Skip to content
Nonprofiteer
← SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION

Form 990 for tax year 2024

Filed by SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION.

Totals

Total revenue
$60,820,576
Total expenses
$56,878,502
Contributions and grants received
$2,223,928
Grants paid
$256,814
Program service revenue
$56,243,509
Investment income
$2,168,632
Other revenue
$184,507
Total assets, end of year
$109,947,173
Total liabilities, end of year
$7,877,961
Net assets or fund balances, end of year
$102,069,212
Program services expenses (Part IX)
$49,493,346
Management and general expenses
$7,385,156
Fundraising expenses
$0
Program service expenses (Part III)
$49,493,346

Program services were 87.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $56,779

  • 1e · Government grants (contributions)

    $1,553,049

  • 1f · All other contributions, gifts and grants

    $614,100

  • 2a · Program service revenue: PATIENT REVENUE

    total $50,902,123 · related or exempt $50,902,123

  • 2b · Program service revenue: PHARMACY REVENUE

    total $3,143,431 · related or exempt $3,143,431

  • 2c · Program service revenue: MANAGEMENT AGREEMENT REVENUE

    total $930,226 · related or exempt $930,226

  • 2d · Program service revenue: SENIOR HOUSING

    total $456,155 · related or exempt $456,155

  • 2e · Program service revenue: WELLNESS CENTER REVENUE

    total $404,765 · unrelated business $404,765

  • 2f · All other program service revenue

    total $406,809 · related or exempt $406,809

  • 3 · Investment income

    total $2,168,632 · unrelated business -$25,204 · excluded $2,193,836

  • 6a · Gross rents

    real property $184,507

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $184,507

  • 6d · Net rental income or loss

    total $184,507 · excluded $184,507

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $187,309 · program services $187,309

  • 2 · Grants to domestic individuals

    total $69,505 · program services $69,505

  • 5 · Compensation of officers, directors and key employees

    total $214,415 · management and general $214,415

  • 7 · Other salaries and wages

    total $21,193,944 · program services $18,459,782 · management and general $2,734,162

  • 8 · Pension plan contributions

    total $553,342 · program services $484,243 · management and general $69,099

  • 9 · Other employee benefits

    total $4,638,014 · program services $4,055,977 · management and general $582,037

  • 10 · Payroll taxes

    total $1,117,487 · program services $945,581 · management and general $171,906

  • 11a · Fees: management

    total $527,382 · management and general $527,382

  • 11b · Fees: legal

    total $50,081 · management and general $50,081

  • 11c · Fees: accounting

    total $71,086 · management and general $71,086

  • 11g · Fees: other

    total $8,455,196 · program services $7,814,307 · management and general $640,889

  • 12 · Advertising and promotion

    total $108,570 · program services $58,189 · management and general $50,381

  • 13 · Office expenses

    total $518,680 · program services $352,447 · management and general $166,233

  • 14 · Information technology

    total $95,426 · management and general $95,426

  • 16 · Occupancy

    total $803,762 · program services $333,646 · management and general $470,116

  • 17 · Travel

    total $188,381 · program services $169,384 · management and general $18,997

  • 19 · Conferences, conventions and meetings

    total $71,878 · program services $65,514 · management and general $6,364

  • 22 · Depreciation, depletion and amortization

    total $2,988,007 · program services $2,367,040 · management and general $620,967

  • 23 · Insurance

    total $395,923 · program services $150,014 · management and general $245,909

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $9,944,211 · program services $9,932,869 · management and general $11,342

  • 24b · Other expenses: MEDICAID EXPENSE

    total $1,846,554 · program services $1,846,554

  • 24c · Other expenses: REPAIRS & MAINTENANCE

    total $1,438,679 · program services $1,208,620 · management and general $230,059

  • 24d · Other expenses: MINOR EQUIPMENT

    total $294,569 · program services $254,151 · management and general $40,418

  • 24e · All other expenses

    total $1,106,101 · program services $738,214 · management and general $367,887

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $25,066,814 · end of year $2,430,717

