Form 990 for tax year 2025
Filed by SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION.
Totals
- Total revenue
- $67,838,385
- Total expenses
- $60,718,843
- Contributions and grants received
- $2,493,069
- Grants paid
- $94,495
- Program service revenue
- $64,310,973
- Investment income
- $878,840
- Other revenue
- $155,503
- Total assets, end of year
- $122,215,784
- Total liabilities, end of year
- $8,976,577
- Net assets or fund balances, end of year
- $113,239,207
- Program services expenses (Part IX)
- $52,432,267
- Management and general expenses
- $8,286,576
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $52,432,267
Program services were 86.4% 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
$79,328
-
1e · Government grants (contributions)
$1,476,135
-
1f · All other contributions, gifts and grants
$937,606
-
2a · Program service revenue: PATIENT REVENUE
total $57,754,340 · related or exempt $57,754,340
-
2b · Program service revenue: PHARMACY REVENUE
total $4,234,310 · related or exempt $4,234,310
-
2c · Program service revenue: MANAGEMENT AGREEMENT REVENUE
total $994,573 · related or exempt $994,573
-
2d · Program service revenue: SENIOR HOUSING
total $481,000 · related or exempt $481,000
-
2e · Program service revenue: WELLNESS CENTER REVENUE
total $425,720 · unrelated business $425,720
-
2f · All other program service revenue
total $421,030 · related or exempt $421,030
-
3 · Investment income
total $889,305 · unrelated business -$138,596 · excluded $1,027,901
-
6a · Gross rents
real property $173,804
-
6b · Less rental expenses
real property $18,301
-
6c · Rental income or loss
real property $155,503
-
6d · Net rental income or loss
total $155,503 · unrelated business $49,699 · excluded $105,804
-
7b · Less cost or other basis and sales expenses
other assets $10,465
-
7c · Gain or loss
other assets -$10,465
-
7d · Net gain or loss
total -$10,465 · excluded -$10,465
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $31,795 · program services $31,795
-
2 · Grants to domestic individuals
total $62,700 · program services $62,700
-
5 · Compensation of officers, directors and key employees
total $1,008,476 · program services $96,191 · management and general $912,285
-
7 · Other salaries and wages
total $22,136,333 · program services $19,643,844 · management and general $2,492,489
-
8 · Pension plan contributions
total $668,263 · program services $585,184 · management and general $83,079
-
9 · Other employee benefits
total $4,923,520 · program services $4,331,853 · management and general $591,667
-
10 · Payroll taxes
total $1,178,239 · program services $989,889 · management and general $188,350
-
11a · Fees: management
total $521,245 · management and general $521,245
-
11b · Fees: legal
total $82,995 · management and general $82,995
-
11c · Fees: accounting
total $132,143 · management and general $132,143
-
11g · Fees: other
total $8,361,738 · program services $7,627,570 · management and general $734,168
-
12 · Advertising and promotion
total $121,357 · program services $66,083 · management and general $55,274
-
13 · Office expenses
total $592,232 · program services $431,178 · management and general $161,054
-
14 · Information technology
total $117,889 · management and general $117,889
-
16 · Occupancy
total $896,213 · program services $306,809 · management and general $589,404
-
17 · Travel
total $194,197 · program services $172,747 · management and general $21,450
-
19 · Conferences, conventions and meetings
total $88,051 · program services $81,660 · management and general $6,391
-
22 · Depreciation, depletion and amortization
total $3,496,794 · program services $2,871,664 · management and general $625,130
-
23 · Insurance
total $379,566 · program services $133,447 · management and general $246,119
-
24a · Other expenses: MEDICAL SUPPLIES
total $10,805,522 · program services $10,796,771 · management and general $8,751
-
24b · Other expenses: MEDICAID EXPENSE
total $1,942,982 · program services $1,942,982
-
24c · Other expenses: REPAIRS & MAINTENANCE
total $1,511,151 · program services $1,302,245 · management and general $208,906
-
24d · Other expenses: RECRUITING
total $463,466 · program services $406,490 · management and general $56,976
-
24e · All other expenses
total $1,001,976 · program services $551,165 · management and general $450,811
Balance sheet
Part X, book values.
-
2 · Savings and temporary cash investments
beginning of year $2,430,717 · end of year $1,094,867
-
4 · Accounts receivable
beginning of year $6,017,310 · end of year $6,365,668
-
7 · Other notes and loans receivable
beginning of year $1,075,000 · end of year $1,325,000
-
8 · Inventories for sale or use
beginning of year $1,064,025 · end of year $978,222
-
9 · Prepaid expenses and deferred charges
beginning of year $1,071,775 · end of year $1,375,569
-
10a · Land, buildings and equipment: cost or other basis
$95,345,550
-
10b · Land, buildings and equipment: accumulated depreciation
$45,973,998
-
10c · Land, buildings and equipment, net
beginning of year $43,287,033 · end of year $49,371,552
-
11 · Investments: publicly traded securities
beginning of year $37,759,584 · end of year $38,557,519
-
12 · Investments: other securities
beginning of year $1,730,621 · end of year $1,434,685
-
15 · Other assets
beginning of year $15,511,108 · end of year $21,712,702
-
17 · Accounts payable and accrued expenses
beginning of year $5,782,262 · end of year $7,927,798
-
19 · Deferred revenue
beginning of year $114,934 · end of year $133,590
-
25 · Other liabilities
beginning of year $1,980,765 · end of year $915,189
-
27 · Net assets without donor restrictions
beginning of year $86,419,866 · end of year $95,261,130
-
28 · Net assets with donor restrictions
beginning of year $15,649,346 · end of year $17,978,077
Mission and programs · 2025
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 2025, THE ORGANIZATION PROVIDED OVER 72,000 OUTPATIENT VISITS, 4,900 EMERGENCY ROOM VISITS, 33,000 CLINIC VISITS, AND 85 BIRTHS.
