2022-05-16T12:28:48-05:00 2021-06-30 621532536 COULTER & JUSTUS PC 9717 COGDILL ROAD SUITE 201 KNOXVILLE TN 37932 990 2020-07-01 620637925 CHEROKEE HEALTH SYSTEMS CHER 8655440406 2018 WESTERN AVENUE KNOXVILLE TN 37921 JOEL HORNBERGER CFO 4237142210 2022-05-13 1 JOEL HORNBERGER 999009999 CHRISTY BURGESS CPA P00971243 8656374161 2022-05-13 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z DENNIS FREEMAN 2018 WESTERN AVENUE KNOXVILLE TN 37921 71968368 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 12 866 12 0 0 20169046 26816577 40140137 43931960 497594 135737 270614 279421 61077391 71163695 0 0 0 0 41139167 40191875 0 0 0 17594275 19829025 58733442 60020900 2343949 11142795 70508493 78560180 26469425 19746532 44039068 58813648 X TO IMPROVE THE QUALITY OF LIFE FOR OUR PATIENTS THROUGH THE BLENDING OF PRIMARY CARE, BEHAVIORAL HEALTH, AND PREVENTION SERVICES. 0 0 38837449 44124904 SEE SCHEDULE O GRANT PROGRAMS, CLINICAL ADMINISTRATION, ETC. 38837449 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 1 128 0 1 866 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 JOEL HORNBERGER 8659346734 2018 WESTERN AVENUE KNOXVILLE TN 37921 CHRISTIE CARRINGER-LEWELLAN BOARD MEMBER 1.00 X 0 0 0 JOE HANIFORD BOARD MEMBER 1.00 X 0 0 0 KENNETH GLASS BOARD MEMBER 1.00 X 0 0 0 ROSA MAR BOARD MEMBER 1.00 X 0 0 0 MICHAEL COVINGTON VICE PRESIDENT 1.00 X X 0 0 0 KIM PATRICK BOARD MEMBER 1.00 X 0 0 0 DAVID PURKEY TREASURER 1.00 X X 0 0 0 KEN KNIGHT PRESIDENT 1.00 X X 0 0 0 WILLIAM WHITED SECRETARY 1.00 X X 0 0 0 NANCY SIRIANNI 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 358731 0 32588 JEFFREY HOWARD CHIEF FINANCIAL OFFICER 43.00 X 210922 0 34075 JOEL HORNBERGER CHIEF STRATEGY OFFICER 45.00 X 219619 0 24669 FEBE WALLACE MEDICAL DIRECTOR 55.00 X 276389 0 23112 PARINDA KHATRI CHIEF CLINICAL OFFICER 62.00 X 196135 0 11751 KATHERINE LEGARE PSYCHIATRIST 44.00 X 217278 0 0 MICHAEL HUGHES PSYCHIATRIST 43.00 X 232118 0 20187 PAUL D'CRUZ PSYCHIATRIST 45.00 X 223330 0 33565 CINDY PERRY ASOC DIRECTOR OF PSYCHIATR 48.00 X 232832 0 33505 HAL MONCIER PHYSICIAN 41.00 X 222268 0 30595 2389622 0 244047 49 0 1 0 CHRONIC CARE STAFFING LLC 790 JOHNNIE DOBBS BLVD MT PLEASANT SC 29464 STAFFING AGENCY 314531 1 23343571 3473006 26816577 PATIENT SERVICE FEES 624100 43808143 43808143 MANAGEMENT AND ADMIN. FEES 900099 123817 123817 43931960 202189 202189 86477 0 86477 86477 86477 702021 36200 619626 185047 82395 -148847 -66452 -66452 MEANINGFUL USE INCENTIVES 900099 190992 190992 MISCELLANEOUS 900099 1952 1952 192944 71163695 44124904 0 222214 512102 376384 135718 32552139 23925135 8627004 7127634 5236941 1890693 653086 463266 189820 4250318 3725896 524422 1787046 11919 1775127 192168 142197 49971 443018 36656 406362 2460462 330500 2129962 246460 56390 190070 PROFESSIONAL SERVICES A 6392183 2525354 3866829 LABORATORY SERVICES 1013488 1007185 6303 DRUGS AND MEDICINE 907163 907163 0 COMMUNICATIONS 784757 49366 735391 698876 43097 655779 60020900 38837449 21183451 0 7351295 7057906 2074501 2108081 4055214 4232196 1349395 1079495 66774608 23459601 38515814 43315007 14931878 18287315 250500 250500 1979896 2229680 70508493 78560180 6845098 6638458 4066693 147829 12744493 11553675 2813141 1406570 26469425 19746532 X 44026060 58813648 13008 0 44039068 58813648 70508493 78560180 11142795 3631785 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 250500 250500 288629 288629 1.00000 0 0 4466174 4466174 50973055 19092144 31880911 1895050 732150 1162900 9409391 3635307 5774084 30938 30938 43315007 DUE TO THIRD PARTY PAYERS 1406570 1406570 74808488 3631785 13008 3644793 71163695 0 71163695 60020900 0 60020900 0 60020900 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 289681 0 0 0 69050 0 19370 0 13218 0 391319 0 0 0 FEBE WALLACE MEDICAL DIRECTOR 215816 0 0 0 60573 0 16825 0 6287 0 299501 0 0 0 CINDY PERRY ASOC DIRECTOR OF PSYCHIATR 231695 0 0 0 1137 0 14625 0 18880 0 266337 0 0 0 PAUL D'CRUZ PSYCHIATRIST 219682 0 0 0 3648 0 13679 0 19886 0 256895 0 0 0 HAL MONCIER PHYSICIAN 187384 0 0 0 34884 0 13746 0 16849 0 252863 0 0 0 MICHAEL HUGHES PSYCHIATRIST 222437 0 0 0 9681 0 7184 0 13003 0 252305 0 0 0 JEFFREY HOWARD CHIEF FINANCIAL OFFICER 209252 0 0 0 1670 0 13189 0 20886 0 244997 0 0 0 JOEL HORNBERGER CHIEF STRATEGY OFFICER 214715 0 0 0 4904 0 13060 0 11609 0 244288 0 0 0 KATHERINE LEGARE PSYCHIATRIST 216118 0 0 0 1160 0 0 0 0 0 217278 0 0 0 PARINDA KHATRI CHIEF CLINICAL OFFICER 194998 0 0 0 1137 0 11751 0 0 0 207886 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, 2021: BEHAVIORAL - PROVIDED 215,884 SERVICES TO 32,655 PATIENTS DURING THE FISCAL YEAR. OF THESE PATIENTS, 9,674 RECEIVED SERVICES THAT WERE NOT COVERED BY A THIRD PARTY PAYER (UNINSURED). MEDICAL - PROVIDED 230,251 SERVICES TO 63,694 PATIENTS DURING THE FISCAL YEAR. OF THESE PATIENTS, 19,635 RECEIVED SERVICES THAT WERE NOT COVERED BY A THIRD PARTY PAYER (UNINSURED). PHARMACEUTICAL - FILLED 106,074 PRESCRIPTIONS UNDER THE FEDERAL 340(B) DRUG PROGRAM DURING THE FISCAL YEAR. OF THAT NUMBER, 33,763 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.