2020-03-03T11:52:49-06:00 2019-06-30 621532536 COULTER & JUSTUS PC 9717 COGDILL ROAD SUITE 201 KNOXVILLE TN 37932 990 2018-07-01 620637925 CHEROKEE HEALTH SYSTEMS CHER 4237142210 2018 WESTERN AVENUE KNOXVILLE TN 37921 JEFFREY W HOWARD CFO 4237142210 2020-02-27 1 NAN C BOBBETT CPA P00119087 8656374161 2020-02-27 69.73.35.66 2020-02-27 17:53:25 ES P 14AE82C57E4E04F046FD7FB17F1B1C4023F44B65 14AE82C57E4E04F046FD7FB17F1B1C4023F44B65 2018 2020-09-23 17:36:50Z DENNIS FREEMAN 2018 WESTERN AVENUE KNOXVILLE TN 37921 60976917 0 X WWW.CHEROKEEHEALTH.COM X 1960 TN THE ORGANIZATION PROVIDES MEDICAL AND BEHAVIORAL HEALTH SERVICES TO INDIVIDUALS ON A SLIDING FEE BASIS. CHS OPERATES FEDERALLY QUALIFIED HEALTH AND COMMUNITY MENTAL HEALTH SERVICES. 11 11 892 11 0 0 18601976 18079870 44330016 39956602 1858 379469 1016818 375831 63950668 58791772 0 0 0 0 40408799 41437556 0 0 0 19506545 16885924 59915344 58323480 4035324 468292 69097580 66847071 28993257 25388331 40104323 41458740 X TO IMPROVE THE QUALITY OF LIFE FOR OUR PATIENTS THROUGH THE BLENDING OF PRIMARY CARE, BEHAVIORAL HEALTH, AND PREVENTION SERVICES. 0 0 38373033 40243662 SEE SCHEDULE O GRANT PROGRAMS, CLINICAL ADMINISTRATION, ETC. 38373033 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 89 0 1 892 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 TN X JEFFREY W HOWARD CFO 8659346734 2018 WESTERN AVENUE KNOXVILLE TN 37921 JANA CHAMBERS BOARD MEMBER 1.00 X 0 0 0 MICHAEL COVINGTON SECRETARY 1.00 X X 0 0 0 MIKE REAMES BOARD MEMBER 1.00 X 0 0 0 RENZO HUERTA BOARD MEMBER 1.00 X 0 0 0 JOE REED TREASURER 1.00 X X 0 0 0 CARMEN VANSCYOC BOARD MEMBER 1.00 X 0 0 0 ROGER NOOE PRESIDENT 1.00 X X 0 0 0 WILLIAM WHITED VICE PRESIDENT 1.00 X X 0 0 0 CHARLIE CASWELL BOARD MEMBER 1.00 X 0 0 0 KEN KNIGHT BOARD MEMBER 1.00 X 0 0 0 EDUARDO RAMERIZ BOARD MEMBER 1.00 X 0 0 0 DENNIS FREEMAN CHIEF EXECUTIVE OFFICER 59.00 X 282463 0 32493 JEFFREY HOWARD CHIEF FINANCIAL OFFICER 45.00 X 207504 0 34455 JOEL HORNBERGER CHIEF STRATEGY OFFICER 46.00 X 204600 0 27336 FEBE WALLACE MEDICAL DIRECTOR 54.00 X 266365 0 28983 PARINDA KHATRI CHIEF CLINICAL OFFICER 63.00 X 177500 0 12087 MICHAEL CAUDLE DIRECTOR OF WOMEN'S HEALTH 41.00 X 209092 0 29510 GREGORY PERRY DIR OF PSYCHATRIC SVCS 45.00 X 224156 0 20926 PAUL D'CRUZ PSYCHIATRIST 45.00 X 221387 0 34329 CINDY PERRY PSYCHIATRIST 48.00 X 226160 0 27240 MARK MCGRAIL DIR OF ADDITION MEDICINE 44.00 X 201446 0 11255 2220673 0 258614 44 0 1 0 JEFFREY GREENWOOD MD PC 2401 CRAIG COVE ROAD KNOXVILLE TN 37919 PSYCHIATRIST 