Expenses $52,432,267 · Grants $94,495 · Revenue $63,885,253
As filed on the 2025 return.
Listed in Part VII
-
Brandon HenkeBRANDON HENKE
CHAIRPERSON/DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Kellen LudvigsonKELLEN LUDVIGSON
VICE CHAIRPERSON (UNTIL APR)
- Total calculated
- $0
- Hours/week
- 1
-
Kerry HurdKERRY HURD
SEC & TREAS/ CHAIRPERSON
- Total calculated
- $0
- Hours/week
- 1
-
Les ToddLES TODD
DIRECTOR/VICE CHAIRPERSON
- Total calculated
- $0
- Hours/week
- 1
-
Sarah CookSARAH COOK
DIRECTOR/ SEC & TREASURER
- Total calculated
- $0
- Hours/week
- 1
-
Sheila TrappSHEILA TRAPP
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Clay LeavittCLAY LEAVITT
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Matt SchubertMATT SCHUBERT
DIRECTOR (BEG APR)
- Total calculated
- $0
- Hours/week
- 1
-
Tyler GerstandtTYLER GERSTANDT
CFO
- Total calculated
- $212,762
- From this org
- $183,658
- From related orgs
- $0
- Other
- $29,104
- Hours/week
- 39 + 1 related
Schedule J breakdown matched by us
- Base
- $173,246
- Bonus
- $10,412
- Other
- $0
- Deferred
- $7,352
- Nontaxable benefits
- $22,100
- Filer's total
- $213,110
-
Gary JordanGARY JORDAN
CEO
- Total calculated
- $0
- Hours/week
- 39 + 1 related
-
Merle MackMERLE MACK
VP OF HR
- Total calculated
- $188,268
- From this org
- $158,457
- From related orgs
- $0
- Other
- $29,811
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $149,546
- Bonus
- $8,911
- Other
- $0
- Deferred
- $6,289
- Nontaxable benefits
- $23,871
- Filer's total
- $188,617
-
Angela FriedrichANGELA FRIEDRICH
CNO
- Total calculated
- $192,034
- From this org
- $152,890
- From related orgs
- $0
- Other
- $39,144
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $143,461
- Bonus
- $8,649
- Other
- $780
- Deferred
- $6,097
- Nontaxable benefits
- $33,395
- Filer's total
- $192,382
-
Nicholas LoughlinNICHOLAS LOUGHLIN
DO
- Total calculated
- $748,555
- From this org
- $702,542
- From related orgs
- $0
- Other
- $46,013
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $284,669
- Bonus
- $367,873
- Other
- $50,000
- Deferred
- $12,231
- Nontaxable benefits
- $34,480
- Filer's total
- $749,253
-
Sean NelsonSEAN NELSON
MD
- Total calculated
- $708,789
- From this org
- $664,008
- From related orgs
- $0
- Other
- $44,781
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $391,953
- Bonus
- $214,363
- Other
- $57,692
- Deferred
- $12,654
- Nontaxable benefits
- $32,826
- Filer's total
- $709,488
-
Scott MurraySCOTT MURRAY
MD
- Total calculated
- $608,033
- From this org
- $556,200
- From related orgs
- $0
- Other
- $51,833
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $543,000
- Bonus
- $13,200
- Other
- $0
- Deferred
- $13,666
- Nontaxable benefits
- $38,866
- Filer's total
- $608,732
-
Britt AndersenBRITT ANDERSEN
MD
- Total calculated
- $577,194
- From this org
- $548,789
- From related orgs
- $0
- Other
- $28,405
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $520,589
- Bonus
- $7,400
- Other
- $20,800
- Deferred
- $13,415
- Nontaxable benefits
- $15,688
- Filer's total
- $577,892
-
Patricia HarrisonPATRICIA HARRISON
MD
- Total calculated
- $427,892
- From this org
- $413,532
- From related orgs
- $0
- Other
- $14,360
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $406,432
- Bonus
- $7,100
- Other
- $0
- Deferred
- $13,896
- Nontaxable benefits
- $1,163
- Filer's total
- $428,591
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, CNO, AND VP OF HR'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
-
$15,605
NEW SPLASH PAD
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.
-
501(C)(3) · LONG TERM CARE FACILITY · IA · controlled entity
Directly controlled by SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION
-
CHEROKEE REGIONAL MEDICAL CENTER FOUNDATION
501(C)(3) · SUPPORT FOR CRMC · IA · controlled entity
Directly controlled by SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION
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 -$138,596 · share of assets $2,043,074 · controlled entity
Directly controlled by SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION
-
T · TRUST · IA · 100% owned · share of income $221,045 · share of assets $12,059,240 · controlled entity
Directly controlled by SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION
-
DAVID PATTERSON JR TRUST
T · TRUST · IA · 100% owned · share of income $96,731 · share of assets $5,627,028 · controlled entity
Directly controlled by SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION
Provenance
- Return type
- form_990
- Tax year
- 2025
- Filed
- 4 September 2026
- IRS schema version
- 2025v4.2
- Source object
- 202642519349300109
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.