240699 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4833539 4833539 64282839 29430518 34852321 18173334 15028643 3144691 8055838 1514837 6541001 49371552 RIGHT OF USE ASSET 192434 BENEFICIAL INTEREST IN PERPETUAL TRUSTS 17686268 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 3834000 21712702 RIGHT OF USE LIABILITY 196189 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 719000 915189 X 71931999 1809754 24860 2240699 4075313 67856686 -18301 -18301 67838385 60762004 24860 18301 43161 60718843 0 60718843 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 2,240,699. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -18,301. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 18,301. 1 1 X 1 X 0 1 1 1 0 1 0 346000 346000 0.00570 346000 346000 0.00570 2131621 1332495 799126 0.01320 12576285 6000588 6575697 0.10830 32295 32295 0.00050 14740201 7333083 7407118 0.12200 15086201 7333083 7753118 0.12770 1 1175244 122225 13770526 13849128 -78602 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 25 1 0 0 1 X SEE PART V, LINE 7D NARRATIVE X 1 25 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: A TOWN-HALL MEETING AND COMMUNITY SURVEY WERE CONDUCTED TO FACILITATE DISCUSSION AND IDEAS ON AREAS OF NEED IN THE COMMUNITY. MID SIOUX OUTREACH/OPPORTUNITY AND PLAINS AREA MENTAL HEALTH CENTER REPRESENTED UNDERSERVED POPULATIONS IN THESE DISCUSSIONS. 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: MENTAL HEALTH, FOOD INSECURITY, PREVENTATIVE HEALTH, TRANSPORTATION, VACCINATIONS, OBESITY, AND CHILDCARE. ALL IDENTIFIED NEEDS WILL BE ADDRESSED.CRMC CONDUCTED A NEW CHNA IN THE CURRENT TAX YEAR AND DID NOT HAVE TIME TO START ADDRESSING THE NEEDS IDENTIFIED IN THE NEW CHNA DUE TO TIMING. ONE OF THE PRIOR YEAR NEEDS, 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 TOOK THE FOLLOWING ACTIONS TO ADDRESS THE NEEDS IDENTIFIED IN THE PRIOR YEAR CHNA:MENTAL HEALTH: 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 AND 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 2025 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: OUR SENIOR LIFE SOLUTIONS PROGRAM OFFERS TRANSPORTATION TO AND FROM THE FACILITY IN ORDER TO ATTEND THE CLASSES. SUICIDE PREVENTION: CRMC FACILITATES THE CHEROKEE SUICIDE COALITION TO HELP MEET THE NEEDS OF THE COMMUNITY. 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. LINES 7E AND 7I WERE OBTAINED UTILIZING THE ACTUAL GENERAL LEDGER SYSTEM. LINE 7G WAS CALCULATED 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 2025. THEREFORE, 10.4% 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 12/31/2025. 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 $782,989.MEDICARE FEE SCHEDULE REVENUE: $565,503MEDICARE ESTIMATED COSTS OF CARE RELATING TO PAYMENTS ($1,348,492)NET SHORTAGE ($782,989) 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 HOSPITAL SERVES THE GREATER CHEROKEE COUNTY, IOWA AREA, WHICH IS LOCATED IN RURAL NORTHWEST IOWA. CHEROKEE COUNTY HAS ROUGHLY 11,500 RESIDENTS WITH A MEDIAN AGE OF 44 YEARS. MEDIAN HOUSHOLD INCOME IS $71,269 AND THE POVERTY RATE IS ESTIMATED AT 10.4%. 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 LITTLE CRITTERS SPLASH PAD PO BOX 166 PAULLINA IA 51046 331913407 501C3 15605 0 NEW SPLASH PAD 1 0 AREA HIGH-SCHOOL SCHOLARSHIP AWARDS 6 2650 REGISTERED APPRENTICESHIP PROGRAM 19 60050 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 284669 0 367873 0 50000 0 12231 0 34480 0 749253 0 0 0 SEAN NELSON MD 391953 0 214363 0 57692 0 12654 0 32826 0 709488 0 0 0 SCOTT MURRAY MD 543000 0 13200 0 0 0 13666 0 38866 0 608732 0 0 0 BRITT ANDERSEN MD 520589 0 7400 0 20800 0 13415 0 15688 0 577892 0 0 0 PATRICIA HARRISON MD 406432 0 7100 0 0 0 13896 0 1163 0 428591 0 0 0 TYLER GERSTANDT CFO 173246 0 10412 0 0 0 7352 0 22100 0 213110 0 0 0 ANGELA FRIEDRICH CNO 143461 0 8649 0 780 0 6097 0 33395 0 192382 0 0 0 MERLE MACK VP OF HR 149546 0 8911 0 0 0 6289 0 23871 0 188617 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, CNO, AND VP OF HR'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 $367,339 AND $47,029 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 4,468,147. MANAGEMENT AND GENERAL EXPENSES 734,168. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,202,315. LOCUM FEES: PROGRAM SERVICE EXPENSES 954,025. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 954,025. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 2,205,398. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,205,398. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUSTS 2,240,699. 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 -138596 2043074 1.00000 1 EVA R HUXFORD TRUST 212 W WILLOW ST CHEROKEE IA 51012 426051871 TRUST IA SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION T 221045 12059240 1.00000 1 DAVID PATTERSON JR TRUST 212 W WILLOW ST CHEROKEE IA 51012 206115479 TRUST IA SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION T 96731 5627028 1.00000 1 1 0 1 1 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 CHEROKEE REGIONAL MEDICAL CENTER FOUNDATION C 79328 FMV CMSRX INC A 68000 FMV CMSRX INC D 250000 FMV HEARTLAND CARE CENTER INC L 156775 FMV CMSRX INC L 2227214 FMV HEARTLAND CARE CENTER INC O 161936 FMV CMSRX INC O 46719 FMV HEARTLAND CARE CENTER INC Q 481140 FMV CMSRX INC Q 304778 FMV EVA R HUXFORD TRUST B 530000 FMV DAVID PATTERSON JR TRUST B 96411 FMV