2023-05-15T10:11:42-05:00 2022-06-30 621532536 COULTER & JUSTUS PC 9717 COGDILL ROAD KNOXVILLE TN 37932 990 2021-07-01 620637925 CHEROKEE HEALTH SYSTEMS CHER 8655440406 2018 WESTERN AVENUE KNOXVILLE TN 37921 ANDY RHEA CFO 4237142210 2023-05-09 1 ANDY RHEA 999009999 CHRISTY BURGESS CPA P00971243 8656374161 2023-05-09 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z ANDY RHEA 2018 WESTERN AVENUE KNOXVILLE TN 37921 81934355 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. 13 13 884 0 0 0 26816577 33363113 43931960 46825104 135737 -1009856 279421 394646 71163695 79573007 0 0 0 0 40191875 41637132 0 0 0 19829025 21383964 60020900 63021096 11142795 16551911 78560180 94331120 19746532 21892639 58813648 72438481 X TO IMPROVE THE QUALITY OF LIFE FOR OUR PATIENTS THROUGH THE BLENDING OF PRIMARY CARE, BEHAVIORAL HEALTH, AND PREVENTION SERVICES. 0 0 40738794 46987000 SEE SCHEDULE O GRANT PROGRAMS, CLINICAL ADMINISTRATION, ETC. 40738794 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 84 0 1 884 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 TN X ANDY RHEA 8659346734 2018 WESTERN AVENUE KNOXVILLE TN 37921 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 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 PHYLLIS SIMS BOARD MEMBER 1.00 X 0 0 0 SHEILA SPIRES BOARD MEMBER 1.00 X 0 0 0 DENNIS FREEMAN CEO (RETIRED JANUARY 2022) 49.00 X 413948 0 35281 JOEL HORNBERGER CSO; CFO AS OF OCTOBER 2021 45.00 X 206402 0 33054 JEFFREY HOWARD CFO (RETIRED SEPTEMBER 2022) 36.00 X 249597 0 33318 PARINDA KHATRI CCO; CEO AS OF FEBRUARY 2022 66.00 X 208857 0 12515 FEBE WALLACE MEDICAL DIRECTOR 52.00 X 235099 0 22133 MICHAEL HUGHES PSYCHIATRIST 46.00 X 227447 0 20492 CINDY PERRY ASOC DIRECTOR OF PSYCHIATR 48.00 X 228308 0 35994 HAL MONCIER PHYSICIAN 41.00 X 203533 0 27599 BRADLEY CARTER ASSISTANT DIRECTOR OF PRIMARY CARE 53.00 X 201446 0 20051 GUY SMOAK PHYSICIAN 47.00 X 196155 0 30517 2370792 0 270954 41 0 1 0 CHRONIC CARE STAFFING LLC 790 JOHNNIE DOBBS BLVD MT PLEASANT SC 29464 STAFFING AGENCY 1054706 EAST NOOGA LLC 5600 BRAINERD ROAD SUITE D4 CHATTANOOGA TN 37411 RENT 316105 MAXIM HEALTHCARE STAFFING SERVICES INC 12558 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 CONTRACT WORKER 179528 LBMC INFORMATION SECURITY 201 FRANKLIN ROAD BRENTWOOD TN 37027 CYBERMAX LICENSING 156786 LABORATORY CORPORATION OF AMERICA HOLDIN PO BOX 2270 BURLINGTON NC 27216 CONTRACT WORKER 145962 11 30062229 3300884 33363113 PATIENT SERVICE FEES 624100 46706626 46706626 MANAGEMENT AND ADMIN. FEES 621110 118478 118478 46825104 278468 278468 232750 0 232750 232750 232750 1023527 49497 1126851 1234497 -103324 -1185000 -1288324 -1288324 MEANINGFUL USE INCENTIVES 900099 144500 144500 MISCELLANEOUS 900099 17396 17396 161896 79573007 46987000 0 -777106 482528 352245 130283 33599070 24566848 9032222 7555534 5517746 2037788 769048 464640 304408 5125714 4498824 626890 1710024 106525 1603499 189492 123892 65600 508144 34976 473168 2593005 370153 2222852 250608 48319 202289 PROFESSIONAL SERVICES A 7476209 3204035 4272174 DRUGS AND MEDICINE 939024 939024 0 MAINTENANCE AND REPAIRS 761694 89073 672621 COMMUNICATIONS 673363 35966 637397 387639 386528 1111 63021096 40738794 22282302 0 7057906 19140007 2108081 5059868 4232196 4768026 1079495 1429956 68400842 25805874 43315007 42594968 18287315 18874028 250500 250500 2229680 2213767 78560180 94331120 6638458 6726570 147829 990811 11553675 14058044 1406570 117214 19746532 21892639 X 58813648 72438481 58813648 72438481 78560180 94331120 16551911 -2927078 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 250500 250500 1.00000 0 0 5438345 5438345 50480617 18068189 32412428 1998395 586850 1411545 10465850 7150835 3315015 17635 17635 42594968 DUE TO THIRD PARTY PAYERS 117214 117214 76645929 -2927078 -2927078 79573007 0 79573007 63021096 0 63021096 0 63021096 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 CEO (RETIRED JANUARY 2022) 285492 0 0 0 128456 0 21201 0 14080 0 449229 0 0 0 JEFFREY HOWARD CFO (RETIRED SEPTEMBER 2022) 180446 0 0 0 69151 0 13416 0 19902 0 282915 0 0 0 CINDY PERRY ASOC DIRECTOR OF PSYCHIATR 228056 0 0 0 252 0 14374 0 21620 0 264302 0 0 0 FEBE WALLACE MEDICAL DIRECTOR 215606 0 0 0 19493 0 14174 0 7959 0 257232 0 0 0 MICHAEL HUGHES PSYCHIATRIST 212786 0 0 0 14661 0 7078 0 13414 0 247939 0 0 0 JOEL HORNBERGER CSO; CFO AS OF OCTOBER 2021 204563 0 0 0 1839 0 12525 0 20529 0 239456 0 0 0 HAL MONCIER PHYSICIAN 187845 0 0 0 15688 0 12483 0 15116 0 231132 0 0 0 GUY SMOAK PHYSICIAN 182920 0 0 0 13235 0 6161 0 24356 0 226672 0 0 0 BRADLEY CARTER ASSISTANT DIRECTOR OF PRIMARY CARE 182895 0 0 0 18551 0 12351 0 7700 0 221497 0 0 0 PARINDA KHATRI CCO; CEO AS OF FEBRUARY 2022 198545 0 10000 0 312 0 12515 0 0 0 221372 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, 2022: BEHAVIORAL - PROVIDED 203,657 SERVICES TO 31,441 PATIENTS DURING THE FISCAL YEAR. OF THESE PATIENTS, 8,348 RECEIVED SERVICES THAT WERE NOT COVERED BY A THIRD PARTY PAYER (UNINSURED). MEDICAL - PROVIDED 233,950 SERVICES TO 59,677 PATIENTS DURING THE FISCAL YEAR. OF THESE PATIENTS, 16,072 RECEIVED SERVICES THAT WERE NOT COVERED BY A THIRD PARTY PAYER (UNINSURED). PHARMACEUTICAL - FILLED 97,958 PRESCRIPTIONS UNDER THE FEDERAL 340(B) DRUG PROGRAM DURING THE FISCAL YEAR. OF THAT NUMBER, 30,640 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.