CAPITAL REGION MEDICAL CENTER: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: CAPITAL REGION MEDICAL CENTER (EIN 44-0546366)
Tax period: 2019-07-01 to 2020-06-30
Filed: 2021-05-03
IRS object ID: 202111249349301411
Schema version: 2019v5.0
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R
Reasonable Cause Explanation

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-05-03T09:52:07-07:00	ReturnTs
Tax Period End	2020-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	440546366	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CAPITAL REGION MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	CAPI	BusinessNameControlTxt
Phone	5736325000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1125 Madison Street	AddressLine1Txt
City	Jefferson City	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	65101	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Tom Luebbering	PersonNm
Person Title	Vice President of Finance	PersonTitleTxt
Phone	5736325101	PhoneNum
Signature	2021-05-03	SignatureDt

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Tom Luebbering	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1125 Madison Street	AddressLine1Txt
City	Jefferson City	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	65101	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$216,164,148	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	crmc.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1945	FormationYr
Legal Domicile State	MO	LegalDomicileStateCd
Activity Or Mission	Capital Region Medical Center embraces its mission: To improve health and promote wellness in the communities we serve.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	1737	TotalEmployeeCnt
Total Volunteers	208	TotalVolunteersCnt
Total Gross UBI	-$28,225	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$595,980	PYContributionsGrantsAmt
CY Contributions Grants	$175,787	CYContributionsGrantsAmt
PY Program Service Revenue	$220,009,155	PYProgramServiceRevenueAmt
CY Program Service Revenue	$215,561,987	CYProgramServiceRevenueAmt
PY Investment Income	$2,380,919	PYInvestmentIncomeAmt
CY Investment Income	$418,235	CYInvestmentIncomeAmt
PY Other Revenue	$0	PYOtherRevenueAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$222,986,054	PYTotalRevenueAmt
CY Total Revenue	$216,156,009	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$104,458,252	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$103,993,755	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$106,079,572	PYOtherExpensesAmt
CY Other Expenses	$114,243,280	CYOtherExpensesAmt
PY Total Expenses	$210,537,824	PYTotalExpensesAmt
CY Total Expenses	$218,237,035	CYTotalExpensesAmt
PY Revenues Less Expenses	$12,448,230	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$2,081,026	CYRevenuesLessExpensesAmt
Total Assets BOY	$216,034,215	TotalAssetsBOYAmt
Total Assets EOY	$219,577,401	TotalAssetsEOYAmt
Total Liabilities BOY	$71,157,209	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$75,722,609	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$144,877,006	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$143,854,792	NetAssetsOrFundBalancesEOYAmt
Mission	Capital Region Medical Center embraces its mission; To imporove the health and promote wellness in the communities we serve.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$3,255,276	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$0	RevenueAmt
Desc	Inpatient and Outpatient Charity Care: Capital Region Medical Center serves the community by providing medical care to all patients regardless of their ability to pay. Patients who qualify for charity care will be identified as soon as possible, either before the services are provided or after an individual has received services to stabilize their medical condition. If it is difficult to determine a patient's eligibility for charity care prior to providing the service, the determination should be made as soon as possible after the provision of the service. Upon registration, patients without Medicare/Medicaid, adequate health insurance or other local health care financial assistance will receive either a packet of information that addresses the financial assistance policy and procedures or immediate financial counseling assistance from staff within established business hours. The packet of information will clearly indicate that CRMC provides care without regard to ability to pay, to individuals with limited financial resources and explain how patients apply for financial assistance. CRMC provides a variety of services ranging from emergency services to inpatient and outpatient elective surgery, diagnostic testing and education programs. Charity care policies and procedures are in place to address any instances in which patients may access services.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$1,823,785	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$886,662	RevenueAmt
