Sioux Valley Memorial Hospital Association, Cherokee Regional Medical Center in Cherokee, Iowa (IA)

Sioux Valley Memorial Hospital Association, Cherokee Regional Medical Center
Employer Identification Number (EIN)	420707096
Name of Organization	Sioux Valley Memorial Hospital Association
Secondary Name	Cherokee Regional Medical Center
Address	300 Sioux Valley Dr, Cherokee, IA 51012-1205
Activities	Hospital
Subsection	Educational Organization, Scientific Organization
Ruling Date	06/1940
Deductibility	Contributions are deductible
Foundation	Hospital or medical research organization
Organization	Association
Exempt Organization Status	Unconditional Exemption
Tax Period	12/2013
Assets	$10,000,000 to $49,999,999
Income	$10,000,000 to $49,999,999
Filing Requirement	990 (all other) or 990EZ return
Asset Amount	$45,371,585
Amount of Income	$25,391,031
Form 990 Revenue Amount	$25,391,031
National Taxonomy of Exempt Entities (NTEE)	Health - General and Rehabilitative: Hospital, General

Non-representatives - add comments:

Amount of income in 2013: $25,391,031 (it was $24,480,630 in 2012)

Sioux Valley Memorial Hospital Association, Cherokee Regional Medical Center:	$25,391,031
Other organizations performing similar types of work:	$13,972,681

Assets in 2013: $45,371,585 (it was $42,689,825 in 2012)

Sioux Valley Memorial Hospital Association, Cherokee Regional Medical Center:	$45,371,585
Other organizations performing similar types of work:	$11,373,581

Expenses in 2013: $23,725,771

Sioux Valley Memorial Hospital Association, Cherokee Regional Medical Center:	$23,725,771
Other organizations performing similar types of work:	$14,578,904

Income to expenses ratio in 2013: 1.1

Sioux Valley Memorial Hospital Association, Cherokee Regional Medical Center:	1.1
Other organizations performing similar types of work:	1.1

Number of employees in 2013: 295

This organization:	295
Other organizations performing similar types of work:	196

Employees paid over $100,000 in 2013: 4.4%

Sioux Valley Memorial Hospital Association, Cherokee Regional Medical Center:	4.4%
Other organizations performing similar types of work:	0.0%

Grants share in income in 2013: 2.7%

Sioux Valley Memorial Hospital Association, Cherokee Regional Medical Center:	2.7%
Other organizations performing similar types of work:	0.2%

Financial snapshot ($)

Revenue for 2013

Assets at the end of 2013

Functional expenses for 2013

	2012	2013
Checklist
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)?	Yes	Yes
Is the organization required to complete Schedule B, Schedule of Contributors?	Yes	Yes
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office?	No	No
Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year?	No	No
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19?	No	No
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts?	No	No
Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures?	No	No
Did the organization maintain collections of works of art, historical treasures, or other similar assets?	No	No
Did the organization report an amount for escrow or custodial account liability; serve as a custodian or provide credit counseling, debt management, credit repair, or debt negotiation services?	No	No
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments?	No	No
Did the organization report an amount for land, buildings, and equipment?	Yes	Yes
Did the organization report an amount for investments-other securities that is 5% or more of its total assets?	No	No
Did the organization report an amount for investments-program related that is 5% or more of its total assets?	No	No
Did the organization report an amount for other assets that is 5% or more of its total assets?	No	No
Did the organization report an amount for other liabilities?	No	No
Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)?	No	No
Did the organization obtain separate, independent audited financial statements for the tax year?	Yes	Yes
Was the organization included in consolidated, independent audited financial statements for the tax year?	No	No
Is the organization a school described in section 170(b)(1)(A)(ii)?	No	No
Did the organization maintain an office, employees, or agents outside of the United States?	No	No
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more?	No	No
Did the organization report more than $5,000 of grants or other assistance to or for any foreign organization?	No	No
Did the organization report more than $5,000 of aggregate grants or other assistance to or for foreign individuals?	No	No
Did the organization report a total of more than $15,000 of expenses for professional fundraising services?	No	No
Did the organization report more than $15,000 total of fundraising event gross income and contributions?	No	No
Did the organization report more than $15,000 of gross income from gaming activities?	No	No
Did the organization operate one or more hospital facilities?	Yes	Yes
Did the organization attach a copy of its audited financial statements?	Yes	Yes
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government?	No	No
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals?	No	No
Did the organization answer 'Yes' about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees?	Yes	Yes
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002?	Yes	Yes
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?	No	No
Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds?	No	No
Did the organization act as an 'on behalf of' issuer for bonds outstanding at any time during the year?	No	No
Did the organization engage in an excess benefit transaction with a disqualified person during the year?	No	No
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ?	No	No
Did the organization report any amount for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons?	Yes	No
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons?	No	No
Was the organization a party to a business transaction with one of the following parties
A current or former officer, director, trustee, or key employee?	No	No
A family member of a current or former officer, director, trustee, or key employee?	No	No
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner?	No	No
Did the organization receive more than $25,000 in non-cash contributions?	No	No
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions?	No	No
Did the organization liquidate, terminate, or dissolve and cease operations?	No	No
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets?	No	No
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3?	No	No
Was the organization related to any tax-exempt or taxable entity?	Yes	Yes
Did the organization have a controlled entity within the meaning of section 512(b)(13)?	No	No
Did the organization make any transfers to an exempt non-charitable related organization?	No	No
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes?	No	No

