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CAMERON REGIONAL MEDICAL CENTER INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
CAMERON REGIONAL MEDICAL CENTER INC (EIN 44-0668347)
Tax period
2022-10-01 to 2023-09-30
Filed
2024-07-30
IRS object ID
202412129349301581
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-07-30T14:36:47-05:00ReturnTs
Tax Period End2023-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN481026809PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Wendling Noe Nelson & Johnson LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1623 SW 10th Ave Suite 300AddressLine1Txt
CityTopekaCityNm
State AbbreviationKSStateAbbreviationCd
ZIP66612ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN440668347EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Cameron Regional Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCAMEBusinessNameControlTxt
Phone8166322101PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 East Evergreen StreetAddressLine1Txt
CityCameronCityNm
State AbbreviationMOStateAbbreviationCd
ZIP64429ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJoseph Abrutz JrPersonNm
Person TitleAdministratorPersonTitleTxt
Phone8166322101PhoneNum
Signature2024-07-25SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonHeather R EichemPreparerPersonNm
PTINP01515553PTIN
Phone7852334226PhoneNum
Preparation2024-07-25PreparationDt
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2024-08-08 14:25:15ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJoseph Abrutz JrPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 East Evergreen StreetAddressLine1Txt
CityCameronCityNm
State AbbreviationMOStateAbbreviationCd
ZIP64429ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$76,509,710GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresshttp://www.cameronregional.org/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1963FormationYr
Legal Domicile StateMOLegalDomicileStateCd
Activity Or MissionProvide inpatient and outpatient medical care to area residents regardless of ability to pay.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee614TotalEmployeeCnt
Total Volunteers40TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,350,984PYContributionsGrantsAmt
CY Contributions Grants$1,618,704CYContributionsGrantsAmt
PY Program Service Revenue$65,012,147PYProgramServiceRevenueAmt
CY Program Service Revenue$59,395,434CYProgramServiceRevenueAmt
PY Investment Income$2,497,314PYInvestmentIncomeAmt
CY Investment Income$2,201,266CYInvestmentIncomeAmt
PY Other Revenue$163,933PYOtherRevenueAmt
CY Other Revenue$171,440CYOtherRevenueAmt
PY Total Revenue$70,024,378PYTotalRevenueAmt
CY Total Revenue$63,386,844CYTotalRevenueAmt
PY Grants And Similar Paid$30,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$67,500CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$40,465,650PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$40,100,634CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$5,007CYTotalFundraisingExpenseAmt
PY Other Expenses$32,489,719PYOtherExpensesAmt
CY Other Expenses$32,573,928CYOtherExpensesAmt
PY Total Expenses$72,985,369PYTotalExpensesAmt
CY Total Expenses$72,742,062CYTotalExpensesAmt
PY Revenues Less Expenses-$2,960,991PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$9,355,218CYRevenuesLessExpensesAmt
Total Assets BOY$97,363,822TotalAssetsBOYAmt
Total Assets EOY$89,246,397TotalAssetsEOYAmt
Total Liabilities BOY$40,071,011TotalLiabilitiesBOYAmt
Total Liabilities EOY$37,975,399TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$57,292,811NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$51,270,998NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionOur mission at Cameron Regional Medical Center (CRMC) is caring for all patients. To this end, we organize people, equipment, and facilities in a manner that best responds to their needs and to the needs of our service area. Our priorities are patients and families, physicians, and employees. Our goal is to be a regionally-recognized leader in patient satisfaction by exceeding customer expectations and continuing to achieve excellence in quality and cost-effective health care services. Cameron Regional Medical Center (CRMC) will provide services in an atmosphere that involves compliance with governmental mandates. Throughout our organization, our employees strive to provide sensitive and quality health care at all times by living our values. Lastly, CRMC recognizes the importance of viable and profitable operations to guarantee the continued existence and growth of the facility.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$64,198,966ExpenseAmt
Grant$67,500GrantAmt
Revenue$59,395,434RevenueAmt
DescAcute care hospital organized to provide inpatient and outpatient care to area residents regardless of ability to pay.Desc
Total Program Service Expenses$64,198,966TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document60IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee614EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Joseph Abrutz JrBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8166322101PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 East Evergreen StAddressLine1Txt
CityCameronCityNm
State AbbreviationMOStateAbbreviationCd
ZIP64429ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Warren McElwain
President1.00Yes (X)Yes (X)$0$0$0
Delvin Jackson
Vice-President1.00Yes (X)Yes (X)$0$0$0
Jennifer White
Secretary1.00Yes (X)Yes (X)$0$0$0
Michael Poland
Treasurer1.00Yes (X)Yes (X)$0$0$0
Barbara Ballew
Director1.00Yes (X)$0$0$0
Ken Raffety
Director (Thru May 2023)1.00Yes (X)$0$0$0
Steve Tinnen
Director1.00Yes (X)$0$0$0
Mike Brown
Director1.00Yes (X)$0$0$0
David Just
Director1.00Yes (X)$0$0$0
JoEllen Pratt
Director1.00Yes (X)$0$0$0
Laeeq Azmat Tahirkheli
Physician & Director40.00Yes (X)$1,000,678$0$0
Laura Harbison
Physician & Director40.00Yes (X)$408,518$0$0
Mark Baker
Director1.00Yes (X)$0$0$0
Joseph F Abrutz Jr
Administrator40.00Yes (X)$450,404$0$13,899
Rosa Patti
Chief Financial Officer40.00Yes (X)$200,903$0$16,729
Muhammad Amin
Physician40.00$583,178$0$0Yes (X)
Shahzad Shafique
Physician40.00$669,733$0$0Yes (X)
Ly Phan
Physician40.00$579,296$0$0Yes (X)
Arihant Jain
Physician40.00$558,003$0$0Yes (X)
Damond Erickson
Pharmacy Director40.00$554,090$0$16,870Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,004,803TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$47,498TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K64IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Premier Specialty Network
1835 E Republic Rd Suite 200SpringfieldMO65804Physician specialists$1,765,930
Psychiatric Solutions Inc
PO Box 840839DallasTX75284Operation of BHU unit$1,564,821
Cameron Emergency Physicians PC
1600 E EvergreenCameronMO64429Emergency physicians$1,105,963
Laboratory Corporation of America
PO Box 12140BurlingtonNC27216Reference lab services$820,614
Comp Health
PO Box 972651DallasTX75397Physician services$765,166
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K20CntrctRcvdGreaterThan100KCnt
Government Grants$1,458,544GovernmentGrantsAmt