Desc	Support of Medical Education - In 1952 CRMC entered into the teaching and training of physicians with programs to teach medical students and interns. Today CRMC serves as the primary clinical training site for one of the two Family Medicine Residency Programs sponsored by the University of Missouri-Columbia School of Medicine. CRMC also serves as a clinical training site for other specialty Residency Programs sponsored by the University of Missouri-Columbia School of Medicine. In addition medical students from the Kirksville College of Osteopathic Medicine and University of Health Sciences located in Kansas City schools of Medicine complete clinical rotations at CRMC. Capital Region Medical Center supports Lincoln University School of Nursing program, Columbia College Nursing Program, Missouri State University and Drury University; RN, BSN and MSN from Central Missouri State, Central Methodist, LPN and RN at State Tech; Social Work and Case Management students from MU and Lincoln; MSN students from St. Louis University, UMKC, Maryville, Chamberlain College, Frontier Nursing; Graceland, Herzing, Vanderbuilt and Walden University in Family Nurse Practitioner clinicals for which we provide the preceptors/clinical supervisors as well as the facilities. CRMC also assists Stephens College, Bell-Brown College, and State Fair College with Registered Medical Assistants; Stephens College and the University of North Dakota Physician's Assistant programs and local schools for Paramedic and EMT training. CRMC assists also assists State Tech for Radiology. Dietary students from Herzing University, Keiser University, UMC and UMSL. In addition to the direct financial support that Capital Region provides, we also provide support to Columbia College MSN students and Lincoln University School of Nursing BSN program in leadership training. We assist students from Rolla Technical College and Columbia Technical College in the surgical tech program. CRMC provides training to phlebotomist/tech students from Moberly Community College to assist them with fulfilling their clinical requirements. CRMC provides oversight and mentoring to the St. Louis College of Pharmacy, University of Missouri-Columbia and Kansas City Pharmacy Programs. We provide support to St. Louis University and University of Missouri-Columbia PT and Kansas City and State Tech PTA programs. As well as assistance to the University of Missouri dietetics program. Our support for these programs in not only through the provision of training facilities but also adjunct faculty and resources.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$267,277	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$56,250	RevenueAmt
Desc	Community Health Resident Clinic: CRMC provides Residents and Physician Supervisors to staff the Community Health Center clinic. In addition to providing a valuable training tool for the medical students, the resident clinic serves a unique community benefit by providing over 1700 patient visits from the eight county service area. The charge for service is based on the individual's ability to pay, which in many cases is free.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$191,564,032	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$0	RevenueAmt
Desc	All other inpatient and outpatient services provided to patients.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$191,564,032	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$0	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$196,910,370	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	169	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1737	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	0	Form8899Filedind
Form1098 C Filed	0	Form1098CFiledInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	Tom Luebbering	PersonNm
Phone	5736325101	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1432 Southwest Blvd	AddressLine1Txt
City	Jefferson City	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	65109	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd
Mitchell Godbee
Physician	40	0	Yes (X)	$1,251,808	$0	$72,917
Sharmilla Suri-Mohanram
Physician	40	0	Yes (X)	$998,809	$0	$37,528
Ruthanna Hunter
Physician	40	0	Yes (X)	$653,178	$0	$61,977
Scott Anderson
Physician	40	0	Yes (X)	$641,124	$0	$64,140
Dennis Luetkemeyer
Physician	40	0	Yes (X)	$635,543	$0	$63,833
Diane Light
Board Member/Physician	40	0		$543,517	$0	$54,154	Yes (X)
Gaspare Calvaruso
President	40	0		$460,238	$0	$61,517		Yes (X)
Randall Haight
Vice President/Physician	40	0		$358,437	$0	$51,337		Yes (X)
Michelle Barg
Vice President/Physician	40	0		$296,484	$0	$27,058		Yes (X)
Lisa Kolb Waggoner
Board Member/Physician	40	0		$259,275	$0	$54,764	Yes (X)
Janet Weckenborg
Vice President	40	0		$235,922	$0	$46,319		Yes (X)
Tom Luebbering
Vice President	40	0		$229,471	$0	$52,555		Yes (X)
Glenda Dahlstrom
Vice President	40	0		$202,428	$0	$44,222		Yes (X)
Ted Brandt - Paid by Univ of MO
Vice President	40	0		$206,320	$0	$35,320		Yes (X)
Sarah Morrow
Vice President	40	0		$185,115	$0	$44,230		Yes (X)
Belynda Imhoff - Paid by Cerner
Vice President	40	0		$152,648	$0	$12,842		Yes (X)
Ted Brandt - CRMC
Vice President	40	0		$18,692	$0	$0		Yes (X)
Beylnda Imhoff - CRMC
Vice President	40	0		$13,161	$0	$0		Yes (X)
Carlos Graham
Board Member	2.5	0		$0	$0	$0	Yes (X)
Lorilei Schwartz
Chair	2.5	0		$0	$0	$0	Yes (X)
Stevan Whitt
Board member	2.5	0		$0	$0	$0	Yes (X)
Marc Ellinger
Vice Chair	2.5	0		$0	$0	$0	Yes (X)
Mary Beck
Board Member	2.5	0		$0	$0	$0	Yes (X)
David Minton
board member	2.5	0		$0	$0	$0	Yes (X)
Jonathan Curtright
board member	2.5	0		$0	$0	$0	Yes (X)
Samuel Bushman
Board Member	2.5	0		$0	$0	$0	Yes (X)
Phillip Burger
board member	2	0		$0	$0	$0	Yes (X)
Kristina Naught
board member	2	0		$0	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,342,170	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$784,713	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	132	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	Yes (1)	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
Cerner Corporation
2800 Rockcreek Parkway	Kansas City	MO	641172551	Computer Management and Support	$6,724,939
University of Missouri
One Hospital Drive	Columbia	MO	65201	Physician and Professional Services	$4,180,210
Inpatient Consultants of MO Inc
PO Box 844929	Los Angeles	CA	900844929	Physician Service	$3,426,925
Morrison Healthcare
PO Box 102289	Atlanta	GA	303682289	Management Food Services	$1,635,703
Aya Healthcare
PO Box 123519	Dallas	TX	753123519	Contract Nursing Services	$1,522,269	Dept 3519