	2011	2012	2013
Statements Regarding Other IRS Filings and Tax Compliance
The number reported in Box 3 of Form 1096		38	33
The number of Forms W-2G		0	0
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners?		Yes	Yes
The number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return		296	295
Did the organization file all required federal employment tax returns?		Yes	Yes
Did the organization have unrelated business gross income of $1,000 or more during the year?	Yes	Yes	Yes
Has it filed a Form 990-T for this year?		Yes	Yes
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?		No	No
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?		No	No
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?		No	No
Did the organization file Form 8886-T?		No	No
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?		No	No
Did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?		No	No
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?		No	No
Did the organization notify the donor of the value of the goods or services provided?		No	No
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?		No	No
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?		No	No
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?		No	No
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?		No	No
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?		No	No
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?		No	No
Did the sponsoring organization make any taxable distributions under section 4966?		No	No
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?		No	No
Initiation fees and capital contributions	$0	$0	$0
Gross receipts for public use of club facilities	$0	$0	$0
Gross income from members or shareholders	$0	$0	$0
Gross income from other sources	$0	$0	$0
Is the organization filing Form 990 in lieu of Form 1041?		No	No
The amount of tax-exempt interest received or accrued during the year		$0	$0
Is the organization licensed to issue qualified health plans in more than one state?		No	No
The amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans		$0	$0
The amount of reserves on hand		$0	$0
Did the organization receive any payments for indoor tanning services during the tax year?		No	No
Has it filed a Form 720 to report these payments?		No	No

	2012	2013
Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
Total reportable compensation from the organization	$1,732,534	$1,957,583
Total reportable compensation from related organizations	$0	$55,468
Total estimated amount of other compensation from the organization and related organizations	$89,011	$96,368
Total number of individuals who received more than $100,000 of reportable compensation from the organization	8	9
Total number of independent contractors who received more than $100,000 of compensation from the organization	3	4

	2011	2012	2013
Statement of Revenue
Total revenue	$24,301,158	$24,480,630	$25,391,031
Contributions, Gifts, Grants and Other Similar Amounts	$631,970	$714,031	$686,370
Program Service Revenue	$22,371,630	$22,312,078	$23,010,664
621300		$22,312,078	$23,010,664
All other program service revenue		$0	$0
Other Revenue
Investment income (including dividends, interest, and other similar amounts)	$203,994	$351,592	$242,308
Income from investment of tax-exempt bond proceeds	$0	$0	$0
Royalties	$0	$0	$0
Net rental income	$465,312	$482,846	$478,319
Gross rents (Real / Personal)	$465,312 / $0	$482,846 / $0	$478,319 / $0
Less: rental expenses (Real / Personal)	$0 / $0	$0 / $0	$0 / $0
Rental income or (loss) (Real / Personal)	$465,312 / $0	$482,846 / $0	$478,319 / $0
Net gain/loss from sales of assets other than inventory	$6,500	$8,500	$0
Net income/loss from fundraising events	$0	$0	$0
Net income/loss from gaming activities	$0	$0	$0
Net income/loss from sales of inventory	$0	$0	$0
Miscellaneous Revenue	$621,752	$611,583	$973,370
Pharmacies and Drug Stores		$310,034	$337,568
900099		$301,549	$320,458
Fitness and Recreational Sports Centers		$0	$315,344
All other revenue		$0	$0