All Other Contributions$160,160AllOtherContributionsAmt
Total Contributions$1,618,704TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPatient service revenueDesc
Business622110BusinessCd
Total Revenue Column$59,395,434TotalRevenueColumnAmt
Related Or Exempt Func Income$59,395,434RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$59,395,434TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,082,236TotalRevenueColumnAmt
Exclusion$1,082,236ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$110,181TotalRevenueColumnAmt
Exclusion$110,181ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$37,190RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$37,190RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$37,190TotalRevenueColumnAmt
Exclusion$37,190ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$14,131,715SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$13,122,866SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,008,849SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,008,849TotalRevenueColumnAmt
Exclusion$1,008,849ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
Cafeteria722210$124,648$124,648
Other income900099$9,602$9,602
FieldValueIRS element (for citing)
Other Revenue Total$134,250OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$63,386,844TotalRevenueColumnAmt
Related Or Exempt Func Income$59,395,434RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,372,706ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$10,000TotalAmt
Program Services$10,000ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$57,500TotalAmt
Program Services$57,500ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,133,899TotalAmt
Program Services$1,481,389ProgramServicesAmt
Management And General$652,510ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$31,764,650TotalAmt
Program Services$29,565,777ProgramServicesAmt
Management And General$2,198,873ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$533,000TotalAmt
Program Services$488,601ProgramServicesAmt
Management And General$44,399ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,375,781TotalAmt
Program Services$3,122,510ProgramServicesAmt
Management And General$253,271ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,293,304TotalAmt
Program Services$2,102,272ProgramServicesAmt
Management And General$191,032ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$447,994TotalAmt
Management And General$447,994ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$150,716TotalAmt
Management And General$150,716ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$10,614,760TotalAmt
Program Services$9,881,409ProgramServicesAmt
Management And General$733,351ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$315,597TotalAmt
Program Services$82,731ProgramServicesAmt
Management And General$232,866ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,429,662TotalAmt
Program Services$1,153,802ProgramServicesAmt
Management And General$275,860ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$668,101TotalAmt
Program Services$565,368ProgramServicesAmt
Management And General$102,733ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$257,637TotalAmt
Program Services$193,346ProgramServicesAmt
Management And General$64,291ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,154,388TotalAmt
Program Services$995,235ProgramServicesAmt
Management And General$159,153ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,683,596TotalAmt
Program Services$2,266,227ProgramServicesAmt
Management And General$417,369ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,256,759TotalAmt
Program Services$79,197ProgramServicesAmt
Management And General$1,177,562ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical supplies$5,897,735$5,897,735
Pharmaceuticals$4,247,380$4,247,380
Repairs and maintenance$2,070,862$1,405,150$665,712
Collection fees$504,034$545$503,489

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$874,707TotalAmt
Program Services$602,792ProgramServicesAmt
Management And General$266,908ManagementAndGeneralAmt
Fundraising$5,007FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$72,742,062TotalAmt
Program Services$64,198,966ProgramServicesAmt
Management And General$8,538,089ManagementAndGeneralAmt
Fundraising$5,007FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$273,176BOYAmt
EOY$1,072,858EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$15,489,984BOYAmt
EOY$5,978,389EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$10,969,906BOYAmt
EOY$11,268,679EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,911,047BOYAmt
EOY$1,926,640EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$351,941BOYAmt
EOY$364,174EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$83,220,810LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$59,212,787LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$23,839,091BOYAmt
EOY$24,008,023EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$40,210,306BOYAmt
EOY$39,816,895EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,318,371BOYAmt
EOY$4,810,739EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$97,363,822BOYAmt
EOY$89,246,397EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$7,751,065BOYAmt
EOY$8,074,721EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$28,947,595BOYAmt
EOY$27,764,120EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$472,115BOYAmt
EOY$313,791EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$35,371BOYAmt
EOY$6,903EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,864,865BOYAmt
EOY$1,815,864EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$40,071,011BOYAmt
EOY$37,975,399EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$56,537,898BOYAmt
EOY$50,475,092EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$754,913BOYAmt
EOY$795,906EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$57,292,811BOYAmt
EOY$51,270,998EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$97,363,822BOYAmt
EOY$89,246,397EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$9,355,218ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$3,302,426NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$30,979OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,263,004OtherCostOrOtherBasisAmt
Book Value$3,263,004BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$30,982,202OtherCostOrOtherBasisAmt
Depreciation$19,152,869DepreciationAmt
Book Value$11,829,333BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$44,926,004OtherCostOrOtherBasisAmt
Depreciation$38,805,428DepreciationAmt
Book Value$6,120,576BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,049,600OtherCostOrOtherBasisAmt
Depreciation$1,254,490DepreciationAmt
Book Value$2,795,110BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$24,008,023TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
Deferred debt issuance costs$451,728
Third party payor settlements$3,549,904
Beneficial interest in net assets of CRMC Foundation$490,973
Other receivables$216,231
Accrued interest and dividends$52,736
Cash value of life insurance$49,167
FieldValueIRS element (for citing)