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	77	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Related Organizations	$175,787	RelatedOrganizationsAmt
Government Grants	$0	GovernmentGrantsAmt
All Other Contributions	$0	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$175,787	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Net Patient Service Revenue	622110	$205,561,669	$205,552,873	$8,796	$0
Other Revenue	900099	$10,000,318	$10,000,318	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$215,561,987	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$377,393	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$37,021	UnrelatedBusinessRevenueAmt
Exclusion	$414,414	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$48,481	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$48,481	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$500	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$8,139	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	-$7,639	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$7,639	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	-$7,639	ExclusionAmt

Field	Value	IRS element (for citing)
Contri Rpt Fundraising Event	$0	ContriRptFundraisingEventAmt
Other Revenue Total	$0	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$216,156,009	TotalRevenueColumnAmt
Related Or Exempt Func Income	$215,553,191	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$28,225	UnrelatedBusinessRevenueAmt
Exclusion	$455,256	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,207,042	TotalAmt
Program Services	$2,862,926	ProgramServicesAmt
Management And General	$344,116	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$84,120,814	TotalAmt
Program Services	$75,094,651	ProgramServicesAmt
Management And General	$9,026,163	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,342,311	TotalAmt
Program Services	$2,037,811	ProgramServicesAmt
Management And General	$304,500	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$9,559,523	TotalAmt
Program Services	$8,296,710	ProgramServicesAmt
Management And General	$1,262,813	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,764,065	TotalAmt
Program Services	$4,252,880	ProgramServicesAmt
Management And General	$511,185	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$203,367	TotalAmt
Program Services	$149,999	ProgramServicesAmt
Management And General	$53,368	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$142,973	TotalAmt
Program Services	$105,454	ProgramServicesAmt
Management And General	$37,519	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Fundraising	$0	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$21,417,089	TotalAmt
Program Services	$15,797,245	ProgramServicesAmt
Management And General	$5,619,844	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$213,030	TotalAmt
Program Services	$157,126	ProgramServicesAmt
Management And General	$55,904	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$250,345	TotalAmt
Program Services	$228,286	ProgramServicesAmt
Management And General	$22,059	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$7,382,427	TotalAmt
Program Services	$5,905,941	ProgramServicesAmt
Management And General	$1,476,486	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$605,399	TotalAmt
Program Services	$552,054	ProgramServicesAmt
Management And General	$53,345	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$401,773	TotalAmt
Program Services	$366,371	ProgramServicesAmt
Management And General	$35,402	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,413,534	TotalAmt
Program Services	$1,230,646	ProgramServicesAmt
Management And General	$182,888	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$11,174,417	TotalAmt
Program Services	$10,022,048	ProgramServicesAmt
Management And General	$1,152,369	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,304,718	TotalAmt
Program Services	$1,189,753	ProgramServicesAmt
Management And General	$114,965	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Supplies	$54,927,015	$54,648,279	$278,736	$0
Utilities and Phone	$2,354,893	$2,147,392	$207,501	$0
Repairs and Maintenance	$3,394,190	$3,095,112	$299,078	$0
FRA Taxes	$5,784,835	$5,784,835	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,273,275	TotalAmt
Program Services	$2,984,851	ProgramServicesAmt
Management And General	$288,424	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$218,237,035	TotalAmt
Program Services	$196,910,370	ProgramServicesAmt
Management And General	$21,326,665	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$27,776,272	BOYAmt
EOY	$24,497,370	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$22,978,786	BOYAmt
EOY	$25,093,101	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,480,236	BOYAmt
EOY	$4,927,152	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,647,510	BOYAmt
EOY	$4,149,594	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$273,697,497	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$190,677,847	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$82,323,411	BOYAmt
EOY	$83,019,650	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$65,302,025	BOYAmt
EOY	$67,357,877	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$9,525,975	BOYAmt
EOY	$10,532,657	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$216,034,215	BOYAmt
EOY	$219,577,401	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$26,105,802	BOYAmt
EOY	$33,545,274	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$37,097,692	BOYAmt
EOY	$33,981,367	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$7,953,715	BOYAmt
EOY	$8,195,968	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$71,157,209	BOYAmt
EOY	$75,722,609	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$140,912,801	BOYAmt
EOY	$139,697,029	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,964,205	BOYAmt
EOY	$4,157,763	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$144,877,006	BOYAmt
EOY	$143,854,792	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$216,034,215	BOYAmt
EOY	$219,577,401	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$2,081,026	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$327,252	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$731,560	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	Yes (1)	AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$23,583	OtherActivitiesAmt
Total Lobbying Expenditures	$23,583	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1	FormAndLineReferenceDesc
Explanation	CRMC is a member of Missouri Hospital Association. Just one of the benefits of membership is that MHA communicates with government on issues that are important to Missouri hospitals. A portion of the annual dues is attributable to lobbying.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$10,970,235	OtherCostOrOtherBasisAmt
Book Value	$10,970,235	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$155,286,886	OtherCostOrOtherBasisAmt
Depreciation	$115,991,857	DepreciationAmt
Book Value	$39,295,029	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$2,581,194	OtherCostOrOtherBasisAmt
Depreciation	$1,750,696	DepreciationAmt
Book Value	$830,498	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$104,859,182	OtherCostOrOtherBasisAmt
Depreciation	$72,935,294	DepreciationAmt
Book Value	$31,923,888	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$0	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$0	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$83,019,650	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
457(b) Liability	$3,753,277
Insurance Liability	$2,028,645
Malpractice Liability	$2,269,677
Other Long Term Liabilities	$144,369