  • 4 · Accounts receivable

    beginning of year $11,297,746 · end of year $6,017,310

  • 7 · Other notes and loans receivable

    beginning of year $1,000,000 · end of year $1,075,000

  • 8 · Inventories for sale or use

    beginning of year $1,011,831 · end of year $1,064,025

  • 9 · Prepaid expenses and deferred charges

    beginning of year $1,020,318 · end of year $1,071,775

  • 10a · Land, buildings and equipment: cost or other basis

    $86,840,387

  • 10b · Land, buildings and equipment: accumulated depreciation

    $43,553,354

  • 10c · Land, buildings and equipment, net

    beginning of year $31,408,003 · end of year $43,287,033

  • 11 · Investments: publicly traded securities

    beginning of year $16,176,653 · end of year $37,759,584

  • 12 · Investments: other securities

    beginning of year $1,768,338 · end of year $1,730,621

  • 15 · Other assets

    beginning of year $472,250 · end of year $15,511,108

  • 17 · Accounts payable and accrued expenses

    beginning of year $6,863,341 · end of year $5,782,262

  • 19 · Deferred revenue

    beginning of year $123,217 · end of year $114,934

  • 24 · Unsecured notes and loans payable

    beginning of year $50,324 · end of year $0

  • 25 · Other liabilities

    beginning of year $0 · end of year $1,980,765

  • 27 · Net assets without donor restrictions

    beginning of year $81,757,270 · end of year $86,419,866

  • 28 · Net assets with donor restrictions

    beginning of year $427,801 · end of year $15,649,346

Mission and programs · 2024

Mission

PROVIDE SEAMLESS, QUALITY HEALTH CARE SERVICES TO OUR COMMUNITIES.

Activities or mission (Part I)

PROVIDE A COMPLETE CONTINUUM OF HEALTHCARE SERVICES TO THE PEOPLE OF CHEROKEE AND SURROUNDING AREAS

  • 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.

    Expenses $49,493,346 · Grants $256,814 · Revenue $55,838,744

As filed on the 2024 return.

Listed in Part VII

  • Brandon Henke

    CHAIRPERSON

    Total calculated
    $0
    Hours/week
    1
  • Kellen Ludvigson

    VICE CHAIRPERSON

    Total calculated
    $0
    Hours/week
    1
  • Kerry Hurd

    SECRETARY/ TREASURER

    Total calculated
    $0
    Hours/week
    1
  • Clay Leavitt

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Les Todd

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Sarah Cook

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Sheila Trapp

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Tyler Gerstandt

    CFO

    Total calculated
    $214,068
    From this org
    $180,550
    From related orgs
    $0
    Other
    $33,518
    Hours/week
    38 + 2 related

    Schedule J breakdown matched by us

    Base
    $162,636
    Bonus
    $17,914
    Other
    $0
    Deferred
    $7,658
    Nontaxable benefits
    $26,208
    Filer's total
    $214,416
  • Gary Jordan

    CEO

    Total calculated
    $0
    Hours/week
    38.5 + 1.5 related
  • Nicholas Loughlin

    DO

    Total calculated
    $745,267
    From this org
    $700,430
    From related orgs
    $0
    Other
    $44,837
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $258,568
    Bonus
    $441,862
    Other
    $0
    Deferred
    $13,136
    Nontaxable benefits
    $32,400
    Filer's total
    $745,966
  • Sean Nelson

    MD

    Total calculated
    $671,691
    From this org
    $624,537
    From related orgs
    $0
    Other
    $47,154
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $336,941
    Bonus
    $287,596
    Other
    $0
    Deferred
    $15,375
    Nontaxable benefits
    $32,478
    Filer's total
    $672,390
  • Scott Murray

    MD

    Total calculated
    $644,591
    From this org
    $571,274
    From related orgs
    $0
    Other
    $73,317
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $557,999
    Bonus
    $13,275
    Other
    $0
    Deferred
    $36,800
    Nontaxable benefits
    $37,216
    Filer's total
    $645,290
  • Britt Andersen

    MD

    Total calculated
    $558,382
    From this org
    $502,247
    From related orgs
    $0
    Other
    $56,135
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $481,368
    Bonus
    $20,879
    Other
    $0
    Deferred
    $41,532
    Nontaxable benefits
    $15,194
    Filer's total
    $558,973
  • John Greaves

    DPM

    Total calculated
    $548,892
    From this org
    $500,277
    From related orgs
    $0
    Other
    $48,615
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $239,478
    Bonus
    $260,799
    Other
    $0
    Deferred
    $15,406
    Nontaxable benefits
    $33,908
    Filer's total
    $549,591

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 1a · Health or social club dues or initiation fees
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 3 · Independent compensation consultant
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 6a · Pay contingent on this organization's net earnings

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

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.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • CMSRX INC

    S · RETAIL PHARMACY · IA · 100% owned · share of income -$25,204 · share of assets $1,914,585 · controlled entity

    Directly controlled by SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION

Provenance

Return type
form_990
Tax year
2024
Filed
29 October 2025
IRS schema version
2024v5.2
Source object
202533039349302303

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.