Total Book Value Other Assets$4,810,739TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescThird party payor settlementsDesc
Amt$1,815,864Amt
FieldValueIRS element (for citing)
Total Liability$1,815,864TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationManagement is not aware of any uncertainties in income tax positions.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$645,469TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$585,938DirectOffsettingRevenueAmt
Net Community Benefit Expns$59,531NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,554,670TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,392,458DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,162,212NetCommunityBenefitExpnsAmt
Total Expense0.07100TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,200,139TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,978,396DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,221,743NetCommunityBenefitExpnsAmt
Total Expense0.07180TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$350,968TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$850DirectOffsettingRevenueAmt
Net Community Benefit Expns$350,118NetCommunityBenefitExpnsAmt
Total Expense0.00480TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$57,500TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$57,500NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,991,735TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,152,797DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,838,938NetCommunityBenefitExpnsAmt
Total Expense0.13530TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$10,000NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$22,410,203TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,153,647DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,256,556NetCommunityBenefitExpnsAmt
Total Expense0.14100TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$33,610,342TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$18,132,043DirectOffsettingRevenueAmt
Net Community Benefit Expns$15,478,299NetCommunityBenefitExpnsAmt
Total Expense0.21280TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$4,207,262BadDebtExpenseAmt
Bad Debt Expense Attributable$420,726BadDebtExpenseAttributableAmt
Reimbursed By Medicare$13,334,965ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$16,909,322CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$3,574,357MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Cameron Regional Medical CenterBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 East Evergreen StreetAddressLine1Txt
CityCameronCityNm
State AbbreviationMOStateAbbreviationCd
ZIP64429ZIPCd
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Cameron Regional Medical Center IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttp://www.cameronregional.orgOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt21ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLhttp://www.cameronregional.orgStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttps://cameronregional.org/FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttps://cameronregional.org/FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttps://cameronregional.org/FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back MedicareYes (X)LookBackMedicareInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Cameron Regional Medical Center, Inc.Part V, Section B, Line 5: The Medical Center conducted a town hall meeting and invited local hospital, public health community, mental health community, free clinics, community-based clinics, service providers, local residents, community leaders, opinion leaders, school leaders, business leaders, local government, faith-based organizations and persons (or organizations serving them), people with chronic conditions, uninsured community members, low income residents, and minority groups.
Cameron Regional Medical Center, Inc.Part V, Section B, Line 11: Although COVID-19 began its decline in calendar year 2023, Cameron Regional Medical Center (CRMC) continued to assign a significant portion of its resources throughout FYE 09/30/2023, to addressing patient cases and the long-term, lingering effects of this virus. Given the many unknowns associated with COVID-19, CRMC remained persistent in its containment and mitigation efforts such as maintaining its vigilance toward tracking county transmission rates and the Medical Center's positivity rates. Since the onset of COVID-19 in 2020, CRMC has tested approximately 32,489 individuals, with 3,034 positive results (9.3% overall positivity rate). In FYE 09/30/2023, CRMC tested approximately 3,920 individuals, with 236 positive results (6.0% overall positivity rate). As in the previous three years, attending to the impact of COVID-19 was once again a distinct COMMUNITY HEALTH NEED in FYE 2023.CRMC's COVID-19 Task Force continued to meet on a monthly basis until April 1, 2023, at which time it was combined with the Infection Surveillance/Prevention Committee and its quarterly meetings. The Medical Center's mask mandate, screening/temping protocols at the main entrance, secondary entrance closures, social distancing, and visitor restrictions were also lifted effective April 1, 2023. In the interest of public health, CRMC continued to make masks and infection prevention, disinfecting, and hygiene products readily available to all patients, visitors, and employees.CRMC's COVID CARE Line that was enacted June 1, 2020, remained intact for the public throughout FYE 2023. This telephone call-in line was initiated for the purpose of fielding COVID-related questions and/or concerns. CARE Line personnel continued to work closely with area physicians, clinics, and other providers.COVID-19 containment and mitigation efforts throughout the Medical Center, Home Health, Hospice, and CRMC's 18 satellite clinics continued to bring higher expenses via increasing charges for labor, inflation, purchased services, drugs, personal protective equipment (PPE), infection prevention/disinfecting/hygiene products, and other medical and safety supplies. Severe staffing shortages still presented one of the worst challenges experienced in the health care sector in years. Rural hospitals in particular continued to suffer major financial stressors as a result of the above issues/concerns.CRMC's COVID-19 expense figure for the 12-month period ended September 30, 2023, was approximately $335,549.Priority/Objective No. 1 - Mental HealthEven though a shortage of mental health providers persisted in northwest Missouri, CRMC remained persistent in shrinking this deficit and maintaining/growing its offerings in this specialty. During FYE 2023, five part-time Psychiatrists (including a Child Psychiatrist) provided outpatient clinics and services at CRMC on a regularly-scheduled basis. In addition, a full-time Geriatric Psychiatrist continued to provide inpatient services for CRMC's Behavioral Health Unit (BHU). CRMC continued to significantly underwrite/subsidize its mental health program financially in order to assure these services remained readily available to all