Civic Intelligence

Sioux Valley Memorial Hospital

EIN 42-0707096 • 501(c)3 • Cherokee, IA

Profile

To provide a complete continuum of healthcare services to the people of cherokee and surrounding area.

Refreshing map…

300 Sioux Valley DrCherokee, IA 51012-1205

www.cherokeermc.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

25th percentile

0.07x

Higher debt load relative to assets than 25% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Liabilities / Revenue

21st percentile

0.13x

Higher debt load relative to revenue than 21% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Net Margin

56th percentile

6.5%

Higher net margin than 56% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Top Officer Pay

70th percentile

$745,267

Higher top officer pay than 70% of similar nonprofits.

Top officer pay equals 1.2% of source-year revenue.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Asset Growth

89th percentile

23%

Faster asset growth than 89% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Revenue Growth

54th percentile

9.4%

Faster revenue growth than 54% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Assets

Up

$109,947,173

Up $20,725,220 (+23%) from 2023

Liabilities

Up

$7,877,961

Up $841,079 (+12%) from 2023

Net Assets

Up

$102,069,212

Up $19,884,141 (+24%) from 2023

Revenue

Up

$60,820,576

Up $5,236,768 (+9.4%) from 2023

Expenses

Up

$56,878,502

Up $7,287,262 (+15%) from 2023

Net Income

Down

$3,942,074

Down $2,050,494 (-34%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$150M$100M$50M$0Assets 2011: $41,161,449Liabilities 2011: $10,628,532Net Assets 2011: $30,532,9172011Assets 2012: $42,689,825Liabilities 2012: $10,131,660Net Assets 2012: $32,558,1652012Assets 2013: $45,371,585Liabilities 2013: $10,604,168Net Assets 2013: $34,767,4172013Assets 2014: $46,309,163Liabilities 2014: $9,554,956Net Assets 2014: $36,754,2072014Assets 2015: $51,337,064Liabilities 2015: $11,940,132Net Assets 2015: $39,396,9322015Assets 2016: $54,890,635Liabilities 2016: $11,249,211Net Assets 2016: $43,641,4242016Assets 2017: $59,981,844Liabilities 2017: $11,921,692Net Assets 2017: $48,060,1522017Assets 2018: $61,733,284Liabilities 2018: $10,908,734Net Assets 2018: $50,824,5502018Assets 2019: $65,301,664Liabilities 2019: $9,888,844Net Assets 2019: $55,412,8202019Assets 2020: $80,583,038Liabilities 2020: $17,770,722Net Assets 2020: $62,812,3162020Assets 2021: $85,979,700Liabilities 2021: $12,039,435Net Assets 2021: $73,940,2652021Assets 2022: $80,030,785Liabilities 2022: $5,549,788Net Assets 2022: $74,480,9972022Assets 2023: $89,221,953Liabilities 2023: $7,036,882Net Assets 2023: $82,185,0712023Assets 2024: $109,947,173Liabilities 2024: $7,877,961Net Assets 2024: $102,069,2122024

Highlighted filing

2024

Assets$109,947,173
Liabilities$7,877,961
Net Assets$102,069,212

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$80M$60M$40M$20M$0Expenses 2011: $22,724,7222011Expenses 2012: $22,535,7572012Revenue 2013: $25,391,031Expenses 2013: $23,725,771Net Income 2013: $1,665,2602013Revenue 2014: $26,349,819Expenses 2014: $24,249,433Net Income 2014: $2,100,3862014Revenue 2015: $29,933,046Expenses 2015: $26,470,061Net Income 2015: $3,462,9852015Revenue 2016: $31,078,069Expenses 2016: $27,184,098Net Income 2016: $3,893,9712016Revenue 2017: $31,886,888Expenses 2017: $28,208,832Net Income 2017: $3,678,0562017Revenue 2018: $34,829,155Expenses 2018: $30,872,223Net Income 2018: $3,956,9322018Revenue 2019: $35,652,260Expenses 2019: $32,677,113Net Income 2019: $2,975,1472019Revenue 2020: $44,379,443Expenses 2020: $38,087,601Net Income 2020: $6,291,8422020Revenue 2021: $52,691,699Expenses 2021: $42,486,412Net Income 2021: $10,205,2872021Revenue 2022: $49,085,974Expenses 2022: $46,037,507Net Income 2022: $3,048,4672022Revenue 2023: $55,583,808Expenses 2023: $49,591,240Net Income 2023: $5,992,5682023Revenue 2024: $60,820,576Expenses 2024: $56,878,502Net Income 2024: $3,942,0742024