Field	Value	IRS element (for citing)
Total Liability	$8,195,968	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$215,980,222	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$0	NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Recoveries Prior Year Grants	$0	RecoveriesPriorYearGrantsAmt
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$215,980,222	RevenueSubtotalAmt
Investment Expenses Not Incld	$0	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$175,787	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$175,787	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$216,156,009	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$218,388,778	TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts	$0	DonatedServicesUseFcltsAmt
Prior Year Adjustments	$0	PriorYearAdjustmentsAmt
Losses Reported	$0	LossesReportedAmt
Other Expenses Included	$151,743	OtherExpensesIncludedAmt
Expenses Not Reported	$151,743	ExpensesNotReportedAmt
Expenses Subtotal	$218,237,035	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$0	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$218,237,035	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part X, Line 2	Because CRMC did not have any tax liabilities, the wording is silent. Footnote 1 would have disclosed this if it was applicable. Income Taxes: The Medical Center has been recognized as exempt from income taxes under Section 501 of the Internal Revenue Code and a similar provision of state law. However, the Medical Center is subject to federal income tax on any unrelated business taxable income.
Schedule D, Part XI, Line 4b	-528823 Change in Unrealized Gains
Schedule D, Part XII, Line 2d	Foundation Expense $144104 + Loss on Sale $7639 = $151743

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent200 D	Yes (X)	Percent200DInd
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	0	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$3,255,276	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,255,276	NetCommunityBenefitExpnsAmt
Total Expense	0.0149	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$19,172,326	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,843,968	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,328,358	NetCommunityBenefitExpnsAmt
Total Expense	0.0244	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$22,427,602	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,843,968	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,583,634	NetCommunityBenefitExpnsAmt
Total Expense	0.0393	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,436,973	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$850,979	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,585,994	NetCommunityBenefitExpnsAmt
Total Expense	0.0073	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,091,062	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$942,912	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,148,150	NetCommunityBenefitExpnsAmt
Total Expense	0.0053	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$158,909	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$158,909	NetCommunityBenefitExpnsAmt
Total Expense	0.0007	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$4,686,944	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,793,891	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,893,053	NetCommunityBenefitExpnsAmt
Total Expense	0.0133	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$27,114,546	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,637,859	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,476,687	NetCommunityBenefitExpnsAmt
Total Expense	0.0526	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$53,808	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$53,808	NetCommunityBenefitExpnsAmt
Total Expense	0.0002	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$949	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$949	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,887,936	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,326,099	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,561,837	NetCommunityBenefitExpnsAmt
Total Expense	0.0118	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$7,942,693	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,326,099	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,616,594	NetCommunityBenefitExpnsAmt
Total Expense	0.0120	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$9,780,280	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$48,619,100	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$46,665,628	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$1,953,472	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Capital Region Medical Center	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1125 Madison Street	AddressLine1Txt
City	Jefferson City	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	65101	ZIPCd

Field	Value	IRS element (for citing)
Website Address	crmc.org	WebsiteAddressTxt
State License	419-19	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Capital Region Medical Center	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.crmc.org	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.crmc.org/about-us/community-involvement/community-health-needs-assessment/	StrategyWebsiteURLTxt
Strategy Attached	0	StrategyAttachedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	200	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Other Method	Yes (X)	OtherMethodInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.crmc.org/patients-and-visitors/billing-insurance/financial-assistance/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.crmc.org//media/1268/2404-007.pdf	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.crmc.org/patients-and-visitors/billing-insurance/financial-assistance/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5-Capital Region Medical Center	The Central Missouri Community Health Assessment Partnership (CMCHAP) was created and embarked on a mission to improve the health of residents of the four counties of Cole, Miller, Moniteau and Osage. The partnership worked collaboratively to collect and analyze health data and gather input from community members to aid in assessing and prioritizing needs. This unique partnership of health care and social service providers was financially funded by the two local hospitals - Capital Region Medical Center and SSM St. Mary's Health Center, and nine other community partners joined together to form the CMCHAP.
Schedule H, Part V, Section B, Line 6a-Capital Region Medical Center	Capital Region Medical Center and SSM St. Mary's Hospital.
Schedule H, Part V, Section B, Line 6b-Capital Region Medical Center	The Health Departments of Cole, Callaway, Miller, Moniteau and Osage counties, Community Health Center of Central Missouri, Central Missouri United Way, Compass Health Network, and the Missouri Coalition for Community Behavioral Healthcare.
Schedule H, Part V, Section B, Line 7d-Capital Region Medical Center	Capital Region Medical Center made the CHNA available online at www.crmc.org. Additionally paper copies were made available through the public relations department. A review of the CHNA was provided to medical center managers, Board of Directors, the CRMC foundation, and also at the Community Outreach meeting held in several of the outlying counties we serve.
Schedule H, Part V, Section B, Line 11-Capital Region Medical Center	CRMC has a dedicated department referenced as Community Benefit that works collectively with community partners to address such needs. There is also an internal team that reviews the CHNA and determines the strategic plan for implementing strategies to address such needs. This team meets regularly and provides an update to the Board of Directors in August each year. The top five needs determined in the August 2018 CHNA are as follows. 1. Improve Access to Health Care and Support Services. 2. Mental Health disorders and Substance Abuse. 3. Chronic Disease and Health Risks Prevention- Overweight/Obesity & Physical Inactivity, Smoking & Tobacco Use 4. Improve Health Literacy 5. Address Social Determinants of Health Strategies have included support groups, smoking cessation, lifestyle, chronic disease management & diabetes self management and weight loss programs. Implemented tracking and education of depression and body mass index screenings at all primary care visits. We have increased the number of participating providers including primary and psychiatrists. We work with the Council for Drug Free Youth on many projects and also created the Behavioral Health Resource Partnership. CRMC has been actively engaging the medical team in policies to decrease usage of controlled substances with emphasis on reducing risk of opiod abuse. To help combat environmental and abuse issues, CRMC also places a bin in the pharmacy for people to safely dispose of unused prescription medications. Our implementation strategies also encourage improved nutrition and increased physical activity. We sponsor famers' markets and implemented fresh fruits and vegetables at local food pantries, buddy packs at local schools, and partnered with several schools and recreation centers to develop healthy concession policies. CRMC has worked with multiple city governments on bike/pedestrian plans, complete street policies, as well as trails, including the Rock Island Trail. Lastly, we are continuing our partnership with Missouri Foundation for Health with 3 school districts and communities on the Healthy Schools/Healthy Communities initiative.
Schedule H, Part V, Section B, Line 15e-Capital Region Medical Center	Use of Human Arc to assist in Medicaid application