patients/payors (Medicare, Medicaid, veterans, self-pay, etc.).In November 2022, Chacy Lancaster, M.D., Psychiatrist, provided a free two-hour public education session on Fentanyl (opioids) and other illicit drugs, addiction, anxiety, peer pressure, and depression/suicide. Due to the relevant and timely nature of the topic, the session was videotaped and placed on CRMC's website for online viewing.For the past many years, CRMC's mental health services have been marketed extensively throughout its service area. An Outpatient Clinic Calendar denoting mental health offerings is placed in approximately 14 area newspapers each month, as well as on the Medical Center's website. This monthly Outpatient Clinic Calendar is also distributed via CRMC's 18 satellite clinics and mailed to approximately 80 physicians and providers throughout northern Missouri.For over 30 years, CRMC has operated a free transportation system for its patients to obtain needed medical services. This essential service has been expanded continuously over the years and takes struggling patients who have no other viable means of travel to/from area physicians' offices, CRMC, its satellite clinics, its outpatient specialty clinics, and other medical facilities. Free transportation to area tertiary centers and ancillary services (dentist, drug store, etc.) is also made available based on need and special circumstances. Toward this purpose, five courtesy vans and the necessary drivers were utilized in FYE 2023 on a full-time basis (six days per week) to cover ten-plus counties in rural northwest Missouri. A high percentage of patients who utilize this service are seeking mental health services. As previously referenced, CRMC operates a system of 18 primary care satellite clinics located throughout five counties in northwest Missouri to facilitate ease of access for its patients. In FYE 2023, these 18 satellite clinics continued to serve as both education and referral centers for their patients' mental health needs. The majority of CRMC's satellite clinics still utilize the Patient Health Questionnaire-9 (PHQ-9) for depression screening purposes.CRMC's BHU utilized TelePsychiatry services at least one day per week during FYE 2023 in order to maintain/enhance physician coverage. The BHU continued to play a vital role in CRMC's medical community by providing solutions and relief for area nursing homes, families, and physicians. A new two-bed expansion of the Behavioral Health Unit (BHU) opened in August 2023, taking the Unit from 10 to 12 beds at a construction cost of approximately $696,670, plus soft costs, architectural/engineering fees, and start-up costs. As the BHU rooms are all semi-private, this provided more flexibility for admissions due to male/female demographics and room assignment.Through the CHNA process, Preferred Family Healthcare (PFH) in Kirksville, Missouri has become a valued partner for CRMC over the past many years, providing collective impact, resources, education, and brochures otherwise unavailable in the area for both mental/behavioral health and substance abuse (see next section). Many CRMC staff members have participated in PFH's annual Mental Health First Aid classes that instruct on how to recognize signs of mental health and/or substance abuse challenges.CRMC and area Family Guidance offices continued to work together closely on mental health cases in FYE 2023, particularly on suicidal patients presenting to the Emergency Room. Upon notification to their hotline, Family Guidance will send a representative to perform the screening process and intake evaluation, day or night, 24/7. Working closely with the E.R. physician on a treatment plan, Family Guidance will facilitate transfer to an appropriate Psychiatric facility, if needed.In the last calendar quarter of 2022, CRMC and the CRMC Foundation collectively donated $20,000 to Clinco Sheltered Industries in Cameron, Missouri. This sheltered workshop is a not-for-profit entity, providing employment for numerous developmentally- and intellectually-disabled individuals, while offering valuable services such as recycling, custodial work, and retail establishments (Dollar Barn and Thrift Store) to the area. Priority/Objective No. 2 - Substance AbuseCRMC primary care physicians and providers continued to deliver counseling on alcohol temperance, smoking cessation, proper use of drugs/medications (including opioids), and other substance abuse issues to their patients at both the Medical Center and its 18 satellite clinics in an effort to combat abuse, addiction, resultant drunk driving, altered mental states, and relapse. Educational materials are provided according to individual patient need.CRMC continued to include detailed information on smoking cessation in all admission packets in FYE 2023. For those Emergency Room patients whose diagnosis was related to smoking, cessation information was provided at the time of discharge. For many years, CRMC has financially supported area post-graduation and post-prom parties to assist in providing alternative activities to drinking for the safety of area high school students. This continued in FYE 2023.As previously referenced, in November 2022, Chacy Lancaster, M.D., Psychiatrist, provided a free two-hour public education session on Fentanyl (opioids) and other illicit drugs, addiction, anxiety, peer pressure, and depression/suicide. The session was videotaped and placed on CRMC's website for extended online viewing.
Cameron Regional Medical Center, Inc.Part V, Section B, Line 11: In FYE 2023, the CRMC Medical Staff and Board of Directors continued to prohibit the use and/or possession of marijuana (medical or otherwise) on CRMC's campus, premises, and all outlying/satellite facilities. None of CRMC's Active Staff physicians provide Physician Certification for Qualifying Medical Conditions for the use of marijuana.CRMC continued to assist the Cameron Police Department with marketing its annual "Prescription Drug Take-Back Day" that is held in concert with the DEA. A similar effort by a local drug store was also marketed by CRMC in FYE 2023.For referral purposes, CRMC's Emergency Room still maintains a list of area substance abuse/addiction treatment facilities, disseminating to patients and family members as appropriate. CRMC's Regional Resource Directory also provides a listing of area substance abuse programs (see further discussion under Priority/Objective No. 3).CRMC, through its network of primary care clinics, physicians, mid-levels, and the hospital Pharmacy, continued to facilitate and promote concerted efforts against prescription drug/medication abuse. The Medical Center's e-prescribing software and communication protocols with area pharmacies assisted in monitoring/tracking "doctor shopping" efforts by patients suspected of abusing the system. As there is a distinct cross-over in staff, CRMC pharmacists who also work locally in the retail setting continued to take the following precautions: a) Patients are not allowed to fill controlled prescriptions more than five days early; b) Any prescription presented by a patient not