Highlighted filing

2024

Revenue$60,820,576
Expenses$56,878,502
Net Income$3,942,074

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$110$7.88$102$60.8$56.9$3.94
2023Summary only. Only limited summary data is available for this year.$89.2$7.04$82.2$55.6$49.6$5.99
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$80.0$5.55$74.5$49.1$46.0$3.05
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$86.0$12.0$73.9$52.7$42.5$10.2
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$80.6$17.8$62.8$44.4$38.1$6.29
2019Facts available. Structured filing facts are available, but richer extracted sections are limited.$65.3$9.89$55.4$35.7$32.7$2.98
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$61.7$10.9$50.8$34.8$30.9$3.96
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$60.0$11.9$48.1$31.9$28.2$3.68
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$54.9$11.2$43.6$31.1$27.2$3.89
2015Detailed filing. Detailed filing data is available for this year.$51.3$11.9$39.4$29.9$26.5$3.46
2014Detailed filing. Detailed filing data is available for this year.$46.3$9.55$36.8$26.3$24.2$2.10
2013Detailed filing. Detailed filing data is available for this year.$45.4$10.6$34.8$25.4$23.7$1.67
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$42.7$10.1$32.6$22.5
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$41.2$10.6$30.5$22.7
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Oct 29, 2025
Return Version
2024v5.2
Gross Receipts
$60,820,576
Mission and Program Overview

Mission

To provide a complete continuum of healthcare services to the people of cherokee and surrounding area.

Provide a complete continuum of healthcare services to the people of cherokee and surrounding areas

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$31,408,003$43,287,033▲ $11,879,030
Investments in Publicly Traded Securities$16,176,653$37,759,584▲ $21,582,931
Accounts Receivable$11,297,746$6,017,310▼ $5,280,436
Savings and Temporary Cash Investments$25,066,814$2,430,717▼ $22,636,097
Investments Other Securities$1,768,338$1,730,621▼ $37,717
Other Notes and Loans Receivable, Net$1,000,000$1,075,000▲ $75,000
Prepaid Expenses and Deferred Charges$1,020,318$1,071,775▲ $51,457
Inventories for Sale or Use$1,011,831$1,064,025▲ $52,194
Total Assets$89,221,953$109,947,173▲ $20,725,220
Other Assets Total$472,250$15,511,108▲ $15,038,858
Liabilities
Accounts Payable and Accrued Expenses$6,863,341$5,782,262▼ $1,081,079
Other Liabilities$0$1,980,765▲ $1,980,765
Deferred Revenue$123,217$114,934▼ $8,283
Unsecured Notes Loans Payable$50,324$0▼ $50,324
Total Liabilities$7,036,882$7,877,961▲ $841,079
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$81,757,270$86,419,866▲ $4,662,596
Net Assets With Donor Restrictions$427,801$15,649,346▲ $15,221,545
Total Net Assets Fund Balance$82,185,071$102,069,212▲ $19,884,141
Total Liabilities and Net Assets / Fund Balance$89,221,953$109,947,173▲ $20,725,220

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$14,776,170$27,694,878$42,471,048
Other Land Buildings$21,102,480$1,335,021$22,437,501
Equipment$2,580,844$14,523,455$17,104,299
Land$4,827,539-$4,827,539
Other Assets Org$15,445,569--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Nicholas LoughlinDoFT$258,568$487,398$745,966
Sean NelsonMdFT$336,941$335,449$672,390
Scott MurrayMdFT$557,999$87,291$645,290
Britt AndersenMdFT$481,368$77,605$558,973
John GreavesDpmFT$239,478$310,113$549,591
Tyler GerstandtCFOFT$162,636$51,780$214,416

Board Members and Trustees

NameTitle
Brandon HenkeChairperson
Kellen LudvigsonVice Chairperson
Clay LeavittDirector
Les ToddDirector
Sarah CookDirector
Sheila TrappDirector
Gary JordanCEO
Kerry HurdSecretary/ Treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Wa KlingerGeneral Contractor2015 E 7TH ST, Sioux City, IA 51102$12,510,841
Unitypoint HealthManagement And Other Services1776 WEST LAKES PARKWAY, West Des Moines, IA 50266$1,124,063
Locum TenensObgyn CoveragePO BOX 405547, Atlanta, GA 30384$858,188
Adel Abdalla PllcRadiology Coverage11253 S APOPKA VINELAND RD, Orlando, FL 32836$830,950
Medical SolutionsNursing SupportPO BOX 850737, Minneapolis, MN 55485$760,926
Revenue and Support