	2011	2012	2013
Statement of Functional Expenses
Total functional expenses	$22,724,722	$22,535,757	$23,725,771
Grants and other assistance to domestic organizations and domestic governments		$0	$0
Grants and other assistance to domestic individuals		$0	$0
Grants and other assistance to foreign organizations, foreign governments, and foreign individuals		$0	$0
Benefits paid to or for members		$0	$0
Compensation of current officers, directors, trustees, and key employees	$1,678,979	$1,732,534	$2,013,051
Compensation not included above, to disqualified persons		$0	$0
Other salaries and wages	$8,277,741	$8,865,607	$8,947,835
Pension plan accruals and contributions		$244,877	$257,980
Other employee benefits		$770,800	$989,819
Payroll taxes	$665,222	$712,190	$730,864
Fees for services (non-employees)
Management		$0	$0
Legal		$5,472	$12,409
Accounting		$40,191	$40,826
Lobbying		$0	$0
Professional fundraising services	$0	$0	$0
Investment management fees		$0	$0
Other		$0	$0
Advertising and promotion		$187,238	$143,498
Office expenses		$0	$0
Information technology		$79,260	$463,611
Royalties		$0	$0
Occupancy		$355,054	$388,922
Travel		$0	$0
Payments of travel or entertainment expenses for any federal, state, or local public officials		$0	$0
Conferences, conventions, and meetings		$0	$0
Interest		$224,768	$206,930
Payments to affiliates		$0	$0
Depreciation, depletion, and amortization		$1,749,507	$1,702,827
Insurance		$148,596	$153,172
Other expenses		$4,455,349	$4,666,780
Other expenses		$1,165,372	$1,165,464
Other expenses		$1,013,307	$1,017,535
Other expenses		$785,635	$824,248

	2011	2012	2013
Balance Sheet
Total assets	$41,161,449	$42,689,825	$45,371,585
Cash - non-interest-bearing		$0	$0
Savings and temporary cash investments		$16,191,954	$16,348,658
Pledges and grants receivable, net		$0	$0
Accounts receivable, net		$4,020,492	$4,210,764
Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees		$16,169	$0
Loans and other receivables from other disqualified persons, persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations		$0	$0
Notes and loans receivable, net		$0	$0
Inventories for sale or use		$756,003	$761,352
Prepaid expenses and deferred charges		$333,731	$244,012
Land, buildings, and equipment: cost or other basis		$16,953,560	$19,721,078
Investments - publicly traded securities		$2,474,163	$3,217,471
Investments - other securities		$0	$0
Investments - program-related		$0	$0
Intangible assets		$0	$0
Other assets		$1,943,753	$868,250
Total liabilities	$10,628,532	$10,131,660	$10,604,168
Accounts payable and accrued expenses		$2,961,397	$3,397,753
Grants payable		$0	$0
Deferred revenue		$68,522	$66,485
Tax-exempt bond liabilities	$0	$0	$0
Escrow or custodial account liability		$0	$0
Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified persons		$0	$0
Secured mortgages and notes payable to unrelated third parties	$7,886,854	$7,101,741	$7,139,930
Unsecured notes and loans payable to unrelated third parties	$0	$0	$0
Other liabilities (including federal income tax, payables to related third parties, and other liabilities)		$0	$0
Total net assets or fund balances	$30,532,917	$32,558,165	$34,767,417
Unrestricted net assets		$32,323,232	$34,499,624
Temporarily restricted net assets		$234,933	$267,793
Permanently restricted net assets		$0	$0
Capital stock or trust principal, or current funds		$0	$0
Paid-in or capital surplus, or land, building, or equipment fund		$0	$0
Retained earnings, endowment, accumulated income, or other funds	$0	$0	$0

Reason for Public Charity Status (for 2013)
The organization is not a private foundation because it is:	A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii)
Number of organizations supported	0
Sum of amounts of support	$0

	Income	Expenses	Net
Unrelated Trade or Business Income (for 2008)
Total	$664,689	$234,896	$429,793
Gross receipts or sales less returns and allowances	$298,652	$0	$0
Cost of goods sold	$0	$0	$0
Gross profit	$298,652	$0	$298,652
Capital gain net income	$0	$0	$0
Net gain	$0	$0	$0
Capital loss deduction for trusts	$0	$0	$0
Income (loss) from partnerships and S corporations	$0	$0	$0
Rent income	$366,037	$234,896	$131,141
Unrelated debt-financed income	$0	$0	$0
Interest, annuities, royalties, and rents from controlled organizations	$0	$0	$0
Investment income of a section 501(c)(7), (9), or (17) organization	$0	$0	$0
Exploited exempt activity income	$0	$0	$0
Advertising income	$0	$0	$0
Other income	$0	$0	$0