residing in the immediate area or written by a prescriber not in the immediate area will be investigated; c) Local retail pharmacy personnel and hospital pharmacy personnel communicate on a regular basis regarding suspicious controlled substance prescribing trends; and d) Any controlled prescription where the patient offers to pay by cash instead of using insurance will automatically be red-flagged by the pharmacist for further investigation.Starting in 2023, Missouri enacted a statewide prescription drug monitoring program (PDMP). Pharmacies are required to submit information to the PDMP when they dispense any Schedule II, III, or IV prescriptions to patients. Prescribers and pharmacists can also use this tool to make informed decisions and reduce risk for patients.In terms of health-care professionals, the CRMC Medical Staff continued in FYE 2023 to donate a substantial sum on an annual basis to the Missouri Association of Osteopathic Physicians and Surgeons' (MAOPS') Physicians Health Program (PHP). PHP provides addiction treatment resources and coordinates the care of the affected health-care professional throughout his/her treatment program, with the goal of facilitating and expediting his/her return to health and a normal personal and professional life.The Medical Center continued to assist its employees financially with smoking cessation products.Smoking/vaping is still prohibited within all CRMC facilities.As previously mentioned above, PFH in Kirksville, Missouri has remained a valued partner for CRMC over the past many years through the CHNA process, providing collective impact, resources, education, and brochures otherwise unavailable in the area for both mental/behavioral health and substance abuse. Many CRMC staff members have participated in PFH's annual Mental Health First Aid classes that instruct on how to recognize signs of mental health and/or substance abuse challenges.Priority/Objective No. 3 - Comprehensive Four-County Health Care Resource Guide (Combined with Priority/Objective No. 8 - see below)Priority/Objective No. 8 - Public Awareness of Health Care ServicesAs previously referenced, CRMC's Regional Resource Directory was developed several years ago and is updated on a regular basis. Covering CRMC's four-county primary service area (Clinton, Caldwell, Daviess and DeKalb), plus regional resources of importance, the Directory includes mental health services, alcohol/drug treatment (substance abuse) programs, physicians/medical clinics, wellness/fitness centers, nutrition resources, dentists, applicable government agencies, and several other categories addressing the health and well-being of area residents. It is distributed to the public upon request and disseminated at certain public meetings and educational events sponsored by CRMC. It is also shared with area organizations, health departments, coalitions, etc. upon request. During FYE 2023, CRMC's Regional Resource Directory was enhanced by the addition of a list of area Inpatient Mental Health facilities as provided by the staff of CRMC's BHU. Additionally, a list of basic living resources such as housing and utilities assistance had been developed as a result of CRMC's Diversity, Equity, and Inclusion (DEI) efforts and added to the Regional Resource Directory.CRMC's 21st Annual Health Fair was held in early Fall 2023 and was widely publicized, as it is each year. This Fair represented the fourth such event whereby a "distributed" format was used in order to decrease crowd size and help protect somewhat from COVID-19. The Health Fair was held in six different locations throughout five counties in rural northwest Missouri: 1) Orthopedic & Rehab Center at CRMC (Cameron, MO - Clinton County); 2) Bethany Health Services in Bethany, MO - Harrison County; 3) Hamilton Family Health Center in Hamilton, MO - Caldwell County; 4) Jamesport Outreach Clinic in Jamesport, MO - Daviess County; 5) Maysville Family Health Clinic in Maysville, MO - DeKalb County; and 6) Lathrop Medical Clinic in Lathrop, MO - Clinton County. Extensive blood work (anemia, blood sugar, thyroid, cholesterol panel, iron, hemoglobin A1C, GFR, and BUN/creatinine), blood pressures, and pulse oximetry were provided free of charge at all six locations. Moreover, carotid artery screenings and skin cancer screenings were offered free of charge at CRMC. Medical providers were on site at each location and available to counsel/educate attendees regarding medications, vaccinations, mental health, exercise, nutrition, diabetes, CRMC and satellite clinic services, etc. A record turn-out was experienced, with approximately 463 participants attending this annual health and wellness event.In FYE 2023, K.U. Medical Center and its Urology Residency Program, as hosted by CRMC under the direction of Moben Mirza, M.D., provided free quarterly education sessions at CRMC on various medical topics of interest for the public, such as UTIs, kidney stones, hematuria, and prostate cancer. These sessions continue to present day and are held in an attempt to enlighten area residents of the variety of Urology health care services available at CRMC.In FYE 2023, CRMC's Active Staff physicians provided free periodic education sessions for the public on various medical topics of interest, including antibiotic stewardship, abdominal pain, cardiac disease, and wound care. These sessions continue to present day and are held to inform area residents of the variety of health care services offered at CRMC.In FYE 2023, CRMC continued to sponsor free training/education classes focusing on diabetes, nutrition, food labels, and healthy eating. These are performed by CRMC's Registered Dieticians at least every 60 days, with excellent participation rates and feedback. These classes help inform the public of CRMC's available Health & Wellness services.In tandem with the Caldwell County Health Department, CRMC offered Prenatal Classes in FYE 2023. Breastfeeding and other prenatal topics were included to help create an awareness of CRMC's Obstetrics program.As previously mentioned, CRMC's monthly Outpatient Clinic Calendar denoting all specialists' clinics is still placed in approximately 14 area newspapers on a monthly basis, as well as on the Medical Center's website, in order to increase public awareness of CRMC's available health care services. This Outpatient Clinic Calendar is also distributed via CRMC's 18 satellite clinics and mailed to approximately 80 physicians and providers throughout northern Missouri.In FYE 2023, CRMC continued to utilize a broad spectrum of marketing mediums to educate the public on the health care services available at the Medical Center and its 18 satellite clinics. Marketing efforts include newspaper, radio, promotional flyers, website, social media, search engine optimization, and two large electronic message centers located on major highways.Priority/Objective No. 4 - Affordable and Safe Child Care Services (Not directly addressed - see below) Priority/Objective No. 5 - School Health (Not directly addressed - see below)Priority/Objective No. 6 - Long-Term Care Staffing and Training (Not directly addressed - see below)Priority/Objective No. 7 - Reimbursement for Providers
