2021-05-16T11:45:40-05:00 2020-06-30 621532536 COULTER & JUSTUS PC 9717 COGDILL ROAD SUITE 201 KNOXVILLE TN 37932 990 2019-07-01 620637925 CHEROKEE HEALTH SYSTEMS CHER 8655440406 2018 WESTERN AVENUE KNOXVILLE TN 37921 JEFFREY W HOWARD CFO 4237142210 2021-05-14 1 NAN C BOBBETT CPA P00119087 8656374161 2021-05-14 2019 2022-09-23 18:48:47Z DENNIS FREEMAN 2018 WESTERN AVENUE KNOXVILLE TN 37921 63295468 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. 12 12 878 12 0 0 18079870 20169046 39956602 40140137 379469 497594 375831 270614 58791772 61077391 0 0 0 0 41437556 41139167 0 0 0 16885924 17594275 58323480 58733442 468292 2343949 66847071 70508493 25388331 26469425 41458740 44039068 X TO IMPROVE THE QUALITY OF LIFE FOR OUR PATIENTS THROUGH THE BLENDING OF PRIMARY CARE, BEHAVIORAL HEALTH, AND PREVENTION SERVICES. 0 0 37973403 40349877 SEE SCHEDULE O GRANT PROGRAMS, CLINICAL ADMINISTRATION, ETC. 37973403 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 X 122 0 1 878 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 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 TIFFANY BOOKER BOARD MEMBER 1.00 X 0 0 0 MICHAEL COVINGTON SECRETARY 1.00 X X 0 0 0 KIM PATRICK BOARD MEMBER 1.00 X 0 0 0 DAVID PURKEY BOARD MEMBER 1.00 X 0 0 0 KEN KNIGHT 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 NANCY SIRIANNI BOARD MEMBER 1.00 X 0 0 0 EDUARDO RAMERIZ BOARD MEMBER 1.00 X 0 0 0 BILL LENCZYNSKI BOARD MEMBER 1.00 X 0 0 0 DENNIS FREEMAN CHIEF EXECUTIVE OFFICER 58.00 X 282353 0 30777 JEFFREY HOWARD CHIEF FINANCIAL OFFICER 43.00 X 254878 0 36137 JOEL HORNBERGER CHIEF STRATEGY OFFICER 45.00 X 331869 0 30795 FEBE WALLACE MEDICAL DIRECTOR 55.00 X 295102 0 24469 PARINDA KHATRI CHIEF CLINICAL OFFICER 62.00 X 182776 0 10950 MICHAEL HUGHES PSYCHIATRIST 43.00 X 211498 0 19285 GREGORY PERRY DIR OF PSYCHATRIC SVCS 38.00 X 308066 0 22705 PAUL D'CRUZ PSYCHIATRIST 45.00 X 243763 0 34196 CINDY PERRY ASOC DIRECTOR OF PSYCHIATRY SRVCS 48.00 X 219711 0 27663 HAL MONCIER PHYSICIAN 41.00 X 212649 0 28175 2542665 0 265152 44 0 1 0 JEFFREY GREENWOOD MD PC 2401 CRAIG COVE ROAD KNOXVILLE TN 37919 PSYCHIATRIST 128800 1 17788729 2380317 20169046 PATIENT SERVICE FEES 624100 39597044 39597044 MANAGEMENT AND ADMIN. FEES 900099 543093 543093 40140137 295406 295406 60874 0 60874 60874 60874 2416001 4264 2218077 0 197924 4264 202188 202188 MEANINGFUL USE INCENTIVES 900099 186990 186990 MISCELLANEOUS 900099 22750 22750 209740 61077391 40349877 0 558468 537231 397551 139680 33504344 24705790 8798554 1239859 912312 327547 3511366 2583730 927636 2346367 1726502 619865 14268 14268 75438 12000 63438 3834307 1935773 1898534 17721 17721 5339570 4070175 1269395 1274004 248461 1025543 2714732 19698 2695034 330049 217272 112777 581826 49236 532590 2357559 401856 1955703 197937 55170 142767 MISCELLANEOUS 856864 637877 218987 58733442 37973403 20760039 0 3252669 7351295 1488754 2074501 4970278 4055214 1010429 1349395 59567125 21051311 38054155 38515814 14806898 14931878 845435 250500 2418453 1979896 66847071 70508493 8638507 6845098 0 4066693 12530113 12744493 4219711 2813141 25388331 26469425 X 41391075 44026060 67665 13008 41458740 44039068 66847071 70508493 2343949 236379 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 250500 250500 250500 250500 250500 250500 288629 288629 1198184 909555 288629 1.00000 0 0 2816231 2816231 46586334 15160781 31425553 779434 421618 357816 8599255 5468912 3130343 785871 785871 38515814 DUE TO THIRD PARTY PAYERS 2813141 2813141 61368427 236379 54657 291036 61077391 0 61077391 58733442 0 58733442 0 58733442 PART XI, 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 275697 0 0 0 6656 0 16924 0 13853 0 313130 0 0 0 JEFFREY HOWARD CHIEF FINANCIAL OFFICER 201601 0 0 0 53277 0 15796 0 20341 0 291015 0 0 0 JOEL HORNBERGER CHIEF STRATEGY OFFICER 206317 0 0 0 125552 0 18328 0 12467 0 362664 0 0 0 FEBE WALLACE MEDICAL DIRECTOR 205253 0 0 0 89849 0 17356 0 7113 0 319571 0 0 0 PARINDA KHATRI CHIEF CLINICAL OFFICER 182776 0 0 0 0 0 10950 0 0 0 193726 0 0 0 MICHAEL HUGHES PSYCHIATRIST 211498 0 0 0 0 0 6579 0 12706 0 230783 0 0 0 GREGORY PERRY DIR OF PSYCHATRIC SVCS 204949 0 0 0 103117 0 17611 0 5094 0 330771 0 0 0 PAUL D'CRUZ PSYCHIATRIST 206394 0 0 0 37369 0 14855 0 19341 0 277959 0 0 0 CINDY PERRY ASOC DIRECTOR OF PSYCHIATRY SRVCS 219711 0 0 0 0 0 13738 0 13925 0 247374 0 0 0 HAL MONCIER PHYSICIAN 182380 0 4000 0 26269 0 12819 0 15356 0 240824 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, 2020: BEHAVIORAL - PROVIDED 190,119 SERVICES TO 34,215 PATIENTS DURING THE FISCAL YEAR. OF THESE PATIENTS, 11,358 RECEIVED SERVICES THAT WERE NOT COVERED BY A THIRD PARTY PAYER (UNINSURED). MEDICAL - PROVIDED 198,272 SERVICES TO 57,410 PATIENTS DURING THE FISCAL YEAR. OF THESE PATIENTS, 18,298 RECEIVED SERVICES THAT WERE NOT COVERED BY A THIRD PARTY PAYER (UNINSURED). PHARMACEUTICAL - FILLED 114,727 PRESCRIPTIONS UNDER THE FEDERAL 340(B) DRUG PROGRAM DURING THE FISCAL YEAR. OF THAT NUMBER, 34,418 PRESCRIPTIONS WERE NOT COVERED BY A THIRD PARTY PAYER (UNINSURED). FORM 990, PART X - BALANCE SHEET, LIABILITIES CERTAIN LIABILITIES IN PART X WERE RECLASSIFIED IN THE BEGINNING-OF-YEAR BALANCES. 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.