Revenue Composition

Contributions and Grants
$2,223,928
Program Service Revenue
$56,243,509
Investment Income
$2,168,632
Other Revenue
$184,507
All Other Contributions
$614,100
Change in Net Assets
$3,942,074

Audited Revenue Reconciliation

Revenue per Audited Statements
$60,820,576
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$941,625
Total Revenue per Audited Statements
$61,762,201
Total Revenue per Form 990
$60,820,576
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$28,904,486
Salaries, Compensation, and Employee Benefits$27,717,202
Grants and Similar Amounts Paid$256,814
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$18,459,782$2,734,162-$21,193,944
Fees for Services Other$7,814,307$640,889-$8,455,196
Other Employee Benefits$4,055,977$582,037-$4,638,014
Depreciation Depletion$2,367,040$620,967-$2,988,007
Payroll Taxes$945,581$171,906-$1,117,487
All Other Expenses$738,214$367,887-$1,106,101
Occupancy$333,646$470,116-$803,762
Pension Plan Contributions$484,243$69,099-$553,342
Fees for Services Management-$527,382-$527,382
Office Expenses$352,447$166,233-$518,680
Insurance$150,014$245,909-$395,923
Other Expenses$254,151$40,418-$294,569
Current Officers, Directors, Trustees, and Key Employees-$214,415-$214,415
Travel$169,384$18,997-$188,381
Grants to Domestic Orgs$187,309--$187,309
Advertising$58,189$50,381-$108,570
Information Technology-$95,426-$95,426
Conferences and Meetings$65,514$6,364-$71,878
Fees for Services Accounting-$71,086-$71,086
Grants to Domestic Individuals$69,505--$69,505
Fees for Services Legal-$50,081-$50,081
Total Functional Expenses$49,493,346$7,385,156$0$56,878,502

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$56,878,502
Total Expenses per Audited Statements$56,878,502
Total Expenses per Form 990$56,878,502
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Western Iowa Tech Community College FoundationCherokee, IA501c3Cherokee Promise - to Increase Local Student Enrollment$150,000
Aurelia Fire DepartmentAurelia, IA501c3New Fire Station$25,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Estimated Third-party Payor Settlement$1,915,000
Right of Use Liability$65,765
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
Yes
CEO compensation reviewed
No
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
Yes

Governance Explanations

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.

Filing and Contact Details

Filer

Filer Name
Sioux Valley Memorial Hospital
EIN
42-0707096
Phone
7022256818
Address
300 SIOUX VALLEY DR, CHEROKEE, IA 51012-1205
Doing Business As
Cherokee Regional Medical Center

Signing Officer

Name
Tyler Gerstandt
Title
CFO
Phone
7022256818
Signed
2025-10-29
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Gary Jordan
Formed
1916
Legal Domicile
Ia
Voting Board Members
7
Independent Board Members
7
Employees
405
Volunteers
15

Preparer

Firm
Eide Bailly Llp
Address
345 N REID PL STE 400, SIOUX FALLS, SD 57103-7034
Preparer
Laurie Hanson CPA
Phone
6053391999
Supplemental Narrative

Additional Explanations

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.

Financial Statement Notes

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.

Raw XML AppendixShowing 400 of 956 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
IRS990/AccountantCompileOrReviewInd00
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IRS990/AccountsReceivableGrp/BOYAmt011297746
IRS990/AccountsReceivableGrp/EOYAmt06017310
IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0PROVIDE A COMPLETE CONTINUUM OF HEALTHCARE SERVICES TO THE PEOPLE OF CHEROKEE AND SURROUNDING AREAS
IRS990/AdvertisingGrp/ManagementAndGeneralAmt050381
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IRS990/AdvertisingGrp/TotalAmt0108570
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IRS990/BooksInCareOfDetail/USAddress/CityNm0CHEROKEE
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IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt3ADEL ABDALLA PLLC
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IRS990/Desc0THE 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.
IRS990/DescribedInSection501c3Ind01
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