Field	Value	IRS element (for citing)
Facility	20	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (18 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
Capital Region Physicians
1125 Madison Street	Jefferson City	MO	65101	Medical Center Expansion - Physician clinics and outpatient services
Capital Region Southwest
1432 Southwest Blvd	Jefferson City	MO	65109	Outpatient and Wellness Services
CRMC Healthplex West
3308 West Edgewood	Jefferson City	MO	65109	Urgent Care and Outpatient Therapy
CRMC-SW Clinic
1500 Southwest Blvd	Jefferson City	MO	65109	Family Practice Clinic
Primary Care
1014 Madison Street	Jefferson City	MO	65101	Primary Care - Family Practice Clinic
CRMC- Versailles
901 Kidwell Drive	Versailles	MO	65084	Family Practice Clinic
CRMC - Eldon
103 Business Hwy 54 North	Eldon	MO	65026	Family Practice Clinic
West Truman Clinic
3527 W Truman Blvd	Jefferson City	MO	65109	Physician Clinic
CRMC-Owensville
3536 Kuhne Road	Owensville	MO	65066	Family Practice Clinic
CRMC Surgicare
1705 Christy Drive	Jefferson City	MO	65101	Surgeon
Eastland Urgent Care
915 A Eastland Drive	Jefferson City	MO	65101	Urgent Care Clinic
CRMC-California
704 Buchanan	California	MO	65018	Family Practice Clinic
CRMC-Linn
916 East Main Street	Linn	MO	65051	Family Practice
Capital Region Family Medical Center
420 East High Street	Jefferson City	MO	65101	Family Practice Clinic
CRMC Quick Care
3721 W Truman Blvd	Jefferson City	MO	65109	Quick Care Clinic
CRMC-Holts Summit
180 North Star	Holts Summit	MO	65043	Family Practice Clinic
Vienna Family Practice
111 Parkway	Vienna	MO	65582	Family Practice Clinic
St Elizabeth Clinic
631 S Walnut Street	St Elizabeth	MO	65075	Physician Clinic