Cameron Regional Medical Center, Inc.Part V, Section B, Line 11: As hospitals and physicians are at the mercy of their private third-party payors, CRMC has hired an outside firm for the past several years to audit/review the Medical Center's incoming remit advices to make sure reimbursement is in compliance with the respective third-party payor contract. In particular, this effort includes commercial insurance plans and Medicare Advantage plans.As third-party Recovery Audit Contractors (RACs) over the years have increasingly become a source of Lost Revenue for hospitals, CRMC continued to conduct monthly RACs meetings in FYE 2023 to investigate each claim being challenged by RACs. These RACs challenges originally involved Medicare and Medicare Advantage claims; however, in recent years, private third-party payors such as United HealthCare and Ambetter have joined in the "take-back" program and hired companies such as Optum and Cotiviti to audit CRMC's health care claims on a percentage basis. These post-service RACs practices continue even though the pre-authorization requirements of the third-party payor are always followed by CRMC. For these reasons, CRMC continues to appeal each RACs challenge to the maximum extent allowed by regulations. Free public education meetings continue to be held two to three times per year, centering on Medicare, Medicaid, the Patient Protection and Affordable Care Act (PPACA), Medicare Advantage, and other third-party payor plans. In an attempt to assist individuals with understanding the complexities of health care reimbursement, these question-and-answer sessions cover all facets of the public's health-care concerns, including insurance coverage specifics, Open Enrollment periods, deductibles/co-pays, CRMC billing/ collecting, Medigap policies, Part D, etc.Part of a nationwide issue, rural northwest Missouri has been experiencing for some time certain "health care deserts," including Obstetric and Renal Dialysis services. Both of these are critical, life-saving services where long drive-times are not conducive to favorable medical outcomes. Additionally, both services are costly to operate, with low reimbursement levels. CRMC has continued to underwrite these services because they are crucial to area residents and not readily available due to area closures being executed by other health care entities. Being the only hospital in a four-county area (Clinton, Caldwell, Daviess, and DeKalb), CRMC provides vital medical services such as these to a rural, low-income population of approximately 50,000 in its primary service area. Likewise, CRMC's secondary service area encompasses another six counties, stretching to the Iowa border and representing an even-more-so, low-income, underserved population, with a high percentage of elderly. As CRMC has continued to provide Obstetric and Renal Dialysis services on a long-standing basis, and as the State of Missouri has begun realizing the severity of these rural "deserts," the Medical Center continues to work with the State and MO HealthNet on a special budget designation to assist in covering some of the costs associated with these much-needed, scarce, and under-reimbursed services.Priority/Objective No. 8 - Awareness of Health Care Services (Combined with Priority/Objective No. 3 - see above)Priority/Objective No. 9 - Transitional Senior CareIn addition to general acute and surgical care, CRMC has provided multiple services and care settings over the years to assist with the various transitional phases of the aging process. From 18 satellite outpatient (primary care) clinics providing physician care, to Skilled, SwingBed, Behavioral Health (GeroPsychiatric), and Inpatient Rehabilitation hospital care; from outpatient Cardiac Rehab and Home Health services, to Comfort Care Hospice - CRMC has numerous programs designed to help individuals regain strength, restore function, and improve health through professional care and effective rehabilitation services. Social Workers throughout the CRMC system provide and guide a path from hospital to home, assisting physicians and other health care providers with their patients' smooth transition from one health care setting to another.CRMC maintains good working relationships with all area nursing homes and tertiary centers, providing free transportation to/from these facilities for medically-appropriate patients in need of same. As a Level III Stroke Center certified by the State of Missouri, CRMC has a special collaboration agreement with St. Luke's for the timely transfer of stroke patients in need of further neurovascular care.The following identified needs were not a direct part of the Medical Center's mission or normal operations in FYE 9-30-23. Rather, CRMC provided support measures and partnered with other entities throughout the area ("key stakeholders") as needed and appropriate.Priority/Objective No. 4 - Affordable and Safe Child Care ServicesAs child care is not a core component of CRMC's mission or operations, the Medical Center plays only a supporting role in addressing this need. The Medical Center has continuously cooperated with area economic development efforts toward promoting new businesses whenever feasible in the hope of realizing additional pre-schools and child daycare centers in rural northwest Missouri. CRMC supports the Cameron R-1 School District in multiple ways, indirectly benefitting the District's extensive and sorely-needed pre-kindergarten/pre-school program.Priority/Objective No. 5 - School HealthAlthough School Health is not a main focus of the Medical Center, CRMC has become increasingly involved with Sports Medicine and area high school athletics over the past three years. Athletic trainer coverage is provided year-round for numerous area high school sporting events. This service is offered in tandem with a comprehensive program covering annual sports physicals and annual baseline concussion testing with balance assessment, as well as baseline EKGs for those student athletes with cardiac risk factors. Approximately 10 - 12 area school districts take advantage of these health/wellness services.Priority/Objective No. 6 - Long-Term Care Staffing and TrainingAs CRMC does not provide long-term care, this Priority/Objective does not pertain to the Medical Center's mission or operations, other than the cooperative and interactive nature of its relationships with area nursing homes and assisted-living facilities. That being said, CRMC sponsors three separate scholarship programs for students entering a specific health care field of study after high school and/or entering medical school. Recipients can be going into nursing, medicine, any of the therapies, Laboratory Technology, Radiologic Technology, or other Allied Health field. The oldest of these offerings has been in existence for 35 years, is renewable, and will address four years of college study. It is entirely possible that recipients of these scholarships could ultimately choose the long-term care field as their profession.