131560 1 16264074 1815796 18079870 PATIENT SERVICE FEES 624100 38950162 38950162 MANAGEMENT AND ADMIN. FEES 900099 1006440 1006440 39956602 401929 401929 57874 0 57874 57874 57874 1926985 235700 1927642 257503 -657 -21803 -22460 -22460 MEANINGFUL USE INCENTIVES 900099 309520 309520 MISCELLANEOUS 900099 8437 8437 317957 58791772 40243662 0 468240 489966 367475 122491 32741370 24543535 8197835 1435704 1071641 364063 4503985 3358263 1145722 2266531 1691788 574743 11510 11510 79560 7000 72560 3681568 1867967 1813601 24211 1300 22911 5019788 3903073 1116715 1122425 188279 934146 2603972 24536 2579436 420756 292779 127977 683056 62500 620556 2136321 367025 1769296 252436 64218 188218 MISCELLANEOUS 850321 561654 288667 58323480 38373033 19950447 0 7100848 3252669 1846552 1488754 4664645 4970278 206398 0 579735 1010429 56809484 18755329 38055657 38054155 12807632 14806898 1808238 845435 2027875 2418453 69097580 66847071 7366388 8638507 13190780 13936683 8436089 2813141 28993257 25388331 X 39878678 41391075 225645 67665 40104323 41458740 69097580 66847071 468292 886125 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 250500 250500 250500 250500 288629 288629 1198184 909555 288629 1198184 1198184 1.00000 0 0 2816231 2816231 46185211 13779484 32405727 526073 365865 160208 7251031 4609980 2641051 30938 30938 38054155 DUE TO THIRD PARTY PAYERS 2813141 2813141 59837631 866125 21754 157980 1045859 58791772 0 58791772 58503214 21754 157980 179734 58323480 0 58323480 PART XI, LINE 2D - OTHER ADJUSTMENTS: NET ASSETS RELEASED FROM RESTRICTIONS PART XII, LINE 2D - OTHER ADJUSTMENTS: NET ASSETS RELEASED FROM RESTRICTIONS PART V; LINE 4 - ENDOWMENT FUNDS THE ENDOWMENT FUNDS ARE INTENDED FOR USE IN THE ADVANCEMENT OF HEALTHCARE ACCESS, INCLUDING THE TREATMENT OF CHEMICALLY DEPENDENT WOMEN. SOME CHANGES WERE MADE ON LINE 1 TO PRIOR-YEAR AMOUNTS. X X X 0 0 0 0 0 0 0 0 0 DENNIS FREEMAN CHIEF EXECUTIVE OFFICER 276308 0 0 0 6155 0 16830 0 15663 0 314956 0 0 0 JEFFREY HOWARD CHIEF FINANCIAL OFFICER 206818 0 0 0 686 0 12409 0 22046 0 241959 0 0 0 JOEL HORNBERGER CHIEF STRATEGY OFFICER 203298 0 0 0 1302 0 12198 0 15138 0 231936 0 0 0 FEBE WALLACE MEDICAL DIRECTOR 204557 0 0 0 61808 0 15982 0 13001 0 295348 0 0 0 PARINDA KHATRI CHIEF CLINICAL OFFICER 177500 0 0 0 0 0 12087 0 0 0 189587 0 0 0 MICHAEL CAUDLE DIRECTOR OF WOMEN'S HEALTH 196005 0 0 0 13087 0 12546 0 16964 0 238602 0 0 0 GREGORY PERRY DIR OF PSYCHATRIC SVCS 224156 0 0 0 0 0 13449 0 7477 0 245082 0 0 0 PAUL D'CRUZ PSYCHIATRIST 206099 0 0 0 15288 0 13283 0 21046 0 255716 0 0 0 CINDY PERRY PSYCHIATRIST 226160 0 0 0 0 0 13570 0 13670 0 253400 0 0 0 MARK MCGRAIL DIR OF ADDITION MEDICINE 196446 0 0 0 5000 0 10650 0 605 0 212701 0 0 0 FORM 990, PART III - PROGRAM SERVICE, LINE 4A CHEROKEE HEALTH SYSTEMS IS COMMITTED TO ENSURING EVERY INDIVIDUAL HAS ACCESS TO EFFECTIVE, HIGH-QUALITY CARE. WE OFFER A WIDE ARRAY OF COMPREHENSIVE HEALTH SERVICES TO CHILDREN, ADULTS, AND SENIORS AND OFFER SLIDING-FEE SCALE TO THOSE WHO MEET CERTAIN HOUSEHOLD SIZE AND INCOME GUIDELINES. CHEROKEE PROVIDED THE FOLLOWING SERVICES DURING THE YEAR ENDED JUNE 30, 2019: BEHAVIORAL - PROVIDED 183,861 SERVICES TO 36,844 PATIENTS DURING THE 2018 TAX YEAR. OF THAT NUMBER, 12,671 RECEIVED SERVICES THAT WERE NOT COVERED BY A THIRD PARTY PAYER (UNINSURED). MEDICAL - PROVIDED 192,050 SERVICES TO 56,301 PATIENTS DURING THE 2018 TAX YEAR. OF THESE PATIENTS, 17,943 RECEIVED SERVICES THAT WERE NOT COVERED BY A THIRD PARTY PAYER (UNINSURED). PHARMACEUTICAL - FILLED 133,172 PRESCRIPTIONS UNDER THE FEDERAL 340(B) DRUG PROGRAM. OF THAT NUMBER, 39,866 PRESCRIPTIONS WERE NOT COVERED BY A THIRD PARTY PAYER (UNINSURED). FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS DISTRIBUTED TO THE BOARD MEMBERS AND REVIEWED BEFORE THE FORM WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS DISCUSSED IN PERSON WITH EACH POTENTIAL BOARD MEMBER. WHEN MANAGEMENT BECOMES AWARE OF A POTENTIAL CONFLICT, IT IS DISCUSSED IN DEPTH WITH UPPER MANAGEMENT AND THE BOARD. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS THE CEO'S COMPENSATION ANNUALLY. SURVEYS FROM SIMILAR ORGANIZATIONS (NACHC OR MGMA) ARE ALSO USED TO MAKE SURE COMPENSATION IS IN LINE WITH COMPARABLE-SIZED ORGANIZATIONS. BOARD MEMBERS PROVIDE FEEDBACK FROM THE COMMUNITY AND WORK WITH THE CEO TO DISCUSS AND ESTABLISH PERFORMANCE CRITERIA. THE CEO REVIEWS THE ANNUAL COMPENSATION FOR ALL SENIOR MANAGEMENT. SURVEYS FROM SIMILAR ORGANIZATIONS (NACHC OR MGMA) ARE ALSO USED TO MAKE SURE COMPENSATION IS IN LINE WITH COMPARABLE-SIZED ORGANIZATIONS. ANNUAL PERFORMANCE IS REVIEWED AGAINST PREDETERMINED TARGETS AND CEO PROVIDES FEEDBACK FROM THE COMMUNITY AND VARIOUS PROGRAM STAFF AT CHS. CEO AND MANAGEMENT STAFF WORK TOGETHER TO DISCUSS AND ESTABLISH PERFORMANCE CRITERIA. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTATION PROVIDED UPON REQUEST FORM 990, PART XII, LINE 2C: ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE COMMITTEE AND RESPONSIBILITIES HAVE NOT CHANGED FROM PRIOR YEAR.