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3c	Average Medicare and Commercial/Managed Care Adjustments were used to calculate 65% auto self pay.
Schedule H, Part I, Line 7	Cost to Charge ratios from Worksheet 2
Schedule H, Part I, Line 7, Column f	N/A
Schedule H, Part I, Line 7e	Community Benefit is a dedicated department established to implement strategies to address the top needs identified in the community health needs assessment (CHNA). The top five needs determined in the August 2018 CHNA are: 1. Access to Health Care; 2. Mental Health Disorders and Substance Abuse; 3. Chronic Disease and Health Risks Preventions 4. Health Literacy and 5. Social Determinants of Health. Community Benefit Operations to impact areas of improvement based on the community health needs assessment included programs for support, self-help, screenings such as cholesterol screenings, health fairs, chronic disease self-management , diabetes self-management, diabetes education, smoking cessation, community education through speakers bureau presentations. Other initiatives include, safe drug disposal options in CRMC's retail pharmacy, outreach within groups in underserved areas. CRMC also actively works with the Jefferson City Area Parks and Recreation on its initiatives to promote parks and healthy living through financial assistance and sponsoring programming in the areas. CRMC initiated its response to the COVID-19 pandemic initiating incident command and establishing a drive through testing site close to the hospital campus. CRMC launched community education campaigns and worked closely with the Cole County Health Department, SSM Health - St. Mary's Hospital Jefferson City and the City to help slow the spread of the virus.
Schedule H, Part I, Line 7g	N/A
Schedule H, Part II	CRMC participates with many community partners throughout the year to carry out our mission to improve health and promote wellness in the communities we serve. Strategically our implementation strategy focuses our community health activities and resources based on the findings of the community health needs assessment. In order to be impactful on the health and wellness of our community, partnerships, collaborations, and working with coalitions is a must. The expenses noted in this section are reflective of our participation in such community building activities. Specific details are included on each particular line.
Schedule H, Part II, Line 3	CRMC provides a building for use to the St. Nicholas Academy. it is a not for profit organization which is creating a group home for at risk youth. This is the normal rental amount for this square footage. St. Nicholas Academy pays $1 per year in rent.
Schedule H, Part II, Line 6	In our community outreach meetings, CRMC president and other Administrative members hold meetings in the communities we serve. At these meetings, CRMC gives an update with current information from Capital Region. They ask for input from community members about ways CRMC can improve health care in their community.
Schedule H, Part II, Line 8	CRMC recruits and retains physicians to provide medical care in rural or under served areas.
Schedule H, Part III, Section A, Line 4	Footnote #3 of audit report
Schedule H, Part III, Section B, Line 8	Line 2 is determined using the cost to charge ratio from Worksheet 2
Schedule H, Part III, Section C, Line 9b	All Self Pay patients automatically receive a 65% Self Pay discount. For collection practices, we run presumptive charity using Paro Presumptive Charity software to identify all patients under the presumptive score of 279% which equals 200% of FPL. We write off to charity all patients under the threshold and do not send to collections. All patients over 279% of presumptive score must complete the financial application to prove need of charity assistance. In addition patients are screened for Medicaid eligibility using a company called Human Arc.
Schedule H, Part VI, Line 2	The CMCHAP conducted a comprehensive community health assessment using both secondary and primary analysis, which allowed us to measure perception, health risks, health factors, health outcomes and characteristics specific to the communities in these five central counties. This is the third comprehensive regional health assessment completed in this collaborative fashion by the CMCHAP. The objectives were to identify factors influencing health status, determine and prioritize issues of greatest concern, identify unmet health needs and project a source of reliable information that will support the development of solutions. The needs assessment was conducted using three methods: secondary data analysis, discussions with community groups and provide clients with surveys completed by community members, community leaders and local physicians. Existing data previously collected for other purposes, called secondary data, was compiled from a variety of credible local state and federal sources to provide a context for analysis and interpretation. Community discussion groups, much like town hall meetings were organized by the Steering Team and facilitated by Michael Feliz, a community health development specialist. Throughout this process, more the 150 individuals participated in nine discussion groups and consumer interview sessions. An addition to the data collection for 2018 was the inclusion of a survey to assess the perception of health care and health status across the five county region in the analysis. These surveys were made available in physician offices, online and in community health departments. Upon reviewing the findings from all the sources of information, the Steering Team identified the most serious health issues and then ranked them using a priory matrix. The results were: 1. Access to Health Care 2. Mental Health and Substance Abuse 3. Chronic Disease and Health Risks Prevention. 4. Health Literacy and 5. Social Determinants of Health
Schedule H, Part VI, Line 3	At every location, registration staff have financial assistance packets available to hand out. All self pay patients are referred to one of the three financial counselors in the area. Patient financial counselors visit all self pay in house patients. Also Human Arc helps patients apply for Medicaid and an Accountable Care representative is on site one day per week. Signs are posted in rooms and at registration sites. For every statement sent, there is a number printed to call for assistance. All first letters indicate who to call for assistance. All clinics are aware of the policy - so is the medical staff. It is posted on our website and on our online bill pay.
Schedule H, Part VI, Line 4	The five county region included both urban and rural areas. The local area economy is heavily dependent on state government. The total population for the region based on the 2010 census was 175,851. The region is expecting an increase of 5.5% from 2010-2020. Cole County which has the largest population of the region, shows a projected growth in population of 6.11%, which is a slight increase of the actual growth experienced of 6.04% growth between the 2000-2010 censuses. The age distribution continues to shift toward a larger population of older adults. Understanding the older population generally have more chronic disease and face more barriers in accessing care, it was notified that the concentration of the aging population in the rural counties where there are fewer services is of growing concern. Community discussion groups noted increase in minority and diverse groups.
Schedule H, Part VI, Line 5	As a community based hospital, Capital Region Medical Center lives its mission to improve health and promote wellness to the communities it serves every day. A full service hospital offering a complete continuum of care, CRMC provides access to exceptional health care services throughout its service area. CRMC operates a large clinic network and comprehensive cancer facility, employees over 120 providers, houses an inpatient rehabilitation facility and includes a medically based fitness facility.
Schedule H, Part VI, Line 6	CRMC is an affiliate of MU Health. Through this partnership, our community benefits from the access of a community based hospital and a higher level of care when needed.
Schedule H, Part VI, Line 7	N/A