FieldValueIRS element (for citing)
Facility19FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (19 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - Cameron Medical Clinic
1600 E EvergreenCameronMO64429Medical Clinic
2 - Westside Medical Offices
1608 E EvergreenCameronMO64429Medical Clinic
3 - Walnut Medical Clinic
921 N WalnutCameronMO64429Rural Health Clinic
4 - Bethany Health Services
903 North 25th StreetBethanyMO64424Medical Clinic
5 - Hamilton Family Health Center
103 N DavisHamiltonMO64644Rural Health Clinic
6 - Cameron Specialists - Internal Medicine
1608 E EvergreenCameronMO64429Medical Clinic
7 - NW Missouri Obstetrics & Gynecology
221 E 7th StreetCameronMO64429Medical Clinic
8 - Maysville Family Health
1007 S PolkMaysvilleMO64469Rural Health Clinic
9 - Gallatin Family Medicine
502 S MainGallatinMO64640Rural Health Clinic
10 - Lathrop Medical Clinic
106 North StreetLathropMO64465Medical Clinic
11 - Cameron Nephrology Clinic
1600 E Evergreen Suite BCameronMO64429Medical Clinic
12 - Jamesport Outreach Clinic
409 W Auberry GroveJamesportMO64648Rural Health Clinic
13 - Plattsburg Family Medicine
214 N MainPlattsburgMO64477Rural Health Clinic
14 - Polo Family Health Center
198 Main StreetPoloMO64671Rural Health Clinic
15 - Eagleville Medical Clinic
12050 12th StreetEaglevilleMO64442Rural Health Clinic
16 - Pattonsburg Medical Clinic
110 N Central AvePattonsburgMO64670Rural Health Clinic
17 - Gilman City Medical Clinic
427 Main StreetGilman CityMO64642Rural Health Clinic
18 - Stewartsville Medical Clinic
106 E 4thStewartsvilleMO64490Rural Health Clinic
19 - Cameron Obstetrics & Gynecology
1600 E Evergreen Suite ACameronMO64429Medical Clinic

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 7:A cost-to-charge ratio derived from Worksheet 2 was used to calculate the amounts reported on line 7.
Part I, Line 7g:The costs of subsidized health services include costs attributable to multiple physician clinics in the amount of $17,351,369.
Part III, Line 4:See Note B (beginning on page 16) of the audited financial statements regarding the allowance for uncollectible accounts.Part III Line 2:This amount was determined by multiplying a cost-to-charge ratio derived from Worksheet 2 by the Medical Center's bad debt expense for the tax year.Part III, Line 3:This amount was determined based on the overall income level of patients that submit all required documentation under the Medical Center's financial assistance policy. As a tax-exempt hospital, we must provide necessary services regardless of the patient's ability to pay for that care. Making quality patient care available to all in our community, regardless of their economic means, qualfies these bad debts as a community benefit.
Part III, Line 8:Medicare costs were obtained from the Medical Center's as-filed Medicare cost report for the tax year.Any shortfalls are a benefit to the Medical Center's community since it represents health care provided at less than cost to elderly and needy residents of the Medical Center's service area.Revenue included in Medicare Cost Report $13,334,965Fee schedule revenue excluded from Medicare Cost Report 497,256Total Medicare revenue 13,832,221Expenses included in Medicare Cost Report $16,909,322Fee schedule expenses excluded from Medicare Cost Report 1,187,274Total Medicare expense 18,096,596Total net Medicare loss 4,264,375
Part III, Line 9b:At the time of admission and before discharge, each patient will receive a notice that the Medical Center has a Financial Assistance Policy (with a brief description of such policy) and directions for obtaining additional information about such policy. All itemized statements sent to the patient include a notice that the Medical Center has a Financial Assistance Policy and directions for obtaining additional information about such policy. If a patient submits a Financial Assistance Policy application, all payment notifications and collection actions are suspended until it is determined whether the patient is eligible for the Financial Assitance Policy (and if so, notifications and collection actions will cease).
Part VI, Line 2:The Medical Center relies on the feedback and requests taken from patients of the Medical Center and its numerous clinics, as well as residents from its primary service area.
Part VI, Line 3:The Medical Center employs a social worker that informs all patients of all available payment options.
Part VI, Line 4:Cameron Regional Medical Center and its eleven rural health clinics are located in Northwest Missouri. The primary service area is comprised of four rural counties consisting of Daviess, Caldwell, DeKalb, and Clinton. There are approximately 48,953 individuals that reside in the primary service area. Of these residents approximately 13.1% of them have an annual income below the federal poverty level. The median annual income per household for the four counties is approximately $63,095. Approximately 31% of the total services provided are for Medicare patients and 14% are for Medicaid patients. The nearest surrounding hospitals are located in Smithville, Excelsior Springs, and Richmond. The distance between these facilities and Cameron Regional Medical Center is approximately 28, 28, and 31 miles respectively.
Part VI, Line 5:Cameron Regional Medical Center's governing body is comprised of residents from its primary service area. The Medical Center extends medical privileges to all local physicians who meet the requirements of the medical staff bylaws. All surplus funds are used to maintain and improve the medical facility and medical equipment in order to provide the best medical treatment possible to every patient.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1Clinco Sheltered Industries IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11205 W Grand AveAddressLine1Txt
CityCameronCityNm
State AbbreviationMOStateAbbreviationCd
ZIP64429ZIPCd
FieldValueIRS element (for citing)
Recipient EIN431064239RecipientEIN
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$10,000CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Purpose Of GrantOperation of sheltered workshop for developmentally disabled individualsPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeCollege scholarshipsGrantTypeTxt
Recipient52RecipientCnt
Cash Grant$57,500CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationScholarships are paid directly to the college of the recipient. When making grants to domestic organizations, funds are disbursed directly to each organization with the Board of Directors' authorization.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Laeeq Azmat Tahirkheli
Physician & Director$688,446$0$312,232$0$0$0$0$0$0$0$1,000,678$0$0$0
Shahzad Shafique
Physician$549,662$0$120,071$0$0$0$0$0$0$0$669,733$0$0$0
Muhammad Amin
Physician$447,930$0$135,248$0$0$0$0$0$0$0$583,178$0$0$0
Ly Phan
Physician$517,868$0$61,428$0$0$0$0$0$0$0$579,296$0$0$0
Damond Erickson
Pharmacy Director$549,879$0$4,211$0$0$0$0$0$16,870$0$570,960$0$0$0
Arihant Jain
Physician$535,745$0$22,258$0$0$0$0$0$0$0$558,003$0$0$0
Joseph F Abrutz Jr
Administrator$354,169$0$96,235$0$0$0$0$0$13,899$0$464,303$0$0$0
Laura Harbison
Physician & Director$403,068$0$5,450$0$0$0$0$0$0$0$408,518$0$0$0
Rosa Patti
Chief Financial Officer$121,552$0$79,351$0$0$0$0$0$16,729$0$217,632$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 4bThe Medical Center has established a deferred compensation plan (a 457 Plan subject to Code section 457(b)). The name of the Plan as adopted by the Medical Center is Cameron Regional Medical Center, Inc. 457(b) Plan. During the fiscal year end 09/30/2023, $2,962 was contributed to the Plan on behalf of Joseph F. Abrutz, Jr., Administrator of the Medical Center.