Deductions Not Taken Elsewhere (for 2008)
Total deductions	$806,551
Compensation of officers, directors, and trustees	$0
Salaries and wages	$248,628
Repairs and maintenance	$0
Bad debts	$0
Interest	$146,297
Taxes and licenses	$0
Charitable contributions	$0
Depreciation	$265,170
Depletion	$0
Contributions to deferred compensation plans	$0
Employee benefit programs	$29,320
Excess exempt expenses	$0
Excess readership costs	$0
Other deductions	$117,136
Unrelated business taxable income	$-376,758
Unrelated business taxable income before net operating loss deduction	$-376,758
Net operating loss deduction	$0
Unrelated business taxable income before specific deduction	$-376,758
Specific deduction	$1,000

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Id	Name	Address	State	Established	Total Income
Organizations performing similar types of work
1	Virginia Gay Hospital	502 N 9th Ave, Vinton, IA 52349-2299	IA	1976-10	$24,172,097
2	United Helpers Nursing Home Inc	8101 State Highway 68, Ogdensburg, NY 13669-4403	NY	1970-06	$15,273,370
3	Central Community Hospital	901 Davidson St Nw, Elkader, IA 52043-9015	IA	1972-05	$6,000,796
4	United Memorial Medical Center	127 North St, Batavia, NY 14020-1631	NY	1960-07	$82,203,961
5	Bert Fish Medical Center Inc	401 Palmetto St, New Smyrna, FL 32168-7322	FL	1995-10	$71,517,904
6	Sweetwater Hospital Association	304 Church St, Sweetwater, TN 37874-2823	TN	1976-03	$58,739,879
7	South Peninsula Hospital Inc	4300 Bartlett St, Homer, AK 99603-7005	AK	1972-08	$54,972,418
8	Troy Community Hospital Incorporated	275 Guthrie Dr, Troy, PA 16947-8115	PA	1954-03	$50,585,986
9	Wright State Physicians Inc	725 University Blvd, Dayton, OH 45435-0001	OH	1992-08	$43,886,596
10	West Louisiana Health Services Inc, Beauregare Memorial Hospital	PO BOX 730, Deridder, LA 70634-0730	LA	1950-08	$42,608,888
11	Shenandoah Medical Center	300 Pershing Ave, Shenandoah, IA 51601-2355	IA	1978-06	$31,453,446
12	Stewart Memorial Community Hospital	PO BOX 114, Lake City, IA 51449-0114	IA	1964-04	$30,603,228
13	Knoxville Community Hospital Inc	1002 S Lincoln St, Knoxville, IA 50138-3121	IA	1977-12	$28,256,137
14	Sioux Valley Memorial Hospital Association, Cherokee Regional Medical Center	300 Sioux Valley Dr, Cherokee, IA 51012-1205	IA	1940-06	$25,391,031
15	Alegent Health-Community Memorial Hospital Of Missouri Valley Iowa	631 N 8th St, Missouri Vly, IA 51555-1102	IA	1963-02	$24,649,288
16	Hegg Memorial Hospital	1202 21st Ave, Rock Valley, IA 51247-1420	IA	1973-01	$18,667,018
17	Mercy Hospital Of Franciscan Sisters Inc	201 8th Ave Se, Oelwein, IA 50662-2447	IA	1946-03	$12,911,536
18	Sumner Community Club, Community Memorial Hospital	PO BOX 148, Sumner, IA 50674-0148	IA	1955-05	$12,489,737
19	Schoitz Medical Center	3421 W 9th St, Waterloo, IA 50702-5401	IA	1960-04	$263,378
20	Eldora Regional Medical Center	2413 Edgington Ave, Eldora, IA 50627-1541	IA	1997-06	$0

Number of organizations performing similar types of work

Alaska	2
Alabama	4
Arkansas	10
Arizona	70
California	20
Colorado	2
Connecticut	2
District of Columbia	1
Delaware	1
Florida	12
Georgia	9
Hawaii	3
Iowa	15
Idaho	1
Illinois	16
Indiana	21
Kansas	13
Kentucky	18
Louisiana	4
Massachusetts	8
Maryland	6
Maine	8
Michigan	28
Minnesota	12
Missouri	11

Mississippi	3
Montana	10
North Carolina	11
North Dakota	8
Nebraska	8
New Hampshire	3
New Jersey	8
New Mexico	1
Nevada	2
New York	20
Ohio	24
Oklahoma	13
Oregon	3
Pennsylvania	27
South Carolina	6
South Dakota	6
Tennessee	19
Texas	24
Utah	1
Virginia	12
Vermont	3
Washington	8
Wisconsin	16
West Virginia	9

Total

542

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