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	Yes (1)	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	Yes (1)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Gaspare Calvaruso
President	$373,975	$0	$79,260	$0	$7,002	$0	$11,200	$0	$50,317	$0	$521,754	$0	$0	$0
Tom Luebbering
Vice President	$194,877	$0	$34,074	$0	$520	$0	$8,080	$0	$44,474	$0	$282,025	$0	$0	$0
Janet Weckenborg
Vice President	$194,517	$0	$39,992	$0	$1,412	$0	$7,771	$0	$38,547	$0	$282,239	$0	$0	$0
Glenda Dahlstrom
Vice President	$172,118	$0	$29,197	$0	$1,112	$0	$7,148	$0	$37,074	$0	$246,649	$0	$0	$0
Sarah Morrow
Vice President	$162,870	$0	$21,874	$0	$371	$0	$6,882	$0	$37,348	$0	$229,345	$0	$0	$0
Randall Haight
Vice President/Physician	$297,922	$0	$59,725	$0	$790	$0	$11,072	$0	$40,265	$0	$409,774	$0	$0	$0
Michelle Barg
Vice President/Physician	$243,942	$0	$52,163	$0	$379	$0	$9,613	$0	$17,445	$0	$323,542	$0	$0	$0
Lisa Kolb Waggoner
Board Member/Physician	$180,786	$0	$77,661	$0	$827	$0	$7,531	$0	$47,233	$0	$314,038	$0	$0	$0
Diane Light
Board Member/Physician	$370,949	$0	$171,049	$0	$1,519	$0	$11,200	$0	$42,954	$0	$597,671	$0	$0	$0
Mitchell Godbee
Chief of Staff/Physician	$775,623	$0	$475,275	$0	$910	$0	$11,200	$0	$61,717	$0	$1,324,725	$0	$0	$0
Sharmilla Suri-Mohanram
Physician	$646,184	$0	$352,097	$0	$528	$0	$10,445	$0	$27,083	$0	$1,036,337	$0	$0	$0
Ruthanna Hunter
Physician	$495,024	$0	$157,775	$0	$380	$0	$10,474	$0	$51,503	$0	$715,156	$0	$0	$0
Scott Anderson
Physician	$602,459	$0	$35,001	$0	$3,664	$0	$11,200	$0	$52,940	$0	$705,264	$0	$0	$0
Dennis Luetkemeyer
Physician	$582,299	$0	$51,902	$0	$1,342	$0	$11,200	$0	$52,633	$0	$699,376	$0	$0	$0
Ted Brandt - Paid by Univ of MO
Vice President	$199,619	$0	$0	$0	$6,701	$0	$10,436	$0	$24,884	$0	$241,640	$0	$0	$0
Belynda Imhoff - Paid by Cerner
Vice President	$137,041	$0	$15,607	$0	$0	$0	$305	$0	$12,537	$0	$165,490	$0	$0	$0
Ted Brandt - CRMC
Vice President	$0	$0	$18,692	$0	$0	$0	$0	$0	$0	$0	$18,692	$0	$0	$0
Beylnda Imhoff - CRMC
Vice President	$0	$0	$13,161	$0	$0	$0	$0	$0	$0	$0	$13,161	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a	Capital Region pays for the President's membership with the Jefferson City Country Club. This is used for many business reasons. Any personal expenses incurred are reimbursed by the President to the Medical Center.
Schedule J, Part I, Line 3	Annually, all board members complete an evaluation of the CEO and individually present the results to the board chair who presents them to the compensation committee, consisting of 3 board members, including the Chair and Vice Chair. The compensation committee reviews the evaluation results with the CEO and determines the CEO's salary based on salary surveys from three different organizations. The comparable data are based on Missouri or the region. The compensation committee members do not have a conflict of interest with respect to the compensation arrangements. The committee documents their review and decisions.
Schedule J, Part I, Line 5	For all employees, an annual bonus is partially based on the achievement of certain organizational goals. These goals pertain to quality, service, and financial indicators.
Schedule J, Part I, Line 6	For all employees, an annual bonus is partially based on the achievement of certain organizational goals. These goals pertain to quality, service, and financial indicators.
Schedule J, Part I, Line 7	The President, Vice President, Directors, and Managers participate in the Management Incentive Compensation Program. They receive additional bonus compensation if certain stated goals are met. Most Physicians receive a base salary, but also have the ability to earn an additional amount based on production.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Health Facilities Revenue Bonds Series 2011
A	431178966	60637ACF7	2011-11-22	$32,690,247	Refund Series 1998 and 2004 Bonds (issued 12/29/98 and 6/29/2004)	0	0	0
Health Pacilities Revenue Bonds Series 2017
B	431178966	000000000	2017-03-09	$20,000,000	Reimburse CRMC for construction cost of medical office building	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$14,955,000	$0	$32,690,247	$2,908,325	$0	$0	$434,131	$0	$0	$0	$28,320,002	$0	2004	Yes (1)	0	Yes (1)	Yes (1)
B	$3,587,064	$0	$20,000,000	$0	$0	$0	$0	$0	$0	$0	$20,000,000	$0	2016	0	0	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0	0	0
B	0	0	0	0	0	0	0

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	0	0	0	0	0	0	0	0
B	0	Yes (1)	0	0	0	0	0	0	0

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	0
B	0

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Lori Luebbering
Wife of Tom Luebbering, Vice President	$22,394	Salary as nurse for CRMC	0
Kathleen Weckenborg
daughter in law of Janet Weckenborg, VP	$47,568	Salary as occupational therapist at CRMC	0
Jessica Luebbering
daughter in Law of Tom Luebbering VP	$20,033	Contract payment as physician of CRMC	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part V, Line 3b	CRMC filed a Form 990-T, However, it had an Unrelated Business Taxable Loss. Therefore UBI does not exceed $1000.
Form 990, Part VI, Section A, Line 6	The organization has 2 members - The University of Missouri-Columbia Medical Alliance and CRMC Healthcare
Form 990, Part VI, Section A, Line 7a	All elections for appointments to the Governing Body are subject to approval of the member, the University of Missouri Medical Alliance.
Form 990, Part VI, Section A, Line 7b	The bylaws provide a number of instances requiring approval by the University of Missouri Medical Alliance, (e.g. amendment of the bylaws, dissolution of the organization, sale of substantial assets, and discontinuance of a major service.)
Form 990, Part VI, Section B, Line 11b	The 990 is reviewed by the Director of Accounting, legal counsel, the Vice President of Finance, and the President. The President presents it to the board chair and the Executive Committee of the board. The Executive Committee makes a presentation to the board and copies are available to all members.
Form 990, Part VI, Section B, Line 12c	The hospital's legal counsel attends board meetings. He is continually monitoring if any transaction would be a conflict of interest. The Vice President of Finance reviews all payments to physicians and identifies any potential conflicts. The Director of Accounting reviews payments and identifies any potential conflicts.
Form 990, Part VI, Section B, Line 15	All board members complete an evaluation of the CEO and individually present the results to the board chair, who presents to the compensation committee, consisting of three board members, including Chair and Vice Chair. The compensation committee reviews the evaluation results with the CEO and determines the CEO's salary based on salary surveys from three different organizations. The comparable data are based on Missouri and the region. The compensation committee members do not have a conflict of interest with respect to the compensation agreements. The committee documents their review and decision and meets at least annually. The CEO sets the recommended salaries for key employees using comparable data from three salary surveys. The Vice President of Human Resources participates in determining the appropriate salary.
Form 990, Part VI, Section C, Line 19	The Capital Region website (crmc.org) provides important information about the medical center to the community. The "Fraud and Wrongdoing" policy, "Privacy policy, "Affiliation and Accreditations" policy, leader profiles, site locations, and contact information are all disclosed on the website. Capital Region includes financial statements in the annual report provided to the Board of Governors (approximately 500 members). Financial information is reviewed at the Medical Executive and Medical Staff meetings monthly. The information is then shared at the monthly managers' meeting and the communicated to all staff at department meetings.
Form 990, Part XI, Line 9	Transfer from Mu Alliance $682,106 + Increase in Foundation Net Assets $193,558 - Paid Foundation Expenses - $144104

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Address Line2USAddress/AddressLine2Txt
Capital Region Medical Foundation
PO Box 1128	Jefferson City	MO	651021128	431506900	Raise Money and manage funds to be used by Capital Region Medical Center	MO	501(c)(3)	Supporting Org Typ I	N/A
Still Osteopathic Medical Foundation
PO Box 1128	Jefferson City	MO	651021128	431720296	Support Capital Region Medical Center	MO	501(c)(3)	Support Org Typ III	N/A
Capital Region Medical Center Partners
1125 Madison Street	Jefferson City	MO	65101	446014361	Support Capital Region Medical Center	MO	501(c)(3)	Support Org Typ I	N/A
CRMC Healthcare Inc
1125 Madison Street	Jefferson City	MO	65101	461699021	Support Capital Region Medical Center	MO	501 (c)(3)	Type II Support Org	N/A
University of Missouri - Columbia Medical Alliance
1000 West Nifong	Columbia	MO	65211	311574931	Support and encourage health care delivery and medical education	MO	501 (c)(3)	Type I Support Org	N/A	Building 7 Suite 300

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Capital Region Medical Foundation
o	$144,104	Capital Region pays for the salary, benefits, and other expenses of the CRMC Foundation
Capital Region Medical Foundation
c	$175,787	Cash value of donations from the Foundation
Capital Region Medical Center Partners
q	$21,790	Partners reimburse the Medical Center for the salary and FICA tax expense for the gift shop manager.
Capital Region Medical Center Partners
c	$3,560	Cash value of donations given to Capital Region
Capital Region Medical Center Partners
m	$269,945	In the fiscal year ending June 30, 2020, the Partners donated 31389 hours of service valued at $269945.
University of Missouri - Columbia Medical Alliance
s	$682,106	The Medical Alliance reimbursed CRMC for certain expenses related to the implementation of the Cerner agreement.

Reasonable Cause Explanation ReasonableCauseExplanation

Field	Value	IRS element (for citing)
Explanation	A 6 month extension was approved. Return is Due May 15, 2021	ExplanationTxt