Part I, Line 6The Administrator is eligible for an annual bonus that is partially contingent on meeting a specific operating margin percentage.
Part I, Line 7The Administrator is eligible for an annual bonus that is partially contingent on meeting quality measure goals and strategic planning goals. The Chief Financial Officer also received a bonus during the fiscal year ending in 2023 for completing a variety of special projects for the Medical Center.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
The Industrial Development Authority of Clinton County Missouri
A43161977018746NAM22017-09-06$10,000,000Refund Series 2007B bonds issued on 05/17/2007000
The Industrial Development Authority of Clinton County Missouri
B43161977018746NAQ32017-09-06$3,990,000Financing of capital project and equipment000
The Industrial Development Authority of the City of Cameron Missouri
C431679396133451BS22017-12-21$6,105,000Refund Series 2011 bond and financing of capital project000
The Industrial Development Authority of the City of Cameron Missouri
D431679396NoneAvail2019-08-22$2,730,000Financing of capital projects000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCapital ExpendituresCapitalExpendituresAmt
A$150,000$10,000,000$486,592$170,257$9,348,7882017Yes (1)0Yes (1)Yes (1)
B$3,990,000$403,675$68,386$21,250201800Yes (1)Yes (1)$3,504,535
C$2,065,000$6,105,000$242,812$121,226$2,939,8632019Yes (1)0Yes (1)Yes (1)$2,827,033
D$2,730,000$177,051$54,600202000Yes (1)Yes (1)$2,513,835

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0000000
B0000000
C0000000
D0000000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)0000Yes (1)
B000Yes (1)0000Yes (1)
C000Yes (1)0000Yes (1)
D0Yes (1)000000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceDate Rebate Computation PerformedFormAndLineReferenceDesc
ExplanationIssuer Name: The Industrial Development Authority of Clinton County, Missou Date the Rebate Computation was Performed: 09/01/2022 Issuer Name: The Industrial Development Authority of Clinton County, Missou Date the Rebate Computation was Performed: 09/01/2022 Issuer Name: The Industrial Development Authority of the City of Cameron, M Date the Rebate Computation was Performed: 12/01/2022ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Health and Educational Facilties Authority of the State of MissouriBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN431178966BondIssuerEIN
CUSIPNoneAvailCUSIPNum
Bond Issued2022-04-20BondIssuedDt
Issue Price$5,615,000IssuePriceAmt
PurposeFinancing of capital projectsPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$65,000RetiredAmt
Total Proceeds$5,615,000TotalProceedsAmt
In Reserve Fund$505,859InReserveFundAmt
Issuance Costs From Proceeds$112,000IssuanceCostsFromProceedsAmt
Capital Expenditures$5,124,183CapitalExpendituresAmt
Unspent$1,163UnspentAmt
Substantial Completion2023SubstantialCompletionYr
Refunding Tax Exempt Bonds0RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation Made0FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd0ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, line 11bA copy of Form 990 is made available to the governing body prior to filing.
Form 990, Part VI, Section B, line 12cEmployees and Directors are required to complete an annual disclosure information form.
Form 990, Part VI, Section B, line 15aThe Board of Trustees is responsible for determining the job performance standards for the Administrator/CEO and determining compensation according to the organization's policies.
Form 990, Part VI, Section C, line 19Organization makes its governing documents available upon request.
Form 990, Part IX, line 11gProfessional fees: Program service expenses 6,794,666. Management and general expenses 83,465. Fundraising expenses 0. Total expenses 6,878,131. Purchased services: Program service expenses 2,398,414. Management and general expenses 477,244. Fundraising expenses 0. Total expenses 2,875,658. Reference lab fees: Program service expenses 622,987. Management and general expenses 0. Fundraising expenses 0. Total expenses 622,987. Other fees for services: Program service expenses 65,342. Management and general expenses 172,642. Fundraising expenses 0. Total expenses 237,984.
Form 990, Part XI, line 9:Change in beneficial interest in net assets of Foundation net of transfers 30,979.
Form 990, Part XII, Line 2C:The audit committee assumes the responsibility for the oversight of the audited financial statements, review of the Form 990, and selection of the independent accounting firm.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Cameron Regional Medical Center Provider Management Service Organization LLBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 East Evergreen StreetAddressLine1Txt
CityCameronCityNm
State AbbreviationMOStateAbbreviationCd
ZIP64429ZIPCd
FieldValueIRS element (for citing)
EIN472649803EIN
Primary ActivitiesTo provide support and administrative services to physician groupsPrimaryActivitiesTxt
Legal Domicile StateMOLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Cameron Regional Medical CenterBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Cameron Regional Medical Center FoundationBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 East Evergreen StreetAddressLine1Txt
CityCameronCityNm
State AbbreviationMOStateAbbreviationCd
ZIP64429ZIPCd
FieldValueIRS element (for citing)
EIN742933060EIN
Primary ActivitiesTo support the operation of the Cameron Regional Medical Center, Inc.PrimaryActivitiesTxt
Legal Domicile StateMOLegalDomicileStateCd
Exempt Code Section501(c)(3)ExemptCodeSectionTxt
Public Charity StatusLine 7PublicCharityStatusTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd